| Md Now Medical Centers Inc | |
|
2007 Palm Beach Lakes Blvd West Palm Beach FL 33409-6501 | |
| (561) 420-8555 | |
| (561) 420-8550 |
| Full Name | Md Now Medical Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2007 Palm Beach Lakes Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | William N. Howorth (CFO) |
| Authorized Official Contact | 6159756896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Now Medical Centers Inc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7600 | Md Now Medical Centers Inc 2007 Palm Beach Lakes Blvd West Palm Beach FL 33409-6501 Ph: (561) 420-8555 |
| NPI Number | 1033195474 |
|---|---|
| Provider Enumeration Date | 12/19/2005 |
| Last Update Date | 03/03/2023 |
| Medicare PECOS PAC ID | 3971554825 |
|---|---|
| Medicare Enrollment ID | O20050208000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033195474 | NPI | - | NPPES |
| B904W | Other | FL | BC/BS OF FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Long V Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316921935 PECOS PAC ID: 3971402108 Enrollment ID: I20040107000056 |
| Provider Name | Anita Tarvainen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275512998 PECOS PAC ID: 4385544014 Enrollment ID: I20040109000924 |
| Provider Name | Karen E Ruthman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952390130 PECOS PAC ID: 2860393634 Enrollment ID: I20040115000358 |
| Provider Name | Stanley W Tenenbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629070800 PECOS PAC ID: 3870496946 Enrollment ID: I20040128000418 |
| Provider Name | William Mazzei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972586501 PECOS PAC ID: 2365345063 Enrollment ID: I20040129001121 |
| Provider Name | Robert Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053349316 PECOS PAC ID: 1355235946 Enrollment ID: I20040213000068 |
| Provider Name | Sharon Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760478788 PECOS PAC ID: 1254226228 Enrollment ID: I20040218000657 |
| Provider Name | Edward J Hartwig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487640009 PECOS PAC ID: 3577459379 Enrollment ID: I20040227000191 |
| Provider Name | Dean A Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164535241 PECOS PAC ID: 2365331154 Enrollment ID: I20040311000240 |
| Provider Name | Tom Pleasants |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306895164 PECOS PAC ID: 8527957463 Enrollment ID: I20040403000265 |
| Provider Name | Stacie Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649206889 PECOS PAC ID: 7315932969 Enrollment ID: I20040414001981 |
| Provider Name | Peter Lamelas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447229299 PECOS PAC ID: 8527056175 Enrollment ID: I20040504000004 |
| Provider Name | Marcos J Zaragoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164520680 PECOS PAC ID: 7517955289 Enrollment ID: I20040512000382 |
| Provider Name | Alicia Chilito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780632612 PECOS PAC ID: 5193715431 Enrollment ID: I20040517001428 |
| Provider Name | Rochel Gelinas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649268475 PECOS PAC ID: 5496738718 Enrollment ID: I20040609000217 |
| Provider Name | Yolaine M Chamblin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093748204 PECOS PAC ID: 5597748731 Enrollment ID: I20040609001209 |
| Provider Name | David B Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447260484 PECOS PAC ID: 2062498744 Enrollment ID: I20040625000327 |
| Provider Name | Carol A Reive |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467421560 PECOS PAC ID: 5092792655 Enrollment ID: I20040701000612 |
| Provider Name | Ronald Bradley Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356320782 PECOS PAC ID: 0345210209 Enrollment ID: I20040728000723 |
| Provider Name | Scott A Sanford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497754725 PECOS PAC ID: 4082689740 Enrollment ID: I20040827000190 |
| Provider Name | Paul M Murry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801949367 PECOS PAC ID: 7719953439 Enrollment ID: I20040907001175 |
| Provider Name | Neil Piwovar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316943202 PECOS PAC ID: 2466425715 Enrollment ID: I20041005000270 |
| Provider Name | Adrian D Golgotiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831255504 PECOS PAC ID: 5991768954 Enrollment ID: I20041110000589 |
| Provider Name | Anthony J Pizarro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588682157 PECOS PAC ID: 8224095351 Enrollment ID: I20041210000201 |
| Provider Name | Peter H Hibberd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639262959 PECOS PAC ID: 3870550460 Enrollment ID: I20041215000572 |
| Provider Name | Sophia S Salmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508896986 PECOS PAC ID: 4789637844 Enrollment ID: I20050301000428 |
| Provider Name | Sin Ping Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831194232 PECOS PAC ID: 2163334491 Enrollment ID: I20050329000272 |
| Provider Name | Juan Sinisterra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396731824 PECOS PAC ID: 9032147723 Enrollment ID: I20050803000380 |
| Provider Name | Todd Welliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356384507 PECOS PAC ID: 7517909815 Enrollment ID: I20050810000209 |
| Provider Name | Timothy Daniel Hartwig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497718456 PECOS PAC ID: 3072544238 Enrollment ID: I20050826000693 |
| Provider Name | Michael Cordova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235187857 PECOS PAC ID: 2062444870 Enrollment ID: I20050901000063 |
| Provider Name | Gregg Nezowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619945730 PECOS PAC ID: 0941228290 Enrollment ID: I20051105000142 |
| Provider Name | Lisa K Brundrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942241278 PECOS PAC ID: 6002837622 Enrollment ID: I20051212000265 |
| Provider Name | Mark S Weitman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013980077 PECOS PAC ID: 8022039429 Enrollment ID: I20051213000696 |
| Provider Name | Michael A Flicker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265419709 PECOS PAC ID: 1355364381 Enrollment ID: I20060105000336 |
| Provider Name | Laurel E Ciccarello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790722957 PECOS PAC ID: 8123033123 Enrollment ID: I20060213000402 |
| Provider Name | Diana L. Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275580789 PECOS PAC ID: 2961414024 Enrollment ID: I20060608000216 |
| Provider Name | Carlos J Haro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316955388 PECOS PAC ID: 8224131628 Enrollment ID: I20070305000508 |
| Provider Name | Giovana Rene Crooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922113828 PECOS PAC ID: 2567565609 Enrollment ID: I20070312000102 |
| Provider Name | Tina M Dochniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427094937 PECOS PAC ID: 5698879682 Enrollment ID: I20070402000011 |
| Provider Name | Ingrid M Mixter Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609969807 PECOS PAC ID: 1254430317 Enrollment ID: I20070702000060 |
| Provider Name | Denise C Semashko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154372720 PECOS PAC ID: 4385612183 Enrollment ID: I20070822000101 |
| Provider Name | Kumarie Latchman |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1073710380 PECOS PAC ID: 8123110681 Enrollment ID: I20070828001058 |
| Provider Name | Louis Shapiro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720179708 PECOS PAC ID: 5193810596 Enrollment ID: I20071001000145 |
| Provider Name | Rosa Roofeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760591853 PECOS PAC ID: 6406945799 Enrollment ID: I20071210000450 |
| Provider Name | Jennifer Wetherington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598956229 PECOS PAC ID: 1355430521 Enrollment ID: I20071211000541 |
| Provider Name | Don L Corpus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558379339 PECOS PAC ID: 1557350592 Enrollment ID: I20071215000257 |
| Provider Name | Sheryl O Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174577498 PECOS PAC ID: 3476622853 Enrollment ID: I20080527000731 |
| Provider Name | Sander Kabel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265402010 PECOS PAC ID: 6507938214 Enrollment ID: I20080711000237 |
| Provider Name | Joseph E Schreier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952350175 PECOS PAC ID: 1456425081 Enrollment ID: I20080731000067 |
| Provider Name | Trina Ortiz-gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902060528 PECOS PAC ID: 1658314927 Enrollment ID: I20081215000543 |
| Provider Name | Rainer Mederos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023268380 PECOS PAC ID: 0143384214 Enrollment ID: I20090204000517 |
| Provider Name | Julia A Barlow-vorster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124072533 PECOS PAC ID: 1052369485 Enrollment ID: I20090511000081 |
| Provider Name | John J Kaufmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548293418 PECOS PAC ID: 7214086990 Enrollment ID: I20091113000313 |
| Provider Name | Sheila Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164605523 PECOS PAC ID: 3779626692 Enrollment ID: I20100201000465 |
| Provider Name | Lydia V Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215139381 PECOS PAC ID: 3072649136 Enrollment ID: I20100327000329 |
| Provider Name | Lauralee Yalden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417142324 PECOS PAC ID: 9931299849 Enrollment ID: I20100407000349 |
| Provider Name | Faye D Barclay-shell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164477063 PECOS PAC ID: 7214937960 Enrollment ID: I20100608000636 |
| Provider Name | John Papa |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700808540 PECOS PAC ID: 3870406283 Enrollment ID: I20100621000050 |
| Provider Name | Arturo E Espinal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184715708 PECOS PAC ID: 2567593585 Enrollment ID: I20100708000181 |
| Provider Name | Kelly C Zukowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528380839 PECOS PAC ID: 0143352112 Enrollment ID: I20100712000093 |
| Provider Name | Rebecca M Paschall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770590333 PECOS PAC ID: 6800971581 Enrollment ID: I20100810000904 |
| Provider Name | Jaime S Rosenzweig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447388871 PECOS PAC ID: 0345325221 Enrollment ID: I20100902001067 |
| Provider Name | Howard Diamond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003865320 PECOS PAC ID: 6608991765 Enrollment ID: I20100913000553 |
| Provider Name | Don T Tanabe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083682611 PECOS PAC ID: 3476679978 Enrollment ID: I20100921001403 |
| Provider Name | Maarit K Ayravainen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386969145 PECOS PAC ID: 6305038977 Enrollment ID: I20101014000685 |
| Provider Name | Elmer Francis Toro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912108804 PECOS PAC ID: 4688869381 Enrollment ID: I20101108000842 |
| Provider Name | Sunil Parikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972723229 PECOS PAC ID: 3476749573 Enrollment ID: I20101201001007 |
| Provider Name | Eduardo Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154402865 PECOS PAC ID: 8123215340 Enrollment ID: I20101214000144 |
| Provider Name | Roberto Urquiza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225038151 PECOS PAC ID: 9436335536 Enrollment ID: I20110608000832 |
| Provider Name | Milena Osorio-smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235438011 PECOS PAC ID: 9537347257 Enrollment ID: I20110629000199 |
| Provider Name | Yasmin Yunus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639265804 PECOS PAC ID: 4688842628 Enrollment ID: I20110719000456 |
| Provider Name | Beverley Anne Wyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346548872 PECOS PAC ID: 9537337324 Enrollment ID: I20110721000691 |
| Provider Name | Renee L Kulhanek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811131717 PECOS PAC ID: 1254500481 Enrollment ID: I20110804000541 |
| Provider Name | Ivan Eduardo Lizarazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730337122 PECOS PAC ID: 2062537053 Enrollment ID: I20120118000650 |
| Provider Name | Janet L Revilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528329943 PECOS PAC ID: 8820246135 Enrollment ID: I20120911000705 |
| Provider Name | Barbara R Denicola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922312685 PECOS PAC ID: 4486804655 Enrollment ID: I20121024000400 |
| Provider Name | Latisa Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235473638 PECOS PAC ID: 7810149432 Enrollment ID: I20121206000122 |
| Provider Name | Thomas Osder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700120698 PECOS PAC ID: 3971757048 Enrollment ID: I20130128000051 |
| Provider Name | Alexander Volkov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902037708 PECOS PAC ID: 5597925453 Enrollment ID: I20130227000330 |
| Provider Name | Kyle H Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790032530 PECOS PAC ID: 8820233984 Enrollment ID: I20130321000211 |
| Provider Name | Ricardo Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851632715 PECOS PAC ID: 3173768546 Enrollment ID: I20130408000278 |
| Provider Name | Randal Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134158702 PECOS PAC ID: 2062438302 Enrollment ID: I20130522000378 |
| Provider Name | Usama Khater |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861740185 PECOS PAC ID: 7416102991 Enrollment ID: I20130523000072 |
| Provider Name | Sm Atiqur Rahman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538206933 PECOS PAC ID: 2062651532 Enrollment ID: I20130612000529 |
| Provider Name | Jeffrey W Krenzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962455899 PECOS PAC ID: 5193785152 Enrollment ID: I20130729000395 |
| Provider Name | Omar Mubaidin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710220140 PECOS PAC ID: 4789827072 Enrollment ID: I20130905000937 |
| Provider Name | Genevieve V Beharie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346587649 PECOS PAC ID: 1658505953 Enrollment ID: I20130927000327 |
| Provider Name | Erin M Linsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891129805 PECOS PAC ID: 5991939878 Enrollment ID: I20131008001218 |
| Provider Name | Teaondra M Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467887059 PECOS PAC ID: 2466686159 Enrollment ID: I20131011001497 |
| Provider Name | Cheryl Ann Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952650459 PECOS PAC ID: 1759516511 Enrollment ID: I20131101001178 |
| Provider Name | Serap Oktay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659325728 PECOS PAC ID: 2567438104 Enrollment ID: I20131120000629 |
| Provider Name | Clifton Confident |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699976332 PECOS PAC ID: 0648318493 Enrollment ID: I20131217001849 |
| Provider Name | Samorah Jb Gilles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083961841 PECOS PAC ID: 9436388444 Enrollment ID: I20140213001346 |
| Provider Name | Lyris C Verdura-dominic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770918948 PECOS PAC ID: 3274763578 Enrollment ID: I20140306001694 |
| Provider Name | Kelsie L Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033534995 PECOS PAC ID: 9931339090 Enrollment ID: I20140311001387 |
| Provider Name | Nicole M Kriske |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801221619 PECOS PAC ID: 3577789494 Enrollment ID: I20140729001438 |
| Provider Name | Anil Nasta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528358744 PECOS PAC ID: 8224256672 Enrollment ID: I20140826001728 |
| Provider Name | Jose Murillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699069914 PECOS PAC ID: 0446478507 Enrollment ID: I20140902002127 |
| Provider Name | Juan De Dios Maldonado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679665814 PECOS PAC ID: 9830133081 Enrollment ID: I20140905000484 |
| Provider Name | Felix Hernandez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366734816 PECOS PAC ID: 4284850132 Enrollment ID: I20140925002572 |
| Provider Name | Scott Mandell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316282346 PECOS PAC ID: 9739309915 Enrollment ID: I20141010001085 |
| Provider Name | Jamie L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598185472 PECOS PAC ID: 4981825635 Enrollment ID: I20141021001921 |
| Provider Name | Karen Worzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619242542 PECOS PAC ID: 1052558111 Enrollment ID: I20141027000192 |
| Provider Name | Adam Kenneth Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386900835 PECOS PAC ID: 3870720816 Enrollment ID: I20141110001166 |
| Provider Name | Heather R Schweizer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285970541 PECOS PAC ID: 0345563656 Enrollment ID: I20141217001825 |
| Provider Name | Jonathan J Vanheertum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639583594 PECOS PAC ID: 2567785199 Enrollment ID: I20150106001460 |
| Provider Name | Maureen L Moder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679541262 PECOS PAC ID: 4284957879 Enrollment ID: I20150107001193 |
| Provider Name | Christiane Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295161685 PECOS PAC ID: 4688997174 Enrollment ID: I20150109000116 |
| Provider Name | Samuel M Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508009135 PECOS PAC ID: 4688895782 Enrollment ID: I20150122000725 |
| Provider Name | Laura C Lemmenes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750482592 PECOS PAC ID: 6901064732 Enrollment ID: I20150224001044 |
| Provider Name | Esther Malka Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023420817 PECOS PAC ID: 9032435789 Enrollment ID: I20150224001344 |
| Provider Name | Krunal B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609142264 PECOS PAC ID: 3971736372 Enrollment ID: I20150302001113 |
| Provider Name | Lisa Y Requena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164761946 PECOS PAC ID: 9032435441 Enrollment ID: I20150302002233 |
| Provider Name | Scott Lieberman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134412760 PECOS PAC ID: 0941521421 Enrollment ID: I20150609002114 |
| Provider Name | George Tabi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104180835 PECOS PAC ID: 6800107277 Enrollment ID: I20150625002670 |
| Provider Name | Richard Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144666207 PECOS PAC ID: 5496819864 Enrollment ID: I20150713000988 |
| Provider Name | Michael A Valdes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245263094 PECOS PAC ID: 2264436690 Enrollment ID: I20150717002366 |
| Provider Name | Matthew C Irvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043644040 PECOS PAC ID: 7416260294 Enrollment ID: I20150722006094 |
| Provider Name | Asfar Mushtaq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144575002 PECOS PAC ID: 4587978051 Enrollment ID: I20150729007457 |
| Provider Name | Jenna Lammers Mccree |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427439710 PECOS PAC ID: 8729392048 Enrollment ID: I20150730013451 |
| Provider Name | Ashley Kalista Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073995726 PECOS PAC ID: 7214241207 Enrollment ID: I20150804005879 |
| Provider Name | Alexander Zuriarrain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265669113 PECOS PAC ID: 8820222128 Enrollment ID: I20150811003293 |
| Provider Name | Amir Mahajer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770829541 PECOS PAC ID: 5799090114 Enrollment ID: I20150813012401 |
| Provider Name | Roberto Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902149727 PECOS PAC ID: 7113232554 Enrollment ID: I20150814012827 |
| Provider Name | Lisa K Muchler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164676607 PECOS PAC ID: 5496819385 Enrollment ID: I20150820009879 |
| Provider Name | Frank Pavon Ogando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649684051 PECOS PAC ID: 1254647084 Enrollment ID: I20150825003289 |
| Provider Name | Daniel Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275915241 PECOS PAC ID: 5092023085 Enrollment ID: I20150924000791 |
| Provider Name | Janet J Kinkead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801150800 PECOS PAC ID: 4688982663 Enrollment ID: I20150925000286 |
| Provider Name | Kumar Jairamdas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154725778 PECOS PAC ID: 9234447905 Enrollment ID: I20150929002261 |
| Provider Name | Dennys Reyes Candedo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245598036 PECOS PAC ID: 8022333848 Enrollment ID: I20151019001753 |
| Provider Name | Lindsay Ann Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740663392 PECOS PAC ID: 5799094330 Enrollment ID: I20151021001073 |
| Provider Name | Dunia Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750672135 PECOS PAC ID: 6406071190 Enrollment ID: I20151021001792 |
| Provider Name | Derrick Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053508945 PECOS PAC ID: 8123114980 Enrollment ID: I20151103002895 |
| Provider Name | Seth J Trifiro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265758544 PECOS PAC ID: 7517180110 Enrollment ID: I20151117002907 |
| Provider Name | Leo J Robb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760461685 PECOS PAC ID: 5395632343 Enrollment ID: I20151130000207 |
| Provider Name | Dustin W May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871838052 PECOS PAC ID: 7416264114 Enrollment ID: I20151207000931 |
| Provider Name | Tai H Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497096812 PECOS PAC ID: 7517268980 Enrollment ID: I20151209002069 |
| Provider Name | Yvon Petiote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750640751 PECOS PAC ID: 9931324332 Enrollment ID: I20151216001114 |
| Provider Name | Janelle Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881003317 PECOS PAC ID: 0446553564 Enrollment ID: I20160125001058 |
| Provider Name | Matthew E Hardy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457647778 PECOS PAC ID: 4789988171 Enrollment ID: I20160204001801 |
| Provider Name | Ashley M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790155778 PECOS PAC ID: 5395040380 Enrollment ID: I20160301000368 |
| Provider Name | Yoslay Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427391069 PECOS PAC ID: 6406152339 Enrollment ID: I20160302002376 |
| Provider Name | David F Jativa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720419443 PECOS PAC ID: 2961709894 Enrollment ID: I20160321001724 |
| Provider Name | Carine M Porfiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841377520 PECOS PAC ID: 5294033015 Enrollment ID: I20160412001323 |
| Provider Name | Lucas J Mcarthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013150077 PECOS PAC ID: 2860705340 Enrollment ID: I20160418001526 |
| Provider Name | Michelle Lee Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760742803 PECOS PAC ID: 7214193036 Enrollment ID: I20160505000641 |
| Provider Name | Wassim Samra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780947754 PECOS PAC ID: 1153610555 Enrollment ID: I20160524000749 |
| Provider Name | Frank Massotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528429495 PECOS PAC ID: 1850681040 Enrollment ID: I20160531001501 |
| Provider Name | Erin Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053772095 PECOS PAC ID: 3072803139 Enrollment ID: I20160601001277 |
| Provider Name | Chad Nicholas Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407282445 PECOS PAC ID: 6406147016 Enrollment ID: I20160628002584 |
| Provider Name | Hassan M Nasir |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376771626 PECOS PAC ID: 9133345754 Enrollment ID: I20160725000155 |
| Provider Name | Mary Lob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841238771 PECOS PAC ID: 9638144520 Enrollment ID: I20160726000613 |
| Provider Name | Sean J Hess |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1659756476 PECOS PAC ID: 7113210113 Enrollment ID: I20160804002718 |
| Provider Name | Susan Maureen Dash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144426941 PECOS PAC ID: 9638464118 Enrollment ID: I20160823001269 |
| Provider Name | Mohammed W Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003159104 PECOS PAC ID: 5193957785 Enrollment ID: I20160825002536 |
| Provider Name | John Howard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417334343 PECOS PAC ID: 5092001750 Enrollment ID: I20160906001551 |
| Provider Name | Debra J Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053767111 PECOS PAC ID: 8325334733 Enrollment ID: I20160912001479 |
| Provider Name | Kessarin Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407203821 PECOS PAC ID: 8224325238 Enrollment ID: I20160919002598 |
| Provider Name | Sonia Sani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033525316 PECOS PAC ID: 3375830961 Enrollment ID: I20160926001277 |
| Provider Name | Sarah N Hocker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689068736 PECOS PAC ID: 3678861614 Enrollment ID: I20161007000166 |
| Provider Name | Thiago Queiroz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558752618 PECOS PAC ID: 1456645498 Enrollment ID: I20161020002378 |
| Provider Name | Andrew O Jensen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285025478 PECOS PAC ID: 4981998010 Enrollment ID: I20161027002347 |
| Provider Name | Francois Chidiac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821382219 PECOS PAC ID: 9739468299 Enrollment ID: I20161128001681 |
| Provider Name | Cheryl S Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265821771 PECOS PAC ID: 5698056950 Enrollment ID: I20161227002026 |
| Provider Name | Amanda E Pruett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730493701 PECOS PAC ID: 0345522546 Enrollment ID: I20170124001274 |
| Provider Name | Aubrey E Taow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093170193 PECOS PAC ID: 4183907538 Enrollment ID: I20170208002001 |
| Provider Name | Manish B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962765461 PECOS PAC ID: 8224359963 Enrollment ID: I20170217001744 |
| Provider Name | Daniel Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184042244 PECOS PAC ID: 4688998255 Enrollment ID: I20170223000979 |
| Provider Name | Marc S Lampell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154390508 PECOS PAC ID: 6406893353 Enrollment ID: I20170223001828 |
| Provider Name | Jennifer Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003365461 PECOS PAC ID: 9638453913 Enrollment ID: I20170306000967 |
| Provider Name | Aaron J Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235672163 PECOS PAC ID: 0648554709 Enrollment ID: I20170309000703 |
| Provider Name | Jessica Caridad Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356795686 PECOS PAC ID: 9133410772 Enrollment ID: I20170313001033 |
| Provider Name | Tanjuihsien Marx |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306132915 PECOS PAC ID: 5698995249 Enrollment ID: I20170329002506 |
| Provider Name | Saundra Holseth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043601842 PECOS PAC ID: 4587949656 Enrollment ID: I20170403000835 |
| Provider Name | Nason Daniel Rouhizad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790171890 PECOS PAC ID: 8022301423 Enrollment ID: I20170404002856 |
| Provider Name | Debra J Troiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083817365 PECOS PAC ID: 0648556662 Enrollment ID: I20170405002090 |
| Provider Name | Raul Ernesto Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508286030 PECOS PAC ID: 0446527790 Enrollment ID: I20170517001552 |
| Provider Name | Aleithe N Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790223154 PECOS PAC ID: 7214206192 Enrollment ID: I20170708000289 |
| Provider Name | Luis Ariel Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790164010 PECOS PAC ID: 6800174913 Enrollment ID: I20170724003571 |
| Provider Name | Faiz Javed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396162228 PECOS PAC ID: 0648579433 Enrollment ID: I20170815003215 |
| Provider Name | Sheridan Latoya Major-moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073905121 PECOS PAC ID: 0840581153 Enrollment ID: I20170816004370 |
| Provider Name | Adrian A Villarreal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306106877 PECOS PAC ID: 5294967857 Enrollment ID: I20170818002660 |
| Provider Name | Delvis Secin Santana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659760916 PECOS PAC ID: 9931471323 Enrollment ID: I20170818003037 |
| Provider Name | Nathan D Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184039877 PECOS PAC ID: 5496027898 Enrollment ID: I20170819000230 |
| Provider Name | Great Patoombal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104362904 PECOS PAC ID: 1052683117 Enrollment ID: I20170824000585 |
| Provider Name | Martha E Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831398791 PECOS PAC ID: 9436441482 Enrollment ID: I20170831002062 |
| Provider Name | Frederick Brian Brautigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710931068 PECOS PAC ID: 1850284936 Enrollment ID: I20170831003013 |
| Provider Name | John Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033521174 PECOS PAC ID: 3072738863 Enrollment ID: I20171004003362 |
| Provider Name | Tony Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861854671 PECOS PAC ID: 7618242397 Enrollment ID: I20171005001419 |
| Provider Name | Navraj Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477945129 PECOS PAC ID: 3971800707 Enrollment ID: I20171006001947 |
| Provider Name | Sangeetha Setty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063822385 PECOS PAC ID: 7416260922 Enrollment ID: I20171009003215 |
| Provider Name | Sebastian Puig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295154706 PECOS PAC ID: 1254552292 Enrollment ID: I20171108002406 |
| Provider Name | Kevin Xunan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871029462 PECOS PAC ID: 8224394069 Enrollment ID: I20171109003136 |
| Provider Name | Bradley Matthew White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265891634 PECOS PAC ID: 9537425335 Enrollment ID: I20171110002263 |
| Provider Name | Hyrum Lee Judd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871952036 PECOS PAC ID: 4880951375 Enrollment ID: I20171208002267 |
| Provider Name | Evan N Meier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629515853 PECOS PAC ID: 9830456326 Enrollment ID: I20171208002551 |
| Provider Name | Lina Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114457025 PECOS PAC ID: 0345508545 Enrollment ID: I20171215002775 |
| Provider Name | Brian Lee Hollibush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114058526 PECOS PAC ID: 2062770183 Enrollment ID: I20171219002878 |
| Provider Name | Wesam Safwat Mohamed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245622398 PECOS PAC ID: 1153689047 Enrollment ID: I20171226000836 |
| Provider Name | Jasmine Renee Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265942528 PECOS PAC ID: 8325307846 Enrollment ID: I20180109000588 |
| Provider Name | Lawrence A Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346206604 PECOS PAC ID: 1951295013 Enrollment ID: I20180123000658 |
| Provider Name | Ambreen F Tariq |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932549383 PECOS PAC ID: 2264792670 Enrollment ID: I20180202002271 |
| Provider Name | Michael A Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063964666 PECOS PAC ID: 9638439086 Enrollment ID: I20180205001679 |
| Provider Name | Nicole L Warren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053794917 PECOS PAC ID: 2062772221 Enrollment ID: I20180207002436 |
| Provider Name | Hollie D Moffett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598176133 PECOS PAC ID: 9739449745 Enrollment ID: I20180213002353 |
| Provider Name | Lissette Lazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003208083 PECOS PAC ID: 6002109550 Enrollment ID: I20180214002737 |
| Provider Name | Polina Paskaleva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831610732 PECOS PAC ID: 3476814260 Enrollment ID: I20180217000004 |
| Provider Name | Amado Saad De La Torre |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477826824 PECOS PAC ID: 4183906480 Enrollment ID: I20180315001875 |
| Provider Name | Michael A Talalaev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336500461 PECOS PAC ID: 0143582528 Enrollment ID: I20180322002865 |
| Provider Name | Nazanin Parsaei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417104282 PECOS PAC ID: 7315121670 Enrollment ID: I20180409000539 |
| Provider Name | Carlos David Pena |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093161143 PECOS PAC ID: 5092078683 Enrollment ID: I20180412001744 |
| Provider Name | Julie A Bearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609013531 PECOS PAC ID: 9638228026 Enrollment ID: I20180416000099 |
| Provider Name | Andrea M Miller-lari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952761843 PECOS PAC ID: 6204120991 Enrollment ID: I20180419001308 |
| Provider Name | Justin Yaakov Shemesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720442130 PECOS PAC ID: 3971866179 Enrollment ID: I20180423001758 |
| Provider Name | Guillermo Atilio Pinelo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780119727 PECOS PAC ID: 5496011785 Enrollment ID: I20180507002422 |
| Provider Name | Michael Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871956516 PECOS PAC ID: 3577827898 Enrollment ID: I20180514000409 |
| Provider Name | Anthony Q Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013324979 PECOS PAC ID: 2567757271 Enrollment ID: I20180514002511 |
| Provider Name | Angela Robison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477071082 PECOS PAC ID: 0143584334 Enrollment ID: I20180516002301 |
| Provider Name | Donghyun Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548614563 PECOS PAC ID: 6305130592 Enrollment ID: I20180523001055 |
| Provider Name | Benjamin Yoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023071529 PECOS PAC ID: 2668480872 Enrollment ID: I20180612001179 |
| Provider Name | Monica L Multani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497114649 PECOS PAC ID: 9830482553 Enrollment ID: I20180626002997 |
| Provider Name | Sumona Kabir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881001444 PECOS PAC ID: 9335465939 Enrollment ID: I20180717000643 |
| Provider Name | Giselle Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366834426 PECOS PAC ID: 2567754583 Enrollment ID: I20180718000941 |
| Provider Name | Eric Richard Spears |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154739118 PECOS PAC ID: 6800143074 Enrollment ID: I20180718003325 |
| Provider Name | Esther A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518481191 PECOS PAC ID: 0941557672 Enrollment ID: I20180725003903 |
| Provider Name | Courtney L Autrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780182402 PECOS PAC ID: 4688922495 Enrollment ID: I20180809004610 |
| Provider Name | Huyen Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528502895 PECOS PAC ID: 6901157213 Enrollment ID: I20180926001704 |
| Provider Name | Robin E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275948457 PECOS PAC ID: 7113279043 Enrollment ID: I20181004000328 |
| Provider Name | Dilraj S Sekhon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871032797 PECOS PAC ID: 8628349552 Enrollment ID: I20181102001790 |
| Provider Name | Elys Maria Perez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154760585 PECOS PAC ID: 7315290541 Enrollment ID: I20181105002310 |
| Provider Name | Angel Lamas Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891180683 PECOS PAC ID: 7810282555 Enrollment ID: I20181113002632 |
| Provider Name | Ramon E Vado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215092663 PECOS PAC ID: 9537357447 Enrollment ID: I20181115003046 |
| Provider Name | Aldo Manresa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275986861 PECOS PAC ID: 6507110020 Enrollment ID: I20181119001921 |
| Provider Name | Diana Zuleta |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790176311 PECOS PAC ID: 6608160247 Enrollment ID: I20181130001363 |
| Provider Name | Francisco Macapagal Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427220383 PECOS PAC ID: 1153409503 Enrollment ID: I20181206002012 |
| Provider Name | Kimala Aleisha Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386137677 PECOS PAC ID: 0840534319 Enrollment ID: I20181211000291 |
| Provider Name | Wilbert R. Del Valle Rivera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437399730 PECOS PAC ID: 7315084381 Enrollment ID: I20181214000594 |
| Provider Name | Renee Kusler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902837883 PECOS PAC ID: 6901069228 Enrollment ID: I20181228002476 |
| Provider Name | Matthew Ryan Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780150367 PECOS PAC ID: 7315994407 Enrollment ID: I20190110000190 |
| Provider Name | Elizabeth Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326544008 PECOS PAC ID: 5294071353 Enrollment ID: I20190110000262 |
| Provider Name | Dimitri Cordova Caballero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740637073 PECOS PAC ID: 4688910722 Enrollment ID: I20190110003393 |
| Provider Name | Odelaisys Enriquez Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164916615 PECOS PAC ID: 4385980333 Enrollment ID: I20190111000784 |
| Provider Name | Linda Rachel Topel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790254027 PECOS PAC ID: 5890031462 Enrollment ID: I20190118001377 |
| Provider Name | Shruti Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235510769 PECOS PAC ID: 6507113685 Enrollment ID: I20190118001739 |
| Provider Name | Luis Enrique Liogier-weyback |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699181891 PECOS PAC ID: 7810210630 Enrollment ID: I20190118002064 |
| Provider Name | Wasim Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205222171 PECOS PAC ID: 2062722192 Enrollment ID: I20190118002168 |
| Provider Name | Alan H Rosenthal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003848284 PECOS PAC ID: 1759530330 Enrollment ID: I20190123001309 |
| Provider Name | David M Joyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255733531 PECOS PAC ID: 4981941374 Enrollment ID: I20190123001837 |
| Provider Name | Carline Jean-philippe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154827384 PECOS PAC ID: 7810234119 Enrollment ID: I20190124001560 |
| Provider Name | Maria Paulina Angel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578933248 PECOS PAC ID: 7012254279 Enrollment ID: I20190125000451 |
| Provider Name | Alexander Michael Morales |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154712057 PECOS PAC ID: 6406193473 Enrollment ID: I20190129002356 |
| Provider Name | Menar Wahood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033578190 PECOS PAC ID: 7416241732 Enrollment ID: I20190130000387 |
| Provider Name | Dawn Garcen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578541371 PECOS PAC ID: 9537181870 Enrollment ID: I20190131001463 |
| Provider Name | Amy B Schiffman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1972864064 PECOS PAC ID: 3779875240 Enrollment ID: I20190201001387 |
| Provider Name | Dimitra Servetas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174723951 PECOS PAC ID: 0244386829 Enrollment ID: I20190205003711 |
| Provider Name | Amanda Nicole Walrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912485103 PECOS PAC ID: 3678811262 Enrollment ID: I20190206000821 |
| Provider Name | Ashley East |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144791575 PECOS PAC ID: 3072851534 Enrollment ID: I20190208001609 |
| Provider Name | Sanil Varghese Prakash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154805489 PECOS PAC ID: 9830437177 Enrollment ID: I20190213000323 |
| Provider Name | Matthew Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326425455 PECOS PAC ID: 6608114640 Enrollment ID: I20190215002710 |
| Provider Name | Naysi Ojeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851879050 PECOS PAC ID: 3971658295 Enrollment ID: I20190222000021 |
| Provider Name | Kanza Asim Soomro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770022279 PECOS PAC ID: 9931448628 Enrollment ID: I20190225000324 |
| Provider Name | Ann Andrzejewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326594581 PECOS PAC ID: 8325335508 Enrollment ID: I20190225001510 |
| Provider Name | Amro Mahmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114433687 PECOS PAC ID: 2466792361 Enrollment ID: I20190312002453 |
| Provider Name | Cesar Pomperada Penaranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568969061 PECOS PAC ID: 5799025466 Enrollment ID: I20190314002564 |
| Provider Name | Quratulain Hayat |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1275013237 PECOS PAC ID: 7517208200 Enrollment ID: I20190405001717 |
| Provider Name | Princess Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134664451 PECOS PAC ID: 0941542732 Enrollment ID: I20190426000833 |
| Provider Name | Natalie Nicole Voorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578076915 PECOS PAC ID: 4284976531 Enrollment ID: I20190507000946 |
| Provider Name | Victor Cisneros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811409402 PECOS PAC ID: 8921368903 Enrollment ID: I20190529000310 |
| Provider Name | Genevieve San Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174090500 PECOS PAC ID: 3375876451 Enrollment ID: I20190604002541 |
| Provider Name | Adiena Amaro Herist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568846038 PECOS PAC ID: 1557694643 Enrollment ID: I20190604002595 |
| Provider Name | Samer Obid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235592106 PECOS PAC ID: 8921331059 Enrollment ID: I20190605000817 |
| Provider Name | Diane M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629521307 PECOS PAC ID: 7719249234 Enrollment ID: I20190621000769 |
| Provider Name | Nickesha Vinetta Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043660806 PECOS PAC ID: 2365777661 Enrollment ID: I20190709001724 |
| Provider Name | Mirland Gina Aubourg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366900342 PECOS PAC ID: 9133454465 Enrollment ID: I20190709002532 |
| Provider Name | Autumn E Oakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851959407 PECOS PAC ID: 8123353240 Enrollment ID: I20190711002638 |
| Provider Name | Lynn Mary Hernandez-rizo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255792149 PECOS PAC ID: 7719278183 Enrollment ID: I20190802000700 |
| Provider Name | Sarkis Ohannes Markarian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841725462 PECOS PAC ID: 4486981032 Enrollment ID: I20190806001318 |
| Provider Name | Jesse A Kemmerlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841659786 PECOS PAC ID: 1355670142 Enrollment ID: I20190903003072 |
| Provider Name | Tracey C Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336579697 PECOS PAC ID: 8921239450 Enrollment ID: I20190909002357 |
| Provider Name | Irmanie Isme-blanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720645898 PECOS PAC ID: 4385973486 Enrollment ID: I20190916002501 |
| Provider Name | Samer M Darwich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649745563 PECOS PAC ID: 8628307618 Enrollment ID: I20190917003144 |
| Provider Name | Angelica P Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235602731 PECOS PAC ID: 5991036709 Enrollment ID: I20191009001558 |
| Provider Name | Nicholas Joseph Pigg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386174092 PECOS PAC ID: 3779814066 Enrollment ID: I20191017002507 |
| Provider Name | Kritika Joshi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598261596 PECOS PAC ID: 1759612948 Enrollment ID: I20191021001144 |
| Provider Name | Carlos Alaine Aparicio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982050258 PECOS PAC ID: 0143552976 Enrollment ID: I20191029001175 |
| Provider Name | Rehan Ahmed Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154843449 PECOS PAC ID: 1951633593 Enrollment ID: I20191030003212 |
| Provider Name | Francis Patrick Matuszak |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447755830 PECOS PAC ID: 8426380809 Enrollment ID: I20191105000735 |
| Provider Name | Ralph S Tawil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417495342 PECOS PAC ID: 8729410303 Enrollment ID: I20191120001365 |
| Provider Name | Stephanie Powell-gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275021206 PECOS PAC ID: 5496099327 Enrollment ID: I20191212000774 |
| Provider Name | Danielle L Blakemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437533973 PECOS PAC ID: 3971812173 Enrollment ID: I20191212002031 |
| Provider Name | William Vincent Valcheck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609397413 PECOS PAC ID: 8527491018 Enrollment ID: I20191216000482 |
| Provider Name | Kaydian Christina Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174017586 PECOS PAC ID: 1557795705 Enrollment ID: I20191223001238 |
| Provider Name | Arlene Swaby Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144876202 PECOS PAC ID: 6204260359 Enrollment ID: I20191223001648 |
| Provider Name | Pedro J Sanchez Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285083261 PECOS PAC ID: 6305134479 Enrollment ID: I20191230002227 |
| Provider Name | Kaivalya Jay Vyas |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1861806481 PECOS PAC ID: 8921432790 Enrollment ID: I20200102002650 |
| Provider Name | Quincy Sa'ena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316485246 PECOS PAC ID: 4183059330 Enrollment ID: I20200115002547 |
| Provider Name | Daniel Marc Tuckerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164957478 PECOS PAC ID: 3577834944 Enrollment ID: I20200123000438 |
| Provider Name | Leo Lin Kao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013385830 PECOS PAC ID: 7416292487 Enrollment ID: I20200124001030 |
| Provider Name | Stephanie M Elsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700964723 PECOS PAC ID: 1456374412 Enrollment ID: I20200129001451 |
| Provider Name | Roseann Lezell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215574124 PECOS PAC ID: 0446686000 Enrollment ID: I20200130002451 |
| Provider Name | Maria Elena Nasiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700434891 PECOS PAC ID: 5294161691 Enrollment ID: I20200203002115 |
| Provider Name | Elizabeth Jerome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407115389 PECOS PAC ID: 6103134465 Enrollment ID: I20200207001040 |
| Provider Name | Mario Stefan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255531653 PECOS PAC ID: 9830526508 Enrollment ID: I20200219002365 |
| Provider Name | Luis Angel Ayub Arano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528535614 PECOS PAC ID: 5496182412 Enrollment ID: I20200303001602 |
| Provider Name | David Roman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518036748 PECOS PAC ID: 6305870718 Enrollment ID: I20200304000927 |
| Provider Name | Kelly C Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184270209 PECOS PAC ID: 9335576255 Enrollment ID: I20200305000234 |
| Provider Name | Patti Ann Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457741985 PECOS PAC ID: 5496060246 Enrollment ID: I20200317000989 |
| Provider Name | Elora Roy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861717274 PECOS PAC ID: 2466689591 Enrollment ID: I20200319001096 |
| Provider Name | Tara L Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194175554 PECOS PAC ID: 7810288560 Enrollment ID: I20200328000014 |
| Provider Name | Brandon L Coffey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134493588 PECOS PAC ID: 9739309469 Enrollment ID: I20200330003663 |
| Provider Name | Christopher Andrew Kay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932594090 PECOS PAC ID: 1456613959 Enrollment ID: I20200408003560 |
| Provider Name | Zia Husnain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225418783 PECOS PAC ID: 9335495761 Enrollment ID: I20200415002757 |
| Provider Name | Jennifer Hayes-bethel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467650101 PECOS PAC ID: 7719011444 Enrollment ID: I20200727000543 |
| Provider Name | Monica Pinglo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962940809 PECOS PAC ID: 2961827035 Enrollment ID: I20200806001248 |
| Provider Name | Bhavana Kranthi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114226693 PECOS PAC ID: 3577874478 Enrollment ID: I20200831002474 |
| Provider Name | Rita Zeidan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063928851 PECOS PAC ID: 1153748397 Enrollment ID: I20200902000776 |
| Provider Name | Ibrahim Hasan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255838264 PECOS PAC ID: 1850719774 Enrollment ID: I20200909002364 |
| Provider Name | Naira Murillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710500632 PECOS PAC ID: 0446678510 Enrollment ID: I20200922002422 |
| Provider Name | Suzanne C Dargan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033524970 PECOS PAC ID: 7012136674 Enrollment ID: I20201007003301 |
| Provider Name | Pegah Zare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467957480 PECOS PAC ID: 3375962558 Enrollment ID: I20201008000469 |
| Provider Name | Melissa Rohrbacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649349564 PECOS PAC ID: 9830198092 Enrollment ID: I20201012000427 |
| Provider Name | Nicole Christina Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881099463 PECOS PAC ID: 1254658180 Enrollment ID: I20201027002771 |
| Provider Name | Jared J Saint John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013540103 PECOS PAC ID: 5496165680 Enrollment ID: I20201028002919 |
| Provider Name | Maryann Sandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053738971 PECOS PAC ID: 6709165129 Enrollment ID: I20201117001116 |
| Provider Name | Charlene Micale Somaru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801328679 PECOS PAC ID: 3173895356 Enrollment ID: I20201118001066 |
| Provider Name | Daniel Shields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235664095 PECOS PAC ID: 3678819521 Enrollment ID: I20201124000298 |
| Provider Name | Dominique Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376929547 PECOS PAC ID: 1850609165 Enrollment ID: I20201202000393 |
| Provider Name | Claudinise Civil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144717174 PECOS PAC ID: 8527397355 Enrollment ID: I20201208001436 |
| Provider Name | Chandra P Sanwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235662735 PECOS PAC ID: 4789014291 Enrollment ID: I20201216000755 |
| Provider Name | Dany N Dalencourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851613954 PECOS PAC ID: 9830227750 Enrollment ID: I20210106002923 |
| Provider Name | Courtney Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699372987 PECOS PAC ID: 6204249147 Enrollment ID: I20210113002170 |
| Provider Name | Shaquira Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619575784 PECOS PAC ID: 4385057082 Enrollment ID: I20210119000255 |
| Provider Name | Summer Barron Reedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730716739 PECOS PAC ID: 9638582356 Enrollment ID: I20210119000803 |
| Provider Name | Hendy Aubourg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659979656 PECOS PAC ID: 3678986395 Enrollment ID: I20210119001117 |
| Provider Name | Nora Bassam Khoury |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093205114 PECOS PAC ID: 1759794480 Enrollment ID: I20210119001641 |
| Provider Name | Melissa A Ziogas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003142316 PECOS PAC ID: 7113330895 Enrollment ID: I20210120000449 |
| Provider Name | Jounette Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003446949 PECOS PAC ID: 7416361480 Enrollment ID: I20210203000242 |
| Provider Name | Katy Redfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417583147 PECOS PAC ID: 5698189462 Enrollment ID: I20210208000547 |
| Provider Name | Crystal N Novelozo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922694173 PECOS PAC ID: 2567877277 Enrollment ID: I20210210001377 |
| Provider Name | Anayo Linda Ohadugha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407380892 PECOS PAC ID: 2567749211 Enrollment ID: I20210211001221 |
| Provider Name | Rachael N Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366050569 PECOS PAC ID: 1557776093 Enrollment ID: I20210216001866 |
| Provider Name | Jennifer Haughey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699206714 PECOS PAC ID: 0345519369 Enrollment ID: I20210302001260 |
| Provider Name | Sylvie Star Lanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518566710 PECOS PAC ID: 6507272283 Enrollment ID: I20210303002448 |
| Provider Name | Jennifer L Solano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609460112 PECOS PAC ID: 5890102826 Enrollment ID: I20210318001390 |
| Provider Name | Khadija I Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588171458 PECOS PAC ID: 0648687319 Enrollment ID: I20210324002088 |
| Provider Name | Jennifer Valerio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679179139 PECOS PAC ID: 5092122713 Enrollment ID: I20210325000726 |
| Provider Name | Shanna Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619582038 PECOS PAC ID: 7517374929 Enrollment ID: I20210401000113 |
| Provider Name | Sirac Cardoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154771939 PECOS PAC ID: 9739426917 Enrollment ID: I20210524000158 |
| Provider Name | Catiana Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659965267 PECOS PAC ID: 5193124121 Enrollment ID: I20210525001604 |
| Provider Name | Anthony Ruffa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134128341 PECOS PAC ID: 6709894397 Enrollment ID: I20210603000021 |
| Provider Name | Jessika H Widerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568048445 PECOS PAC ID: 2860893039 Enrollment ID: I20210624003124 |
| Provider Name | Izabella Da Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811453319 PECOS PAC ID: 2961804752 Enrollment ID: I20210715004270 |
| Provider Name | Jessica Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407434442 PECOS PAC ID: 6406264381 Enrollment ID: I20210721003240 |
| Provider Name | Katarzyna Sobczynska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902959851 PECOS PAC ID: 9830515543 Enrollment ID: I20210726001817 |
| Provider Name | Hasan O Suleiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023376266 PECOS PAC ID: 8224324165 Enrollment ID: I20210923001687 |
| Provider Name | Allison N Dicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326619255 PECOS PAC ID: 0042617458 Enrollment ID: I20210928002897 |
| Provider Name | Rami Mansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386137487 PECOS PAC ID: 5597163477 Enrollment ID: I20211006003194 |
| Provider Name | Nicolas Applyrs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386208015 PECOS PAC ID: 8426446527 Enrollment ID: I20211021002931 |
| Provider Name | Ugwuala Nwauche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922053248 PECOS PAC ID: 7517862535 Enrollment ID: I20211021003256 |
| Provider Name | William C Draper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053978387 PECOS PAC ID: 4789073727 Enrollment ID: I20211115000172 |
| Provider Name | Shan Siddiqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598250417 PECOS PAC ID: 4284069030 Enrollment ID: I20211123000457 |
| Provider Name | Kimberly S Macdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003240359 PECOS PAC ID: 6204060338 Enrollment ID: I20211124002191 |
| Provider Name | Jeannette Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407198377 PECOS PAC ID: 8820236920 Enrollment ID: I20211202001687 |
| Provider Name | Weliya Mohamed Bajiba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235699406 PECOS PAC ID: 9739418419 Enrollment ID: I20211207000668 |
| Provider Name | Patrick Hartmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588227680 PECOS PAC ID: 3779973458 Enrollment ID: I20211213001014 |
| Provider Name | Hussein T Anan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386057966 PECOS PAC ID: 2163718180 Enrollment ID: I20220125002967 |
| Provider Name | Choondai Ramlall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952942526 PECOS PAC ID: 3577972876 Enrollment ID: I20220303002845 |
| Provider Name | Patrick W Kobler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356803191 PECOS PAC ID: 1759775794 Enrollment ID: I20220308001441 |
| Provider Name | Carolina Pavon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053951996 PECOS PAC ID: 1850787318 Enrollment ID: I20220408001975 |
| Provider Name | Walter J Kaniefski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003840422 PECOS PAC ID: 7113839259 Enrollment ID: I20220419002662 |
| Provider Name | Kim Miner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982200705 PECOS PAC ID: 1951798727 Enrollment ID: I20220426000210 |
| Provider Name | Ana T Padron Valdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043965908 PECOS PAC ID: 8123405123 Enrollment ID: I20220512002143 |
| Provider Name | Piettra Santos Alves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962980631 PECOS PAC ID: 3779832829 Enrollment ID: I20220705002991 |
| Provider Name | Brian Edward Levy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134853914 PECOS PAC ID: 9537542519 Enrollment ID: I20220824002212 |
| Provider Name | Lisage Georges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770102634 PECOS PAC ID: 1658755905 Enrollment ID: I20220906000434 |
| Provider Name | Blair Marie East |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477284743 PECOS PAC ID: 6901281955 Enrollment ID: I20220913000088 |
| Provider Name | Jennifer Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184244030 PECOS PAC ID: 7911325055 Enrollment ID: I20220914001047 |
| Provider Name | Irina E Rakhmanina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639109671 PECOS PAC ID: 4385819028 Enrollment ID: I20221026001865 |
| Provider Name | Claudia Cuevas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609490044 PECOS PAC ID: 4486020849 Enrollment ID: I20221026002224 |
| Provider Name | Miranda Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790203446 PECOS PAC ID: 5890061071 Enrollment ID: I20221027001657 |
| Provider Name | Virginia Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417455056 PECOS PAC ID: 0446504757 Enrollment ID: I20221028000038 |
| Provider Name | Camille Celeste Go |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932723293 PECOS PAC ID: 6002283124 Enrollment ID: I20221102002736 |
| Provider Name | Ja-anna Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891411146 PECOS PAC ID: 8628446986 Enrollment ID: I20221118000263 |
| Provider Name | Mie Takizawa Lilavois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760954192 PECOS PAC ID: 4880925072 Enrollment ID: I20221220000295 |
| Provider Name | Sasha Kimberly Aristide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306336052 PECOS PAC ID: 3678811270 Enrollment ID: I20221230000056 |
| Provider Name | Olivia Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265087670 PECOS PAC ID: 5496172207 Enrollment ID: I20230104002351 |
| Provider Name | Coleen Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164095550 PECOS PAC ID: 2668842873 Enrollment ID: I20230104003015 |
| Provider Name | Joseph B Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538524467 PECOS PAC ID: 2668764994 Enrollment ID: I20230106000273 |
| Provider Name | Lynieta Leisure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174555064 PECOS PAC ID: 4082646609 Enrollment ID: I20230109002962 |
| Provider Name | Jacqueline Charbonneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699498246 PECOS PAC ID: 5193195063 Enrollment ID: I20230110003302 |
| Provider Name | Andrea Marie Machado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609241959 PECOS PAC ID: 7810248879 Enrollment ID: I20230117000239 |
| Provider Name | Hiran Alejandro Alfonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083372098 PECOS PAC ID: 2264803972 Enrollment ID: I20230117001033 |
| Provider Name | Gina M Darr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275252447 PECOS PAC ID: 5799156873 Enrollment ID: I20230127002341 |
| Provider Name | Amanda Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831658368 PECOS PAC ID: 0547693251 Enrollment ID: I20230202000241 |
| Provider Name | Grace E Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639880800 PECOS PAC ID: 3476926411 Enrollment ID: I20230222001933 |
| Provider Name | Michael H Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194331868 PECOS PAC ID: 9032583877 Enrollment ID: I20230320000150 |
| Provider Name | Lindsey Bruckler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346871910 PECOS PAC ID: 1850712134 Enrollment ID: I20230406000339 |
| Provider Name | Andrew Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851379549 PECOS PAC ID: 8426185604 Enrollment ID: I20230515000668 |
| Provider Name | Jeffrey Vanderbilt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568542082 PECOS PAC ID: 3375533318 Enrollment ID: I20230613000424 |
| Provider Name | Juan S Bedoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487357091 PECOS PAC ID: 5890153407 Enrollment ID: I20230614000344 |
| Provider Name | Erik Edward Grodus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407435936 PECOS PAC ID: 3870951486 Enrollment ID: I20230614000421 |
| Provider Name | Anne Mivida Petit-homme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871261354 PECOS PAC ID: 4587022686 Enrollment ID: I20230622000479 |
| Provider Name | Kaitlin Nicole Desoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689223943 PECOS PAC ID: 3173854734 Enrollment ID: I20230629003477 |
| Provider Name | Curtis Franke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265449524 PECOS PAC ID: 4082615927 Enrollment ID: I20230815001622 |
| Provider Name | Annia Nimo Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568151181 PECOS PAC ID: 0648633644 Enrollment ID: I20230823003386 |
| Provider Name | Olivia Igoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376122879 PECOS PAC ID: 9638544349 Enrollment ID: I20230824003015 |
| Provider Name | Arilda Margjoni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710515283 PECOS PAC ID: 0749603835 Enrollment ID: I20230824004342 |
| Provider Name | Eugenio Delgado Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629708607 PECOS PAC ID: 9032564646 Enrollment ID: I20231017000202 |
| Provider Name | Yvonne Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760069454 PECOS PAC ID: 9133576655 Enrollment ID: I20231106001276 |
| Provider Name | Madison Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083492250 PECOS PAC ID: 8426407586 Enrollment ID: I20231214001301 |
| Provider Name | Boris Luis Iglesias Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902270192 PECOS PAC ID: 5991148256 Enrollment ID: I20240205000463 |
| Provider Name | Gabrielle Conde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336924661 PECOS PAC ID: 4587028956 Enrollment ID: I20240314003462 |
| Provider Name | Orlando Abel Hernandez Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386334928 PECOS PAC ID: 7618315987 Enrollment ID: I20240404004147 |
| Provider Name | Connie Rawls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528033016 PECOS PAC ID: 7911080304 Enrollment ID: I20240426001036 |
| Provider Name | Adam Finck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396377677 PECOS PAC ID: 6507225703 Enrollment ID: I20240502002041 |
| Provider Name | Roxana Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871129569 PECOS PAC ID: 4486044567 Enrollment ID: I20240502003952 |
| Provider Name | Kimberly Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316979230 PECOS PAC ID: 8921080540 Enrollment ID: I20240520002883 |
Recovery Rehab Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1840 Forest Hill Blvd Ste 205a, West Palm Beach, FL 33406 Phone: 561-552-1842 | |
Doctor S Choice Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4670 Forest Hill Blvd, West Palm Beach, FL 33415 Phone: 561-433-4117 | |
Intermed Services, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1115 45th St, Suite 1a, West Palm Beach, FL 33407 Phone: 561-845-2081 Fax: 561-845-2953 | |
Habib Khan Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8131 Woodsmuir Dr, West Palm Beach, FL 33412 Phone: 786-487-1395 | |
Pasteur & Wellmax Medical Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 S Military Trl Ste 1, West Palm Beach, FL 33415 Phone: 561-835-5001 Fax: 561-228-0997 | |
Ng Health Services Chartered Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6893 Isla Vista Dr, West Palm Beach, FL 33412 Phone: 847-987-6727 |