| Mayo Clinic Scottsdale | |
|
13400 E Shea Blvd Scottsdale AZ 85259-5404 | |
| (480) 301-8000 | |
| Not Available |
| Full Name | Mayo Clinic Scottsdale |
|---|---|
| Speciality | Clinic/Center |
| Location | 13400 E Shea Blvd, Scottsdale, Arizona |
| Authorized Official Name and Position | Allison Viramontes (CFO) |
| Authorized Official Contact | 4803019748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayo Clinic Scottsdale 13400 E Shea Blvd Scottsdale AZ 85259-5404 Ph: (480) 301-8000 | Mayo Clinic Scottsdale 13400 E Shea Blvd Scottsdale AZ 85259-5404 Ph: (480) 301-8000 |
| NPI Number | 1558332494 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 04/12/2021 |
| Medicare PECOS PAC ID | 7012829930 |
|---|---|
| Medicare Enrollment ID | O20031105000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558332494 | NPI | - | NPPES |
| 444901 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | OTC 0369 (Arizona) | Primary |
| Provider Name | Alec R Hovagim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225034002 PECOS PAC ID: 8820992134 Enrollment ID: I20031119000860 |
| Provider Name | Curtiss B Cook |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093705204 PECOS PAC ID: 7012811276 Enrollment ID: I20031120000608 |
| Provider Name | Georgiana M Halterman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245214816 PECOS PAC ID: 7810891876 Enrollment ID: I20031121000153 |
| Provider Name | Ali Ghafouri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598737892 PECOS PAC ID: 1557266335 Enrollment ID: I20031204000683 |
| Provider Name | Tonia M Young Fadok |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1689652695 PECOS PAC ID: 4082516224 Enrollment ID: I20040127000240 |
| Provider Name | Michael L Grover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366425936 PECOS PAC ID: 0547163800 Enrollment ID: I20040202000760 |
| Provider Name | Helene R Labonte Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629026331 PECOS PAC ID: 3971496266 Enrollment ID: I20040202000959 |
| Provider Name | Hari Chaliki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801870084 PECOS PAC ID: 0345136081 Enrollment ID: I20040227000497 |
| Provider Name | Andrea L Riley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689657199 PECOS PAC ID: 7810886280 Enrollment ID: I20040312001187 |
| Provider Name | Leslie C Baxter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962512913 PECOS PAC ID: 4486646841 Enrollment ID: I20040402001115 |
| Provider Name | Jonathan A Leighton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427035328 PECOS PAC ID: 7810980695 Enrollment ID: I20040407000162 |
| Provider Name | Lucinda A Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891778643 PECOS PAC ID: 8123012937 Enrollment ID: I20040414000160 |
| Provider Name | Tina M Sauber |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609850643 PECOS PAC ID: 7810982386 Enrollment ID: I20040415000933 |
| Provider Name | Bryan K Woodruff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720060411 PECOS PAC ID: 5395733836 Enrollment ID: I20040504000748 |
| Provider Name | Melissa R Rosenfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851363436 PECOS PAC ID: 9032107354 Enrollment ID: I20040505000424 |
| Provider Name | Erika D Driver-dunckley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881678480 PECOS PAC ID: 6507856549 Enrollment ID: I20040513000342 |
| Provider Name | Clinton V Wellnitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386627206 PECOS PAC ID: 3375533250 Enrollment ID: I20040513000660 |
| Provider Name | Robin Kumar Samaddar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235181249 PECOS PAC ID: 2264423730 Enrollment ID: I20040522000047 |
| Provider Name | Renee P Crawford |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780668038 PECOS PAC ID: 5395726780 Enrollment ID: I20040601000687 |
| Provider Name | Sally B Alcott |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053380832 PECOS PAC ID: 9335123215 Enrollment ID: I20040617000387 |
| Provider Name | Shabana F Pasha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790763936 PECOS PAC ID: 1658356043 Enrollment ID: I20040621000808 |
| Provider Name | John A Freeman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1134104433 PECOS PAC ID: 2860477916 Enrollment ID: I20040622001234 |
| Provider Name | Rafael Fonseca |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1275517898 PECOS PAC ID: 0244221455 Enrollment ID: I20040708000645 |
| Provider Name | Melissa M Eden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912980731 PECOS PAC ID: 0446230130 Enrollment ID: I20040722001216 |
| Provider Name | David A Galbreath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295754521 PECOS PAC ID: 7517937568 Enrollment ID: I20040728000576 |
| Provider Name | Carolyn S Barnes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447203955 PECOS PAC ID: 6709857915 Enrollment ID: I20040803000043 |
| Provider Name | Pauline H Lucas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124003926 PECOS PAC ID: 0749251700 Enrollment ID: I20040803001329 |
| Provider Name | Christopher T Pullins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346206125 PECOS PAC ID: 5395716245 Enrollment ID: I20040804000242 |
| Provider Name | Eric A Jensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548242951 PECOS PAC ID: 1456323971 Enrollment ID: I20040806000233 |
| Provider Name | John M Zajac |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336174481 PECOS PAC ID: 4486626801 Enrollment ID: I20040806000948 |
| Provider Name | Bonnie J Maffi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558346833 PECOS PAC ID: 0840262887 Enrollment ID: I20040810000695 |
| Provider Name | Alanna M Rebecca |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1972588366 PECOS PAC ID: 0547232480 Enrollment ID: I20040810001484 |
| Provider Name | Ellen M Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497739510 PECOS PAC ID: 5991770216 Enrollment ID: I20040831000646 |
| Provider Name | Charles E Oligmueller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932183712 PECOS PAC ID: 6002881950 Enrollment ID: I20040901001504 |
| Provider Name | Lopa M Misra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376526046 PECOS PAC ID: 1658347802 Enrollment ID: I20040908001344 |
| Provider Name | Peter L Bergsagel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316920150 PECOS PAC ID: 6800862806 Enrollment ID: I20040909000817 |
| Provider Name | Andrew H Goldstein |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518951284 PECOS PAC ID: 4385629062 Enrollment ID: I20040909001032 |
| Provider Name | Mark W Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861475139 PECOS PAC ID: 5698744779 Enrollment ID: I20040927000169 |
| Provider Name | Richard E Hayden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295710077 PECOS PAC ID: 0749259737 Enrollment ID: I20040927000961 |
| Provider Name | William M Mcleish |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598758898 PECOS PAC ID: 3577532571 Enrollment ID: I20040928000169 |
| Provider Name | Robert M Semingson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407839285 PECOS PAC ID: 6204805948 Enrollment ID: I20040929000364 |
| Provider Name | Henry D Clarke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609851310 PECOS PAC ID: 1557330297 Enrollment ID: I20040929000381 |
| Provider Name | William J Casey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689659286 PECOS PAC ID: 7810966579 Enrollment ID: I20040929000457 |
| Provider Name | Kristin Kirlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356451322 PECOS PAC ID: 0143289058 Enrollment ID: I20041006001234 |
| Provider Name | Kathryn K Brewer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184755290 PECOS PAC ID: 6305806258 Enrollment ID: I20041014000710 |
| Provider Name | Thelma G Barnes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316920291 PECOS PAC ID: 0042271298 Enrollment ID: I20041021000647 |
| Provider Name | Ilko V Ivanov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992785422 PECOS PAC ID: 8022074855 Enrollment ID: I20041203000426 |
| Provider Name | Steven A Maher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275637670 PECOS PAC ID: 3779531975 Enrollment ID: I20050104001012 |
| Provider Name | Dharmendra R Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255314597 PECOS PAC ID: 2961452149 Enrollment ID: I20050125001073 |
| Provider Name | John K Dibaise |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043293434 PECOS PAC ID: 9537119961 Enrollment ID: I20050125001098 |
| Provider Name | Angela M Toro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992794671 PECOS PAC ID: 5799735981 Enrollment ID: I20050125001145 |
| Provider Name | Lynae C Floyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952399834 PECOS PAC ID: 7618928946 Enrollment ID: I20050203000853 |
| Provider Name | Jennifer V Wethe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144331190 PECOS PAC ID: 5092767616 Enrollment ID: I20050211000346 |
| Provider Name | Margie E Amity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992730527 PECOS PAC ID: 5597718197 Enrollment ID: I20050223000615 |
| Provider Name | Michael Underhill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043294606 PECOS PAC ID: 1951354927 Enrollment ID: I20050302000294 |
| Provider Name | Mary M Wojnakowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144205121 PECOS PAC ID: 7911952601 Enrollment ID: I20050315000984 |
| Provider Name | Jesus D Bracamonte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295719821 PECOS PAC ID: 6800842659 Enrollment ID: I20050324001044 |
| Provider Name | Sydney A Westphal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083651830 PECOS PAC ID: 3072550144 Enrollment ID: I20050411000379 |
| Provider Name | Michael Gotway |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851381826 PECOS PAC ID: 3274570981 Enrollment ID: I20050414000318 |
| Provider Name | Katherine Noe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912980996 PECOS PAC ID: 3678487634 Enrollment ID: I20050414001245 |
| Provider Name | Jan Stepanek |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1144202888 PECOS PAC ID: 2466490578 Enrollment ID: I20050420000102 |
| Provider Name | Juraj Sprung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821076878 PECOS PAC ID: 3971541087 Enrollment ID: I20050420000129 |
| Provider Name | Tisha N Lunsford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194708198 PECOS PAC ID: 3678511516 Enrollment ID: I20050420001189 |
| Provider Name | Louis A Lanza |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1275518557 PECOS PAC ID: 3779521638 Enrollment ID: I20050420001342 |
| Provider Name | Elizabeth J Carey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033194501 PECOS PAC ID: 9436197266 Enrollment ID: I20050421000491 |
| Provider Name | Joseph P Zitar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518968361 PECOS PAC ID: 3375582323 Enrollment ID: I20050428000719 |
| Provider Name | Henry D Tazelaar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144205691 PECOS PAC ID: 0244270627 Enrollment ID: I20050504001172 |
| Provider Name | Kari A Martin |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1841272598 PECOS PAC ID: 4981644374 Enrollment ID: I20050504001245 |
| Provider Name | Todd J Schwedt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669455663 PECOS PAC ID: 6002858578 Enrollment ID: I20050525000163 |
| Provider Name | Cynthia M Stonnington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801879655 PECOS PAC ID: 2567405343 Enrollment ID: I20050602000667 |
| Provider Name | Harini A Chakkera |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396720793 PECOS PAC ID: 4688617400 Enrollment ID: I20050602000991 |
| Provider Name | Tricia Dawn Montgomery |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144203712 PECOS PAC ID: 5597708321 Enrollment ID: I20050602001086 |
| Provider Name | Anikar Chhabra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659364990 PECOS PAC ID: 1052354651 Enrollment ID: I20050606000164 |
| Provider Name | Susan L Delano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649347121 PECOS PAC ID: 1759327810 Enrollment ID: I20050629000813 |
| Provider Name | Paul A Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588650121 PECOS PAC ID: 5496791956 Enrollment ID: I20050706000705 |
| Provider Name | David Douglas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760467898 PECOS PAC ID: 8123913985 Enrollment ID: I20050712000935 |
| Provider Name | Peter A Weisskopf |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366447518 PECOS PAC ID: 3375579923 Enrollment ID: I20050714000498 |
| Provider Name | Luciana Funtowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073573960 PECOS PAC ID: 8729015730 Enrollment ID: I20050721000368 |
| Provider Name | Ketan S Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538116819 PECOS PAC ID: 4486683638 Enrollment ID: I20050808000727 |
| Provider Name | Peter E Frasco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225072259 PECOS PAC ID: 6305880022 Enrollment ID: I20050808000955 |
| Provider Name | Lester E Mertz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083696751 PECOS PAC ID: 9739118803 Enrollment ID: I20050809000657 |
| Provider Name | Jason R Vance |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144220229 PECOS PAC ID: 3072542190 Enrollment ID: I20050809001002 |
| Provider Name | Dona E.c. Locke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326021551 PECOS PAC ID: 6901837558 Enrollment ID: I20050906000220 |
| Provider Name | Bryan P Hull |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831173228 PECOS PAC ID: 3577595859 Enrollment ID: I20050907001025 |
| Provider Name | Mark R Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932104205 PECOS PAC ID: 5799717708 Enrollment ID: I20050909000622 |
| Provider Name | Robert L Scott |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1659354652 PECOS PAC ID: 0941196299 Enrollment ID: I20050924000066 |
| Provider Name | Patrick Bradford Bolton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699745398 PECOS PAC ID: 4183658404 Enrollment ID: I20050926000288 |
| Provider Name | Holenarasipur Vikram |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205811593 PECOS PAC ID: 2062447287 Enrollment ID: I20050927000851 |
| Provider Name | Carolyn L Kinney |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174620207 PECOS PAC ID: 2961437967 Enrollment ID: I20050928001007 |
| Provider Name | Vanood Khalid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649211830 PECOS PAC ID: 5092756445 Enrollment ID: I20051018000386 |
| Provider Name | Tammy K Herzog |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578547972 PECOS PAC ID: 3274550272 Enrollment ID: I20051028000696 |
| Provider Name | Douglas A Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083689483 PECOS PAC ID: 0244257178 Enrollment ID: I20051028001027 |
| Provider Name | Michael A Giunta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528051190 PECOS PAC ID: 4981621687 Enrollment ID: I20051101000924 |
| Provider Name | Neera Agrwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992780522 PECOS PAC ID: 6507884095 Enrollment ID: I20051103000197 |
| Provider Name | Paul M Magtibay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760467252 PECOS PAC ID: 6002834595 Enrollment ID: I20051107000144 |
| Provider Name | Lynda S Facchiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609859941 PECOS PAC ID: 6507884350 Enrollment ID: I20051109001217 |
| Provider Name | Kwan S Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417931965 PECOS PAC ID: 2769401371 Enrollment ID: I20051114000285 |
| Provider Name | Pamela A Sepper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619952165 PECOS PAC ID: 6800815762 Enrollment ID: I20051121000457 |
| Provider Name | Jeri L Young |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194709048 PECOS PAC ID: 6204855059 Enrollment ID: I20051122000215 |
| Provider Name | Kristina T Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174506547 PECOS PAC ID: 7113946971 Enrollment ID: I20051122000297 |
| Provider Name | Gavin A Parisi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437163813 PECOS PAC ID: 2961423280 Enrollment ID: I20051214000888 |
| Provider Name | Edmundo L Chantler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366456212 PECOS PAC ID: 8022039346 Enrollment ID: I20051214000907 |
| Provider Name | Adriane I Budavari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467436709 PECOS PAC ID: 9830119767 Enrollment ID: I20051215000605 |
| Provider Name | Mitesh J Borad |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801850573 PECOS PAC ID: 9830111053 Enrollment ID: I20051230000407 |
| Provider Name | Kenneth J Mishark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780667725 PECOS PAC ID: 0941112874 Enrollment ID: I20060104000245 |
| Provider Name | Roberta H Adams |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1932182771 PECOS PAC ID: 9739102617 Enrollment ID: I20060105000845 |
| Provider Name | Keith R Cyrnek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427037126 PECOS PAC ID: 7911920624 Enrollment ID: I20060109000853 |
| Provider Name | Kari J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245254093 PECOS PAC ID: 1052326840 Enrollment ID: I20060215000629 |
| Provider Name | Raymond R Auger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497725519 PECOS PAC ID: 0446265086 Enrollment ID: I20060217000397 |
| Provider Name | Robert H Graham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841264371 PECOS PAC ID: 0446266613 Enrollment ID: I20060224000324 |
| Provider Name | Cornelia N Drees |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144265521 PECOS PAC ID: 4587672126 Enrollment ID: I20060323000576 |
| Provider Name | Mitchell R Humphreys |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144208430 PECOS PAC ID: 5799794152 Enrollment ID: I20060412000361 |
| Provider Name | Romanita D Nica |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366486144 PECOS PAC ID: 9335159151 Enrollment ID: I20060425000039 |
| Provider Name | Maria Aguilar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518924190 PECOS PAC ID: 9133130156 Enrollment ID: I20060505000269 |
| Provider Name | Dawn E Jaroszewski |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063479061 PECOS PAC ID: 2264469600 Enrollment ID: I20060522000011 |
| Provider Name | John W Millstine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326091786 PECOS PAC ID: 3274544622 Enrollment ID: I20060522000048 |
| Provider Name | Alyssa D Chapital |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457318610 PECOS PAC ID: 7810978418 Enrollment ID: I20060522000159 |
| Provider Name | Deloris A Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528026721 PECOS PAC ID: 7012942675 Enrollment ID: I20060523000154 |
| Provider Name | Steven T Morozowich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932158508 PECOS PAC ID: 6002803392 Enrollment ID: I20060602000043 |
| Provider Name | Jeffrey S Ross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508823089 PECOS PAC ID: 2668372475 Enrollment ID: I20060605000135 |
| Provider Name | Larry R Bergstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699749564 PECOS PAC ID: 9436161551 Enrollment ID: I20060607000283 |
| Provider Name | Jonathan Ashman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659337566 PECOS PAC ID: 1759393515 Enrollment ID: I20060616000011 |
| Provider Name | Viet D Do |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922057520 PECOS PAC ID: 6305849589 Enrollment ID: I20060808000170 |
| Provider Name | Narjeet S Khurmi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780613539 PECOS PAC ID: 9931103298 Enrollment ID: I20060830000036 |
| Provider Name | Denise M Millstine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952369910 PECOS PAC ID: 3577543313 Enrollment ID: I20060906000597 |
| Provider Name | Tammy M Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437133147 PECOS PAC ID: 7618971136 Enrollment ID: I20060914000056 |
| Provider Name | Kathleen M Simmonds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295717908 PECOS PAC ID: 8527063247 Enrollment ID: I20061002000032 |
| Provider Name | Barbara S Novais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548253743 PECOS PAC ID: 4183620461 Enrollment ID: I20061010000171 |
| Provider Name | Erik S Gauharou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740233121 PECOS PAC ID: 8527969633 Enrollment ID: I20061016000248 |
| Provider Name | Roxanne Lorans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871577627 PECOS PAC ID: 7113981895 Enrollment ID: I20061017000513 |
| Provider Name | Kirsten Lyn Hamacher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427037530 PECOS PAC ID: 7315931664 Enrollment ID: I20061102000457 |
| Provider Name | Maria Teresa A Seville |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326095514 PECOS PAC ID: 7517964406 Enrollment ID: I20061107000490 |
| Provider Name | Lindsey M Kriz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700973161 PECOS PAC ID: 5597762328 Enrollment ID: I20061108000501 |
| Provider Name | Mashal A Batheja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467535310 PECOS PAC ID: 7911907670 Enrollment ID: I20070102000336 |
| Provider Name | Richard N Lossing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225114275 PECOS PAC ID: 2769483437 Enrollment ID: I20070123000502 |
| Provider Name | Molly M Kresin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720035876 PECOS PAC ID: 2769484534 Enrollment ID: I20070207000313 |
| Provider Name | David C Morro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205947504 PECOS PAC ID: 0345132882 Enrollment ID: I20070308000085 |
| Provider Name | Laura K Beckman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518941129 PECOS PAC ID: 4880797901 Enrollment ID: I20070310000088 |
| Provider Name | Ann M Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043353436 PECOS PAC ID: 1951404086 Enrollment ID: I20070310000122 |
| Provider Name | Darci M Komac |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306829148 PECOS PAC ID: 2769585892 Enrollment ID: I20070310000125 |
| Provider Name | Pamela S Kline |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679556468 PECOS PAC ID: 0345343471 Enrollment ID: I20070312000047 |
| Provider Name | Peder M Dahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740263375 PECOS PAC ID: 6305949306 Enrollment ID: I20070313000038 |
| Provider Name | Heather L Collins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568445179 PECOS PAC ID: 8921101890 Enrollment ID: I20070314000002 |
| Provider Name | Richard B Yancey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073597480 PECOS PAC ID: 9638272461 Enrollment ID: I20070315000001 |
| Provider Name | Jeffrey A Knecht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225011372 PECOS PAC ID: 7517060353 Enrollment ID: I20070315000010 |
| Provider Name | Jacqueline J Lucas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508838996 PECOS PAC ID: 3072616606 Enrollment ID: I20070319000684 |
| Provider Name | Joanne F Shen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467480749 PECOS PAC ID: 2769371681 Enrollment ID: I20070320000623 |
| Provider Name | Monica L Heinemann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659355022 PECOS PAC ID: 2163525692 Enrollment ID: I20070321000233 |
| Provider Name | Jose F Leis |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1790793271 PECOS PAC ID: 6305734922 Enrollment ID: I20070329000035 |
| Provider Name | Jonas C Holzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053394924 PECOS PAC ID: 0749384816 Enrollment ID: I20070329000217 |
| Provider Name | Laurence J Miller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558344390 PECOS PAC ID: 2264330539 Enrollment ID: I20070329000637 |
| Provider Name | Michael J Bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063496578 PECOS PAC ID: 3476657388 Enrollment ID: I20070403000254 |
| Provider Name | Sara B Goetzinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871547182 PECOS PAC ID: 5799889382 Enrollment ID: I20070410000040 |
| Provider Name | Robert P Bright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215961651 PECOS PAC ID: 6204931199 Enrollment ID: I20070423000079 |
| Provider Name | Ruth A Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801922042 PECOS PAC ID: 0648376566 Enrollment ID: I20070509000228 |
| Provider Name | Krishnaswamy Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730169806 PECOS PAC ID: 5193822070 Enrollment ID: I20070530000225 |
| Provider Name | Joseph M Hoxworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699705889 PECOS PAC ID: 8022011451 Enrollment ID: I20070629000102 |
| Provider Name | Firas Marayati |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316148653 PECOS PAC ID: 4385744499 Enrollment ID: I20070702000611 |
| Provider Name | Addie Elizabeth Moran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225070956 PECOS PAC ID: 2062489628 Enrollment ID: I20070710000943 |
| Provider Name | Dan Sorajja |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770555278 PECOS PAC ID: 8527093731 Enrollment ID: I20070710000992 |
| Provider Name | Courtney C Koshar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720048028 PECOS PAC ID: 2264460237 Enrollment ID: I20070711000135 |
| Provider Name | Idris T Ocal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346221652 PECOS PAC ID: 2264532902 Enrollment ID: I20070711000366 |
| Provider Name | Maria Cecilia A Tagle-cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114141702 PECOS PAC ID: 7214037829 Enrollment ID: I20070711000978 |
| Provider Name | Harshita R Paripati |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437116985 PECOS PAC ID: 8224139977 Enrollment ID: I20070724000770 |
| Provider Name | Leland S Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649311614 PECOS PAC ID: 3375644909 Enrollment ID: I20070725000718 |
| Provider Name | Laszlo T Vaszar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265443113 PECOS PAC ID: 4082705843 Enrollment ID: I20070808000258 |
| Provider Name | Richard G Rapier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497738249 PECOS PAC ID: 4880786805 Enrollment ID: I20070822001215 |
| Provider Name | Christy Schnebly |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902000847 PECOS PAC ID: 5991897449 Enrollment ID: I20070828001016 |
| Provider Name | Nina J Karlin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679661490 PECOS PAC ID: 1456444918 Enrollment ID: I20070829000903 |
| Provider Name | Victor J Pizzitola |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194754259 PECOS PAC ID: 5890799803 Enrollment ID: I20070910000766 |
| Provider Name | William V Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467587774 PECOS PAC ID: 3476647918 Enrollment ID: I20070914000448 |
| Provider Name | Susan M Halli Demeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205847407 PECOS PAC ID: 2567363237 Enrollment ID: I20070920000295 |
| Provider Name | Lisa M Baron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164635264 PECOS PAC ID: 3274624028 Enrollment ID: I20070925000006 |
| Provider Name | Kaaren Gotwals |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538187703 PECOS PAC ID: 3577468628 Enrollment ID: I20071025000361 |
| Provider Name | Heidi A Apsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437344793 PECOS PAC ID: 0941397301 Enrollment ID: I20071101000105 |
| Provider Name | Erika M Percic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265624456 PECOS PAC ID: 8224127394 Enrollment ID: I20071128000200 |
| Provider Name | Bashar A Aqel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750325957 PECOS PAC ID: 3779550231 Enrollment ID: I20080129000211 |
| Provider Name | Shern Jacqueline Willie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548337900 PECOS PAC ID: 8527167279 Enrollment ID: I20080215000435 |
| Provider Name | Erin B Overgard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063690576 PECOS PAC ID: 0749363471 Enrollment ID: I20080218000696 |
| Provider Name | P James B Dyck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982683470 PECOS PAC ID: 9032292776 Enrollment ID: I20080219000115 |
| Provider Name | Jerry D Brewer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558347526 PECOS PAC ID: 9133156110 Enrollment ID: I20080311000026 |
| Provider Name | Mark D P Davis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912983396 PECOS PAC ID: 0749366326 Enrollment ID: I20080324000239 |
| Provider Name | Julie L Pohlad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093704512 PECOS PAC ID: 1951487495 Enrollment ID: I20080325000394 |
| Provider Name | Anthony A Smith |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043295561 PECOS PAC ID: 2466551973 Enrollment ID: I20080325000429 |
| Provider Name | Ariana Peters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255468047 PECOS PAC ID: 0941393441 Enrollment ID: I20080327000693 |
| Provider Name | Brantley D Gaitan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184652240 PECOS PAC ID: 8123022050 Enrollment ID: I20080610000076 |
| Provider Name | Christopher E Wolter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790712602 PECOS PAC ID: 1759394604 Enrollment ID: I20080710000297 |
| Provider Name | Christopher A Thunberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023284569 PECOS PAC ID: 9032282611 Enrollment ID: I20080715000348 |
| Provider Name | Prasad M Panse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083651954 PECOS PAC ID: 0648270967 Enrollment ID: I20080716000164 |
| Provider Name | Gregory L Umphrey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366415515 PECOS PAC ID: 9032155734 Enrollment ID: I20080716000487 |
| Provider Name | Rajal N Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467421347 PECOS PAC ID: 2668465709 Enrollment ID: I20080721000336 |
| Provider Name | Alyx B Porter Umphrey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255303236 PECOS PAC ID: 6204803968 Enrollment ID: I20080801000186 |
| Provider Name | Christina M Altman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073787990 PECOS PAC ID: 9537238548 Enrollment ID: I20080804000311 |
| Provider Name | Ashraf O Omar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235301698 PECOS PAC ID: 3274608583 Enrollment ID: I20080821000329 |
| Provider Name | Brian E Portugal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407002249 PECOS PAC ID: 1658447594 Enrollment ID: I20080829000240 |
| Provider Name | Sarah O Holbert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982850210 PECOS PAC ID: 5092881961 Enrollment ID: I20080829000569 |
| Provider Name | Steven A Nelson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245443522 PECOS PAC ID: 2961578745 Enrollment ID: I20080902000117 |
| Provider Name | Ibrahim Qaqish |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740462431 PECOS PAC ID: 7012084023 Enrollment ID: I20080917000198 |
| Provider Name | Carolyn Moats |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427046937 PECOS PAC ID: 7719942630 Enrollment ID: I20080924000092 |
| Provider Name | Ba D Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457335929 PECOS PAC ID: 5496814766 Enrollment ID: I20081103000054 |
| Provider Name | Julie M Mccrackin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962655506 PECOS PAC ID: 0143389643 Enrollment ID: I20081112000278 |
| Provider Name | Lisa A Rotellini Coltvet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134150725 PECOS PAC ID: 1254352594 Enrollment ID: I20081113000284 |
| Provider Name | Susan Miller King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821245440 PECOS PAC ID: 1658435300 Enrollment ID: I20090126000354 |
| Provider Name | James A Madura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679549786 PECOS PAC ID: 0446314413 Enrollment ID: I20090206000016 |
| Provider Name | Megan C Eikenberry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396987442 PECOS PAC ID: 7416004973 Enrollment ID: I20090421000085 |
| Provider Name | Pooja Budhiraja |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457555955 PECOS PAC ID: 5193875516 Enrollment ID: I20090605000314 |
| Provider Name | Tonya R Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902048093 PECOS PAC ID: 8426108473 Enrollment ID: I20090612000094 |
| Provider Name | David C Patchett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972718724 PECOS PAC ID: 2163572132 Enrollment ID: I20090612000285 |
| Provider Name | Karen T Mcnett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265597751 PECOS PAC ID: 1052461886 Enrollment ID: I20090616000635 |
| Provider Name | Edward Reece |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1225232796 PECOS PAC ID: 6608927488 Enrollment ID: I20090708000299 |
| Provider Name | Kristina A Butler |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1326169699 PECOS PAC ID: 0143372771 Enrollment ID: I20090713000609 |
| Provider Name | Chiedozie C Obioha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750311577 PECOS PAC ID: 3779635024 Enrollment ID: I20090716000547 |
| Provider Name | Rashmi B Halker Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508895582 PECOS PAC ID: 4981757770 Enrollment ID: I20090727000300 |
| Provider Name | Nabil Wasif |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922215383 PECOS PAC ID: 5193894673 Enrollment ID: I20090818000074 |
| Provider Name | Shari A Ochoa |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1407973167 PECOS PAC ID: 2769537455 Enrollment ID: I20090901000736 |
| Provider Name | Allyn E Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376732685 PECOS PAC ID: 0042365280 Enrollment ID: I20090911000302 |
| Provider Name | Martina Mookadam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366471591 PECOS PAC ID: 5890840052 Enrollment ID: I20090911000477 |
| Provider Name | Lisa O Sproat |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1689847303 PECOS PAC ID: 9537137864 Enrollment ID: I20090915000684 |
| Provider Name | Carla L Dormer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922213909 PECOS PAC ID: 7810043494 Enrollment ID: I20090923000432 |
| Provider Name | Julie A Khoury |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003845165 PECOS PAC ID: 6608922281 Enrollment ID: I20090923000458 |
| Provider Name | Holly L Geyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659539609 PECOS PAC ID: 7517013139 Enrollment ID: I20090923000755 |
| Provider Name | Matthew T Hoerth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679540025 PECOS PAC ID: 0547306714 Enrollment ID: I20091002000083 |
| Provider Name | Sarah B Umar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417915109 PECOS PAC ID: 1456497544 Enrollment ID: I20091002000304 |
| Provider Name | Beatriz Garcia Stamps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619198405 PECOS PAC ID: 9234277534 Enrollment ID: I20091106000143 |
| Provider Name | Ryan S Robetorye |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497765291 PECOS PAC ID: 4587659792 Enrollment ID: I20091118000057 |
| Provider Name | Salvatore C Lettieri |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1033291042 PECOS PAC ID: 5496894149 Enrollment ID: I20091209000388 |
| Provider Name | William M Stone |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942285598 PECOS PAC ID: 6800819160 Enrollment ID: I20091214000215 |
| Provider Name | Bruce K Kimbel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568444321 PECOS PAC ID: 0547300113 Enrollment ID: I20091214000295 |
| Provider Name | James A Yiannias |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174506265 PECOS PAC ID: 7810037306 Enrollment ID: I20091214000514 |
| Provider Name | John C Lewis |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1619952009 PECOS PAC ID: 8527108018 Enrollment ID: I20091214000523 |
| Provider Name | Raymond L Heilman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518940253 PECOS PAC ID: 6305758236 Enrollment ID: I20091214000621 |
| Provider Name | Steven J Hattrup |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609851179 PECOS PAC ID: 3971643479 Enrollment ID: I20091214000634 |
| Provider Name | Paul E Andrews |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710962345 PECOS PAC ID: 7517007016 Enrollment ID: I20091214000638 |
| Provider Name | John N Caviness |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932182268 PECOS PAC ID: 0042350548 Enrollment ID: I20091214000650 |
| Provider Name | Charles H Adler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023091022 PECOS PAC ID: 6305986803 Enrollment ID: I20091214000657 |
| Provider Name | Todd A Kile |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013992700 PECOS PAC ID: 3577603083 Enrollment ID: I20091214000666 |
| Provider Name | John J Lynch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467434282 PECOS PAC ID: 0244370757 Enrollment ID: I20091214000718 |
| Provider Name | Benn E Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316920671 PECOS PAC ID: 3971640178 Enrollment ID: I20091215000084 |
| Provider Name | James M Parish |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649253717 PECOS PAC ID: 7911047469 Enrollment ID: I20091215000248 |
| Provider Name | Timothy J Ingall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083698195 PECOS PAC ID: 7416097977 Enrollment ID: I20091215000310 |
| Provider Name | Harry G Teaford |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1457335317 PECOS PAC ID: 1951441310 Enrollment ID: I20091215000414 |
| Provider Name | Lori Rae Roust |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326023623 PECOS PAC ID: 3577603935 Enrollment ID: I20091215000425 |
| Provider Name | Christopher P Appleton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891778528 PECOS PAC ID: 6305731167 Enrollment ID: I20091215000444 |
| Provider Name | William W Wong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043293764 PECOS PAC ID: 0547300907 Enrollment ID: I20091215000456 |
| Provider Name | Michael D Whitaker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295717692 PECOS PAC ID: 1759421134 Enrollment ID: I20091215000622 |
| Provider Name | Mark K Lyons |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740265370 PECOS PAC ID: 6901962984 Enrollment ID: I20091215000636 |
| Provider Name | Richard S Zimmerman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780669937 PECOS PAC ID: 4587576418 Enrollment ID: I20091215000670 |
| Provider Name | Charles J Manak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740283878 PECOS PAC ID: 1456392646 Enrollment ID: I20091216000611 |
| Provider Name | Matthew A Butters |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881677532 PECOS PAC ID: 9931249174 Enrollment ID: I20091218000089 |
| Provider Name | Hugo E Vargas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730164260 PECOS PAC ID: 9436290608 Enrollment ID: I20100111000015 |
| Provider Name | Jill A Borovansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780664714 PECOS PAC ID: 0345381513 Enrollment ID: I20100111000018 |
| Provider Name | Steven Lester |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790769966 PECOS PAC ID: 1052452224 Enrollment ID: I20100111000047 |
| Provider Name | Bernadette M Reidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457334856 PECOS PAC ID: 5597806760 Enrollment ID: I20100111000053 |
| Provider Name | Thomas J Byrne |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1124006929 PECOS PAC ID: 5496896664 Enrollment ID: I20100111000067 |
| Provider Name | Luis R Scott |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457334104 PECOS PAC ID: 0446391627 Enrollment ID: I20100111000132 |
| Provider Name | Amy K Hara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679557441 PECOS PAC ID: 0345381521 Enrollment ID: I20100111000143 |
| Provider Name | Barbara A Pockaj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982689402 PECOS PAC ID: 7416098538 Enrollment ID: I20100111000538 |
| Provider Name | Susan Wilansky Markowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851373542 PECOS PAC ID: 2961543087 Enrollment ID: I20100111000546 |
| Provider Name | David L Swanson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134102254 PECOS PAC ID: 9133260250 Enrollment ID: I20100111000553 |
| Provider Name | Frederick S Chivers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225011463 PECOS PAC ID: 9133260219 Enrollment ID: I20100112000219 |
| Provider Name | Terrence L Trentman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205819588 PECOS PAC ID: 0840331922 Enrollment ID: I20100112000241 |
| Provider Name | Jeffry Kriegshauser |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265416861 PECOS PAC ID: 5092856005 Enrollment ID: I20100112000563 |
| Provider Name | Mark K Edwin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1912970534 PECOS PAC ID: 7810039716 Enrollment ID: I20100114000601 |
| Provider Name | Geoffrey P Fletcher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215910203 PECOS PAC ID: 1052453958 Enrollment ID: I20100114000660 |
| Provider Name | Joseph F Drazkowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063494433 PECOS PAC ID: 0345382016 Enrollment ID: I20100118000286 |
| Provider Name | Bhavesh M Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134102908 PECOS PAC ID: 2062554736 Enrollment ID: I20100118000295 |
| Provider Name | Joseph I Sirven |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770565640 PECOS PAC ID: 5698817369 Enrollment ID: I20100118000300 |
| Provider Name | Frederick Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215919089 PECOS PAC ID: 0143362814 Enrollment ID: I20100118000307 |
| Provider Name | Sujay A Vora |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033193123 PECOS PAC ID: 1052453727 Enrollment ID: I20100118000308 |
| Provider Name | Floyd D Fortuin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861475436 PECOS PAC ID: 2961544630 Enrollment ID: I20100118000309 |
| Provider Name | John P Sweeney |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063476372 PECOS PAC ID: 0244372928 Enrollment ID: I20100119000095 |
| Provider Name | Richard L Engle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245213032 PECOS PAC ID: 3870635568 Enrollment ID: I20100119000195 |
| Provider Name | Jeffrey T Mueller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669456273 PECOS PAC ID: 3173665718 Enrollment ID: I20100121000006 |
| Provider Name | Paul A Kozak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558344226 PECOS PAC ID: 4981746526 Enrollment ID: I20100121000008 |
| Provider Name | John H Demenkoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295718419 PECOS PAC ID: 0345382982 Enrollment ID: I20100121000016 |
| Provider Name | Richard J Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619952108 PECOS PAC ID: 3971645524 Enrollment ID: I20100121000030 |
| Provider Name | Roland W Petri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902889678 PECOS PAC ID: 3779625322 Enrollment ID: I20100121000050 |
| Provider Name | David J Gullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730163338 PECOS PAC ID: 1759423304 Enrollment ID: I20100121000074 |
| Provider Name | Ameet C Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396729729 PECOS PAC ID: 6800938341 Enrollment ID: I20100122000173 |
| Provider Name | David M Rosenfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801879572 PECOS PAC ID: 2961544309 Enrollment ID: I20100122000214 |
| Provider Name | Marina E Giurescu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104809789 PECOS PAC ID: 6204978646 Enrollment ID: I20100122000251 |
| Provider Name | David P Seamans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811970809 PECOS PAC ID: 5395887756 Enrollment ID: I20100122000462 |
| Provider Name | Patrick A Devaleria |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538144720 PECOS PAC ID: 2668514027 Enrollment ID: I20100122000469 |
| Provider Name | Bart M Demaerschalk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457335994 PECOS PAC ID: 3173665411 Enrollment ID: I20100125000207 |
| Provider Name | Mary H Whited |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588647846 PECOS PAC ID: 0244372589 Enrollment ID: I20100125000246 |
| Provider Name | Donald W Northfelt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316922008 PECOS PAC ID: 7214964790 Enrollment ID: I20100126000055 |
| Provider Name | Mary E Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861475113 PECOS PAC ID: 1759423072 Enrollment ID: I20100126000179 |
| Provider Name | Ibrahim A Aksoy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588648190 PECOS PAC ID: 2062554280 Enrollment ID: I20100126000254 |
| Provider Name | Lisa A Ziemann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215911243 PECOS PAC ID: 9234271453 Enrollment ID: I20100126000261 |
| Provider Name | John K Camoriano |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396723425 PECOS PAC ID: 0648226092 Enrollment ID: I20100126000299 |
| Provider Name | Kristi L Harold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770567398 PECOS PAC ID: 9234271461 Enrollment ID: I20100126000361 |
| Provider Name | Suryakanth R Gurudu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699757435 PECOS PAC ID: 9032251210 Enrollment ID: I20100126000840 |
| Provider Name | Lois E Krahn |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1568446854 PECOS PAC ID: 3173607983 Enrollment ID: I20100127000047 |
| Provider Name | Daniel L Roberts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326020074 PECOS PAC ID: 6103968391 Enrollment ID: I20100127000065 |
| Provider Name | Daniel J Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053396721 PECOS PAC ID: 1456493477 Enrollment ID: I20100128000519 |
| Provider Name | Kevin J Renfree |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205811999 PECOS PAC ID: 9830231869 Enrollment ID: I20100128000542 |
| Provider Name | Naresh P Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023093218 PECOS PAC ID: 4183766116 Enrollment ID: I20100128000558 |
| Provider Name | Keith J Cannon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205813128 PECOS PAC ID: 3779552138 Enrollment ID: I20100129000328 |
| Provider Name | Paru S David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265416234 PECOS PAC ID: 7315080140 Enrollment ID: I20100202000693 |
| Provider Name | Scott W Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992788574 PECOS PAC ID: 8820131675 Enrollment ID: I20100202000952 |
| Provider Name | James B Mowbray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194708867 PECOS PAC ID: 3870697337 Enrollment ID: I20100202000955 |
| Provider Name | Barbara E Ruddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467435552 PECOS PAC ID: 3375687049 Enrollment ID: I20100218000324 |
| Provider Name | Julia A Files |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083698310 PECOS PAC ID: 5698819399 Enrollment ID: I20100218000678 |
| Provider Name | Mohamed Y Rady |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164405031 PECOS PAC ID: 5597809202 Enrollment ID: I20100218000697 |
| Provider Name | Amindra S Arora |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194705392 PECOS PAC ID: 4880734466 Enrollment ID: I20100219000641 |
| Provider Name | Karl A Poterack |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104809482 PECOS PAC ID: 7214071778 Enrollment ID: I20100222000423 |
| Provider Name | Joseph C Charles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780666438 PECOS PAC ID: 0547304016 Enrollment ID: I20100222000485 |
| Provider Name | Bryan K Ganter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003899360 PECOS PAC ID: 0345384814 Enrollment ID: I20100222000508 |
| Provider Name | Lewis J Wesselius |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922080704 PECOS PAC ID: 3779627245 Enrollment ID: I20100222000530 |
| Provider Name | Maitray D Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336121730 PECOS PAC ID: 7719021294 Enrollment ID: I20100222000593 |
| Provider Name | Susan G Hagstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235112061 PECOS PAC ID: 5799829271 Enrollment ID: I20100222000617 |
| Provider Name | Adyr A Moss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356326813 PECOS PAC ID: 6406990985 Enrollment ID: I20100222000629 |
| Provider Name | Kelly P Conroy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114900495 PECOS PAC ID: 1759425242 Enrollment ID: I20100222000665 |
| Provider Name | David E Steidley |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1356325690 PECOS PAC ID: 5799829289 Enrollment ID: I20100222000714 |
| Provider Name | Sailendra G Naidu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1407832587 PECOS PAC ID: 7416091905 Enrollment ID: I20100222000726 |
| Provider Name | Matthew A Zarka |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568440741 PECOS PAC ID: 9234273731 Enrollment ID: I20100222000736 |
| Provider Name | Marcella T Torres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205815008 PECOS PAC ID: 8123162625 Enrollment ID: I20100222000748 |
| Provider Name | Raymond K Hucke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922081694 PECOS PAC ID: 3577607076 Enrollment ID: I20100222000754 |
| Provider Name | Melissa R Hatley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487637765 PECOS PAC ID: 3173667672 Enrollment ID: I20100222000790 |
| Provider Name | Stephen F Bansberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891770426 PECOS PAC ID: 8123162633 Enrollment ID: I20100222000870 |
| Provider Name | Elizabeth B Windgassen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619951779 PECOS PAC ID: 1850435363 Enrollment ID: I20100222000872 |
| Provider Name | Janis E Blair |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124002829 PECOS PAC ID: 3577607084 Enrollment ID: I20100222000875 |
| Provider Name | Kent D Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487637211 PECOS PAC ID: 8022152537 Enrollment ID: I20100222000882 |
| Provider Name | Marion E Harrison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801873633 PECOS PAC ID: 6103960612 Enrollment ID: I20100222000890 |
| Provider Name | Michael J Cevette |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710960943 PECOS PAC ID: 2365586872 Enrollment ID: I20100222000913 |
| Provider Name | Ann E Mccullough |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265416960 PECOS PAC ID: 3274677604 Enrollment ID: I20100223000193 |
| Provider Name | Robert W Viggiano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598749756 PECOS PAC ID: 8022152453 Enrollment ID: I20100223000251 |
| Provider Name | Jonathan L Carter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851377378 PECOS PAC ID: 3476697814 Enrollment ID: I20100223000341 |
| Provider Name | John B Leslie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952384026 PECOS PAC ID: 1951445352 Enrollment ID: I20100223000882 |
| Provider Name | Renee E Caswell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639152051 PECOS PAC ID: 8224172424 Enrollment ID: I20100225000118 |
| Provider Name | Neil M Hay-roe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992789382 PECOS PAC ID: 9133263346 Enrollment ID: I20100225000234 |
| Provider Name | April Chang Miller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518940782 PECOS PAC ID: 0840334058 Enrollment ID: I20100225000251 |
| Provider Name | Dean M Wingerchuk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194708586 PECOS PAC ID: 2466596671 Enrollment ID: I20100225000280 |
| Provider Name | Steven Ressler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427031194 PECOS PAC ID: 2769526987 Enrollment ID: I20100225000350 |
| Provider Name | John P Fasolino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588648901 PECOS PAC ID: 1850435082 Enrollment ID: I20100225000460 |
| Provider Name | Sophie Bersoux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639152630 PECOS PAC ID: 4486798634 Enrollment ID: I20100225000583 |
| Provider Name | Cuong C Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235116252 PECOS PAC ID: 5698819845 Enrollment ID: I20100225000660 |
| Provider Name | David J Dicaudo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528040383 PECOS PAC ID: 1355485517 Enrollment ID: I20100225000747 |
| Provider Name | William G Eversman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689657405 PECOS PAC ID: 0244374403 Enrollment ID: I20100225000766 |
| Provider Name | Michael L Hinni |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073598736 PECOS PAC ID: 0143364307 Enrollment ID: I20100225000776 |
| Provider Name | Mark J Spangehl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568447191 PECOS PAC ID: 3678617842 Enrollment ID: I20100225000790 |
| Provider Name | Vijayan Balan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144204116 PECOS PAC ID: 0345385548 Enrollment ID: I20100226000212 |
| Provider Name | Harshad G Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689772691 PECOS PAC ID: 9931244795 Enrollment ID: I20100304000099 |
| Provider Name | Joshua D Stearns |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083706931 PECOS PAC ID: 9638178452 Enrollment ID: I20100310000876 |
| Provider Name | Leon L Su |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245483601 PECOS PAC ID: 7214072537 Enrollment ID: I20100310000913 |
| Provider Name | David A Etzioni |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1144373176 PECOS PAC ID: 1557442092 Enrollment ID: I20100310000942 |
| Provider Name | Lawrence A Szarka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619949815 PECOS PAC ID: 8628134269 Enrollment ID: I20100310000959 |
| Provider Name | Pamela A Mergens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548243942 PECOS PAC ID: 7315082682 Enrollment ID: I20100311000257 |
| Provider Name | Michele L Gist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326021569 PECOS PAC ID: 5496881880 Enrollment ID: I20100324000807 |
| Provider Name | Sandra S Flatten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831172501 PECOS PAC ID: 0648306035 Enrollment ID: I20100324000851 |
| Provider Name | Sudeep Jain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902889728 PECOS PAC ID: 1355477001 Enrollment ID: I20100405000081 |
| Provider Name | Muna S Ali |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265415079 PECOS PAC ID: 3577699222 Enrollment ID: I20100405000156 |
| Provider Name | James M Kelley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386614626 PECOS PAC ID: 0648306209 Enrollment ID: I20100407000527 |
| Provider Name | Alvin C Silva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598743148 PECOS PAC ID: 6901933977 Enrollment ID: I20100422000748 |
| Provider Name | Polly W Wolff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831175827 PECOS PAC ID: 5799812673 Enrollment ID: I20100424000057 |
| Provider Name | Suneela Vegunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306949219 PECOS PAC ID: 9830270727 Enrollment ID: I20100429001239 |
| Provider Name | Richard W Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770566325 PECOS PAC ID: 2365570934 Enrollment ID: I20100503000733 |
| Provider Name | Philip J Lyng |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245213917 PECOS PAC ID: 5890823470 Enrollment ID: I20100503000772 |
| Provider Name | Jesse J Muir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639152929 PECOS PAC ID: 7416085097 Enrollment ID: I20100503000787 |
| Provider Name | Charles M Harper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801873922 PECOS PAC ID: 2365584752 Enrollment ID: I20100525000170 |
| Provider Name | Kylene A Kent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801095187 PECOS PAC ID: 4789713751 Enrollment ID: I20100601000393 |
| Provider Name | Shari I Brand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104809136 PECOS PAC ID: 0042340044 Enrollment ID: I20100618000264 |
| Provider Name | Kunam S Reddy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831174796 PECOS PAC ID: 6204966203 Enrollment ID: I20100618000291 |
| Provider Name | Swarna S Chaliki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265415137 PECOS PAC ID: 6002947934 Enrollment ID: I20100621000938 |
| Provider Name | Becky J Puetz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356324768 PECOS PAC ID: 3870624737 Enrollment ID: I20100622000313 |
| Provider Name | Dora M Lam-himlin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114061595 PECOS PAC ID: 2961533138 Enrollment ID: I20100702000104 |
| Provider Name | Michael Joseph Santiago |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649254111 PECOS PAC ID: 3274664461 Enrollment ID: I20100702000302 |
| Provider Name | Lisa M Rimsza |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477623023 PECOS PAC ID: 8921139130 Enrollment ID: I20100703000038 |
| Provider Name | Nicole A Karl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700832680 PECOS PAC ID: 4789670027 Enrollment ID: I20100706000754 |
| Provider Name | Robert G Hooper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396735957 PECOS PAC ID: 9931116605 Enrollment ID: I20100818001121 |
| Provider Name | Quinn M Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386809762 PECOS PAC ID: 3870617004 Enrollment ID: I20100825000469 |
| Provider Name | Fadi Elias Shamoun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225038250 PECOS PAC ID: 1456250067 Enrollment ID: I20100825000860 |
| Provider Name | Sachin Mehta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619181260 PECOS PAC ID: 7810055498 Enrollment ID: I20100901000461 |
| Provider Name | Thomas E Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902888985 PECOS PAC ID: 7810013307 Enrollment ID: I20100921001277 |
| Provider Name | Rachel M Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124282454 PECOS PAC ID: 6709902190 Enrollment ID: I20100922000972 |
| Provider Name | David Simper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578672267 PECOS PAC ID: 0143346072 Enrollment ID: I20100928000891 |
| Provider Name | Pierre Noel |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1992789671 PECOS PAC ID: 8921124850 Enrollment ID: I20100928000949 |
| Provider Name | Tina H Byun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134327034 PECOS PAC ID: 4880710748 Enrollment ID: I20100928001310 |
| Provider Name | Arthur Joseph Sinfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871573576 PECOS PAC ID: 0547386302 Enrollment ID: I20100929000807 |
| Provider Name | Edward John Washington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881667194 PECOS PAC ID: 0941326722 Enrollment ID: I20100929001039 |
| Provider Name | Douglas O Faigel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073528576 PECOS PAC ID: 7517028442 Enrollment ID: I20100929001609 |
| Provider Name | Lesley L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609994227 PECOS PAC ID: 3375735327 Enrollment ID: I20101008000239 |
| Provider Name | Rahul Pannala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124034970 PECOS PAC ID: 9739183526 Enrollment ID: I20101012000973 |
| Provider Name | Robert Orenstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174500565 PECOS PAC ID: 3971680190 Enrollment ID: I20101012001051 |
| Provider Name | Ricky R Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255391082 PECOS PAC ID: 6608068242 Enrollment ID: I20101014000336 |
| Provider Name | Mahesh Seetharam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487781175 PECOS PAC ID: 4385837624 Enrollment ID: I20101019001627 |
| Provider Name | Komandoor Srivathsan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1316920242 PECOS PAC ID: 6709854417 Enrollment ID: I20101020000406 |
| Provider Name | Devyani Lal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689834475 PECOS PAC ID: 2668522954 Enrollment ID: I20101020000810 |
| Provider Name | Francisco C Ramirez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881646008 PECOS PAC ID: 3274726187 Enrollment ID: I20101025000319 |
| Provider Name | Leslie F Thomas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053386169 PECOS PAC ID: 2466474341 Enrollment ID: I20101028001495 |
| Provider Name | Jamal Mourad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366404634 PECOS PAC ID: 7315131612 Enrollment ID: I20101101000538 |
| Provider Name | Mary M Winscott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952324030 PECOS PAC ID: 8224080437 Enrollment ID: I20101102001134 |
| Provider Name | James Komara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720021389 PECOS PAC ID: 9436343241 Enrollment ID: I20101104001354 |
| Provider Name | Charles D Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326025503 PECOS PAC ID: 7214123777 Enrollment ID: I20101123000264 |
| Provider Name | Shari T Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477863298 PECOS PAC ID: 9931395936 Enrollment ID: I20101201001106 |
| Provider Name | Michael P Moskowitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013167501 PECOS PAC ID: 8022179811 Enrollment ID: I20101215000872 |
| Provider Name | Mark J Kransdorf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457342537 PECOS PAC ID: 2961547690 Enrollment ID: I20110103000920 |
| Provider Name | Laura M Koepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760537294 PECOS PAC ID: 9335338961 Enrollment ID: I20110112000492 |
| Provider Name | Kevin C Ruff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326027418 PECOS PAC ID: 7911961305 Enrollment ID: I20110112000739 |
| Provider Name | Win-kuang Shen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629055629 PECOS PAC ID: 4385703008 Enrollment ID: I20110112000759 |
| Provider Name | Scott M Cheney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801021001 PECOS PAC ID: 8022207489 Enrollment ID: I20110115000088 |
| Provider Name | Hasan A Khamash |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043219389 PECOS PAC ID: 4789646910 Enrollment ID: I20110118000649 |
| Provider Name | Jeffrey J Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619968708 PECOS PAC ID: 3779619796 Enrollment ID: I20110118001273 |
| Provider Name | Donald J Hagler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942206016 PECOS PAC ID: 4587617386 Enrollment ID: I20110207000315 |
| Provider Name | Shiloh J Danley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841596376 PECOS PAC ID: 0244413813 Enrollment ID: I20110321000478 |
| Provider Name | Nitin N Katariya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245412238 PECOS PAC ID: 1557492022 Enrollment ID: I20110325000838 |
| Provider Name | Erum Jadoon-khamash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720071749 PECOS PAC ID: 6901859529 Enrollment ID: I20110325000849 |
| Provider Name | Jeffrey Alexander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306822028 PECOS PAC ID: 8426146234 Enrollment ID: I20110325000851 |
| Provider Name | Shiri Etzioni |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255361945 PECOS PAC ID: 4183624877 Enrollment ID: I20110401000794 |
| Provider Name | Johnny Yi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821243635 PECOS PAC ID: 7416135371 Enrollment ID: I20110623000112 |
| Provider Name | David G Lott |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154506913 PECOS PAC ID: 4486787645 Enrollment ID: I20110627000574 |
| Provider Name | Mark N Villanueva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609024850 PECOS PAC ID: 6002091139 Enrollment ID: I20110628000254 |
| Provider Name | Neeta Jain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932122074 PECOS PAC ID: 8022042613 Enrollment ID: I20110628000534 |
| Provider Name | Melissa L Stanton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316239304 PECOS PAC ID: 3375711724 Enrollment ID: I20110729000435 |
| Provider Name | Cheryl L Macy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356504070 PECOS PAC ID: 0042480535 Enrollment ID: I20110818000531 |
| Provider Name | Madhavi Kurli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013065770 PECOS PAC ID: 7618013822 Enrollment ID: I20110930000559 |
| Provider Name | Winston R Hewitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871582593 PECOS PAC ID: 6709946122 Enrollment ID: I20111004000030 |
| Provider Name | Gretchen Sue Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750614194 PECOS PAC ID: 4880866201 Enrollment ID: I20111007000209 |
| Provider Name | Mellissa Ab Holden Leborgne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790947422 PECOS PAC ID: 0446422885 Enrollment ID: I20111007000458 |
| Provider Name | Ashley E Blaine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114210234 PECOS PAC ID: 1951573997 Enrollment ID: I20111017000390 |
| Provider Name | Jessica Monas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366633489 PECOS PAC ID: 6305018243 Enrollment ID: I20111018000855 |
| Provider Name | Jennifer Mccabe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255536108 PECOS PAC ID: 2365537727 Enrollment ID: I20111021000572 |
| Provider Name | Ricardo A Weis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982813945 PECOS PAC ID: 5890969455 Enrollment ID: I20111116000224 |
| Provider Name | Maxwell L Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205973567 PECOS PAC ID: 5496826448 Enrollment ID: I20111201000408 |
| Provider Name | Pritesh Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689876898 PECOS PAC ID: 1759412828 Enrollment ID: I20111206000249 |
| Provider Name | Sanford M Fineman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720067853 PECOS PAC ID: 5294900635 Enrollment ID: I20111213000505 |
| Provider Name | Samir Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235348079 PECOS PAC ID: 5193898807 Enrollment ID: I20120106000779 |
| Provider Name | Molly E Solorzano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881898013 PECOS PAC ID: 8426224783 Enrollment ID: I20120109000356 |
| Provider Name | Susan J Meland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871560854 PECOS PAC ID: 1254479488 Enrollment ID: I20120109000485 |
| Provider Name | Nandita Khera |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1275791808 PECOS PAC ID: 5597933580 Enrollment ID: I20120119000251 |
| Provider Name | Martin D Abel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447235189 PECOS PAC ID: 9931242898 Enrollment ID: I20120125000841 |
| Provider Name | Tammy Larson Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023394491 PECOS PAC ID: 8729245519 Enrollment ID: I20120207000093 |
| Provider Name | Longwen Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881650778 PECOS PAC ID: 7517993918 Enrollment ID: I20120213000799 |
| Provider Name | Catie Y Ramos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265700785 PECOS PAC ID: 6507025582 Enrollment ID: I20120312000091 |
| Provider Name | Richard D Cralley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861762957 PECOS PAC ID: 9931368834 Enrollment ID: I20120313000536 |
| Provider Name | Jodi L Mccollum |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124390349 PECOS PAC ID: 8325207970 Enrollment ID: I20120316000741 |
| Provider Name | Frances Hu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962582981 PECOS PAC ID: 7214921931 Enrollment ID: I20120320000327 |
| Provider Name | William G Rule |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538346606 PECOS PAC ID: 1153581608 Enrollment ID: I20120321000368 |
| Provider Name | Kimberley Dodenhoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962598771 PECOS PAC ID: 7810956950 Enrollment ID: I20120410000408 |
| Provider Name | Jane B Northern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154314169 PECOS PAC ID: 8123125507 Enrollment ID: I20120410000699 |
| Provider Name | Stephanie Hansel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831173178 PECOS PAC ID: 4587743620 Enrollment ID: I20120412000412 |
| Provider Name | Bridget Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558344366 PECOS PAC ID: 1052344140 Enrollment ID: I20120419000019 |
| Provider Name | Michelle R Abrams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588633416 PECOS PAC ID: 6901067990 Enrollment ID: I20120419000029 |
| Provider Name | Lydia S Bucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427321660 PECOS PAC ID: 1254593742 Enrollment ID: I20120430000106 |
| Provider Name | Katalin Kelemen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407978646 PECOS PAC ID: 7911098645 Enrollment ID: I20120508000025 |
| Provider Name | Thomas M Munger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942272380 PECOS PAC ID: 2668449711 Enrollment ID: I20120508000055 |
| Provider Name | Evamaria Anvari |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558524330 PECOS PAC ID: 8224291059 Enrollment ID: I20120515000395 |
| Provider Name | Vernon D Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730166737 PECOS PAC ID: 3971646316 Enrollment ID: I20120601000181 |
| Provider Name | Benjamin S Dangerfield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184858615 PECOS PAC ID: 0042474439 Enrollment ID: I20120614000809 |
| Provider Name | Daniel A Velez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720003478 PECOS PAC ID: 8729082185 Enrollment ID: I20120626000041 |
| Provider Name | Amish M Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780892943 PECOS PAC ID: 2668572066 Enrollment ID: I20120709000006 |
| Provider Name | Parminder Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194961763 PECOS PAC ID: 5395900872 Enrollment ID: I20120709000018 |
| Provider Name | James P Gilligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578871026 PECOS PAC ID: 9133385289 Enrollment ID: I20120718000444 |
| Provider Name | Karen S Anderson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396712089 PECOS PAC ID: 5395815195 Enrollment ID: I20120727000472 |
| Provider Name | Michael E Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316917461 PECOS PAC ID: 6709914781 Enrollment ID: I20120810000124 |
| Provider Name | Matthew A Rank |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1174530414 PECOS PAC ID: 5799789657 Enrollment ID: I20120813000090 |
| Provider Name | Allison C Rosenthal |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1255568135 PECOS PAC ID: 9830346287 Enrollment ID: I20120821000090 |
| Provider Name | Janna L Huskey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346396975 PECOS PAC ID: 8820142144 Enrollment ID: I20121005000342 |
| Provider Name | Keith D Lindor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194704668 PECOS PAC ID: 6305989070 Enrollment ID: I20121016000625 |
| Provider Name | Kenneth K. Sakata |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811122666 PECOS PAC ID: 7315197902 Enrollment ID: I20121016000637 |
| Provider Name | Julie A Thorvaldsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902173099 PECOS PAC ID: 6901056159 Enrollment ID: I20121024000053 |
| Provider Name | Aaron R Mangold |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376832196 PECOS PAC ID: 7214188564 Enrollment ID: I20121113000749 |
| Provider Name | Mark R Pittelkow |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164401675 PECOS PAC ID: 4587706122 Enrollment ID: I20121114000247 |
| Provider Name | Andrew W Gorlin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710962923 PECOS PAC ID: 1052354123 Enrollment ID: I20121115000089 |
| Provider Name | Javier L Munoz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083823637 PECOS PAC ID: 9739340159 Enrollment ID: I20121123000007 |
| Provider Name | Mark D Tyson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346568508 PECOS PAC ID: 2466604319 Enrollment ID: I20121129000068 |
| Provider Name | Eric H Yang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891775318 PECOS PAC ID: 5597656686 Enrollment ID: I20121203000491 |
| Provider Name | Jodi L Heisey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588919872 PECOS PAC ID: 4183876477 Enrollment ID: I20121213000205 |
| Provider Name | Betti Jo C Sobol |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588918528 PECOS PAC ID: 6305098401 Enrollment ID: I20121219000315 |
| Provider Name | Heather N Crotty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558614453 PECOS PAC ID: 9739331745 Enrollment ID: I20121219000558 |
| Provider Name | Charanjit Singh Rihal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508845991 PECOS PAC ID: 3870635121 Enrollment ID: I20121228000278 |
| Provider Name | Margot S Peters |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467788398 PECOS PAC ID: 9436289204 Enrollment ID: I20121228000318 |
| Provider Name | Kurtis A Judson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194705897 PECOS PAC ID: 7911975016 Enrollment ID: I20121229000002 |
| Provider Name | Sameer R Keole |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235194952 PECOS PAC ID: 8628045051 Enrollment ID: I20121231000212 |
| Provider Name | Andrea N Bonk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942544051 PECOS PAC ID: 6901059856 Enrollment ID: I20121231000349 |
| Provider Name | Jamie M Bogle |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730424631 PECOS PAC ID: 1355595224 Enrollment ID: I20130129000650 |
| Provider Name | Eric J Sorenson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710957030 PECOS PAC ID: 7012901044 Enrollment ID: I20130206000382 |
| Provider Name | Thomas E Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801873658 PECOS PAC ID: 2264575133 Enrollment ID: I20130207000444 |
| Provider Name | Kemuel L Philbrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518944883 PECOS PAC ID: 7113062647 Enrollment ID: I20130212000481 |
| Provider Name | Sherry M Tarleton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639329048 PECOS PAC ID: 3072681659 Enrollment ID: I20130212000494 |
| Provider Name | Melanie A Frederixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093051310 PECOS PAC ID: 0749435238 Enrollment ID: I20130307000348 |
| Provider Name | Andras Khoor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043200967 PECOS PAC ID: 8527103134 Enrollment ID: I20130313000358 |
| Provider Name | Heather Leigh Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497079438 PECOS PAC ID: 0840435988 Enrollment ID: I20130320000745 |
| Provider Name | Stephanie Rae Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750621793 PECOS PAC ID: 2264677665 Enrollment ID: I20130405000046 |
| Provider Name | Tasneem Z Naqvi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659308179 PECOS PAC ID: 8224136767 Enrollment ID: I20130419000215 |
| Provider Name | Jessica H Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093052995 PECOS PAC ID: 9335385970 Enrollment ID: I20130426000172 |
| Provider Name | Neena S Abraham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801806930 PECOS PAC ID: 0840437372 Enrollment ID: I20130430000602 |
| Provider Name | Jan H Mork |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275817496 PECOS PAC ID: 0840437224 Enrollment ID: I20130501000535 |
| Provider Name | Stephanie R Pinello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235486465 PECOS PAC ID: 2062659295 Enrollment ID: I20130508000117 |
| Provider Name | Sandeep K Sahnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255776688 PECOS PAC ID: 8527205467 Enrollment ID: I20130513000310 |
| Provider Name | Clinton E Jokerst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780882407 PECOS PAC ID: 1254595101 Enrollment ID: I20130605000495 |
| Provider Name | Shyamal H Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104039882 PECOS PAC ID: 0446324149 Enrollment ID: I20130618000427 |
| Provider Name | Amy Z Crepeau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811180086 PECOS PAC ID: 2961674718 Enrollment ID: I20130716000907 |
| Provider Name | Richard Guthrie |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235105859 PECOS PAC ID: 7214178334 Enrollment ID: I20130731000810 |
| Provider Name | Juliana M Kling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487972634 PECOS PAC ID: 3779729595 Enrollment ID: I20130806000920 |
| Provider Name | Christine O Menias |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962596205 PECOS PAC ID: 0941342125 Enrollment ID: I20130806000927 |
| Provider Name | Marie F Grill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952590937 PECOS PAC ID: 0840485710 Enrollment ID: I20130807000372 |
| Provider Name | Aaron Skolnik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801087929 PECOS PAC ID: 3173765609 Enrollment ID: I20130813000989 |
| Provider Name | Sadeer J Alzubaidi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609048578 PECOS PAC ID: 1052560141 Enrollment ID: I20130819000789 |
| Provider Name | Chad Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154649374 PECOS PAC ID: 1153568381 Enrollment ID: I20130820000516 |
| Provider Name | Megan C Cheney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528295409 PECOS PAC ID: 2163665191 Enrollment ID: I20130823000569 |
| Provider Name | David M Melville |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033316997 PECOS PAC ID: 1456517960 Enrollment ID: I20130826000600 |
| Provider Name | Julie A Billar |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1619183274 PECOS PAC ID: 2264682079 Enrollment ID: I20130829000935 |
| Provider Name | Kostas J Economopoulos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194932079 PECOS PAC ID: 4981852415 Enrollment ID: I20130906000427 |
| Provider Name | Eric R Kawulok |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942535026 PECOS PAC ID: 2668636440 Enrollment ID: I20130910000724 |
| Provider Name | Nicholas O Boe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487705299 PECOS PAC ID: 6305080219 Enrollment ID: I20130916000346 |
| Provider Name | Sujata Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891008439 PECOS PAC ID: 1951548585 Enrollment ID: I20130919000143 |
| Provider Name | Ayan Sen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245561653 PECOS PAC ID: 0648414011 Enrollment ID: I20130925000408 |
| Provider Name | Matthew B Anastasi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1033353354 PECOS PAC ID: 6800030107 Enrollment ID: I20130925000880 |
| Provider Name | Mira T Keddis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184743031 PECOS PAC ID: 8729170022 Enrollment ID: I20131001000023 |
| Provider Name | Amaal J Starling |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801058193 PECOS PAC ID: 3870739634 Enrollment ID: I20131009000293 |
| Provider Name | Karen L Swanson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316911605 PECOS PAC ID: 1759411903 Enrollment ID: I20131010000243 |
| Provider Name | Elena A De Filippis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649451006 PECOS PAC ID: 0840466256 Enrollment ID: I20131015002013 |
| Provider Name | Vijay P Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942274311 PECOS PAC ID: 3870557572 Enrollment ID: I20131104001249 |
| Provider Name | Michelle M Foy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144420407 PECOS PAC ID: 2668608019 Enrollment ID: I20131113001945 |
| Provider Name | Robert J Friedhoff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023094810 PECOS PAC ID: 6800923277 Enrollment ID: I20131121001190 |
| Provider Name | Brenda J Ernst |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134449416 PECOS PAC ID: 5193960177 Enrollment ID: I20131205001560 |
| Provider Name | Brooks S Edwards |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386614543 PECOS PAC ID: 5698878346 Enrollment ID: I20131212000957 |
| Provider Name | Megan H Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366680720 PECOS PAC ID: 2769619758 Enrollment ID: I20131219000570 |
| Provider Name | Jill Adamski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871658013 PECOS PAC ID: 8820280936 Enrollment ID: I20140103001430 |
| Provider Name | Stormy R Aikins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710316492 PECOS PAC ID: 5092943605 Enrollment ID: I20140103001466 |
| Provider Name | Jeanne M Palmer |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1558534495 PECOS PAC ID: 6800853516 Enrollment ID: I20140128000217 |
| Provider Name | Michelle L Alland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538596200 PECOS PAC ID: 5698904084 Enrollment ID: I20140205001124 |
| Provider Name | Nirvikar Dahiya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326217134 PECOS PAC ID: 6406863273 Enrollment ID: I20140213001602 |
| Provider Name | Gregory Currit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215366117 PECOS PAC ID: 9032349295 Enrollment ID: I20140309000006 |
| Provider Name | Selen N Courtney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164858734 PECOS PAC ID: 1658502810 Enrollment ID: I20140401001406 |
| Provider Name | Miriam J Mack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932527850 PECOS PAC ID: 0446473318 Enrollment ID: I20140521001733 |
| Provider Name | Krystal Renszel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710249214 PECOS PAC ID: 6507089323 Enrollment ID: I20140523001965 |
| Provider Name | Kristen R Kendall-smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679998199 PECOS PAC ID: 4183847825 Enrollment ID: I20140527000428 |
| Provider Name | Sharon K Nyquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750712725 PECOS PAC ID: 0749403202 Enrollment ID: I20140602001213 |
| Provider Name | Michele L Gough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093716995 PECOS PAC ID: 1355379231 Enrollment ID: I20140616001151 |
| Provider Name | Dawit T Haile |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821077843 PECOS PAC ID: 8921912692 Enrollment ID: I20140617000349 |
| Provider Name | Andrew L Singer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780611855 PECOS PAC ID: 8325044035 Enrollment ID: I20140617000438 |
| Provider Name | Ricardo E Verdiner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003870221 PECOS PAC ID: 0840292728 Enrollment ID: I20140626000830 |
| Provider Name | Laura L Macphee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740604982 PECOS PAC ID: 1456576800 Enrollment ID: I20140627001275 |
| Provider Name | Leslie T Cooper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801872056 PECOS PAC ID: 5597807487 Enrollment ID: I20140709001396 |
| Provider Name | Cumara B O'carroll |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215161898 PECOS PAC ID: 9436396686 Enrollment ID: I20140711001417 |
| Provider Name | Kathryn B Lew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255755211 PECOS PAC ID: 6103041918 Enrollment ID: I20140711001435 |
| Provider Name | Karen L Stern |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932461647 PECOS PAC ID: 2567687221 Enrollment ID: I20140714000990 |
| Provider Name | Doina Kulick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588687917 PECOS PAC ID: 3375678022 Enrollment ID: I20140715001740 |
| Provider Name | Bryan K Dance |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619397502 PECOS PAC ID: 6709002264 Enrollment ID: I20140719000088 |
| Provider Name | Ming Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508065632 PECOS PAC ID: 1153494166 Enrollment ID: I20140722000676 |
| Provider Name | Danielle M Sparenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558702340 PECOS PAC ID: 3577788991 Enrollment ID: I20140724001999 |
| Provider Name | Brandon T Larsen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649409681 PECOS PAC ID: 9032366448 Enrollment ID: I20140729002954 |
| Provider Name | Susan K Hannifan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750708483 PECOS PAC ID: 8325265697 Enrollment ID: I20140809000156 |
| Provider Name | Theresa N Kinard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841420064 PECOS PAC ID: 5991923492 Enrollment ID: I20140825002561 |
| Provider Name | Christopher S Wie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114257110 PECOS PAC ID: 3072750041 Enrollment ID: I20140827001509 |
| Provider Name | Nandita C Keole |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992812085 PECOS PAC ID: 9133158215 Enrollment ID: I20140912000008 |
| Provider Name | Steven M Lampert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154315745 PECOS PAC ID: 3779568910 Enrollment ID: I20140918002418 |
| Provider Name | Ryan C Craner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851612535 PECOS PAC ID: 2860639838 Enrollment ID: I20141001002086 |
| Provider Name | Amit K Mathur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891814034 PECOS PAC ID: 6709033137 Enrollment ID: I20141007001385 |
| Provider Name | Megan N Wasson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194045740 PECOS PAC ID: 5890935530 Enrollment ID: I20141010000372 |
| Provider Name | Bithika M Thompson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518127190 PECOS PAC ID: 7810118361 Enrollment ID: I20141024002212 |
| Provider Name | Heather E Fields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891085049 PECOS PAC ID: 4981841079 Enrollment ID: I20141104000025 |
| Provider Name | Kristin R Dryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326353517 PECOS PAC ID: 1557540713 Enrollment ID: I20141119001787 |
| Provider Name | Kristen L Zaporowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538569983 PECOS PAC ID: 5294957668 Enrollment ID: I20141119002150 |
| Provider Name | Atul Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316183635 PECOS PAC ID: 5799935110 Enrollment ID: I20141125002529 |
| Provider Name | Deandra Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942607650 PECOS PAC ID: 0941523641 Enrollment ID: I20150105001869 |
| Provider Name | Amit A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518981638 PECOS PAC ID: 9335145242 Enrollment ID: I20150107001380 |
| Provider Name | David A Vielhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831507789 PECOS PAC ID: 2264756691 Enrollment ID: I20150113001702 |
| Provider Name | Lavanya Kodali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225254899 PECOS PAC ID: 3678724309 Enrollment ID: I20150128002037 |
| Provider Name | Marcelo Vela Aquino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437267390 PECOS PAC ID: 5597736207 Enrollment ID: I20150129001960 |
| Provider Name | Stephanie L Kokseng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194983437 PECOS PAC ID: 7618143025 Enrollment ID: I20150204000321 |
| Provider Name | Carol P Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154570158 PECOS PAC ID: 2961567813 Enrollment ID: I20150204002405 |
| Provider Name | Jordana L Rodeheaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992103154 PECOS PAC ID: 1456677962 Enrollment ID: I20150227000957 |
| Provider Name | Amory Godwin Grijaldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487045795 PECOS PAC ID: 0345566402 Enrollment ID: I20150307000237 |
| Provider Name | Brian Hardaway |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720032402 PECOS PAC ID: 4880627173 Enrollment ID: I20150312001169 |
| Provider Name | William A Faubion |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447224605 PECOS PAC ID: 5294879912 Enrollment ID: I20150326000044 |
| Provider Name | Eric E Plasters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609813740 PECOS PAC ID: 2264408202 Enrollment ID: I20150401000014 |
| Provider Name | Leslie J Padrnos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225328545 PECOS PAC ID: 5799921557 Enrollment ID: I20150417001786 |
| Provider Name | Carlos E Vargas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629030861 PECOS PAC ID: 7618901125 Enrollment ID: I20150421001083 |
| Provider Name | Qun Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770696981 PECOS PAC ID: 4688670227 Enrollment ID: I20150427001793 |
| Provider Name | Benjamin Wright |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1750515268 PECOS PAC ID: 7113246067 Enrollment ID: I20150428000658 |
| Provider Name | Kathy T Yee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891941308 PECOS PAC ID: 1052487238 Enrollment ID: I20150513001171 |
| Provider Name | Andrea Fillers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508175506 PECOS PAC ID: 1951621812 Enrollment ID: I20150518001569 |
| Provider Name | Bernard R Bendok |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043285984 PECOS PAC ID: 1951454743 Enrollment ID: I20150616001211 |
| Provider Name | Leslie J Finn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407244783 PECOS PAC ID: 3375854425 Enrollment ID: I20150617000001 |
| Provider Name | Jamal Mcclendon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275799025 PECOS PAC ID: 7517183411 Enrollment ID: I20150630000562 |
| Provider Name | Rodrigo Cartin-ceba |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720176688 PECOS PAC ID: 6901804731 Enrollment ID: I20150701001380 |
| Provider Name | Terence T Sio |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811200736 PECOS PAC ID: 8123298403 Enrollment ID: I20150713001218 |
| Provider Name | Sumi Sukumaran Nair |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063663920 PECOS PAC ID: 5395058705 Enrollment ID: I20150714002207 |
| Provider Name | Rish Pai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700024494 PECOS PAC ID: 9830249473 Enrollment ID: I20150715001963 |
| Provider Name | Lisa Hovet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346631983 PECOS PAC ID: 3072826387 Enrollment ID: I20150715002252 |
| Provider Name | Jennifer Mcgrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801283478 PECOS PAC ID: 2365755220 Enrollment ID: I20150721001693 |
| Provider Name | Alliene Olson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336527704 PECOS PAC ID: 4587977442 Enrollment ID: I20150721001876 |
| Provider Name | Akira Kawashima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356327472 PECOS PAC ID: 3870620305 Enrollment ID: I20150803001430 |
| Provider Name | Natalie Strand |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1538137823 PECOS PAC ID: 2961698790 Enrollment ID: I20150804006273 |
| Provider Name | David B Chandler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477516375 PECOS PAC ID: 4688641699 Enrollment ID: I20150807015665 |
| Provider Name | Eelco Wijdicks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831177765 PECOS PAC ID: 3779619416 Enrollment ID: I20150810002180 |
| Provider Name | Augustine Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417096439 PECOS PAC ID: 5496809139 Enrollment ID: I20150813010906 |
| Provider Name | Chee-chee Stucky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013174762 PECOS PAC ID: 5890931513 Enrollment ID: I20150817002995 |
| Provider Name | Jillian Maloney |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1124339684 PECOS PAC ID: 5698912731 Enrollment ID: I20150819006853 |
| Provider Name | Bhavika K Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720260896 PECOS PAC ID: 0244495737 Enrollment ID: I20150819009077 |
| Provider Name | Andrew Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073587747 PECOS PAC ID: 5193918027 Enrollment ID: I20150820010754 |
| Provider Name | Hemalatha Narayanasamy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538430285 PECOS PAC ID: 5193946879 Enrollment ID: I20150821012715 |
| Provider Name | Senaida Behmen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205218302 PECOS PAC ID: 1052626892 Enrollment ID: I20150821014852 |
| Provider Name | Ryan T Mcdermott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679830046 PECOS PAC ID: 9133435829 Enrollment ID: I20150825005847 |
| Provider Name | Kimberly A Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235522129 PECOS PAC ID: 2062728553 Enrollment ID: I20150828001056 |
| Provider Name | Christine Ragay-cathers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871740266 PECOS PAC ID: 4587980065 Enrollment ID: I20150831001719 |
| Provider Name | Kristopher W Cummings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821181785 PECOS PAC ID: 6103927876 Enrollment ID: I20150831003082 |
| Provider Name | Chandan Krishna |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083863732 PECOS PAC ID: 7719293067 Enrollment ID: I20150901000875 |
| Provider Name | Jonathan T Byrdy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619239399 PECOS PAC ID: 3678889680 Enrollment ID: I20150904000648 |
| Provider Name | Simonette Pagkos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306247192 PECOS PAC ID: 8325269764 Enrollment ID: I20150908003096 |
| Provider Name | Nitin Mishra |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1790940708 PECOS PAC ID: 8820249378 Enrollment ID: I20150910001163 |
| Provider Name | Staci Beamer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1477714608 PECOS PAC ID: 7517274129 Enrollment ID: I20150915001435 |
| Provider Name | Kylee A Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669854147 PECOS PAC ID: 4688981913 Enrollment ID: I20150917002605 |
| Provider Name | Perene Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609188184 PECOS PAC ID: 9133355399 Enrollment ID: I20150918001400 |
| Provider Name | Reza Arsanjani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104029990 PECOS PAC ID: 2668641168 Enrollment ID: I20150921002269 |
| Provider Name | Anjuli Brighton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407110588 PECOS PAC ID: 1658508759 Enrollment ID: I20150923002343 |
| Provider Name | Jillian Rondeau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669874665 PECOS PAC ID: 0941518914 Enrollment ID: I20150924003353 |
| Provider Name | Shelley Noland |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053592139 PECOS PAC ID: 5193950798 Enrollment ID: I20150929000700 |
| Provider Name | Brittany Howard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235458001 PECOS PAC ID: 5991942831 Enrollment ID: I20150929002344 |
| Provider Name | Aqsa Khan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164661765 PECOS PAC ID: 5698083079 Enrollment ID: I20151005001884 |
| Provider Name | Fiona Craig |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922070507 PECOS PAC ID: 4587635297 Enrollment ID: I20151007003413 |
| Provider Name | Molly Beth Boyle Kraus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518253731 PECOS PAC ID: 0547406571 Enrollment ID: I20151009000907 |
| Provider Name | Margaret Ann Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659465433 PECOS PAC ID: 5496641763 Enrollment ID: I20151016001285 |
| Provider Name | Irbaz Bin Riaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033460316 PECOS PAC ID: 1557670734 Enrollment ID: I20151029001520 |
| Provider Name | Christen Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548631658 PECOS PAC ID: 5294045449 Enrollment ID: I20151030001370 |
| Provider Name | Panayiotis S Savvides |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831115385 PECOS PAC ID: 9234176017 Enrollment ID: I20151105001116 |
| Provider Name | Justin Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548631823 PECOS PAC ID: 5799085072 Enrollment ID: I20151119000100 |
| Provider Name | Rahmi Oklu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1639290562 PECOS PAC ID: 8022168970 Enrollment ID: I20151119002310 |
| Provider Name | Ruth Ayala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790155745 PECOS PAC ID: 9335449578 Enrollment ID: I20151119002900 |
| Provider Name | Lucas Gruwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558733618 PECOS PAC ID: 5698075786 Enrollment ID: I20151120002017 |
| Provider Name | Richard H Rho |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1467422667 PECOS PAC ID: 4981764321 Enrollment ID: I20151120002513 |
| Provider Name | Grace Knuttinen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1427259555 PECOS PAC ID: 6103917323 Enrollment ID: I20151124000581 |
| Provider Name | William Freeman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881671949 PECOS PAC ID: 2860594264 Enrollment ID: I20151124001084 |
| Provider Name | Keith Branstiter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255695045 PECOS PAC ID: 1557662798 Enrollment ID: I20151214000964 |
| Provider Name | Sharon P Edwards |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992141899 PECOS PAC ID: 5294036281 Enrollment ID: I20151216001532 |
| Provider Name | Cassandra Moore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114966298 PECOS PAC ID: 3678576428 Enrollment ID: I20151217000185 |
| Provider Name | Arun Jayaraman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578726386 PECOS PAC ID: 8820215429 Enrollment ID: I20151222002961 |
| Provider Name | Elika Hoss |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629488424 PECOS PAC ID: 5193944619 Enrollment ID: I20151228000577 |
| Provider Name | Yul W Yang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922419498 PECOS PAC ID: 5698994408 Enrollment ID: I20151231001546 |
| Provider Name | Andrej Urumov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568478311 PECOS PAC ID: 6305865239 Enrollment ID: I20160120002672 |
| Provider Name | Marcela Salomao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326207275 PECOS PAC ID: 5698943025 Enrollment ID: I20160122002035 |
| Provider Name | Nicole Branstiter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548459878 PECOS PAC ID: 1052548252 Enrollment ID: I20160201001728 |
| Provider Name | Norio Fukami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255425930 PECOS PAC ID: 4183688005 Enrollment ID: I20160204001126 |
| Provider Name | Cynthia Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598743213 PECOS PAC ID: 9032155965 Enrollment ID: I20160215002357 |
| Provider Name | Stephanie Van Gorder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033582036 PECOS PAC ID: 2567767809 Enrollment ID: I20160224000531 |
| Provider Name | Paul More |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699103911 PECOS PAC ID: 4385875723 Enrollment ID: I20160229001844 |
| Provider Name | Ryan Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063817807 PECOS PAC ID: 0042533937 Enrollment ID: I20160309001308 |
| Provider Name | Hicham El Masry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205097110 PECOS PAC ID: 0446438543 Enrollment ID: I20160315002732 |
| Provider Name | Brian Laney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720022262 PECOS PAC ID: 2769569771 Enrollment ID: I20160316000444 |
| Provider Name | Brad Whitesel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174988919 PECOS PAC ID: 6002112026 Enrollment ID: I20160316002096 |
| Provider Name | Lynn St Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558524942 PECOS PAC ID: 4486556834 Enrollment ID: I20160317000700 |
| Provider Name | Kenneth M Kirsner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467678003 PECOS PAC ID: 3678668597 Enrollment ID: I20160331001105 |
| Provider Name | Jun Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710957592 PECOS PAC ID: 6507802436 Enrollment ID: I20160411001249 |
| Provider Name | Gyanendra Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861688954 PECOS PAC ID: 7315187655 Enrollment ID: I20160419002067 |
| Provider Name | Chris Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144611054 PECOS PAC ID: 9032416995 Enrollment ID: I20160420001031 |
| Provider Name | Tanios S Bekaii-saab |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598770331 PECOS PAC ID: 3870588049 Enrollment ID: I20160426001221 |
| Provider Name | Yasemin S Tashman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730408733 PECOS PAC ID: 9931408614 Enrollment ID: I20160502000720 |
| Provider Name | Lisa E Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063867042 PECOS PAC ID: 0648579920 Enrollment ID: I20160509001959 |
| Provider Name | Lisa Marie Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083078349 PECOS PAC ID: 9638468499 Enrollment ID: I20160517002577 |
| Provider Name | Elizabeth L Eden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730404625 PECOS PAC ID: 1254620818 Enrollment ID: I20160520000994 |
| Provider Name | Sneha Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427351600 PECOS PAC ID: 6204089774 Enrollment ID: I20160526001453 |
| Provider Name | Siva K Mulpuru |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770740417 PECOS PAC ID: 4284880352 Enrollment ID: I20160620001616 |
| Provider Name | Brittane T Valles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639515844 PECOS PAC ID: 0446541551 Enrollment ID: I20160621001669 |
| Provider Name | Ashley R Mccloud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245684174 PECOS PAC ID: 7315238342 Enrollment ID: I20160622002664 |
| Provider Name | Tammy J Penhollow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487632535 PECOS PAC ID: 2769636760 Enrollment ID: I20160712002895 |
| Provider Name | Rachel Winston |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457693640 PECOS PAC ID: 4789976416 Enrollment ID: I20160715001695 |
| Provider Name | Lida Mina |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568625077 PECOS PAC ID: 9234260514 Enrollment ID: I20160719001638 |
| Provider Name | Talal Hilal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669813978 PECOS PAC ID: 2466766217 Enrollment ID: I20160803001289 |
| Provider Name | Ashley Lauren Garrett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134563729 PECOS PAC ID: 0446470512 Enrollment ID: I20160804001623 |
| Provider Name | Christopher Arpey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922092071 PECOS PAC ID: 6305975749 Enrollment ID: I20160809002018 |
| Provider Name | Juliana H Vanderpluym |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053791632 PECOS PAC ID: 5496063166 Enrollment ID: I20160815003048 |
| Provider Name | Fawad Aslam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669636114 PECOS PAC ID: 9537300405 Enrollment ID: I20160818002100 |
| Provider Name | Kevin M Drechsel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154379055 PECOS PAC ID: 4385748672 Enrollment ID: I20160822002439 |
| Provider Name | Carlie M Felion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194153593 PECOS PAC ID: 7810127560 Enrollment ID: I20160826000528 |
| Provider Name | Daniel H Ahn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669633897 PECOS PAC ID: 0941466296 Enrollment ID: I20160826001046 |
| Provider Name | Annette J Siebens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821541624 PECOS PAC ID: 1557656733 Enrollment ID: I20160826001613 |
| Provider Name | Jamie L Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912358334 PECOS PAC ID: 4284929464 Enrollment ID: I20160826001632 |
| Provider Name | Justin Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538500590 PECOS PAC ID: 1355636408 Enrollment ID: I20160829000822 |
| Provider Name | Kelley A Rone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316352339 PECOS PAC ID: 6305067679 Enrollment ID: I20160829003289 |
| Provider Name | Lisa Mcgee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770747420 PECOS PAC ID: 6305086299 Enrollment ID: I20160919000792 |
| Provider Name | Leah A. Swanson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700272978 PECOS PAC ID: 0244542868 Enrollment ID: I20160919001815 |
| Provider Name | Mohamad B Sonbol |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578904173 PECOS PAC ID: 9739479833 Enrollment ID: I20160927000292 |
| Provider Name | Brooke E Goodwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609289958 PECOS PAC ID: 7416174230 Enrollment ID: I20160928000426 |
| Provider Name | Krupa Doshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386837789 PECOS PAC ID: 2668551961 Enrollment ID: I20161007000330 |
| Provider Name | Kevin Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366996027 PECOS PAC ID: 4880982263 Enrollment ID: I20161018002225 |
| Provider Name | Jonathan Flug |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861653735 PECOS PAC ID: 8224254008 Enrollment ID: I20161021001850 |
| Provider Name | Karen Sue Drechsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891172615 PECOS PAC ID: 9638490907 Enrollment ID: I20161025002427 |
| Provider Name | Lisa Lemond |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1730354358 PECOS PAC ID: 3577718345 Enrollment ID: I20161025002981 |
| Provider Name | Julie Rosenthal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326282302 PECOS PAC ID: 3678851615 Enrollment ID: I20161026002491 |
| Provider Name | Michael Fox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679534663 PECOS PAC ID: 4183520943 Enrollment ID: I20161031001944 |
| Provider Name | Girish Mour |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912100843 PECOS PAC ID: 9739280108 Enrollment ID: I20161101001225 |
| Provider Name | Robert F Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932462835 PECOS PAC ID: 1850679259 Enrollment ID: I20161104000740 |
| Provider Name | Regis I Fernandes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295796894 PECOS PAC ID: 8921034240 Enrollment ID: I20161116001469 |
| Provider Name | Veerandra B Koyyalamudi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659573806 PECOS PAC ID: 8527134873 Enrollment ID: I20161121002549 |
| Provider Name | Mary Clare Boyle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760932875 PECOS PAC ID: 7618256181 Enrollment ID: I20161128002173 |
| Provider Name | Naser Ammash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750354411 PECOS PAC ID: 3173519253 Enrollment ID: I20161205001216 |
| Provider Name | Ionut Razvan Berzan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063964302 PECOS PAC ID: 2062792286 Enrollment ID: I20161206000465 |
| Provider Name | Kai Singbartl |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235286303 PECOS PAC ID: 8022023704 Enrollment ID: I20161209001585 |
| Provider Name | Daniel P Mcgurren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528419132 PECOS PAC ID: 0941580567 Enrollment ID: I20161216001038 |
| Provider Name | Iryna M Muzyka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649478306 PECOS PAC ID: 8325298227 Enrollment ID: I20161229002050 |
| Provider Name | Hannah Farfour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598200313 PECOS PAC ID: 5698057016 Enrollment ID: I20170119002838 |
| Provider Name | Rolland C Dickson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285623157 PECOS PAC ID: 3779629282 Enrollment ID: I20170126001975 |
| Provider Name | Joseph A Dearani |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407834344 PECOS PAC ID: 8527953165 Enrollment ID: I20170201000541 |
| Provider Name | Charles Rosen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053398347 PECOS PAC ID: 6608911359 Enrollment ID: I20170201002212 |
| Provider Name | Dusica Babovic-vuksanovic |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1588634992 PECOS PAC ID: 3476698465 Enrollment ID: I20170214002666 |
| Provider Name | Victor Davila |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1659712982 PECOS PAC ID: 4284854191 Enrollment ID: I20170223001333 |
| Provider Name | Andrea Cuc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700323144 PECOS PAC ID: 2365726031 Enrollment ID: I20170223001841 |
| Provider Name | Melissa Noyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801244074 PECOS PAC ID: 2769766310 Enrollment ID: I20170228000980 |
| Provider Name | Maciej Mrugala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376533620 PECOS PAC ID: 8325044324 Enrollment ID: I20170316002381 |
| Provider Name | Nicole Secrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962852681 PECOS PAC ID: 6204111008 Enrollment ID: I20170317000822 |
| Provider Name | Alanna Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093259939 PECOS PAC ID: 6901181544 Enrollment ID: I20170323000527 |
| Provider Name | Amelia Karen Adcock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497982623 PECOS PAC ID: 5698915270 Enrollment ID: I20170324001066 |
| Provider Name | Margo A Zelenski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174900096 PECOS PAC ID: 8921383373 Enrollment ID: I20170327001123 |
| Provider Name | Mallory Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376817866 PECOS PAC ID: 2567747942 Enrollment ID: I20170328002472 |
| Provider Name | Francois Marcotte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134650633 PECOS PAC ID: 4789961830 Enrollment ID: I20170427002059 |
| Provider Name | Nancy V Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033195136 PECOS PAC ID: 7618052317 Enrollment ID: I20170503000138 |
| Provider Name | Jamie M Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568906089 PECOS PAC ID: 5890072649 Enrollment ID: I20170503001090 |
| Provider Name | Mikel Prieto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255319513 PECOS PAC ID: 7315082724 Enrollment ID: I20170510002803 |
| Provider Name | Katherine Ford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487940524 PECOS PAC ID: 0547427510 Enrollment ID: I20170518002854 |
| Provider Name | Sadia Zain Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760632806 PECOS PAC ID: 0648402412 Enrollment ID: I20170530000921 |
| Provider Name | Neil Ampel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073530945 PECOS PAC ID: 4587931209 Enrollment ID: I20170601000740 |
| Provider Name | Nicole R Hodgson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699195685 PECOS PAC ID: 6406124999 Enrollment ID: I20170626001989 |
| Provider Name | Carolyn M Larsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164743829 PECOS PAC ID: 0244403988 Enrollment ID: I20170630001629 |
| Provider Name | Douglas Rappaport |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659718567 PECOS PAC ID: 4284920877 Enrollment ID: I20170630002438 |
| Provider Name | Amber Schaefer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528596186 PECOS PAC ID: 8224307996 Enrollment ID: I20170712001153 |
| Provider Name | David Chascsa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508181256 PECOS PAC ID: 8527367622 Enrollment ID: I20170712003035 |
| Provider Name | Margaret Ryan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851564447 PECOS PAC ID: 9234373713 Enrollment ID: I20170712003346 |
| Provider Name | Odette Margit Houghton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205873791 PECOS PAC ID: 0547233652 Enrollment ID: I20170713002755 |
| Provider Name | Mariusz Suchodolski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821523358 PECOS PAC ID: 5799055208 Enrollment ID: I20170717001167 |
| Provider Name | Gwendolyn L Raynor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114260684 PECOS PAC ID: 2062456486 Enrollment ID: I20170718001390 |
| Provider Name | Julie Sigler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932620713 PECOS PAC ID: 7315217585 Enrollment ID: I20170720001196 |
| Provider Name | Brent Allen Chang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497277768 PECOS PAC ID: 3072884766 Enrollment ID: I20170728001773 |
| Provider Name | Caroline Jadlowiec |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194985531 PECOS PAC ID: 4688986961 Enrollment ID: I20170728002859 |
| Provider Name | Jean-claude Rwigema |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396039426 PECOS PAC ID: 1658660071 Enrollment ID: I20170731001625 |
| Provider Name | Ilyas Vahora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801109111 PECOS PAC ID: 5092931170 Enrollment ID: I20170809002369 |
| Provider Name | Mike D Pham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063822526 PECOS PAC ID: 2365714078 Enrollment ID: I20170815003833 |
| Provider Name | Michael Marino |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134428790 PECOS PAC ID: 8426348871 Enrollment ID: I20170823004456 |
| Provider Name | Rhonda Low |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144686684 PECOS PAC ID: 8820360837 Enrollment ID: I20170824002920 |
| Provider Name | John Tokish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134119167 PECOS PAC ID: 4789683780 Enrollment ID: I20170825002250 |
| Provider Name | Niloy Samadder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245432293 PECOS PAC ID: 2668661133 Enrollment ID: I20170829001241 |
| Provider Name | Marie Di Nome |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457362972 PECOS PAC ID: 3274588660 Enrollment ID: I20170830002397 |
| Provider Name | Demetrie Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154868446 PECOS PAC ID: 1052684776 Enrollment ID: I20170831001666 |
| Provider Name | Jack Harbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164758264 PECOS PAC ID: 7618108085 Enrollment ID: I20170914002497 |
| Provider Name | Samuel Choulet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083025969 PECOS PAC ID: 6002180122 Enrollment ID: I20170927003308 |
| Provider Name | Sarah L Lindstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720500069 PECOS PAC ID: 7012281157 Enrollment ID: I20170927004299 |
| Provider Name | Karissa Senterfitt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821516758 PECOS PAC ID: 5496020505 Enrollment ID: I20170928003679 |
| Provider Name | Deanna M Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891210332 PECOS PAC ID: 2860767621 Enrollment ID: I20171004000461 |
| Provider Name | Monica Harbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043545502 PECOS PAC ID: 0244489375 Enrollment ID: I20171011000956 |
| Provider Name | Brittany R Muscha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730590837 PECOS PAC ID: 8325313703 Enrollment ID: I20171011001734 |
| Provider Name | Sharene Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437678638 PECOS PAC ID: 7719252006 Enrollment ID: I20171012002883 |
| Provider Name | Laura Danielle Goedhart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770093148 PECOS PAC ID: 0244506715 Enrollment ID: I20171027001920 |
| Provider Name | Nicole J Cota |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962921908 PECOS PAC ID: 3870869241 Enrollment ID: I20171031000246 |
| Provider Name | Laura Jean Priorello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770875718 PECOS PAC ID: 9032475272 Enrollment ID: I20171103002601 |
| Provider Name | Senthil Anand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053726273 PECOS PAC ID: 7113283276 Enrollment ID: I20171107001302 |
| Provider Name | Sabrina Nicole Wade |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053824490 PECOS PAC ID: 8921364456 Enrollment ID: I20171115003385 |
| Provider Name | Stacie Attig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902315435 PECOS PAC ID: 3577821727 Enrollment ID: I20171218002377 |
| Provider Name | Erwin A Kruger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174707780 PECOS PAC ID: 1355489949 Enrollment ID: I20171218002640 |
| Provider Name | Janice Rorabeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992238166 PECOS PAC ID: 1254699218 Enrollment ID: I20171220001486 |
| Provider Name | Pavel N. Pichurin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568697829 PECOS PAC ID: 0446418719 Enrollment ID: I20180102001851 |
| Provider Name | Edward Vincent Loftus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003895590 PECOS PAC ID: 9739116765 Enrollment ID: I20180108001273 |
| Provider Name | Brendan C Lanpher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598964595 PECOS PAC ID: 6800983230 Enrollment ID: I20180108001552 |
| Provider Name | Krista L Crawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306358742 PECOS PAC ID: 2466711320 Enrollment ID: I20180122003050 |
| Provider Name | Patricia Ann Cronin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205212644 PECOS PAC ID: 5092009134 Enrollment ID: I20180125001982 |
| Provider Name | Daphne T Phillips |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841531241 PECOS PAC ID: 0648530337 Enrollment ID: I20180126001504 |
| Provider Name | Ali Hassoun Turkmani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073893913 PECOS PAC ID: 0446510028 Enrollment ID: I20180130000199 |
| Provider Name | Larry A Binkovitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801834775 PECOS PAC ID: 4284725326 Enrollment ID: I20180219001726 |
| Provider Name | Yvette Banuelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356857247 PECOS PAC ID: 5890056121 Enrollment ID: I20180301002741 |
| Provider Name | Jarrod Cifra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669989877 PECOS PAC ID: 7012278914 Enrollment ID: I20180308002453 |
| Provider Name | Chioma Chisomaga Usoh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629394655 PECOS PAC ID: 0547521445 Enrollment ID: I20180308002561 |
| Provider Name | Lori-ann E Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730523721 PECOS PAC ID: 4486915378 Enrollment ID: I20180312001200 |
| Provider Name | Melissa Younkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487161733 PECOS PAC ID: 9638432883 Enrollment ID: I20180420002233 |
| Provider Name | Edmund Jarom Wingert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437452596 PECOS PAC ID: 9335323633 Enrollment ID: I20180426001832 |
| Provider Name | Lori Heath |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245735927 PECOS PAC ID: 7012271026 Enrollment ID: I20180427000664 |
| Provider Name | Kyle Mccrite |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184121493 PECOS PAC ID: 9537423454 Enrollment ID: I20180501001107 |
| Provider Name | Sanaa Mohammed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972006591 PECOS PAC ID: 8224392154 Enrollment ID: I20180501001325 |
| Provider Name | Mohamad Alaeddine |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689951238 PECOS PAC ID: 2365742590 Enrollment ID: I20180522001843 |
| Provider Name | Kalik Yusuf Skeete |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295236198 PECOS PAC ID: 6608131628 Enrollment ID: I20180522002802 |
| Provider Name | Kristen Vitousek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124517917 PECOS PAC ID: 4789949652 Enrollment ID: I20180523002222 |
| Provider Name | Kyle Henry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194161588 PECOS PAC ID: 9931464591 Enrollment ID: I20180531002017 |
| Provider Name | Devin L Lincenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891282893 PECOS PAC ID: 4789948894 Enrollment ID: I20180601002447 |
| Provider Name | Brenda M Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508379504 PECOS PAC ID: 9931464492 Enrollment ID: I20180604001456 |
| Provider Name | Jeremiah R Long |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962424838 PECOS PAC ID: 6608016712 Enrollment ID: I20180605003424 |
| Provider Name | Jennifer E Gonzalez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457859159 PECOS PAC ID: 6002161759 Enrollment ID: I20180620001696 |
| Provider Name | Ellen Cowen Meltzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245430537 PECOS PAC ID: 8022167378 Enrollment ID: I20180621002789 |
| Provider Name | Musab Sultan Hommos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013146430 PECOS PAC ID: 3577726587 Enrollment ID: I20180628002121 |
| Provider Name | Gretchen Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669883955 PECOS PAC ID: 5890913719 Enrollment ID: I20180705001432 |
| Provider Name | Jennifer Horsley Silva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528352945 PECOS PAC ID: 7113164617 Enrollment ID: I20180705001464 |
| Provider Name | Debbie K Law |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841260577 PECOS PAC ID: 8123121845 Enrollment ID: I20180710000062 |
| Provider Name | Jeremy Alvord |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972913770 PECOS PAC ID: 8426277906 Enrollment ID: I20180717000980 |
| Provider Name | Sara S Shihab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982952495 PECOS PAC ID: 0042529398 Enrollment ID: I20180717002988 |
| Provider Name | Ramin Fathi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215374186 PECOS PAC ID: 4688998909 Enrollment ID: I20180723002785 |
| Provider Name | Kellie Ernzen Kruger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336331313 PECOS PAC ID: 3072666809 Enrollment ID: I20180724003411 |
| Provider Name | Andrew Jason Meltzer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831204510 PECOS PAC ID: 2062669013 Enrollment ID: I20180726002708 |
| Provider Name | Emily Slater |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871083113 PECOS PAC ID: 0840547485 Enrollment ID: I20180727000699 |
| Provider Name | Shaun K Yang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922399781 PECOS PAC ID: 6305061078 Enrollment ID: I20180802002206 |
| Provider Name | Ashley E Wissink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285125153 PECOS PAC ID: 4385992544 Enrollment ID: I20180803000647 |
| Provider Name | Summer Tenille Macey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275906984 PECOS PAC ID: 5496059438 Enrollment ID: I20180808000428 |
| Provider Name | Magdalena Wahls |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497021380 PECOS PAC ID: 9234487901 Enrollment ID: I20180813001947 |
| Provider Name | Jason Herndon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104315860 PECOS PAC ID: 6608125307 Enrollment ID: I20180814000291 |
| Provider Name | Rachel A Lindor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376983064 PECOS PAC ID: 5698991305 Enrollment ID: I20180814000695 |
| Provider Name | Daniel Paul Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285994301 PECOS PAC ID: 4880906254 Enrollment ID: I20180825000250 |
| Provider Name | Kumaresan Sandrasegaran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407895386 PECOS PAC ID: 8820074578 Enrollment ID: I20180829003690 |
| Provider Name | Elizabeth Inscore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346734670 PECOS PAC ID: 1951651421 Enrollment ID: I20180904001326 |
| Provider Name | Khang Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508253220 PECOS PAC ID: 1456668995 Enrollment ID: I20180910000059 |
| Provider Name | Jessica Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720567647 PECOS PAC ID: 2860743788 Enrollment ID: I20180914002810 |
| Provider Name | Arthur Jason De Luigi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497861363 PECOS PAC ID: 9739287988 Enrollment ID: I20181001003246 |
| Provider Name | Maziyar Arya Kalani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235363888 PECOS PAC ID: 4789953894 Enrollment ID: I20181002002691 |
| Provider Name | Wayne J Franklin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649208521 PECOS PAC ID: 4587669197 Enrollment ID: I20181009001371 |
| Provider Name | Christine A Schenk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609835917 PECOS PAC ID: 8022906510 Enrollment ID: I20181022002636 |
| Provider Name | Yeimi Ines Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568965952 PECOS PAC ID: 3870846637 Enrollment ID: I20181024000600 |
| Provider Name | Januario E Castro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871642538 PECOS PAC ID: 5193859668 Enrollment ID: I20181024001293 |
| Provider Name | Krista Anne Goulding |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356761720 PECOS PAC ID: 3779836572 Enrollment ID: I20181024002568 |
| Provider Name | Kevin J Whitford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972581338 PECOS PAC ID: 5395731491 Enrollment ID: I20181029000936 |
| Provider Name | Margie Huna Aram |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821584368 PECOS PAC ID: 8224381827 Enrollment ID: I20181029002612 |
| Provider Name | Natalya Azadeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386934529 PECOS PAC ID: 1355588419 Enrollment ID: I20181030002839 |
| Provider Name | Scott C Calder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851773923 PECOS PAC ID: 3072813583 Enrollment ID: I20181119000360 |
| Provider Name | Jessica S Komara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457766230 PECOS PAC ID: 1759601768 Enrollment ID: I20181207002140 |
| Provider Name | Chieh-ju Chao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164802211 PECOS PAC ID: 1355647603 Enrollment ID: I20181213001313 |
| Provider Name | Brian Lee Attwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609351824 PECOS PAC ID: 8820333040 Enrollment ID: I20181217001726 |
| Provider Name | Talha Aziz Malik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518074376 PECOS PAC ID: 6901841964 Enrollment ID: I20181218000537 |
| Provider Name | Aditi Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497061915 PECOS PAC ID: 3779725205 Enrollment ID: I20181218001829 |
| Provider Name | William Wallstrom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336589944 PECOS PAC ID: 9739424698 Enrollment ID: I20181220001676 |
| Provider Name | Christopher David Hess |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013493055 PECOS PAC ID: 0244576635 Enrollment ID: I20190104002754 |
| Provider Name | Lauren Orszulak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679049316 PECOS PAC ID: 5092051177 Enrollment ID: I20190110000788 |
| Provider Name | Chelsey J Pestello |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912480724 PECOS PAC ID: 4688910664 Enrollment ID: I20190111001963 |
| Provider Name | Jamilah Shubeilat |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548492309 PECOS PAC ID: 8921317421 Enrollment ID: I20190123002415 |
| Provider Name | Stephanie Cotton Zacharias |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154898039 PECOS PAC ID: 2567709413 Enrollment ID: I20190130001542 |
| Provider Name | Karina Abrew Doolittle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255844551 PECOS PAC ID: 7012276223 Enrollment ID: I20190206002631 |
| Provider Name | Meredith R Wicklund |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356502850 PECOS PAC ID: 8022155217 Enrollment ID: I20190215001849 |
| Provider Name | James Patrick Klaas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861622375 PECOS PAC ID: 0143414698 Enrollment ID: I20190227001901 |
| Provider Name | Sasha C. Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538109475 PECOS PAC ID: 6608961669 Enrollment ID: I20190304002778 |
| Provider Name | Gerald W Volcheck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326028812 PECOS PAC ID: 9234268962 Enrollment ID: I20190305000684 |
| Provider Name | David Gregory Pearson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043574130 PECOS PAC ID: 6204073315 Enrollment ID: I20190305001383 |
| Provider Name | Ashley P Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932680147 PECOS PAC ID: 1557600889 Enrollment ID: I20190305001540 |
| Provider Name | Alessandra Ceolin Schmitt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912117524 PECOS PAC ID: 2567521198 Enrollment ID: I20190305002193 |
| Provider Name | Joshua Scott Bingham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225394430 PECOS PAC ID: 5193024628 Enrollment ID: I20190305002947 |
| Provider Name | Sarah Elizabeth Gibson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497920623 PECOS PAC ID: 3678623063 Enrollment ID: I20190306000180 |
| Provider Name | John Arthur Roesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659842458 PECOS PAC ID: 0941549950 Enrollment ID: I20190307003275 |
| Provider Name | Kee Hang Kevin Luk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578797163 PECOS PAC ID: 0941424311 Enrollment ID: I20190313002956 |
| Provider Name | Aaron J Wyse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891952099 PECOS PAC ID: 6800927690 Enrollment ID: I20190321001568 |
| Provider Name | Robert E Sedlack |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801875935 PECOS PAC ID: 3476698630 Enrollment ID: I20190321001866 |
| Provider Name | Nicholas Aguanno |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568949675 PECOS PAC ID: 5799029633 Enrollment ID: I20190326002114 |
| Provider Name | Sofia Abrate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174097638 PECOS PAC ID: 2062753023 Enrollment ID: I20190401002555 |
| Provider Name | Deborah L Renaud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932186103 PECOS PAC ID: 6103968953 Enrollment ID: I20190403002397 |
| Provider Name | Phyllis Khao |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710422613 PECOS PAC ID: 0345581039 Enrollment ID: I20190405001695 |
| Provider Name | Zackary Kleven |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295290989 PECOS PAC ID: 2062753635 Enrollment ID: I20190408002810 |
| Provider Name | Benjamin Buchl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396200341 PECOS PAC ID: 2668713124 Enrollment ID: I20190410000582 |
| Provider Name | Jessica Danielle Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366906950 PECOS PAC ID: 6507107927 Enrollment ID: I20190412001286 |
| Provider Name | Indravadan J Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568615623 PECOS PAC ID: 5193959658 Enrollment ID: I20190416001688 |
| Provider Name | Tiffany Coco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487027769 PECOS PAC ID: 6103128764 Enrollment ID: I20190422001877 |
| Provider Name | Jeff L Fidler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780661702 PECOS PAC ID: 1355476391 Enrollment ID: I20190425001389 |
| Provider Name | Gabriela Ana Alatorre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336605997 PECOS PAC ID: 2567704224 Enrollment ID: I20190429001417 |
| Provider Name | Nathan L Delafield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497101398 PECOS PAC ID: 6608160254 Enrollment ID: I20190508000189 |
| Provider Name | Robert K Horsley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043665128 PECOS PAC ID: 5799070538 Enrollment ID: I20190508000721 |
| Provider Name | Dixie Jean Woolston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578889929 PECOS PAC ID: 4385889955 Enrollment ID: I20190603003198 |
| Provider Name | Christine Regina Fukumoto Rukasin |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043570864 PECOS PAC ID: 2365736402 Enrollment ID: I20190605002758 |
| Provider Name | Paul E Pugsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124472931 PECOS PAC ID: 7911230826 Enrollment ID: I20190607002410 |
| Provider Name | Patricia Vold Pepper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003886508 PECOS PAC ID: 4385818616 Enrollment ID: I20190610000158 |
| Provider Name | Alissa Genthon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104142595 PECOS PAC ID: 7911150099 Enrollment ID: I20190610002795 |
| Provider Name | Jordan Merz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710373725 PECOS PAC ID: 7416280979 Enrollment ID: I20190614002574 |
| Provider Name | Emily Marie Dyal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982178570 PECOS PAC ID: 2769716174 Enrollment ID: I20190618003309 |
| Provider Name | Nway Le Ko Ko |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649646126 PECOS PAC ID: 9032443106 Enrollment ID: I20190624001028 |
| Provider Name | Shannon P Fortin Ensign |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952789703 PECOS PAC ID: 4082948989 Enrollment ID: I20190626003424 |
| Provider Name | Jeffrey Rogge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164730263 PECOS PAC ID: 4880888940 Enrollment ID: I20190702002632 |
| Provider Name | John I Lane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730159955 PECOS PAC ID: 4486629151 Enrollment ID: I20190702002852 |
| Provider Name | Soojie Yu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841638244 PECOS PAC ID: 7719242155 Enrollment ID: I20190702003419 |
| Provider Name | Cristina Valencia Sanchez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215314760 PECOS PAC ID: 1254644255 Enrollment ID: I20190705000137 |
| Provider Name | Nicholas G Matthees |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891105482 PECOS PAC ID: 5193028397 Enrollment ID: I20190706000191 |
| Provider Name | Daniel James Zawada |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679099337 PECOS PAC ID: 1759616238 Enrollment ID: I20190708000444 |
| Provider Name | Michael Pham |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023453479 PECOS PAC ID: 1557685021 Enrollment ID: I20190708000737 |
| Provider Name | Sean Patrick Ensign |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710422928 PECOS PAC ID: 9638438955 Enrollment ID: I20190709000367 |
| Provider Name | Jennifer Tambio Andres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447814520 PECOS PAC ID: 7416282710 Enrollment ID: I20190709001832 |
| Provider Name | Bradford Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457767691 PECOS PAC ID: 0143446005 Enrollment ID: I20190711001274 |
| Provider Name | Allon Kahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942644893 PECOS PAC ID: 9830319714 Enrollment ID: I20190717001381 |
| Provider Name | Donna Elizabeth Eyler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568829844 PECOS PAC ID: 4688971880 Enrollment ID: I20190722000936 |
| Provider Name | Tracy C Flood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700446572 PECOS PAC ID: 0749516698 Enrollment ID: I20190730002457 |
| Provider Name | Tanya Jaitley Rath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023137023 PECOS PAC ID: 8022106558 Enrollment ID: I20190812001045 |
| Provider Name | Lisa Anne Krumm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174776199 PECOS PAC ID: 5799833851 Enrollment ID: I20190812003753 |
| Provider Name | Melody Ann Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386721397 PECOS PAC ID: 5395633002 Enrollment ID: I20190813000573 |
| Provider Name | Heather Danke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932596939 PECOS PAC ID: 6305166331 Enrollment ID: I20190813000612 |
| Provider Name | Anna Danielle Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124507785 PECOS PAC ID: 6800123894 Enrollment ID: I20190814001460 |
| Provider Name | Umesh M Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285645168 PECOS PAC ID: 8921002247 Enrollment ID: I20190823003386 |
| Provider Name | Erica Elsa Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871848754 PECOS PAC ID: 4183876626 Enrollment ID: I20190826000905 |
| Provider Name | Sotiris George Mitropanopoulos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164780748 PECOS PAC ID: 1557654951 Enrollment ID: I20190827001184 |
| Provider Name | Khalid Benkhadra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235593674 PECOS PAC ID: 0648563007 Enrollment ID: I20190829000460 |
| Provider Name | Alyssa Nocella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942854435 PECOS PAC ID: 2668700667 Enrollment ID: I20190829001697 |
| Provider Name | Karan A Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932442530 PECOS PAC ID: 5193067387 Enrollment ID: I20190830001733 |
| Provider Name | Lina Daus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558929174 PECOS PAC ID: 2365771060 Enrollment ID: I20190905001465 |
| Provider Name | Wayne A Martini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952783144 PECOS PAC ID: 0143519199 Enrollment ID: I20190913000381 |
| Provider Name | Christopher Gene Taylor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922667070 PECOS PAC ID: 8628307642 Enrollment ID: I20190916003596 |
| Provider Name | Suman S Misra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023470879 PECOS PAC ID: 6709116775 Enrollment ID: I20190918002350 |
| Provider Name | Yasmeen Mahmood Butt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134567829 PECOS PAC ID: 8325315088 Enrollment ID: I20190918003669 |
| Provider Name | Sara Parke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679983332 PECOS PAC ID: 5698996940 Enrollment ID: I20190920002717 |
| Provider Name | Dennis A Wigle |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922117969 PECOS PAC ID: 5597760975 Enrollment ID: I20190923002392 |
| Provider Name | Collin Michael Costello |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205330727 PECOS PAC ID: 1254689557 Enrollment ID: I20190923003193 |
| Provider Name | David S Majdalany |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255534079 PECOS PAC ID: 7810097961 Enrollment ID: I20190924001028 |
| Provider Name | Kathleen Olson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679078091 PECOS PAC ID: 8426306747 Enrollment ID: I20190925000493 |
| Provider Name | Samine Ravanbakhsh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902166564 PECOS PAC ID: 3476878786 Enrollment ID: I20190925003507 |
| Provider Name | Adaeze Helen Ezenne Nwoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871155200 PECOS PAC ID: 5799015202 Enrollment ID: I20190926001390 |
| Provider Name | Natsu Matsuya |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1205218856 PECOS PAC ID: 6204170905 Enrollment ID: I20190928000109 |
| Provider Name | Jessica L Fraker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518315209 PECOS PAC ID: 1658645023 Enrollment ID: I20191002002317 |
| Provider Name | Sachin Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831572221 PECOS PAC ID: 2769779834 Enrollment ID: I20191003000876 |
| Provider Name | Haidar Abdul-muhsin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356755250 PECOS PAC ID: 8022338995 Enrollment ID: I20191016002886 |
| Provider Name | Megan Marie Hinrichsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801225446 PECOS PAC ID: 7214164086 Enrollment ID: I20191021003591 |
| Provider Name | Mareen Itty |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821445404 PECOS PAC ID: 5193015923 Enrollment ID: I20191022003092 |
| Provider Name | Jonathan D'cunha |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891848818 PECOS PAC ID: 9335222181 Enrollment ID: I20191022003883 |
| Provider Name | Syed N Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346334737 PECOS PAC ID: 0345382131 Enrollment ID: I20191025000219 |
| Provider Name | Paige S Reasor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881256980 PECOS PAC ID: 1759613532 Enrollment ID: I20191028002739 |
| Provider Name | Diana Lynn Willis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952955742 PECOS PAC ID: 0840522520 Enrollment ID: I20191030000137 |
| Provider Name | Matthew John Hammer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285920918 PECOS PAC ID: 0749574887 Enrollment ID: I20191031002665 |
| Provider Name | Christina Romeo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376108845 PECOS PAC ID: 2163754789 Enrollment ID: I20191031002700 |
| Provider Name | Caleb D Diercks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861033235 PECOS PAC ID: 1658704028 Enrollment ID: I20191126001668 |
| Provider Name | Aaron A Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760045603 PECOS PAC ID: 7113350455 Enrollment ID: I20191127001487 |
| Provider Name | Arturo Martin Valverde |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396750030 PECOS PAC ID: 1153490875 Enrollment ID: I20191203002434 |
| Provider Name | Sheila Varahramyan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235770892 PECOS PAC ID: 7618300708 Enrollment ID: I20191203002548 |
| Provider Name | Regina M Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366092082 PECOS PAC ID: 6800229931 Enrollment ID: I20191204001137 |
| Provider Name | Cory James Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366083818 PECOS PAC ID: 6507299559 Enrollment ID: I20191204002162 |
| Provider Name | Mina M Al-badri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629432190 PECOS PAC ID: 1456784313 Enrollment ID: I20191206000404 |
| Provider Name | Jennifer Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609318351 PECOS PAC ID: 6305122466 Enrollment ID: I20191209003011 |
| Provider Name | Deonna Carlson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174172472 PECOS PAC ID: 1153754775 Enrollment ID: I20191211002673 |
| Provider Name | Timothy Barry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508224742 PECOS PAC ID: 7113217621 Enrollment ID: I20191212002802 |
| Provider Name | Mackenzie Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912548496 PECOS PAC ID: 7113350620 Enrollment ID: I20191213000409 |
| Provider Name | Makenzie M Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558906040 PECOS PAC ID: 2668805185 Enrollment ID: I20191213000943 |
| Provider Name | Shaun D Daidone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710244975 PECOS PAC ID: 3779873823 Enrollment ID: I20191214000492 |
| Provider Name | Martin Louis Mai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679562268 PECOS PAC ID: 8628105954 Enrollment ID: I20191223001131 |
| Provider Name | Lawrence Albert Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639373418 PECOS PAC ID: 5395989800 Enrollment ID: I20191227000411 |
| Provider Name | Sara A Charney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225673254 PECOS PAC ID: 3173957131 Enrollment ID: I20191227000920 |
| Provider Name | Francis X Downey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1952362006 PECOS PAC ID: 5890783138 Enrollment ID: I20200102002537 |
| Provider Name | Alexandra Feld |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821522517 PECOS PAC ID: 8527344761 Enrollment ID: I20200108001177 |
| Provider Name | Motoyo Yano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881840536 PECOS PAC ID: 2860656717 Enrollment ID: I20200110000843 |
| Provider Name | Alison M Larson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245395581 PECOS PAC ID: 0547261323 Enrollment ID: I20200114002547 |
| Provider Name | Heather Coulter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417502865 PECOS PAC ID: 2264867597 Enrollment ID: I20200115001081 |
| Provider Name | Kian Ahmadieh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932697190 PECOS PAC ID: 8123374956 Enrollment ID: I20200128002011 |
| Provider Name | Nathaniel Andrew Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942792577 PECOS PAC ID: 8426484916 Enrollment ID: I20200131000514 |
| Provider Name | Glenn Alexander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982680989 PECOS PAC ID: 1355483629 Enrollment ID: I20200204002370 |
| Provider Name | Haitham S Abu Lebdeh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942286802 PECOS PAC ID: 4385788397 Enrollment ID: I20200213002132 |
| Provider Name | Nelly Tan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871756254 PECOS PAC ID: 7911122932 Enrollment ID: I20200213002742 |
| Provider Name | Alyssa Ellen Janousek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821437252 PECOS PAC ID: 0446532345 Enrollment ID: I20200214001185 |
| Provider Name | Derek Gearman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629485214 PECOS PAC ID: 7719104850 Enrollment ID: I20200214001301 |
| Provider Name | Nicholas A. Daniels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184670226 PECOS PAC ID: 4082603493 Enrollment ID: I20200214001496 |
| Provider Name | Tiffany Marie Staab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194356287 PECOS PAC ID: 9032546916 Enrollment ID: I20200305002742 |
| Provider Name | Mallory Ailina Parris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477185148 PECOS PAC ID: 9739516618 Enrollment ID: I20200305002862 |
| Provider Name | Callie M Davies |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1285011395 PECOS PAC ID: 5698085108 Enrollment ID: I20200316001263 |
| Provider Name | Lisa Schimmenti |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1568544070 PECOS PAC ID: 6800910092 Enrollment ID: I20200401000340 |
| Provider Name | John M Stulak |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154392587 PECOS PAC ID: 1052341559 Enrollment ID: I20200407000559 |
| Provider Name | Mandy Lee Hilgeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730429028 PECOS PAC ID: 7214179407 Enrollment ID: I20200408001898 |
| Provider Name | Todd Kor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437140001 PECOS PAC ID: 8921998667 Enrollment ID: I20200408003600 |
| Provider Name | James Bradley Craigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003442435 PECOS PAC ID: 0941639199 Enrollment ID: I20200409000748 |
| Provider Name | Amanda Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114557212 PECOS PAC ID: 7517397599 Enrollment ID: I20200414002900 |
| Provider Name | Sudhakar Venkatesh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679869390 PECOS PAC ID: 0446411771 Enrollment ID: I20200416000736 |
| Provider Name | Patress Ann Persons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427360486 PECOS PAC ID: 3274771027 Enrollment ID: I20200420001296 |
| Provider Name | Christopher Morando |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699137059 PECOS PAC ID: 5799115002 Enrollment ID: I20200428000368 |
| Provider Name | Richard Earnest Sharpe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225299092 PECOS PAC ID: 3375763469 Enrollment ID: I20200430002544 |
| Provider Name | Sarah F Sepehri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780008847 PECOS PAC ID: 3375767270 Enrollment ID: I20200501001336 |
| Provider Name | Kristen Ann Sell-dottin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245521640 PECOS PAC ID: 2961626023 Enrollment ID: I20200506002216 |
| Provider Name | Kliment Donev |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346450715 PECOS PAC ID: 8022119395 Enrollment ID: I20200512002208 |
| Provider Name | Justin N Shipman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699121541 PECOS PAC ID: 0042504557 Enrollment ID: I20200515001231 |
| Provider Name | Nellie Nafissi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821523937 PECOS PAC ID: 8527337393 Enrollment ID: I20200518001501 |
| Provider Name | Oana M Dumitrascu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952689010 PECOS PAC ID: 7012209794 Enrollment ID: I20200519001617 |
| Provider Name | Megan Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841726759 PECOS PAC ID: 2062781792 Enrollment ID: I20200529000631 |
| Provider Name | Amy Oxentenko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407820897 PECOS PAC ID: 0345141404 Enrollment ID: I20200601002149 |
| Provider Name | Megan L Mcelhinny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154856128 PECOS PAC ID: 0244651016 Enrollment ID: I20200603000393 |
| Provider Name | David Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619449857 PECOS PAC ID: 1658792361 Enrollment ID: I20200605000132 |
| Provider Name | Yuxiang Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710408547 PECOS PAC ID: 6305118993 Enrollment ID: I20200609001472 |
| Provider Name | Yousef Maita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932631652 PECOS PAC ID: 8628490893 Enrollment ID: I20200616001428 |
| Provider Name | Cecilia Arana Yi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174752828 PECOS PAC ID: 6901049329 Enrollment ID: I20200619001072 |
| Provider Name | Karissa Arca |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235526955 PECOS PAC ID: 4082921986 Enrollment ID: I20200622001359 |
| Provider Name | Michelle Cox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619407632 PECOS PAC ID: 8325312473 Enrollment ID: I20200622002049 |
| Provider Name | Christopher Armondo Hurtado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447874995 PECOS PAC ID: 4385066968 Enrollment ID: I20200629000923 |
| Provider Name | Olubadewa Fatunde |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1174942643 PECOS PAC ID: 0547539587 Enrollment ID: I20200629001570 |
| Provider Name | Matthew Louie Sahhar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205452703 PECOS PAC ID: 3173946670 Enrollment ID: I20200630002380 |
| Provider Name | Chad Ruoff |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1801031612 PECOS PAC ID: 9638349731 Enrollment ID: I20200713003047 |
| Provider Name | Julia Wiedmeier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457883035 PECOS PAC ID: 2668741703 Enrollment ID: I20200714001480 |
| Provider Name | Rebecca A Rist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497284590 PECOS PAC ID: 1052681582 Enrollment ID: I20200714001616 |
| Provider Name | Ina Soh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730526880 PECOS PAC ID: 8123376340 Enrollment ID: I20200716002274 |
| Provider Name | Min Yoo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164817557 PECOS PAC ID: 9436453750 Enrollment ID: I20200719000002 |
| Provider Name | Cyril Varghese |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194161802 PECOS PAC ID: 7012157936 Enrollment ID: I20200721003134 |
| Provider Name | Nicholas Larry Deep |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528403888 PECOS PAC ID: 8527291806 Enrollment ID: I20200722002450 |
| Provider Name | Layne Bettini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093163776 PECOS PAC ID: 3173894177 Enrollment ID: I20200728002204 |
| Provider Name | Laila Hakam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083020374 PECOS PAC ID: 1355615287 Enrollment ID: I20200807000334 |
| Provider Name | Tessa M Bennion |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467079277 PECOS PAC ID: 5698190569 Enrollment ID: I20200810001545 |
| Provider Name | Courtney M Hrdlicka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346627692 PECOS PAC ID: 4880901347 Enrollment ID: I20200813000667 |
| Provider Name | Tal E Sandler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265847776 PECOS PAC ID: 2062631088 Enrollment ID: I20200819003319 |
| Provider Name | Jon Tilburt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184655839 PECOS PAC ID: 0446143341 Enrollment ID: I20200820000399 |
| Provider Name | Angie Hoang-kim Nu Ton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346773264 PECOS PAC ID: 1658642764 Enrollment ID: I20200825000481 |
| Provider Name | Deepa Mandale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932620507 PECOS PAC ID: 0446677264 Enrollment ID: I20200825002472 |
| Provider Name | Bess C Stillman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548553993 PECOS PAC ID: 6800114125 Enrollment ID: I20200826001294 |
| Provider Name | Monica Janeczek |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407316318 PECOS PAC ID: 8022345602 Enrollment ID: I20200831001806 |
| Provider Name | Jobina Ruiz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467804856 PECOS PAC ID: 0446539175 Enrollment ID: I20200901000138 |
| Provider Name | Ashley M Methipara |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790283059 PECOS PAC ID: 8628495934 Enrollment ID: I20200901003287 |
| Provider Name | Nicholas L Zalewski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669818399 PECOS PAC ID: 5597906115 Enrollment ID: I20200909002439 |
| Provider Name | Malory Eichman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619593142 PECOS PAC ID: 0547688145 Enrollment ID: I20200914002796 |
| Provider Name | Amy Kennedy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205360807 PECOS PAC ID: 8325317431 Enrollment ID: I20200921001969 |
| Provider Name | Vinicius Ernani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437460532 PECOS PAC ID: 3072805209 Enrollment ID: I20200921002661 |
| Provider Name | Stacy Lynn Holyfield |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912454208 PECOS PAC ID: 7416376124 Enrollment ID: I20200930000828 |
| Provider Name | Jazmin Turney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013403567 PECOS PAC ID: 7315298346 Enrollment ID: I20201008000940 |
| Provider Name | Michelle F Sharpe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720293814 PECOS PAC ID: 9830277466 Enrollment ID: I20201016000549 |
| Provider Name | Andrew Flom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154885424 PECOS PAC ID: 9436579190 Enrollment ID: I20201019000926 |
| Provider Name | Jessica Marie Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932717949 PECOS PAC ID: 3870913569 Enrollment ID: I20201019002408 |
| Provider Name | Aman Verma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386031623 PECOS PAC ID: 5890091573 Enrollment ID: I20201019002727 |
| Provider Name | Matthew Brunelle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285100834 PECOS PAC ID: 7618211756 Enrollment ID: I20201021000526 |
| Provider Name | Daniel Marston Herman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437757283 PECOS PAC ID: 4688094295 Enrollment ID: I20201021000723 |
| Provider Name | Hilary Rourke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649882994 PECOS PAC ID: 7618397225 Enrollment ID: I20201021000959 |
| Provider Name | Kenneth C Jasmund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417563545 PECOS PAC ID: 9032539523 Enrollment ID: I20201022001091 |
| Provider Name | April Goss |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417563495 PECOS PAC ID: 3173933744 Enrollment ID: I20201110002717 |
| Provider Name | Laura Ann Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316556418 PECOS PAC ID: 6406266923 Enrollment ID: I20201111001927 |
| Provider Name | Justin Michael Chitel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114525755 PECOS PAC ID: 7810308228 Enrollment ID: I20201116000956 |
| Provider Name | Lisa Jennifer Speiser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912349424 PECOS PAC ID: 1850678764 Enrollment ID: I20201116002973 |
| Provider Name | Laura Mcrae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972075497 PECOS PAC ID: 6800206798 Enrollment ID: I20201118000721 |
| Provider Name | Janhavi Athale |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598031429 PECOS PAC ID: 4385893122 Enrollment ID: I20201125002310 |
| Provider Name | Helen Jia Liang Cumsky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437612470 PECOS PAC ID: 5092041384 Enrollment ID: I20201208000016 |
| Provider Name | Jonathan Ba Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558961995 PECOS PAC ID: 0547672347 Enrollment ID: I20201221001365 |
| Provider Name | Lorraine Rose Fye |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518553981 PECOS PAC ID: 7618380155 Enrollment ID: I20201230002060 |
| Provider Name | Madison Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194339200 PECOS PAC ID: 4587077359 Enrollment ID: I20210115001692 |
| Provider Name | Ifeoma Nwambuonwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770187056 PECOS PAC ID: 8123432713 Enrollment ID: I20210121002227 |
| Provider Name | Jamie Ellis - Wittenhagen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1740601525 PECOS PAC ID: 1759686546 Enrollment ID: I20210121002686 |
| Provider Name | Ami Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447441126 PECOS PAC ID: 8628247111 Enrollment ID: I20210122001922 |
| Provider Name | Catalina Ioana Dumitrascu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073977195 PECOS PAC ID: 2365734357 Enrollment ID: I20210126001301 |
| Provider Name | Jeffrey Stagg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114485190 PECOS PAC ID: 7315276805 Enrollment ID: I20210128000947 |
| Provider Name | Bhavik Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588828941 PECOS PAC ID: 7012172240 Enrollment ID: I20210203000986 |
| Provider Name | Lauren Walsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477142214 PECOS PAC ID: 4688089030 Enrollment ID: I20210216002650 |
| Provider Name | Umesh Goswami |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114188406 PECOS PAC ID: 9335460278 Enrollment ID: I20210303003460 |
| Provider Name | Crystal Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679022990 PECOS PAC ID: 1456767797 Enrollment ID: I20210310002099 |
| Provider Name | Amy Marie Gentry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841898129 PECOS PAC ID: 3678989837 Enrollment ID: I20210312001312 |
| Provider Name | Edna Kemboi-melly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023366465 PECOS PAC ID: 0042461576 Enrollment ID: I20210316000779 |
| Provider Name | Tracy E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346858925 PECOS PAC ID: 2062829963 Enrollment ID: I20210319001623 |
| Provider Name | Justin Campagna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821656661 PECOS PAC ID: 2466780846 Enrollment ID: I20210323001948 |
| Provider Name | Ian Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720599780 PECOS PAC ID: 6002158474 Enrollment ID: I20210324002318 |
| Provider Name | Cesar Flores Rios |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730641143 PECOS PAC ID: 6406288596 Enrollment ID: I20210329001030 |
| Provider Name | Surbhi Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649400680 PECOS PAC ID: 8628398849 Enrollment ID: I20210401001244 |
| Provider Name | Scott Pew |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225482656 PECOS PAC ID: 2961793443 Enrollment ID: I20210407002615 |
| Provider Name | Steven Poon |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1164798351 PECOS PAC ID: 1658682752 Enrollment ID: I20210409001113 |
| Provider Name | Paul Stephen Bibby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174115281 PECOS PAC ID: 1052729191 Enrollment ID: I20210409001156 |
| Provider Name | Said Alsidawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518196518 PECOS PAC ID: 4880824374 Enrollment ID: I20210409001850 |
| Provider Name | Channa R Jayasekera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790095040 PECOS PAC ID: 0941476667 Enrollment ID: I20210420000605 |
| Provider Name | Aaron Md Pulsipher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467847970 PECOS PAC ID: 8628362928 Enrollment ID: I20210420002190 |
| Provider Name | Michael Maniaci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215910500 PECOS PAC ID: 0941302657 Enrollment ID: I20210422001419 |
| Provider Name | David M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477144681 PECOS PAC ID: 1557779980 Enrollment ID: I20210422002916 |
| Provider Name | Julie Kocemba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184263162 PECOS PAC ID: 6204264849 Enrollment ID: I20210429002080 |
| Provider Name | Jeannie Sperry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629180013 PECOS PAC ID: 5496795338 Enrollment ID: I20210430000646 |
| Provider Name | Donell Marecheau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538466503 PECOS PAC ID: 0244585370 Enrollment ID: I20210503000108 |
| Provider Name | Sharm Stanger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992923718 PECOS PAC ID: 6406953561 Enrollment ID: I20210503001372 |
| Provider Name | Irving Jorge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063640688 PECOS PAC ID: 7113106535 Enrollment ID: I20210504002866 |
| Provider Name | Bassam G. Abu Jawdeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669683470 PECOS PAC ID: 8628255338 Enrollment ID: I20210506000824 |
| Provider Name | Carlos A Rojas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639328362 PECOS PAC ID: 1850443284 Enrollment ID: I20210507000776 |
| Provider Name | Michael Smerina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952733719 PECOS PAC ID: 1456660125 Enrollment ID: I20210509000000 |
| Provider Name | Jennifer Cowart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760645675 PECOS PAC ID: 8820257710 Enrollment ID: I20210509000005 |
| Provider Name | Mayank Sardana |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922363035 PECOS PAC ID: 7517199664 Enrollment ID: I20210517001150 |
| Provider Name | Nathan Yu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962864157 PECOS PAC ID: 3870862709 Enrollment ID: I20210517001384 |
| Provider Name | Diana Maria Alter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255910055 PECOS PAC ID: 9133538481 Enrollment ID: I20210518000000 |
| Provider Name | Brian Arizmendi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093368664 PECOS PAC ID: 3173931870 Enrollment ID: I20210518001200 |
| Provider Name | Amanda Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992239024 PECOS PAC ID: 7113290016 Enrollment ID: I20210607001697 |
| Provider Name | Nidhi Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326654674 PECOS PAC ID: 0042610339 Enrollment ID: I20210608001333 |
| Provider Name | Christopher Fiske Saling |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659821106 PECOS PAC ID: 3971839440 Enrollment ID: I20210610003252 |
| Provider Name | Ramona Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558891226 PECOS PAC ID: 6901218072 Enrollment ID: I20210615000636 |
| Provider Name | Kevin Forey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861996472 PECOS PAC ID: 3476891706 Enrollment ID: I20210615000673 |
| Provider Name | Tamara Dvorak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811482466 PECOS PAC ID: 5991053795 Enrollment ID: I20210616000438 |
| Provider Name | Qiuyu Jin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760848584 PECOS PAC ID: 5597013458 Enrollment ID: I20210616000668 |
| Provider Name | Madhu Bagaria |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497068423 PECOS PAC ID: 8527286186 Enrollment ID: I20210616002314 |
| Provider Name | Seyedeh Maryam Hosseini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841780632 PECOS PAC ID: 4385994334 Enrollment ID: I20210617002924 |
| Provider Name | Hillaree Leif |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659845857 PECOS PAC ID: 5092053967 Enrollment ID: I20210628001891 |
| Provider Name | Mostafa Maita |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992238414 PECOS PAC ID: 5496023608 Enrollment ID: I20210629001225 |
| Provider Name | Paul Raymond Wistermayer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457710394 PECOS PAC ID: 3274884408 Enrollment ID: I20210629001922 |
| Provider Name | Laura Harper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316309974 PECOS PAC ID: 9638478910 Enrollment ID: I20210629003699 |
| Provider Name | Victoria Lim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114453990 PECOS PAC ID: 7810266897 Enrollment ID: I20210630001366 |
| Provider Name | Camille Francesca Hawkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902255110 PECOS PAC ID: 9133411192 Enrollment ID: I20210701002130 |
| Provider Name | Shirshendu Sinha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497040380 PECOS PAC ID: 6608187042 Enrollment ID: I20210705000005 |
| Provider Name | Daniel Joseph Walden |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447754783 PECOS PAC ID: 6507114923 Enrollment ID: I20210706000694 |
| Provider Name | Catherine Mary Freeman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1770935538 PECOS PAC ID: 6406184795 Enrollment ID: I20210707000531 |
| Provider Name | Lauren M Van Decar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982095782 PECOS PAC ID: 2466700273 Enrollment ID: I20210707002964 |
| Provider Name | Nolan Mcbride |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447748652 PECOS PAC ID: 1951650365 Enrollment ID: I20210707003841 |
| Provider Name | Lauren Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558978775 PECOS PAC ID: 1658773833 Enrollment ID: I20210709002329 |
| Provider Name | Yael Kusne |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225533904 PECOS PAC ID: 5395093991 Enrollment ID: I20210716001709 |
| Provider Name | Nicholas R Parker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225593882 PECOS PAC ID: 0941538078 Enrollment ID: I20210716002142 |
| Provider Name | Jenna Hernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073108528 PECOS PAC ID: 8022411743 Enrollment ID: I20210719002715 |
| Provider Name | Osama Abulseoud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679654800 PECOS PAC ID: 3678573045 Enrollment ID: I20210720000652 |
| Provider Name | Felipe Batalini Freitas Batalini Freitas Silva |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306230867 PECOS PAC ID: 0941603583 Enrollment ID: I20210720003402 |
| Provider Name | Tarrah Folley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104289800 PECOS PAC ID: 5597051680 Enrollment ID: I20210720003909 |
| Provider Name | Thomas Roy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740382688 PECOS PAC ID: 5395879043 Enrollment ID: I20210721000409 |
| Provider Name | Alexander D Stoker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174977920 PECOS PAC ID: 8022301324 Enrollment ID: I20210721001027 |
| Provider Name | Chrystal Armenta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003491879 PECOS PAC ID: 1456754647 Enrollment ID: I20210726002516 |
| Provider Name | Chrisanna Marie Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538754833 PECOS PAC ID: 6608279781 Enrollment ID: I20210727002769 |
| Provider Name | Amar Miglani |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144607532 PECOS PAC ID: 8426366097 Enrollment ID: I20210729002395 |
| Provider Name | Nicholas Sleik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598279937 PECOS PAC ID: 1456618982 Enrollment ID: I20210729002533 |
| Provider Name | Aaron Clayton Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194067223 PECOS PAC ID: 5395098685 Enrollment ID: I20210730002681 |
| Provider Name | Alex Liu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306335047 PECOS PAC ID: 2860740198 Enrollment ID: I20210730003008 |
| Provider Name | Alex Lee Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316334675 PECOS PAC ID: 3274828744 Enrollment ID: I20210803003379 |
| Provider Name | Kelly Jean Trumpatori |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639741903 PECOS PAC ID: 3678977345 Enrollment ID: I20210803003499 |
| Provider Name | Hiroshi Sekiguchi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053572735 PECOS PAC ID: 5799858858 Enrollment ID: I20210806002254 |
| Provider Name | Brigham M Barzee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912402231 PECOS PAC ID: 3779831243 Enrollment ID: I20210812001404 |
| Provider Name | Mitchell Francis Chlopek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093219222 PECOS PAC ID: 8426307083 Enrollment ID: I20210817002773 |
| Provider Name | Trina Mansour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811428774 PECOS PAC ID: 8820490782 Enrollment ID: I20210819000817 |
| Provider Name | Victor Ortega |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821266453 PECOS PAC ID: 6103852694 Enrollment ID: I20210819003709 |
| Provider Name | Heidi Czaplewski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669002580 PECOS PAC ID: 2860828654 Enrollment ID: I20210820001403 |
| Provider Name | Ashley A Stillwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538426044 PECOS PAC ID: 1355581265 Enrollment ID: I20210820001834 |
| Provider Name | Adam Jeraldo Milam |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1558864769 PECOS PAC ID: 1850796095 Enrollment ID: I20210825003521 |
| Provider Name | Michelle Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528401205 PECOS PAC ID: 8820224025 Enrollment ID: I20210826000303 |
| Provider Name | Ricardo Pagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003100520 PECOS PAC ID: 1951548759 Enrollment ID: I20210826003462 |
| Provider Name | Belinda Monnig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871818591 PECOS PAC ID: 7012032592 Enrollment ID: I20210831003524 |
| Provider Name | Brianna Ruch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356795611 PECOS PAC ID: 3779877261 Enrollment ID: I20210901002010 |
| Provider Name | Stephen Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063944080 PECOS PAC ID: 7810260635 Enrollment ID: I20210903002688 |
| Provider Name | Daniel Aizigov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932650181 PECOS PAC ID: 5193007631 Enrollment ID: I20210907003070 |
| Provider Name | Victor Nettey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528417037 PECOS PAC ID: 5092137091 Enrollment ID: I20210913002268 |
| Provider Name | Patrick Kishi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720516800 PECOS PAC ID: 2668899576 Enrollment ID: I20210913003222 |
| Provider Name | Rosita Frazier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861629123 PECOS PAC ID: 0042525115 Enrollment ID: I20210913003412 |
| Provider Name | Satyajit Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922488758 PECOS PAC ID: 2567717937 Enrollment ID: I20210914002962 |
| Provider Name | Ryan Ladd |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508494592 PECOS PAC ID: 3870916950 Enrollment ID: I20210914003194 |
| Provider Name | Charles Nordstrom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447223011 PECOS PAC ID: 5597739797 Enrollment ID: I20210914003586 |
| Provider Name | Gautam Matcha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629336060 PECOS PAC ID: 5698912046 Enrollment ID: I20210914003590 |
| Provider Name | Jed Cowdell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356751002 PECOS PAC ID: 7416176763 Enrollment ID: I20210915001070 |
| Provider Name | Claudine Egol |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285876557 PECOS PAC ID: 5698909646 Enrollment ID: I20210915002779 |
| Provider Name | Sailaja Pisipati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174054563 PECOS PAC ID: 3375816119 Enrollment ID: I20210915003283 |
| Provider Name | Stephanie Hines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710976444 PECOS PAC ID: 0749325157 Enrollment ID: I20210916000380 |
| Provider Name | Lindsay J Ohara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053795930 PECOS PAC ID: 6709190523 Enrollment ID: I20210916000541 |
| Provider Name | Kelly Nicole Chondropoulos |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710653613 PECOS PAC ID: 9739586884 Enrollment ID: I20210916001776 |
| Provider Name | Nathan Punwani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053751800 PECOS PAC ID: 8527358472 Enrollment ID: I20210916002002 |
| Provider Name | Peter Francis Johnston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104192913 PECOS PAC ID: 1850720228 Enrollment ID: I20210917002366 |
| Provider Name | Justin Brady |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1316280134 PECOS PAC ID: 0143461632 Enrollment ID: I20210922000881 |
| Provider Name | Igor Dumic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821351560 PECOS PAC ID: 4284945973 Enrollment ID: I20210922002865 |
| Provider Name | Ashley Berry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235701863 PECOS PAC ID: 5092112649 Enrollment ID: I20210923002078 |
| Provider Name | Margaret Paulson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609080605 PECOS PAC ID: 8123171873 Enrollment ID: I20210927001299 |
| Provider Name | Rajeev Masson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588152102 PECOS PAC ID: 1456763473 Enrollment ID: I20210930000848 |
| Provider Name | Ebone' Hill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144412081 PECOS PAC ID: 4385775683 Enrollment ID: I20210930001415 |
| Provider Name | Michelle Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326120841 PECOS PAC ID: 6709944168 Enrollment ID: I20211001001155 |
| Provider Name | Colton Erskine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144717521 PECOS PAC ID: 5799183943 Enrollment ID: I20211001002771 |
| Provider Name | Ellen E Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811439144 PECOS PAC ID: 7113209651 Enrollment ID: I20211004000841 |
| Provider Name | Alethea B Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073065330 PECOS PAC ID: 5698056471 Enrollment ID: I20211004002481 |
| Provider Name | Felicia S Wassenaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851067649 PECOS PAC ID: 6608274477 Enrollment ID: I20211007003664 |
| Provider Name | Reyna Conklin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215548045 PECOS PAC ID: 6709284516 Enrollment ID: I20211008001506 |
| Provider Name | Chadi Ayoub |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699157743 PECOS PAC ID: 5294042958 Enrollment ID: I20211012000831 |
| Provider Name | Terry Jue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871511840 PECOS PAC ID: 2264461144 Enrollment ID: I20211021002576 |
| Provider Name | Daniel Alan Salevitz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740819796 PECOS PAC ID: 7618390576 Enrollment ID: I20211025000320 |
| Provider Name | Adri Durant |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285266056 PECOS PAC ID: 5890118939 Enrollment ID: I20211025000402 |
| Provider Name | Jessica Rose Lincoln |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407528979 PECOS PAC ID: 5698163467 Enrollment ID: I20211027002276 |
| Provider Name | William Hasler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346322872 PECOS PAC ID: 4587793047 Enrollment ID: I20211101002509 |
| Provider Name | Erica Lovelady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629546502 PECOS PAC ID: 4385985423 Enrollment ID: I20211101002590 |
| Provider Name | Blanca Carolina Lizaola- Mayo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114332194 PECOS PAC ID: 5294026126 Enrollment ID: I20211103001316 |
| Provider Name | Ashley Greathouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346653888 PECOS PAC ID: 7517189038 Enrollment ID: I20211103002405 |
| Provider Name | Chun Tao |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528624269 PECOS PAC ID: 1850780198 Enrollment ID: I20211108002209 |
| Provider Name | Jennifer Nashay Rorex |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447875372 PECOS PAC ID: 4688097678 Enrollment ID: I20211108002552 |
| Provider Name | Michele Lauren Cavallaro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730842626 PECOS PAC ID: 8022407162 Enrollment ID: I20211111001716 |
| Provider Name | Brooke Heininger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932863693 PECOS PAC ID: 5092104018 Enrollment ID: I20211112002450 |
| Provider Name | Michelle Louie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811286255 PECOS PAC ID: 6406160928 Enrollment ID: I20211117001727 |
| Provider Name | Stephen Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588014690 PECOS PAC ID: 9537451349 Enrollment ID: I20211130002705 |
| Provider Name | Kealy Ham |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730294018 PECOS PAC ID: 3476659533 Enrollment ID: I20211201000886 |
| Provider Name | Edith Julian-stiegel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245227842 PECOS PAC ID: 1456302397 Enrollment ID: I20211201002641 |
| Provider Name | Jessica Gregor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184979643 PECOS PAC ID: 7517249659 Enrollment ID: I20211208000260 |
| Provider Name | Hope Ryan Vickery |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225659543 PECOS PAC ID: 0941690663 Enrollment ID: I20211210001782 |
| Provider Name | Christina Ha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528188414 PECOS PAC ID: 1456476688 Enrollment ID: I20211217001457 |
| Provider Name | Lashandra A Wilson-cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679236095 PECOS PAC ID: 6507257979 Enrollment ID: I20211217001696 |
| Provider Name | Shannon Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780050419 PECOS PAC ID: 2860739034 Enrollment ID: I20211217002114 |
| Provider Name | Samuel William Sahhar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376200519 PECOS PAC ID: 6901297274 Enrollment ID: I20211221000171 |
| Provider Name | Karan K Arora |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871084970 PECOS PAC ID: 5294081022 Enrollment ID: I20211228001275 |
| Provider Name | Anthony Green |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184060816 PECOS PAC ID: 4486088739 Enrollment ID: I20211229001720 |
| Provider Name | Ana Zamora-martinez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417261033 PECOS PAC ID: 9032352968 Enrollment ID: I20220104002689 |
| Provider Name | Charlene Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467737387 PECOS PAC ID: 2163695396 Enrollment ID: I20220107000213 |
| Provider Name | Kaitlin Moran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841557923 PECOS PAC ID: 9335367085 Enrollment ID: I20220111002672 |
| Provider Name | Kristie Michele Egherman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568931715 PECOS PAC ID: 9133511579 Enrollment ID: I20220117000666 |
| Provider Name | Grace Tammy Osipowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992461503 PECOS PAC ID: 0345632360 Enrollment ID: I20220124001853 |
| Provider Name | Lisa Grunebaum |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003863093 PECOS PAC ID: 1658374418 Enrollment ID: I20220124001951 |
| Provider Name | Matthew T Stib |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295184687 PECOS PAC ID: 5193098960 Enrollment ID: I20220126000255 |
| Provider Name | Sandhya Pruthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750355517 PECOS PAC ID: 0941342737 Enrollment ID: I20220201000864 |
| Provider Name | Zelle Morefield |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346991056 PECOS PAC ID: 7911390299 Enrollment ID: I20220209000982 |
| Provider Name | Anastasia J Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427224674 PECOS PAC ID: 5294895074 Enrollment ID: I20220216001048 |
| Provider Name | Lynn Neeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285707422 PECOS PAC ID: 9032214010 Enrollment ID: I20220217001192 |
| Provider Name | Jamie Bering |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598111023 PECOS PAC ID: 4385937556 Enrollment ID: I20220218000289 |
| Provider Name | Christina S Wu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770637191 PECOS PAC ID: 1759553761 Enrollment ID: I20220221000921 |
| Provider Name | Krista Skaggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053966267 PECOS PAC ID: 6901233253 Enrollment ID: I20220221002052 |
| Provider Name | Geoffrey Waite |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417292590 PECOS PAC ID: 6800191073 Enrollment ID: I20220228001136 |
| Provider Name | Michelle Ellen Simons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770037764 PECOS PAC ID: 2769756493 Enrollment ID: I20220302002678 |
| Provider Name | James Flis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013668383 PECOS PAC ID: 8820482946 Enrollment ID: I20220304002227 |
| Provider Name | Michael N Hayden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265428395 PECOS PAC ID: 6204971229 Enrollment ID: I20220309000206 |
| Provider Name | Karissa Alise Smola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730834151 PECOS PAC ID: 2567857089 Enrollment ID: I20220321001263 |
| Provider Name | Rachael Teresa Nowak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871247452 PECOS PAC ID: 0345635686 Enrollment ID: I20220323000586 |
| Provider Name | Anna M Ward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861838666 PECOS PAC ID: 8123248093 Enrollment ID: I20220324000511 |
| Provider Name | Daniel Frendl |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003290867 PECOS PAC ID: 9032405659 Enrollment ID: I20220328000518 |
| Provider Name | Daniel Wei |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306200340 PECOS PAC ID: 8921399056 Enrollment ID: I20220329001298 |
| Provider Name | Karthik Gnanapandithan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326327651 PECOS PAC ID: 9830314293 Enrollment ID: I20220329001826 |
| Provider Name | James Hartley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114276805 PECOS PAC ID: 7517118516 Enrollment ID: I20220330001792 |
| Provider Name | Vijay Kannan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699188524 PECOS PAC ID: 1557638251 Enrollment ID: I20220404000322 |
| Provider Name | Brianna Jennas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093484032 PECOS PAC ID: 4284020736 Enrollment ID: I20220408001227 |
| Provider Name | Srishti Nayak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487186813 PECOS PAC ID: 7315340908 Enrollment ID: I20220411002564 |
| Provider Name | Bishoy Abraham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215425319 PECOS PAC ID: 3779847934 Enrollment ID: I20220412001977 |
| Provider Name | Tony Yen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457490484 PECOS PAC ID: 8921145822 Enrollment ID: I20220426002221 |
| Provider Name | Elizabeth Chan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295840197 PECOS PAC ID: 8527092006 Enrollment ID: I20220427000453 |
| Provider Name | Marianne Rabasca |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700536992 PECOS PAC ID: 6709273402 Enrollment ID: I20220427003021 |
| Provider Name | Pedro Reck Dos Santos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861959884 PECOS PAC ID: 0143561787 Enrollment ID: I20220506002095 |
| Provider Name | Felipe Martinez |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1922240449 PECOS PAC ID: 8022140474 Enrollment ID: I20220517002804 |
| Provider Name | Donald Rudolph Brake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346702065 PECOS PAC ID: 5991031304 Enrollment ID: I20220523001005 |
| Provider Name | Safia Ahmed |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548609910 PECOS PAC ID: 5597983585 Enrollment ID: I20220523001683 |
| Provider Name | Ryan James Glidewell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528588621 PECOS PAC ID: 7113291634 Enrollment ID: I20220524001520 |
| Provider Name | Siddharth Yogen Pandya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013448943 PECOS PAC ID: 3678950029 Enrollment ID: I20220524002325 |
| Provider Name | Sidney Jordan Gutierrez-whitmire |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952051997 PECOS PAC ID: 9931586328 Enrollment ID: I20220525000785 |
| Provider Name | David Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326484692 PECOS PAC ID: 8325300114 Enrollment ID: I20220525002794 |
| Provider Name | Donald Deluca |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841529047 PECOS PAC ID: 6800931825 Enrollment ID: I20220527000279 |
| Provider Name | Vivek Nagaraja |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750684262 PECOS PAC ID: 8426271917 Enrollment ID: I20220531002343 |
| Provider Name | Timothy Kokanovich |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477057768 PECOS PAC ID: 6103228440 Enrollment ID: I20220601000959 |
| Provider Name | Han Zhang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659734929 PECOS PAC ID: 8820476955 Enrollment ID: I20220602000541 |
| Provider Name | Christopher Brian Murphy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194286815 PECOS PAC ID: 2961738331 Enrollment ID: I20220602001336 |
| Provider Name | Cameron Adler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205298411 PECOS PAC ID: 8921376039 Enrollment ID: I20220602001658 |
| Provider Name | Anthony Thomas Larder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609230390 PECOS PAC ID: 1355690850 Enrollment ID: I20220602002294 |
| Provider Name | Naga Pradyumna Kothapalli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649764291 PECOS PAC ID: 2163769357 Enrollment ID: I20220602002679 |
| Provider Name | Daniel Hyunjae Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659833176 PECOS PAC ID: 3173859402 Enrollment ID: I20220602002803 |
| Provider Name | Maria Zulfiqar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710242516 PECOS PAC ID: 1658673082 Enrollment ID: I20220613001854 |
| Provider Name | Jeffrey L Garland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720078652 PECOS PAC ID: 3072648831 Enrollment ID: I20220615001406 |
| Provider Name | Gina Lc Ranieri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386148773 PECOS PAC ID: 6204181340 Enrollment ID: I20220615002477 |
| Provider Name | Binbin Zheng |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417435850 PECOS PAC ID: 3779829015 Enrollment ID: I20220616000047 |
| Provider Name | Stephen Elliot Tsoukas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932559234 PECOS PAC ID: 6901285204 Enrollment ID: I20220616001048 |
| Provider Name | Christopher Charles Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174017172 PECOS PAC ID: 0143609461 Enrollment ID: I20220616001994 |
| Provider Name | Kayla Rae Kumm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144752742 PECOS PAC ID: 5193104420 Enrollment ID: I20220616002283 |
| Provider Name | Spencer Adam Fenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417604315 PECOS PAC ID: 0547649758 Enrollment ID: I20220617002239 |
| Provider Name | Tabarik Khalil Al-abbadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558897074 PECOS PAC ID: 5193104248 Enrollment ID: I20220620001388 |
| Provider Name | Daniel Joseph Heidenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346773256 PECOS PAC ID: 5092194159 Enrollment ID: I20220620001441 |
| Provider Name | Zoey Ilana Harris |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821656851 PECOS PAC ID: 5799112793 Enrollment ID: I20220620001877 |
| Provider Name | Shawn Leveque |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588300214 PECOS PAC ID: 0143609834 Enrollment ID: I20220627002782 |
| Provider Name | Jordann-mishael Duncan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639664220 PECOS PAC ID: 5597144121 Enrollment ID: I20220628001061 |
| Provider Name | Molly Carnahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639604739 PECOS PAC ID: 6305116260 Enrollment ID: I20220701002383 |
| Provider Name | Melanie Meldrum |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093787772 PECOS PAC ID: 1153335435 Enrollment ID: I20220701002555 |
| Provider Name | Samantha Curran |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306494158 PECOS PAC ID: 0143600478 Enrollment ID: I20220705001798 |
| Provider Name | Sean Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952863797 PECOS PAC ID: 3678800497 Enrollment ID: I20220707002733 |
| Provider Name | Lauren K Kakish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528428877 PECOS PAC ID: 6507165271 Enrollment ID: I20220708002558 |
| Provider Name | Michael Bolan Liu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063078046 PECOS PAC ID: 7214263532 Enrollment ID: I20220711001909 |
| Provider Name | Michael Angelo Apolinario |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265095103 PECOS PAC ID: 8527394089 Enrollment ID: I20220711002308 |
| Provider Name | Kelly Blanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114568821 PECOS PAC ID: 0749612703 Enrollment ID: I20220712001511 |
| Provider Name | Tyler Murphy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659860856 PECOS PAC ID: 0749680098 Enrollment ID: I20220714003754 |
| Provider Name | Teena Nerwal |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1942613146 PECOS PAC ID: 8123409679 Enrollment ID: I20220715000571 |
| Provider Name | Ciara Cheyanne Lundy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568107845 PECOS PAC ID: 5496136863 Enrollment ID: I20220715001822 |
| Provider Name | Jaclyn Elyse Jacobi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861856213 PECOS PAC ID: 5496047573 Enrollment ID: I20220718002397 |
| Provider Name | Justin A Cramer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609004407 PECOS PAC ID: 7214169051 Enrollment ID: I20220719003577 |
| Provider Name | Mark H Auerbach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285658666 PECOS PAC ID: 2466453865 Enrollment ID: I20220720003405 |
| Provider Name | Craig Jenkins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619316346 PECOS PAC ID: 9234453473 Enrollment ID: I20220721002441 |
| Provider Name | Alexander Raymond Shusko |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679009310 PECOS PAC ID: 8325386428 Enrollment ID: I20220721003077 |
| Provider Name | Sheyda S Moosavi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205580917 PECOS PAC ID: 4385025287 Enrollment ID: I20220725001258 |
| Provider Name | Ichiro Ikuta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275769028 PECOS PAC ID: 2365741626 Enrollment ID: I20220726000659 |
| Provider Name | Talia H Sobel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366933111 PECOS PAC ID: 6002164357 Enrollment ID: I20220726000898 |
| Provider Name | Sami Alasfar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447489000 PECOS PAC ID: 1951547496 Enrollment ID: I20220727001664 |
| Provider Name | Kevin John Severson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518535095 PECOS PAC ID: 7416359328 Enrollment ID: I20220727001989 |
| Provider Name | Erinn P Downs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184899189 PECOS PAC ID: 8224109756 Enrollment ID: I20220727002990 |
| Provider Name | Daniel Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659937563 PECOS PAC ID: 4789066176 Enrollment ID: I20220802000900 |
| Provider Name | Alexei Gonzalez Estrada |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1982921169 PECOS PAC ID: 0042527582 Enrollment ID: I20220805000340 |
| Provider Name | Rachel Rose Ference |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114485786 PECOS PAC ID: 9335522069 Enrollment ID: I20220812003179 |
| Provider Name | Alex Michael Wonnaparhown |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154856052 PECOS PAC ID: 9436532033 Enrollment ID: I20220815002002 |
| Provider Name | Meagan Tibbo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003270687 PECOS PAC ID: 9133412299 Enrollment ID: I20220816001828 |
| Provider Name | Yuan Feng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790192839 PECOS PAC ID: 9032338447 Enrollment ID: I20220816002941 |
| Provider Name | Krystal Lynn Corrette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114650066 PECOS PAC ID: 7315320819 Enrollment ID: I20220816003063 |
| Provider Name | Saurabh Chhabra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689837379 PECOS PAC ID: 3476700758 Enrollment ID: I20220816003684 |
| Provider Name | Helen Caroline Bartels |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518428093 PECOS PAC ID: 5092042267 Enrollment ID: I20220816003960 |
| Provider Name | Victoria Susan Edmonds |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235705344 PECOS PAC ID: 0941602700 Enrollment ID: I20220819001416 |
| Provider Name | Megan N Leftwich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679077887 PECOS PAC ID: 1052729837 Enrollment ID: I20220824003192 |
| Provider Name | Heather Renee Todoroff |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275262198 PECOS PAC ID: 8325422108 Enrollment ID: I20220827000315 |
| Provider Name | Sarah James |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376809814 PECOS PAC ID: 7810121787 Enrollment ID: I20220829001987 |
| Provider Name | Bhavna Bhasin-chhabra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295993715 PECOS PAC ID: 4981890142 Enrollment ID: I20220831002162 |
| Provider Name | Justin Trautmiller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780322156 PECOS PAC ID: 3577942739 Enrollment ID: I20220906002503 |
| Provider Name | Lauren B Querin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427584002 PECOS PAC ID: 6608146253 Enrollment ID: I20220907002402 |
| Provider Name | Molly Knox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215462528 PECOS PAC ID: 4284903220 Enrollment ID: I20220913000903 |
| Provider Name | Jianqun Zeng |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184252702 PECOS PAC ID: 7315322211 Enrollment ID: I20220913002694 |
| Provider Name | Benjamin L Stix |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073975884 PECOS PAC ID: 5799021424 Enrollment ID: I20220913003612 |
| Provider Name | Rohit Mital |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902226343 PECOS PAC ID: 1658648043 Enrollment ID: I20220913003728 |
| Provider Name | Manasi Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750605408 PECOS PAC ID: 2163664467 Enrollment ID: I20220914000854 |
| Provider Name | Nahid Punjani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700361995 PECOS PAC ID: 9335524982 Enrollment ID: I20220916002713 |
| Provider Name | Nicholas J. Grant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578281424 PECOS PAC ID: 3274918628 Enrollment ID: I20220921000672 |
| Provider Name | Jonathon James Parker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063899458 PECOS PAC ID: 1850776162 Enrollment ID: I20220921003844 |
| Provider Name | Mazie Tsang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497161673 PECOS PAC ID: 5799904587 Enrollment ID: I20220922003843 |
| Provider Name | Tara Morgan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366645921 PECOS PAC ID: 4385807874 Enrollment ID: I20220923000889 |
| Provider Name | James Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154676294 PECOS PAC ID: 6709177595 Enrollment ID: I20220923001232 |
| Provider Name | Nicolette Payne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275126963 PECOS PAC ID: 4284037904 Enrollment ID: I20221005001345 |
| Provider Name | Christopher John Warren |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275109712 PECOS PAC ID: 5890197958 Enrollment ID: I20221005002470 |
| Provider Name | Raymond Fohtung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205240520 PECOS PAC ID: 7315166154 Enrollment ID: I20221005003684 |
| Provider Name | Mary Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134570146 PECOS PAC ID: 0941598718 Enrollment ID: I20221006000334 |
| Provider Name | Hay Me Me |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093169658 PECOS PAC ID: 3577800978 Enrollment ID: I20221006001105 |
| Provider Name | Fahad Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043771298 PECOS PAC ID: 9133455694 Enrollment ID: I20221006002310 |
| Provider Name | Lauren Taylor Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144967662 PECOS PAC ID: 2466838719 Enrollment ID: I20221010003140 |
| Provider Name | Allison K Cabalka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720065220 PECOS PAC ID: 6800999079 Enrollment ID: I20221012002372 |
| Provider Name | Kelsey Mcclure |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912346065 PECOS PAC ID: 7315337011 Enrollment ID: I20221014002391 |
| Provider Name | Ann M Rusk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649664582 PECOS PAC ID: 1658636147 Enrollment ID: I20221014002448 |
| Provider Name | Sandhya Nagarakanti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851510390 PECOS PAC ID: 6204891419 Enrollment ID: I20221014002737 |
| Provider Name | Kimberly F Heller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093749475 PECOS PAC ID: 9931112992 Enrollment ID: I20221014002814 |
| Provider Name | Chelsea Elizabeth Fagan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417677568 PECOS PAC ID: 0345616280 Enrollment ID: I20221018003320 |
| Provider Name | Kelsey E Mchugh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881013449 PECOS PAC ID: 4587089164 Enrollment ID: I20221018003568 |
| Provider Name | Megan Kimi Fah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790217339 PECOS PAC ID: 1355717133 Enrollment ID: I20221019001532 |
| Provider Name | Jessica Ann Norstrom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164140562 PECOS PAC ID: 4981070786 Enrollment ID: I20221019002367 |
| Provider Name | Molly Marie Curwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750017018 PECOS PAC ID: 2264808070 Enrollment ID: I20221019002688 |
| Provider Name | Vivian Hoang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699959346 PECOS PAC ID: 0749444800 Enrollment ID: I20221025002713 |
| Provider Name | Kalie Rene Plesher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326615386 PECOS PAC ID: 8729455019 Enrollment ID: I20221028001535 |
| Provider Name | Margarita Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649649567 PECOS PAC ID: 8729384532 Enrollment ID: I20221028001538 |
| Provider Name | Douglas Ryan Porter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205000239 PECOS PAC ID: 0345488565 Enrollment ID: I20221028002619 |
| Provider Name | Greg Alan Schaublin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326095878 PECOS PAC ID: 8022917780 Enrollment ID: I20221101000845 |
| Provider Name | Robert Kirchoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427312388 PECOS PAC ID: 3870739592 Enrollment ID: I20221102001384 |
| Provider Name | Steven Fussner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427442698 PECOS PAC ID: 4587085634 Enrollment ID: I20221102001662 |
| Provider Name | Colleen Marie Morken |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861072654 PECOS PAC ID: 9830591122 Enrollment ID: I20221104001781 |
| Provider Name | Emily Alicia Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871218768 PECOS PAC ID: 2860869716 Enrollment ID: I20221104002062 |
| Provider Name | Carlos O Morales Vela |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952982290 PECOS PAC ID: 6305213042 Enrollment ID: I20221109000866 |
| Provider Name | Michele D Lewis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134118003 PECOS PAC ID: 6608913116 Enrollment ID: I20221109001134 |
| Provider Name | Sara Anne Weigand |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194337949 PECOS PAC ID: 2668849332 Enrollment ID: I20221109001720 |
| Provider Name | Margy Kathleen Owen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003536020 PECOS PAC ID: 0244607703 Enrollment ID: I20221114000961 |
| Provider Name | Meghan Richardson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881012326 PECOS PAC ID: 6002158169 Enrollment ID: I20221114001294 |
| Provider Name | Charles Cannan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326093774 PECOS PAC ID: 0547282154 Enrollment ID: I20221114001898 |
| Provider Name | Kolten Kline |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144965096 PECOS PAC ID: 7719355221 Enrollment ID: I20221114003054 |
| Provider Name | Christopher Kyunyoung Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518696350 PECOS PAC ID: 1153799622 Enrollment ID: I20221115002020 |
| Provider Name | Madison Alexis Cherry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720700032 PECOS PAC ID: 6406224971 Enrollment ID: I20221115002131 |
| Provider Name | Hetal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780038604 PECOS PAC ID: 1658670427 Enrollment ID: I20221118001301 |
| Provider Name | Manreet Kaur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134330236 PECOS PAC ID: 5294909768 Enrollment ID: I20221118002095 |
| Provider Name | Laurie Molina |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003530296 PECOS PAC ID: 0244608867 Enrollment ID: I20221201001302 |
| Provider Name | Caitlin Adamowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104583152 PECOS PAC ID: 8921477514 Enrollment ID: I20221202001112 |
| Provider Name | Jonathan Hans Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700228681 PECOS PAC ID: 8123302460 Enrollment ID: I20221206001565 |
| Provider Name | Kayla Jean Pomeroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295450450 PECOS PAC ID: 5193194405 Enrollment ID: I20221208001543 |
| Provider Name | Pankaj Pasricha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821157322 PECOS PAC ID: 4981762028 Enrollment ID: I20221219000349 |
| Provider Name | Peter Kalina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588644553 PECOS PAC ID: 9032209929 Enrollment ID: I20221222001327 |
| Provider Name | Christopher Forrest Dion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831685841 PECOS PAC ID: 7416205406 Enrollment ID: I20221223000739 |
| Provider Name | Austin Wayne Kalla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518684067 PECOS PAC ID: 5890165328 Enrollment ID: I20221228000817 |
| Provider Name | Kendal Brianne Mcmakin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114565496 PECOS PAC ID: 1951738160 Enrollment ID: I20221229000997 |
| Provider Name | Meghan Danielle De Schepper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235840307 PECOS PAC ID: 0042680134 Enrollment ID: I20230106000188 |
| Provider Name | Maryellen Spencer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184332124 PECOS PAC ID: 3274903257 Enrollment ID: I20230109001695 |
| Provider Name | Jiehao Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184858276 PECOS PAC ID: 8921285495 Enrollment ID: I20230113002161 |
| Provider Name | Victor G Chedid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023351061 PECOS PAC ID: 7315165784 Enrollment ID: I20230113002601 |
| Provider Name | John M Knudsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780664268 PECOS PAC ID: 2567559297 Enrollment ID: I20230117003001 |
| Provider Name | Shea V Mills |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346860160 PECOS PAC ID: 5799156030 Enrollment ID: I20230124000755 |
| Provider Name | Andrew Sill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306342167 PECOS PAC ID: 3779819867 Enrollment ID: I20230124001869 |
| Provider Name | Michael J Ackerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104802032 PECOS PAC ID: 1759426430 Enrollment ID: I20230127002588 |
| Provider Name | Julia Michelle Aube |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275283434 PECOS PAC ID: 5294106381 Enrollment ID: I20230127002624 |
| Provider Name | Alexandra Lee Leteria |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437863198 PECOS PAC ID: 6406227420 Enrollment ID: I20230130000669 |
| Provider Name | Daniel Doyle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750345823 PECOS PAC ID: 6406869304 Enrollment ID: I20230201003052 |
| Provider Name | Michelle Huyser |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154731628 PECOS PAC ID: 1850670480 Enrollment ID: I20230206002333 |
| Provider Name | Lauren Wentworth Youngs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982770327 PECOS PAC ID: 5294107801 Enrollment ID: I20230208001114 |
| Provider Name | Robert Minahan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841288255 PECOS PAC ID: 6608846282 Enrollment ID: I20230209002268 |
| Provider Name | Esther Toronto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588370860 PECOS PAC ID: 9638541618 Enrollment ID: I20230221002511 |
| Provider Name | Lanae Louise Maass |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063127249 PECOS PAC ID: 2668845595 Enrollment ID: I20230223002563 |
| Provider Name | Nathaniel Walter Oswald |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629696794 PECOS PAC ID: 2668895426 Enrollment ID: I20230223002699 |
| Provider Name | Madeleine Manka |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346630506 PECOS PAC ID: 1658643051 Enrollment ID: I20230224002305 |
| Provider Name | Chirag R Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063858975 PECOS PAC ID: 1153622188 Enrollment ID: I20230227001269 |
| Provider Name | Daniel Ovitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619048758 PECOS PAC ID: 7012307275 Enrollment ID: I20230228003128 |
| Provider Name | Shane T Lipskind |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134383698 PECOS PAC ID: 3375781206 Enrollment ID: I20230310002636 |
| Provider Name | Lauren Kelly Monahan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205541398 PECOS PAC ID: 3173997939 Enrollment ID: I20230316002382 |
| Provider Name | Kelsey Renae Arndt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912507609 PECOS PAC ID: 4183098668 Enrollment ID: I20230323002794 |
| Provider Name | Natasha E Lewis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033472790 PECOS PAC ID: 7113276296 Enrollment ID: I20230328002085 |
| Provider Name | Steve S Huang |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1588713291 PECOS PAC ID: 4486755048 Enrollment ID: I20230404001503 |
| Provider Name | Rohit D Divekar |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1417123498 PECOS PAC ID: 2769622026 Enrollment ID: I20230406001993 |
| Provider Name | Carissa M Moorhead |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336842814 PECOS PAC ID: 2062887870 Enrollment ID: I20230410001612 |
| Provider Name | Michael R Mayo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285909465 PECOS PAC ID: 1456669399 Enrollment ID: I20230411000095 |
| Provider Name | Miguel A Park |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1619940483 PECOS PAC ID: 7416941687 Enrollment ID: I20230412002577 |
| Provider Name | Laura Marie Didea |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659969327 PECOS PAC ID: 9335553122 Enrollment ID: I20230413001277 |
| Provider Name | Meghan Lorenz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386346757 PECOS PAC ID: 4981079324 Enrollment ID: I20230417001565 |
| Provider Name | Alexander Clinkenbeard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629537469 PECOS PAC ID: 7113257940 Enrollment ID: I20230418001277 |
| Provider Name | Patricia Chipi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578918454 PECOS PAC ID: 9638457484 Enrollment ID: I20230419002595 |
| Provider Name | Nikita Ashcherkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235767922 PECOS PAC ID: 1052734092 Enrollment ID: I20230420001662 |
| Provider Name | Nicholaus Pfeiffer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093393100 PECOS PAC ID: 1759783053 Enrollment ID: I20230426002978 |
| Provider Name | Danyelle Christine Churchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770279788 PECOS PAC ID: 4183089139 Enrollment ID: I20230427000945 |
| Provider Name | Harmony Holloway |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255822292 PECOS PAC ID: 7214282169 Enrollment ID: I20230427001462 |
| Provider Name | Harrison Lang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285218487 PECOS PAC ID: 6204238512 Enrollment ID: I20230427002134 |
| Provider Name | Abeer Mousa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225693310 PECOS PAC ID: 0941623052 Enrollment ID: I20230428001189 |
| Provider Name | Mathew Van Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306404579 PECOS PAC ID: 1557787116 Enrollment ID: I20230428001501 |
| Provider Name | Sayeed Khalillullah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518252881 PECOS PAC ID: 6305064981 Enrollment ID: I20230428001598 |
| Provider Name | Logan Paul Haug |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124644018 PECOS PAC ID: 9638592777 Enrollment ID: I20230428002120 |
| Provider Name | Alicia Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013367325 PECOS PAC ID: 6406134907 Enrollment ID: I20230501001992 |
| Provider Name | Alyssa Streff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104316629 PECOS PAC ID: 1658752209 Enrollment ID: I20230502000871 |
| Provider Name | Jenna Whitney Cecil |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255027033 PECOS PAC ID: 8224493903 Enrollment ID: I20230502002718 |
| Provider Name | Jacqueline Cai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134757628 PECOS PAC ID: 1456774553 Enrollment ID: I20230503002138 |
| Provider Name | Hally Chaffin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295364107 PECOS PAC ID: 8123441169 Enrollment ID: I20230504002089 |
| Provider Name | Anisha Shetty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043887193 PECOS PAC ID: 7618357351 Enrollment ID: I20230505001985 |
| Provider Name | Jana Al Hashash |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548422397 PECOS PAC ID: 3274776539 Enrollment ID: I20230508000942 |
| Provider Name | Amar S Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194287102 PECOS PAC ID: 4486988854 Enrollment ID: I20230508001241 |
| Provider Name | Laura Bach |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023403623 PECOS PAC ID: 0941505481 Enrollment ID: I20230509002036 |
| Provider Name | Eleanor Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457855363 PECOS PAC ID: 2961766795 Enrollment ID: I20230509002655 |
| Provider Name | Joshua T Bodrero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528564440 PECOS PAC ID: 0345578985 Enrollment ID: I20230509003056 |
| Provider Name | Jack R Andrews |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396190336 PECOS PAC ID: 0648558015 Enrollment ID: I20230510001298 |
| Provider Name | Mayowa Azeez Osundiji |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1861062606 PECOS PAC ID: 7315349263 Enrollment ID: I20230510001468 |
| Provider Name | Kevin G Shim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154982999 PECOS PAC ID: 4385970599 Enrollment ID: I20230510003300 |
| Provider Name | Amanda Aisha Codling |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386207546 PECOS PAC ID: 9032444518 Enrollment ID: I20230511001430 |
| Provider Name | Sarah Elizabeth Monick |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508327164 PECOS PAC ID: 0840525283 Enrollment ID: I20230511002025 |
| Provider Name | Payam Entezami |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568903730 PECOS PAC ID: 9931478534 Enrollment ID: I20230511002782 |
| Provider Name | Mary-jane Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285096032 PECOS PAC ID: 8123313871 Enrollment ID: I20230511003414 |
| Provider Name | Nikita Rafie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063040087 PECOS PAC ID: 5597189902 Enrollment ID: I20230512002026 |
| Provider Name | Bradly S. Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992225262 PECOS PAC ID: 7517380611 Enrollment ID: I20230516002108 |
| Provider Name | Megan Eileen O'connor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790470474 PECOS PAC ID: 0244696276 Enrollment ID: I20230517003279 |
| Provider Name | Christopher Kanaan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457980112 PECOS PAC ID: 4880025493 Enrollment ID: I20230518001656 |
| Provider Name | Ravikumar Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912403015 PECOS PAC ID: 7315303278 Enrollment ID: I20230519001461 |
| Provider Name | Nan Cheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235795774 PECOS PAC ID: 5799019097 Enrollment ID: I20230519001830 |
| Provider Name | Shannon Y Chiu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891105417 PECOS PAC ID: 9436466992 Enrollment ID: I20230523002734 |
| Provider Name | Evan P Morris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306295753 PECOS PAC ID: 8820332844 Enrollment ID: I20230525001654 |
| Provider Name | Lindsay Nadine Barendrick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447711882 PECOS PAC ID: 7315273646 Enrollment ID: I20230525002963 |
| Provider Name | Sharon David |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740570761 PECOS PAC ID: 8628370855 Enrollment ID: I20230525003203 |
| Provider Name | Michele Barnhill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497117493 PECOS PAC ID: 9638550361 Enrollment ID: I20230530003057 |
| Provider Name | Cecilia Benz Waage |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457736704 PECOS PAC ID: 6800104373 Enrollment ID: I20230530003132 |
| Provider Name | Erin Ferrigni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386104800 PECOS PAC ID: 8628303930 Enrollment ID: I20230531002443 |
| Provider Name | Annie Rhee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982232864 PECOS PAC ID: 5193148005 Enrollment ID: I20230531002916 |
| Provider Name | Danial Haris Shaikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063896660 PECOS PAC ID: 2769849975 Enrollment ID: I20230602001635 |
| Provider Name | Jessica C Hainje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023613056 PECOS PAC ID: 1951716901 Enrollment ID: I20230609001223 |
| Provider Name | Caitlin Gwaltney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609571959 PECOS PAC ID: 0941667729 Enrollment ID: I20230609001347 |
| Provider Name | Marcus Bruce |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568966075 PECOS PAC ID: 2668728494 Enrollment ID: I20230612002206 |
| Provider Name | Christopher Cosentino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942430822 PECOS PAC ID: 6002281292 Enrollment ID: I20230614002552 |
| Provider Name | Thilagavathi Venkatachalam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124213442 PECOS PAC ID: 7315023751 Enrollment ID: I20230615000646 |
| Provider Name | Adan Castrodad |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1760914188 PECOS PAC ID: 9133499734 Enrollment ID: I20230615002982 |
| Provider Name | Kingsley Ebare |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912439340 PECOS PAC ID: 2264812304 Enrollment ID: I20230622002653 |
| Provider Name | Mark Sugi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083904858 PECOS PAC ID: 5395971592 Enrollment ID: I20230626002578 |
| Provider Name | Marissa A Callahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598306680 PECOS PAC ID: 3870926736 Enrollment ID: I20230626002995 |
| Provider Name | Rachel Lauren Perez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033747050 PECOS PAC ID: 1850714486 Enrollment ID: I20230630001652 |
| Provider Name | Kartik Mangipudi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558821462 PECOS PAC ID: 4082940549 Enrollment ID: I20230630002292 |
| Provider Name | Emily Olig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356900880 PECOS PAC ID: 3678808375 Enrollment ID: I20230630002974 |
| Provider Name | Stephanie Yukari Ohara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447783725 PECOS PAC ID: 9335508720 Enrollment ID: I20230703001280 |
| Provider Name | Tyler Dunn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205396132 PECOS PAC ID: 5890021349 Enrollment ID: I20230703001933 |
| Provider Name | Erin K Richardson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548959158 PECOS PAC ID: 7911366109 Enrollment ID: I20230706001862 |
| Provider Name | Vincent Maurice Timpone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942434667 PECOS PAC ID: 9931364494 Enrollment ID: I20230712001772 |
| Provider Name | Michelle Cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891299277 PECOS PAC ID: 7517214620 Enrollment ID: I20230717000480 |
| Provider Name | Christa Marie Wamsley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427743822 PECOS PAC ID: 4789044223 Enrollment ID: I20230717000710 |
| Provider Name | Stella Xiang Chen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023673894 PECOS PAC ID: 3779810700 Enrollment ID: I20230719002556 |
| Provider Name | Elizabeth Anne Reeves |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144910050 PECOS PAC ID: 4385004332 Enrollment ID: I20230721001944 |
| Provider Name | Jake Golden Besch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053051698 PECOS PAC ID: 1850770892 Enrollment ID: I20230725002337 |
| Provider Name | Oluseyi B Abidoye |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780211029 PECOS PAC ID: 5395168595 Enrollment ID: I20230726001910 |
| Provider Name | Ashley Kaitlyn Person |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922783208 PECOS PAC ID: 8123489705 Enrollment ID: I20230728002344 |
| Provider Name | Jehad Azar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447748397 PECOS PAC ID: 2961833512 Enrollment ID: I20230802003280 |
| Provider Name | Eric Wannamaker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245619808 PECOS PAC ID: 0648588632 Enrollment ID: I20230803001731 |
| Provider Name | Jeffrey Hassebrock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053846543 PECOS PAC ID: 3476822586 Enrollment ID: I20230807001601 |
| Provider Name | Phi A Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588192736 PECOS PAC ID: 5890126569 Enrollment ID: I20230808002290 |
| Provider Name | Xiaoyan Cui |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841580743 PECOS PAC ID: 7315184702 Enrollment ID: I20230808003459 |
| Provider Name | Ashley Wilson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023535093 PECOS PAC ID: 0648536169 Enrollment ID: I20230809004093 |
| Provider Name | Elizabeth Ann Baglieri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700376589 PECOS PAC ID: 8022357904 Enrollment ID: I20230811001477 |
| Provider Name | Rodolfo Garza Morales |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952921413 PECOS PAC ID: 7113389776 Enrollment ID: I20230814002035 |
| Provider Name | Udit Yadav |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750721932 PECOS PAC ID: 1456657592 Enrollment ID: I20230814002161 |
| Provider Name | Chenchen Qian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285197707 PECOS PAC ID: 1153659370 Enrollment ID: I20230815003244 |
| Provider Name | Christopher Allen Bechtel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851079180 PECOS PAC ID: 0446612964 Enrollment ID: I20230816001049 |
| Provider Name | Joe G Zein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326015405 PECOS PAC ID: 5496850174 Enrollment ID: I20230817003065 |
| Provider Name | Marc Camacho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912932005 PECOS PAC ID: 0244227734 Enrollment ID: I20230824000023 |
| Provider Name | David Jon Mauler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669119012 PECOS PAC ID: 6608256359 Enrollment ID: I20230824002734 |
| Provider Name | Aubrey Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043614795 PECOS PAC ID: 7113148545 Enrollment ID: I20230825002792 |
| Provider Name | Joshua Bakhsheshian |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447626791 PECOS PAC ID: 3779846530 Enrollment ID: I20230825003483 |
| Provider Name | Myles M Melyon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316627169 PECOS PAC ID: 0941663769 Enrollment ID: I20230828000965 |
| Provider Name | Kristina Yancey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003557935 PECOS PAC ID: 5698155216 Enrollment ID: I20230828002995 |
| Provider Name | Melissa Zheng |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932630027 PECOS PAC ID: 9931437985 Enrollment ID: I20230829000519 |
| Provider Name | Mohamed Nabil Ahmed Allam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346861135 PECOS PAC ID: 1254752454 Enrollment ID: I20230830003578 |
| Provider Name | Zhi Ven Fong |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1417219221 PECOS PAC ID: 8729232822 Enrollment ID: I20230907004445 |
| Provider Name | Logan Garrett Briggs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023755428 PECOS PAC ID: 0345620126 Enrollment ID: I20230908002352 |
| Provider Name | Anna L Stewart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467023770 PECOS PAC ID: 3173987070 Enrollment ID: I20230911003800 |
| Provider Name | Tucker Fulton Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467744706 PECOS PAC ID: 4688820343 Enrollment ID: I20230922003480 |
| Provider Name | Joshua Miesner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629734637 PECOS PAC ID: 5496146847 Enrollment ID: I20230925001351 |
| Provider Name | Morgan Graves |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912467929 PECOS PAC ID: 6204164833 Enrollment ID: I20230928002428 |
| Provider Name | Daniel Hyan Kya Rhee |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821432535 PECOS PAC ID: 9830416486 Enrollment ID: I20230929002371 |
| Provider Name | Amanda Lynn Sams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710568415 PECOS PAC ID: 5890151740 Enrollment ID: I20230929002828 |
| Provider Name | Lisa Howell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407157431 PECOS PAC ID: 9436394293 Enrollment ID: I20231003002500 |
| Provider Name | Richard J Bold |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1851374441 PECOS PAC ID: 8123199064 Enrollment ID: I20231006002770 |
| Provider Name | Parker Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114667193 PECOS PAC ID: 0345620845 Enrollment ID: I20231010002471 |
| Provider Name | Laura Van Wyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164100681 PECOS PAC ID: 3577918333 Enrollment ID: I20231013001919 |
| Provider Name | Bryana Renee Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417368036 PECOS PAC ID: 0749635449 Enrollment ID: I20231016002970 |
| Provider Name | Paul Chroneos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770233348 PECOS PAC ID: 2769848613 Enrollment ID: I20231017002615 |
| Provider Name | Lana Elcic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356083141 PECOS PAC ID: 7517322043 Enrollment ID: I20231017002969 |
| Provider Name | Cole Palmer Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700315264 PECOS PAC ID: 7214206168 Enrollment ID: I20231017003265 |
| Provider Name | Andrew Bryan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710320304 PECOS PAC ID: 4183931041 Enrollment ID: I20231018001074 |
| Provider Name | Christina T Bakhsheshian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316431216 PECOS PAC ID: 5496008914 Enrollment ID: I20231018002424 |
| Provider Name | Jaclyn Tuck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588126528 PECOS PAC ID: 2163758301 Enrollment ID: I20231019000357 |
| Provider Name | Micale Renae Dishong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619750932 PECOS PAC ID: 9436505823 Enrollment ID: I20231020001232 |
| Provider Name | Rose Mary Attieh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154055739 PECOS PAC ID: 2668855404 Enrollment ID: I20231023000910 |
| Provider Name | Briana Milton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205516705 PECOS PAC ID: 5597111641 Enrollment ID: I20231025001694 |
| Provider Name | Kyrie Lee Harnden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073295077 PECOS PAC ID: 6709232770 Enrollment ID: I20231026003664 |
| Provider Name | Pei-wen Lim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922369842 PECOS PAC ID: 7911270624 Enrollment ID: I20231031003703 |
| Provider Name | Patrick Mancilla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851897441 PECOS PAC ID: 6709258957 Enrollment ID: I20231101000734 |
| Provider Name | Christopher Ballantyne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700317906 PECOS PAC ID: 8729358478 Enrollment ID: I20231101002689 |
| Provider Name | Taylor Lauren Janulewicz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487170270 PECOS PAC ID: 5991151599 Enrollment ID: I20231101002858 |
| Provider Name | Steven Eric Herber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215678834 PECOS PAC ID: 9739569823 Enrollment ID: I20231102003034 |
| Provider Name | Lindsey Marie Watkins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922880806 PECOS PAC ID: 5991152233 Enrollment ID: I20231108003042 |
| Provider Name | Gurman Singh Dhaliwal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356071229 PECOS PAC ID: 7911387287 Enrollment ID: I20231116001555 |
| Provider Name | Maria Serret |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205059193 PECOS PAC ID: 1951439595 Enrollment ID: I20231116001991 |
| Provider Name | Megan Mabery Filer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538932447 PECOS PAC ID: 8325496029 Enrollment ID: I20231117002557 |
| Provider Name | Andrea Merlotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497418883 PECOS PAC ID: 4486046844 Enrollment ID: I20231201001483 |
| Provider Name | Kyle Mckelvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225673619 PECOS PAC ID: 6507290798 Enrollment ID: I20231201002478 |
| Provider Name | Samantha Tritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265076152 PECOS PAC ID: 3971937350 Enrollment ID: I20231206001820 |
| Provider Name | Sujin Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053980383 PECOS PAC ID: 0648659284 Enrollment ID: I20231207001805 |
| Provider Name | Rachel Kremer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760149736 PECOS PAC ID: 4082005756 Enrollment ID: I20231207002512 |
| Provider Name | Courtney Kolberg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487385092 PECOS PAC ID: 9638551666 Enrollment ID: I20231207003104 |
| Provider Name | Nicholas Koontz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861654550 PECOS PAC ID: 2668618414 Enrollment ID: I20231221003615 |
| Provider Name | Amanda Breard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063167807 PECOS PAC ID: 6103276613 Enrollment ID: I20231226001141 |
| Provider Name | Azizat Mojibola Dawodu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063075570 PECOS PAC ID: 1759747504 Enrollment ID: I20231227001121 |
| Provider Name | Toiya Turknett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255829099 PECOS PAC ID: 7315295532 Enrollment ID: I20240103003229 |
| Provider Name | Madhusudan Grover |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033232608 PECOS PAC ID: 2264588789 Enrollment ID: I20240104003398 |
| Provider Name | Hoai Tran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821470972 PECOS PAC ID: 8022322296 Enrollment ID: I20240104004132 |
| Provider Name | Prasad Iyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770563298 PECOS PAC ID: 2163407842 Enrollment ID: I20240105000481 |
| Provider Name | Ana Alycia Mendoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871048512 PECOS PAC ID: 4284086364 Enrollment ID: I20240115001581 |
| Provider Name | Julia M Lankton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801940796 PECOS PAC ID: 3072965060 Enrollment ID: I20240115001961 |
| Provider Name | Mouneeb Mahmood Choudry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215676184 PECOS PAC ID: 9234519968 Enrollment ID: I20240118001871 |
| Provider Name | James S Lewis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144248865 PECOS PAC ID: 9739165556 Enrollment ID: I20240124003978 |
| Provider Name | Krystine Breedlove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376146910 PECOS PAC ID: 0143697037 Enrollment ID: I20240125000977 |
| Provider Name | Meghan Pursley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598324865 PECOS PAC ID: 0840694154 Enrollment ID: I20240125003585 |
| Provider Name | Sri Raghav Sista |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861945818 PECOS PAC ID: 3971890997 Enrollment ID: I20240125004028 |
| Provider Name | Alexander Marc Constantine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306616073 PECOS PAC ID: 9032552203 Enrollment ID: I20240205004450 |
| Provider Name | Alicia Mclellan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568903078 PECOS PAC ID: 2860835840 Enrollment ID: I20240206004663 |
| Provider Name | John Paul Moyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043089709 PECOS PAC ID: 5193169340 Enrollment ID: I20240215004061 |
| Provider Name | Brandon Michael Mckenzie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124898895 PECOS PAC ID: 5597109660 Enrollment ID: I20240216000451 |
| Provider Name | William Alexander Nesbitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801658471 PECOS PAC ID: 5294179321 Enrollment ID: I20240216002579 |
| Provider Name | Isabel Ticlo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639949100 PECOS PAC ID: 4789028531 Enrollment ID: I20240220002368 |
| Provider Name | Merve Ozen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962866673 PECOS PAC ID: 2961831524 Enrollment ID: I20240320003998 |
| Provider Name | Matt Vanni Biondi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699416990 PECOS PAC ID: 4486033420 Enrollment ID: I20240327003760 |
| Provider Name | Cody Eslinger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689253114 PECOS PAC ID: 5294137568 Enrollment ID: I20240328001019 |
| Provider Name | Sean Maurice Sileno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235795501 PECOS PAC ID: 7113252628 Enrollment ID: I20240328001383 |
| Provider Name | Brady Scott Laughlin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326509274 PECOS PAC ID: 0446586903 Enrollment ID: I20240328001996 |
| Provider Name | Bryan Barrus |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1982846101 PECOS PAC ID: 5991003030 Enrollment ID: I20240328002032 |
| Provider Name | Brooke Kalea Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669157947 PECOS PAC ID: 7012355647 Enrollment ID: I20240402002454 |
| Provider Name | Jessica Marie Warnken |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154199610 PECOS PAC ID: 5890134464 Enrollment ID: I20240415004018 |
| Provider Name | Stephanie Renee Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255705422 PECOS PAC ID: 5698078434 Enrollment ID: I20240417000649 |
| Provider Name | Randa Tao |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982959607 PECOS PAC ID: 4486940475 Enrollment ID: I20240417000900 |
| Provider Name | Haley Richelle Barrong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639937196 PECOS PAC ID: 6305285818 Enrollment ID: I20240417000941 |
| Provider Name | Karli Katherine Cornwell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326803461 PECOS PAC ID: 9032558473 Enrollment ID: I20240417002775 |
| Provider Name | Amoghavarsha Havanur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336816859 PECOS PAC ID: 2365822970 Enrollment ID: I20240417003382 |
| Provider Name | Kelsey Lynn Green |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023876844 PECOS PAC ID: 9830538198 Enrollment ID: I20240418003625 |
| Provider Name | Holly Michelle Thomson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134707797 PECOS PAC ID: 4688076417 Enrollment ID: I20240422001082 |
| Provider Name | Laura Berman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689810392 PECOS PAC ID: 7315003449 Enrollment ID: I20240422001942 |
| Provider Name | Ashish Chintakuntlawar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356584262 PECOS PAC ID: 5294982401 Enrollment ID: I20240423004607 |
| Provider Name | Connor O'hare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467074104 PECOS PAC ID: 1951723584 Enrollment ID: I20240424003547 |
| Provider Name | Christopher Ha |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427518869 PECOS PAC ID: 3476888652 Enrollment ID: I20240503001655 |
| Provider Name | Ryan A Dunn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801462718 PECOS PAC ID: 7315349156 Enrollment ID: I20240513001047 |
| Provider Name | William Joseph Binder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497102206 PECOS PAC ID: 0042633117 Enrollment ID: I20240513002420 |
| Provider Name | Alisha Morgan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053546937 PECOS PAC ID: 2466698048 Enrollment ID: I20240514002000 |
| Provider Name | Katheryn Mawhinney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790235117 PECOS PAC ID: 1153694351 Enrollment ID: I20240522003927 |
| Provider Name | Andrea Marie Lorenzo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356920607 PECOS PAC ID: 5092117291 Enrollment ID: I20240522004093 |
| Provider Name | Haley Marie Meyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174102578 PECOS PAC ID: 2961804240 Enrollment ID: I20240523001445 |
| Provider Name | Amana Ahamad |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942737598 PECOS PAC ID: 2668814310 Enrollment ID: I20240524003672 |
| Provider Name | Nora Elizabeth O'connell Krause |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710300066 PECOS PAC ID: 4486096138 Enrollment ID: I20240524003679 |
| Provider Name | Marin Alaina Chavez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417480757 PECOS PAC ID: 7416339684 Enrollment ID: I20240525000092 |
| Provider Name | Mary Ellen Koran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164886917 PECOS PAC ID: 9931408531 Enrollment ID: I20240525000116 |
| Provider Name | Daniel Aaron Crawford |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508356700 PECOS PAC ID: 6204378458 Enrollment ID: I20240604001326 |
| Provider Name | Clifford Shin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154810745 PECOS PAC ID: 7416203450 Enrollment ID: I20240611002850 |
New Hope Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8945 E Calle Buena Vis, Scottsdale, AZ 85255 Phone: 480-473-9808 Fax: 480-473-7916 | |
Richard J Settles, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10752 N 89th Pl, Suite 218, Scottsdale, AZ 85260 Phone: 480-314-9700 Fax: 480-314-9650 | |
Md Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7814 N Via De La Montana, Scottsdale, AZ 85258 Phone: 480-848-1428 | |
Akos Live Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23565 N Scottsdale Rd, Scottsdale, AZ 85255 Phone: 602-899-4404 | |
Lifescape Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8757 E Bell Rd, Scottsdale, AZ 85260 Phone: 480-860-5500 Fax: 480-860-5511 | |
Nanni B. Bachenheimer Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9630 E Shea Blvd, Scottsdale, AZ 85260 Phone: 480-747-3009 Fax: 480-296-7665 | |
Visitsathomemd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8160 E Butherus Dr, Ste 7, Scottsdale, AZ 85260 Phone: 623-388-3676 |