| Memorial Health Partners Foundation, Inc | |
|
5600 Brainerd Rd Suite 500 Chattanooga TN 37411-5310 | |
| (423) 495-6870 | |
| Not Available |
| Full Name | Memorial Health Partners Foundation, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5600 Brainerd Rd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Maelor G Hughes (PRESIDENT) |
| Authorized Official Contact | 4234956870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Health Partners Foundation, Inc Po Box 749748 Atlanta GA 30374-9748 Ph: (423) 495-8659 | Memorial Health Partners Foundation, Inc 5600 Brainerd Rd Suite 500 Chattanooga TN 37411-5310 Ph: (423) 495-6870 |
| NPI Number | 1922053545 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 11/07/2023 |
| Medicare PECOS PAC ID | 8022919570 |
|---|---|
| Medicare Enrollment ID | O20040116000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922053545 | NPI | - | NPPES |
| Provider Name | Tareck A Kadrie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700814191 PECOS PAC ID: 3072417906 Enrollment ID: I20031122000026 |
| Provider Name | Biram C Hicks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295710606 PECOS PAC ID: 8022919661 Enrollment ID: I20040116000689 |
| Provider Name | Judith A Buhrman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457320475 PECOS PAC ID: 3971404492 Enrollment ID: I20040117000076 |
| Provider Name | John S Muller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861477374 PECOS PAC ID: 8527969054 Enrollment ID: I20040117000149 |
| Provider Name | Jeffrey S Jump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467462150 PECOS PAC ID: 8426959750 Enrollment ID: I20040119000495 |
| Provider Name | William Blake Haren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558479410 PECOS PAC ID: 8224930227 Enrollment ID: I20040121000763 |
| Provider Name | Christine W Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760467278 PECOS PAC ID: 4082516943 Enrollment ID: I20040122000508 |
| Provider Name | Margaret Y Disheroon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326028952 PECOS PAC ID: 6709788128 Enrollment ID: I20040124000265 |
| Provider Name | Vicky L Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912013426 PECOS PAC ID: 0143122689 Enrollment ID: I20040129001024 |
| Provider Name | David B Dodson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518942424 PECOS PAC ID: 4688567175 Enrollment ID: I20040206000903 |
| Provider Name | David A Denman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942287453 PECOS PAC ID: 1254226129 Enrollment ID: I20040219000067 |
| Provider Name | Johannes J Duplooy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194767376 PECOS PAC ID: 8224927488 Enrollment ID: I20040315000472 |
| Provider Name | Richard H Jennings |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245299551 PECOS PAC ID: 9335039106 Enrollment ID: I20040316001186 |
| Provider Name | Carlos Baleeiro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841223039 PECOS PAC ID: 2163312364 Enrollment ID: I20040319000743 |
| Provider Name | Christopher R Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174551600 PECOS PAC ID: 7719977453 Enrollment ID: I20040514000946 |
| Provider Name | Rodney J Beasley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023019304 PECOS PAC ID: 8729069448 Enrollment ID: I20040528000064 |
| Provider Name | Suzanne E Storey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346225919 PECOS PAC ID: 0042292088 Enrollment ID: I20040603000929 |
| Provider Name | Teddy A Scoggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275510851 PECOS PAC ID: 1658353594 Enrollment ID: I20040603001030 |
| Provider Name | Larry R Sprouse |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730173634 PECOS PAC ID: 2567445828 Enrollment ID: I20040609000583 |
| Provider Name | Richard L Yap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710956305 PECOS PAC ID: 0941283147 Enrollment ID: I20040609000918 |
| Provider Name | Lonard C Rigsby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942285523 PECOS PAC ID: 8820992944 Enrollment ID: I20040615001485 |
| Provider Name | Mario E Mariani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487680344 PECOS PAC ID: 7012991177 Enrollment ID: I20040616000311 |
| Provider Name | George M Ozborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275577710 PECOS PAC ID: 6709770704 Enrollment ID: I20040616000462 |
| Provider Name | Jerrold L Selzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437191749 PECOS PAC ID: 4385628486 Enrollment ID: I20040616000564 |
| Provider Name | Jacqueline Louise Rogers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831229236 PECOS PAC ID: 8921078064 Enrollment ID: I20040727001510 |
| Provider Name | William T Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073552121 PECOS PAC ID: 9537130679 Enrollment ID: I20040803001096 |
| Provider Name | Vincent A Viscomi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982689493 PECOS PAC ID: 7416928197 Enrollment ID: I20040805000031 |
| Provider Name | William O Cornwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578540654 PECOS PAC ID: 9436122603 Enrollment ID: I20040820000769 |
| Provider Name | Steven Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376537001 PECOS PAC ID: 7810961638 Enrollment ID: I20040825001359 |
| Provider Name | Candace J Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518947134 PECOS PAC ID: 0648248237 Enrollment ID: I20040921001194 |
| Provider Name | Sibaji Shome |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922022672 PECOS PAC ID: 8123097490 Enrollment ID: I20041002000137 |
| Provider Name | John L Gwin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861486839 PECOS PAC ID: 1254391279 Enrollment ID: I20041014000384 |
| Provider Name | Cristina E Florea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497730949 PECOS PAC ID: 1052373248 Enrollment ID: I20041030000081 |
| Provider Name | Kelly J Rouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689610230 PECOS PAC ID: 5890758882 Enrollment ID: I20041110000829 |
| Provider Name | Jennifer R Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487623252 PECOS PAC ID: 3971567728 Enrollment ID: I20041112000297 |
| Provider Name | Mark D Anderson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568451409 PECOS PAC ID: 7810952389 Enrollment ID: I20041123001029 |
| Provider Name | Susan R Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760462303 PECOS PAC ID: 1052376001 Enrollment ID: I20041201000576 |
| Provider Name | Kenneth L Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083699524 PECOS PAC ID: 5193781581 Enrollment ID: I20041207001087 |
| Provider Name | Chetan D Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659480606 PECOS PAC ID: 7113985086 Enrollment ID: I20041222000804 |
| Provider Name | Hal E Hill |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689663197 PECOS PAC ID: 2264482561 Enrollment ID: I20050125000377 |
| Provider Name | Paul Cornea |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083603906 PECOS PAC ID: 4688624844 Enrollment ID: I20050125000923 |
| Provider Name | Dorin Andreescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669457107 PECOS PAC ID: 0042265712 Enrollment ID: I20050315000842 |
| Provider Name | Subhash P Virani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336222546 PECOS PAC ID: 2062467418 Enrollment ID: I20050317001003 |
| Provider Name | Ryan S Mcnamara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598878084 PECOS PAC ID: 0446299473 Enrollment ID: I20050428001254 |
| Provider Name | Anuj Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710977301 PECOS PAC ID: 1557303989 Enrollment ID: I20050525001309 |
| Provider Name | Allen T Sherwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902825102 PECOS PAC ID: 4284677535 Enrollment ID: I20050607000968 |
| Provider Name | Ann H Rybolt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750375333 PECOS PAC ID: 0244269751 Enrollment ID: I20050804001128 |
| Provider Name | Rohini R Alay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528057288 PECOS PAC ID: 2466482302 Enrollment ID: I20050819000408 |
| Provider Name | Oana L Andreescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306821947 PECOS PAC ID: 5193613719 Enrollment ID: I20050823000512 |
| Provider Name | Theresa A Pollard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073513537 PECOS PAC ID: 6507891124 Enrollment ID: I20051003000691 |
| Provider Name | Clarissa Ann Mashchak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245202183 PECOS PAC ID: 1052336278 Enrollment ID: I20051006000941 |
| Provider Name | Laura S Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881672327 PECOS PAC ID: 8820003841 Enrollment ID: I20060213000630 |
| Provider Name | Thomas Lavie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972690006 PECOS PAC ID: 5698783876 Enrollment ID: I20060329000699 |
| Provider Name | Walter Rose |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689668121 PECOS PAC ID: 7113938523 Enrollment ID: I20060524000175 |
| Provider Name | Holly D Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295763316 PECOS PAC ID: 4082617162 Enrollment ID: I20060809000433 |
| Provider Name | John C House |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538138805 PECOS PAC ID: 4385649029 Enrollment ID: I20061002000178 |
| Provider Name | Travis L Flock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629044920 PECOS PAC ID: 7315944758 Enrollment ID: I20061027000401 |
| Provider Name | Bruce W Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619954575 PECOS PAC ID: 8527066190 Enrollment ID: I20061114000281 |
| Provider Name | Joel S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134239270 PECOS PAC ID: 8224037601 Enrollment ID: I20061212000661 |
| Provider Name | Michael S Pippin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134119860 PECOS PAC ID: 0345240198 Enrollment ID: I20070102000203 |
| Provider Name | Julie C Munson-jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952328874 PECOS PAC ID: 4486656691 Enrollment ID: I20070131000672 |
| Provider Name | Fitzhugh L Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477527653 PECOS PAC ID: 1951404003 Enrollment ID: I20070312000166 |
| Provider Name | Carole H Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962536631 PECOS PAC ID: 3577664499 Enrollment ID: I20070723000402 |
| Provider Name | Priscilla Simms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285792705 PECOS PAC ID: 3577655828 Enrollment ID: I20070816000624 |
| Provider Name | Selmon T Franklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841289501 PECOS PAC ID: 0941394076 Enrollment ID: I20070920000517 |
| Provider Name | Cynthia F Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891798047 PECOS PAC ID: 9830288646 Enrollment ID: I20071201000134 |
| Provider Name | Diana L Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821292038 PECOS PAC ID: 9032299029 Enrollment ID: I20080103000240 |
| Provider Name | Marina Grigorian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255452363 PECOS PAC ID: 3274613625 Enrollment ID: I20080110000359 |
| Provider Name | Paul E Hoffmann |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851304307 PECOS PAC ID: 3274531066 Enrollment ID: I20080219000248 |
| Provider Name | James R Headrick |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104812817 PECOS PAC ID: 5496658445 Enrollment ID: I20080326000284 |
| Provider Name | Radian I Florea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285627265 PECOS PAC ID: 8123005428 Enrollment ID: I20080521000182 |
| Provider Name | Anja Patton-evans |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750364204 PECOS PAC ID: 0143393124 Enrollment ID: I20080724000233 |
| Provider Name | Laura C Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114197522 PECOS PAC ID: 5294808077 Enrollment ID: I20080728000199 |
| Provider Name | Charles L Jackson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942263793 PECOS PAC ID: 9335033091 Enrollment ID: I20080730000688 |
| Provider Name | Catherine A Martinez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861547622 PECOS PAC ID: 7214901503 Enrollment ID: I20080818000794 |
| Provider Name | Roberta J Rakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831366293 PECOS PAC ID: 6608943923 Enrollment ID: I20080927000228 |
| Provider Name | Usman Ahmad Barula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184775991 PECOS PAC ID: 4789579525 Enrollment ID: I20081003000640 |
| Provider Name | Kristen Joels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437169711 PECOS PAC ID: 3577506328 Enrollment ID: I20081014000746 |
| Provider Name | Madeline Grotefendt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912176280 PECOS PAC ID: 9931269651 Enrollment ID: I20081125000256 |
| Provider Name | Jennifer L Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356593917 PECOS PAC ID: 3476614363 Enrollment ID: I20081210000746 |
| Provider Name | Nataria Pitiyanuvath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831301811 PECOS PAC ID: 7911069067 Enrollment ID: I20081223000640 |
| Provider Name | Kristine J Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891944765 PECOS PAC ID: 1557424231 Enrollment ID: I20090106000719 |
| Provider Name | Sandra C Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003072273 PECOS PAC ID: 6406910249 Enrollment ID: I20090122000775 |
| Provider Name | Lawrence C Swan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467402321 PECOS PAC ID: 9335203090 Enrollment ID: I20090126000402 |
| Provider Name | Grace L Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598720880 PECOS PAC ID: 8921162421 Enrollment ID: I20090128000295 |
| Provider Name | Natalie S Braggs |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477764322 PECOS PAC ID: 9133284839 Enrollment ID: I20090212000440 |
| Provider Name | David C Bosshardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932192994 PECOS PAC ID: 0840276804 Enrollment ID: I20090303000464 |
| Provider Name | Thomas Devlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891723284 PECOS PAC ID: 4082648076 Enrollment ID: I20090422000630 |
| Provider Name | Mark Fugate |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124227459 PECOS PAC ID: 7113077132 Enrollment ID: I20090615000103 |
| Provider Name | Heidi R Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821223488 PECOS PAC ID: 5294886750 Enrollment ID: I20090624000361 |
| Provider Name | Deborah Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588879068 PECOS PAC ID: 6406908078 Enrollment ID: I20090711000061 |
| Provider Name | Melanie Black Blake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073735304 PECOS PAC ID: 3678647781 Enrollment ID: I20090722000527 |
| Provider Name | James A Lovette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336232354 PECOS PAC ID: 9335126317 Enrollment ID: I20090811000147 |
| Provider Name | Laura B Wendt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972837680 PECOS PAC ID: 1850430281 Enrollment ID: I20091125000001 |
| Provider Name | David R Winters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912984576 PECOS PAC ID: 0345158283 Enrollment ID: I20100219000187 |
| Provider Name | Adrien Strickland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225230162 PECOS PAC ID: 4385774280 Enrollment ID: I20100618000435 |
| Provider Name | Hamid Shah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679693931 PECOS PAC ID: 2668503798 Enrollment ID: I20100706000353 |
| Provider Name | Cassandra A Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619291945 PECOS PAC ID: 3971635764 Enrollment ID: I20100714000324 |
| Provider Name | Margaret H Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730411901 PECOS PAC ID: 0345372496 Enrollment ID: I20100726000099 |
| Provider Name | Liezelle Jurgens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285619866 PECOS PAC ID: 4688708928 Enrollment ID: I20100823000345 |
| Provider Name | William M Young |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952308421 PECOS PAC ID: 4880728153 Enrollment ID: I20100823000710 |
| Provider Name | Richard Gusso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780673434 PECOS PAC ID: 3375688948 Enrollment ID: I20100824000569 |
| Provider Name | Robert H Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487631073 PECOS PAC ID: 0446374425 Enrollment ID: I20100827000034 |
| Provider Name | Arlene J Donowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548247109 PECOS PAC ID: 0244354991 Enrollment ID: I20100901000516 |
| Provider Name | Mark E Heinsohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457338014 PECOS PAC ID: 5496844821 Enrollment ID: I20100902000212 |
| Provider Name | John W Laramore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013994615 PECOS PAC ID: 6406970037 Enrollment ID: I20100902000652 |
| Provider Name | Paul Edward Henson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699722892 PECOS PAC ID: 2062424682 Enrollment ID: I20100908000582 |
| Provider Name | David B Elias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346227949 PECOS PAC ID: 7012032485 Enrollment ID: I20100909000458 |
| Provider Name | Richard F Sowell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386621944 PECOS PAC ID: 9133244411 Enrollment ID: I20100909000682 |
| Provider Name | Nicholas J Salt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336124080 PECOS PAC ID: 2163547142 Enrollment ID: I20100914000933 |
| Provider Name | Kent A Grotefendt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467439026 PECOS PAC ID: 9133244684 Enrollment ID: I20100921000653 |
| Provider Name | Jason D Kennedy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447391677 PECOS PAC ID: 2365488046 Enrollment ID: I20100922001068 |
| Provider Name | Marty Scheinberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215037726 PECOS PAC ID: 3173569795 Enrollment ID: I20100923000340 |
| Provider Name | Janak H Naik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134104888 PECOS PAC ID: 0749306835 Enrollment ID: I20100927000369 |
| Provider Name | Steven H Dowlen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841277431 PECOS PAC ID: 3476679291 Enrollment ID: I20100929000387 |
| Provider Name | Harrison G Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568413219 PECOS PAC ID: 6002008075 Enrollment ID: I20101008000391 |
| Provider Name | Louann Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285736082 PECOS PAC ID: 1850281510 Enrollment ID: I20101018001188 |
| Provider Name | Adrienne Nicole Harrington-merriweather |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639391956 PECOS PAC ID: 6204029465 Enrollment ID: I20101020000349 |
| Provider Name | Desiree R Batson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265655401 PECOS PAC ID: 4385838564 Enrollment ID: I20101102000004 |
| Provider Name | Beth A Casady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720096159 PECOS PAC ID: 9335333426 Enrollment ID: I20101103000009 |
| Provider Name | Kristen M Soder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114233707 PECOS PAC ID: 6103012562 Enrollment ID: I20101124000336 |
| Provider Name | Nathan H Mull |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588653208 PECOS PAC ID: 1254433725 Enrollment ID: I20101230000315 |
| Provider Name | Miranda Swafford Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720394190 PECOS PAC ID: 1557541992 Enrollment ID: I20110202000415 |
| Provider Name | Christopher S Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851693360 PECOS PAC ID: 4587841465 Enrollment ID: I20110601000448 |
| Provider Name | Krishnendu Bhadra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093850745 PECOS PAC ID: 9436295656 Enrollment ID: I20110614000156 |
| Provider Name | Avni S Kapadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639335839 PECOS PAC ID: 0143490649 Enrollment ID: I20110818000651 |
| Provider Name | Claudia C Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053586941 PECOS PAC ID: 0648440339 Enrollment ID: I20110907001567 |
| Provider Name | William C Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447568738 PECOS PAC ID: 9436321916 Enrollment ID: I20111005000140 |
| Provider Name | Michael E Dant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518944081 PECOS PAC ID: 7719010198 Enrollment ID: I20111007000430 |
| Provider Name | Melissa J Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841277423 PECOS PAC ID: 0345373981 Enrollment ID: I20111007000518 |
| Provider Name | Christopher M Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154308740 PECOS PAC ID: 0547393563 Enrollment ID: I20111010000505 |
| Provider Name | Stanley M Ireland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023095536 PECOS PAC ID: 4082747100 Enrollment ID: I20111017000201 |
| Provider Name | Sharon Nancy Farber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083642474 PECOS PAC ID: 0648443606 Enrollment ID: I20111108000190 |
| Provider Name | Oliver Benton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386740082 PECOS PAC ID: 0547206161 Enrollment ID: I20111129000125 |
| Provider Name | Monica Ellen Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194099911 PECOS PAC ID: 2466612817 Enrollment ID: I20120322000469 |
| Provider Name | Eun Kyung Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114115383 PECOS PAC ID: 2365524436 Enrollment ID: I20120508000443 |
| Provider Name | Karen Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811260649 PECOS PAC ID: 5294998902 Enrollment ID: I20120516000432 |
| Provider Name | Jaime R Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053595348 PECOS PAC ID: 3375619497 Enrollment ID: I20120606000312 |
| Provider Name | Melinda R Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144597600 PECOS PAC ID: 7416111653 Enrollment ID: I20120619000496 |
| Provider Name | Katherine Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790068187 PECOS PAC ID: 4789840505 Enrollment ID: I20120724000215 |
| Provider Name | Ashley Estes Shamblin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760788699 PECOS PAC ID: 3577729268 Enrollment ID: I20120724001041 |
| Provider Name | Megan Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174878516 PECOS PAC ID: 6406012889 Enrollment ID: I20120730000776 |
| Provider Name | Betsy Jo Washburn |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1831210152 PECOS PAC ID: 8426227943 Enrollment ID: I20121017000819 |
| Provider Name | Lisa Diane Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275881823 PECOS PAC ID: 3173774122 Enrollment ID: I20121121000424 |
| Provider Name | Emily T Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669721007 PECOS PAC ID: 9335399351 Enrollment ID: I20130211000333 |
| Provider Name | Casey M Waddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316289408 PECOS PAC ID: 9234378076 Enrollment ID: I20130626000881 |
| Provider Name | Jamie M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447593041 PECOS PAC ID: 9638319031 Enrollment ID: I20130708000749 |
| Provider Name | Pamela Sud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003149568 PECOS PAC ID: 2961643622 Enrollment ID: I20130723001022 |
| Provider Name | Chun Chin Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346479532 PECOS PAC ID: 0042452906 Enrollment ID: I20130806000712 |
| Provider Name | Amy F Turnure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902146376 PECOS PAC ID: 5395988745 Enrollment ID: I20130904000232 |
| Provider Name | James Balvich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033434873 PECOS PAC ID: 2567611262 Enrollment ID: I20130911000778 |
| Provider Name | Cynthia D. Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336424522 PECOS PAC ID: 0749420198 Enrollment ID: I20130918000379 |
| Provider Name | Jonathan L Humberd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245537299 PECOS PAC ID: 3577799378 Enrollment ID: I20131127001060 |
| Provider Name | Emily C Decroos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114041902 PECOS PAC ID: 8022289636 Enrollment ID: I20131210001090 |
| Provider Name | Candice M Heuser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679901599 PECOS PAC ID: 1456589779 Enrollment ID: I20140114000278 |
| Provider Name | Kaci J Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568752798 PECOS PAC ID: 7719156082 Enrollment ID: I20140307001242 |
| Provider Name | Jeffrey S Colburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780979211 PECOS PAC ID: 8022261692 Enrollment ID: I20140415001169 |
| Provider Name | Laurel M Jaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467793505 PECOS PAC ID: 0446482608 Enrollment ID: I20140422002282 |
| Provider Name | Kimberly L Pickett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003128893 PECOS PAC ID: 1557594256 Enrollment ID: I20140505000620 |
| Provider Name | Chad E Paxson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366562894 PECOS PAC ID: 3173789443 Enrollment ID: I20140514001874 |
| Provider Name | Fadwa Alhomoud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528352937 PECOS PAC ID: 2163648577 Enrollment ID: I20140721001592 |
| Provider Name | Hany A Naggar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881892735 PECOS PAC ID: 7214068345 Enrollment ID: I20140725000955 |
| Provider Name | Nancy G Michaelis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467452425 PECOS PAC ID: 0840102489 Enrollment ID: I20140725001802 |
| Provider Name | Yasmine Swistek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376953513 PECOS PAC ID: 7416173166 Enrollment ID: I20140801000900 |
| Provider Name | Julia W Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831509132 PECOS PAC ID: 3274759931 Enrollment ID: I20140801001300 |
| Provider Name | Gregory J Nieckula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164716734 PECOS PAC ID: 2961648571 Enrollment ID: I20140820002557 |
| Provider Name | Adria F Sherrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720407778 PECOS PAC ID: 6800014267 Enrollment ID: I20140826002174 |
| Provider Name | Whitney K Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497990170 PECOS PAC ID: 9032355730 Enrollment ID: I20140909001845 |
| Provider Name | Patricia C Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619299088 PECOS PAC ID: 2062659717 Enrollment ID: I20140923000979 |
| Provider Name | Ashley D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275942278 PECOS PAC ID: 8022237114 Enrollment ID: I20140923001162 |
| Provider Name | Amy B Riemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205132347 PECOS PAC ID: 0749459576 Enrollment ID: I20140930001979 |
| Provider Name | Kaushal Chaudhari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750680104 PECOS PAC ID: 7113160243 Enrollment ID: I20141002002456 |
| Provider Name | Kristopher B Meadows |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700170602 PECOS PAC ID: 6305066531 Enrollment ID: I20141009002090 |
| Provider Name | Darshan Dilipkumar Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487940425 PECOS PAC ID: 9032357090 Enrollment ID: I20141013001394 |
| Provider Name | James Edward Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811283831 PECOS PAC ID: 1850539537 Enrollment ID: I20141014001310 |
| Provider Name | Mindi S Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821405663 PECOS PAC ID: 6901027937 Enrollment ID: I20141016001059 |
| Provider Name | Jennifer R Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609285683 PECOS PAC ID: 6002037728 Enrollment ID: I20141022001659 |
| Provider Name | Danielle A Vandergriff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437558731 PECOS PAC ID: 7517188246 Enrollment ID: I20141022001848 |
| Provider Name | David Rice |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659532919 PECOS PAC ID: 6002081684 Enrollment ID: I20141028000643 |
| Provider Name | Mystie K Swingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275942401 PECOS PAC ID: 3577784776 Enrollment ID: I20141030002522 |
| Provider Name | Mark S Crago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093791410 PECOS PAC ID: 9830311422 Enrollment ID: I20141114002059 |
| Provider Name | Prashanth C Chandra Sekhar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861612103 PECOS PAC ID: 2769516863 Enrollment ID: I20141121000200 |
| Provider Name | Katie M Swafford-hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639572340 PECOS PAC ID: 9436472032 Enrollment ID: I20150107001333 |
| Provider Name | Young Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295016533 PECOS PAC ID: 2769629591 Enrollment ID: I20150112000847 |
| Provider Name | Brooke W Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235475625 PECOS PAC ID: 2264756394 Enrollment ID: I20150121001126 |
| Provider Name | Ramses L Vega-casasnovas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073741369 PECOS PAC ID: 5092964833 Enrollment ID: I20150427002035 |
| Provider Name | Joy A. Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942694641 PECOS PAC ID: 8729308085 Enrollment ID: I20150528000341 |
| Provider Name | Bethany Elaine Condra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376952895 PECOS PAC ID: 5395064901 Enrollment ID: I20150603000193 |
| Provider Name | David A Sahaj |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275630907 PECOS PAC ID: 1355387978 Enrollment ID: I20150624001497 |
| Provider Name | Joshua Terrell Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326307182 PECOS PAC ID: 9133378250 Enrollment ID: I20150625002148 |
| Provider Name | Elise H Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013271477 PECOS PAC ID: 6406168665 Enrollment ID: I20150701001499 |
| Provider Name | Jeffrey K Mullins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508038944 PECOS PAC ID: 4688849870 Enrollment ID: I20150707000639 |
| Provider Name | Bridget D Hurt-hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285971366 PECOS PAC ID: 6406169465 Enrollment ID: I20150720002175 |
| Provider Name | David Castrilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033477666 PECOS PAC ID: 6709022312 Enrollment ID: I20150725012676 |
| Provider Name | Mary L Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447458435 PECOS PAC ID: 6103063615 Enrollment ID: I20150728005098 |
| Provider Name | Mehul M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689931404 PECOS PAC ID: 3274775796 Enrollment ID: I20150729010181 |
| Provider Name | Brittney S Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033516315 PECOS PAC ID: 4880909092 Enrollment ID: I20150818004032 |
| Provider Name | Geneva M Record |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003297078 PECOS PAC ID: 3072828870 Enrollment ID: I20150821013502 |
| Provider Name | Sherry A Wallmarker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578946356 PECOS PAC ID: 8224345780 Enrollment ID: I20150915003431 |
| Provider Name | Erin R Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932440260 PECOS PAC ID: 2365750130 Enrollment ID: I20150928001483 |
| Provider Name | S. Marie Bell Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245606722 PECOS PAC ID: 0042529984 Enrollment ID: I20151015002599 |
| Provider Name | Melinda Jane Garcia-rosell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952627333 PECOS PAC ID: 8224275730 Enrollment ID: I20151021002419 |
| Provider Name | Tracy Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033595111 PECOS PAC ID: 9234448739 Enrollment ID: I20151023001272 |
| Provider Name | Stephanie E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952798019 PECOS PAC ID: 7517279060 Enrollment ID: I20151028001688 |
| Provider Name | Anirudh Pareek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609127950 PECOS PAC ID: 3274833702 Enrollment ID: I20151204001269 |
| Provider Name | Theresa Popas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437589678 PECOS PAC ID: 3274837042 Enrollment ID: I20160215002860 |
| Provider Name | Richard W Pigg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801154901 PECOS PAC ID: 6901042449 Enrollment ID: I20160224001735 |
| Provider Name | Tiffany Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962867655 PECOS PAC ID: 0749586642 Enrollment ID: I20160302001421 |
| Provider Name | Sherry Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548341175 PECOS PAC ID: 3779889274 Enrollment ID: I20160309002042 |
| Provider Name | Sheena E Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437518982 PECOS PAC ID: 0345547543 Enrollment ID: I20160404000936 |
| Provider Name | Donna Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316365554 PECOS PAC ID: 8426356312 Enrollment ID: I20160408001158 |
| Provider Name | Owen F Speer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053632018 PECOS PAC ID: 8123246402 Enrollment ID: I20160425001483 |
| Provider Name | Debra Fine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447677901 PECOS PAC ID: 2860781978 Enrollment ID: I20160512001886 |
| Provider Name | Kymber L Habenicht |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164528873 PECOS PAC ID: 8123143757 Enrollment ID: I20160513001077 |
| Provider Name | William M Rasberry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356786669 PECOS PAC ID: 0143469817 Enrollment ID: I20160603000433 |
| Provider Name | Joe Furr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477710648 PECOS PAC ID: 8729250360 Enrollment ID: I20160706002313 |
| Provider Name | Amy K Farlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275903171 PECOS PAC ID: 3476845223 Enrollment ID: I20160714001407 |
| Provider Name | Patrick Wortman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831268960 PECOS PAC ID: 6103119565 Enrollment ID: I20160721002522 |
| Provider Name | Lacie Roddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629425715 PECOS PAC ID: 5597058982 Enrollment ID: I20160722000475 |
| Provider Name | Crystal L Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881019305 PECOS PAC ID: 1153544457 Enrollment ID: I20160725001936 |
| Provider Name | Sherri L Canther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508237835 PECOS PAC ID: 9436443751 Enrollment ID: I20160810000576 |
| Provider Name | Andrew S Olinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932543550 PECOS PAC ID: 4880988898 Enrollment ID: I20160812001310 |
| Provider Name | Geraldo Enrique Holguin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528360765 PECOS PAC ID: 9436320926 Enrollment ID: I20160816000040 |
| Provider Name | Alie M Geren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245605310 PECOS PAC ID: 5799070546 Enrollment ID: I20160818001845 |
| Provider Name | Kristen Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659727378 PECOS PAC ID: 2163717521 Enrollment ID: I20160824000842 |
| Provider Name | Ruchir Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396033437 PECOS PAC ID: 1557656501 Enrollment ID: I20160830000695 |
| Provider Name | Christine B Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487641809 PECOS PAC ID: 3476533712 Enrollment ID: I20160901001925 |
| Provider Name | Cassandra D Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235531666 PECOS PAC ID: 6608163498 Enrollment ID: I20160921002987 |
| Provider Name | Jody Lynn Haddock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588980999 PECOS PAC ID: 6002052693 Enrollment ID: I20160930000146 |
| Provider Name | Antoinette Boameh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194157610 PECOS PAC ID: 3678861135 Enrollment ID: I20161017000658 |
| Provider Name | John Ekong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831536036 PECOS PAC ID: 1456630888 Enrollment ID: I20161108000462 |
| Provider Name | Christopher L Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053869925 PECOS PAC ID: 2264711522 Enrollment ID: I20161109002964 |
| Provider Name | Kayla Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891239000 PECOS PAC ID: 7012297773 Enrollment ID: I20161215000514 |
| Provider Name | Angela A Reich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982902557 PECOS PAC ID: 2769665686 Enrollment ID: I20170123000260 |
| Provider Name | Alex Ronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730537481 PECOS PAC ID: 3375826316 Enrollment ID: I20170216002059 |
| Provider Name | Sandra Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801332903 PECOS PAC ID: 3779869821 Enrollment ID: I20170404001812 |
| Provider Name | Alycia Cleinman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568691509 PECOS PAC ID: 3779723291 Enrollment ID: I20170411001734 |
| Provider Name | Charles L Tapley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679547061 PECOS PAC ID: 0446163554 Enrollment ID: I20170420000710 |
| Provider Name | Megan Vonwerssowetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700241783 PECOS PAC ID: 2668758855 Enrollment ID: I20170425001335 |
| Provider Name | Jeremiah S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790039188 PECOS PAC ID: 6709039324 Enrollment ID: I20170518002057 |
| Provider Name | Wade E Lenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255383469 PECOS PAC ID: 8224128467 Enrollment ID: I20170829003530 |
| Provider Name | Jennifer Buquo Madzin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548665391 PECOS PAC ID: 8325311020 Enrollment ID: I20170831000737 |
| Provider Name | Aaron K Blakeney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225456288 PECOS PAC ID: 5395964217 Enrollment ID: I20170915001675 |
| Provider Name | Mark Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609294164 PECOS PAC ID: 0840564779 Enrollment ID: I20170915002273 |
| Provider Name | Laura P Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386905206 PECOS PAC ID: 0244462265 Enrollment ID: I20170918001931 |
| Provider Name | Jamie Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568902922 PECOS PAC ID: 2769756980 Enrollment ID: I20170926003338 |
| Provider Name | Jaime Ponce-portugal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245280023 PECOS PAC ID: 8325933294 Enrollment ID: I20170928000971 |
| Provider Name | Brooke S Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104365683 PECOS PAC ID: 0345515466 Enrollment ID: I20170929001822 |
| Provider Name | Lisa Kahana-naipo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003349556 PECOS PAC ID: 8224304902 Enrollment ID: I20171025000028 |
| Provider Name | Stephanie L Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659793958 PECOS PAC ID: 6204068752 Enrollment ID: I20171102003025 |
| Provider Name | Amber Kay Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306364716 PECOS PAC ID: 6002172426 Enrollment ID: I20171116003230 |
| Provider Name | Jacqueline C Gentry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750709192 PECOS PAC ID: 6901163682 Enrollment ID: I20171205002723 |
| Provider Name | Asad Javed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598076093 PECOS PAC ID: 7719103019 Enrollment ID: I20171213000349 |
| Provider Name | Sarah M Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922426709 PECOS PAC ID: 8325269632 Enrollment ID: I20180103001263 |
| Provider Name | Nicole Marie Walker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659520898 PECOS PAC ID: 4981869864 Enrollment ID: I20180111001414 |
| Provider Name | Christina R Parkhurst |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093928020 PECOS PAC ID: 8921291220 Enrollment ID: I20180112000165 |
| Provider Name | Stacey Lynn Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591514 PECOS PAC ID: 0446510945 Enrollment ID: I20180131003396 |
| Provider Name | Ashley Babb Trantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396258026 PECOS PAC ID: 3173883592 Enrollment ID: I20180205000110 |
| Provider Name | Sarah K Olds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043737976 PECOS PAC ID: 4880954098 Enrollment ID: I20180208001852 |
| Provider Name | Erin M Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700299419 PECOS PAC ID: 1052539186 Enrollment ID: I20180521000688 |
| Provider Name | Leslie Broschay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598276792 PECOS PAC ID: 1557616117 Enrollment ID: I20180622001026 |
| Provider Name | Josue B Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467965707 PECOS PAC ID: 4486900727 Enrollment ID: I20180628003301 |
| Provider Name | Deanna Carol Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972029783 PECOS PAC ID: 7911265178 Enrollment ID: I20180711003814 |
| Provider Name | Erik R Ewing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316326960 PECOS PAC ID: 2567750342 Enrollment ID: I20180720003217 |
| Provider Name | Jenifer Shiphrah Herra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568858819 PECOS PAC ID: 0042531303 Enrollment ID: I20180815004089 |
| Provider Name | Jamie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447708649 PECOS PAC ID: 0840588000 Enrollment ID: I20180816001330 |
| Provider Name | Holley Leona Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407198179 PECOS PAC ID: 6901109917 Enrollment ID: I20180827000587 |
| Provider Name | Mark Benjamin Currin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821438441 PECOS PAC ID: 4284923079 Enrollment ID: I20180912003732 |
| Provider Name | Teresa Eden Jabaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982146973 PECOS PAC ID: 7416232111 Enrollment ID: I20180924001375 |
| Provider Name | Matthew A Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235624339 PECOS PAC ID: 1557613197 Enrollment ID: I20181010001688 |
| Provider Name | Daniel L Heithold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588664106 PECOS PAC ID: 0547275208 Enrollment ID: I20181012002072 |
| Provider Name | Trevor D Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992299283 PECOS PAC ID: 7113279266 Enrollment ID: I20181017003321 |
| Provider Name | Leslie M Moro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043723281 PECOS PAC ID: 0840542924 Enrollment ID: I20181018000806 |
| Provider Name | Kim To Thien Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194005439 PECOS PAC ID: 6002102795 Enrollment ID: I20181101000312 |
| Provider Name | Azaria Celeste Ehlers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235516261 PECOS PAC ID: 1850640699 Enrollment ID: I20181106002696 |
| Provider Name | Diana Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861977381 PECOS PAC ID: 7911251178 Enrollment ID: I20181107001750 |
| Provider Name | Sarah M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033638234 PECOS PAC ID: 9638426760 Enrollment ID: I20181108000002 |
| Provider Name | Sabrina M Stover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114493848 PECOS PAC ID: 0840544565 Enrollment ID: I20181116000406 |
| Provider Name | Barbra M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821566548 PECOS PAC ID: 4385988906 Enrollment ID: I20181207000737 |
| Provider Name | Cristal Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376099960 PECOS PAC ID: 3779829742 Enrollment ID: I20190111001455 |
| Provider Name | Amber N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275008609 PECOS PAC ID: 6901144229 Enrollment ID: I20190212002759 |
| Provider Name | Aubry L Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780152421 PECOS PAC ID: 8224373592 Enrollment ID: I20190212002827 |
| Provider Name | Cassandra R Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851863930 PECOS PAC ID: 1254679004 Enrollment ID: I20190220003056 |
| Provider Name | Rachel D Labovitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508183880 PECOS PAC ID: 7012154842 Enrollment ID: I20190305001782 |
| Provider Name | Patrice Vivienne Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063989150 PECOS PAC ID: 6608116512 Enrollment ID: I20190312002698 |
| Provider Name | Whitney R May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285191676 PECOS PAC ID: 2365784246 Enrollment ID: I20190424001386 |
| Provider Name | Talundria Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174082382 PECOS PAC ID: 4880927219 Enrollment ID: I20190617002978 |
| Provider Name | Chelsea Rose Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558717975 PECOS PAC ID: 7517240401 Enrollment ID: I20190701000247 |
| Provider Name | Jordan Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922461698 PECOS PAC ID: 5890094247 Enrollment ID: I20190724002625 |
| Provider Name | Gregory Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20190807003973 |
| Provider Name | Amy Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750829040 PECOS PAC ID: 8325315013 Enrollment ID: I20190827002107 |
| Provider Name | James Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20190828003814 |
| Provider Name | David R Ambrosetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154785327 PECOS PAC ID: 6103125489 Enrollment ID: I20190831000281 |
| Provider Name | Sumit M Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255695011 PECOS PAC ID: 8820370828 Enrollment ID: I20190909003926 |
| Provider Name | Jessica L Tyler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497161608 PECOS PAC ID: 8628393584 Enrollment ID: I20190912003311 |
| Provider Name | Jesse Tucker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902148042 PECOS PAC ID: 7012246283 Enrollment ID: I20190912003389 |
| Provider Name | Emily Upchurch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316398753 PECOS PAC ID: 1850620972 Enrollment ID: I20190913002482 |
| Provider Name | Michael B Kelleher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861846545 PECOS PAC ID: 0840581328 Enrollment ID: I20190926003070 |
| Provider Name | Samuel Gower Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467802629 PECOS PAC ID: 5597050260 Enrollment ID: I20191003000362 |
| Provider Name | Sarah Suggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871041251 PECOS PAC ID: 2163705245 Enrollment ID: I20191023003394 |
| Provider Name | Mittal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740644103 PECOS PAC ID: 3577857853 Enrollment ID: I20191025000432 |
| Provider Name | Takeyla N Williams |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1124346226 PECOS PAC ID: 0446523674 Enrollment ID: I20191107000410 |
| Provider Name | Nickie A Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801355466 PECOS PAC ID: 3274965959 Enrollment ID: I20191119000254 |
| Provider Name | Clark Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588017420 PECOS PAC ID: 2062792377 Enrollment ID: I20191211001227 |
| Provider Name | Walter Craig Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972157188 PECOS PAC ID: 9133553647 Enrollment ID: I20191216001942 |
| Provider Name | Stephanie Hamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780234484 PECOS PAC ID: 7214361153 Enrollment ID: I20191230002416 |
| Provider Name | Jeffrey David Caughran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700177482 PECOS PAC ID: 2062846694 Enrollment ID: I20200107001421 |
| Provider Name | Eric Jay Betts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336132679 PECOS PAC ID: 8224014261 Enrollment ID: I20200114003655 |
| Provider Name | Laura E Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659725083 PECOS PAC ID: 7618303769 Enrollment ID: I20200207001786 |
| Provider Name | Lauren E Shockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588206155 PECOS PAC ID: 5890121602 Enrollment ID: I20200213002199 |
| Provider Name | Rolla D Jibrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114572450 PECOS PAC ID: 0143657676 Enrollment ID: I20200224000822 |
| Provider Name | Amanda Lea Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750776639 PECOS PAC ID: 4789993908 Enrollment ID: I20200407003226 |
| Provider Name | Mandy Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538792825 PECOS PAC ID: 2961831185 Enrollment ID: I20200408003972 |
| Provider Name | Brenda Sue Borkgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639361579 PECOS PAC ID: 8527153436 Enrollment ID: I20200506002446 |
| Provider Name | Ryan Thomas Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306200290 PECOS PAC ID: 8022301308 Enrollment ID: I20200522001226 |
| Provider Name | Justin Gorsline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336778406 PECOS PAC ID: 4789005695 Enrollment ID: I20200602000741 |
| Provider Name | Tye Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588297238 PECOS PAC ID: 7214351287 Enrollment ID: I20200723000867 |
| Provider Name | Valerie Manley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720618630 PECOS PAC ID: 5496171605 Enrollment ID: I20200819000752 |
| Provider Name | Jourdan Aromin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598150955 PECOS PAC ID: 4082942776 Enrollment ID: I20200828000054 |
| Provider Name | Dwayne Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20200901002977 |
| Provider Name | Rishabh Nikhil Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134462153 PECOS PAC ID: 9133427966 Enrollment ID: I20200905000049 |
| Provider Name | Rebekah D Sherlin-chaplin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548795701 PECOS PAC ID: 5799103750 Enrollment ID: I20200908003476 |
| Provider Name | David Moh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295026607 PECOS PAC ID: 8224275979 Enrollment ID: I20200910002796 |
| Provider Name | Julia Clare Cervantes Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750999553 PECOS PAC ID: 6800214586 Enrollment ID: I20200911001537 |
| Provider Name | Morgan Paige Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710590583 PECOS PAC ID: 3476971110 Enrollment ID: I20200914000581 |
| Provider Name | Leslie T Casteel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851918841 PECOS PAC ID: 2567881659 Enrollment ID: I20200923000186 |
| Provider Name | Amy L Tillett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326447780 PECOS PAC ID: 4082834486 Enrollment ID: I20200930003635 |
| Provider Name | Jeffrey Mitchell Blackmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710901996 PECOS PAC ID: 0446291314 Enrollment ID: I20201104002445 |
| Provider Name | Katherine S Mcclellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023544871 PECOS PAC ID: 9133494115 Enrollment ID: I20201112001447 |
| Provider Name | Jennifer P Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730789926 PECOS PAC ID: 8224449699 Enrollment ID: I20201117000380 |
| Provider Name | Rafael A Souchet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851924609 PECOS PAC ID: 2466863451 Enrollment ID: I20201123003135 |
| Provider Name | Hannah E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902276330 PECOS PAC ID: 3173823051 Enrollment ID: I20201208000807 |
| Provider Name | Hillary L Templeton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992302038 PECOS PAC ID: 8921410655 Enrollment ID: I20201222000248 |
| Provider Name | John Dowlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487253035 PECOS PAC ID: 5890109276 Enrollment ID: I20210126001476 |
| Provider Name | Anthony M Whitney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700897394 PECOS PAC ID: 7315095254 Enrollment ID: I20210302000584 |
| Provider Name | Amanda N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770175309 PECOS PAC ID: 7315353893 Enrollment ID: I20210308002122 |
| Provider Name | Sara-page Red |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043770738 PECOS PAC ID: 3779991872 Enrollment ID: I20210506001310 |
| Provider Name | Christopher Lewis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649351719 PECOS PAC ID: 8729184577 Enrollment ID: I20210617001266 |
| Provider Name | James F Carsten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194756023 PECOS PAC ID: 9638156979 Enrollment ID: I20210618000967 |
| Provider Name | Kasey Kohring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396014643 PECOS PAC ID: 0143488197 Enrollment ID: I20210628002275 |
| Provider Name | Jussie Correia Lima |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932514304 PECOS PAC ID: 1052614484 Enrollment ID: I20210702000163 |
| Provider Name | Benjamin Scott Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780175596 PECOS PAC ID: 9638423478 Enrollment ID: I20210708001522 |
| Provider Name | Susan A Waterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376749333 PECOS PAC ID: 9537588819 Enrollment ID: I20210709001141 |
| Provider Name | Hayden Jahn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992151286 PECOS PAC ID: 9739474016 Enrollment ID: I20210715003906 |
| Provider Name | Derek Crouthers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962908343 PECOS PAC ID: 5395098289 Enrollment ID: I20210716001669 |
| Provider Name | Stephen Hurwitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145592 PECOS PAC ID: 0749213221 Enrollment ID: I20210726000823 |
| Provider Name | Grace Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659460814 PECOS PAC ID: 4183760945 Enrollment ID: I20210727002051 |
| Provider Name | Jeffrey F Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20210727002240 |
| Provider Name | Christopher D Doneski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235532151 PECOS PAC ID: 8426374539 Enrollment ID: I20210809000995 |
| Provider Name | Ellen C Cleland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124525423 PECOS PAC ID: 6406106855 Enrollment ID: I20210910002718 |
| Provider Name | Ashley B Masterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417438714 PECOS PAC ID: 5799182416 Enrollment ID: I20210923000866 |
| Provider Name | Brittany Ragsdale Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215606488 PECOS PAC ID: 3779980198 Enrollment ID: I20210927002680 |
| Provider Name | Ranjith Babu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205271525 PECOS PAC ID: 9133526353 Enrollment ID: I20210930000487 |
| Provider Name | Justin Grant Wilkes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821350604 PECOS PAC ID: 0244533974 Enrollment ID: I20211005000487 |
| Provider Name | Karim Ahmed Ibrahim Mahmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871908939 PECOS PAC ID: 3779885876 Enrollment ID: I20211014000821 |
| Provider Name | Nicholas Litwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679993711 PECOS PAC ID: 6406157874 Enrollment ID: I20211022000006 |
| Provider Name | Drew A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962010785 PECOS PAC ID: 6901217173 Enrollment ID: I20211101002422 |
| Provider Name | Janice Denise Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407528896 PECOS PAC ID: 3971992132 Enrollment ID: I20211110001365 |
| Provider Name | Marijka A Grey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083666309 PECOS PAC ID: 4587675665 Enrollment ID: I20211112000615 |
| Provider Name | Karen Jipping |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023788189 PECOS PAC ID: 2062801764 Enrollment ID: I20211118002093 |
| Provider Name | Wendy Vandemark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386698231 PECOS PAC ID: 2264491554 Enrollment ID: I20211123000161 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20211203002233 |
| Provider Name | Julie D Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164830543 PECOS PAC ID: 3375763287 Enrollment ID: I20211210000717 |
| Provider Name | Michelle Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669134177 PECOS PAC ID: 7911397591 Enrollment ID: I20211214002790 |
| Provider Name | Sabreen R Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689833824 PECOS PAC ID: 4688857543 Enrollment ID: I20211230000656 |
| Provider Name | Charity Danielle Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790438653 PECOS PAC ID: 3779976139 Enrollment ID: I20220207001651 |
| Provider Name | Michelle Schofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20220208000999 |
| Provider Name | Brian P Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20220217002533 |
| Provider Name | Andrew Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20220218000097 |
| Provider Name | Taylor Grant Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760133615 PECOS PAC ID: 3375937824 Enrollment ID: I20220225001034 |
| Provider Name | Anna Teal Steffan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497101497 PECOS PAC ID: 6709172950 Enrollment ID: I20220311000457 |
| Provider Name | Taniya Pradhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275709859 PECOS PAC ID: 3274751706 Enrollment ID: I20220321002226 |
| Provider Name | Diana Hutchings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619546645 PECOS PAC ID: 9032513783 Enrollment ID: I20220322001129 |
| Provider Name | Diana Laverne Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548918402 PECOS PAC ID: 0143616342 Enrollment ID: I20220414001193 |
| Provider Name | Shannon M Jennings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285715847 PECOS PAC ID: 8224003017 Enrollment ID: I20220425001447 |
| Provider Name | Taylor Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649849266 PECOS PAC ID: 1658778535 Enrollment ID: I20220608000964 |
| Provider Name | Hannah Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235793449 PECOS PAC ID: 6406184928 Enrollment ID: I20220627002076 |
| Provider Name | Leigh H Hawks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134876998 PECOS PAC ID: 4587043260 Enrollment ID: I20220627002316 |
| Provider Name | Mariah Patrice Turrentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861141855 PECOS PAC ID: 8022498625 Enrollment ID: I20220629000123 |
| Provider Name | Jeremy Ahmad-chea Hogstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487117313 PECOS PAC ID: 1254756711 Enrollment ID: I20220718001319 |
| Provider Name | Kandace D Hixson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225768435 PECOS PAC ID: 0244611465 Enrollment ID: I20220720000235 |
| Provider Name | Xavier E Palacios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184189920 PECOS PAC ID: 4880076561 Enrollment ID: I20220727001933 |
| Provider Name | Jermaine Hogstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629539945 PECOS PAC ID: 8820411903 Enrollment ID: I20220801001325 |
| Provider Name | Jose Alfredo Molina Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770040180 PECOS PAC ID: 6103209069 Enrollment ID: I20220810002816 |
| Provider Name | Abhishek Kengen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124541412 PECOS PAC ID: 2466718796 Enrollment ID: I20220817000614 |
| Provider Name | Nitin Kamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811214737 PECOS PAC ID: 9436456142 Enrollment ID: I20220818003458 |
| Provider Name | Christopher Firment |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1184696049 PECOS PAC ID: 1052212156 Enrollment ID: I20220824001176 |
| Provider Name | Tanya Scurry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225243009 PECOS PAC ID: 9133400237 Enrollment ID: I20220826001403 |
| Provider Name | Amanda Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427561711 PECOS PAC ID: 4587906326 Enrollment ID: I20220831000150 |
| Provider Name | Jessica Anne Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336870765 PECOS PAC ID: 2365826559 Enrollment ID: I20220907003661 |
| Provider Name | Angelique Gross |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902291172 PECOS PAC ID: 5294049110 Enrollment ID: I20220909001336 |
| Provider Name | Abbey Elizabeth Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134855885 PECOS PAC ID: 2062897424 Enrollment ID: I20220921001268 |
| Provider Name | Erika V Puzanov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144957614 PECOS PAC ID: 2668849498 Enrollment ID: I20221107002949 |
| Provider Name | Elizabeth Carroll |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215124151 PECOS PAC ID: 1052561230 Enrollment ID: I20221213001612 |
| Provider Name | Prabhu Vijayvargiya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487705265 PECOS PAC ID: 5294883138 Enrollment ID: I20221227001595 |
| Provider Name | Dustin J Plowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801390257 PECOS PAC ID: 4880926120 Enrollment ID: I20230105001073 |
| Provider Name | Mayshan Ghiassi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376736819 PECOS PAC ID: 0244457182 Enrollment ID: I20230120002706 |
| Provider Name | Kathryn Cook Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750094116 PECOS PAC ID: 9234500414 Enrollment ID: I20230126000910 |
| Provider Name | Renea D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821411562 PECOS PAC ID: 2062644073 Enrollment ID: I20230308001972 |
| Provider Name | Steven Shadix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285021113 PECOS PAC ID: 5193063394 Enrollment ID: I20230317000442 |
| Provider Name | Jaime S Yaich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568163582 PECOS PAC ID: 4183081201 Enrollment ID: I20230606000904 |
| Provider Name | Sarah Alexandria Shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417631144 PECOS PAC ID: 6901264647 Enrollment ID: I20230628000461 |
| Provider Name | Christopher Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669821666 PECOS PAC ID: 2668765819 Enrollment ID: I20230707000097 |
| Provider Name | Justin Michael Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245688928 PECOS PAC ID: 3274820717 Enrollment ID: I20230713000380 |
| Provider Name | Preston Avery Sparks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497286215 PECOS PAC ID: 0345513859 Enrollment ID: I20230713000749 |
| Provider Name | Brett Nicholas Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619656147 PECOS PAC ID: 3072974732 Enrollment ID: I20230728000668 |
| Provider Name | Brandon Bivens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649618653 PECOS PAC ID: 7719235324 Enrollment ID: I20230801001761 |
| Provider Name | Alyssa R Espinera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265824197 PECOS PAC ID: 8426320508 Enrollment ID: I20230818001911 |
| Provider Name | Emily Monroe Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649950205 PECOS PAC ID: 5496117558 Enrollment ID: I20230822000920 |
| Provider Name | Amith Reddy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124409727 PECOS PAC ID: 9638471188 Enrollment ID: I20230822003095 |
| Provider Name | Kurt Derek Humphrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770756223 PECOS PAC ID: 9739544586 Enrollment ID: I20230830001279 |
| Provider Name | Timothy J Brichetto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972122653 PECOS PAC ID: 9931523156 Enrollment ID: I20230830003685 |
| Provider Name | Jeramie Lynn Rosales Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205290319 PECOS PAC ID: 0547515124 Enrollment ID: I20230901003299 |
| Provider Name | Johanna Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841979531 PECOS PAC ID: 4688038896 Enrollment ID: I20230906003184 |
| Provider Name | Stephanie Hinds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255891461 PECOS PAC ID: 6608101449 Enrollment ID: I20230912003130 |
| Provider Name | Cynthia Toughlian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245868330 PECOS PAC ID: 6103270368 Enrollment ID: I20230922000190 |
| Provider Name | Samantha J Gagliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053197483 PECOS PAC ID: 0547614208 Enrollment ID: I20230928002215 |
| Provider Name | Carrie Mofield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881204501 PECOS PAC ID: 2365836145 Enrollment ID: I20231009000537 |
| Provider Name | Harveer Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104263060 PECOS PAC ID: 5395064554 Enrollment ID: I20231010002218 |
| Provider Name | Ebony Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780180786 PECOS PAC ID: 3375806714 Enrollment ID: I20231023002647 |
| Provider Name | Premal Rajnikant Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104691286 PECOS PAC ID: 3971954173 Enrollment ID: I20240112000434 |
| Provider Name | Rebecca Voda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427645266 PECOS PAC ID: 9436502861 Enrollment ID: I20240201000729 |
| Provider Name | Christopher Choe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194346320 PECOS PAC ID: 1557704343 Enrollment ID: I20240208002583 |
| Provider Name | Taylor Rouser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861141442 PECOS PAC ID: 2567841562 Enrollment ID: I20240228002434 |
| Provider Name | Nicole Bratchenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336785955 PECOS PAC ID: 9335575034 Enrollment ID: I20240312003240 |
Terry W. Smith M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6237 Vance Rd, Suite 3, Chattanooga, TN 37421 Phone: 423-551-3940 Fax: 423-305-7981 | |
Liberty Healthcare Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1949 Gunbarrel Rd Ste 303, Chattanooga, TN 37421 Phone: 423-498-5839 | |
Benchmark Pt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7380 Volkswagen Dr Ste 190a, Chattanooga, TN 37416 Phone: 423-933-1672 Fax: 423-933-1675 | |
Bryn Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421 Phone: 423-541-9455 | |
Drs Kemp And Avitabile Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 632 Morrison Springs Rd, Suite 201, Chattanooga, TN 37415 Phone: 423-877-4556 Fax: 423-877-9218 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6413 Lee Hwy Ste 107, Chattanooga, TN 37421 Phone: 000-000-0000 Fax: 000-000-0000 | |
Weight Loss Center Of Chattanooga Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7405 Shallowford Rd Ste 320, Chattanooga, TN 37421 Phone: 706-537-7499 |