| Mayo Clinic Jacksonville | |
|
4500 San Pablo Road Jacksonville FL 32224-1865 | |
| (904) 953-1768 | |
| (904) 953-1768 |
| Full Name | Mayo Clinic Jacksonville |
|---|---|
| Speciality | Clinic/Center |
| Location | 4500 San Pablo Road, Jacksonville, Florida |
| Authorized Official Name and Position | Alice Rigdon (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9049530577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayo Clinic Jacksonville 4500 San Pablo Road Jacksonville FL 32224-1865 Ph: (904) 953-7355 | Mayo Clinic Jacksonville 4500 San Pablo Road Jacksonville FL 32224-1865 Ph: (904) 953-1768 |
| NPI Number | 1790772317 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 04/12/2021 |
| Medicare PECOS PAC ID | 5698689297 |
|---|---|
| Medicare Enrollment ID | O20031118000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790772317 | NPI | - | NPPES |
| 064350500 | Medicaid | FL | |
| 064350501 | Medicaid | FL | |
| 064350503 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | James Jakub |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1447243431 PECOS PAC ID: 0345154803 Enrollment ID: I20031118000716 |
| Provider Name | Jorge Pascual |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992795827 PECOS PAC ID: 4688569197 Enrollment ID: I20040216000263 |
| Provider Name | Angela B Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184699316 PECOS PAC ID: 8921995663 Enrollment ID: I20040228000020 |
| Provider Name | Stefanie J Garland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184797466 PECOS PAC ID: 0941198642 Enrollment ID: I20040305000119 |
| Provider Name | Richard A Pence |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932180833 PECOS PAC ID: 0941292551 Enrollment ID: I20040402000044 |
| Provider Name | Matthew W Robertson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1689622284 PECOS PAC ID: 9234122672 Enrollment ID: I20040403000131 |
| Provider Name | Roy A Greengrass |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699762989 PECOS PAC ID: 2466446703 Enrollment ID: I20040412000256 |
| Provider Name | Hamid R Feiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427032226 PECOS PAC ID: 5991794844 Enrollment ID: I20040507000199 |
| Provider Name | Steven R Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225052533 PECOS PAC ID: 7810978558 Enrollment ID: I20040527000814 |
| Provider Name | Frances L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932186145 PECOS PAC ID: 6305821018 Enrollment ID: I20040618000493 |
| Provider Name | Sergey Turchin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033177878 PECOS PAC ID: 2961480728 Enrollment ID: I20040709000226 |
| Provider Name | Shane Adam Shapiro |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1477534758 PECOS PAC ID: 6608847819 Enrollment ID: I20040803000055 |
| Provider Name | Tina K Bost |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194707414 PECOS PAC ID: 6901877091 Enrollment ID: I20040803000658 |
| Provider Name | Thomas Gerald Berger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871520353 PECOS PAC ID: 9335112606 Enrollment ID: I20040816000326 |
| Provider Name | Cynthia E Neville |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659438406 PECOS PAC ID: 5698749414 Enrollment ID: I20040825001390 |
| Provider Name | Kimberly K Dizmang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518079276 PECOS PAC ID: 2062326457 Enrollment ID: I20040826000338 |
| Provider Name | Yao Shan Fan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326098500 PECOS PAC ID: 3577538958 Enrollment ID: I20040830000435 |
| Provider Name | Tyler F Vadeboncoeur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285601047 PECOS PAC ID: 1658346044 Enrollment ID: I20040830000454 |
| Provider Name | Klaus D Torp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497742787 PECOS PAC ID: 9133194426 Enrollment ID: I20040831000343 |
| Provider Name | Bradley Bragg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093701443 PECOS PAC ID: 4486629680 Enrollment ID: I20040831001190 |
| Provider Name | Augustine S Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801886650 PECOS PAC ID: 4587639422 Enrollment ID: I20040901001472 |
| Provider Name | Joseph M Bestic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619950995 PECOS PAC ID: 4688641046 Enrollment ID: I20040914001334 |
| Provider Name | Sally Ann L Pantin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255305892 PECOS PAC ID: 6507833886 Enrollment ID: I20040915000881 |
| Provider Name | Patricia J Mergo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730151903 PECOS PAC ID: 4789651951 Enrollment ID: I20040916000225 |
| Provider Name | Ingrid J Pritchard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194793406 PECOS PAC ID: 3375511223 Enrollment ID: I20040920000481 |
| Provider Name | Mary E Miller-mazza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750372983 PECOS PAC ID: 8729056585 Enrollment ID: I20040920000641 |
| Provider Name | Christopher B Robards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154304442 PECOS PAC ID: 6305814187 Enrollment ID: I20040920000762 |
| Provider Name | Elizabeth L Rauschenberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366425381 PECOS PAC ID: 4587632849 Enrollment ID: I20040923000795 |
| Provider Name | Stephen Aniskevich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881677151 PECOS PAC ID: 3173582889 Enrollment ID: I20041007000588 |
| Provider Name | Frederick M Kusumoto |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265429427 PECOS PAC ID: 1557321510 Enrollment ID: I20041013001356 |
| Provider Name | Ernesto Ayala |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1336164342 PECOS PAC ID: 8527029495 Enrollment ID: I20041023000208 |
| Provider Name | Michelle L Freeman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285624114 PECOS PAC ID: 6103889274 Enrollment ID: I20041109001042 |
| Provider Name | Kevin M Barrett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619950912 PECOS PAC ID: 0345206041 Enrollment ID: I20041204000077 |
| Provider Name | Hillary W Garner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275516569 PECOS PAC ID: 8527017540 Enrollment ID: I20050118000259 |
| Provider Name | Scott C Palmer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1427031723 PECOS PAC ID: 9739138611 Enrollment ID: I20050118000731 |
| Provider Name | Lisa M Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154390250 PECOS PAC ID: 1658324124 Enrollment ID: I20050224000284 |
| Provider Name | Charles J Griffey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770569337 PECOS PAC ID: 7810942265 Enrollment ID: I20050317000968 |
| Provider Name | Amy L Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780651216 PECOS PAC ID: 6406801638 Enrollment ID: I20050321000480 |
| Provider Name | Kristine M Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679560825 PECOS PAC ID: 9931146081 Enrollment ID: I20050411001108 |
| Provider Name | Theodore J Szymanski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689661837 PECOS PAC ID: 6305885807 Enrollment ID: I20050425000990 |
| Provider Name | Kathleen A Joseph |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326039553 PECOS PAC ID: 4688613557 Enrollment ID: I20050429000371 |
| Provider Name | William W Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518928019 PECOS PAC ID: 4880636604 Enrollment ID: I20050523000681 |
| Provider Name | Gavin D Divertie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073500369 PECOS PAC ID: 8820031271 Enrollment ID: I20050607000160 |
| Provider Name | Perry S Bechtle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558358267 PECOS PAC ID: 1254374598 Enrollment ID: I20050607000908 |
| Provider Name | Marie L Deruyter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164419453 PECOS PAC ID: 7214970557 Enrollment ID: I20050607000935 |
| Provider Name | Dawn L Francis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295712511 PECOS PAC ID: 9830133685 Enrollment ID: I20050614000120 |
| Provider Name | Salim M Ghazi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972590263 PECOS PAC ID: 4688619778 Enrollment ID: I20050620000749 |
| Provider Name | Stephanie L Heaton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215905542 PECOS PAC ID: 5991740987 Enrollment ID: I20050621000380 |
| Provider Name | Bruce J Leone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144217431 PECOS PAC ID: 8224073960 Enrollment ID: I20050623000339 |
| Provider Name | Ruei-hsin D Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124015417 PECOS PAC ID: 7113962705 Enrollment ID: I20050623000781 |
| Provider Name | Claude A Kluck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669453668 PECOS PAC ID: 6507801198 Enrollment ID: I20050623000844 |
| Provider Name | Monica M Mordecai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053308346 PECOS PAC ID: 4587609052 Enrollment ID: I20050624000477 |
| Provider Name | Jack E Coin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447241674 PECOS PAC ID: 6305881871 Enrollment ID: I20050624000478 |
| Provider Name | Kimberly A Besser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710978945 PECOS PAC ID: 7113962606 Enrollment ID: I20050624000593 |
| Provider Name | Emir Festic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699878496 PECOS PAC ID: 2769428390 Enrollment ID: I20050705000615 |
| Provider Name | Neil G Feinglass |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063409357 PECOS PAC ID: 0547206021 Enrollment ID: I20050706000863 |
| Provider Name | Jill E Knutson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316938541 PECOS PAC ID: 9032146501 Enrollment ID: I20050726001061 |
| Provider Name | Chandler D Dora |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457399479 PECOS PAC ID: 4385673391 Enrollment ID: I20050810000629 |
| Provider Name | Rhonda R Odonnell Gruber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487645610 PECOS PAC ID: 4486684107 Enrollment ID: I20050812000653 |
| Provider Name | Amy M Igel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639152788 PECOS PAC ID: 7911937404 Enrollment ID: I20050815000612 |
| Provider Name | Marvesh M Mendhi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205827433 PECOS PAC ID: 7214967702 Enrollment ID: I20050815000670 |
| Provider Name | Steven R Clendenen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528055761 PECOS PAC ID: 3577593714 Enrollment ID: I20050817000211 |
| Provider Name | Charlotte M Pumphrey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295716421 PECOS PAC ID: 6305877077 Enrollment ID: I20050823000768 |
| Provider Name | Beth K Rush |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649260498 PECOS PAC ID: 1052342284 Enrollment ID: I20050826000429 |
| Provider Name | Kathryn V Pruden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376522565 PECOS PAC ID: 6204868532 Enrollment ID: I20050907000669 |
| Provider Name | Mohamed A Kharfan Dabaja |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1336166230 PECOS PAC ID: 5294760823 Enrollment ID: I20051003000040 |
| Provider Name | Maybelle Paz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194730804 PECOS PAC ID: 9335164516 Enrollment ID: I20051006000574 |
| Provider Name | Terri L Pratt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134101447 PECOS PAC ID: 3072539428 Enrollment ID: I20051015000000 |
| Provider Name | Millicent S Garry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033191341 PECOS PAC ID: 7416973870 Enrollment ID: I20051015000031 |
| Provider Name | Kimberly H Mc Veigh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669455564 PECOS PAC ID: 0042236408 Enrollment ID: I20051015000036 |
| Provider Name | Christopher A Norton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891778783 PECOS PAC ID: 7911923370 Enrollment ID: I20051015000061 |
| Provider Name | Catherine C Madaffari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821095803 PECOS PAC ID: 7911924113 Enrollment ID: I20051031000411 |
| Provider Name | Joseph M Towne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366423592 PECOS PAC ID: 0042225955 Enrollment ID: I20060214000569 |
| Provider Name | John E Monnier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982652087 PECOS PAC ID: 4880609379 Enrollment ID: I20060221000273 |
| Provider Name | Christopher D Sletten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578553400 PECOS PAC ID: 3971519000 Enrollment ID: I20060228000131 |
| Provider Name | Joan M Irizarry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053394452 PECOS PAC ID: 0749296762 Enrollment ID: I20060301000170 |
| Provider Name | Aida S Abud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346220977 PECOS PAC ID: 4284542879 Enrollment ID: I20060301000476 |
| Provider Name | Abubakr A Bajwa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467442392 PECOS PAC ID: 1052357688 Enrollment ID: I20060302000617 |
| Provider Name | Melanie L Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609977735 PECOS PAC ID: 9234146846 Enrollment ID: I20060307000414 |
| Provider Name | Leslie Janik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942291034 PECOS PAC ID: 2961410667 Enrollment ID: I20060322000221 |
| Provider Name | Richard D White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578524716 PECOS PAC ID: 3476450362 Enrollment ID: I20060406000220 |
| Provider Name | Deepica G Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841262318 PECOS PAC ID: 2668475963 Enrollment ID: I20060804000263 |
| Provider Name | Michael L Albus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053360685 PECOS PAC ID: 6901811504 Enrollment ID: I20061010000027 |
| Provider Name | Maria L Yataco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518989482 PECOS PAC ID: 7416954037 Enrollment ID: I20061024000528 |
| Provider Name | Jarrett W Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104806744 PECOS PAC ID: 1557368792 Enrollment ID: I20061031000284 |
| Provider Name | Susan M Kosilla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548256274 PECOS PAC ID: 1456382860 Enrollment ID: I20061108000477 |
| Provider Name | Hani Wadei |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851372148 PECOS PAC ID: 4880654243 Enrollment ID: I20061128000200 |
| Provider Name | Juan Canabal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023022191 PECOS PAC ID: 5991703985 Enrollment ID: I20061130000200 |
| Provider Name | Vichaya Arunthari |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659304939 PECOS PAC ID: 6901805225 Enrollment ID: I20061215000057 |
| Provider Name | Vivek Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609810415 PECOS PAC ID: 5092788604 Enrollment ID: I20070109000325 |
| Provider Name | Klaas Wierenga |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1548363724 PECOS PAC ID: 5395747356 Enrollment ID: I20070205000647 |
| Provider Name | Michael Maniaci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215910500 PECOS PAC ID: 0941302657 Enrollment ID: I20070227000594 |
| Provider Name | Lynn Neeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285707422 PECOS PAC ID: 9032214010 Enrollment ID: I20070419000492 |
| Provider Name | Kelly W Segars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477677276 PECOS PAC ID: 3971608886 Enrollment ID: I20070423000229 |
| Provider Name | Janine M Mccaffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558421008 PECOS PAC ID: 6709983216 Enrollment ID: I20070517000535 |
| Provider Name | Sarah A Mclaughlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063496933 PECOS PAC ID: 2567563760 Enrollment ID: I20070718000266 |
| Provider Name | Razvan M Chirila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740249770 PECOS PAC ID: 5597858670 Enrollment ID: I20070905000693 |
| Provider Name | Cemal Taner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962481903 PECOS PAC ID: 2163516626 Enrollment ID: I20070915000010 |
| Provider Name | Ehsan Shirazi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831134840 PECOS PAC ID: 1557399185 Enrollment ID: I20070915000228 |
| Provider Name | Jeffery L Crick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942330279 PECOS PAC ID: 2264528017 Enrollment ID: I20071010000228 |
| Provider Name | Sebastian Fernandez-bussy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366527277 PECOS PAC ID: 5496841850 Enrollment ID: I20071016000222 |
| Provider Name | Mary S Hedges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487637401 PECOS PAC ID: 3870680010 Enrollment ID: I20071105000046 |
| Provider Name | Charles G Graham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518030220 PECOS PAC ID: 0749282283 Enrollment ID: I20071107000119 |
| Provider Name | Leigh Ann K Seaman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114111366 PECOS PAC ID: 5092802058 Enrollment ID: I20071107000671 |
| Provider Name | Lakshminarayanan K Venkatachalam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174596324 PECOS PAC ID: 2860396561 Enrollment ID: I20071109000038 |
| Provider Name | Mihir S Wagh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295789345 PECOS PAC ID: 8224035506 Enrollment ID: I20071120000614 |
| Provider Name | Neal M Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104809490 PECOS PAC ID: 9931297066 Enrollment ID: I20071126000664 |
| Provider Name | Mohamad Hilal Yamani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548352404 PECOS PAC ID: 1557360500 Enrollment ID: I20071126000731 |
| Provider Name | Scott A Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306959465 PECOS PAC ID: 3779672803 Enrollment ID: I20071127000794 |
| Provider Name | Jason C Sluzevich |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790751410 PECOS PAC ID: 9830163997 Enrollment ID: I20071205000450 |
| Provider Name | Nilufer Taner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992777676 PECOS PAC ID: 4284658717 Enrollment ID: I20071208000204 |
| Provider Name | Richard C Daly |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1568448900 PECOS PAC ID: 7810087418 Enrollment ID: I20071219000807 |
| Provider Name | Daniel P Montero |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1841264736 PECOS PAC ID: 2264411487 Enrollment ID: I20071220000118 |
| Provider Name | Gerard Hogan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306890330 PECOS PAC ID: 3476643883 Enrollment ID: I20071221000016 |
| Provider Name | Jeffrey A Stone |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679684146 PECOS PAC ID: 5395827224 Enrollment ID: I20080130000523 |
| Provider Name | Beth G Thuge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154471951 PECOS PAC ID: 9931283306 Enrollment ID: I20080223000006 |
| Provider Name | John D Casler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730183096 PECOS PAC ID: 6103807680 Enrollment ID: I20080306000437 |
| Provider Name | David D Thiel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326022294 PECOS PAC ID: 5092719153 Enrollment ID: I20080320000142 |
| Provider Name | Sunni A Alessandria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619950508 PECOS PAC ID: 9032296611 Enrollment ID: I20080407000444 |
| Provider Name | Barbara Lubrano Di Ciccone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215908256 PECOS PAC ID: 5294754248 Enrollment ID: I20080412000097 |
| Provider Name | Michelle Gorr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699758581 PECOS PAC ID: 9436237575 Enrollment ID: I20080415000540 |
| Provider Name | Teresa A Rummans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538146261 PECOS PAC ID: 2860304367 Enrollment ID: I20080428000495 |
| Provider Name | Michael Mohseni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881637064 PECOS PAC ID: 8224053640 Enrollment ID: I20080507000426 |
| Provider Name | Michel R Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265532626 PECOS PAC ID: 0547349813 Enrollment ID: I20080512000554 |
| Provider Name | Carl Zart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700869344 PECOS PAC ID: 1153490305 Enrollment ID: I20080529000906 |
| Provider Name | Gretchen E Ames |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831389709 PECOS PAC ID: 9335237395 Enrollment ID: I20080618000019 |
| Provider Name | Gina A Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194995308 PECOS PAC ID: 8527130939 Enrollment ID: I20080630000531 |
| Provider Name | Steven Bowers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396760773 PECOS PAC ID: 4284608811 Enrollment ID: I20080701000112 |
| Provider Name | Danielle S Weinert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154595064 PECOS PAC ID: 1658443015 Enrollment ID: I20080701000240 |
| Provider Name | Karin A Prussak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114918208 PECOS PAC ID: 7810060530 Enrollment ID: I20080714000416 |
| Provider Name | Matthew R Hall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104973098 PECOS PAC ID: 6901972967 Enrollment ID: I20080828000076 |
| Provider Name | Douglas L Riegert-johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609840768 PECOS PAC ID: 0244289486 Enrollment ID: I20080828000113 |
| Provider Name | Elliot Lester Dimberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407896103 PECOS PAC ID: 5092735225 Enrollment ID: I20080904000736 |
| Provider Name | Beth Ladlie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083697379 PECOS PAC ID: 3476629866 Enrollment ID: I20080909000398 |
| Provider Name | Jennifer R Maynard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710040316 PECOS PAC ID: 1759457013 Enrollment ID: I20080910000311 |
| Provider Name | Bradford Hoppe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275791055 PECOS PAC ID: 5395811426 Enrollment ID: I20080913000143 |
| Provider Name | Greta C Stamper |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518121102 PECOS PAC ID: 7416024435 Enrollment ID: I20080917000357 |
| Provider Name | Leila Tolaymat |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942462239 PECOS PAC ID: 0345317129 Enrollment ID: I20080919000315 |
| Provider Name | Liuyan Jiang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356501175 PECOS PAC ID: 8527135920 Enrollment ID: I20080927000004 |
| Provider Name | Kristina M Schneider |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003889734 PECOS PAC ID: 1153345319 Enrollment ID: I20081003000522 |
| Provider Name | Kerry Bachista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891845798 PECOS PAC ID: 2769557446 Enrollment ID: I20081006000225 |
| Provider Name | Carolyn Kuras Landolfo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841309424 PECOS PAC ID: 8325933948 Enrollment ID: I20081008000413 |
| Provider Name | Stacey A Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043261589 PECOS PAC ID: 2860393352 Enrollment ID: I20081016000309 |
| Provider Name | Melissa A. Stewart |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629242276 PECOS PAC ID: 8426116443 Enrollment ID: I20081021000164 |
| Provider Name | Dana M Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871576892 PECOS PAC ID: 3375601990 Enrollment ID: I20081024000604 |
| Provider Name | Elke R Lacayo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124002092 PECOS PAC ID: 0547328015 Enrollment ID: I20081028000328 |
| Provider Name | David A Walker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285897934 PECOS PAC ID: 5395803878 Enrollment ID: I20081028000392 |
| Provider Name | Prasanna G Vibhute |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104832880 PECOS PAC ID: 1759313059 Enrollment ID: I20081028000543 |
| Provider Name | Benjamin Wang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093773822 PECOS PAC ID: 9931267382 Enrollment ID: I20081029000258 |
| Provider Name | Kevin P. Landolfo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073622585 PECOS PAC ID: 1951460682 Enrollment ID: I20081110000346 |
| Provider Name | Anastasia J Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427224674 PECOS PAC ID: 5294895074 Enrollment ID: I20081124000596 |
| Provider Name | Michael A Grinney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972769198 PECOS PAC ID: 8022179308 Enrollment ID: I20081204000747 |
| Provider Name | Arpitha Ketty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962478388 PECOS PAC ID: 8729141239 Enrollment ID: I20090109000372 |
| Provider Name | Gretchen S. Johns |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750301172 PECOS PAC ID: 9032278353 Enrollment ID: I20090124000073 |
| Provider Name | Marianne T Warrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386896579 PECOS PAC ID: 9638233349 Enrollment ID: I20090124000146 |
| Provider Name | Kellee A Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184889966 PECOS PAC ID: 0840356812 Enrollment ID: I20090227000382 |
| Provider Name | Pablo Castillo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740388024 PECOS PAC ID: 8426114133 Enrollment ID: I20090304000769 |
| Provider Name | Jennifer S Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790920866 PECOS PAC ID: 5991861536 Enrollment ID: I20090305000181 |
| Provider Name | William P Cheshire |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871582957 PECOS PAC ID: 6002972569 Enrollment ID: I20090306000586 |
| Provider Name | Carlos Valdes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801032818 PECOS PAC ID: 3678639226 Enrollment ID: I20090310000192 |
| Provider Name | Olga M Petrucelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205802626 PECOS PAC ID: 3375609571 Enrollment ID: I20090312000326 |
| Provider Name | David Richard Alejos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417129891 PECOS PAC ID: 2961569579 Enrollment ID: I20090326000327 |
| Provider Name | Patrick D Ramsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942445408 PECOS PAC ID: 1658438270 Enrollment ID: I20090326000455 |
| Provider Name | Michelle A Tulang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003073586 PECOS PAC ID: 0749337533 Enrollment ID: I20090414000291 |
| Provider Name | Rebecca A Klingbeil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558506006 PECOS PAC ID: 6709934144 Enrollment ID: I20090423000363 |
| Provider Name | Leslie V Simon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255310827 PECOS PAC ID: 6507914892 Enrollment ID: I20090424000099 |
| Provider Name | Nhora A Holmes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124264403 PECOS PAC ID: 7517015654 Enrollment ID: I20090429000668 |
| Provider Name | Kristen D Petrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932347754 PECOS PAC ID: 6709934383 Enrollment ID: I20090508000518 |
| Provider Name | Terry W Kuhlwein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376683128 PECOS PAC ID: 9133278286 Enrollment ID: I20090519000572 |
| Provider Name | Jon Shanklin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124252044 PECOS PAC ID: 2062561723 Enrollment ID: I20090529000053 |
| Provider Name | Mark D P Davis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912983396 PECOS PAC ID: 0749366326 Enrollment ID: I20090709000260 |
| Provider Name | Stephen Pirris |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558568279 PECOS PAC ID: 8123171808 Enrollment ID: I20090728000449 |
| Provider Name | Kristina A Altadonna |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649415415 PECOS PAC ID: 0941359095 Enrollment ID: I20090810000096 |
| Provider Name | William Tatum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396764122 PECOS PAC ID: 1153475751 Enrollment ID: I20090817000508 |
| Provider Name | John Edward Moss |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619130549 PECOS PAC ID: 0840344370 Enrollment ID: I20090819000163 |
| Provider Name | Dana K Perry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235220989 PECOS PAC ID: 1557368693 Enrollment ID: I20090820000620 |
| Provider Name | Jacob Clendenon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093959231 PECOS PAC ID: 8921152109 Enrollment ID: I20090822000133 |
| Provider Name | Richard L Westenbarger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023169968 PECOS PAC ID: 3173678265 Enrollment ID: I20090912000084 |
| Provider Name | Justin Bryan Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215165915 PECOS PAC ID: 9133265960 Enrollment ID: I20091008000613 |
| Provider Name | Wendelyn Bosch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285891994 PECOS PAC ID: 1254477888 Enrollment ID: I20091012000365 |
| Provider Name | Bryan A Farford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285617571 PECOS PAC ID: 9133208051 Enrollment ID: I20091012000386 |
| Provider Name | Marilu Leveton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992935902 PECOS PAC ID: 0941347363 Enrollment ID: I20091016000343 |
| Provider Name | Michele D Lewis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134118003 PECOS PAC ID: 6608913116 Enrollment ID: I20091102000099 |
| Provider Name | Phillip Pirgousis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790913432 PECOS PAC ID: 2860530284 Enrollment ID: I20091105000110 |
| Provider Name | Tracey S Flores |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114159076 PECOS PAC ID: 5799823845 Enrollment ID: I20091110000237 |
| Provider Name | Angelica R Gicalone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972837417 PECOS PAC ID: 5698813715 Enrollment ID: I20091110000788 |
| Provider Name | Laura Boudreaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710117205 PECOS PAC ID: 6608914643 Enrollment ID: I20091111000278 |
| Provider Name | Tambi Jarmi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942421433 PECOS PAC ID: 6507930641 Enrollment ID: I20091118000093 |
| Provider Name | Danielle M Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891020939 PECOS PAC ID: 1456396688 Enrollment ID: I20091201000151 |
| Provider Name | Kimberly Parikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396920575 PECOS PAC ID: 5698816437 Enrollment ID: I20091230000684 |
| Provider Name | Naser Ammash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750354411 PECOS PAC ID: 3173519253 Enrollment ID: I20100112000380 |
| Provider Name | Richard D Tenhulzen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760432405 PECOS PAC ID: 2961406855 Enrollment ID: I20100113000167 |
| Provider Name | Jessica M Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427384825 PECOS PAC ID: 4486796141 Enrollment ID: I20100119000778 |
| Provider Name | Wende M Probst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881920684 PECOS PAC ID: 3779625306 Enrollment ID: I20100120000689 |
| Provider Name | Allan E Orski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316115272 PECOS PAC ID: 8123160678 Enrollment ID: I20100121000171 |
| Provider Name | Salvador Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144219676 PECOS PAC ID: 7214070226 Enrollment ID: I20100129000477 |
| Provider Name | Peter Murray |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1083604904 PECOS PAC ID: 4981608916 Enrollment ID: I20100204000206 |
| Provider Name | Andy Abril |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447240239 PECOS PAC ID: 1759424278 Enrollment ID: I20100205000620 |
| Provider Name | Stephanie B Garrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255310348 PECOS PAC ID: 0648269639 Enrollment ID: I20100205000639 |
| Provider Name | Joseph G Cernigliaro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386635464 PECOS PAC ID: 4880737212 Enrollment ID: I20100206000033 |
| Provider Name | Todd Michael Brinker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366430589 PECOS PAC ID: 8123161262 Enrollment ID: I20100211000376 |
| Provider Name | Gregory A Broderick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093705899 PECOS PAC ID: 7416091277 Enrollment ID: I20100217000065 |
| Provider Name | Joseph L Blackshear |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730176991 PECOS PAC ID: 8820132418 Enrollment ID: I20100220000032 |
| Provider Name | Anita H Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982693404 PECOS PAC ID: 0042354425 Enrollment ID: I20100223000652 |
| Provider Name | Charles Burger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790772671 PECOS PAC ID: 2860575362 Enrollment ID: I20100223000808 |
| Provider Name | Nancy L Dawson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992794622 PECOS PAC ID: 8921143124 Enrollment ID: I20100226000286 |
| Provider Name | Andrew P Keaveny |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346239217 PECOS PAC ID: 2668517665 Enrollment ID: I20100302000523 |
| Provider Name | Gerardo Colon-otero |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598754228 PECOS PAC ID: 0345316709 Enrollment ID: I20100303000893 |
| Provider Name | David Miller |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972594943 PECOS PAC ID: 2769527613 Enrollment ID: I20100303001023 |
| Provider Name | William Haley |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851380448 PECOS PAC ID: 8820133770 Enrollment ID: I20100303001045 |
| Provider Name | Catherine G Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871584847 PECOS PAC ID: 4880739697 Enrollment ID: I20100304000588 |
| Provider Name | James H Keeling |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487642690 PECOS PAC ID: 8628113370 Enrollment ID: I20100304001030 |
| Provider Name | Todd C Igel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710977517 PECOS PAC ID: 3577608272 Enrollment ID: I20100305000439 |
| Provider Name | Julio C Mendez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780673210 PECOS PAC ID: 9032254768 Enrollment ID: I20100305000766 |
| Provider Name | David Menke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497745319 PECOS PAC ID: 4183769722 Enrollment ID: I20100306000073 |
| Provider Name | Andras Khoor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043200967 PECOS PAC ID: 8527103134 Enrollment ID: I20100308000466 |
| Provider Name | Denise M Harnois |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710976683 PECOS PAC ID: 2860537487 Enrollment ID: I20100308000495 |
| Provider Name | Gary E Lane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174510333 PECOS PAC ID: 0547305161 Enrollment ID: I20100308000538 |
| Provider Name | Margaret M Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639169568 PECOS PAC ID: 1052456464 Enrollment ID: I20100309000535 |
| Provider Name | Brian Grimard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154310001 PECOS PAC ID: 1850436262 Enrollment ID: I20100309000560 |
| Provider Name | Jack Leventhal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184614018 PECOS PAC ID: 4880760248 Enrollment ID: I20100309000611 |
| Provider Name | Steven C Ames |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396735221 PECOS PAC ID: 4183769532 Enrollment ID: I20100310000029 |
| Provider Name | Connie J Hemeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629306121 PECOS PAC ID: 1355486739 Enrollment ID: I20100310000380 |
| Provider Name | Douglas S Fenton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558352633 PECOS PAC ID: 5597890798 Enrollment ID: I20100312000608 |
| Provider Name | Thomas Flipse |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1710974977 PECOS PAC ID: 1951436161 Enrollment ID: I20100312000709 |
| Provider Name | Raouf E Nakhleh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215927132 PECOS PAC ID: 7113052333 Enrollment ID: I20100312000737 |
| Provider Name | Joseph Kaplan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811987662 PECOS PAC ID: 2668507898 Enrollment ID: I20100312000846 |
| Provider Name | Eric W Nottmeier |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770572133 PECOS PAC ID: 7113052192 Enrollment ID: I20100316000467 |
| Provider Name | Pedro Malavet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255320982 PECOS PAC ID: 3476688227 Enrollment ID: I20100318000108 |
| Provider Name | Jeffrey L Garland |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720078652 PECOS PAC ID: 3072648831 Enrollment ID: I20100318000154 |
| Provider Name | Thomas D Rizzo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689664435 PECOS PAC ID: 5092840868 Enrollment ID: I20100318000244 |
| Provider Name | John N Patton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336136597 PECOS PAC ID: 1355476128 Enrollment ID: I20100318000263 |
| Provider Name | Ricardo Paz-fumagalli |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891786984 PECOS PAC ID: 5496880262 Enrollment ID: I20100318000314 |
| Provider Name | Shon E Meek |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558358705 PECOS PAC ID: 0941335723 Enrollment ID: I20100318000398 |
| Provider Name | James F Meschia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912996364 PECOS PAC ID: 1850426677 Enrollment ID: I20100318000734 |
| Provider Name | Cedric Ortiguera |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619967536 PECOS PAC ID: 5496881898 Enrollment ID: I20100324000939 |
| Provider Name | Thomas G Brott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265421333 PECOS PAC ID: 2769518141 Enrollment ID: I20100325000406 |
| Provider Name | Rueben H Mcbrayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780673632 PECOS PAC ID: 8426184508 Enrollment ID: I20100327000612 |
| Provider Name | Murli Krishna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952391872 PECOS PAC ID: 6305972480 Enrollment ID: I20100327000640 |
| Provider Name | Erin Gleason Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841449907 PECOS PAC ID: 1557497666 Enrollment ID: I20100329000283 |
| Provider Name | Steven P Petrou |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982694782 PECOS PAC ID: 6901932011 Enrollment ID: I20100329000287 |
| Provider Name | Candido E Rivera-linares |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497744122 PECOS PAC ID: 8921134982 Enrollment ID: I20100329000894 |
| Provider Name | Mark A Parkulo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962491548 PECOS PAC ID: 4880720853 Enrollment ID: I20100329000931 |
| Provider Name | Loren P Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972592327 PECOS PAC ID: 7810023827 Enrollment ID: I20100330000155 |
| Provider Name | Jeffrey J Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619968708 PECOS PAC ID: 3779619796 Enrollment ID: I20100330000207 |
| Provider Name | Michael B Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750370334 PECOS PAC ID: 4486780426 Enrollment ID: I20100330000469 |
| Provider Name | Michael F Picco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972592855 PECOS PAC ID: 3274669148 Enrollment ID: I20100330000796 |
| Provider Name | Noli Dioneda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497738371 PECOS PAC ID: 2264568138 Enrollment ID: I20100330000812 |
| Provider Name | Richard J Presutti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275522138 PECOS PAC ID: 2264568153 Enrollment ID: I20100330001024 |
| Provider Name | Izabela Z Riffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225027188 PECOS PAC ID: 0345376240 Enrollment ID: I20100330001128 |
| Provider Name | Kenneth R Devault |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386633253 PECOS PAC ID: 7618003526 Enrollment ID: I20100330001203 |
| Provider Name | Benjamin Eidelman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770572125 PECOS PAC ID: 9335275023 Enrollment ID: I20100406000234 |
| Provider Name | Neill R Graff-radford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851380208 PECOS PAC ID: 8921134628 Enrollment ID: I20100406000326 |
| Provider Name | Massimo Raimondo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508855487 PECOS PAC ID: 7012043516 Enrollment ID: I20100408000363 |
| Provider Name | Ernest P Bouras |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750370623 PECOS PAC ID: 6709912215 Enrollment ID: I20100408000428 |
| Provider Name | Gleydiane De Oliveira |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982687869 PECOS PAC ID: 4385770890 Enrollment ID: I20100408000495 |
| Provider Name | Martin Louis Mai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679562268 PECOS PAC ID: 8628105954 Enrollment ID: I20100419000610 |
| Provider Name | John A Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023008950 PECOS PAC ID: 2668509993 Enrollment ID: I20100420000326 |
| Provider Name | Helen Keels Spradlin Jorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083603716 PECOS PAC ID: 1759418858 Enrollment ID: I20100421000734 |
| Provider Name | Simone D Joyner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124359211 PECOS PAC ID: 3678600780 Enrollment ID: I20100421000835 |
| Provider Name | Brittany S Blake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447582994 PECOS PAC ID: 2264569169 Enrollment ID: I20100426000217 |
| Provider Name | Jennifer D Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538150768 PECOS PAC ID: 7315982899 Enrollment ID: I20100428000093 |
| Provider Name | Francisco G Alvarez-aquino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649260571 PECOS PAC ID: 7810024445 Enrollment ID: I20100429000916 |
| Provider Name | James C Braxton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528380771 PECOS PAC ID: 7618956574 Enrollment ID: I20100506000601 |
| Provider Name | Crystal S Lynn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003148768 PECOS PAC ID: 3678601564 Enrollment ID: I20100513000893 |
| Provider Name | Han Tun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760471494 PECOS PAC ID: 1850421645 Enrollment ID: I20100604000333 |
| Provider Name | Hector A Robles Gonzalez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164413258 PECOS PAC ID: 3173653870 Enrollment ID: I20100607000334 |
| Provider Name | Christina C Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104069822 PECOS PAC ID: 5991847881 Enrollment ID: I20100609000355 |
| Provider Name | Lisa Brumble |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669461398 PECOS PAC ID: 4183754641 Enrollment ID: I20100609000573 |
| Provider Name | Raj Satyanarayana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861481749 PECOS PAC ID: 1951431485 Enrollment ID: I20100610000259 |
| Provider Name | Stephanie O Foskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831413277 PECOS PAC ID: 4688704810 Enrollment ID: I20100614000630 |
| Provider Name | Vivek Roy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215926944 PECOS PAC ID: 0840320057 Enrollment ID: I20100615000599 |
| Provider Name | Paul F Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679562565 PECOS PAC ID: 0446380513 Enrollment ID: I20100616000517 |
| Provider Name | Archana Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447249032 PECOS PAC ID: 9032249115 Enrollment ID: I20100616000579 |
| Provider Name | Mark Stark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629067400 PECOS PAC ID: 6507996485 Enrollment ID: I20100621000237 |
| Provider Name | Zbignew Wszolek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235128695 PECOS PAC ID: 1153452073 Enrollment ID: I20100621000848 |
| Provider Name | Kristen Ryland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013233113 PECOS PAC ID: 2466583398 Enrollment ID: I20100621000932 |
| Provider Name | Fernando Stancampiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073502662 PECOS PAC ID: 7810028743 Enrollment ID: I20100621000939 |
| Provider Name | Irvin S Haak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396728283 PECOS PAC ID: 7012048960 Enrollment ID: I20100622000206 |
| Provider Name | David Zapala |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629050935 PECOS PAC ID: 6800927765 Enrollment ID: I20100622000411 |
| Provider Name | Sarvam P Terkonda |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326038241 PECOS PAC ID: 7012048804 Enrollment ID: I20100622000874 |
| Provider Name | Laura A Vallow |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194715029 PECOS PAC ID: 6901937465 Enrollment ID: I20100626000461 |
| Provider Name | Adrianna R Vasquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942290879 PECOS PAC ID: 1254462740 Enrollment ID: I20100628000345 |
| Provider Name | Daniel Yip |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1699762856 PECOS PAC ID: 5193856698 Enrollment ID: I20100628000428 |
| Provider Name | Floyd B Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891783023 PECOS PAC ID: 4082745435 Enrollment ID: I20100628001100 |
| Provider Name | Jorge F Trejo Gutierrez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063409225 PECOS PAC ID: 9133250509 Enrollment ID: I20100629000243 |
| Provider Name | Timothy Woodward |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396734273 PECOS PAC ID: 5395876767 Enrollment ID: I20100629000263 |
| Provider Name | Ryan J Uitti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881683241 PECOS PAC ID: 0345371670 Enrollment ID: I20100629000950 |
| Provider Name | Thomas A Waller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629066857 PECOS PAC ID: 9133250467 Enrollment ID: I20100629000978 |
| Provider Name | Ebone' Hill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144412081 PECOS PAC ID: 4385775683 Enrollment ID: I20100630000761 |
| Provider Name | Winston Tan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245229772 PECOS PAC ID: 7911038054 Enrollment ID: I20100706000380 |
| Provider Name | Donna J Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023009115 PECOS PAC ID: 7618008756 Enrollment ID: I20100706000420 |
| Provider Name | Tanis J Ferman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013907948 PECOS PAC ID: 2365573334 Enrollment ID: I20100708000724 |
| Provider Name | Jennifer R Arthurs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063730158 PECOS PAC ID: 7416089404 Enrollment ID: I20100708001059 |
| Provider Name | Michael W Stewart |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417947268 PECOS PAC ID: 5698807683 Enrollment ID: I20100708001068 |
| Provider Name | Annamaria Wilhelm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881685972 PECOS PAC ID: 1456483494 Enrollment ID: I20100709000634 |
| Provider Name | Lynsey Seim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104080035 PECOS PAC ID: 6800928854 Enrollment ID: I20100709000795 |
| Provider Name | John Stauffer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073752408 PECOS PAC ID: 1052443017 Enrollment ID: I20100709000832 |
| Provider Name | Ami Grek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922321686 PECOS PAC ID: 0941332902 Enrollment ID: I20100709000851 |
| Provider Name | Kevin J Wu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750371506 PECOS PAC ID: 7618009556 Enrollment ID: I20100713000395 |
| Provider Name | James Walker Atchison |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871520718 PECOS PAC ID: 1557493616 Enrollment ID: I20100726000186 |
| Provider Name | John V Murray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437248523 PECOS PAC ID: 2264565399 Enrollment ID: I20100727000172 |
| Provider Name | Jennifer G Katsolis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528222411 PECOS PAC ID: 5799818050 Enrollment ID: I20100806000481 |
| Provider Name | Herbert C Wolfsen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851380737 PECOS PAC ID: 9032242318 Enrollment ID: I20100806000644 |
| Provider Name | Andrea C Sharp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750558102 PECOS PAC ID: 4082780127 Enrollment ID: I20100806000838 |
| Provider Name | Madhura Anand Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043458607 PECOS PAC ID: 5597899609 Enrollment ID: I20100811000597 |
| Provider Name | Maher Baz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336189778 PECOS PAC ID: 8123152253 Enrollment ID: I20100811000732 |
| Provider Name | Julio C Gundian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831185610 PECOS PAC ID: 3072648880 Enrollment ID: I20100813000724 |
| Provider Name | Pragnesh P Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043474935 PECOS PAC ID: 4880728609 Enrollment ID: I20100816001022 |
| Provider Name | Jose M Soto Soto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275797177 PECOS PAC ID: 9335273978 Enrollment ID: I20100817001610 |
| Provider Name | Michael B Wallace |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942299821 PECOS PAC ID: 4486788999 Enrollment ID: I20100819000821 |
| Provider Name | Ana Chindris |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578615993 PECOS PAC ID: 6800911215 Enrollment ID: I20100908000899 |
| Provider Name | Rabih Tawk |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760613988 PECOS PAC ID: 4981729282 Enrollment ID: I20100917000911 |
| Provider Name | Brian P Shapiro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740267103 PECOS PAC ID: 1153227392 Enrollment ID: I20100918000122 |
| Provider Name | Michele L Vicari Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932118833 PECOS PAC ID: 5991820581 Enrollment ID: I20100920000975 |
| Provider Name | Belinda Monnig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871818591 PECOS PAC ID: 7012032592 Enrollment ID: I20100921000966 |
| Provider Name | Barry G. Rosser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235128117 PECOS PAC ID: 3971629775 Enrollment ID: I20100929001261 |
| Provider Name | Joshua J Keith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023257680 PECOS PAC ID: 5597957829 Enrollment ID: I20101005001062 |
| Provider Name | Devon I Rubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538158993 PECOS PAC ID: 8628152469 Enrollment ID: I20101006000921 |
| Provider Name | Surakit Pungpapong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104809151 PECOS PAC ID: 6406850361 Enrollment ID: I20101020000112 |
| Provider Name | Patricia Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447564273 PECOS PAC ID: 7214120138 Enrollment ID: I20101022000963 |
| Provider Name | Victor Bernet |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851486336 PECOS PAC ID: 0042404568 Enrollment ID: I20101028001279 |
| Provider Name | Sanjay P Bagaria |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649432345 PECOS PAC ID: 1052477478 Enrollment ID: I20101029000416 |
| Provider Name | Manuel J Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013906692 PECOS PAC ID: 5991999161 Enrollment ID: I20101101001526 |
| Provider Name | Nabeel Aslam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174579148 PECOS PAC ID: 7618980772 Enrollment ID: I20101102001006 |
| Provider Name | William D Freeman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346223641 PECOS PAC ID: 9537173414 Enrollment ID: I20101111001214 |
| Provider Name | Amy Jo Lykins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417042946 PECOS PAC ID: 1153320403 Enrollment ID: I20101207001058 |
| Provider Name | Albert G Hakaim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124018924 PECOS PAC ID: 4486842598 Enrollment ID: I20101215001241 |
| Provider Name | Sukhwinder Sandhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447440540 PECOS PAC ID: 7113085358 Enrollment ID: I20101221000958 |
| Provider Name | Edward D Staples |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568498012 PECOS PAC ID: 7416145172 Enrollment ID: I20101221001155 |
| Provider Name | Kurt A Jaeckle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205825650 PECOS PAC ID: 7113116914 Enrollment ID: I20110110000588 |
| Provider Name | Si M. Pham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811953086 PECOS PAC ID: 8022207398 Enrollment ID: I20110118001164 |
| Provider Name | Michael Md Osborne |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972593895 PECOS PAC ID: 4082740923 Enrollment ID: I20110124000524 |
| Provider Name | Tushar Chandrakant Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649231440 PECOS PAC ID: 3173625381 Enrollment ID: I20110304000737 |
| Provider Name | Mary B Prendergast |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386678878 PECOS PAC ID: 8224069992 Enrollment ID: I20110310000542 |
| Provider Name | Adrian G Dumitrascu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427088475 PECOS PAC ID: 4587677190 Enrollment ID: I20110311000649 |
| Provider Name | Martha C Wasserman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528004017 PECOS PAC ID: 0941244404 Enrollment ID: I20110330000444 |
| Provider Name | Manish C Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437121001 PECOS PAC ID: 1759565898 Enrollment ID: I20110413000984 |
| Provider Name | Abba C Zubair |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124018049 PECOS PAC ID: 1951586031 Enrollment ID: I20110505000294 |
| Provider Name | Charles M Harper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801873922 PECOS PAC ID: 2365584752 Enrollment ID: I20110506000440 |
| Provider Name | Nancy E Pitruzzello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265758189 PECOS PAC ID: 8123204534 Enrollment ID: I20110519000698 |
| Provider Name | Bala Munipalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295703700 PECOS PAC ID: 4082891007 Enrollment ID: I20110531000415 |
| Provider Name | Steven Nabil Attia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417912585 PECOS PAC ID: 9739259458 Enrollment ID: I20110606000110 |
| Provider Name | James M Foran |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992749139 PECOS PAC ID: 4486831112 Enrollment ID: I20110607000361 |
| Provider Name | Jorge Mallea |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306825781 PECOS PAC ID: 6709984420 Enrollment ID: I20110628000657 |
| Provider Name | Sean Patrick Kiley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821294638 PECOS PAC ID: 7113105719 Enrollment ID: I20110630000329 |
| Provider Name | Ivan E Porter |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679737563 PECOS PAC ID: 7012185077 Enrollment ID: I20110718000372 |
| Provider Name | Steven B Porter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972761708 PECOS PAC ID: 4688842487 Enrollment ID: I20110721000757 |
| Provider Name | Andrew W Bowman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780822569 PECOS PAC ID: 2668640301 Enrollment ID: I20110722000500 |
| Provider Name | Candice W Bolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912102831 PECOS PAC ID: 1254509870 Enrollment ID: I20110725000744 |
| Provider Name | Jonathan A Day |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851475024 PECOS PAC ID: 8527237916 Enrollment ID: I20110801000257 |
| Provider Name | Victoria Gomez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083878961 PECOS PAC ID: 9638348907 Enrollment ID: I20110803000707 |
| Provider Name | Jason S Starr |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205090107 PECOS PAC ID: 6507035698 Enrollment ID: I20110805000565 |
| Provider Name | Sher-lu Pai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871793398 PECOS PAC ID: 4183893894 Enrollment ID: I20110815000908 |
| Provider Name | Philip Lowman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144354069 PECOS PAC ID: 0244305100 Enrollment ID: I20110817000661 |
| Provider Name | Gregory T Frey |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326225343 PECOS PAC ID: 9032389507 Enrollment ID: I20110819000529 |
| Provider Name | Amanda Shearer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629234968 PECOS PAC ID: 9638349087 Enrollment ID: I20110823000555 |
| Provider Name | Eduardo S Rodrigues |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487775516 PECOS PAC ID: 6608930433 Enrollment ID: I20110824000847 |
| Provider Name | Frank Lukens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801871272 PECOS PAC ID: 5395762231 Enrollment ID: I20110829000174 |
| Provider Name | Daniel E Nobles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033442363 PECOS PAC ID: 3779753728 Enrollment ID: I20110830000301 |
| Provider Name | Raymond R Auger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497725519 PECOS PAC ID: 0446265086 Enrollment ID: I20110901000355 |
| Provider Name | Kristina F Dematas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710149620 PECOS PAC ID: 0840460739 Enrollment ID: I20110901000370 |
| Provider Name | Juan Carlos Leoni Moreno |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1467639799 PECOS PAC ID: 5597827600 Enrollment ID: I20110907001148 |
| Provider Name | David M Sella |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972742377 PECOS PAC ID: 1850561457 Enrollment ID: I20110908001801 |
| Provider Name | Rebecca R Parry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831179043 PECOS PAC ID: 5991976961 Enrollment ID: I20110922000749 |
| Provider Name | Kensler Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982635652 PECOS PAC ID: 1254349087 Enrollment ID: I20110923000537 |
| Provider Name | Mark-friedrich Hurdle |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1952374043 PECOS PAC ID: 8628970464 Enrollment ID: I20110926000894 |
| Provider Name | Kristin A Cushenbery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124306303 PECOS PAC ID: 8628249471 Enrollment ID: I20110927000674 |
| Provider Name | Manoj K Jain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871559856 PECOS PAC ID: 3375714140 Enrollment ID: I20110928000025 |
| Provider Name | Chitra Rajpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376723205 PECOS PAC ID: 2769551126 Enrollment ID: I20111003000641 |
| Provider Name | Tri Dinh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619986932 PECOS PAC ID: 1759374796 Enrollment ID: I20111102000883 |
| Provider Name | Jennifer L Peterson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326160748 PECOS PAC ID: 3072787951 Enrollment ID: I20111111000356 |
| Provider Name | Kelly E Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821395344 PECOS PAC ID: 5395921266 Enrollment ID: I20111111000476 |
| Provider Name | Justin H Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720077241 PECOS PAC ID: 7113194259 Enrollment ID: I20120112000805 |
| Provider Name | Dawn M Mussallem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306071485 PECOS PAC ID: 3173790854 Enrollment ID: I20120120000292 |
| Provider Name | Houssam Farres |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578780672 PECOS PAC ID: 9931376647 Enrollment ID: I20120120000624 |
| Provider Name | Taimur Sher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306171871 PECOS PAC ID: 9537283742 Enrollment ID: I20120126000642 |
| Provider Name | Asher A Chanan Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194722462 PECOS PAC ID: 1456313436 Enrollment ID: I20120131000719 |
| Provider Name | Edward L Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881965960 PECOS PAC ID: 2668630500 Enrollment ID: I20120222001045 |
| Provider Name | Arles L Rustia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699770180 PECOS PAC ID: 2466442975 Enrollment ID: I20120305000129 |
| Provider Name | Parag Patel |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1366607822 PECOS PAC ID: 3870669658 Enrollment ID: I20120308000750 |
| Provider Name | Elaine P Macomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598039828 PECOS PAC ID: 6204097793 Enrollment ID: I20120410000344 |
| Provider Name | Amanda N Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699040576 PECOS PAC ID: 6709047202 Enrollment ID: I20120410000411 |
| Provider Name | Maria I Vazquez-roque |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841408804 PECOS PAC ID: 3779641592 Enrollment ID: I20120511000562 |
| Provider Name | Joseph M Accurso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457336091 PECOS PAC ID: 7719085026 Enrollment ID: I20120516000665 |
| Provider Name | Leigh L Speicher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730159658 PECOS PAC ID: 1052577251 Enrollment ID: I20120716000164 |
| Provider Name | Katherine J Bodiford |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881911204 PECOS PAC ID: 5193981769 Enrollment ID: I20120725001056 |
| Provider Name | Courtney R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053673319 PECOS PAC ID: 9537325873 Enrollment ID: I20120731000727 |
| Provider Name | Lauren M Mcalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861756447 PECOS PAC ID: 6608022967 Enrollment ID: I20120802000365 |
| Provider Name | Kara J Bragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942563200 PECOS PAC ID: 5395991442 Enrollment ID: I20120806000892 |
| Provider Name | Archer K Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912108580 PECOS PAC ID: 1759559008 Enrollment ID: I20120807000227 |
| Provider Name | Shehzad Khan Niazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174554919 PECOS PAC ID: 4688618747 Enrollment ID: I20120807000638 |
| Provider Name | Amy Elizabeth Burns |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073617544 PECOS PAC ID: 9335241181 Enrollment ID: I20120807000817 |
| Provider Name | Pooja P Advani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386876928 PECOS PAC ID: 4880840586 Enrollment ID: I20120813000550 |
| Provider Name | Thao N Debelen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154693075 PECOS PAC ID: 0345496782 Enrollment ID: I20120817000237 |
| Provider Name | Mariah Quenette Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831464601 PECOS PAC ID: 7618124710 Enrollment ID: I20120824000265 |
| Provider Name | Justin M Burns |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780712042 PECOS PAC ID: 8426159179 Enrollment ID: I20120827000282 |
| Provider Name | Katherine G Gold |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275683930 PECOS PAC ID: 7113050816 Enrollment ID: I20120831000266 |
| Provider Name | Pablo Moreno Franco |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255524864 PECOS PAC ID: 2466577960 Enrollment ID: I20120906000495 |
| Provider Name | Angela C Irizarry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952659468 PECOS PAC ID: 5395993851 Enrollment ID: I20120907000470 |
| Provider Name | Syril K Dorairaj |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295992550 PECOS PAC ID: 1456539402 Enrollment ID: I20120913000734 |
| Provider Name | Arveen K Bhasin |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376641183 PECOS PAC ID: 4981637444 Enrollment ID: I20120924000260 |
| Provider Name | Katherine M Oshel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124169875 PECOS PAC ID: 0941459580 Enrollment ID: I20120925000826 |
| Provider Name | Richard O White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356361547 PECOS PAC ID: 0446254130 Enrollment ID: I20120926000402 |
| Provider Name | Courtney E Sherman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427179142 PECOS PAC ID: 1658464284 Enrollment ID: I20120926000666 |
| Provider Name | James M Lance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700815164 PECOS PAC ID: 5395740674 Enrollment ID: I20120928000412 |
| Provider Name | Albert Attia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205008349 PECOS PAC ID: 9638328891 Enrollment ID: I20121003000137 |
| Provider Name | Mathew Thomas |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1548436058 PECOS PAC ID: 1153476817 Enrollment ID: I20121003000625 |
| Provider Name | Marc B Dragon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881744662 PECOS PAC ID: 0547342578 Enrollment ID: I20121011000458 |
| Provider Name | Jesse Forshey-friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770834236 PECOS PAC ID: 1456500107 Enrollment ID: I20121012000552 |
| Provider Name | Marisol S Sanchez-lance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477579746 PECOS PAC ID: 7810160934 Enrollment ID: I20121023000204 |
| Provider Name | Kristen G Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053663021 PECOS PAC ID: 6709036627 Enrollment ID: I20121030000147 |
| Provider Name | Katherine N Meuti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558543991 PECOS PAC ID: 3072697192 Enrollment ID: I20121030000155 |
| Provider Name | Kelley E Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972858520 PECOS PAC ID: 7214187194 Enrollment ID: I20121031000158 |
| Provider Name | Fernando A Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114034626 PECOS PAC ID: 6709881469 Enrollment ID: I20121031000229 |
| Provider Name | Mary C Burton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912008194 PECOS PAC ID: 9032294665 Enrollment ID: I20121107000418 |
| Provider Name | Ann E Kaminski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972688034 PECOS PAC ID: 3678573862 Enrollment ID: I20121109000396 |
| Provider Name | Florentina Berianu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295988038 PECOS PAC ID: 2062536071 Enrollment ID: I20121112000204 |
| Provider Name | Maisha T Robinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336339217 PECOS PAC ID: 5597833905 Enrollment ID: I20121112000248 |
| Provider Name | Ronald R Butendieck |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114181047 PECOS PAC ID: 3274784558 Enrollment ID: I20121114000268 |
| Provider Name | John M Mckinney |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710978804 PECOS PAC ID: 6406922483 Enrollment ID: I20121115000155 |
| Provider Name | Andrea F Moreno-lackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689984106 PECOS PAC ID: 7911188008 Enrollment ID: I20121130000110 |
| Provider Name | Kristin L Cuthbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285917203 PECOS PAC ID: 3375795719 Enrollment ID: I20121210000437 |
| Provider Name | Margaret M Margretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386988475 PECOS PAC ID: 3375795602 Enrollment ID: I20121212000317 |
| Provider Name | Ghada Mitri Mitri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669466645 PECOS PAC ID: 1658350814 Enrollment ID: I20130109000274 |
| Provider Name | Aziza Nassar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750349593 PECOS PAC ID: 5395836944 Enrollment ID: I20130115000437 |
| Provider Name | Arbian Benga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679838882 PECOS PAC ID: 0446404164 Enrollment ID: I20130205000582 |
| Provider Name | Kim M Barbel-johnson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093774812 PECOS PAC ID: 3678718806 Enrollment ID: I20130318000231 |
| Provider Name | Maria Thereza Palmieri Barbosa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902051378 PECOS PAC ID: 1254527476 Enrollment ID: I20130423000262 |
| Provider Name | Sarah B Canale |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053651984 PECOS PAC ID: 0143468090 Enrollment ID: I20130604000777 |
| Provider Name | Bhaumik Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891920195 PECOS PAC ID: 4486893468 Enrollment ID: I20130624000454 |
| Provider Name | Tasha Mouton Shanklin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780811968 PECOS PAC ID: 7416197348 Enrollment ID: I20130717000236 |
| Provider Name | Alberto E Ardon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821222316 PECOS PAC ID: 0244471563 Enrollment ID: I20130730000397 |
| Provider Name | Beau Boski Toskich |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013113224 PECOS PAC ID: 3375784507 Enrollment ID: I20130730000730 |
| Provider Name | Tina P Ardon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679892806 PECOS PAC ID: 1153563705 Enrollment ID: I20130809000403 |
| Provider Name | Elizabeth Ann Mauricio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073774394 PECOS PAC ID: 8123260619 Enrollment ID: I20130813000410 |
| Provider Name | Shannon K Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003258898 PECOS PAC ID: 6103069703 Enrollment ID: I20130829000702 |
| Provider Name | Dorin T Colibaseanu |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1649477522 PECOS PAC ID: 4082772900 Enrollment ID: I20130904000159 |
| Provider Name | Melinda J Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013358613 PECOS PAC ID: 6507000478 Enrollment ID: I20130913000697 |
| Provider Name | William M Stone |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942285598 PECOS PAC ID: 6800819160 Enrollment ID: I20130923000748 |
| Provider Name | Daniel E Wessell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235171745 PECOS PAC ID: 2466456199 Enrollment ID: I20130930000102 |
| Provider Name | Amit Merchea |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1730383118 PECOS PAC ID: 6507924107 Enrollment ID: I20131001000078 |
| Provider Name | Alejandro A Rabinstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396715827 PECOS PAC ID: 4385789031 Enrollment ID: I20131002000353 |
| Provider Name | Kirk W Bourgeois |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093985103 PECOS PAC ID: 0244464253 Enrollment ID: I20131007000737 |
| Provider Name | William C Palmer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619289451 PECOS PAC ID: 9436397783 Enrollment ID: I20131015001887 |
| Provider Name | Diane C Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548697261 PECOS PAC ID: 9234364639 Enrollment ID: I20131018001876 |
| Provider Name | Richard A Helmers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376526558 PECOS PAC ID: 4385784834 Enrollment ID: I20131028000160 |
| Provider Name | Sarah H Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134471378 PECOS PAC ID: 3678708641 Enrollment ID: I20131029000150 |
| Provider Name | Mohammed B Reza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174753933 PECOS PAC ID: 7416104963 Enrollment ID: I20131029000331 |
| Provider Name | Marwan Shaikh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922236173 PECOS PAC ID: 7315172061 Enrollment ID: I20131105000657 |
| Provider Name | Melissa K Caywood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386744100 PECOS PAC ID: 0143455840 Enrollment ID: I20131106000028 |
| Provider Name | Megan D Torralba |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588963003 PECOS PAC ID: 0143405787 Enrollment ID: I20131114001467 |
| Provider Name | Stacy M Chupp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083881551 PECOS PAC ID: 3971730037 Enrollment ID: I20131217000019 |
| Provider Name | Sara E Filmalter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134431141 PECOS PAC ID: 8123264074 Enrollment ID: I20140102000597 |
| Provider Name | Jennie S Knabb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962824169 PECOS PAC ID: 3072741826 Enrollment ID: I20140124000931 |
| Provider Name | Sikander Ailawadhi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063670339 PECOS PAC ID: 9830258201 Enrollment ID: I20140206000996 |
| Provider Name | Jason Talmadge Lewis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083690168 PECOS PAC ID: 3375615446 Enrollment ID: I20140307000549 |
| Provider Name | Christopher T Aquino |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356763841 PECOS PAC ID: 0143451096 Enrollment ID: I20140318001888 |
| Provider Name | Kristi L Maimone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487079828 PECOS PAC ID: 8022249473 Enrollment ID: I20140327001343 |
| Provider Name | Jane Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689806044 PECOS PAC ID: 6406996479 Enrollment ID: I20140417001897 |
| Provider Name | Dilip P Pillai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356550545 PECOS PAC ID: 0941219570 Enrollment ID: I20140515000684 |
| Provider Name | David Wayne Shirey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598182503 PECOS PAC ID: 3678796802 Enrollment ID: I20140515001548 |
| Provider Name | John Lanzilotti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083957872 PECOS PAC ID: 9234379504 Enrollment ID: I20140609000896 |
| Provider Name | Kristopher P Croome |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972938462 PECOS PAC ID: 0840425088 Enrollment ID: I20140617001570 |
| Provider Name | Robert L Mcclain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952628752 PECOS PAC ID: 9032357413 Enrollment ID: I20140714001034 |
| Provider Name | Amanda D Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033543723 PECOS PAC ID: 9234354812 Enrollment ID: I20140716000440 |
| Provider Name | Rachel Botella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386054021 PECOS PAC ID: 8921224403 Enrollment ID: I20140717002324 |
| Provider Name | Jennifer A Morin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528201712 PECOS PAC ID: 2365668100 Enrollment ID: I20140730002743 |
| Provider Name | Trevanne R Matthews Hew |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912292178 PECOS PAC ID: 6305062142 Enrollment ID: I20140731000016 |
| Provider Name | Tathagat Narula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730377821 PECOS PAC ID: 5294921532 Enrollment ID: I20140731000152 |
| Provider Name | Kenneth L Gamble |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063835635 PECOS PAC ID: 4183841547 Enrollment ID: I20140807001666 |
| Provider Name | Benjamin R Veenstra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427286822 PECOS PAC ID: 4688891534 Enrollment ID: I20140816000295 |
| Provider Name | Muhammad Mobeen Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134491483 PECOS PAC ID: 6103078076 Enrollment ID: I20140821001980 |
| Provider Name | Augusto R Infante |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700861994 PECOS PAC ID: 8123124005 Enrollment ID: I20140826002343 |
| Provider Name | Michael S Rutenberg |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932335957 PECOS PAC ID: 5193943371 Enrollment ID: I20140829001612 |
| Provider Name | Ricardo Pagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003100520 PECOS PAC ID: 1951548759 Enrollment ID: I20140905001360 |
| Provider Name | Peter M Pollak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477766509 PECOS PAC ID: 3072779438 Enrollment ID: I20140905001741 |
| Provider Name | Lauren K Ng |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114190519 PECOS PAC ID: 8729210547 Enrollment ID: I20140912001224 |
| Provider Name | Michael Patrick Boniface |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225328206 PECOS PAC ID: 5799904199 Enrollment ID: I20140917001846 |
| Provider Name | Cara C Prier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639463029 PECOS PAC ID: 5890934400 Enrollment ID: I20140925000663 |
| Provider Name | Darby D Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235364274 PECOS PAC ID: 2567682578 Enrollment ID: I20140925000777 |
| Provider Name | Saranya Chumsri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508908328 PECOS PAC ID: 0840353439 Enrollment ID: I20140925001155 |
| Provider Name | Amy M Pollak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356489157 PECOS PAC ID: 7719083922 Enrollment ID: I20140927000098 |
| Provider Name | Allie Modena Metcalfe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154586865 PECOS PAC ID: 7517101702 Enrollment ID: I20140930002044 |
| Provider Name | Kimberly A Parrott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437562915 PECOS PAC ID: 9436379146 Enrollment ID: I20141001000801 |
| Provider Name | Anil G Suryaprasad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508083866 PECOS PAC ID: 1658462890 Enrollment ID: I20141014001728 |
| Provider Name | Kristen Spinato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356754253 PECOS PAC ID: 1254552862 Enrollment ID: I20141024000489 |
| Provider Name | Elird Bojaxhi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407295249 PECOS PAC ID: 7113161019 Enrollment ID: I20141030001158 |
| Provider Name | Kathryn D Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396147013 PECOS PAC ID: 5294957213 Enrollment ID: I20141106001845 |
| Provider Name | Maria Adelita Macauley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265845689 PECOS PAC ID: 1355563099 Enrollment ID: I20141112001161 |
| Provider Name | Ashley Greathouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346653888 PECOS PAC ID: 7517189038 Enrollment ID: I20141117000180 |
| Provider Name | Amy L Rutt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134210164 PECOS PAC ID: 9830311232 Enrollment ID: I20141120000807 |
| Provider Name | Amanda C Prado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669621652 PECOS PAC ID: 0547321523 Enrollment ID: I20141208002276 |
| Provider Name | Perry M Fardella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265658348 PECOS PAC ID: 8325360027 Enrollment ID: I20141209000245 |
| Provider Name | Jessica Naomi Pelkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003222837 PECOS PAC ID: 1153643879 Enrollment ID: I20141209001042 |
| Provider Name | Sheridan D Milenchick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962816579 PECOS PAC ID: 9335462514 Enrollment ID: I20141218001882 |
| Provider Name | Nicole B Delagrange |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477970622 PECOS PAC ID: 2668795873 Enrollment ID: I20141219000239 |
| Provider Name | Dinesh Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841459039 PECOS PAC ID: 8820260920 Enrollment ID: I20141223001561 |
| Provider Name | Rebecca J Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013231299 PECOS PAC ID: 2062698780 Enrollment ID: I20150116001267 |
| Provider Name | Margaret E Mckinney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144548694 PECOS PAC ID: 3870721152 Enrollment ID: I20150128000700 |
| Provider Name | Leslie T Cooper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801872056 PECOS PAC ID: 5597807487 Enrollment ID: I20150225001601 |
| Provider Name | Angellena K Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285032466 PECOS PAC ID: 0143546788 Enrollment ID: I20150226000746 |
| Provider Name | Sarah A Foster Reising |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659779270 PECOS PAC ID: 2769708320 Enrollment ID: I20150226001244 |
| Provider Name | Tyler B Wilburn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225427719 PECOS PAC ID: 7214254820 Enrollment ID: I20150319001161 |
| Provider Name | Catherine C Newman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891773784 PECOS PAC ID: 2860540333 Enrollment ID: I20150323002197 |
| Provider Name | Terri L Catherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558779140 PECOS PAC ID: 8123345238 Enrollment ID: I20150331000791 |
| Provider Name | Cristal Rene Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225436454 PECOS PAC ID: 7214255165 Enrollment ID: I20150406001328 |
| Provider Name | Melanie Caserta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396750287 PECOS PAC ID: 8426058470 Enrollment ID: I20150406001684 |
| Provider Name | Byron C May |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437107885 PECOS PAC ID: 6002702354 Enrollment ID: I20150410002112 |
| Provider Name | Jamie Y Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295930543 PECOS PAC ID: 7012153315 Enrollment ID: I20150414002425 |
| Provider Name | Michele L Woodrum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528459237 PECOS PAC ID: 6800114992 Enrollment ID: I20150422000866 |
| Provider Name | Christina M Maloney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154712867 PECOS PAC ID: 7012236391 Enrollment ID: I20150508000024 |
| Provider Name | Ingrid L Rodgers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407246275 PECOS PAC ID: 0749509024 Enrollment ID: I20150508000037 |
| Provider Name | Joseph A Murray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538149018 PECOS PAC ID: 9133263098 Enrollment ID: I20150514002520 |
| Provider Name | Erik Middlebrooks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194967752 PECOS PAC ID: 8628212248 Enrollment ID: I20150530000087 |
| Provider Name | Martha E Wisbey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598158867 PECOS PAC ID: 5496076887 Enrollment ID: I20150610002669 |
| Provider Name | Isabel Del Carmen Lawton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992191712 PECOS PAC ID: 8022329200 Enrollment ID: I20150615000600 |
| Provider Name | Michael B Pillar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093053944 PECOS PAC ID: 8921247347 Enrollment ID: I20150616002739 |
| Provider Name | Louise Marie Pifer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922352103 PECOS PAC ID: 8022253178 Enrollment ID: I20150618002782 |
| Provider Name | Karen S Shimshak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407931769 PECOS PAC ID: 8527069616 Enrollment ID: I20150629001781 |
| Provider Name | Carla Patricia Venegas-borsellino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184879587 PECOS PAC ID: 5294959961 Enrollment ID: I20150702000053 |
| Provider Name | Kaitlin Moran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841557923 PECOS PAC ID: 9335367085 Enrollment ID: I20150708002346 |
| Provider Name | Jaimin Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518285782 PECOS PAC ID: 5698913374 Enrollment ID: I20150713002101 |
| Provider Name | Samuel T Floyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316333701 PECOS PAC ID: 7113230459 Enrollment ID: I20150716000385 |
| Provider Name | Jose Valery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396003794 PECOS PAC ID: 2567608409 Enrollment ID: I20150721002967 |
| Provider Name | Christopher Destephano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073812681 PECOS PAC ID: 0042469892 Enrollment ID: I20150730014030 |
| Provider Name | Lidia S Dalessandro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700268992 PECOS PAC ID: 0446564413 Enrollment ID: I20150804005298 |
| Provider Name | Jonathan Balog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417214289 PECOS PAC ID: 2961648878 Enrollment ID: I20150812008938 |
| Provider Name | Ryan Timothy Mckenna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982961264 PECOS PAC ID: 7315165735 Enrollment ID: I20150819008152 |
| Provider Name | Melissa P Cortes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881960813 PECOS PAC ID: 1658516414 Enrollment ID: I20150820010298 |
| Provider Name | Maoyin Pang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235494113 PECOS PAC ID: 6305085069 Enrollment ID: I20150826000749 |
| Provider Name | Johnathan Ross Renew |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477865384 PECOS PAC ID: 4981830239 Enrollment ID: I20150826001796 |
| Provider Name | Sungjune Kim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407170277 PECOS PAC ID: 3678889326 Enrollment ID: I20150826001822 |
| Provider Name | Rachelle M Beste |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902169154 PECOS PAC ID: 0648416461 Enrollment ID: I20150831001481 |
| Provider Name | Selby G Chen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063668440 PECOS PAC ID: 1254478498 Enrollment ID: I20150901001036 |
| Provider Name | Antonio J Forte |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851551717 PECOS PAC ID: 1951624030 Enrollment ID: I20150901002263 |
| Provider Name | Barbara K Bruce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447237821 PECOS PAC ID: 8325173065 Enrollment ID: I20150903002397 |
| Provider Name | Christian Lachner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093041675 PECOS PAC ID: 4082755335 Enrollment ID: I20150903002529 |
| Provider Name | Santo Maimone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669783833 PECOS PAC ID: 1759515026 Enrollment ID: I20150909000538 |
| Provider Name | Osarenoma Olomu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386849164 PECOS PAC ID: 5496984114 Enrollment ID: I20150909002471 |
| Provider Name | William C Fox |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134241243 PECOS PAC ID: 8729222674 Enrollment ID: I20150909002937 |
| Provider Name | Glenn G Shi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003058660 PECOS PAC ID: 6608183298 Enrollment ID: I20150915000787 |
| Provider Name | Stacey Michelle Menton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669898128 PECOS PAC ID: 6204143647 Enrollment ID: I20150916002814 |
| Provider Name | Mohit Chauhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427194190 PECOS PAC ID: 5294885414 Enrollment ID: I20150916002912 |
| Provider Name | Todd Daniel Rozen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902999006 PECOS PAC ID: 8628126067 Enrollment ID: I20150918000056 |
| Provider Name | Alison Bruce |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285614701 PECOS PAC ID: 8729113451 Enrollment ID: I20150919000118 |
| Provider Name | Berryl Olotch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578948816 PECOS PAC ID: 5799092888 Enrollment ID: I20150922002963 |
| Provider Name | Josephine Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689995342 PECOS PAC ID: 5698948586 Enrollment ID: I20150926000203 |
| Provider Name | Michael R Mayo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285909465 PECOS PAC ID: 1456669399 Enrollment ID: I20150926000312 |
| Provider Name | Gautam Matcha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629336060 PECOS PAC ID: 5698912046 Enrollment ID: I20151006001197 |
| Provider Name | Liu Yang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588813588 PECOS PAC ID: 1254529324 Enrollment ID: I20151014000809 |
| Provider Name | George Pujalte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023156031 PECOS PAC ID: 7911086004 Enrollment ID: I20151016000733 |
| Provider Name | Pamela A Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780054098 PECOS PAC ID: 2769791433 Enrollment ID: I20151020001129 |
| Provider Name | Martyn Rothermel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730476383 PECOS PAC ID: 3678713930 Enrollment ID: I20151021000995 |
| Provider Name | Andrew Lewis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326281742 PECOS PAC ID: 7315256815 Enrollment ID: I20151023001317 |
| Provider Name | Michele Woltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902214935 PECOS PAC ID: 4880904093 Enrollment ID: I20151029002926 |
| Provider Name | Cristina Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902207210 PECOS PAC ID: 2668795550 Enrollment ID: I20151030000665 |
| Provider Name | Christan Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487024246 PECOS PAC ID: 2365752508 Enrollment ID: I20151030001056 |
| Provider Name | Ejigayehu Abate |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679615116 PECOS PAC ID: 6002981925 Enrollment ID: I20151103000425 |
| Provider Name | Emma Mazza |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154727188 PECOS PAC ID: 3375853278 Enrollment ID: I20151105000026 |
| Provider Name | Charles Bruce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811975980 PECOS PAC ID: 0244335537 Enrollment ID: I20151105002547 |
| Provider Name | Lori Lynn Geronimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841661873 PECOS PAC ID: 4284934498 Enrollment ID: I20151119001495 |
| Provider Name | Annamarie M Hoffecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710356977 PECOS PAC ID: 7810297983 Enrollment ID: I20151120001359 |
| Provider Name | Angelina M Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063786879 PECOS PAC ID: 8628393048 Enrollment ID: I20151123001990 |
| Provider Name | Christine Sacre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548631872 PECOS PAC ID: 0446550420 Enrollment ID: I20151123002264 |
| Provider Name | Christopher Brady |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376738138 PECOS PAC ID: 5597836924 Enrollment ID: I20151125000401 |
| Provider Name | Yanyan Lou |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659505915 PECOS PAC ID: 2567602071 Enrollment ID: I20151130001374 |
| Provider Name | Louis M Wong Kee Song |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861471765 PECOS PAC ID: 0042345381 Enrollment ID: I20151214000023 |
| Provider Name | Renee Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033539234 PECOS PAC ID: 2365745932 Enrollment ID: I20160115000180 |
| Provider Name | Melanie J Chandler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093749228 PECOS PAC ID: 0840292090 Enrollment ID: I20160115000959 |
| Provider Name | Magdy M El-sayed Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1932517877 PECOS PAC ID: 1658674049 Enrollment ID: I20160119001198 |
| Provider Name | Allison R Baird |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821460718 PECOS PAC ID: 4385947688 Enrollment ID: I20160120001648 |
| Provider Name | Jennifer Reidell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255457370 PECOS PAC ID: 6103129309 Enrollment ID: I20160121002055 |
| Provider Name | Elaine Gustetic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730346651 PECOS PAC ID: 3476856600 Enrollment ID: I20160122000303 |
| Provider Name | Nancy Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821460783 PECOS PAC ID: 1850695529 Enrollment ID: I20160201002587 |
| Provider Name | Katarina A Devault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841663655 PECOS PAC ID: 9739483330 Enrollment ID: I20160202000641 |
| Provider Name | Kimberly Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093188583 PECOS PAC ID: 0840594057 Enrollment ID: I20160209001741 |
| Provider Name | Jennifer E Henslee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295166395 PECOS PAC ID: 4183928021 Enrollment ID: I20160212001061 |
| Provider Name | Perrin Rubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750754669 PECOS PAC ID: 6002110822 Enrollment ID: I20160215001199 |
| Provider Name | Joya Wilkerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730552779 PECOS PAC ID: 9537463328 Enrollment ID: I20160216000655 |
| Provider Name | Matthew J Dailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609240746 PECOS PAC ID: 5799080057 Enrollment ID: I20160224000993 |
| Provider Name | Lisa A Mejia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346621935 PECOS PAC ID: 6709181944 Enrollment ID: I20160225000746 |
| Provider Name | Richard Beegle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932335031 PECOS PAC ID: 1951545573 Enrollment ID: I20160301002274 |
| Provider Name | Prerna Poojary |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639538564 PECOS PAC ID: 7315244274 Enrollment ID: I20160321002460 |
| Provider Name | Swapna M Kochuveettil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831565167 PECOS PAC ID: 6608182035 Enrollment ID: I20160404001272 |
| Provider Name | David Disantis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124027933 PECOS PAC ID: 4587646088 Enrollment ID: I20160405000623 |
| Provider Name | Enrique Elli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053577395 PECOS PAC ID: 4082761200 Enrollment ID: I20160412002122 |
| Provider Name | Anna Pirgousis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356701155 PECOS PAC ID: 8426356106 Enrollment ID: I20160413000707 |
| Provider Name | Christopher Trautman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780094078 PECOS PAC ID: 5092933135 Enrollment ID: I20160413002511 |
| Provider Name | Shreya Amin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902266679 PECOS PAC ID: 2062710437 Enrollment ID: I20160419000520 |
| Provider Name | Pramod Guru |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417102757 PECOS PAC ID: 3173764008 Enrollment ID: I20160422001129 |
| Provider Name | Jami Spruance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265892038 PECOS PAC ID: 6608175757 Enrollment ID: I20160425001608 |
| Provider Name | Michelle Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144682451 PECOS PAC ID: 2567761331 Enrollment ID: I20160428001666 |
| Provider Name | Raymond Pak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508840471 PECOS PAC ID: 1456428036 Enrollment ID: I20160504000086 |
| Provider Name | Jessica Gomez Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235511593 PECOS PAC ID: 8527359884 Enrollment ID: I20160617000213 |
| Provider Name | Jennifer Cowart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760645675 PECOS PAC ID: 8820257710 Enrollment ID: I20160620000498 |
| Provider Name | Ravindra Maharaj |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962607440 PECOS PAC ID: 5890086920 Enrollment ID: I20160621002367 |
| Provider Name | Jordan Ray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760826150 PECOS PAC ID: 1557501558 Enrollment ID: I20160621002692 |
| Provider Name | Mireille Hamdan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619323250 PECOS PAC ID: 9335430271 Enrollment ID: I20160623000426 |
| Provider Name | Umair Majeed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972933125 PECOS PAC ID: 1254622921 Enrollment ID: I20160628001005 |
| Provider Name | Stephanie A Hembach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750782041 PECOS PAC ID: 5890087464 Enrollment ID: I20160630001636 |
| Provider Name | William M Murdock |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174980593 PECOS PAC ID: 3476845850 Enrollment ID: I20160705001242 |
| Provider Name | Ram A Pathak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609133081 PECOS PAC ID: 0446487748 Enrollment ID: I20160725002189 |
| Provider Name | Ferenc Rabai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962767863 PECOS PAC ID: 5496996787 Enrollment ID: I20160801000902 |
| Provider Name | Ryan Chadha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164712352 PECOS PAC ID: 2668766213 Enrollment ID: I20160804002450 |
| Provider Name | Sheila Jowsey-gregoire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265406425 PECOS PAC ID: 5193850824 Enrollment ID: I20160808002589 |
| Provider Name | Dana Herrigel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760799449 PECOS PAC ID: 8820233083 Enrollment ID: I20160809002454 |
| Provider Name | Kathryn Danielle Braddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710336953 PECOS PAC ID: 6901190909 Enrollment ID: I20160815001847 |
| Provider Name | Jordan Daniel Legout |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104145275 PECOS PAC ID: 8022252634 Enrollment ID: I20160818002032 |
| Provider Name | Natalia M Werninck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780041970 PECOS PAC ID: 8325333610 Enrollment ID: I20160825001846 |
| Provider Name | Amber M Crossley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790136646 PECOS PAC ID: 3577858893 Enrollment ID: I20160825002620 |
| Provider Name | Meghna Ailawadhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326293093 PECOS PAC ID: 1759431364 Enrollment ID: I20160825002693 |
| Provider Name | Jabari K Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902019888 PECOS PAC ID: 5698762219 Enrollment ID: I20160830002626 |
| Provider Name | Mohamad Bydon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871766022 PECOS PAC ID: 5395994313 Enrollment ID: I20160906002416 |
| Provider Name | Ruifeng Guo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558682575 PECOS PAC ID: 9436374733 Enrollment ID: I20160907002682 |
| Provider Name | Emily Rose Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235580127 PECOS PAC ID: 2961798392 Enrollment ID: I20160909002038 |
| Provider Name | Heather Marie Zamuz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851388359 PECOS PAC ID: 7911957683 Enrollment ID: I20160917000107 |
| Provider Name | Brendon Michael Anthony Colaco |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1699901173 PECOS PAC ID: 5193039345 Enrollment ID: I20161010000167 |
| Provider Name | Alfredo Quinones-hinojosa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922045855 PECOS PAC ID: 3678504537 Enrollment ID: I20161011001238 |
| Provider Name | Hemant Sreenivasa Murthy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518129188 PECOS PAC ID: 6204059231 Enrollment ID: I20161015000007 |
| Provider Name | Marissa C Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649723214 PECOS PAC ID: 4981992427 Enrollment ID: I20161015000214 |
| Provider Name | Anteneh M Feyissa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245542547 PECOS PAC ID: 3072731983 Enrollment ID: I20161017000711 |
| Provider Name | Nicole E Joyce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548606148 PECOS PAC ID: 8426348020 Enrollment ID: I20161019000575 |
| Provider Name | Bjorn Erik Oskarsson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770692154 PECOS PAC ID: 2264417625 Enrollment ID: I20161026002694 |
| Provider Name | Amanda Shea Vignola |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427406289 PECOS PAC ID: 2668750415 Enrollment ID: I20161028001124 |
| Provider Name | Yan Bi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629239397 PECOS PAC ID: 0244409027 Enrollment ID: I20161029000420 |
| Provider Name | Rachel C Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346610664 PECOS PAC ID: 1759669476 Enrollment ID: I20161101001689 |
| Provider Name | Bradley Schoch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699086520 PECOS PAC ID: 5193998268 Enrollment ID: I20161102000718 |
| Provider Name | Shahyar M Gharacholou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477752715 PECOS PAC ID: 2567436157 Enrollment ID: I20161110002258 |
| Provider Name | Wesley Lloyd Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063700706 PECOS PAC ID: 5991932329 Enrollment ID: I20161115002426 |
| Provider Name | Akash Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023017324 PECOS PAC ID: 5193785327 Enrollment ID: I20161115002743 |
| Provider Name | Mila G Insuasty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679926836 PECOS PAC ID: 0244519965 Enrollment ID: I20161118002335 |
| Provider Name | William Victor Bobo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679530042 PECOS PAC ID: 7113923491 Enrollment ID: I20161128000060 |
| Provider Name | Nikki L Matos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225586860 PECOS PAC ID: 6002196540 Enrollment ID: I20161129002076 |
| Provider Name | Robert Watson Maxwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588673412 PECOS PAC ID: 8224007257 Enrollment ID: I20161130001688 |
| Provider Name | Meredith A Maguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780133272 PECOS PAC ID: 7416237250 Enrollment ID: I20161213001164 |
| Provider Name | Martin D Abel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447235189 PECOS PAC ID: 9931242898 Enrollment ID: I20161220002562 |
| Provider Name | Allison K Cabalka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720065220 PECOS PAC ID: 6800999079 Enrollment ID: I20161228002123 |
| Provider Name | Rami Manochakian |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619112034 PECOS PAC ID: 1658515937 Enrollment ID: I20161229000133 |
| Provider Name | Eric R Preusler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457807851 PECOS PAC ID: 0840571998 Enrollment ID: I20170103001157 |
| Provider Name | Alethea B Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073065330 PECOS PAC ID: 5698056471 Enrollment ID: I20170110002400 |
| Provider Name | Ellen E Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811439144 PECOS PAC ID: 7113209651 Enrollment ID: I20170118002090 |
| Provider Name | Dusica Babovic-vuksanovic |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1588634992 PECOS PAC ID: 3476698465 Enrollment ID: I20170124002809 |
| Provider Name | Win-kuang Shen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629055629 PECOS PAC ID: 4385703008 Enrollment ID: I20170126002463 |
| Provider Name | Traci Lynn Marfilius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245776517 PECOS PAC ID: 4284917519 Enrollment ID: I20170213001392 |
| Provider Name | Jamison Clower |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730625377 PECOS PAC ID: 3870876824 Enrollment ID: I20170216002759 |
| Provider Name | Eric Eggenberger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982632113 PECOS PAC ID: 1658407465 Enrollment ID: I20170220000692 |
| Provider Name | Katherine P Cole |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346786472 PECOS PAC ID: 9537443437 Enrollment ID: I20170221000372 |
| Provider Name | Tuhama S Rihani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669765541 PECOS PAC ID: 4789823428 Enrollment ID: I20170222001289 |
| Provider Name | Annie L Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992242846 PECOS PAC ID: 8820373194 Enrollment ID: I20170329000491 |
| Provider Name | Rolf Grage |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245269059 PECOS PAC ID: 5698856268 Enrollment ID: I20170410002407 |
| Provider Name | David Douglas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760467898 PECOS PAC ID: 8123913985 Enrollment ID: I20170420001740 |
| Provider Name | Justin Yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487191334 PECOS PAC ID: 3476830688 Enrollment ID: I20170425002658 |
| Provider Name | Angela Donaldson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710149240 PECOS PAC ID: 1951541655 Enrollment ID: I20170510002689 |
| Provider Name | Michael Adalia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265973168 PECOS PAC ID: 2769759570 Enrollment ID: I20170529000034 |
| Provider Name | Jeremy Clifton Jones |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851681076 PECOS PAC ID: 7214151984 Enrollment ID: I20170612001568 |
| Provider Name | Brian G Weinshenker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588641591 PECOS PAC ID: 1850435256 Enrollment ID: I20170615001725 |
| Provider Name | Haley P Letter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912267303 PECOS PAC ID: 2961770649 Enrollment ID: I20170621002527 |
| Provider Name | Elvira Samardzic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700265840 PECOS PAC ID: 9032487624 Enrollment ID: I20170623000403 |
| Provider Name | Rebecca C Burnside |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376956284 PECOS PAC ID: 2860786613 Enrollment ID: I20170707002699 |
| Provider Name | Emmanuel M Gabriel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417183724 PECOS PAC ID: 8628360211 Enrollment ID: I20170708000144 |
| Provider Name | Dana Amiraian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801153325 PECOS PAC ID: 3870737802 Enrollment ID: I20170711002111 |
| Provider Name | Anca Chiriac |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1134448020 PECOS PAC ID: 3173765138 Enrollment ID: I20170717002187 |
| Provider Name | Christopher John Mcleod |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871612010 PECOS PAC ID: 0042302309 Enrollment ID: I20170719002014 |
| Provider Name | Ruqin Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851702930 PECOS PAC ID: 2062782220 Enrollment ID: I20170720000661 |
| Provider Name | Shweta Bhatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982854527 PECOS PAC ID: 4183786601 Enrollment ID: I20170721002032 |
| Provider Name | Rohan Goswami |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1770870453 PECOS PAC ID: 2567732639 Enrollment ID: I20170721002126 |
| Provider Name | Demilade Adedinsewo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669891990 PECOS PAC ID: 8123320181 Enrollment ID: I20170722000225 |
| Provider Name | Charanjit Singh Rihal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508845991 PECOS PAC ID: 3870635121 Enrollment ID: I20170724002226 |
| Provider Name | Xenia T Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003221672 PECOS PAC ID: 4688992332 Enrollment ID: I20170731002644 |
| Provider Name | Hassan Baig |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134547250 PECOS PAC ID: 2769753128 Enrollment ID: I20170802003098 |
| Provider Name | Steven Rosenfeld |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952406381 PECOS PAC ID: 8921040916 Enrollment ID: I20170804001980 |
| Provider Name | Tanya Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578092334 PECOS PAC ID: 7214208453 Enrollment ID: I20170804003430 |
| Provider Name | Michael Smerina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952733719 PECOS PAC ID: 1456660125 Enrollment ID: I20170807001939 |
| Provider Name | Madiha Iqbal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649687518 PECOS PAC ID: 9436379286 Enrollment ID: I20170807002425 |
| Provider Name | Angela L Karulak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477914646 PECOS PAC ID: 0941580260 Enrollment ID: I20170815003698 |
| Provider Name | Claire P Winfree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639690522 PECOS PAC ID: 4284906892 Enrollment ID: I20170816003860 |
| Provider Name | Jeffrey Brent Peel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659715001 PECOS PAC ID: 4880828151 Enrollment ID: I20170818002768 |
| Provider Name | Benjamin Wilke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558658559 PECOS PAC ID: 7214184381 Enrollment ID: I20170819000108 |
| Provider Name | Krithika Krishnarao |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1366886814 PECOS PAC ID: 2264728500 Enrollment ID: I20170821001295 |
| Provider Name | Courtney C Luffler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063833226 PECOS PAC ID: 1153626874 Enrollment ID: I20170830000649 |
| Provider Name | Daniel Trifiletti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326308073 PECOS PAC ID: 0941439756 Enrollment ID: I20170830003401 |
| Provider Name | Aleksandra Murawska Baptista |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932546017 PECOS PAC ID: 5092001412 Enrollment ID: I20170907001094 |
| Provider Name | Sally A Gaouette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851554158 PECOS PAC ID: 6608199229 Enrollment ID: I20170907001245 |
| Provider Name | Brynn K Dredla |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1689932048 PECOS PAC ID: 6204070444 Enrollment ID: I20170908001363 |
| Provider Name | Kathryn Sarah Cardona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114440088 PECOS PAC ID: 1052684073 Enrollment ID: I20170913001026 |
| Provider Name | Jed Cowdell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356751002 PECOS PAC ID: 7416176763 Enrollment ID: I20170913001352 |
| Provider Name | Matthew Crowe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952697898 PECOS PAC ID: 7315194834 Enrollment ID: I20170915000863 |
| Provider Name | Yulia Orlova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598000861 PECOS PAC ID: 4789971482 Enrollment ID: I20170922002118 |
| Provider Name | Carol Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629427240 PECOS PAC ID: 1557636594 Enrollment ID: I20171002001779 |
| Provider Name | Iris Marin Collazo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275890873 PECOS PAC ID: 6608000807 Enrollment ID: I20171005002133 |
| Provider Name | Stephanie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699290916 PECOS PAC ID: 1557636172 Enrollment ID: I20171009000993 |
| Provider Name | Ian Makey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043476948 PECOS PAC ID: 1951545284 Enrollment ID: I20171013002925 |
| Provider Name | Kathleen Mitchell-anderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114476181 PECOS PAC ID: 8729354758 Enrollment ID: I20171019000576 |
| Provider Name | Samantha R Inabinett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306369640 PECOS PAC ID: 1951677822 Enrollment ID: I20171019002835 |
| Provider Name | Sabrina Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033197322 PECOS PAC ID: 8921057720 Enrollment ID: I20171025001778 |
| Provider Name | Molly M Kilpatrick |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902240609 PECOS PAC ID: 4789940933 Enrollment ID: I20171103002965 |
| Provider Name | Lauren Freeman Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407925688 PECOS PAC ID: 7618020066 Enrollment ID: I20171114001752 |
| Provider Name | Charles A Ritchie |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083877799 PECOS PAC ID: 1052549144 Enrollment ID: I20171120002431 |
| Provider Name | Hartzell V Schaff |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699752337 PECOS PAC ID: 1850433491 Enrollment ID: I20171204001069 |
| Provider Name | Clark C Otley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578535506 PECOS PAC ID: 8224171350 Enrollment ID: I20171213002592 |
| Provider Name | Elizabeth G Mutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043735160 PECOS PAC ID: 0446518716 Enrollment ID: I20171213002779 |
| Provider Name | Barham Abudayyeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902927353 PECOS PAC ID: 9133266539 Enrollment ID: I20171218003400 |
| Provider Name | Bea-paola Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215447974 PECOS PAC ID: 0941568950 Enrollment ID: I20171221000566 |
| Provider Name | Dora Syin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588822092 PECOS PAC ID: 4183878408 Enrollment ID: I20171227001450 |
| Provider Name | Shannon Brandes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922511617 PECOS PAC ID: 1658639257 Enrollment ID: I20180102001893 |
| Provider Name | Kaisorn Lee Chaichana |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356516074 PECOS PAC ID: 8022266675 Enrollment ID: I20180103000725 |
| Provider Name | John Leschitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750678025 PECOS PAC ID: 8628336260 Enrollment ID: I20180103000872 |
| Provider Name | Julie E Hammack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740266790 PECOS PAC ID: 4082757802 Enrollment ID: I20180108000136 |
| Provider Name | Ryan Mccoy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073915492 PECOS PAC ID: 3971862954 Enrollment ID: I20180119001918 |
| Provider Name | Jessica Lynne Keever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205349727 PECOS PAC ID: 6709145501 Enrollment ID: I20180124003189 |
| Provider Name | Roxana S Dronca |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982657052 PECOS PAC ID: 4183637945 Enrollment ID: I20180125000894 |
| Provider Name | Kathleen Albers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407379548 PECOS PAC ID: 2264706332 Enrollment ID: I20180202000309 |
| Provider Name | Toinetta Coolie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619482957 PECOS PAC ID: 0446510705 Enrollment ID: I20180205002441 |
| Provider Name | Kelly Lynn Larimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790290435 PECOS PAC ID: 5395006134 Enrollment ID: I20180219001797 |
| Provider Name | Sarah Katherine Armour |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629236476 PECOS PAC ID: 1850535261 Enrollment ID: I20180222000257 |
| Provider Name | Brian E Lacy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518980135 PECOS PAC ID: 1658399902 Enrollment ID: I20180306002821 |
| Provider Name | Joseph A Dearani |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407834344 PECOS PAC ID: 8527953165 Enrollment ID: I20180323000500 |
| Provider Name | Allyson Weaver Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487161956 PECOS PAC ID: 7618239971 Enrollment ID: I20180326001724 |
| Provider Name | Jacqueline Lacouture Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689182065 PECOS PAC ID: 3971865924 Enrollment ID: I20180403000609 |
| Provider Name | Sadia Zain Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760632806 PECOS PAC ID: 0648402412 Enrollment ID: I20180403002055 |
| Provider Name | Pamela Katlyn Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942708250 PECOS PAC ID: 0941563720 Enrollment ID: I20180409000690 |
| Provider Name | Regis I Fernandes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295796894 PECOS PAC ID: 8921034240 Enrollment ID: I20180417000502 |
| Provider Name | J Dan Echols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073596458 PECOS PAC ID: 7416999065 Enrollment ID: I20180423002360 |
| Provider Name | Kristin Denise Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023524758 PECOS PAC ID: 8022373216 Enrollment ID: I20180516003036 |
| Provider Name | Jaclyn Ruth Elkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205235850 PECOS PAC ID: 8527289289 Enrollment ID: I20180518002281 |
| Provider Name | Patricia Lorraine Dennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740784156 PECOS PAC ID: 7517222623 Enrollment ID: I20180521000148 |
| Provider Name | Teresa Ying Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891185195 PECOS PAC ID: 1456663657 Enrollment ID: I20180611001139 |
| Provider Name | Beverly J Roseberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780857698 PECOS PAC ID: 4789754839 Enrollment ID: I20180611002477 |
| Provider Name | Lauren E Freed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003152166 PECOS PAC ID: 1153576681 Enrollment ID: I20180615000157 |
| Provider Name | Kingsley Otsioren Abode Iyamah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578859484 PECOS PAC ID: 1557501798 Enrollment ID: I20180615002192 |
| Provider Name | Neema Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063856615 PECOS PAC ID: 7416199393 Enrollment ID: I20180622001988 |
| Provider Name | Ricardo D Parrondo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164818613 PECOS PAC ID: 3678828183 Enrollment ID: I20180622002485 |
| Provider Name | Aakriti Ronica Carrubba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598183634 PECOS PAC ID: 9032479647 Enrollment ID: I20180625003489 |
| Provider Name | Catherine J Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558336750 PECOS PAC ID: 5597808956 Enrollment ID: I20180626003449 |
| Provider Name | Darlyn Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700373594 PECOS PAC ID: 7911253158 Enrollment ID: I20180702001428 |
| Provider Name | Scott A Helgeson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376930487 PECOS PAC ID: 9335452648 Enrollment ID: I20180703002462 |
| Provider Name | Andree Koop |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205213360 PECOS PAC ID: 0749599124 Enrollment ID: I20180705002710 |
| Provider Name | Julio C Perez-downes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194110320 PECOS PAC ID: 0446566210 Enrollment ID: I20180706000947 |
| Provider Name | Muhamad Alhaj Moustafa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023403201 PECOS PAC ID: 3870849763 Enrollment ID: I20180706002588 |
| Provider Name | Michelle Pei-yu Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568738383 PECOS PAC ID: 9335431030 Enrollment ID: I20180709001749 |
| Provider Name | William W Wong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043293764 PECOS PAC ID: 0547300907 Enrollment ID: I20180711003449 |
| Provider Name | Harry Ross Powers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093195893 PECOS PAC ID: 3274840590 Enrollment ID: I20180712002742 |
| Provider Name | David Abia Trujillo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750764668 PECOS PAC ID: 9133475692 Enrollment ID: I20180713000633 |
| Provider Name | Brian Rinker |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902861867 PECOS PAC ID: 5294631297 Enrollment ID: I20180716002210 |
| Provider Name | Kamal Cheema |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962885715 PECOS PAC ID: 2365732310 Enrollment ID: I20180718001362 |
| Provider Name | Raul Alejandro Rosario-concepcion |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700291333 PECOS PAC ID: 9234486275 Enrollment ID: I20180720002232 |
| Provider Name | Kevin T Riutort |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508871906 PECOS PAC ID: 0446305205 Enrollment ID: I20180730002623 |
| Provider Name | Milena Cardozo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891175030 PECOS PAC ID: 6608124151 Enrollment ID: I20180731003670 |
| Provider Name | Claire B Haga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073990719 PECOS PAC ID: 9638482953 Enrollment ID: I20180806000928 |
| Provider Name | Sahil Gupta |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972914869 PECOS PAC ID: 0446538730 Enrollment ID: I20180814001839 |
| Provider Name | Sven Oman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275910804 PECOS PAC ID: 5395057194 Enrollment ID: I20180815002958 |
| Provider Name | Zlatko Devcic |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659639169 PECOS PAC ID: 8921357393 Enrollment ID: I20180817001022 |
| Provider Name | Frank K Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538206347 PECOS PAC ID: 7214052810 Enrollment ID: I20180821002227 |
| Provider Name | Isabel C Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235275520 PECOS PAC ID: 4981764347 Enrollment ID: I20180821003818 |
| Provider Name | Amit Bipin Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922368901 PECOS PAC ID: 5991074759 Enrollment ID: I20180822002160 |
| Provider Name | Hannah Thomason Fox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013301050 PECOS PAC ID: 8729394739 Enrollment ID: I20180823000522 |
| Provider Name | Adam Lewis Holtzman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770929192 PECOS PAC ID: 6002059409 Enrollment ID: I20180830002441 |
| Provider Name | David J Cangemi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467746891 PECOS PAC ID: 1153569801 Enrollment ID: I20180910002205 |
| Provider Name | Devang Sanghavi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477860302 PECOS PAC ID: 0244464295 Enrollment ID: I20180914002036 |
| Provider Name | Ephraim E Parent |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1174834576 PECOS PAC ID: 6103055322 Enrollment ID: I20180917000053 |
| Provider Name | Tamara Lynn Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588141154 PECOS PAC ID: 3072864917 Enrollment ID: I20180917001029 |
| Provider Name | Rupan Sanyal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538335179 PECOS PAC ID: 7416001334 Enrollment ID: I20180920000618 |
| Provider Name | Lauren Kristi Teele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801202981 PECOS PAC ID: 4183947385 Enrollment ID: I20180920003527 |
| Provider Name | Daniel Joseph Lattin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467712794 PECOS PAC ID: 7214161249 Enrollment ID: I20181001002254 |
| Provider Name | Leah Marie Raffety-clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013403690 PECOS PAC ID: 4789936766 Enrollment ID: I20181003001502 |
| Provider Name | Teresa Padro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538646047 PECOS PAC ID: 7012269996 Enrollment ID: I20181003002125 |
| Provider Name | Sean Molloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508358847 PECOS PAC ID: 9436401304 Enrollment ID: I20181004001965 |
| Provider Name | Jeet Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750602165 PECOS PAC ID: 4385963040 Enrollment ID: I20181015002868 |
| Provider Name | Shennen Ashley Mao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922230713 PECOS PAC ID: 3476747007 Enrollment ID: I20181017003291 |
| Provider Name | Terri Lynne Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497253959 PECOS PAC ID: 2163784331 Enrollment ID: I20181022001941 |
| Provider Name | Alberto B Pochettino |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1184631244 PECOS PAC ID: 6406811926 Enrollment ID: I20181022003423 |
| Provider Name | Ashley Lynn Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083091698 PECOS PAC ID: 0840503629 Enrollment ID: I20181023001915 |
| Provider Name | Eric Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194945105 PECOS PAC ID: 4486707007 Enrollment ID: I20181029002615 |
| Provider Name | Daniel V Dudenkov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992111330 PECOS PAC ID: 6901022136 Enrollment ID: I20181101000453 |
| Provider Name | Courtney Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407350358 PECOS PAC ID: 3173877206 Enrollment ID: I20181108001250 |
| Provider Name | Laura A Devlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184717217 PECOS PAC ID: 9830443761 Enrollment ID: I20181113001662 |
| Provider Name | Young Mi Erben |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265697247 PECOS PAC ID: 7113115296 Enrollment ID: I20181130002427 |
| Provider Name | Alok A Bhatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750537825 PECOS PAC ID: 9133369531 Enrollment ID: I20181203002666 |
| Provider Name | Kaitlin M Myatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235613605 PECOS PAC ID: 1254675010 Enrollment ID: I20181205000383 |
| Provider Name | Abbie Louisa Demirbulakli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467928564 PECOS PAC ID: 5597000679 Enrollment ID: I20181218001358 |
| Provider Name | Sarika Niranjan Rao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205147303 PECOS PAC ID: 0042441115 Enrollment ID: I20181219002380 |
| Provider Name | Mohammad T Hussain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760762819 PECOS PAC ID: 6002043080 Enrollment ID: I20181228000052 |
| Provider Name | Amanda Caroline Tippitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053704346 PECOS PAC ID: 7719206531 Enrollment ID: I20190102001212 |
| Provider Name | Jackson G Turbeville |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790217768 PECOS PAC ID: 3971874553 Enrollment ID: I20190102001586 |
| Provider Name | Shaun E Gruenbaum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962645580 PECOS PAC ID: 4486888385 Enrollment ID: I20190104001019 |
| Provider Name | Christine F Bojaxhi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932513017 PECOS PAC ID: 6002115011 Enrollment ID: I20190110002043 |
| Provider Name | Sally Landon Blackwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871061101 PECOS PAC ID: 4789920828 Enrollment ID: I20190110003355 |
| Provider Name | Johnathan Michael Sheele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508064759 PECOS PAC ID: 2365533494 Enrollment ID: I20190110003504 |
| Provider Name | Michael A Mao |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720217177 PECOS PAC ID: 9133314511 Enrollment ID: I20190111000414 |
| Provider Name | Randall K Roenigk |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336126424 PECOS PAC ID: 7012074529 Enrollment ID: I20190111001427 |
| Provider Name | Ewa M Wysokinska |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548426703 PECOS PAC ID: 2567594781 Enrollment ID: I20190116000655 |
| Provider Name | Patricia S. Mcmullan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063753820 PECOS PAC ID: 4486991957 Enrollment ID: I20190123000911 |
| Provider Name | Timothy B Curry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790755130 PECOS PAC ID: 7911049705 Enrollment ID: I20190125002809 |
| Provider Name | Joseph Yee Kwan Cheung |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1811218480 PECOS PAC ID: 0345471397 Enrollment ID: I20190129003394 |
| Provider Name | Kristin A. Lothman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700350881 PECOS PAC ID: 6709124126 Enrollment ID: I20190211001555 |
| Provider Name | Santhi Swaroop Vege |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013997865 PECOS PAC ID: 1052314481 Enrollment ID: I20190211002008 |
| Provider Name | Marites Acampora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669941381 PECOS PAC ID: 7315285665 Enrollment ID: I20190211003183 |
| Provider Name | Amelie Middlemas Tsao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922575380 PECOS PAC ID: 0446598403 Enrollment ID: I20190218000358 |
| Provider Name | Gulshat Walters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386170538 PECOS PAC ID: 0446527196 Enrollment ID: I20190220003256 |
| Provider Name | Veronica Fernicola Tyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558840736 PECOS PAC ID: 0143568923 Enrollment ID: I20190221000722 |
| Provider Name | Magdala Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427533686 PECOS PAC ID: 7214276070 Enrollment ID: I20190222001362 |
| Provider Name | Michael Anthony Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013967884 PECOS PAC ID: 2860434578 Enrollment ID: I20190222002774 |
| Provider Name | Brin E Freund |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093151813 PECOS PAC ID: 8224338389 Enrollment ID: I20190226002553 |
| Provider Name | Christopher Michael Jenkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043776487 PECOS PAC ID: 1850630252 Enrollment ID: I20190301000995 |
| Provider Name | Francis A Farraye |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427035286 PECOS PAC ID: 2163478603 Enrollment ID: I20190301002083 |
| Provider Name | Luca Stocchi |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295777514 PECOS PAC ID: 3274510391 Enrollment ID: I20190301002284 |
| Provider Name | Kayla L Druhl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023574142 PECOS PAC ID: 1153660238 Enrollment ID: I20190307001545 |
| Provider Name | Brooke Anne Blasser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134685316 PECOS PAC ID: 8921347964 Enrollment ID: I20190308000872 |
| Provider Name | David S. Sabsevitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215989991 PECOS PAC ID: 7719906759 Enrollment ID: I20190308001100 |
| Provider Name | Andrey Morozov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679732762 PECOS PAC ID: 2961666300 Enrollment ID: I20190308001556 |
| Provider Name | Jacqueline M Thielen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417935164 PECOS PAC ID: 5890838239 Enrollment ID: I20190503000919 |
| Provider Name | Lauren J Gorter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598207805 PECOS PAC ID: 8921340365 Enrollment ID: I20190503001756 |
| Provider Name | Sushilkumar Kadu Sonavane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033313465 PECOS PAC ID: 3072643162 Enrollment ID: I20190513001401 |
| Provider Name | Brenna Chelline Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033694450 PECOS PAC ID: 3274876255 Enrollment ID: I20190514001934 |
| Provider Name | Patricia Ann Rhyner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962432732 PECOS PAC ID: 8921050113 Enrollment ID: I20190516001100 |
| Provider Name | Olayemi Sokumbi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689802696 PECOS PAC ID: 7810021151 Enrollment ID: I20190605001027 |
| Provider Name | Michelle Lynn Molenaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245763291 PECOS PAC ID: 6709110976 Enrollment ID: I20190620003240 |
| Provider Name | Divya Lakshmi Seval |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710272521 PECOS PAC ID: 1850519935 Enrollment ID: I20190709000429 |
| Provider Name | Nigel Gillespie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255711735 PECOS PAC ID: 8022324268 Enrollment ID: I20190710000418 |
| Provider Name | Philippe R Housmans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982680963 PECOS PAC ID: 8325174550 Enrollment ID: I20190711000854 |
| Provider Name | Philip Tipton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477940203 PECOS PAC ID: 0648583435 Enrollment ID: I20190712000090 |
| Provider Name | Kristin A Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154685246 PECOS PAC ID: 5698901171 Enrollment ID: I20190716003082 |
| Provider Name | Elie F Berbari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215909890 PECOS PAC ID: 4385787027 Enrollment ID: I20190717000734 |
| Provider Name | Adam Mclain Kase |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114351574 PECOS PAC ID: 0749572865 Enrollment ID: I20190718000252 |
| Provider Name | Timothy David Lyon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760777957 PECOS PAC ID: 2264719806 Enrollment ID: I20190725001237 |
| Provider Name | Lyle Wesley Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821452673 PECOS PAC ID: 0840526976 Enrollment ID: I20190729000475 |
| Provider Name | Justin Michael Oring |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386082287 PECOS PAC ID: 8123327228 Enrollment ID: I20190729000496 |
| Provider Name | Abdallah El Sabbagh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093003766 PECOS PAC ID: 6901020742 Enrollment ID: I20190730002178 |
| Provider Name | Justin Tyler Stowell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659714350 PECOS PAC ID: 9638470420 Enrollment ID: I20190730002693 |
| Provider Name | Lauren Randi Pudalov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265979165 PECOS PAC ID: 1052647823 Enrollment ID: I20190731003807 |
| Provider Name | Brittany C Beel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487008454 PECOS PAC ID: 6305132044 Enrollment ID: I20190801000447 |
| Provider Name | John Keith Evans |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194043125 PECOS PAC ID: 8820381403 Enrollment ID: I20190801001745 |
| Provider Name | Amanda Anne Myers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003304916 PECOS PAC ID: 2769735919 Enrollment ID: I20190801001763 |
| Provider Name | Jessica L Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093373771 PECOS PAC ID: 3678809316 Enrollment ID: I20190801002649 |
| Provider Name | Christopher D Marquez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386080257 PECOS PAC ID: 7315209665 Enrollment ID: I20190802000780 |
| Provider Name | Rupert Stanborough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861839144 PECOS PAC ID: 2062656705 Enrollment ID: I20190805001189 |
| Provider Name | Ashley Brandt Dickinson Pena |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669817714 PECOS PAC ID: 0547404642 Enrollment ID: I20190806002810 |
| Provider Name | Basar Sareyyupoglu |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295954162 PECOS PAC ID: 6103979745 Enrollment ID: I20190806003256 |
| Provider Name | Jonathan Ashman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659337566 PECOS PAC ID: 1759393515 Enrollment ID: I20190812002025 |
| Provider Name | Casey Uritis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497310346 PECOS PAC ID: 6608103742 Enrollment ID: I20190812002473 |
| Provider Name | Sabrina Sahni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427469956 PECOS PAC ID: 2567681661 Enrollment ID: I20190822000626 |
| Provider Name | Therese Farmer Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023398575 PECOS PAC ID: 1759692239 Enrollment ID: I20190903001401 |
| Provider Name | Dacre Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255695433 PECOS PAC ID: 3375845183 Enrollment ID: I20190909003443 |
| Provider Name | Giovanni A Gonzalez Albo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235672460 PECOS PAC ID: 4880942424 Enrollment ID: I20190910000685 |
| Provider Name | Nikki A Denson Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538636147 PECOS PAC ID: 1153650510 Enrollment ID: I20190910001942 |
| Provider Name | Genesis Villorente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982256673 PECOS PAC ID: 5890024145 Enrollment ID: I20190911001947 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063874485 PECOS PAC ID: 7719273663 Enrollment ID: I20190911002737 |
| Provider Name | Alfonso S Lopez Chiriboga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922447036 PECOS PAC ID: 5991939183 Enrollment ID: I20190912002454 |
| Provider Name | Kostandinos Sideras |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669444071 PECOS PAC ID: 3476455650 Enrollment ID: I20190930002362 |
| Provider Name | Sindhuja R Nimma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629458062 PECOS PAC ID: 0547573404 Enrollment ID: I20191007000709 |
| Provider Name | Cameron K Ledford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174849459 PECOS PAC ID: 6204148554 Enrollment ID: I20191007000969 |
| Provider Name | Lindsay M Dehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063074649 PECOS PAC ID: 3779814645 Enrollment ID: I20191007002501 |
| Provider Name | Yujie Zhao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316153034 PECOS PAC ID: 2769654680 Enrollment ID: I20191008001572 |
| Provider Name | Lucy Holly Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205493137 PECOS PAC ID: 0648501122 Enrollment ID: I20191015000561 |
| Provider Name | Margaret Moore Faenza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992157630 PECOS PAC ID: 2860788494 Enrollment ID: I20191015000652 |
| Provider Name | Arlee Ann Mundy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588809743 PECOS PAC ID: 0446290209 Enrollment ID: I20191015001598 |
| Provider Name | John D Mundy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205882214 PECOS PAC ID: 8921082033 Enrollment ID: I20191015003113 |
| Provider Name | Kelly Lynn Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366609570 PECOS PAC ID: 3173775574 Enrollment ID: I20191028000816 |
| Provider Name | Stephanie V Carmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174094387 PECOS PAC ID: 2567794373 Enrollment ID: I20191029000409 |
| Provider Name | Olivia Shui-lun Ho |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962819243 PECOS PAC ID: 7719219559 Enrollment ID: I20191029002093 |
| Provider Name | Thien Huynh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609221662 PECOS PAC ID: 3274865951 Enrollment ID: I20191030000289 |
| Provider Name | Lauren M Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750940268 PECOS PAC ID: 1759713860 Enrollment ID: I20191111002747 |
| Provider Name | Angelica Joyce Fernandez Leybag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336625201 PECOS PAC ID: 9032541511 Enrollment ID: I20191121002341 |
| Provider Name | Tracy Marie Bodford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679736011 PECOS PAC ID: 8729148838 Enrollment ID: I20191205001784 |
| Provider Name | Agnieszka Teresa Ivins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558922518 PECOS PAC ID: 4981037926 Enrollment ID: I20191205002537 |
| Provider Name | Amanda Lauren Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417592700 PECOS PAC ID: 8022441765 Enrollment ID: I20191210002692 |
| Provider Name | Renee Bridges Morledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912551664 PECOS PAC ID: 6204269780 Enrollment ID: I20191216000174 |
| Provider Name | Marlene E Joahire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912551995 PECOS PAC ID: 8325472772 Enrollment ID: I20191218001578 |
| Provider Name | Amanda Lizette Lazo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427694645 PECOS PAC ID: 9436583226 Enrollment ID: I20200103000885 |
| Provider Name | Lisa Schimmenti |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1568544070 PECOS PAC ID: 6800910092 Enrollment ID: I20200103001406 |
| Provider Name | Gregory Scott Day |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962880757 PECOS PAC ID: 2466765508 Enrollment ID: I20200107000218 |
| Provider Name | Luke Stafford Spencer-gardner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922328038 PECOS PAC ID: 4688846991 Enrollment ID: I20200108002284 |
| Provider Name | Laura Sue Mazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144863523 PECOS PAC ID: 6204261720 Enrollment ID: I20200110000490 |
| Provider Name | Joseph I Sirven |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770565640 PECOS PAC ID: 5698817369 Enrollment ID: I20200114002139 |
| Provider Name | Carl R Goodholm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609411024 PECOS PAC ID: 5597190728 Enrollment ID: I20200116002140 |
| Provider Name | Jeffrey R Janus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295981371 PECOS PAC ID: 5395882914 Enrollment ID: I20200121002532 |
| Provider Name | Kevin J Whitford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972581338 PECOS PAC ID: 5395731491 Enrollment ID: I20200124000485 |
| Provider Name | Deborah A Baumgarten |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184680852 PECOS PAC ID: 9537111703 Enrollment ID: I20200128002626 |
| Provider Name | Anna Marina Phillips |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457990624 PECOS PAC ID: 4981030624 Enrollment ID: I20200129000156 |
| Provider Name | Amelia Elizabeth Wharen Mantione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861038721 PECOS PAC ID: 3577999234 Enrollment ID: I20200129000821 |
| Provider Name | Darrell S Pardi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801874169 PECOS PAC ID: 9436293370 Enrollment ID: I20200131001576 |
| Provider Name | Sarah Michelle Montgomery |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285125435 PECOS PAC ID: 7517393044 Enrollment ID: I20200131002598 |
| Provider Name | Jeremy C Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043850563 PECOS PAC ID: 4385070770 Enrollment ID: I20200203001718 |
| Provider Name | Long Dinh Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376646778 PECOS PAC ID: 7618924721 Enrollment ID: I20200206002648 |
| Provider Name | Kristina L Frauenheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154981322 PECOS PAC ID: 2062848088 Enrollment ID: I20200210002388 |
| Provider Name | Lindsy N Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528217908 PECOS PAC ID: 9830244656 Enrollment ID: I20200210002619 |
| Provider Name | Vinay Chandrasekhara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265641187 PECOS PAC ID: 4082744958 Enrollment ID: I20200217001047 |
| Provider Name | Mark Edgar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639159437 PECOS PAC ID: 9032182803 Enrollment ID: I20200218001073 |
| Provider Name | Lydia Barnes Woodmansee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528506292 PECOS PAC ID: 2163859646 Enrollment ID: I20200221001694 |
| Provider Name | Cameo Shane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891270088 PECOS PAC ID: 8628321122 Enrollment ID: I20200221001776 |
| Provider Name | Wenchen Qu |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992958532 PECOS PAC ID: 9830381185 Enrollment ID: I20200227001241 |
| Provider Name | Rachel Alonzo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144852997 PECOS PAC ID: 2365879582 Enrollment ID: I20200228001867 |
| Provider Name | Jamie Brumley Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942832761 PECOS PAC ID: 6800223843 Enrollment ID: I20200303002251 |
| Provider Name | Michel K Barsoum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215920483 PECOS PAC ID: 0547225716 Enrollment ID: I20200305000545 |
| Provider Name | Misty A Radosevich |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477849958 PECOS PAC ID: 8426207051 Enrollment ID: I20200305001678 |
| Provider Name | Joann M Tan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346887452 PECOS PAC ID: 6709214588 Enrollment ID: I20200309001800 |
| Provider Name | Huibin Meng |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093352163 PECOS PAC ID: 9133557838 Enrollment ID: I20200311001904 |
| Provider Name | Hailey Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912537788 PECOS PAC ID: 4688002124 Enrollment ID: I20200317001493 |
| Provider Name | Jessica M Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306401922 PECOS PAC ID: 5799113056 Enrollment ID: I20200319001953 |
| Provider Name | Ashley M Goolsby-zak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245864610 PECOS PAC ID: 9234568205 Enrollment ID: I20200326003749 |
| Provider Name | Chandler C Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306998745 PECOS PAC ID: 3173751716 Enrollment ID: I20200329000192 |
| Provider Name | Mary E Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013253871 PECOS PAC ID: 0244465979 Enrollment ID: I20200405000059 |
| Provider Name | Jason S Eldrige |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1699749606 PECOS PAC ID: 4587694898 Enrollment ID: I20200409000191 |
| Provider Name | Myrah N Chavez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962040824 PECOS PAC ID: 8820427073 Enrollment ID: I20200409000411 |
| Provider Name | Karthik Gnanapandithan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326327651 PECOS PAC ID: 9830314293 Enrollment ID: I20200422002459 |
| Provider Name | Stephen Mcmullan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679832471 PECOS PAC ID: 7113358896 Enrollment ID: I20200513000793 |
| Provider Name | Ashley Wentworth |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932526209 PECOS PAC ID: 2961715669 Enrollment ID: I20200515000701 |
| Provider Name | Latonya J Hickson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932171899 PECOS PAC ID: 3173553435 Enrollment ID: I20200515001574 |
| Provider Name | Ariana Mooradian |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366973869 PECOS PAC ID: 5294006342 Enrollment ID: I20200518002425 |
| Provider Name | Lindsay B Gardner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538692371 PECOS PAC ID: 2466722384 Enrollment ID: I20200519001821 |
| Provider Name | Anja Marie Kinaszczuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215468723 PECOS PAC ID: 9032480421 Enrollment ID: I20200520000525 |
| Provider Name | Charlene Lo Rohm |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922462241 PECOS PAC ID: 7911292065 Enrollment ID: I20200520002360 |
| Provider Name | Patricia Chipi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578918454 PECOS PAC ID: 9638457484 Enrollment ID: I20200522001137 |
| Provider Name | Ashley Virginia Fritz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952621799 PECOS PAC ID: 0143465591 Enrollment ID: I20200527002675 |
| Provider Name | Michael F Harrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487915757 PECOS PAC ID: 8224260179 Enrollment ID: I20200528001862 |
| Provider Name | Sanjeet S Grewal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952745556 PECOS PAC ID: 3476794397 Enrollment ID: I20200528002135 |
| Provider Name | Edson John Mwakyanjala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982130753 PECOS PAC ID: 1355611633 Enrollment ID: I20200605001890 |
| Provider Name | Courtney Scott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881048700 PECOS PAC ID: 8729370168 Enrollment ID: I20200605002242 |
| Provider Name | Michael Vanwagner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639551559 PECOS PAC ID: 7810200797 Enrollment ID: I20200609000795 |
| Provider Name | Arman Arghami |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144541723 PECOS PAC ID: 5991952517 Enrollment ID: I20200611001126 |
| Provider Name | Sammer M Elwasila |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750814414 PECOS PAC ID: 7315218203 Enrollment ID: I20200617002892 |
| Provider Name | Omair Tahir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457792814 PECOS PAC ID: 6204064058 Enrollment ID: I20200623000507 |
| Provider Name | Daniela Fluxa Cardenas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215461322 PECOS PAC ID: 0143642025 Enrollment ID: I20200623001064 |
| Provider Name | Sanjay Chaudhary |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649479742 PECOS PAC ID: 4688707672 Enrollment ID: I20200629003886 |
| Provider Name | Jacqueline Squire |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1710373758 PECOS PAC ID: 5991128373 Enrollment ID: I20200701001687 |
| Provider Name | Rohit Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922386085 PECOS PAC ID: 4789973496 Enrollment ID: I20200702001232 |
| Provider Name | Randi N Nagyvathy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023631926 PECOS PAC ID: 0345663480 Enrollment ID: I20200708002815 |
| Provider Name | Elizabeth M Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518385954 PECOS PAC ID: 6901139930 Enrollment ID: I20200708002890 |
| Provider Name | Stephanie Faubion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275519316 PECOS PAC ID: 8729144118 Enrollment ID: I20200714002336 |
| Provider Name | Wendy Sherman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639331598 PECOS PAC ID: 7012141237 Enrollment ID: I20200714002764 |
| Provider Name | Juan Crestanello |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1477505048 PECOS PAC ID: 0244210490 Enrollment ID: I20200715001448 |
| Provider Name | Talha Badar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760818959 PECOS PAC ID: 4688974884 Enrollment ID: I20200715001495 |
| Provider Name | Richard C Taylor |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235561259 PECOS PAC ID: 0749567352 Enrollment ID: I20200716002646 |
| Provider Name | Melissa Ashley Lyle |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1427386697 PECOS PAC ID: 7012157449 Enrollment ID: I20200716002693 |
| Provider Name | Stephen English |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225417686 PECOS PAC ID: 2769703024 Enrollment ID: I20200717000525 |
| Provider Name | John M Stulak |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154392587 PECOS PAC ID: 1052341559 Enrollment ID: I20200717002639 |
| Provider Name | Bryan Dangott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639340045 PECOS PAC ID: 5991959256 Enrollment ID: I20200720000646 |
| Provider Name | Mary J Clingan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497930994 PECOS PAC ID: 0244363521 Enrollment ID: I20200728000140 |
| Provider Name | Anirban Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437406865 PECOS PAC ID: 2365711728 Enrollment ID: I20200729002326 |
| Provider Name | Margaret Paulson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609080605 PECOS PAC ID: 8123171873 Enrollment ID: I20200805001381 |
| Provider Name | Charles Nordstrom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447223011 PECOS PAC ID: 5597739797 Enrollment ID: I20200807001516 |
| Provider Name | Christina Dai |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336608546 PECOS PAC ID: 4688908189 Enrollment ID: I20200810002140 |
| Provider Name | Tucker Coston |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295268803 PECOS PAC ID: 9436421799 Enrollment ID: I20200819003347 |
| Provider Name | Olga P Fermo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083903280 PECOS PAC ID: 1951550979 Enrollment ID: I20200826001402 |
| Provider Name | Rachel M Hannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558971382 PECOS PAC ID: 2860819422 Enrollment ID: I20200827000541 |
| Provider Name | Yarlenis Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104437789 PECOS PAC ID: 3375960768 Enrollment ID: I20200831002330 |
| Provider Name | Sidney Marie Bianco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861010670 PECOS PAC ID: 4789001868 Enrollment ID: I20200903002077 |
| Provider Name | Taryn Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417344771 PECOS PAC ID: 8224346648 Enrollment ID: I20200918000778 |
| Provider Name | Benjamin Fredrick Gruenbaum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184061749 PECOS PAC ID: 1456618958 Enrollment ID: I20200924000133 |
| Provider Name | Daniel K Butts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356744189 PECOS PAC ID: 0244556405 Enrollment ID: I20200930001904 |
| Provider Name | Kari E Ebeltoft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750885638 PECOS PAC ID: 2860733003 Enrollment ID: I20201013001679 |
| Provider Name | Kathryn Schmitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871832303 PECOS PAC ID: 2466698568 Enrollment ID: I20201023000287 |
| Provider Name | Szilvia Fortner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578161717 PECOS PAC ID: 0648690974 Enrollment ID: I20201026001550 |
| Provider Name | Susan Samson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790899227 PECOS PAC ID: 5294730412 Enrollment ID: I20201029003055 |
| Provider Name | Brianna Iannarelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427657964 PECOS PAC ID: 7517377369 Enrollment ID: I20201105001049 |
| Provider Name | Ryan J Navarro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215466537 PECOS PAC ID: 3779855184 Enrollment ID: I20201105001927 |
| Provider Name | Igor Dumic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821351560 PECOS PAC ID: 4284945973 Enrollment ID: I20201109001789 |
| Provider Name | Aaron Capera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023625324 PECOS PAC ID: 7618387150 Enrollment ID: I20201111002665 |
| Provider Name | Anna B Shapiro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497044739 PECOS PAC ID: 0345537171 Enrollment ID: I20201119000316 |
| Provider Name | Heather A Dahlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538768981 PECOS PAC ID: 7810308921 Enrollment ID: I20201120002301 |
| Provider Name | Lukas W Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508273855 PECOS PAC ID: 8426275561 Enrollment ID: I20201203001452 |
| Provider Name | Ronnie Sebro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265671655 PECOS PAC ID: 3971745506 Enrollment ID: I20201210000961 |
| Provider Name | Vivek Kumbhari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740522069 PECOS PAC ID: 8224268024 Enrollment ID: I20210112001656 |
| Provider Name | Wesley D Troyer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417332909 PECOS PAC ID: 9335433853 Enrollment ID: I20210113002574 |
| Provider Name | Matthew T Heller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649227638 PECOS PAC ID: 0345252482 Enrollment ID: I20210115001828 |
| Provider Name | Steven J Peres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689276073 PECOS PAC ID: 8123431822 Enrollment ID: I20210119000110 |
| Provider Name | Ana G Ahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043816291 PECOS PAC ID: 0345654885 Enrollment ID: I20210125002782 |
| Provider Name | Martha Rosanne Mcneill George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053970301 PECOS PAC ID: 1355755737 Enrollment ID: I20210126001389 |
| Provider Name | Lakesha Nichole Spicer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093347445 PECOS PAC ID: 5193139590 Enrollment ID: I20210126002282 |
| Provider Name | Catherine Degesys |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538588348 PECOS PAC ID: 8022300698 Enrollment ID: I20210127000247 |
| Provider Name | Veronica Carolina Wasloski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881737625 PECOS PAC ID: 2961816244 Enrollment ID: I20210127002911 |
| Provider Name | Caitlin J Flott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346849502 PECOS PAC ID: 4981018272 Enrollment ID: I20210127003315 |
| Provider Name | Katherine E White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770172942 PECOS PAC ID: 4587078803 Enrollment ID: I20210128000689 |
| Provider Name | Arman Mashayekhi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275860140 PECOS PAC ID: 1153463393 Enrollment ID: I20210128000733 |
| Provider Name | Rachel A Ryan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063020832 PECOS PAC ID: 8820402159 Enrollment ID: I20210128001232 |
| Provider Name | Danielle B Hickman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982293940 PECOS PAC ID: 9032523238 Enrollment ID: I20210129001245 |
| Provider Name | Christina Mccullough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548695877 PECOS PAC ID: 5294140026 Enrollment ID: I20210209000620 |
| Provider Name | Mckenzie Helen Ivy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649860099 PECOS PAC ID: 7113332891 Enrollment ID: I20210210000333 |
| Provider Name | Michael Hovan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720062060 PECOS PAC ID: 7012051451 Enrollment ID: I20210210001869 |
| Provider Name | Sehreen Mumtaz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336670470 PECOS PAC ID: 5890100200 Enrollment ID: I20210217001940 |
| Provider Name | Benjamin Alexander Kenley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134783855 PECOS PAC ID: 0941615074 Enrollment ID: I20210223000316 |
| Provider Name | Stephanie Pearson Gebhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285259358 PECOS PAC ID: 2860807807 Enrollment ID: I20210224002343 |
| Provider Name | Ke Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912247792 PECOS PAC ID: 8921229279 Enrollment ID: I20210309000810 |
| Provider Name | Ricardo Diaz Milian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326271461 PECOS PAC ID: 2668793423 Enrollment ID: I20210310000034 |
| Provider Name | Ravi Durvasula |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306867247 PECOS PAC ID: 8820302326 Enrollment ID: I20210316000341 |
| Provider Name | Blake Paterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730484999 PECOS PAC ID: 0648446914 Enrollment ID: I20210327000022 |
| Provider Name | Rhonda Hylton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386627289 PECOS PAC ID: 0547538324 Enrollment ID: I20210330000958 |
| Provider Name | Elizabeth Timmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598396160 PECOS PAC ID: 7012324320 Enrollment ID: I20210405001190 |
| Provider Name | Ashley Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740765403 PECOS PAC ID: 7911314141 Enrollment ID: I20210405002119 |
| Provider Name | Skylar Jae Kurpuis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184221632 PECOS PAC ID: 6406263649 Enrollment ID: I20210406000238 |
| Provider Name | Hollee Grady |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932793882 PECOS PAC ID: 0244648228 Enrollment ID: I20210412000644 |
| Provider Name | Catherine Hanratty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720512817 PECOS PAC ID: 8527336346 Enrollment ID: I20210414000051 |
| Provider Name | Sandra Richter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528056322 PECOS PAC ID: 9638214471 Enrollment ID: I20210414000157 |
| Provider Name | Jana Al Hashash |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548422397 PECOS PAC ID: 3274776539 Enrollment ID: I20210419001963 |
| Provider Name | Hani Babiker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801055595 PECOS PAC ID: 1850445776 Enrollment ID: I20210420001466 |
| Provider Name | Elaina Bost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306327721 PECOS PAC ID: 2860800141 Enrollment ID: I20210427000493 |
| Provider Name | Christopher Lamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063899672 PECOS PAC ID: 6204148372 Enrollment ID: I20210504001763 |
| Provider Name | Laura M Moritz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609155258 PECOS PAC ID: 9234548074 Enrollment ID: I20210507002068 |
| Provider Name | Lynne Resendes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346881174 PECOS PAC ID: 5294167052 Enrollment ID: I20210511002208 |
| Provider Name | Haris Aman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962006080 PECOS PAC ID: 4486063922 Enrollment ID: I20210512003061 |
| Provider Name | Jason Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285926410 PECOS PAC ID: 0941590764 Enrollment ID: I20210517000627 |
| Provider Name | Nicole Loo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508096025 PECOS PAC ID: 6608060157 Enrollment ID: I20210517000715 |
| Provider Name | Tara Lynn Heselschwerdt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376088138 PECOS PAC ID: 9335558659 Enrollment ID: I20210517001415 |
| Provider Name | Ali Agely |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073991360 PECOS PAC ID: 9436462850 Enrollment ID: I20210521000604 |
| Provider Name | Gregory Worsowicz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598797250 PECOS PAC ID: 1153429170 Enrollment ID: I20210525001655 |
| Provider Name | Anatoliy Daynega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184205775 PECOS PAC ID: 3779982665 Enrollment ID: I20210526000794 |
| Provider Name | Pamela Dawn Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609460757 PECOS PAC ID: 5496154387 Enrollment ID: I20210526000867 |
| Provider Name | Amanda Mckenna |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295239077 PECOS PAC ID: 6406103688 Enrollment ID: I20210601001815 |
| Provider Name | Thais Prota Hussein Pincelli |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558823823 PECOS PAC ID: 9436486263 Enrollment ID: I20210609003195 |
| Provider Name | Tava Buck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609293810 PECOS PAC ID: 5294072476 Enrollment ID: I20210611002286 |
| Provider Name | Jana Elizabeth Raisner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922589993 PECOS PAC ID: 8820498850 Enrollment ID: I20210614001933 |
| Provider Name | Ashley O'grady |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457930893 PECOS PAC ID: 2365842242 Enrollment ID: I20210615000569 |
| Provider Name | Amit Agarwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922256650 PECOS PAC ID: 9032260252 Enrollment ID: I20210621002269 |
| Provider Name | Rebecca Smith Burden |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932726171 PECOS PAC ID: 5395146815 Enrollment ID: I20210622001498 |
| Provider Name | Wakil A Irfan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114455755 PECOS PAC ID: 7517377989 Enrollment ID: I20210623001419 |
| Provider Name | Candace Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437731858 PECOS PAC ID: 8123429123 Enrollment ID: I20210629000287 |
| Provider Name | Hari Kalagara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952658320 PECOS PAC ID: 1557631017 Enrollment ID: I20210701002462 |
| Provider Name | Megan Sullivan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841726759 PECOS PAC ID: 2062781792 Enrollment ID: I20210702000328 |
| Provider Name | Christopher Kyper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063946382 PECOS PAC ID: 3072883693 Enrollment ID: I20210702001249 |
| Provider Name | Christine Hunt |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1447678628 PECOS PAC ID: 1557678596 Enrollment ID: I20210706002260 |
| Provider Name | Matthew Colontonio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124551635 PECOS PAC ID: 0446524920 Enrollment ID: I20210707001341 |
| Provider Name | Shenduo Li |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134509771 PECOS PAC ID: 4385992429 Enrollment ID: I20210707002389 |
| Provider Name | Hollie Saunders |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528553591 PECOS PAC ID: 2961750765 Enrollment ID: I20210708000159 |
| Provider Name | Oluwadamilola Oladeru |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841649621 PECOS PAC ID: 9537431853 Enrollment ID: I20210708000301 |
| Provider Name | Pedro Jose Palacios Argueta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255827903 PECOS PAC ID: 5193060721 Enrollment ID: I20210709002458 |
| Provider Name | Jessica Wilson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275824443 PECOS PAC ID: 6002118916 Enrollment ID: I20210712000151 |
| Provider Name | Parina Bhupendra Depani |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083293336 PECOS PAC ID: 7810399045 Enrollment ID: I20210712001196 |
| Provider Name | Yenny Moreno Vanegas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851886006 PECOS PAC ID: 8921433087 Enrollment ID: I20210712001765 |
| Provider Name | Arvind Balavenkataraman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275813354 PECOS PAC ID: 0648496463 Enrollment ID: I20210712001995 |
| Provider Name | Samantha Michelle Espinosa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992293146 PECOS PAC ID: 3072862168 Enrollment ID: I20210713001263 |
| Provider Name | Robin John Lester Imperial |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598116931 PECOS PAC ID: 1759674369 Enrollment ID: I20210713001428 |
| Provider Name | Patricia Narciso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720511827 PECOS PAC ID: 3779854583 Enrollment ID: I20210713003963 |
| Provider Name | Sina O'sullivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003309352 PECOS PAC ID: 0143622134 Enrollment ID: I20210714000045 |
| Provider Name | Yuliya Barsukova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487180832 PECOS PAC ID: 8325466311 Enrollment ID: I20210715001248 |
| Provider Name | Zaheera Lukman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609361757 PECOS PAC ID: 4385046101 Enrollment ID: I20210715001731 |
| Provider Name | Stacy Alert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609432525 PECOS PAC ID: 6800299546 Enrollment ID: I20210719003373 |
| Provider Name | Sangeeta Nair-collins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558859728 PECOS PAC ID: 3779831995 Enrollment ID: I20210720000060 |
| Provider Name | Stacy Lynn Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053490466 PECOS PAC ID: 1759475247 Enrollment ID: I20210720001225 |
| Provider Name | Jose Nativi-nicolau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891958559 PECOS PAC ID: 0143498238 Enrollment ID: I20210721000131 |
| Provider Name | Quintin Quinones |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548402969 PECOS PAC ID: 1850516790 Enrollment ID: I20210721003433 |
| Provider Name | Hannah S Palin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235661059 PECOS PAC ID: 2466855994 Enrollment ID: I20210721003467 |
| Provider Name | Ayesha Anwar Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093291627 PECOS PAC ID: 9537562921 Enrollment ID: I20210722001897 |
| Provider Name | Isabel Oliva Cortopassi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427296904 PECOS PAC ID: 7214081892 Enrollment ID: I20210723000278 |
| Provider Name | Meredith Moore Chouliaras |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457876005 PECOS PAC ID: 4082980511 Enrollment ID: I20210729001913 |
| Provider Name | Daniel Philip Zieman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801418611 PECOS PAC ID: 2860814159 Enrollment ID: I20210730000282 |
| Provider Name | Edward Haupt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265813737 PECOS PAC ID: 6204140668 Enrollment ID: I20210730000573 |
| Provider Name | Maria Christina G Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699342956 PECOS PAC ID: 3476957184 Enrollment ID: I20210803001110 |
| Provider Name | Anisleidy Carbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467958322 PECOS PAC ID: 0648674234 Enrollment ID: I20210804000558 |
| Provider Name | Misty Hobbs |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225696719 PECOS PAC ID: 4284056086 Enrollment ID: I20210804003340 |
| Provider Name | Haily Shard Vora |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386139178 PECOS PAC ID: 2163775982 Enrollment ID: I20210806001927 |
| Provider Name | Ahmad Ghorab |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417485822 PECOS PAC ID: 4183028459 Enrollment ID: I20210809001833 |
| Provider Name | Olivia Cardenas-trowers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215340336 PECOS PAC ID: 3577828763 Enrollment ID: I20210809002959 |
| Provider Name | Dana R Pattathan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427543305 PECOS PAC ID: 9032513254 Enrollment ID: I20210811000257 |
| Provider Name | David Lawrence Domonkos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750953451 PECOS PAC ID: 3072917137 Enrollment ID: I20210811002306 |
| Provider Name | Jessica Reed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336646983 PECOS PAC ID: 6204182587 Enrollment ID: I20210816001149 |
| Provider Name | Kelly A Lavista |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871178848 PECOS PAC ID: 0042627879 Enrollment ID: I20210817003876 |
| Provider Name | Chinenye Esomonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053982637 PECOS PAC ID: 1153726880 Enrollment ID: I20210818003844 |
| Provider Name | Jacob Coleman Daniels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366850497 PECOS PAC ID: 4981031176 Enrollment ID: I20210819003345 |
| Provider Name | Roberto Velasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376810192 PECOS PAC ID: 8628221538 Enrollment ID: I20210823002608 |
| Provider Name | Amanda Lynn Pendleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750953436 PECOS PAC ID: 5890190201 Enrollment ID: I20210824001324 |
| Provider Name | Levi Howard |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942735378 PECOS PAC ID: 7618247461 Enrollment ID: I20210824002011 |
| Provider Name | Abigail Rassat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982034062 PECOS PAC ID: 7012312275 Enrollment ID: I20210825004247 |
| Provider Name | Seung Jin Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083243265 PECOS PAC ID: 8527480482 Enrollment ID: I20210826001943 |
| Provider Name | Jeremy Collado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437681004 PECOS PAC ID: 3274938303 Enrollment ID: I20210826003073 |
| Provider Name | Brent Little |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235379082 PECOS PAC ID: 5395898415 Enrollment ID: I20210827001586 |
| Provider Name | Pankaj Garg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881241370 PECOS PAC ID: 5092044933 Enrollment ID: I20210827002738 |
| Provider Name | Grace Emily Vernon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609449446 PECOS PAC ID: 1456757459 Enrollment ID: I20210830003055 |
| Provider Name | Jordan Reynolds |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447451471 PECOS PAC ID: 9032263033 Enrollment ID: I20210831001545 |
| Provider Name | Keith Aziz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285012351 PECOS PAC ID: 6002124690 Enrollment ID: I20210902003260 |
| Provider Name | Bethany Marie Meyers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003398819 PECOS PAC ID: 2961808589 Enrollment ID: I20210908000433 |
| Provider Name | Ian Buchanan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245656206 PECOS PAC ID: 7517382609 Enrollment ID: I20210908003675 |
| Provider Name | Johanna Chan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679716096 PECOS PAC ID: 9931416658 Enrollment ID: I20210914002696 |
| Provider Name | Sidney Roundy Bauman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164196580 PECOS PAC ID: 4082011085 Enrollment ID: I20210917000719 |
| Provider Name | Laila Hakam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083020374 PECOS PAC ID: 1355615287 Enrollment ID: I20210921002640 |
| Provider Name | Lakaya Butts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144759721 PECOS PAC ID: 2062819881 Enrollment ID: I20210921004068 |
| Provider Name | Michelle Deleon |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1619261591 PECOS PAC ID: 5890066518 Enrollment ID: I20210922000421 |
| Provider Name | Misha Pless |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891767216 PECOS PAC ID: 0941190375 Enrollment ID: I20210922002275 |
| Provider Name | Anna Gorelik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427359835 PECOS PAC ID: 6709068638 Enrollment ID: I20210922002696 |
| Provider Name | Juan Cardenas Rosales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417211558 PECOS PAC ID: 0446562805 Enrollment ID: I20210923000031 |
| Provider Name | Christine T Moshe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285096958 PECOS PAC ID: 8921393232 Enrollment ID: I20210923003229 |
| Provider Name | Karthik Muthusamy |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1316595531 PECOS PAC ID: 0244569473 Enrollment ID: I20210923003286 |
| Provider Name | Amberly Wolber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801090220 PECOS PAC ID: 1355442096 Enrollment ID: I20210924001151 |
| Provider Name | Ramla Kasozi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649775602 PECOS PAC ID: 2769730373 Enrollment ID: I20210924002672 |
| Provider Name | Tatjana Gavrancic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417295999 PECOS PAC ID: 4284925827 Enrollment ID: I20211001002071 |
| Provider Name | Brittany Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588333470 PECOS PAC ID: 5890193528 Enrollment ID: I20211012000174 |
| Provider Name | Joseph Breen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427286673 PECOS PAC ID: 6305031691 Enrollment ID: I20211012003557 |
| Provider Name | Heidi Ellen Eldred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902406598 PECOS PAC ID: 9830597459 Enrollment ID: I20211013000799 |
| Provider Name | Kaleigh Cooper Browning |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356912398 PECOS PAC ID: 9537567847 Enrollment ID: I20211015002678 |
| Provider Name | Amie R Leon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386039519 PECOS PAC ID: 1759697535 Enrollment ID: I20211019000554 |
| Provider Name | Sherif A El Nashar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881856797 PECOS PAC ID: 9234260621 Enrollment ID: I20211019002681 |
| Provider Name | Shannon Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780050419 PECOS PAC ID: 2860739034 Enrollment ID: I20211022001634 |
| Provider Name | Meghan Leigh Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265102834 PECOS PAC ID: 9032507009 Enrollment ID: I20211025000224 |
| Provider Name | Xuan Ding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912432881 PECOS PAC ID: 2860880739 Enrollment ID: I20211026001218 |
| Provider Name | Eduardo Chini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275510117 PECOS PAC ID: 7618990318 Enrollment ID: I20211026001842 |
| Provider Name | Joao Paulo Cavalcante De Almeida |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639716335 PECOS PAC ID: 8729499298 Enrollment ID: I20211026002169 |
| Provider Name | Leah Michele Morissette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417584327 PECOS PAC ID: 8729409586 Enrollment ID: I20211105001281 |
| Provider Name | Nataliya Kondor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376927715 PECOS PAC ID: 0840500658 Enrollment ID: I20211110000390 |
| Provider Name | Carolyn Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265049464 PECOS PAC ID: 9032508122 Enrollment ID: I20211110003298 |
| Provider Name | Naiara Sbroggio Barbosa |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124464979 PECOS PAC ID: 3274772785 Enrollment ID: I20211123000863 |
| Provider Name | Miglena Komforti |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790041218 PECOS PAC ID: 2961742101 Enrollment ID: I20211209002063 |
| Provider Name | Michelle Anne Wear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821646969 PECOS PAC ID: 3577953371 Enrollment ID: I20211210000455 |
| Provider Name | Jami A Kinnucan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003045634 PECOS PAC ID: 9133432230 Enrollment ID: I20211210001527 |
| Provider Name | Sam Albadri |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881072213 PECOS PAC ID: 9830404383 Enrollment ID: I20211211000032 |
| Provider Name | J Kenneth Schoolmeester |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326359258 PECOS PAC ID: 6901079649 Enrollment ID: I20211222002631 |
| Provider Name | Vikas Majithia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073540266 PECOS PAC ID: 6103720941 Enrollment ID: I20211223001335 |
| Provider Name | Juan Carlos Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639600109 PECOS PAC ID: 4688065485 Enrollment ID: I20220105002857 |
| Provider Name | Fadi El Salem |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982963831 PECOS PAC ID: 5890940068 Enrollment ID: I20220107000354 |
| Provider Name | Jay W Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720043441 PECOS PAC ID: 7315933199 Enrollment ID: I20220107000515 |
| Provider Name | Bayan Moustafa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720441967 PECOS PAC ID: 1153617352 Enrollment ID: I20220110001523 |
| Provider Name | Jesse W St Clair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427477132 PECOS PAC ID: 3476945130 Enrollment ID: I20220110001848 |
| Provider Name | Philip N Okafor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669783510 PECOS PAC ID: 7911134747 Enrollment ID: I20220111002585 |
| Provider Name | Alexander Shin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609849298 PECOS PAC ID: 8729121579 Enrollment ID: I20220112001401 |
| Provider Name | Angela Battle Huser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649934290 PECOS PAC ID: 3173915675 Enrollment ID: I20220112002901 |
| Provider Name | Allan Jaffe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538146626 PECOS PAC ID: 8426192147 Enrollment ID: I20220113000872 |
| Provider Name | Stephanie Boxi Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487318465 PECOS PAC ID: 3678965084 Enrollment ID: I20220114001974 |
| Provider Name | Allyson Lynne Daley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841954567 PECOS PAC ID: 4789076910 Enrollment ID: I20220121000169 |
| Provider Name | Rebecca Kathleen Sheplock |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306507488 PECOS PAC ID: 8224420138 Enrollment ID: I20220126000304 |
| Provider Name | Jessica Lynn Cappo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801554456 PECOS PAC ID: 4284026188 Enrollment ID: I20220127000927 |
| Provider Name | Scott Aesif |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316232499 PECOS PAC ID: 6103130349 Enrollment ID: I20220209000469 |
| Provider Name | Samantha Raye Lelko |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255092144 PECOS PAC ID: 1557755048 Enrollment ID: I20220226000021 |
| Provider Name | Michael J Ackerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104802032 PECOS PAC ID: 1759426430 Enrollment ID: I20220304001147 |
| Provider Name | Garvan C Kane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346214509 PECOS PAC ID: 0244374965 Enrollment ID: I20220307001713 |
| Provider Name | Robyn Victoria Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104586338 PECOS PAC ID: 4880089549 Enrollment ID: I20220315001905 |
| Provider Name | Audrey Claire Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699435651 PECOS PAC ID: 0941695233 Enrollment ID: I20220323002679 |
| Provider Name | Sahil Khanna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699939314 PECOS PAC ID: 3577687847 Enrollment ID: I20220325001915 |
| Provider Name | Zoe C Warpinski-bitting |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114672094 PECOS PAC ID: 0345636338 Enrollment ID: I20220330002141 |
| Provider Name | Vishal Navinbhai Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578805230 PECOS PAC ID: 4688939564 Enrollment ID: I20220404002569 |
| Provider Name | Sandhya Manohar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902177256 PECOS PAC ID: 1951612019 Enrollment ID: I20220406002908 |
| Provider Name | Jonathan D'cunha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891848818 PECOS PAC ID: 9335222181 Enrollment ID: I20220414001966 |
| Provider Name | Samip N Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053575993 PECOS PAC ID: 2769611169 Enrollment ID: I20220419001328 |
| Provider Name | Dilhana S Badurdeen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336399245 PECOS PAC ID: 6305015322 Enrollment ID: I20220422001888 |
| Provider Name | Ashley Nicole Russell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467031435 PECOS PAC ID: 3072900885 Enrollment ID: I20220426002107 |
| Provider Name | Christine Januchowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881902153 PECOS PAC ID: 9436344470 Enrollment ID: I20220505000272 |
| Provider Name | Nicole Bianca Machulski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518602861 PECOS PAC ID: 4082091376 Enrollment ID: I20220505001907 |
| Provider Name | Kamal Abdo Shair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932669579 PECOS PAC ID: 9739413295 Enrollment ID: I20220505002596 |
| Provider Name | Fouad Chebib |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235450602 PECOS PAC ID: 6507008745 Enrollment ID: I20220506000487 |
| Provider Name | Galina Aleksandrovna Remigaylo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235764507 PECOS PAC ID: 9436536794 Enrollment ID: I20220507000205 |
| Provider Name | Janina Soleil Baraquero Nicolay |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356002570 PECOS PAC ID: 8921485111 Enrollment ID: I20220509001517 |
| Provider Name | Adrianna Doreen Murcott Clapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215593538 PECOS PAC ID: 4789919283 Enrollment ID: I20220509001898 |
| Provider Name | Emily Brooke Wolf |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033772975 PECOS PAC ID: 4183958705 Enrollment ID: I20220510001826 |
| Provider Name | Aneesah Polnett Garrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083173272 PECOS PAC ID: 4486988003 Enrollment ID: I20220511001448 |
| Provider Name | Chancey L Christenson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144586538 PECOS PAC ID: 6406143395 Enrollment ID: I20220513000247 |
| Provider Name | Oluyemi Omoniyi Omotoso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184116261 PECOS PAC ID: 0941687891 Enrollment ID: I20220513001654 |
| Provider Name | Christine Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730648825 PECOS PAC ID: 2567796048 Enrollment ID: I20220516000689 |
| Provider Name | Alyssa Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881153245 PECOS PAC ID: 9931438512 Enrollment ID: I20220519000194 |
| Provider Name | Andrew S Tseng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053768614 PECOS PAC ID: 0648562389 Enrollment ID: I20220519002723 |
| Provider Name | Andrew J Zganjar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235524018 PECOS PAC ID: 4789980012 Enrollment ID: I20220520001605 |
| Provider Name | David Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356873871 PECOS PAC ID: 1759768237 Enrollment ID: I20220523001902 |
| Provider Name | Jose Guillermo Ruiz Morales |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1033572284 PECOS PAC ID: 2860788437 Enrollment ID: I20220524003378 |
| Provider Name | Kevin Garrett Tayon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477116226 PECOS PAC ID: 1052798444 Enrollment ID: I20220525000694 |
| Provider Name | Kishan Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841795986 PECOS PAC ID: 4587908207 Enrollment ID: I20220526000294 |
| Provider Name | Dawn Michelle Natasha Roach |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588226005 PECOS PAC ID: 6800274259 Enrollment ID: I20220526000667 |
| Provider Name | Abdul Basit |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528629052 PECOS PAC ID: 6204214679 Enrollment ID: I20220526001443 |
| Provider Name | Osama Mahmoud Abdelaty Mosalem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295397313 PECOS PAC ID: 8729466008 Enrollment ID: I20220526002377 |
| Provider Name | Ruifang Yang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1114388030 PECOS PAC ID: 6709171267 Enrollment ID: I20220527001942 |
| Provider Name | Oleksandr Trofymenko |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1326542945 PECOS PAC ID: 5698024248 Enrollment ID: I20220527002257 |
| Provider Name | Mary Stewart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356097802 PECOS PAC ID: 4486032745 Enrollment ID: I20220527002268 |
| Provider Name | Yuting Huang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306409008 PECOS PAC ID: 7315325586 Enrollment ID: I20220531000301 |
| Provider Name | Firas Baidoun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881012607 PECOS PAC ID: 9537463476 Enrollment ID: I20220531000889 |
| Provider Name | Asaf Daniel Gans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518461128 PECOS PAC ID: 0143570812 Enrollment ID: I20220531001516 |
| Provider Name | Ryan Keith Rigsby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679005094 PECOS PAC ID: 2860870011 Enrollment ID: I20220601000211 |
| Provider Name | Guilherme Sacchi De Camargo Correia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568023638 PECOS PAC ID: 0941531933 Enrollment ID: I20220601000319 |
| Provider Name | Leanna Ritchie |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760047971 PECOS PAC ID: 5890022198 Enrollment ID: I20220601000807 |
| Provider Name | Lisa Balistreri |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871900316 PECOS PAC ID: 3779700679 Enrollment ID: I20220602001864 |
| Provider Name | Mariam Tsikvadze |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326533316 PECOS PAC ID: 3072861277 Enrollment ID: I20220603001138 |
| Provider Name | Rohan Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396241246 PECOS PAC ID: 0446508097 Enrollment ID: I20220606000080 |
| Provider Name | Mahmoud Mahfouz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356893465 PECOS PAC ID: 2668725094 Enrollment ID: I20220606000872 |
| Provider Name | Prajwal Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629457023 PECOS PAC ID: 0648576496 Enrollment ID: I20220606001046 |
| Provider Name | Pranvera Dautaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568709731 PECOS PAC ID: 0244476299 Enrollment ID: I20220606002120 |
| Provider Name | Yiyi Yan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710279849 PECOS PAC ID: 7416175484 Enrollment ID: I20220607000229 |
| Provider Name | Evan Mackenzie Gibbs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144887746 PECOS PAC ID: 2860870607 Enrollment ID: I20220607000487 |
| Provider Name | Chrisandra L Shufelt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598945297 PECOS PAC ID: 5294894226 Enrollment ID: I20220607000555 |
| Provider Name | Kaitlyn Flaskerud |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225775034 PECOS PAC ID: 5698153476 Enrollment ID: I20220607002096 |
| Provider Name | Sebastian Alejandro Mikulic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013478650 PECOS PAC ID: 7012245335 Enrollment ID: I20220608001626 |
| Provider Name | Adrian Luis Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043660541 PECOS PAC ID: 9537547229 Enrollment ID: I20220608003063 |
| Provider Name | Elizabeth A Godbey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518200682 PECOS PAC ID: 0446594006 Enrollment ID: I20220609000702 |
| Provider Name | Govind Panda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952747339 PECOS PAC ID: 3870896269 Enrollment ID: I20220609002230 |
| Provider Name | Christian Spencer Draper |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124522735 PECOS PAC ID: 0042548430 Enrollment ID: I20220611000402 |
| Provider Name | Mohammed Alqawasma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033671276 PECOS PAC ID: 8426383191 Enrollment ID: I20220617000895 |
| Provider Name | Maegan Melann Riggin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932763695 PECOS PAC ID: 7214362862 Enrollment ID: I20220621002998 |
| Provider Name | Prasanth Balasubramanian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033771001 PECOS PAC ID: 3476932427 Enrollment ID: I20220621003439 |
| Provider Name | Jill Ann Billings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790428258 PECOS PAC ID: 6608255674 Enrollment ID: I20220622000517 |
| Provider Name | Jacob Core |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447604392 PECOS PAC ID: 1153612833 Enrollment ID: I20220622001676 |
| Provider Name | Toni Horton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184128662 PECOS PAC ID: 2163773771 Enrollment ID: I20220622003125 |
| Provider Name | Osayande Osagiede |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285195412 PECOS PAC ID: 4284014689 Enrollment ID: I20220701000485 |
| Provider Name | Goyal Umadat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164983011 PECOS PAC ID: 6002141405 Enrollment ID: I20220701001753 |
| Provider Name | Samir Kashyap |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154734606 PECOS PAC ID: 5698994879 Enrollment ID: I20220705000553 |
| Provider Name | Courtney L James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912559865 PECOS PAC ID: 4789064817 Enrollment ID: I20220707002051 |
| Provider Name | Nathan H Waldron |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578839817 PECOS PAC ID: 2264790963 Enrollment ID: I20220708000894 |
| Provider Name | Jeffrey Paul Nadwodny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205492477 PECOS PAC ID: 8921332487 Enrollment ID: I20220711002761 |
| Provider Name | Bria J Rice |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023506912 PECOS PAC ID: 9931458585 Enrollment ID: I20220711002849 |
| Provider Name | Daniel Kashani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639675010 PECOS PAC ID: 2466795174 Enrollment ID: I20220711003548 |
| Provider Name | Haares Syed Mirzan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821557182 PECOS PAC ID: 5496089955 Enrollment ID: I20220712001011 |
| Provider Name | Brooke E Goodwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609289958 PECOS PAC ID: 7416174230 Enrollment ID: I20220712001147 |
| Provider Name | Annie Suh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073074803 PECOS PAC ID: 6204178379 Enrollment ID: I20220712001723 |
| Provider Name | Rodrigo Navarro Ramirez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770116253 PECOS PAC ID: 7315338126 Enrollment ID: I20220713004277 |
| Provider Name | Michael A Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174054522 PECOS PAC ID: 9931445608 Enrollment ID: I20220715000325 |
| Provider Name | Nathaniel Edward Wiest |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215590864 PECOS PAC ID: 2769717354 Enrollment ID: I20220715000745 |
| Provider Name | Maria D Hurtado Andrade |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821331398 PECOS PAC ID: 2264651850 Enrollment ID: I20220718003738 |
| Provider Name | Shayan Butt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437530078 PECOS PAC ID: 2567762198 Enrollment ID: I20220720003355 |
| Provider Name | Janette Mccallum Davenport |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508526336 PECOS PAC ID: 5395126494 Enrollment ID: I20220720003976 |
| Provider Name | Katia Marisa Bravo Jaimes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356752687 PECOS PAC ID: 7214316595 Enrollment ID: I20220721000326 |
| Provider Name | Charlene L Gunasekera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891292538 PECOS PAC ID: 1850648015 Enrollment ID: I20220721002894 |
| Provider Name | Rolland C Dickson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285623157 PECOS PAC ID: 3779629282 Enrollment ID: I20220721002964 |
| Provider Name | Karen Ann Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154054757 PECOS PAC ID: 0840672622 Enrollment ID: I20220727001693 |
| Provider Name | Justin C Roesner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073907531 PECOS PAC ID: 4082928312 Enrollment ID: I20220728002855 |
| Provider Name | Peyton Rae Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780317289 PECOS PAC ID: 5193107753 Enrollment ID: I20220729001758 |
| Provider Name | Mantavya Nmi Punj |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1831759596 PECOS PAC ID: 8628303245 Enrollment ID: I20220803002686 |
| Provider Name | Christian Cameron Prusinski |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1831693530 PECOS PAC ID: 8729336532 Enrollment ID: I20220805003118 |
| Provider Name | Michael Anthony Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255070660 PECOS PAC ID: 0143602177 Enrollment ID: I20220808000422 |
| Provider Name | Tanmayi Srinivas Pai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184184558 PECOS PAC ID: 9234463852 Enrollment ID: I20220810002445 |
| Provider Name | Motoyo Yano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881840536 PECOS PAC ID: 2860656717 Enrollment ID: I20220816003940 |
| Provider Name | Lisbet Ivicic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760034698 PECOS PAC ID: 5294118600 Enrollment ID: I20220818000158 |
| Provider Name | Rozlie Townsend Potts |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700261732 PECOS PAC ID: 0143603399 Enrollment ID: I20220819002962 |
| Provider Name | Jacob Raphael Eleazer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598190076 PECOS PAC ID: 5890178818 Enrollment ID: I20220823003663 |
| Provider Name | Chelsea Kasper Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932848140 PECOS PAC ID: 5597149583 Enrollment ID: I20220824002878 |
| Provider Name | Alice Yoonju Chang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174717110 PECOS PAC ID: 8628168770 Enrollment ID: I20220831002464 |
| Provider Name | Caitlin Paige Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699403675 PECOS PAC ID: 2961886403 Enrollment ID: I20220831003234 |
| Provider Name | Hannah M Hanania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285253757 PECOS PAC ID: 7618351131 Enrollment ID: I20220901002543 |
| Provider Name | Ian Joseph Luther |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891429551 PECOS PAC ID: 1557745809 Enrollment ID: I20220906000475 |
| Provider Name | Thomas Z Thompson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528416534 PECOS PAC ID: 5496179996 Enrollment ID: I20220907001012 |
| Provider Name | Mira Lotfalla |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164956611 PECOS PAC ID: 8628340783 Enrollment ID: I20220912002461 |
| Provider Name | Philip L Wackel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982800645 PECOS PAC ID: 0345465183 Enrollment ID: I20220914000686 |
| Provider Name | Alexa Beverly Welter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316665896 PECOS PAC ID: 4688059108 Enrollment ID: I20220920002755 |
| Provider Name | Stephanie Elizabeth Bosma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821729419 PECOS PAC ID: 1355726662 Enrollment ID: I20220921003624 |
| Provider Name | Erin L Kerrigan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699423103 PECOS PAC ID: 9931584117 Enrollment ID: I20220924000234 |
| Provider Name | Mallory Raymond |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316332877 PECOS PAC ID: 1557664448 Enrollment ID: I20220926001023 |
| Provider Name | Libardo Rueda Prada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548640915 PECOS PAC ID: 4981952975 Enrollment ID: I20221005002079 |
| Provider Name | Napat Leeaphorn |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265792600 PECOS PAC ID: 5597980383 Enrollment ID: I20221006001374 |
| Provider Name | Rebecca F Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770843062 PECOS PAC ID: 6305222860 Enrollment ID: I20221006001532 |
| Provider Name | Victoria Turnbull Whiteman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093443160 PECOS PAC ID: 3779969175 Enrollment ID: I20221010000648 |
| Provider Name | William Mckee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205185477 PECOS PAC ID: 4284854522 Enrollment ID: I20221017003211 |
| Provider Name | Danesh Kella |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144535097 PECOS PAC ID: 8123318433 Enrollment ID: I20221019001357 |
| Provider Name | Maggie Cain |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265152110 PECOS PAC ID: 9032585815 Enrollment ID: I20221019001675 |
| Provider Name | Nelly Tan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871756254 PECOS PAC ID: 7911122932 Enrollment ID: I20221020002966 |
| Provider Name | Deanna M Hodges |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124301874 PECOS PAC ID: 6204203672 Enrollment ID: I20221028000507 |
| Provider Name | Kristien L Daron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588648455 PECOS PAC ID: 6103293188 Enrollment ID: I20221103001880 |
| Provider Name | Cristina Marie Dos Santos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598482283 PECOS PAC ID: 8426425372 Enrollment ID: I20221104001922 |
| Provider Name | Muhammad Waqas Tahir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164942959 PECOS PAC ID: 0547684482 Enrollment ID: I20221107002425 |
| Provider Name | Chelsea Lauren Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467175760 PECOS PAC ID: 2365819166 Enrollment ID: I20221108002362 |
| Provider Name | Jessica H Schuster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336501808 PECOS PAC ID: 6406223114 Enrollment ID: I20221109003366 |
| Provider Name | Lacey Nicole Gore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871219162 PECOS PAC ID: 8729455431 Enrollment ID: I20221109003509 |
| Provider Name | Samantha Kendall Duncan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669189353 PECOS PAC ID: 1456728161 Enrollment ID: I20221109003524 |
| Provider Name | Kristen Nicole Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629793328 PECOS PAC ID: 8426425018 Enrollment ID: I20221111000126 |
| Provider Name | Priscilla Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922510023 PECOS PAC ID: 1153674320 Enrollment ID: I20221111002385 |
| Provider Name | Kimberly D Allison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093089930 PECOS PAC ID: 9830567338 Enrollment ID: I20221114002864 |
| Provider Name | Erin Marie Hinchey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578281838 PECOS PAC ID: 1557739059 Enrollment ID: I20221114002914 |
| Provider Name | Naya Margaret Lyons-khadpe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821212192 PECOS PAC ID: 1850769258 Enrollment ID: I20221116000253 |
| Provider Name | Danielle E Mccrone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205810181 PECOS PAC ID: 0648648931 Enrollment ID: I20221117000407 |
| Provider Name | Brittany Ann Burke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497414791 PECOS PAC ID: 7810365103 Enrollment ID: I20221117000469 |
| Provider Name | Michelle Shaunta Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255051421 PECOS PAC ID: 4183092281 Enrollment ID: I20221121003140 |
| Provider Name | Laurie N Mellon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740997881 PECOS PAC ID: 7113395229 Enrollment ID: I20221122000071 |
| Provider Name | Anthony Noriel Paz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861477424 PECOS PAC ID: 9638547755 Enrollment ID: I20221122000605 |
| Provider Name | Hannah Sophie Berman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952987349 PECOS PAC ID: 5294137618 Enrollment ID: I20221124000001 |
| Provider Name | Stacy Lyn Stockard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437400116 PECOS PAC ID: 2567830383 Enrollment ID: I20221128002493 |
| Provider Name | Ricky Buckshaw |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1861928319 PECOS PAC ID: 5193002699 Enrollment ID: I20221202000301 |
| Provider Name | Katherine Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467921130 PECOS PAC ID: 6305187170 Enrollment ID: I20221203000173 |
| Provider Name | Charles Carmen Cononie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760466635 PECOS PAC ID: 6507235918 Enrollment ID: I20221207000747 |
| Provider Name | Cristin Scott Dobrowolski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720616675 PECOS PAC ID: 2567831928 Enrollment ID: I20221207002604 |
| Provider Name | Carolyn M Larsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164743829 PECOS PAC ID: 0244403988 Enrollment ID: I20221209002787 |
| Provider Name | Michelle Leveta Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417678400 PECOS PAC ID: 8527437607 Enrollment ID: I20221212002726 |
| Provider Name | Natalie Thomas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013182799 PECOS PAC ID: 2466795166 Enrollment ID: I20221212003079 |
| Provider Name | Said Alsidawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518196518 PECOS PAC ID: 4880824374 Enrollment ID: I20221213000232 |
| Provider Name | Bree Z Romecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285231340 PECOS PAC ID: 7719398445 Enrollment ID: I20221215001780 |
| Provider Name | Gerry E Yutuc |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184876286 PECOS PAC ID: 2062540735 Enrollment ID: I20221215002982 |
| Provider Name | Reza Arsanjani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104029990 PECOS PAC ID: 2668641168 Enrollment ID: I20221219000737 |
| Provider Name | Vandana Nehra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174595755 PECOS PAC ID: 7618012139 Enrollment ID: I20230104003127 |
| Provider Name | Hari Chaliki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801870084 PECOS PAC ID: 0345136081 Enrollment ID: I20230105001452 |
| Provider Name | Loriell Stephanie Grossling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730791369 PECOS PAC ID: 3476923558 Enrollment ID: I20230105003161 |
| Provider Name | Chadi Ayoub |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699157743 PECOS PAC ID: 5294042958 Enrollment ID: I20230105003217 |
| Provider Name | Steven Lester |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790769966 PECOS PAC ID: 1052452224 Enrollment ID: I20230109000197 |
| Provider Name | Christopher Lawrence Kramer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730314477 PECOS PAC ID: 7416194485 Enrollment ID: I20230109001414 |
| Provider Name | Katherine E Poruk |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1902163108 PECOS PAC ID: 1951559319 Enrollment ID: I20230109002359 |
| Provider Name | Xiao Jing Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134462468 PECOS PAC ID: 0244534519 Enrollment ID: I20230110001984 |
| Provider Name | Ashley Danielle Westberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821707951 PECOS PAC ID: 0042680944 Enrollment ID: I20230111001110 |
| Provider Name | Kimberly L Gollbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447661830 PECOS PAC ID: 2668696790 Enrollment ID: I20230112002410 |
| Provider Name | Andrew C Storm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427357839 PECOS PAC ID: 2860641180 Enrollment ID: I20230123000032 |
| Provider Name | Brittny Ann Olinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942501036 PECOS PAC ID: 8325419674 Enrollment ID: I20230124001188 |
| Provider Name | Jeremy Kenneth Bray |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083291264 PECOS PAC ID: 4880095082 Enrollment ID: I20230207003201 |
| Provider Name | Remzi Bag |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609073881 PECOS PAC ID: 3779673298 Enrollment ID: I20230213000720 |
| Provider Name | Allison Marra Heinrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871208751 PECOS PAC ID: 6406228741 Enrollment ID: I20230214001541 |
| Provider Name | Brittni Deanne Bridenburg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467165472 PECOS PAC ID: 4082086145 Enrollment ID: I20230218000097 |
| Provider Name | Jillian K Reynolds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336539972 PECOS PAC ID: 1951628072 Enrollment ID: I20230221000103 |
| Provider Name | Deanna C Menapace |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891180048 PECOS PAC ID: 4183935828 Enrollment ID: I20230303001884 |
| Provider Name | Kaylie Dawn Marie Yost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639845365 PECOS PAC ID: 3173996576 Enrollment ID: I20230306002619 |
| Provider Name | Anna Katrina Sebastian |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265148639 PECOS PAC ID: 4587037825 Enrollment ID: I20230307001419 |
| Provider Name | John Francis Flanagan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932867074 PECOS PAC ID: 6204200983 Enrollment ID: I20230320002603 |
| Provider Name | Oluwaseun O Akinduro |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194170217 PECOS PAC ID: 5092008730 Enrollment ID: I20230324000303 |
| Provider Name | Anthony Valery Chuprin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467912352 PECOS PAC ID: 4183959844 Enrollment ID: I20230329003460 |
| Provider Name | Jeffrey Samuel Dlott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841351566 PECOS PAC ID: 0244143840 Enrollment ID: I20230330001440 |
| Provider Name | Mohamed Ahmed Ka Elboraey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053940403 PECOS PAC ID: 7012339476 Enrollment ID: I20230330003092 |
| Provider Name | Rachael Remlinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730889064 PECOS PAC ID: 6305211517 Enrollment ID: I20230331000229 |
| Provider Name | Carlos Alfredo Padula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801423637 PECOS PAC ID: 4688095656 Enrollment ID: I20230331000404 |
| Provider Name | Catherine Christina Bullock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366028037 PECOS PAC ID: 0345644563 Enrollment ID: I20230331001448 |
| Provider Name | Ryan Joseph Hoffman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023570827 PECOS PAC ID: 1850626490 Enrollment ID: I20230403000753 |
| Provider Name | Michael Daniel Villalba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851850119 PECOS PAC ID: 0648505073 Enrollment ID: I20230403001485 |
| Provider Name | Jonathon Blake Hendrix |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023733870 PECOS PAC ID: 4688049794 Enrollment ID: I20230403001877 |
| Provider Name | Maria Powell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396444501 PECOS PAC ID: 2466827431 Enrollment ID: I20230404002204 |
| Provider Name | Cameron Jacob Overfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841812823 PECOS PAC ID: 3678994175 Enrollment ID: I20230404002340 |
| Provider Name | Paula A Aduen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093291684 PECOS PAC ID: 4385056019 Enrollment ID: I20230405003161 |
| Provider Name | Jennifer Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053947010 PECOS PAC ID: 6305269929 Enrollment ID: I20230407000000 |
| Provider Name | Tochukwu Adaobi Ibe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821653361 PECOS PAC ID: 7517388044 Enrollment ID: I20230407000857 |
| Provider Name | Heather C Kellar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093487134 PECOS PAC ID: 1355716010 Enrollment ID: I20230411001044 |
| Provider Name | Zhao Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972125037 PECOS PAC ID: 1557784725 Enrollment ID: I20230411002744 |
| Provider Name | Mudassir Syed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518429018 PECOS PAC ID: 7618202045 Enrollment ID: I20230412000933 |
| Provider Name | Seyed Mohammad Seyedsaadat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184185191 PECOS PAC ID: 1759702673 Enrollment ID: I20230413002245 |
| Provider Name | Jeyan Kumar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245693654 PECOS PAC ID: 9234427410 Enrollment ID: I20230414000740 |
| Provider Name | Andrea V Rivero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003443698 PECOS PAC ID: 6901228766 Enrollment ID: I20230420001717 |
| Provider Name | Anahita Tavana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467038232 PECOS PAC ID: 5991106825 Enrollment ID: I20230425002386 |
| Provider Name | Philip Matthew Glyn Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619672904 PECOS PAC ID: 7719342716 Enrollment ID: I20230426002058 |
| Provider Name | Swetha Reddy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629332275 PECOS PAC ID: 0446564421 Enrollment ID: I20230426003188 |
| Provider Name | Jennifer D Markowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477256790 PECOS PAC ID: 3971968553 Enrollment ID: I20230504000516 |
| Provider Name | Neetu Soni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437672888 PECOS PAC ID: 4789958240 Enrollment ID: I20230505002126 |
| Provider Name | Benjamin Joseph Mccormick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982230850 PECOS PAC ID: 4880015387 Enrollment ID: I20230510001170 |
| Provider Name | Justin Thomas Call |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891316626 PECOS PAC ID: 3678996196 Enrollment ID: I20230510003098 |
| Provider Name | Awais Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629432836 PECOS PAC ID: 6406147065 Enrollment ID: I20230510003435 |
| Provider Name | Yang Jiang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932762176 PECOS PAC ID: 4082949623 Enrollment ID: I20230511000016 |
| Provider Name | Aman Bali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407479413 PECOS PAC ID: 0244651180 Enrollment ID: I20230511000249 |
| Provider Name | Dillon M Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598223471 PECOS PAC ID: 1951702356 Enrollment ID: I20230511001864 |
| Provider Name | Zachary Fleissner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033773494 PECOS PAC ID: 5991030553 Enrollment ID: I20230512000052 |
| Provider Name | Jessica C Petrov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508495771 PECOS PAC ID: 1355764697 Enrollment ID: I20230516002445 |
| Provider Name | Sanjana Thota-kammili |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528682259 PECOS PAC ID: 3971969015 Enrollment ID: I20230516002597 |
| Provider Name | Tian Li |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790247989 PECOS PAC ID: 8426414475 Enrollment ID: I20230516003573 |
| Provider Name | Rashid Alhusain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407419039 PECOS PAC ID: 7719210509 Enrollment ID: I20230517002422 |
| Provider Name | Lorne Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033608922 PECOS PAC ID: 4284090218 Enrollment ID: I20230517003586 |
| Provider Name | Justin John Kuhlman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679195697 PECOS PAC ID: 8123449725 Enrollment ID: I20230518000841 |
| Provider Name | Carlos Andres Vergara Sanchez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215552278 PECOS PAC ID: 4082036546 Enrollment ID: I20230518001241 |
| Provider Name | Jacqueline Reese Walter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225143381 PECOS PAC ID: 7113383068 Enrollment ID: I20230518001255 |
| Provider Name | Aakash Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023543451 PECOS PAC ID: 0042581324 Enrollment ID: I20230518001264 |
| Provider Name | Muhammad Umair Hussain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629488804 PECOS PAC ID: 9830462779 Enrollment ID: I20230518001945 |
| Provider Name | Nader Amini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700413184 PECOS PAC ID: 5799141669 Enrollment ID: I20230518002054 |
| Provider Name | Chelsey J Krambeer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093276768 PECOS PAC ID: 5597189076 Enrollment ID: I20230518002295 |
| Provider Name | Harini Rathinamanickam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871722116 PECOS PAC ID: 3072829159 Enrollment ID: I20230518002643 |
| Provider Name | Spencer K Deleveaux |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194344085 PECOS PAC ID: 0749646669 Enrollment ID: I20230519000630 |
| Provider Name | Dyman C Kwarciak |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1700390861 PECOS PAC ID: 9931459286 Enrollment ID: I20230519000923 |
| Provider Name | Melissa Khalil |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1346877289 PECOS PAC ID: 4789040536 Enrollment ID: I20230519002418 |
| Provider Name | Justin Schappell |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1750842464 PECOS PAC ID: 9234554858 Enrollment ID: I20230523002866 |
| Provider Name | Alexandra Carol Hardy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598391401 PECOS PAC ID: 6406212034 Enrollment ID: I20230523003339 |
| Provider Name | Vineetha Rangarajan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295363752 PECOS PAC ID: 3072938687 Enrollment ID: I20230531001052 |
| Provider Name | Paulette Estelle Coombs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770044091 PECOS PAC ID: 6507223815 Enrollment ID: I20230601000539 |
| Provider Name | Elliott J Barnwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124605589 PECOS PAC ID: 2466853627 Enrollment ID: I20230601000945 |
| Provider Name | Colin Craig Rowell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760004329 PECOS PAC ID: 3173946357 Enrollment ID: I20230601001633 |
| Provider Name | Mutaz Shurahabeel Ahmed Ombada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336597202 PECOS PAC ID: 2567794811 Enrollment ID: I20230602000008 |
| Provider Name | Daniel Flory |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497326201 PECOS PAC ID: 6002272713 Enrollment ID: I20230606002822 |
| Provider Name | Alexandra Allen Jenkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427564145 PECOS PAC ID: 4880051788 Enrollment ID: I20230608001444 |
| Provider Name | Sehrish B Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881253094 PECOS PAC ID: 2062892938 Enrollment ID: I20230609000594 |
| Provider Name | Reema Tawfiq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235767831 PECOS PAC ID: 3072938182 Enrollment ID: I20230612000807 |
| Provider Name | Sonal Naren Jadeja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801327408 PECOS PAC ID: 8022381052 Enrollment ID: I20230613001495 |
| Provider Name | Janey Charlene Gonzales Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528754215 PECOS PAC ID: 9133586712 Enrollment ID: I20230613002732 |
| Provider Name | Felix Ankomah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861998569 PECOS PAC ID: 6002243995 Enrollment ID: I20230614001376 |
| Provider Name | Courtland Polley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164929790 PECOS PAC ID: 2062870561 Enrollment ID: I20230615000226 |
| Provider Name | Robert Deshawn Pagan Rosado |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1932623899 PECOS PAC ID: 9638596745 Enrollment ID: I20230615001678 |
| Provider Name | Christoffel Van Niekerk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831577626 PECOS PAC ID: 0042581555 Enrollment ID: I20230616001966 |
| Provider Name | Marianna Weaver |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184252041 PECOS PAC ID: 8325437320 Enrollment ID: I20230618000161 |
| Provider Name | Micah Hale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891357745 PECOS PAC ID: 7416283403 Enrollment ID: I20230621001106 |
| Provider Name | Saivaishnavi Kamatham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003437203 PECOS PAC ID: 4587085758 Enrollment ID: I20230621001868 |
| Provider Name | Elizabeth Bearrick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407340995 PECOS PAC ID: 3476806381 Enrollment ID: I20230622000080 |
| Provider Name | Andre Granger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306367990 PECOS PAC ID: 2163769290 Enrollment ID: I20230622000176 |
| Provider Name | Nahyr Sofia Lugo-fagundo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609354018 PECOS PAC ID: 3577994862 Enrollment ID: I20230622001508 |
| Provider Name | Gary W Padilla-maldonado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396272902 PECOS PAC ID: 4789931379 Enrollment ID: I20230623002237 |
| Provider Name | Amanda Porter |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1639638729 PECOS PAC ID: 6709111347 Enrollment ID: I20230624000005 |
| Provider Name | Matthew Reynolds Mccann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124521992 PECOS PAC ID: 8123375318 Enrollment ID: I20230626000650 |
| Provider Name | Yasna Chaudhary |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790275899 PECOS PAC ID: 1557729316 Enrollment ID: I20230627000423 |
| Provider Name | Shweta Srivastava |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407352479 PECOS PAC ID: 6002162674 Enrollment ID: I20230627002231 |
| Provider Name | Vinod Kumar |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1821544115 PECOS PAC ID: 1951718584 Enrollment ID: I20230705000147 |
| Provider Name | Nayef Abdel-razeq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750900916 PECOS PAC ID: 1153740147 Enrollment ID: I20230706001523 |
| Provider Name | Alicia Karol Blong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003591694 PECOS PAC ID: 3476912536 Enrollment ID: I20230707000358 |
| Provider Name | Aakash Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114458007 PECOS PAC ID: 8224307848 Enrollment ID: I20230710002438 |
| Provider Name | Anshit Goyal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700464419 PECOS PAC ID: 8123429099 Enrollment ID: I20230712001996 |
| Provider Name | Kyle James Sorensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104516392 PECOS PAC ID: 1951761790 Enrollment ID: I20230712002342 |
| Provider Name | Jalak Bharat Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730686437 PECOS PAC ID: 9133500978 Enrollment ID: I20230718000053 |
| Provider Name | Michael P Evans |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093169997 PECOS PAC ID: 5193051647 Enrollment ID: I20230719003318 |
| Provider Name | Daniel Antonio Almodovar Frau |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700376001 PECOS PAC ID: 4688034887 Enrollment ID: I20230719003961 |
| Provider Name | Deepak Pasupula |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619382397 PECOS PAC ID: 4789943143 Enrollment ID: I20230725002325 |
| Provider Name | Brent David Herbel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053409086 PECOS PAC ID: 7214914555 Enrollment ID: I20230725002690 |
| Provider Name | Stephanie Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740999176 PECOS PAC ID: 3577932417 Enrollment ID: I20230728000072 |
| Provider Name | Natalie Torrente |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851928394 PECOS PAC ID: 6103287719 Enrollment ID: I20230730000213 |
| Provider Name | Anna Van Niekerk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265820112 PECOS PAC ID: 9638420136 Enrollment ID: I20230731000249 |
| Provider Name | Alex Lu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548765126 PECOS PAC ID: 6204266810 Enrollment ID: I20230731002838 |
| Provider Name | Daniel Koffler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447749726 PECOS PAC ID: 9335484690 Enrollment ID: I20230801000592 |
| Provider Name | Adekunle Elegbede |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629404603 PECOS PAC ID: 0446562615 Enrollment ID: I20230803003536 |
| Provider Name | Swathi Eluri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023349503 PECOS PAC ID: 0244489136 Enrollment ID: I20230804000758 |
| Provider Name | Yasmeen Tandon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992021067 PECOS PAC ID: 3476796327 Enrollment ID: I20230806000091 |
| Provider Name | Christopher R Jacobs |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164872412 PECOS PAC ID: 6103113840 Enrollment ID: I20230808003128 |
| Provider Name | Branden Tharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346899952 PECOS PAC ID: 9638531700 Enrollment ID: I20230822001575 |
| Provider Name | Leah Letitia Ishmael |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1710483292 PECOS PAC ID: 9436488004 Enrollment ID: I20230822003425 |
| Provider Name | Lingfei Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811343627 PECOS PAC ID: 3375839608 Enrollment ID: I20230823000315 |
| Provider Name | Ana Cecilia Farfan Ruiz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023781853 PECOS PAC ID: 5294139564 Enrollment ID: I20230824001588 |
| Provider Name | Sarosh Rohintan Irani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508542515 PECOS PAC ID: 5799148672 Enrollment ID: I20230824002787 |
| Provider Name | Michael Tomczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871244723 PECOS PAC ID: 7416340914 Enrollment ID: I20230825000454 |
| Provider Name | Hong Liang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134624752 PECOS PAC ID: 8729337456 Enrollment ID: I20230829003770 |
| Provider Name | Joseph Hyder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518125152 PECOS PAC ID: 1951457191 Enrollment ID: I20230831000960 |
| Provider Name | Kyle Alexander Derrick Williams |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982353306 PECOS PAC ID: 8022497064 Enrollment ID: I20230901002458 |
| Provider Name | Lyndsay Shea Barrera |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336820174 PECOS PAC ID: 8123481306 Enrollment ID: I20230906001301 |
| Provider Name | Austin Bailey Govero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295357093 PECOS PAC ID: 8123449709 Enrollment ID: I20230907003205 |
| Provider Name | Jennifer Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609318351 PECOS PAC ID: 6305122466 Enrollment ID: I20230908002978 |
| Provider Name | Paloma Alexander Ortiz Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588309405 PECOS PAC ID: 9133583198 Enrollment ID: I20230911001651 |
| Provider Name | Mays Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497094353 PECOS PAC ID: 8527387190 Enrollment ID: I20230913002598 |
| Provider Name | Shannon Beardsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861172322 PECOS PAC ID: 1456715028 Enrollment ID: I20230914003294 |
| Provider Name | John Haney |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801061510 PECOS PAC ID: 9537385158 Enrollment ID: I20230915000223 |
| Provider Name | Elizabeth Dineen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518200443 PECOS PAC ID: 7113210378 Enrollment ID: I20230919001294 |
| Provider Name | Ashley Zeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730717786 PECOS PAC ID: 9234553603 Enrollment ID: I20230919002784 |
| Provider Name | Christian A Ericson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801459664 PECOS PAC ID: 8325373079 Enrollment ID: I20230920002534 |
| Provider Name | Anushka Irani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568249712 PECOS PAC ID: 6406200765 Enrollment ID: I20230920004438 |
| Provider Name | Homan Mohammadi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154770873 PECOS PAC ID: 1355632167 Enrollment ID: I20230921004062 |
| Provider Name | Anna Yoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255056578 PECOS PAC ID: 3678943008 Enrollment ID: I20230925000109 |
| Provider Name | Brian Leonard Mecca |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578125357 PECOS PAC ID: 1052765062 Enrollment ID: I20230925003570 |
| Provider Name | Caroline Florence Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851071971 PECOS PAC ID: 5597119511 Enrollment ID: I20230925003718 |
| Provider Name | Leah Schecter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295391647 PECOS PAC ID: 5991031346 Enrollment ID: I20231003002081 |
| Provider Name | Lauren Taylor Franson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346920667 PECOS PAC ID: 1850746140 Enrollment ID: I20231005002783 |
| Provider Name | Seyed Ali Montazeri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952987695 PECOS PAC ID: 7416356811 Enrollment ID: I20231017001332 |
| Provider Name | Neethu Gopal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932786381 PECOS PAC ID: 3678974136 Enrollment ID: I20231030003855 |
| Provider Name | Ayodeji Morenike Ajayi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588313324 PECOS PAC ID: 5799165775 Enrollment ID: I20231102000351 |
| Provider Name | Alana M Campbell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174304760 PECOS PAC ID: 7416303052 Enrollment ID: I20231102000744 |
| Provider Name | Salym Josie Winter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275310617 PECOS PAC ID: 7911354436 Enrollment ID: I20231106001057 |
| Provider Name | Kelly Shaye Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912788688 PECOS PAC ID: 2062869597 Enrollment ID: I20231106001649 |
| Provider Name | Abigail Elizabeth Burtone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861144107 PECOS PAC ID: 7517314792 Enrollment ID: I20231109000907 |
| Provider Name | Susanna Mclean Callender |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912770793 PECOS PAC ID: 6608224282 Enrollment ID: I20231120002056 |
| Provider Name | Rose Mary Attieh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154055739 PECOS PAC ID: 2668855404 Enrollment ID: I20231205001740 |
| Provider Name | Karlin Young Hugghins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518739135 PECOS PAC ID: 0345699609 Enrollment ID: I20231212001369 |
| Provider Name | Sarah L Grota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730102443 PECOS PAC ID: 0244235448 Enrollment ID: I20240103004067 |
| Provider Name | Ron Adelman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245266352 PECOS PAC ID: 0345375796 Enrollment ID: I20240109004209 |
| Provider Name | Marcelo Vela Aquino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437267390 PECOS PAC ID: 5597736207 Enrollment ID: I20240112004245 |
| Provider Name | Jay Spencer Orellana |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598446510 PECOS PAC ID: 5092167122 Enrollment ID: I20240115000011 |
| Provider Name | Alexa Kane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801442124 PECOS PAC ID: 5193057594 Enrollment ID: I20240116004040 |
| Provider Name | Marina Sedky Barsoom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922692359 PECOS PAC ID: 6305298993 Enrollment ID: I20240118004613 |
| Provider Name | Catherine Raney Akin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255109112 PECOS PAC ID: 4385096791 Enrollment ID: I20240122003641 |
| Provider Name | Suzanne Hoskinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528837770 PECOS PAC ID: 0941653158 Enrollment ID: I20240124001537 |
| Provider Name | Donald Leroy Burke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194480137 PECOS PAC ID: 6507219359 Enrollment ID: I20240128000060 |
| Provider Name | Ashley Morgan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952724221 PECOS PAC ID: 1557714243 Enrollment ID: I20240130000536 |
| Provider Name | Elisha Singer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730523093 PECOS PAC ID: 0143528992 Enrollment ID: I20240202003707 |
| Provider Name | Salma Iftikhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386623577 PECOS PAC ID: 0143236091 Enrollment ID: I20240205000911 |
| Provider Name | Samantha Lynn Permenter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992566244 PECOS PAC ID: 5698118719 Enrollment ID: I20240206002194 |
| Provider Name | Seyed Mohammad Mirsattari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477315216 PECOS PAC ID: 1355784323 Enrollment ID: I20240206004122 |
| Provider Name | Richard Byrne |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518916816 PECOS PAC ID: 4284642208 Enrollment ID: I20240214000098 |
| Provider Name | Joy Marie Gallo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710741269 PECOS PAC ID: 4789028010 Enrollment ID: I20240214004173 |
| Provider Name | Alix Corrin Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063288736 PECOS PAC ID: 3072957158 Enrollment ID: I20240216000791 |
| Provider Name | Bryan Springer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932182086 PECOS PAC ID: 0547235087 Enrollment ID: I20240221003262 |
| Provider Name | Cristian Madrid Madrid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578979001 PECOS PAC ID: 2466721485 Enrollment ID: I20240222001616 |
| Provider Name | Christopher Barusya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104232610 PECOS PAC ID: 5092025635 Enrollment ID: I20240223002571 |
| Provider Name | Alexis Marie Monti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073103099 PECOS PAC ID: 4981049244 Enrollment ID: I20240227002279 |
| Provider Name | Danelia Yaoska Martinez Narvaez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679253215 PECOS PAC ID: 7618312489 Enrollment ID: I20240302000403 |
| Provider Name | Amanda S Biro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386032704 PECOS PAC ID: 7517334758 Enrollment ID: I20240304003038 |
| Provider Name | Anthony S Fragola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750841946 PECOS PAC ID: 4587999826 Enrollment ID: I20240304004084 |
| Provider Name | Melanie A Riley Peters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225021637 PECOS PAC ID: 4789687195 Enrollment ID: I20240308003076 |
| Provider Name | Shweta Agarwal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881026078 PECOS PAC ID: 2668760927 Enrollment ID: I20240421000132 |
| Provider Name | Faith Elizabeth Ayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073371076 PECOS PAC ID: 8123467339 Enrollment ID: I20240422000959 |
| Provider Name | Ji Yuan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659533347 PECOS PAC ID: 6103069877 Enrollment ID: I20240430001523 |
| Provider Name | Sabrina Billings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376119750 PECOS PAC ID: 6204237696 Enrollment ID: I20240531002336 |
| Provider Name | Robert Christopher Chase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891379590 PECOS PAC ID: 0143621292 Enrollment ID: I20240603003112 |
| Provider Name | Eric Phillip Deloso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154959914 PECOS PAC ID: 5799227906 Enrollment ID: I20240603004142 |
| Provider Name | Nicholas Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164955183 PECOS PAC ID: 0143620468 Enrollment ID: I20240604002394 |
| Provider Name | Adam Jacob Sandin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548846314 PECOS PAC ID: 9739582651 Enrollment ID: I20240604003481 |
| Provider Name | Eva Kubrova |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1447888482 PECOS PAC ID: 4183034812 Enrollment ID: I20240604003660 |
| Provider Name | Ian Dryden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679950588 PECOS PAC ID: 9931411105 Enrollment ID: I20240605000945 |
| Provider Name | Ahmed A Abdelhakeem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023690104 PECOS PAC ID: 8921540915 Enrollment ID: I20240605002611 |
| Provider Name | Vin Shen Ban |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508220542 PECOS PAC ID: 9739548959 Enrollment ID: I20240607000359 |
| Provider Name | Shinta Andhika Galej |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215710777 PECOS PAC ID: 2567904329 Enrollment ID: I20240607001490 |
| Provider Name | Linh Vu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396286647 PECOS PAC ID: 2062784333 Enrollment ID: I20240614003633 |
Lem Turner Family Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9390 Lem Turner Rd, Jacksonville, FL 32208 Phone: 904-766-2953 Fax: 904-766-2993 | |
C. Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave, Jacksonville, FL 32202 Phone: 904-791-6632 | |
Centerwell Senior Primary Care Fl Jv Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Philips Hwy, Jacksonville, FL 32207 Phone: 407-447-7120 | |
Id Associates Of Jacksonville Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Shircliff Way, Ste 610, Jacksonville, FL 32204 Phone: 904-387-5027 Fax: 904-387-2208 | |
Hong Tek Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4123 University Blvd S, Jacksonville, FL 32216 Phone: 904-388-3351 | |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave Ste 103, Jacksonville, FL 32202 Phone: 904-353-5696 Fax: 904-390-7483 | |
Reginald L. Sykes, Sr, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3160 Edgewood Ave W, Jacksonville, FL 32209 Phone: 904-768-8222 Fax: 904-482-0373 |