| Mercy Clinic East Communities | |
|
615 S New Ballas Rd Administration Building, 5th Floor Saint Louis MO 63141-8221 | |
| (314) 251-6000 | |
| Not Available |
| Full Name | Mercy Clinic East Communities |
|---|---|
| Speciality | Internal Medicine |
| Location | 615 S New Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | John W. Hubert (PRESIDENT) |
| Authorized Official Contact | 3142511700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic East Communities 615 S New Ballas Rd Administration Building, 5th Floor Saint Louis MO 63141-8221 Ph: (314) 251-6000 | Mercy Clinic East Communities 615 S New Ballas Rd Administration Building, 5th Floor Saint Louis MO 63141-8221 Ph: (314) 251-6000 |
| NPI Number | 1851335228 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 05/08/2014 |
| Medicare PECOS PAC ID | 7214827922 |
|---|---|
| Medicare Enrollment ID | O20070521000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851335228 | NPI | - | NPPES |
| 500228804 | Medicaid | MO |
| Provider Name | Thomas R Whalen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356364541 PECOS PAC ID: 9436054293 Enrollment ID: I20031204000579 |
| Provider Name | Tracy M Riordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124094362 PECOS PAC ID: 5698672509 Enrollment ID: I20031218000167 |
| Provider Name | Justin Glass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659327559 PECOS PAC ID: 8921906827 Enrollment ID: I20031230000409 |
| Provider Name | Kathryn A Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730192006 PECOS PAC ID: 4981506086 Enrollment ID: I20040121000052 |
| Provider Name | Morton J Singer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497701304 PECOS PAC ID: 7416850292 Enrollment ID: I20040129000424 |
| Provider Name | Amita R Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396754842 PECOS PAC ID: 8628961745 Enrollment ID: I20040203001074 |
| Provider Name | Mary B Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487694659 PECOS PAC ID: 9133014293 Enrollment ID: I20040217001161 |
| Provider Name | Deborah Monzyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457350381 PECOS PAC ID: 6204721822 Enrollment ID: I20040220000813 |
| Provider Name | Andrew M Kazdan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811963903 PECOS PAC ID: 0143119305 Enrollment ID: I20040315000468 |
| Provider Name | Renee M Stein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023064284 PECOS PAC ID: 9436041035 Enrollment ID: I20040329000183 |
| Provider Name | Daniel F Mcneive |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134194830 PECOS PAC ID: 6002808839 Enrollment ID: I20040401000606 |
| Provider Name | Tejaswini R Nayak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609841303 PECOS PAC ID: 4587657200 Enrollment ID: I20040407000531 |
| Provider Name | April M Brumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982707147 PECOS PAC ID: 0749277515 Enrollment ID: I20040426001411 |
| Provider Name | Kelly Ludwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992720361 PECOS PAC ID: 2365439437 Enrollment ID: I20040429000783 |
| Provider Name | John E Vernon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891793105 PECOS PAC ID: 1355332990 Enrollment ID: I20040521000327 |
| Provider Name | Pamela J Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447259304 PECOS PAC ID: 0749263200 Enrollment ID: I20040608000336 |
| Provider Name | Frank T Patrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295735199 PECOS PAC ID: 7416933668 Enrollment ID: I20040628000916 |
| Provider Name | Wendy L Meyr-cherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609961150 PECOS PAC ID: 2860479219 Enrollment ID: I20040702000530 |
| Provider Name | Christopher B Normile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578530945 PECOS PAC ID: 5597742940 Enrollment ID: I20040702000569 |
| Provider Name | Cynthia J Mueller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831166032 PECOS PAC ID: 3577459650 Enrollment ID: I20040706000101 |
| Provider Name | Christopher L Ahlering |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760419485 PECOS PAC ID: 8224924394 Enrollment ID: I20040709000036 |
| Provider Name | Krista D Woelfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881632990 PECOS PAC ID: 8123006962 Enrollment ID: I20040709000078 |
| Provider Name | Wendi Carns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699732313 PECOS PAC ID: 2062491897 Enrollment ID: I20040715001073 |
| Provider Name | Raymond M Weick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891756524 PECOS PAC ID: 1355321795 Enrollment ID: I20040724000397 |
| Provider Name | Tim E Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760596134 PECOS PAC ID: 3870564842 Enrollment ID: I20040803001370 |
| Provider Name | Darla Martin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356502025 PECOS PAC ID: 3375516719 Enrollment ID: I20040816000010 |
| Provider Name | Gary Dumontier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437192481 PECOS PAC ID: 3971497611 Enrollment ID: I20040823000565 |
| Provider Name | Donna M Wagstaff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326030586 PECOS PAC ID: 3274441613 Enrollment ID: I20040824000084 |
| Provider Name | Mary B Chitwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376504621 PECOS PAC ID: 8325014749 Enrollment ID: I20040908000215 |
| Provider Name | Heather L Haegele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962595710 PECOS PAC ID: 0345209631 Enrollment ID: I20041004000190 |
| Provider Name | Joseph G Herrmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437171998 PECOS PAC ID: 7416918834 Enrollment ID: I20041020000129 |
| Provider Name | Kimberly Lemoine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811941248 PECOS PAC ID: 8921069170 Enrollment ID: I20041021000675 |
| Provider Name | Laura Marie Viero-dothage |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124000633 PECOS PAC ID: 9032171442 Enrollment ID: I20041028000591 |
| Provider Name | Cheryl Street |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902893811 PECOS PAC ID: 5991767006 Enrollment ID: I20041101000885 |
| Provider Name | Julie E Busch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568402501 PECOS PAC ID: 2961465406 Enrollment ID: I20041105000784 |
| Provider Name | Linda R Winterberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295706513 PECOS PAC ID: 0840256483 Enrollment ID: I20041206000994 |
| Provider Name | Gregory L Jewell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104861756 PECOS PAC ID: 0345136438 Enrollment ID: I20050103000300 |
| Provider Name | Michael J Derosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568499283 PECOS PAC ID: 8729974811 Enrollment ID: I20050103000323 |
| Provider Name | Andrew M Grabowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093714917 PECOS PAC ID: 2567410145 Enrollment ID: I20050111000095 |
| Provider Name | Benjamin Y Albano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982603650 PECOS PAC ID: 2264482405 Enrollment ID: I20050126000419 |
| Provider Name | Brian L Mahaffey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306984505 PECOS PAC ID: 8224089214 Enrollment ID: I20050208000096 |
| Provider Name | Charles H Rehm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598796070 PECOS PAC ID: 2567414949 Enrollment ID: I20050214000701 |
| Provider Name | Kenneth R Brightfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881613347 PECOS PAC ID: 6002868411 Enrollment ID: I20050214000878 |
| Provider Name | Margaret K Rechtien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194871053 PECOS PAC ID: 3779535687 Enrollment ID: I20050218000097 |
| Provider Name | Laura A Schwent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417987066 PECOS PAC ID: 8224086525 Enrollment ID: I20050314000222 |
| Provider Name | John J Dubois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538264205 PECOS PAC ID: 3274503800 Enrollment ID: I20050406000200 |
| Provider Name | Roohi S Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770533184 PECOS PAC ID: 9234176686 Enrollment ID: I20050418000028 |
| Provider Name | Peter J Lamble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144266909 PECOS PAC ID: 4183610728 Enrollment ID: I20050519000016 |
| Provider Name | Anita R Schnapp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750380655 PECOS PAC ID: 0648212639 Enrollment ID: I20050601000083 |
| Provider Name | Susan Wilson Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295812725 PECOS PAC ID: 6608802319 Enrollment ID: I20050714000105 |
| Provider Name | Chadwick T Caudill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871689356 PECOS PAC ID: 3375570765 Enrollment ID: I20050718000493 |
| Provider Name | Christina M Hugge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992793459 PECOS PAC ID: 3577592914 Enrollment ID: I20050805000833 |
| Provider Name | Jamie Borgmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184750770 PECOS PAC ID: 4880626928 Enrollment ID: I20050909000016 |
| Provider Name | Carolyn L Koenig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063488278 PECOS PAC ID: 8921032095 Enrollment ID: I20050920000067 |
| Provider Name | Todd M Craig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326077447 PECOS PAC ID: 9032134408 Enrollment ID: I20051014000113 |
| Provider Name | Cindy K Martin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588825855 PECOS PAC ID: 6507884905 Enrollment ID: I20051103001067 |
| Provider Name | Daniel J Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982714853 PECOS PAC ID: 5597788588 Enrollment ID: I20060105000003 |
| Provider Name | Stephen G Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942277884 PECOS PAC ID: 7618991290 Enrollment ID: I20060123000334 |
| Provider Name | Mary Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457307324 PECOS PAC ID: 6608881685 Enrollment ID: I20060213000299 |
| Provider Name | Sandra R Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831273515 PECOS PAC ID: 6901812288 Enrollment ID: I20060223000243 |
| Provider Name | Kathleen B Risley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245266659 PECOS PAC ID: 3971519778 Enrollment ID: I20060303000140 |
| Provider Name | Nancy O Bourgeois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881612349 PECOS PAC ID: 5799792115 Enrollment ID: I20060309000563 |
| Provider Name | Marissa C Stock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073531505 PECOS PAC ID: 0143237099 Enrollment ID: I20060317000062 |
| Provider Name | Sarah Margaret Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982610499 PECOS PAC ID: 0446260202 Enrollment ID: I20060425000439 |
| Provider Name | Alan R Sandidge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427025295 PECOS PAC ID: 9638182843 Enrollment ID: I20060710000228 |
| Provider Name | Serin Phruttitum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831172451 PECOS PAC ID: 8022067354 Enrollment ID: I20060720000395 |
| Provider Name | Leanne Watson-ficken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164451373 PECOS PAC ID: 9638182470 Enrollment ID: I20060724000134 |
| Provider Name | Emir Keric |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801814645 PECOS PAC ID: 9931112265 Enrollment ID: I20060803000075 |
| Provider Name | Yulia M Lifits Podorozhansky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689607277 PECOS PAC ID: 7719982008 Enrollment ID: I20060920000037 |
| Provider Name | Eileen Rosenkoetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891747135 PECOS PAC ID: 3173520319 Enrollment ID: I20061031000201 |
| Provider Name | Jeffrey J Hallazgo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073538302 PECOS PAC ID: 0345248019 Enrollment ID: I20061114000182 |
| Provider Name | Sheryl S Ream |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811989551 PECOS PAC ID: 4284633512 Enrollment ID: I20061213000469 |
| Provider Name | Mena M Luangjamekorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255320578 PECOS PAC ID: 4082692645 Enrollment ID: I20061219000207 |
| Provider Name | Umar Daud |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053388942 PECOS PAC ID: 3476576703 Enrollment ID: I20070108000228 |
| Provider Name | Mai Tran Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861464158 PECOS PAC ID: 5294736708 Enrollment ID: I20070126000155 |
| Provider Name | Sarah B Shores |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356424485 PECOS PAC ID: 8022904119 Enrollment ID: I20070201000121 |
| Provider Name | Craig W Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821171927 PECOS PAC ID: 0547262784 Enrollment ID: I20070201000138 |
| Provider Name | Tammy L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346317583 PECOS PAC ID: 3375645633 Enrollment ID: I20070216000659 |
| Provider Name | Susan M Gaffney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720162001 PECOS PAC ID: 0143322545 Enrollment ID: I20070302000092 |
| Provider Name | Robin R Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235281965 PECOS PAC ID: 3971606005 Enrollment ID: I20070312000051 |
| Provider Name | Tulika Katyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194822304 PECOS PAC ID: 3779680905 Enrollment ID: I20070522000508 |
| Provider Name | Victoria L Yenzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043422488 PECOS PAC ID: 7719084953 Enrollment ID: I20070522000567 |
| Provider Name | Karen M Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518170596 PECOS PAC ID: 3173620325 Enrollment ID: I20070522000675 |
| Provider Name | Christopher S Abercrombie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093787558 PECOS PAC ID: 4688771736 Enrollment ID: I20070524000154 |
| Provider Name | Joseph T Hilgeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407820145 PECOS PAC ID: 3072610138 Enrollment ID: I20070524000229 |
| Provider Name | Mark Houston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689640344 PECOS PAC ID: 4688771751 Enrollment ID: I20070524000348 |
| Provider Name | Catherine S Wilke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811958176 PECOS PAC ID: 0840397923 Enrollment ID: I20070524000371 |
| Provider Name | Kelly A Rourke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033185285 PECOS PAC ID: 0648377721 Enrollment ID: I20070524000383 |
| Provider Name | Barbara L Blaue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417169855 PECOS PAC ID: 7810094992 Enrollment ID: I20070524000395 |
| Provider Name | James Ketchum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386610376 PECOS PAC ID: 2365549441 Enrollment ID: I20070524000400 |
| Provider Name | David Schlitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831166263 PECOS PAC ID: 3870690969 Enrollment ID: I20070524000433 |
| Provider Name | Melissa E Manhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679786990 PECOS PAC ID: 8426152851 Enrollment ID: I20070524000483 |
| Provider Name | David Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538133046 PECOS PAC ID: 4981701091 Enrollment ID: I20070524000633 |
| Provider Name | Matthew A Beckerdite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821062266 PECOS PAC ID: 5698872703 Enrollment ID: I20070524000646 |
| Provider Name | Michele Bellamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134194863 PECOS PAC ID: 9931206943 Enrollment ID: I20070525000022 |
| Provider Name | L J Kennington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215903406 PECOS PAC ID: 9830296847 Enrollment ID: I20070525000028 |
| Provider Name | Grant Hoekzema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609842350 PECOS PAC ID: 0749387751 Enrollment ID: I20070525000031 |
| Provider Name | Geraldine A Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689640609 PECOS PAC ID: 7810094828 Enrollment ID: I20070525000044 |
| Provider Name | Michael Treisman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184685455 PECOS PAC ID: 9638276652 Enrollment ID: I20070525000054 |
| Provider Name | Bernard J Mcguire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942274030 PECOS PAC ID: 3173620192 Enrollment ID: I20070525000059 |
| Provider Name | Beth Zimmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548221823 PECOS PAC ID: 8628175627 Enrollment ID: I20070529000198 |
| Provider Name | Susan Hull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265408926 PECOS PAC ID: 9436256336 Enrollment ID: I20070529000210 |
| Provider Name | John J Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083689061 PECOS PAC ID: 7517064421 Enrollment ID: I20070529000290 |
| Provider Name | Philip Conway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730154477 PECOS PAC ID: 3173620093 Enrollment ID: I20070529000359 |
| Provider Name | Mark Faron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356314041 PECOS PAC ID: 9436256351 Enrollment ID: I20070529000376 |
| Provider Name | Jeffrey Faron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316911829 PECOS PAC ID: 3779680699 Enrollment ID: I20070529000389 |
| Provider Name | Kevin B Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700855780 PECOS PAC ID: 5092812933 Enrollment ID: I20070529000515 |
| Provider Name | Christine A Sigman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174591374 PECOS PAC ID: 4981701828 Enrollment ID: I20070529000529 |
| Provider Name | Timothy P Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427023886 PECOS PAC ID: 6608974530 Enrollment ID: I20070531000154 |
| Provider Name | Edward J Kunst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467428672 PECOS PAC ID: 7517963994 Enrollment ID: I20070531000231 |
| Provider Name | Daniel W. Whitehead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245291590 PECOS PAC ID: 3072611912 Enrollment ID: I20070531000241 |
| Provider Name | Peter Danis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669447314 PECOS PAC ID: 5597863431 Enrollment ID: I20070531000271 |
| Provider Name | Marketa Kasalova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922200617 PECOS PAC ID: 8426158403 Enrollment ID: I20070703000611 |
| Provider Name | Mario Salinas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730139833 PECOS PAC ID: 8123128444 Enrollment ID: I20070716000095 |
| Provider Name | Salina D Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508985953 PECOS PAC ID: 8729188941 Enrollment ID: I20070717000183 |
| Provider Name | Jay L Padratzik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467427161 PECOS PAC ID: 8527013937 Enrollment ID: I20070726000009 |
| Provider Name | Artan Markollari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174726046 PECOS PAC ID: 7517058183 Enrollment ID: I20070810000573 |
| Provider Name | Julie M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164449054 PECOS PAC ID: 9032201447 Enrollment ID: I20070815000273 |
| Provider Name | Carter Page Fenton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922199546 PECOS PAC ID: 9234221698 Enrollment ID: I20070815000660 |
| Provider Name | Margaret Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043285745 PECOS PAC ID: 1355435389 Enrollment ID: I20070920000583 |
| Provider Name | Shafia Bhutto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982807335 PECOS PAC ID: 9032203005 Enrollment ID: I20070921000043 |
| Provider Name | Robert B Michaels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992735237 PECOS PAC ID: 9830284694 Enrollment ID: I20071009000381 |
| Provider Name | Misty Day |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124218516 PECOS PAC ID: 1759477904 Enrollment ID: I20071018000597 |
| Provider Name | Terri L Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740386846 PECOS PAC ID: 9830286798 Enrollment ID: I20071025000057 |
| Provider Name | Michael Houser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285710665 PECOS PAC ID: 4880782457 Enrollment ID: I20071115000039 |
| Provider Name | Christopher M Schlanger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215959655 PECOS PAC ID: 2769563238 Enrollment ID: I20080123000091 |
| Provider Name | Margaret Reiker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902915853 PECOS PAC ID: 7012099898 Enrollment ID: I20080201000148 |
| Provider Name | Candance Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184733230 PECOS PAC ID: 9133205305 Enrollment ID: I20080328000033 |
| Provider Name | Thomas J Panasci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629051081 PECOS PAC ID: 6103850078 Enrollment ID: I20080402000724 |
| Provider Name | Stephen F Staten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457351363 PECOS PAC ID: 1153409495 Enrollment ID: I20080428000038 |
| Provider Name | Jennifer A Grabow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548432669 PECOS PAC ID: 4587742853 Enrollment ID: I20080428000244 |
| Provider Name | Margaret Marcrander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972555332 PECOS PAC ID: 0345348637 Enrollment ID: I20080509000145 |
| Provider Name | Jamie Christine Joyce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184825358 PECOS PAC ID: 1658440367 Enrollment ID: I20080521000537 |
| Provider Name | Daniel James Bauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144222506 PECOS PAC ID: 1456421254 Enrollment ID: I20080605000583 |
| Provider Name | Edina Karahodzic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891895934 PECOS PAC ID: 4284705898 Enrollment ID: I20080625000107 |
| Provider Name | John Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346450970 PECOS PAC ID: 6103999669 Enrollment ID: I20080717000280 |
| Provider Name | Michael J Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477589422 PECOS PAC ID: 8628141504 Enrollment ID: I20080725000293 |
| Provider Name | Gary M Wasserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740382746 PECOS PAC ID: 5597830927 Enrollment ID: I20080820000386 |
| Provider Name | Matthew B Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396954293 PECOS PAC ID: 7416023981 Enrollment ID: I20080906000176 |
| Provider Name | Pamela Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164633111 PECOS PAC ID: 8325115736 Enrollment ID: I20080927000029 |
| Provider Name | Janice Ann Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235250333 PECOS PAC ID: 6709944697 Enrollment ID: I20081021000858 |
| Provider Name | Anne K Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801848395 PECOS PAC ID: 3678632841 Enrollment ID: I20081103000146 |
| Provider Name | Tahir Qayum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306907738 PECOS PAC ID: 7517028046 Enrollment ID: I20081203000089 |
| Provider Name | Kristin J Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871657981 PECOS PAC ID: 5991861056 Enrollment ID: I20090226000071 |
| Provider Name | Briccio S Cadiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932182722 PECOS PAC ID: 2264598648 Enrollment ID: I20090310000449 |
| Provider Name | Donna R Manley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407977887 PECOS PAC ID: 4880742436 Enrollment ID: I20090508000228 |
| Provider Name | John E Delrosario |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043271711 PECOS PAC ID: 8022167105 Enrollment ID: I20090520000183 |
| Provider Name | Renee J Zesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457586919 PECOS PAC ID: 2264583178 Enrollment ID: I20090706000083 |
| Provider Name | Saqib Bhutto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962603159 PECOS PAC ID: 0941352884 Enrollment ID: I20090723000443 |
| Provider Name | Leah C Silver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063662443 PECOS PAC ID: 6002969417 Enrollment ID: I20090803000507 |
| Provider Name | Gena M Gardiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699702472 PECOS PAC ID: 2365596228 Enrollment ID: I20090812000631 |
| Provider Name | Scott M Dembiec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619178159 PECOS PAC ID: 1557415189 Enrollment ID: I20090818000016 |
| Provider Name | Kevin P King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174733620 PECOS PAC ID: 5294881421 Enrollment ID: I20090914000183 |
| Provider Name | Edward C Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245431550 PECOS PAC ID: 4385790203 Enrollment ID: I20090917000715 |
| Provider Name | Christina Antoinett Garretto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144430612 PECOS PAC ID: 1951447689 Enrollment ID: I20091009000016 |
| Provider Name | Latasha L Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710118161 PECOS PAC ID: 3678610268 Enrollment ID: I20091030000504 |
| Provider Name | Delores C Dotson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881723062 PECOS PAC ID: 7810076304 Enrollment ID: I20091106000082 |
| Provider Name | Joanne M Waltman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063692739 PECOS PAC ID: 5496894941 Enrollment ID: I20091123000552 |
| Provider Name | Kurt Jaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578501011 PECOS PAC ID: 3577666007 Enrollment ID: I20091124000552 |
| Provider Name | Julia M Lagow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861640823 PECOS PAC ID: 6406996651 Enrollment ID: I20091218000165 |
| Provider Name | Susan Farrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316948730 PECOS PAC ID: 3577605922 Enrollment ID: I20100122000360 |
| Provider Name | Bernard C Randolph |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841286358 PECOS PAC ID: 0749266252 Enrollment ID: I20100204000632 |
| Provider Name | Rodney R Thorley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285695817 PECOS PAC ID: 2365417276 Enrollment ID: I20100206000265 |
| Provider Name | Timothy J Warren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104029222 PECOS PAC ID: 8921141250 Enrollment ID: I20100208000768 |
| Provider Name | Harmeen Chawla |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275594590 PECOS PAC ID: 6507900354 Enrollment ID: I20100218000047 |
| Provider Name | Jennifer L Page |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891756557 PECOS PAC ID: 4587708334 Enrollment ID: I20100218000061 |
| Provider Name | Athmaram B Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164416145 PECOS PAC ID: 5496845232 Enrollment ID: I20100322000237 |
| Provider Name | James W Kriegshauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477547453 PECOS PAC ID: 3779673512 Enrollment ID: I20100322000456 |
| Provider Name | Ramadevi Devabhaktuni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891789558 PECOS PAC ID: 8426148263 Enrollment ID: I20100326000892 |
| Provider Name | Sunny D Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306830492 PECOS PAC ID: 0345330189 Enrollment ID: I20100326000910 |
| Provider Name | James S Compton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336133321 PECOS PAC ID: 4981794724 Enrollment ID: I20100326000923 |
| Provider Name | William J Budd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861486953 PECOS PAC ID: 2163512997 Enrollment ID: I20100326000932 |
| Provider Name | Bradley K Bernhard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538153606 PECOS PAC ID: 1254421084 Enrollment ID: I20100326000940 |
| Provider Name | Matthew J Tiefenbrunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457393712 PECOS PAC ID: 4981598646 Enrollment ID: I20100508000009 |
| Provider Name | Kim D Colter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336112846 PECOS PAC ID: 3375437049 Enrollment ID: I20100508000020 |
| Provider Name | Kelly J Bain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982645818 PECOS PAC ID: 1456245125 Enrollment ID: I20100511000725 |
| Provider Name | Sara Marie Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336478007 PECOS PAC ID: 3870622517 Enrollment ID: I20100519000078 |
| Provider Name | Cindy M Leahy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609856301 PECOS PAC ID: 4385773951 Enrollment ID: I20100520000679 |
| Provider Name | Daniel Emerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952413171 PECOS PAC ID: 8123157070 Enrollment ID: I20100602000542 |
| Provider Name | Julie M Epple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043242183 PECOS PAC ID: 3173652054 Enrollment ID: I20100602000881 |
| Provider Name | Timothy P Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558384214 PECOS PAC ID: 6204720931 Enrollment ID: I20100615000706 |
| Provider Name | Robert W Halsted |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447286380 PECOS PAC ID: 5294629929 Enrollment ID: I20100618000723 |
| Provider Name | Brenda G Voss |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407017775 PECOS PAC ID: 3274665641 Enrollment ID: I20100720001003 |
| Provider Name | Behrad Majidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295765386 PECOS PAC ID: 1759413974 Enrollment ID: I20100722000877 |
| Provider Name | Irini E Veronikis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578508701 PECOS PAC ID: 4789716986 Enrollment ID: I20100723000671 |
| Provider Name | Michael G Koenig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720171093 PECOS PAC ID: 2466432307 Enrollment ID: I20100806000888 |
| Provider Name | Nita M Eggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497991012 PECOS PAC ID: 7012041189 Enrollment ID: I20100812000160 |
| Provider Name | Justin Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902096613 PECOS PAC ID: 4183758089 Enrollment ID: I20100813000758 |
| Provider Name | Joshua D Binek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588862544 PECOS PAC ID: 2264566181 Enrollment ID: I20100813001018 |
| Provider Name | Thomas F Landholt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033205646 PECOS PAC ID: 4688708423 Enrollment ID: I20100817000050 |
| Provider Name | Mojdeh Zahedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942479894 PECOS PAC ID: 9830223577 Enrollment ID: I20100817000189 |
| Provider Name | Stacey L Clancy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649372202 PECOS PAC ID: 8224134606 Enrollment ID: I20100817000199 |
| Provider Name | Sirisha V Brosch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215197173 PECOS PAC ID: 8921132689 Enrollment ID: I20100817000497 |
| Provider Name | Nawras Makhsida |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154523959 PECOS PAC ID: 8426182197 Enrollment ID: I20100817000581 |
| Provider Name | Lauren B King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285831164 PECOS PAC ID: 3779617329 Enrollment ID: I20100818000067 |
| Provider Name | Lorinna Shniter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851344451 PECOS PAC ID: 2769572734 Enrollment ID: I20100901000490 |
| Provider Name | Diane E Rosen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740490879 PECOS PAC ID: 8820112527 Enrollment ID: I20100902000117 |
| Provider Name | David Everett Easterday |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700871613 PECOS PAC ID: 2860516309 Enrollment ID: I20100903000910 |
| Provider Name | Jennifer L Knox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184822801 PECOS PAC ID: 5496879884 Enrollment ID: I20100908000537 |
| Provider Name | Babu R Dandamudi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386645430 PECOS PAC ID: 2769507110 Enrollment ID: I20100909000182 |
| Provider Name | Kelly D Gage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710930219 PECOS PAC ID: 7113017187 Enrollment ID: I20100915000516 |
| Provider Name | Stephanie E Liebmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366649253 PECOS PAC ID: 2860518362 Enrollment ID: I20100921001352 |
| Provider Name | Amy Therese Dunbar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891866364 PECOS PAC ID: 1355467655 Enrollment ID: I20100923001114 |
| Provider Name | Sonia M Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497951008 PECOS PAC ID: 1153447917 Enrollment ID: I20100929000846 |
| Provider Name | Tammy L Prewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831283894 PECOS PAC ID: 9931391620 Enrollment ID: I20101013000845 |
| Provider Name | Alampur V Kumari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760459424 PECOS PAC ID: 4082500160 Enrollment ID: I20101015001234 |
| Provider Name | Joseph S Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366413338 PECOS PAC ID: 2567655764 Enrollment ID: I20101020000821 |
| Provider Name | Kenneth R Kilian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225023955 PECOS PAC ID: 5395701874 Enrollment ID: I20101020001076 |
| Provider Name | Saulat Mushtaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518080605 PECOS PAC ID: 2668666298 Enrollment ID: I20101027001540 |
| Provider Name | Sharla A Fischer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740304070 PECOS PAC ID: 3870781610 Enrollment ID: I20101221000812 |
| Provider Name | Heidi L Gioia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427142579 PECOS PAC ID: 3173704285 Enrollment ID: I20110223000230 |
| Provider Name | Mary M Hammel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598067779 PECOS PAC ID: 2668653783 Enrollment ID: I20110223000316 |
| Provider Name | Ming Hao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861607640 PECOS PAC ID: 8820272420 Enrollment ID: I20110406000071 |
| Provider Name | Amanda Marie Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689976391 PECOS PAC ID: 8921282989 Enrollment ID: I20110415000331 |
| Provider Name | Herbert Lubowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033290358 PECOS PAC ID: 8022155704 Enrollment ID: I20110504000630 |
| Provider Name | Sanaa T Waheed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154513000 PECOS PAC ID: 5698950673 Enrollment ID: I20110506000678 |
| Provider Name | Deborah A Esker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437177953 PECOS PAC ID: 5698951077 Enrollment ID: I20110519000455 |
| Provider Name | Amy E Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598055287 PECOS PAC ID: 3971789231 Enrollment ID: I20110520000593 |
| Provider Name | Kristi A Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740439199 PECOS PAC ID: 7517144843 Enrollment ID: I20110614000063 |
| Provider Name | Sameer Kirtane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871755777 PECOS PAC ID: 7517145725 Enrollment ID: I20110616000649 |
| Provider Name | Seema K Iyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437455441 PECOS PAC ID: 6709064025 Enrollment ID: I20110708000419 |
| Provider Name | Linda S Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154341410 PECOS PAC ID: 0042488488 Enrollment ID: I20110729000378 |
| Provider Name | Keya Kuhn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396908513 PECOS PAC ID: 3971772377 Enrollment ID: I20110801000407 |
| Provider Name | Tina Louise Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356337224 PECOS PAC ID: 6608856935 Enrollment ID: I20110803000786 |
| Provider Name | Husam T Nawas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134319510 PECOS PAC ID: 0941479125 Enrollment ID: I20110808000062 |
| Provider Name | Rose L Hiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235399817 PECOS PAC ID: 0648440131 Enrollment ID: I20110818000575 |
| Provider Name | Mirha Avdagic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154625887 PECOS PAC ID: 2769653997 Enrollment ID: I20110920000752 |
| Provider Name | Christina L Byron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528266400 PECOS PAC ID: 1355513714 Enrollment ID: I20111006000251 |
| Provider Name | Gretchen H Levey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518167261 PECOS PAC ID: 9133391592 Enrollment ID: I20111006000291 |
| Provider Name | Margaretta L Mendenhall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275730111 PECOS PAC ID: 2668644022 Enrollment ID: I20111006000313 |
| Provider Name | Lauren E S Wilfling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346414034 PECOS PAC ID: 0446422828 Enrollment ID: I20111006000474 |
| Provider Name | Christian M Sutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881867497 PECOS PAC ID: 2769654946 Enrollment ID: I20111012000364 |
| Provider Name | Laird H Vermont |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235190570 PECOS PAC ID: 7911179122 Enrollment ID: I20111012000664 |
| Provider Name | Christopher F Blanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841464625 PECOS PAC ID: 3971776238 Enrollment ID: I20111101000639 |
| Provider Name | William F Snidle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457443905 PECOS PAC ID: 8628074762 Enrollment ID: I20111122000284 |
| Provider Name | Vani Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336302868 PECOS PAC ID: 0749454973 Enrollment ID: I20111128000034 |
| Provider Name | Julienne Lippe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861610743 PECOS PAC ID: 2769658772 Enrollment ID: I20111221000749 |
| Provider Name | Thomas J Kasper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366418238 PECOS PAC ID: 0042477788 Enrollment ID: I20120207000714 |
| Provider Name | Ellen M Nicastro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861604423 PECOS PAC ID: 1355508995 Enrollment ID: I20120208001026 |
| Provider Name | O'hara Lyn Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245516673 PECOS PAC ID: 3870750284 Enrollment ID: I20120213000347 |
| Provider Name | Laquita D Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669743241 PECOS PAC ID: 4385802552 Enrollment ID: I20120220000112 |
| Provider Name | Jesse Groh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457593865 PECOS PAC ID: 9032262886 Enrollment ID: I20120223000189 |
| Provider Name | Allison E Gage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205106291 PECOS PAC ID: 7416115399 Enrollment ID: I20120223000326 |
| Provider Name | Christina Meddows Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407150337 PECOS PAC ID: 1951560192 Enrollment ID: I20120308000105 |
| Provider Name | Garland R Tschudin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013978394 PECOS PAC ID: 9436319936 Enrollment ID: I20120320000828 |
| Provider Name | Lindsey C Duesterhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063783967 PECOS PAC ID: 7012178262 Enrollment ID: I20120413000693 |
| Provider Name | Richard X Brennan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316986540 PECOS PAC ID: 1658557913 Enrollment ID: I20120607000720 |
| Provider Name | James M Brennan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699714360 PECOS PAC ID: 2567648827 Enrollment ID: I20120629000237 |
| Provider Name | Kara H Mayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205062759 PECOS PAC ID: 2668637885 Enrollment ID: I20120712000793 |
| Provider Name | Sarah J Tilling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649433566 PECOS PAC ID: 1557517042 Enrollment ID: I20120816000517 |
| Provider Name | Adam J Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982831657 PECOS PAC ID: 5395991772 Enrollment ID: I20120820000375 |
| Provider Name | Nicholas A Greiner |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326200692 PECOS PAC ID: 5991952392 Enrollment ID: I20120820000689 |
| Provider Name | Alyssa L Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588892665 PECOS PAC ID: 6507013158 Enrollment ID: I20120904000522 |
| Provider Name | Babul R Kulkarni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225200769 PECOS PAC ID: 2365515624 Enrollment ID: I20120905000546 |
| Provider Name | Sarah Md Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417120577 PECOS PAC ID: 7517115819 Enrollment ID: I20120911000633 |
| Provider Name | Kimberly N Hackney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083842454 PECOS PAC ID: 6103074737 Enrollment ID: I20120924000349 |
| Provider Name | Deborah B Beste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215299482 PECOS PAC ID: 5092964106 Enrollment ID: I20121005000084 |
| Provider Name | Christian Verry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063568640 PECOS PAC ID: 9830349281 Enrollment ID: I20121022000413 |
| Provider Name | Amanda N Breedlove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235486952 PECOS PAC ID: 6305096629 Enrollment ID: I20121023000440 |
| Provider Name | Katy A Frayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710126016 PECOS PAC ID: 8921258245 Enrollment ID: I20121023000458 |
| Provider Name | Susan M Tellini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881946358 PECOS PAC ID: 1052561842 Enrollment ID: I20121102000099 |
| Provider Name | Melissa L Amann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275886012 PECOS PAC ID: 8527219153 Enrollment ID: I20121108000154 |
| Provider Name | Mykale R Elbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356697726 PECOS PAC ID: 7517118417 Enrollment ID: I20121126000454 |
| Provider Name | Joy M Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396065850 PECOS PAC ID: 3577715093 Enrollment ID: I20121210000088 |
| Provider Name | Stuart D Waite |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740379320 PECOS PAC ID: 4587817796 Enrollment ID: I20130118000292 |
| Provider Name | Ann M Hennessey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053471581 PECOS PAC ID: 6800041914 Enrollment ID: I20130221000056 |
| Provider Name | Ann M Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033460324 PECOS PAC ID: 5597910299 Enrollment ID: I20130304000093 |
| Provider Name | Janice E Eisleben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669712147 PECOS PAC ID: 9032354295 Enrollment ID: I20130319000062 |
| Provider Name | Ashley Merlati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487907127 PECOS PAC ID: 1850536327 Enrollment ID: I20130404000230 |
| Provider Name | Michael J Carney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164496725 PECOS PAC ID: 7719124072 Enrollment ID: I20130507000049 |
| Provider Name | Susan Becker Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053756759 PECOS PAC ID: 1951548726 Enrollment ID: I20130515000287 |
| Provider Name | Lauren Kathleen Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760783252 PECOS PAC ID: 6800034125 Enrollment ID: I20130529000015 |
| Provider Name | Christie A Bayer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265405948 PECOS PAC ID: 7416195763 Enrollment ID: I20130529000292 |
| Provider Name | Kelley E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942540745 PECOS PAC ID: 4082852249 Enrollment ID: I20130529000500 |
| Provider Name | Kent L Killian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528034717 PECOS PAC ID: 0749420842 Enrollment ID: I20130715000231 |
| Provider Name | Gerald S Lowther |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922075027 PECOS PAC ID: 4981844081 Enrollment ID: I20130715000280 |
| Provider Name | Julie K Wittenauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609092634 PECOS PAC ID: 8820142904 Enrollment ID: I20130805000646 |
| Provider Name | Jacqueline Rickard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336235928 PECOS PAC ID: 0244330629 Enrollment ID: I20130815000886 |
| Provider Name | Christina M Blaesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316135486 PECOS PAC ID: 5698918548 Enrollment ID: I20130826000515 |
| Provider Name | Jennifer Testerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548205008 PECOS PAC ID: 6305738667 Enrollment ID: I20130903000347 |
| Provider Name | Jenna A Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407295355 PECOS PAC ID: 2567606882 Enrollment ID: I20130926000202 |
| Provider Name | Charles P Coyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295048031 PECOS PAC ID: 5991948689 Enrollment ID: I20131001000503 |
| Provider Name | Keith A Georger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649581745 PECOS PAC ID: 5496989576 Enrollment ID: I20131002000667 |
| Provider Name | Christopher B Hamm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730490830 PECOS PAC ID: 5294969267 Enrollment ID: I20131004000461 |
| Provider Name | Adam M Ralko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265751119 PECOS PAC ID: 4789818279 Enrollment ID: I20131016001957 |
| Provider Name | Anjani J Urban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619288719 PECOS PAC ID: 4880829175 Enrollment ID: I20131022000836 |
| Provider Name | Rebecca A Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730491721 PECOS PAC ID: 6204061518 Enrollment ID: I20131022001674 |
| Provider Name | Leah R Glass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093942997 PECOS PAC ID: 5294960472 Enrollment ID: I20131023001959 |
| Provider Name | Melissa R Strike |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750524286 PECOS PAC ID: 1951536689 Enrollment ID: I20131104001787 |
| Provider Name | Kristin K Wenger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679702153 PECOS PAC ID: 5193952125 Enrollment ID: I20131218000648 |
| Provider Name | Erin S Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912232786 PECOS PAC ID: 5193952141 Enrollment ID: I20131218001064 |
| Provider Name | Brandy Cruesoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568476992 PECOS PAC ID: 7113154808 Enrollment ID: I20131231000439 |
| Provider Name | Amanda A Oswalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710175815 PECOS PAC ID: 0749418325 Enrollment ID: I20140103000666 |
| Provider Name | Amy D Garvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134557770 PECOS PAC ID: 2062641384 Enrollment ID: I20140208000159 |
| Provider Name | Nora E Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841613205 PECOS PAC ID: 8224268792 Enrollment ID: I20140228001050 |
| Provider Name | Kelly A Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487078879 PECOS PAC ID: 5193956944 Enrollment ID: I20140320001647 |
| Provider Name | Katie Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225452501 PECOS PAC ID: 1850523937 Enrollment ID: I20140404000864 |
| Provider Name | Jennifer Oldham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790100089 PECOS PAC ID: 7517199748 Enrollment ID: I20140422001181 |
| Provider Name | Marina T Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750700928 PECOS PAC ID: 8123251022 Enrollment ID: I20140430000659 |
| Provider Name | Alison J Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427345263 PECOS PAC ID: 9931322864 Enrollment ID: I20140522001055 |
| Provider Name | Megan N Fjellanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881014249 PECOS PAC ID: 0840413415 Enrollment ID: I20140529000660 |
| Provider Name | Panduranga R Koya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427151323 PECOS PAC ID: 9537292958 Enrollment ID: I20140610001329 |
| Provider Name | Danielle L Doerr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487940649 PECOS PAC ID: 4284858143 Enrollment ID: I20140616000502 |
| Provider Name | Brett H Waite |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366852139 PECOS PAC ID: 7810112687 Enrollment ID: I20140710002356 |
| Provider Name | Scott A Mcclain |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1114034469 PECOS PAC ID: 9436375110 Enrollment ID: I20140801002108 |
| Provider Name | Amanda C Simmons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700013315 PECOS PAC ID: 6204062789 Enrollment ID: I20140805000305 |
| Provider Name | Margaret M Whitcraft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093001604 PECOS PAC ID: 6305063454 Enrollment ID: I20140813001235 |
| Provider Name | Margaret R Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487940680 PECOS PAC ID: 8921225905 Enrollment ID: I20140814002577 |
| Provider Name | Elizabeth L Cook |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447589049 PECOS PAC ID: 2567587892 Enrollment ID: I20140821000600 |
| Provider Name | Elizabeth H M Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952697468 PECOS PAC ID: 6709004849 Enrollment ID: I20140902001465 |
| Provider Name | Kimberly D Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306252457 PECOS PAC ID: 6608095138 Enrollment ID: I20140916001673 |
| Provider Name | Kristen L Scaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891194650 PECOS PAC ID: 8820218811 Enrollment ID: I20140925000040 |
| Provider Name | Stephanie R Griesenauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730595711 PECOS PAC ID: 1456571090 Enrollment ID: I20141003000433 |
| Provider Name | Anna Cristina Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720378847 PECOS PAC ID: 1658510938 Enrollment ID: I20141006000358 |
| Provider Name | Jacqueline M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467860304 PECOS PAC ID: 5799905113 Enrollment ID: I20141007002725 |
| Provider Name | Amanda J Sileo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124306287 PECOS PAC ID: 0547481996 Enrollment ID: I20141028001356 |
| Provider Name | Shiela M. Frimml |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902104011 PECOS PAC ID: 6608198049 Enrollment ID: I20141215000160 |
| Provider Name | Shannon M Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902212608 PECOS PAC ID: 1456675693 Enrollment ID: I20150119000509 |
| Provider Name | Debra Eggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285038042 PECOS PAC ID: 4385968411 Enrollment ID: I20150121001029 |
| Provider Name | Kellie Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952709099 PECOS PAC ID: 4082938899 Enrollment ID: I20150128000331 |
| Provider Name | Robert Schwenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720486582 PECOS PAC ID: 6305162892 Enrollment ID: I20150227000425 |
| Provider Name | Brooke L Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104216142 PECOS PAC ID: 2769708692 Enrollment ID: I20150311001736 |
| Provider Name | Stacey A Cooper |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588624787 PECOS PAC ID: 3072518802 Enrollment ID: I20150401001269 |
| Provider Name | Aida Trivic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386971323 PECOS PAC ID: 9537487970 Enrollment ID: I20150414001756 |
| Provider Name | Amanda L K Flamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528453354 PECOS PAC ID: 6002134079 Enrollment ID: I20150423001727 |
| Provider Name | Jessica M Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730582313 PECOS PAC ID: 4587983820 Enrollment ID: I20150507001626 |
| Provider Name | Stephanie Susette Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407241771 PECOS PAC ID: 4789905696 Enrollment ID: I20150604000166 |
| Provider Name | Donna Thanh Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295129732 PECOS PAC ID: 5597076851 Enrollment ID: I20150612002139 |
| Provider Name | Kristy Bestgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326487315 PECOS PAC ID: 4587975651 Enrollment ID: I20150616000754 |
| Provider Name | Julie E Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467830018 PECOS PAC ID: 9739490822 Enrollment ID: I20150616001241 |
| Provider Name | Rebekah Michelle Case |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730455932 PECOS PAC ID: 6406083237 Enrollment ID: I20150714002347 |
| Provider Name | Jacob W Peyton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912293010 PECOS PAC ID: 4486874989 Enrollment ID: I20150721001620 |
| Provider Name | Damian H. Findlay |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1487854378 PECOS PAC ID: 7911210521 Enrollment ID: I20150724010889 |
| Provider Name | Monica L Board |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437409992 PECOS PAC ID: 4688826498 Enrollment ID: I20150729007558 |
| Provider Name | Kirsten Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356617443 PECOS PAC ID: 6709106057 Enrollment ID: I20150730011242 |
| Provider Name | Diane D Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699158196 PECOS PAC ID: 4587978861 Enrollment ID: I20150730012214 |
| Provider Name | Laurie A Giltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932584075 PECOS PAC ID: 5496069304 Enrollment ID: I20150806010046 |
| Provider Name | Cassandra R Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598027203 PECOS PAC ID: 0345460846 Enrollment ID: I20150806012194 |
| Provider Name | Aleksandr G Lanis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356604318 PECOS PAC ID: 2961620679 Enrollment ID: I20150806012454 |
| Provider Name | Melinda Auer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326336314 PECOS PAC ID: 1456665249 Enrollment ID: I20150807013451 |
| Provider Name | Sara Mendelow Wootten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619359486 PECOS PAC ID: 1254645963 Enrollment ID: I20150807014288 |
| Provider Name | Mark A Fernandez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1245250224 PECOS PAC ID: 7719292804 Enrollment ID: I20150819006654 |
| Provider Name | Craig S Hollander |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407876493 PECOS PAC ID: 0244546869 Enrollment ID: I20150827001841 |
| Provider Name | Andrew Lawrence |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306133129 PECOS PAC ID: 8224263322 Enrollment ID: I20150827001954 |
| Provider Name | Carolyn L Mank |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952645087 PECOS PAC ID: 6507172764 Enrollment ID: I20150902001584 |
| Provider Name | David E Mosley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326301722 PECOS PAC ID: 0547488256 Enrollment ID: I20150903002102 |
| Provider Name | Nancy Birner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043214778 PECOS PAC ID: 0840196192 Enrollment ID: I20150915001353 |
| Provider Name | Laura M Covert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568727626 PECOS PAC ID: 3577781327 Enrollment ID: I20150915001492 |
| Provider Name | Sarah Buechting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952708166 PECOS PAC ID: 9032426432 Enrollment ID: I20150917001028 |
| Provider Name | Laura L Klossner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477921278 PECOS PAC ID: 8224347299 Enrollment ID: I20151014002884 |
| Provider Name | Jennifer Walk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346619095 PECOS PAC ID: 4880903293 Enrollment ID: I20151027000390 |
| Provider Name | Julie M Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639209745 PECOS PAC ID: 7214237239 Enrollment ID: I20151124000877 |
| Provider Name | Stephanie M Lunatto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235513953 PECOS PAC ID: 7719287663 Enrollment ID: I20151124002437 |
| Provider Name | Jenna Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932572393 PECOS PAC ID: 5395046510 Enrollment ID: I20151214000292 |
| Provider Name | Tamsin Marie Lewis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760489694 PECOS PAC ID: 7911955729 Enrollment ID: I20160115002192 |
| Provider Name | Allison E Hotze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710352620 PECOS PAC ID: 5092018432 Enrollment ID: I20160119002638 |
| Provider Name | Victoria G Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790141083 PECOS PAC ID: 8921301094 Enrollment ID: I20160122001741 |
| Provider Name | Katherine Hitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215392485 PECOS PAC ID: 5092018101 Enrollment ID: I20160125000634 |
| Provider Name | Michael Gerardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851588800 PECOS PAC ID: 3173611241 Enrollment ID: I20160202000223 |
| Provider Name | Jane A Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780997676 PECOS PAC ID: 4981908456 Enrollment ID: I20160203000499 |
| Provider Name | Frank Klima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467756809 PECOS PAC ID: 0042217929 Enrollment ID: I20160223001704 |
| Provider Name | Nancy J Jasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609246552 PECOS PAC ID: 0840595856 Enrollment ID: I20160229001014 |
| Provider Name | Kimberly A Schaefermeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366814766 PECOS PAC ID: 9436456480 Enrollment ID: I20160318001249 |
| Provider Name | John A Mulvahill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205195005 PECOS PAC ID: 3870890619 Enrollment ID: I20160322002826 |
| Provider Name | Jennifer Michelle Heeley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710116207 PECOS PAC ID: 2567782758 Enrollment ID: I20160406001562 |
| Provider Name | Rebecca Heimburger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437515202 PECOS PAC ID: 5698073617 Enrollment ID: I20160407001070 |
| Provider Name | Lorie Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831552728 PECOS PAC ID: 2567760820 Enrollment ID: I20160420000206 |
| Provider Name | Monica Y Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922030865 PECOS PAC ID: 3274822507 Enrollment ID: I20160510001060 |
| Provider Name | She'tongela S Crutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134581861 PECOS PAC ID: 0446558563 Enrollment ID: I20160525001152 |
| Provider Name | Rema Sanghavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104991017 PECOS PAC ID: 3274533088 Enrollment ID: I20160602000631 |
| Provider Name | Jenna Oshea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922454719 PECOS PAC ID: 8820388838 Enrollment ID: I20160603000758 |
| Provider Name | Tracey S Bertram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720428592 PECOS PAC ID: 8426276163 Enrollment ID: I20160615001626 |
| Provider Name | Michael R Doherty |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518371020 PECOS PAC ID: 9133347222 Enrollment ID: I20160627001322 |
| Provider Name | David Zenk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194164509 PECOS PAC ID: 8224258728 Enrollment ID: I20160707001732 |
| Provider Name | Spencer Cotterell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104182831 PECOS PAC ID: 7416240676 Enrollment ID: I20160726000566 |
| Provider Name | Irene M Rathjen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447629464 PECOS PAC ID: 3678867553 Enrollment ID: I20160816001545 |
| Provider Name | Andrew Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982044327 PECOS PAC ID: 0547488314 Enrollment ID: I20160819000996 |
| Provider Name | Vandana Dalton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508126889 PECOS PAC ID: 1951538792 Enrollment ID: I20160822000314 |
| Provider Name | Nastassia Bommel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427497411 PECOS PAC ID: 6800181314 Enrollment ID: I20160823002267 |
| Provider Name | Patricia Lee Fredrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336541549 PECOS PAC ID: 2264727502 Enrollment ID: I20160825000242 |
| Provider Name | Kenya S Shotwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740735885 PECOS PAC ID: 6901192707 Enrollment ID: I20160902001045 |
| Provider Name | April Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821226408 PECOS PAC ID: 3870736903 Enrollment ID: I20160907002234 |
| Provider Name | Catherine Hutz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912261322 PECOS PAC ID: 8527204320 Enrollment ID: I20160908000395 |
| Provider Name | Jill Rose Scherbel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336403948 PECOS PAC ID: 4486951449 Enrollment ID: I20160913001196 |
| Provider Name | Michael D Lehmkuhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700332319 PECOS PAC ID: 2365739299 Enrollment ID: I20160921000775 |
| Provider Name | Bryan Cannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265662068 PECOS PAC ID: 7810285707 Enrollment ID: I20161010000177 |
| Provider Name | Amanda Schilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467902742 PECOS PAC ID: 7618255985 Enrollment ID: I20161021000732 |
| Provider Name | Jill Wors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487105375 PECOS PAC ID: 5597043596 Enrollment ID: I20161026001178 |
| Provider Name | Jennifer L Seib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346796562 PECOS PAC ID: 4082992037 Enrollment ID: I20161026003038 |
| Provider Name | Elizabeth Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871045914 PECOS PAC ID: 9234417106 Enrollment ID: I20161027000772 |
| Provider Name | Jody Np Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184173585 PECOS PAC ID: 2860770211 Enrollment ID: I20161107000132 |
| Provider Name | Nicole Shuert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942532445 PECOS PAC ID: 6204115967 Enrollment ID: I20161121000730 |
| Provider Name | Jenna Lee Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952773822 PECOS PAC ID: 3870871718 Enrollment ID: I20161122000363 |
| Provider Name | Jesica Allan Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225587447 PECOS PAC ID: 0244510568 Enrollment ID: I20161202001388 |
| Provider Name | Jennifer M Burford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871045716 PECOS PAC ID: 7315227410 Enrollment ID: I20161208000849 |
| Provider Name | Melissa C Irvine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558733113 PECOS PAC ID: 6204117567 Enrollment ID: I20161228000030 |
| Provider Name | Andrea L Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265815583 PECOS PAC ID: 9931480159 Enrollment ID: I20161230001524 |
| Provider Name | Larry W Thomas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033226543 PECOS PAC ID: 4880975812 Enrollment ID: I20170104002360 |
| Provider Name | Angela Mehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316362833 PECOS PAC ID: 5395034375 Enrollment ID: I20170117001174 |
| Provider Name | Courtney A Brush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366781734 PECOS PAC ID: 3678855954 Enrollment ID: I20170120002489 |
| Provider Name | Patrice M Holliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407288053 PECOS PAC ID: 9133359474 Enrollment ID: I20170126002264 |
| Provider Name | Teresa T Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689830168 PECOS PAC ID: 7012290398 Enrollment ID: I20170210001827 |
| Provider Name | Kallie Belfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285171462 PECOS PAC ID: 4486939246 Enrollment ID: I20170320000547 |
| Provider Name | Peter M Bess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558560961 PECOS PAC ID: 3375828056 Enrollment ID: I20170320001566 |
| Provider Name | Cheryl L Viau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710427547 PECOS PAC ID: 9931484052 Enrollment ID: I20170331001511 |
| Provider Name | Madeline K Giacalone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831539667 PECOS PAC ID: 0042514317 Enrollment ID: I20170613000108 |
| Provider Name | Dipesh Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518004886 PECOS PAC ID: 0941334957 Enrollment ID: I20170620002217 |
| Provider Name | Charles V Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396159836 PECOS PAC ID: 0648497305 Enrollment ID: I20170627003131 |
| Provider Name | Amanda L Melliere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588194427 PECOS PAC ID: 7012287147 Enrollment ID: I20170724001692 |
| Provider Name | Alexander W Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558775924 PECOS PAC ID: 4981822079 Enrollment ID: I20170725002291 |
| Provider Name | Alexander J Mazzaferro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982017786 PECOS PAC ID: 7911124490 Enrollment ID: I20170725002970 |
| Provider Name | Frederick Balch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154735439 PECOS PAC ID: 6800013368 Enrollment ID: I20170726003403 |
| Provider Name | Lindsey Nicole Naylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689101172 PECOS PAC ID: 7315218005 Enrollment ID: I20170728001880 |
| Provider Name | Justin K Starke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124432406 PECOS PAC ID: 7416174198 Enrollment ID: I20170728001915 |
| Provider Name | Fredric L Melton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336569755 PECOS PAC ID: 0941599062 Enrollment ID: I20170802002699 |
| Provider Name | Stefanie White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871908608 PECOS PAC ID: 6305063843 Enrollment ID: I20170803002123 |
| Provider Name | Perini Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144633819 PECOS PAC ID: 8325265895 Enrollment ID: I20170807002803 |
| Provider Name | Tonnya M Taggart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619332608 PECOS PAC ID: 5597061580 Enrollment ID: I20170808002618 |
| Provider Name | Stacy A Jefferson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720492028 PECOS PAC ID: 4082917497 Enrollment ID: I20170822002211 |
| Provider Name | Angela Reidner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972793016 PECOS PAC ID: 7719032655 Enrollment ID: I20170824001470 |
| Provider Name | John W Pipkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346797305 PECOS PAC ID: 2163795097 Enrollment ID: I20170829000901 |
| Provider Name | Kinsey Dinnel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588007751 PECOS PAC ID: 5294051728 Enrollment ID: I20170830002853 |
| Provider Name | Kylie Melton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316353584 PECOS PAC ID: 4688963788 Enrollment ID: I20170905000201 |
| Provider Name | Michael W Nash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376577825 PECOS PAC ID: 8325040942 Enrollment ID: I20170907000777 |
| Provider Name | Theresa Rehg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760907414 PECOS PAC ID: 6800169004 Enrollment ID: I20170911002002 |
| Provider Name | Devin R Willis |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295175057 PECOS PAC ID: 7012143449 Enrollment ID: I20170913002736 |
| Provider Name | Preethi M Schmeidler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659785608 PECOS PAC ID: 6204139769 Enrollment ID: I20170919001392 |
| Provider Name | Samantha A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215481924 PECOS PAC ID: 6608162433 Enrollment ID: I20170929001652 |
| Provider Name | Gregory S Tentindo |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1164866125 PECOS PAC ID: 4486929304 Enrollment ID: I20171003006037 |
| Provider Name | Jeanette Nicole Heuermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528403029 PECOS PAC ID: 9335377092 Enrollment ID: I20171018002787 |
| Provider Name | Katherine Bryn Hammerschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922517747 PECOS PAC ID: 2668748609 Enrollment ID: I20171019000883 |
| Provider Name | Sorawit Timothy Decha-umphai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902191141 PECOS PAC ID: 1759688559 Enrollment ID: I20171020002392 |
| Provider Name | Anna Maria Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932619616 PECOS PAC ID: 1850657628 Enrollment ID: I20171110000932 |
| Provider Name | Brandy Lee Askins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609386630 PECOS PAC ID: 5193081792 Enrollment ID: I20171115001637 |
| Provider Name | Lea-ana R Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831632165 PECOS PAC ID: 8921365743 Enrollment ID: I20171207002181 |
| Provider Name | Vanessa Fitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790146280 PECOS PAC ID: 4688931108 Enrollment ID: I20171207002599 |
| Provider Name | Keona Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033647144 PECOS PAC ID: 8527326982 Enrollment ID: I20171213002122 |
| Provider Name | Justin T Hagen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811152044 PECOS PAC ID: 6608135967 Enrollment ID: I20180111001270 |
| Provider Name | Keri P Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558316034 PECOS PAC ID: 2264793413 Enrollment ID: I20180302001310 |
| Provider Name | Rachel A Sappington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013436492 PECOS PAC ID: 5991066896 Enrollment ID: I20180308002201 |
| Provider Name | Christine C Machicao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871806786 PECOS PAC ID: 9537422654 Enrollment ID: I20180424000340 |
| Provider Name | Whitney R Barbre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790225373 PECOS PAC ID: 5395009153 Enrollment ID: I20180502000451 |
| Provider Name | Margaret J Garner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912293739 PECOS PAC ID: 1052630472 Enrollment ID: I20180530001616 |
| Provider Name | Erin Kathleen Buckley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417261041 PECOS PAC ID: 5597909424 Enrollment ID: I20180626000890 |
| Provider Name | Jazab Sheikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043655186 PECOS PAC ID: 8820232705 Enrollment ID: I20180716001097 |
| Provider Name | Danielle Besand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932655479 PECOS PAC ID: 9931456944 Enrollment ID: I20180723001701 |
| Provider Name | Samera Majeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578959193 PECOS PAC ID: 8820376270 Enrollment ID: I20180801000725 |
| Provider Name | Catherine Ash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861874059 PECOS PAC ID: 4284942806 Enrollment ID: I20180807003033 |
| Provider Name | Jeremy Oliver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659753341 PECOS PAC ID: 8123335569 Enrollment ID: I20180808001099 |
| Provider Name | Sarah Ann Winkeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316329600 PECOS PAC ID: 7315243979 Enrollment ID: I20180813001225 |
| Provider Name | Allison R Palisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790262772 PECOS PAC ID: 8527317890 Enrollment ID: I20180820001900 |
| Provider Name | Katie E Eichenauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508359043 PECOS PAC ID: 3870842925 Enrollment ID: I20180822002057 |
| Provider Name | Julia K Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720341779 PECOS PAC ID: 9436377124 Enrollment ID: I20180904000484 |
| Provider Name | Dava M Mcgougan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841611746 PECOS PAC ID: 1850641713 Enrollment ID: I20180913003125 |
| Provider Name | Caroline C. Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962791368 PECOS PAC ID: 4183975790 Enrollment ID: I20180920002351 |
| Provider Name | Olga Kamova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306096268 PECOS PAC ID: 1456492156 Enrollment ID: I20180921001676 |
| Provider Name | Lauren Poor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477005734 PECOS PAC ID: 7911258223 Enrollment ID: I20180926001579 |
| Provider Name | Sara D Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518449065 PECOS PAC ID: 4486906047 Enrollment ID: I20181009002144 |
| Provider Name | Mary K Higgs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619053188 PECOS PAC ID: 5092734657 Enrollment ID: I20181016002157 |
| Provider Name | Kelly K Gowens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619452729 PECOS PAC ID: 1153643440 Enrollment ID: I20181016002369 |
| Provider Name | Trisha Lynn Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073097515 PECOS PAC ID: 1355694456 Enrollment ID: I20181018002019 |
| Provider Name | Linda T Boucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437634904 PECOS PAC ID: 1052665916 Enrollment ID: I20181112001431 |
| Provider Name | Tamara K Young |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740317510 PECOS PAC ID: 3274586607 Enrollment ID: I20181113000444 |
| Provider Name | Pascal E. Gaudreault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811982754 PECOS PAC ID: 4183769011 Enrollment ID: I20181207002379 |
| Provider Name | Rachel Leigh Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336444520 PECOS PAC ID: 6406190073 Enrollment ID: I20181208000248 |
| Provider Name | Lauren Elise Carqueville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063851830 PECOS PAC ID: 6002058930 Enrollment ID: I20181211001289 |
| Provider Name | Andrew Joseph Gucciardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992270011 PECOS PAC ID: 0941545214 Enrollment ID: I20181214002911 |
| Provider Name | Karen K Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407327588 PECOS PAC ID: 5799020475 Enrollment ID: I20181228000290 |
| Provider Name | Graham Tyler Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134416720 PECOS PAC ID: 5496039117 Enrollment ID: I20190102000597 |
| Provider Name | Marija Grgic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104303403 PECOS PAC ID: 8426394412 Enrollment ID: I20190111002276 |
| Provider Name | Angela Anne Scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235367947 PECOS PAC ID: 4486957271 Enrollment ID: I20190129001426 |
| Provider Name | Kathleen Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578041703 PECOS PAC ID: 0042557043 Enrollment ID: I20190129003256 |
| Provider Name | Whitney Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902108517 PECOS PAC ID: 5991936270 Enrollment ID: I20190129003506 |
| Provider Name | Laura Ochieng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326437831 PECOS PAC ID: 8325385339 Enrollment ID: I20190129003672 |
| Provider Name | Melissa Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487122784 PECOS PAC ID: 3870830748 Enrollment ID: I20190211000574 |
| Provider Name | Elizabeth H Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104398726 PECOS PAC ID: 0042558447 Enrollment ID: I20190211000744 |
| Provider Name | Emily Specker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912430315 PECOS PAC ID: 6305105859 Enrollment ID: I20190221000254 |
| Provider Name | Rebekah Holobaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194295642 PECOS PAC ID: 1557609468 Enrollment ID: I20190305001054 |
| Provider Name | Jennifer M Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639642986 PECOS PAC ID: 6608052410 Enrollment ID: I20190325000864 |
| Provider Name | Kaitlyn Greenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790297729 PECOS PAC ID: 0446518070 Enrollment ID: I20190417002015 |
| Provider Name | Meaghan Boland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790225894 PECOS PAC ID: 9830430966 Enrollment ID: I20190417002440 |
| Provider Name | Dinalben Narharibhai Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851858971 PECOS PAC ID: 2769724350 Enrollment ID: I20190501000725 |
| Provider Name | Keely Dayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407315682 PECOS PAC ID: 4880937689 Enrollment ID: I20190520000084 |
| Provider Name | Laura Lea Raineri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578029419 PECOS PAC ID: 9931432291 Enrollment ID: I20190531001935 |
| Provider Name | Amy Marie Saak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447799499 PECOS PAC ID: 0244515542 Enrollment ID: I20190619001780 |
| Provider Name | Cierra J Wandro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639531932 PECOS PAC ID: 7416241906 Enrollment ID: I20190702000171 |
| Provider Name | Kathryn I Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285087429 PECOS PAC ID: 2466728530 Enrollment ID: I20190708000596 |
| Provider Name | Kelli Mcguffin Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952544017 PECOS PAC ID: 7618275900 Enrollment ID: I20190712001009 |
| Provider Name | Richard D Knight |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770559916 PECOS PAC ID: 9436475068 Enrollment ID: I20190718002435 |
| Provider Name | Sarah Loveland Jennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912569906 PECOS PAC ID: 1850627654 Enrollment ID: I20190801000483 |
| Provider Name | Ann Lottes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588015424 PECOS PAC ID: 0547553596 Enrollment ID: I20190802001927 |
| Provider Name | James Starrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568811586 PECOS PAC ID: 9436442274 Enrollment ID: I20190807000727 |
| Provider Name | Jeremiah Cox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669854840 PECOS PAC ID: 5395053813 Enrollment ID: I20190807001049 |
| Provider Name | Tiffany M Krimminger |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1699205062 PECOS PAC ID: 3072840404 Enrollment ID: I20190808000970 |
| Provider Name | Shannon N Macgregor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043662109 PECOS PAC ID: 8729315981 Enrollment ID: I20190809002033 |
| Provider Name | Heather M Vannoy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144672197 PECOS PAC ID: 4789911645 Enrollment ID: I20190815000382 |
| Provider Name | Eric L Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104276310 PECOS PAC ID: 4183910961 Enrollment ID: I20190820003572 |
| Provider Name | Jessica Leigh Upchurch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457766974 PECOS PAC ID: 0648564914 Enrollment ID: I20190826000184 |
| Provider Name | Rebecca Winchester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194174177 PECOS PAC ID: 7315230174 Enrollment ID: I20190828003868 |
| Provider Name | Kent Alexander N Cassmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417307505 PECOS PAC ID: 4587956461 Enrollment ID: I20190906002889 |
| Provider Name | Joshy Pathiparampil |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1801216551 PECOS PAC ID: 6901135193 Enrollment ID: I20190913000802 |
| Provider Name | Leslie Noel Chanasue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831543826 PECOS PAC ID: 2466743794 Enrollment ID: I20190916002674 |
| Provider Name | Kelcy Oesterreich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417504267 PECOS PAC ID: 5991036014 Enrollment ID: I20191003002310 |
| Provider Name | Deanna Justine Bajala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689038077 PECOS PAC ID: 5395039887 Enrollment ID: I20191019000066 |
| Provider Name | Elizabeth C Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932750718 PECOS PAC ID: 7214369313 Enrollment ID: I20191111002650 |
| Provider Name | Lauren M Rackovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508328782 PECOS PAC ID: 5193157220 Enrollment ID: I20191112000687 |
| Provider Name | Amy Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942712070 PECOS PAC ID: 8820420763 Enrollment ID: I20191115000426 |
| Provider Name | Elizabeth Verna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700266749 PECOS PAC ID: 6709131469 Enrollment ID: I20191121002056 |
| Provider Name | Tina M Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528580479 PECOS PAC ID: 3072946623 Enrollment ID: I20191212000704 |
| Provider Name | Anisha Sarah Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437504800 PECOS PAC ID: 5799119210 Enrollment ID: I20191216002433 |
| Provider Name | Cassandra Dawn Selby |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639320641 PECOS PAC ID: 5193912202 Enrollment ID: I20191217003092 |
| Provider Name | Jillian Poretti |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760857833 PECOS PAC ID: 8022442466 Enrollment ID: I20191218001195 |
| Provider Name | Namneet Sekhon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639714629 PECOS PAC ID: 5193159101 Enrollment ID: I20191230000523 |
| Provider Name | Katherine Klick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518466556 PECOS PAC ID: 7315299021 Enrollment ID: I20200124001901 |
| Provider Name | Elizabeth Al Bayati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891348694 PECOS PAC ID: 6204262702 Enrollment ID: I20200131001253 |
| Provider Name | Gina L Hand-eoloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477194777 PECOS PAC ID: 8527494863 Enrollment ID: I20200205002378 |
| Provider Name | Loveleena Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285033076 PECOS PAC ID: 3678794757 Enrollment ID: I20200403000889 |
| Provider Name | Ann Arcese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982959466 PECOS PAC ID: 7618128919 Enrollment ID: I20200420001223 |
| Provider Name | Ann M Schulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700067352 PECOS PAC ID: 9739510710 Enrollment ID: I20200506002552 |
| Provider Name | Therese Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336670454 PECOS PAC ID: 3870865702 Enrollment ID: I20200511000300 |
| Provider Name | Myndee Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841799913 PECOS PAC ID: 1557624210 Enrollment ID: I20200511000922 |
| Provider Name | Amanda Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396079208 PECOS PAC ID: 4385872415 Enrollment ID: I20200520003219 |
| Provider Name | Eva Maria Gallina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518599778 PECOS PAC ID: 0648691816 Enrollment ID: I20200527001213 |
| Provider Name | Nancy Enger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306107875 PECOS PAC ID: 7416378997 Enrollment ID: I20200609002441 |
| Provider Name | Cheng Xin Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174043301 PECOS PAC ID: 1254607633 Enrollment ID: I20200716004024 |
| Provider Name | Felix Nau Jr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932632544 PECOS PAC ID: 5294005351 Enrollment ID: I20200721001367 |
| Provider Name | Taylor Veh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649620964 PECOS PAC ID: 3779876511 Enrollment ID: I20200731000714 |
| Provider Name | Adrianne Nicole Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255953907 PECOS PAC ID: 9537584966 Enrollment ID: I20200803001186 |
| Provider Name | Kristin Leigh Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932690567 PECOS PAC ID: 7416372735 Enrollment ID: I20200804001736 |
| Provider Name | Elizabeth Wegleitner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588014757 PECOS PAC ID: 1951695618 Enrollment ID: I20200807001593 |
| Provider Name | Sara Larue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528418852 PECOS PAC ID: 1456647239 Enrollment ID: I20200814000418 |
| Provider Name | Robert Hieger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801328612 PECOS PAC ID: 4789959438 Enrollment ID: I20200818000524 |
| Provider Name | Jacob Andrew Zembles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285164228 PECOS PAC ID: 2163792698 Enrollment ID: I20200824002166 |
| Provider Name | Jonnathan Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811410541 PECOS PAC ID: 8729344791 Enrollment ID: I20200825002313 |
| Provider Name | Kyle R Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174053920 PECOS PAC ID: 2163798224 Enrollment ID: I20200825002415 |
| Provider Name | Zachary Keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962865170 PECOS PAC ID: 0840582706 Enrollment ID: I20200826002522 |
| Provider Name | Emily Bhandare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881123966 PECOS PAC ID: 0244501476 Enrollment ID: I20200914000367 |
| Provider Name | Ashly Nicole Fisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255750907 PECOS PAC ID: 8628370806 Enrollment ID: I20200916001589 |
| Provider Name | Kelsey Seger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356861264 PECOS PAC ID: 1456618503 Enrollment ID: I20200923002359 |
| Provider Name | Shelly Navato Capps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043667371 PECOS PAC ID: 6002186707 Enrollment ID: I20200924003152 |
| Provider Name | Kristen Rider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245726710 PECOS PAC ID: 9638599186 Enrollment ID: I20201021002884 |
| Provider Name | Chisom Eze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821527649 PECOS PAC ID: 6002187333 Enrollment ID: I20201130002054 |
| Provider Name | Sarah Delong |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114527082 PECOS PAC ID: 5991117228 Enrollment ID: I20201210001515 |
| Provider Name | Kristen Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114534971 PECOS PAC ID: 6204248255 Enrollment ID: I20201215002816 |
| Provider Name | Carrie Daigle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477758571 PECOS PAC ID: 8022205871 Enrollment ID: I20210107001558 |
| Provider Name | Krista Covert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447848213 PECOS PAC ID: 9234542200 Enrollment ID: I20210112001660 |
| Provider Name | Daniel M Autry |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740275593 PECOS PAC ID: 8628481553 Enrollment ID: I20210113001410 |
| Provider Name | Nancy Christine Bryan-schatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326634080 PECOS PAC ID: 4981019502 Enrollment ID: I20210212000580 |
| Provider Name | Ann Elizabeth Cribbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215529870 PECOS PAC ID: 6507271137 Enrollment ID: I20210212001204 |
| Provider Name | Adam D Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003158338 PECOS PAC ID: 9133421688 Enrollment ID: I20210219001107 |
| Provider Name | Donna T. Thackrey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942260484 PECOS PAC ID: 3375959158 Enrollment ID: I20210302001626 |
| Provider Name | Kialy Ann Mudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063015329 PECOS PAC ID: 4486060761 Enrollment ID: I20210311000478 |
| Provider Name | Lauren Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750977278 PECOS PAC ID: 0244646388 Enrollment ID: I20210315002296 |
| Provider Name | Sarah Mcgrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902497837 PECOS PAC ID: 2668889031 Enrollment ID: I20210331001505 |
| Provider Name | Lara Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255924809 PECOS PAC ID: 1951718220 Enrollment ID: I20210402000859 |
| Provider Name | Amy E Kinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588257497 PECOS PAC ID: 2668880485 Enrollment ID: I20210415002686 |
| Provider Name | Jessica Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295107506 PECOS PAC ID: 2365841277 Enrollment ID: I20210526001532 |
| Provider Name | Czerina Sarah Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780281618 PECOS PAC ID: 5890194476 Enrollment ID: I20210602001209 |
| Provider Name | Kallie Harrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104118249 PECOS PAC ID: 0345553160 Enrollment ID: I20210602003085 |
| Provider Name | Andrew Dean Mayo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598150393 PECOS PAC ID: 8224398490 Enrollment ID: I20210607001254 |
| Provider Name | Belma Mahmutovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447839436 PECOS PAC ID: 3274933262 Enrollment ID: I20210614000400 |
| Provider Name | Lawrence Andrew Rudolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932693629 PECOS PAC ID: 1850640442 Enrollment ID: I20210719000787 |
| Provider Name | Chelsea Renee Drissell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720573769 PECOS PAC ID: 7214286830 Enrollment ID: I20210721002261 |
| Provider Name | Kathryn Emily Harvey-feldewerth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700370996 PECOS PAC ID: 2668722547 Enrollment ID: I20210726002126 |
| Provider Name | Jennifer Sharon Isenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336746569 PECOS PAC ID: 1153725940 Enrollment ID: I20210731000354 |
| Provider Name | Taylor Goldammer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780170712 PECOS PAC ID: 3577816263 Enrollment ID: I20210802002019 |
| Provider Name | Joshua Brockway Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932639689 PECOS PAC ID: 9032475009 Enrollment ID: I20210805002919 |
| Provider Name | Anna E Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811482250 PECOS PAC ID: 4385993971 Enrollment ID: I20210805003031 |
| Provider Name | Anya Veremakis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194255828 PECOS PAC ID: 9234405655 Enrollment ID: I20210810002980 |
| Provider Name | Alexa Jo Duling Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972033652 PECOS PAC ID: 6204230352 Enrollment ID: I20210811002105 |
| Provider Name | Corinne E Backer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356872303 PECOS PAC ID: 3971843251 Enrollment ID: I20210811002514 |
| Provider Name | Marina T Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780174581 PECOS PAC ID: 6204182439 Enrollment ID: I20210820001960 |
| Provider Name | Tyler James Gouge |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275062432 PECOS PAC ID: 2961771985 Enrollment ID: I20210914003662 |
| Provider Name | Kristen Michelle Waterbury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053841767 PECOS PAC ID: 5496023210 Enrollment ID: I20210922000863 |
| Provider Name | Danielle S Grunloh-gumpenberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285164053 PECOS PAC ID: 6800162967 Enrollment ID: I20210923003377 |
| Provider Name | Alyssa Ann Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720610355 PECOS PAC ID: 3971900416 Enrollment ID: I20210924002714 |
| Provider Name | Stephanie N. Veit |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285096933 PECOS PAC ID: 7618235102 Enrollment ID: I20210930001539 |
| Provider Name | Kristen Alice Derderian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407417645 PECOS PAC ID: 8022442326 Enrollment ID: I20211007002276 |
| Provider Name | Salome O Kibii |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881197747 PECOS PAC ID: 9830447457 Enrollment ID: I20211011002026 |
| Provider Name | Joya A Keys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982199287 PECOS PAC ID: 2961759980 Enrollment ID: I20211014000265 |
| Provider Name | Kristopher Vaughn Pullam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679067276 PECOS PAC ID: 3678822269 Enrollment ID: I20211020002439 |
| Provider Name | Megan Kathren Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912509399 PECOS PAC ID: 0547659070 Enrollment ID: I20211122002384 |
| Provider Name | Sarah E Barto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710495965 PECOS PAC ID: 1658631809 Enrollment ID: I20211129002314 |
| Provider Name | Navpreet Rawala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518518398 PECOS PAC ID: 8123450871 Enrollment ID: I20211202000764 |
| Provider Name | Shrenika Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801258207 PECOS PAC ID: 9032405238 Enrollment ID: I20211202002327 |
| Provider Name | Adriena Beatty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043260979 PECOS PAC ID: 7719127406 Enrollment ID: I20211215001014 |
| Provider Name | Kimberly Marie Wickline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376200733 PECOS PAC ID: 8921499666 Enrollment ID: I20220106001780 |
| Provider Name | Abby Nicole Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699432146 PECOS PAC ID: 4183016868 Enrollment ID: I20220111000219 |
| Provider Name | Bobbie Lyn Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609530690 PECOS PAC ID: 6709278187 Enrollment ID: I20220114000761 |
| Provider Name | Stella Wohlfarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043670466 PECOS PAC ID: 1658791546 Enrollment ID: I20220121001068 |
| Provider Name | Julie Allison Ingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275286759 PECOS PAC ID: 1153715727 Enrollment ID: I20220224000467 |
| Provider Name | Eva Marie Mccormick |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538822648 PECOS PAC ID: 1254725716 Enrollment ID: I20220225001172 |
| Provider Name | Christina Lyn Helderle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396406542 PECOS PAC ID: 6406240613 Enrollment ID: I20220304001489 |
| Provider Name | Brittanie Bardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407381569 PECOS PAC ID: 5395131486 Enrollment ID: I20220329000908 |
| Provider Name | Kathleen Jeanette Sida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679228803 PECOS PAC ID: 9436545530 Enrollment ID: I20220329001159 |
| Provider Name | Miranda Nicole Sander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265198246 PECOS PAC ID: 8527454115 Enrollment ID: I20220407001382 |
| Provider Name | April Joan Berry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558012880 PECOS PAC ID: 3870989296 Enrollment ID: I20220411001689 |
| Provider Name | Jessica Laura Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528735875 PECOS PAC ID: 1951797208 Enrollment ID: I20220413001751 |
| Provider Name | Jessica Mae Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609524917 PECOS PAC ID: 7810384112 Enrollment ID: I20220504002088 |
| Provider Name | Rachel Lorrene Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285012724 PECOS PAC ID: 3173900396 Enrollment ID: I20220509002464 |
| Provider Name | Gabrielle Miller Giamanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821614561 PECOS PAC ID: 5799162277 Enrollment ID: I20220523002166 |
| Provider Name | Katy E Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144663568 PECOS PAC ID: 8729381595 Enrollment ID: I20220603000501 |
| Provider Name | Taylor Rouser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861141442 PECOS PAC ID: 2567841562 Enrollment ID: I20220622001714 |
| Provider Name | April Leann Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063951101 PECOS PAC ID: 7012397151 Enrollment ID: I20220706003456 |
| Provider Name | Chaitasi Naik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306305677 PECOS PAC ID: 2264766070 Enrollment ID: I20220707001867 |
| Provider Name | Amanda Carol Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104389824 PECOS PAC ID: 3173904554 Enrollment ID: I20220715002069 |
| Provider Name | Alexis Desirae' Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588395859 PECOS PAC ID: 3577944735 Enrollment ID: I20220719002132 |
| Provider Name | Zachary Sloan Fletcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184184525 PECOS PAC ID: 4183005127 Enrollment ID: I20220721001981 |
| Provider Name | Crystal Rochell Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558093179 PECOS PAC ID: 7517349269 Enrollment ID: I20220728000672 |
| Provider Name | Craig Robert Hermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902396575 PECOS PAC ID: 8426307018 Enrollment ID: I20220728001107 |
| Provider Name | Lu X Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992287247 PECOS PAC ID: 0446632525 Enrollment ID: I20220805002146 |
| Provider Name | Tyler Lyman Marler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255992905 PECOS PAC ID: 9032444088 Enrollment ID: I20220808003115 |
| Provider Name | Emily Carolyn Klos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528799798 PECOS PAC ID: 5193108751 Enrollment ID: I20220815000515 |
| Provider Name | Lauren Elizabeth Buchanan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467946160 PECOS PAC ID: 3476802042 Enrollment ID: I20220816001495 |
| Provider Name | Caleb Joshua Owsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871157008 PECOS PAC ID: 8628480407 Enrollment ID: I20220816003096 |
| Provider Name | Delaina Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417682824 PECOS PAC ID: 2668856816 Enrollment ID: I20220907001704 |
| Provider Name | Samuel Cooper Engemann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922413715 PECOS PAC ID: 7012268212 Enrollment ID: I20220908002286 |
| Provider Name | Patrick J Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316502768 PECOS PAC ID: 1658756770 Enrollment ID: I20220909001867 |
| Provider Name | Michelle Tiffany Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649924309 PECOS PAC ID: 1456736578 Enrollment ID: I20220909001959 |
| Provider Name | Amanda Nicole Waltos Hieger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508350091 PECOS PAC ID: 3678822244 Enrollment ID: I20220909002046 |
| Provider Name | Hunter Fleming |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1598262081 PECOS PAC ID: 0446500581 Enrollment ID: I20220914001982 |
| Provider Name | Vera Zubovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528734076 PECOS PAC ID: 3870978505 Enrollment ID: I20220916001439 |
| Provider Name | Emily June Govro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588224190 PECOS PAC ID: 6608102892 Enrollment ID: I20220919001348 |
| Provider Name | Daniela Blum Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730561069 PECOS PAC ID: 4183932999 Enrollment ID: I20221005001675 |
| Provider Name | Ashley Terbrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427627611 PECOS PAC ID: 5890162127 Enrollment ID: I20221031000357 |
| Provider Name | Peter K Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174183230 PECOS PAC ID: 3274860143 Enrollment ID: I20221102000522 |
| Provider Name | Jennifer Nicole Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356062665 PECOS PAC ID: 4587031984 Enrollment ID: I20221116001923 |
| Provider Name | Vaibhavi Parsaniya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881247005 PECOS PAC ID: 0446586564 Enrollment ID: I20221118001935 |
| Provider Name | Samantha Paige Konradt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578272670 PECOS PAC ID: 2668842741 Enrollment ID: I20230105003098 |
| Provider Name | Kayla Marie Slay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396453106 PECOS PAC ID: 9032580733 Enrollment ID: I20230117000753 |
| Provider Name | Daniel Seung Han |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952712812 PECOS PAC ID: 5092932343 Enrollment ID: I20230117001240 |
| Provider Name | Catherine Dolphin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336629641 PECOS PAC ID: 7416328133 Enrollment ID: I20230117001638 |
| Provider Name | Natasha Carol Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992414304 PECOS PAC ID: 7618348079 Enrollment ID: I20230121000127 |
| Provider Name | Ayokunle O Olubaniyi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538583943 PECOS PAC ID: 9638442312 Enrollment ID: I20230127000825 |
| Provider Name | Rose Catherine Gleghorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447989421 PECOS PAC ID: 7810369519 Enrollment ID: I20230206002391 |
| Provider Name | Stephanie Lynn Wittkoetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568172260 PECOS PAC ID: 6406228717 Enrollment ID: I20230215001275 |
| Provider Name | Megan Marie Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619689080 PECOS PAC ID: 7810360542 Enrollment ID: I20230228002828 |
| Provider Name | Kathryn M Shoemaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215347133 PECOS PAC ID: 4284936667 Enrollment ID: I20230301002682 |
| Provider Name | Sadia Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952494379 PECOS PAC ID: 4688771264 Enrollment ID: I20230315000671 |
| Provider Name | Alexandra Lisa Hof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942908959 PECOS PAC ID: 1052785888 Enrollment ID: I20230317002552 |
| Provider Name | Cortney Elizabeth Kissel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780384271 PECOS PAC ID: 4981069457 Enrollment ID: I20230505001500 |
| Provider Name | Amanda Rose Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548985385 PECOS PAC ID: 1355708264 Enrollment ID: I20230608001828 |
| Provider Name | Gahntanuch Jiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992490908 PECOS PAC ID: 1951769702 Enrollment ID: I20230627000229 |
| Provider Name | Laura Pape Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477044642 PECOS PAC ID: 9830448372 Enrollment ID: I20230707001428 |
| Provider Name | Jessica L Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467654772 PECOS PAC ID: 7315038890 Enrollment ID: I20230717001465 |
| Provider Name | Caroline Grace Nugent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790303493 PECOS PAC ID: 7416317631 Enrollment ID: I20230720000376 |
| Provider Name | Kenneth A Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063040574 PECOS PAC ID: 7517382195 Enrollment ID: I20230725002998 |
| Provider Name | Jessica Lee Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154066264 PECOS PAC ID: 9335500552 Enrollment ID: I20230803001134 |
| Provider Name | Micah Charles Schenck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831882786 PECOS PAC ID: 3274994488 Enrollment ID: I20230804000529 |
| Provider Name | Margaret Kindler Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164048500 PECOS PAC ID: 9931522059 Enrollment ID: I20230807003663 |
| Provider Name | Michele Ha-seo Sun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417573072 PECOS PAC ID: 4688097694 Enrollment ID: I20230808001077 |
| Provider Name | Jessica Auld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366071672 PECOS PAC ID: 3971928342 Enrollment ID: I20230814001767 |
| Provider Name | Ellen Maureen Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932880333 PECOS PAC ID: 0143683896 Enrollment ID: I20230828002985 |
| Provider Name | Chelsea Lyn Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194384560 PECOS PAC ID: 0446586630 Enrollment ID: I20230829000412 |
| Provider Name | Kayla Elizabeth Hecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851085062 PECOS PAC ID: 8123481710 Enrollment ID: I20230830000666 |
| Provider Name | Dina Helina Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053938217 PECOS PAC ID: 9931525011 Enrollment ID: I20230911001082 |
| Provider Name | Robin Risky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073267266 PECOS PAC ID: 5991169575 Enrollment ID: I20230914003866 |
| Provider Name | Sofiya Azim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285256339 PECOS PAC ID: 0042674590 Enrollment ID: I20230915003093 |
| Provider Name | Kayla Mae Thomason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366069767 PECOS PAC ID: 0042636011 Enrollment ID: I20230918002777 |
| Provider Name | Lindsey Rachelle Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649958703 PECOS PAC ID: 1456705755 Enrollment ID: I20230920001545 |
| Provider Name | Amy Guan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801398813 PECOS PAC ID: 2567719248 Enrollment ID: I20230926001254 |
| Provider Name | Edward Jamal Duqum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487278941 PECOS PAC ID: 1557784345 Enrollment ID: I20230927000663 |
| Provider Name | Malary Renee Seabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881375103 PECOS PAC ID: 2163876095 Enrollment ID: I20230927000850 |
| Provider Name | Shawn Kumar Khosla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144858523 PECOS PAC ID: 2668898198 Enrollment ID: I20230928001381 |
| Provider Name | Qianfang Cai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396374450 PECOS PAC ID: 4486075926 Enrollment ID: I20231005003263 |
| Provider Name | Philip John Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942648225 PECOS PAC ID: 9436422532 Enrollment ID: I20231018002061 |
| Provider Name | Allison Lee Pearl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447034897 PECOS PAC ID: 3476909367 Enrollment ID: I20231030000785 |
| Provider Name | Claire Marguerite Goggins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124590351 PECOS PAC ID: 2567819394 Enrollment ID: I20231115002756 |
| Provider Name | Damithri N Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831846500 PECOS PAC ID: 6002280526 Enrollment ID: I20231206000279 |
| Provider Name | Cassandra Lace Kearbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558143198 PECOS PAC ID: 6709237480 Enrollment ID: I20240106000419 |
| Provider Name | Stephanie Higgins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093109258 PECOS PAC ID: 4587976758 Enrollment ID: I20240130002338 |
| Provider Name | Amina Spijodic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770357287 PECOS PAC ID: 7113360066 Enrollment ID: I20240207002078 |
| Provider Name | Manju Ramchandani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114125028 PECOS PAC ID: 4587719638 Enrollment ID: I20240209000613 |
| Provider Name | Elizabeth Cathleen Bumb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447020847 PECOS PAC ID: 1850735069 Enrollment ID: I20240215002745 |
| Provider Name | Lindsey Nicole Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083352389 PECOS PAC ID: 3971982703 Enrollment ID: I20240308000115 |
| Provider Name | Alexandra Marie Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609300888 PECOS PAC ID: 6103195169 Enrollment ID: I20240531002619 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |