| Mercy Clinic Fort Smith Communities | |
|
2901 S 74th St Fort Smith AR 72903-5156 | |
| (479) 314-1101 | |
| (479) 314-4704 |
| Full Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Speciality | Clinic/Center |
| Location | 2901 S 74th St, Fort Smith, Arkansas |
| Authorized Official Name and Position | Amy Fore (COO) |
| Authorized Official Contact | 4793141109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Fort Smith Communities 2901 S 74th St Fort Smith AR 72903-5156 Ph: (479) 314-1101 | Mercy Clinic Fort Smith Communities 2901 S 74th St Fort Smith AR 72903-5156 Ph: (479) 314-1101 |
| NPI Number | 1902073620 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 04/12/2019 |
| Medicare PECOS PAC ID | 3870668510 |
|---|---|
| Medicare Enrollment ID | O20080814000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902073620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Stephen B Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447239702 PECOS PAC ID: 0345152666 Enrollment ID: I20031104000426 |
| Provider Name | Samuel Wesley Norwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336164144 PECOS PAC ID: 8527962091 Enrollment ID: I20031125000829 |
| Provider Name | Zaki A Samman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841295383 PECOS PAC ID: 4486552122 Enrollment ID: I20031219000472 |
| Provider Name | Timothy R Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568467603 PECOS PAC ID: 1759282452 Enrollment ID: I20040115001077 |
| Provider Name | Samina Z Nadvi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386695674 PECOS PAC ID: 5597667808 Enrollment ID: I20040126000451 |
| Provider Name | Jason D Richey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427070606 PECOS PAC ID: 5294628251 Enrollment ID: I20040204000187 |
| Provider Name | Arnold Smith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346213311 PECOS PAC ID: 9739074931 Enrollment ID: I20040217000699 |
| Provider Name | Ali Alnashif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699731430 PECOS PAC ID: 4284535048 Enrollment ID: I20040217000879 |
| Provider Name | Robert E Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932188216 PECOS PAC ID: 7012802820 Enrollment ID: I20040220001063 |
| Provider Name | Patric N Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730128935 PECOS PAC ID: 7810883337 Enrollment ID: I20040223000952 |
| Provider Name | Bruce Crabtree |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083635577 PECOS PAC ID: 0648166181 Enrollment ID: I20040226000889 |
| Provider Name | Nathan H Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528088846 PECOS PAC ID: 5395631139 Enrollment ID: I20040226001121 |
| Provider Name | Emad A Al Ghussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538187190 PECOS PAC ID: 2264329861 Enrollment ID: I20040228000463 |
| Provider Name | Terry L Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184654774 PECOS PAC ID: 0042100331 Enrollment ID: I20040318001732 |
| Provider Name | James Crouch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437115508 PECOS PAC ID: 4587659727 Enrollment ID: I20040417000284 |
| Provider Name | Henry Ntende |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952352510 PECOS PAC ID: 0446249106 Enrollment ID: I20040507001086 |
| Provider Name | James T Hannah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245290535 PECOS PAC ID: 3779564778 Enrollment ID: I20040526000599 |
| Provider Name | Manar S Ibrahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174510085 PECOS PAC ID: 3375520786 Enrollment ID: I20040702000917 |
| Provider Name | Iqtidar Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932193687 PECOS PAC ID: 9032197801 Enrollment ID: I20040708001097 |
| Provider Name | Stefanie A Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558389114 PECOS PAC ID: 3375523426 Enrollment ID: I20040721000391 |
| Provider Name | Jennifer M Sadler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295798510 PECOS PAC ID: 2062492523 Enrollment ID: I20040723001011 |
| Provider Name | Mirfat Bird |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225018518 PECOS PAC ID: 2365412996 Enrollment ID: I20040729001153 |
| Provider Name | Deborah A Hays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831187699 PECOS PAC ID: 1658342654 Enrollment ID: I20040803001573 |
| Provider Name | Lawrence E Schmitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104886761 PECOS PAC ID: 2466427745 Enrollment ID: I20040831000204 |
| Provider Name | Robert R Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992793293 PECOS PAC ID: 2567430986 Enrollment ID: I20040922001034 |
| Provider Name | Karen Shrewsbury Merle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932196748 PECOS PAC ID: 1153399506 Enrollment ID: I20040922001200 |
| Provider Name | Jeanmarie Householder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659369973 PECOS PAC ID: 7810965225 Enrollment ID: I20040923000389 |
| Provider Name | Juan Martin Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417980384 PECOS PAC ID: 3375511686 Enrollment ID: I20040923000456 |
| Provider Name | Vikki L Sutterfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447247267 PECOS PAC ID: 0143298422 Enrollment ID: I20040923000948 |
| Provider Name | Aaron E White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780670604 PECOS PAC ID: 3476521758 Enrollment ID: I20040923000973 |
| Provider Name | Bill R Mccourtney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811985831 PECOS PAC ID: 5193784551 Enrollment ID: I20041011000185 |
| Provider Name | Jeffrey H Bordelon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033267679 PECOS PAC ID: 8729983390 Enrollment ID: I20041012000800 |
| Provider Name | Csaba Kiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811985187 PECOS PAC ID: 3476513524 Enrollment ID: I20041013001173 |
| Provider Name | Melissa Rainwater |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073557005 PECOS PAC ID: 8527023324 Enrollment ID: I20041122000165 |
| Provider Name | Kimberly Lynn Hertlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730296591 PECOS PAC ID: 1355307760 Enrollment ID: I20041207001278 |
| Provider Name | John Palmer Weddle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972582237 PECOS PAC ID: 3173572823 Enrollment ID: I20050119001094 |
| Provider Name | Delilah Latrece Easom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447283551 PECOS PAC ID: 3971552571 Enrollment ID: I20050121000036 |
| Provider Name | Christopher Coleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962430504 PECOS PAC ID: 1951376136 Enrollment ID: I20050131000484 |
| Provider Name | Franklin D Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104820612 PECOS PAC ID: 2567412190 Enrollment ID: I20050214000506 |
| Provider Name | Balasasikumar Sundaram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922057900 PECOS PAC ID: 7911945852 Enrollment ID: I20050420001213 |
| Provider Name | Michael S Miranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699738195 PECOS PAC ID: 7911945506 Enrollment ID: I20050423000082 |
| Provider Name | Syed I Hamid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053328955 PECOS PAC ID: 3173563145 Enrollment ID: I20050510000031 |
| Provider Name | Carmen D Oxford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700811478 PECOS PAC ID: 2365482056 Enrollment ID: I20050512000379 |
| Provider Name | Michael L Moulton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558397489 PECOS PAC ID: 6709842107 Enrollment ID: I20050512000964 |
| Provider Name | Blake Little |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386688778 PECOS PAC ID: 0749172237 Enrollment ID: I20050613000537 |
| Provider Name | David C Beam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831105683 PECOS PAC ID: 3476599259 Enrollment ID: I20050701000207 |
| Provider Name | Eduardo Demondesert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386675536 PECOS PAC ID: 6103853635 Enrollment ID: I20050726000735 |
| Provider Name | Michael W Escue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871559955 PECOS PAC ID: 8820029796 Enrollment ID: I20050830000993 |
| Provider Name | Yelizaveta Makhatadze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891744876 PECOS PAC ID: 0941214696 Enrollment ID: I20060201000680 |
| Provider Name | Andrew D Daniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447203757 PECOS PAC ID: 5395753750 Enrollment ID: I20060509000440 |
| Provider Name | Clinton T Hutchinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346293461 PECOS PAC ID: 5294779054 Enrollment ID: I20061028000019 |
| Provider Name | Janet R Canada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649384413 PECOS PAC ID: 8224035571 Enrollment ID: I20061028000044 |
| Provider Name | Rowland Todd Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982613469 PECOS PAC ID: 8921007188 Enrollment ID: I20061228000385 |
| Provider Name | Stephen Lefler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073554929 PECOS PAC ID: 7618971359 Enrollment ID: I20070201000500 |
| Provider Name | Anne Eckes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538198858 PECOS PAC ID: 8426050477 Enrollment ID: I20070205000543 |
| Provider Name | Paul E Bean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790714269 PECOS PAC ID: 3678575495 Enrollment ID: I20070207000684 |
| Provider Name | Don R Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588686943 PECOS PAC ID: 0840394540 Enrollment ID: I20070407000014 |
| Provider Name | Andrew Riche |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205878113 PECOS PAC ID: 7911001615 Enrollment ID: I20070407000032 |
| Provider Name | David L King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316918964 PECOS PAC ID: 5193622637 Enrollment ID: I20070709000120 |
| Provider Name | Kelli L Rippy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881773216 PECOS PAC ID: 9436259876 Enrollment ID: I20070713000384 |
| Provider Name | John Mcclanahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578586376 PECOS PAC ID: 2567564271 Enrollment ID: I20070907000453 |
| Provider Name | Joseph Queeney |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811919160 PECOS PAC ID: 2062505738 Enrollment ID: I20070911000806 |
| Provider Name | Susan M Abrahamsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902016298 PECOS PAC ID: 8527153709 Enrollment ID: I20071003000181 |
| Provider Name | Ji Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497953020 PECOS PAC ID: 0446346787 Enrollment ID: I20071017000576 |
| Provider Name | William Dudding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679592604 PECOS PAC ID: 9335239524 Enrollment ID: I20071211000755 |
| Provider Name | Thomas C Kelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487673216 PECOS PAC ID: 4183797616 Enrollment ID: I20080716000876 |
| Provider Name | Joseph G. Ross |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790758761 PECOS PAC ID: 3173697638 Enrollment ID: I20080731000357 |
| Provider Name | Donna M. Shipley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205970209 PECOS PAC ID: 3577637560 Enrollment ID: I20080808000779 |
| Provider Name | Matthew Dupree |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669437208 PECOS PAC ID: 2567354517 Enrollment ID: I20080827000644 |
| Provider Name | Sean Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508060641 PECOS PAC ID: 0648346692 Enrollment ID: I20080827000722 |
| Provider Name | Kenneth P Seiter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316150949 PECOS PAC ID: 8224136395 Enrollment ID: I20080828000633 |
| Provider Name | Harsha Rudrappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295929628 PECOS PAC ID: 3971671553 Enrollment ID: I20081009000275 |
| Provider Name | Pamela S Gaborni |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841402252 PECOS PAC ID: 8921180092 Enrollment ID: I20081022000750 |
| Provider Name | Alan M Scarrow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972537132 PECOS PAC ID: 9638077936 Enrollment ID: I20090209000470 |
| Provider Name | Tracy R Harwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790926475 PECOS PAC ID: 9436206646 Enrollment ID: I20090403000476 |
| Provider Name | Mark Hamelink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376561761 PECOS PAC ID: 7214983469 Enrollment ID: I20090501000496 |
| Provider Name | Estelle A Rutledge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649465386 PECOS PAC ID: 9032269279 Enrollment ID: I20090610000435 |
| Provider Name | Allen L Beachy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104853860 PECOS PAC ID: 4789735754 Enrollment ID: I20090702000365 |
| Provider Name | Wilman Rene Ortega Perez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720174246 PECOS PAC ID: 7810049939 Enrollment ID: I20090720000574 |
| Provider Name | Kathleen H Milam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346480449 PECOS PAC ID: 3173676269 Enrollment ID: I20090807000176 |
| Provider Name | Margaret V Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407010952 PECOS PAC ID: 9830243211 Enrollment ID: I20090819000680 |
| Provider Name | Francis C Eaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740248368 PECOS PAC ID: 5496654154 Enrollment ID: I20090822000024 |
| Provider Name | Gregory D Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225040645 PECOS PAC ID: 9032255609 Enrollment ID: I20091013000206 |
| Provider Name | Barry I Katz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467408641 PECOS PAC ID: 6002955945 Enrollment ID: I20091205000040 |
| Provider Name | Derrick Richardson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992727150 PECOS PAC ID: 3971643594 Enrollment ID: I20091211000638 |
| Provider Name | Lance Barton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427085851 PECOS PAC ID: 3870633407 Enrollment ID: I20091212000012 |
| Provider Name | Becky Yarborough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912916230 PECOS PAC ID: 9133269764 Enrollment ID: I20091212000031 |
| Provider Name | John Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073522546 PECOS PAC ID: 0749320380 Enrollment ID: I20091212000078 |
| Provider Name | Jacob K Joseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053330175 PECOS PAC ID: 4183764749 Enrollment ID: I20091214000181 |
| Provider Name | Tonya L Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952323297 PECOS PAC ID: 1951441526 Enrollment ID: I20091214000251 |
| Provider Name | Daniel Ward Mackey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407877947 PECOS PAC ID: 4284774852 Enrollment ID: I20091214000280 |
| Provider Name | Jennifer Burks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821027160 PECOS PAC ID: 6305986829 Enrollment ID: I20091214000750 |
| Provider Name | Darryl Eckes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982635991 PECOS PAC ID: 6002956539 Enrollment ID: I20091215000077 |
| Provider Name | Charles Craft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013945138 PECOS PAC ID: 4385784826 Enrollment ID: I20091215000163 |
| Provider Name | Luc Balis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578599239 PECOS PAC ID: 8123168671 Enrollment ID: I20091215000221 |
| Provider Name | Pamela J Christopher Harmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700805330 PECOS PAC ID: 6103966593 Enrollment ID: I20091215000639 |
| Provider Name | Stuart Haraway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073570156 PECOS PAC ID: 4082754437 Enrollment ID: I20091216000486 |
| Provider Name | John P Agent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649217191 PECOS PAC ID: 2365582624 Enrollment ID: I20091216000595 |
| Provider Name | Michael Gwartney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619995248 PECOS PAC ID: 6709926066 Enrollment ID: I20091216000608 |
| Provider Name | Sumer A Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306865522 PECOS PAC ID: 8224178355 Enrollment ID: I20091221000308 |
| Provider Name | Christopher Greer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457379083 PECOS PAC ID: 2668512716 Enrollment ID: I20091221000529 |
| Provider Name | William Knubley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346269180 PECOS PAC ID: 4587705819 Enrollment ID: I20100108000823 |
| Provider Name | Janice M Keating |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982623708 PECOS PAC ID: 9537200761 Enrollment ID: I20100108000888 |
| Provider Name | Donald E Shows |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700895497 PECOS PAC ID: 2264574912 Enrollment ID: I20100119000734 |
| Provider Name | Fareed Kannout |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144242892 PECOS PAC ID: 3971645581 Enrollment ID: I20100120000560 |
| Provider Name | Michael Wmd Callaway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497781918 PECOS PAC ID: 8729120340 Enrollment ID: I20100120000616 |
| Provider Name | Tony A Flippin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598780652 PECOS PAC ID: 4688709769 Enrollment ID: I20100315000387 |
| Provider Name | Muhammad Jaffar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568552032 PECOS PAC ID: 6901935477 Enrollment ID: I20100520000848 |
| Provider Name | Julie E Greek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780908319 PECOS PAC ID: 2769512151 Enrollment ID: I20100610001125 |
| Provider Name | John D Day |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043310006 PECOS PAC ID: 4688667868 Enrollment ID: I20100614000511 |
| Provider Name | Derrick A Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609073022 PECOS PAC ID: 1456482074 Enrollment ID: I20100625000800 |
| Provider Name | Restituto S Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215922661 PECOS PAC ID: 4981503547 Enrollment ID: I20100730000593 |
| Provider Name | Charles M Gooden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558322016 PECOS PAC ID: 8628112638 Enrollment ID: I20100804000091 |
| Provider Name | Edgar J Chauvin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669471157 PECOS PAC ID: 8628101128 Enrollment ID: I20100804000938 |
| Provider Name | Mohammad N Anower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942465919 PECOS PAC ID: 7113041211 Enrollment ID: I20100826000234 |
| Provider Name | David Wallace Hunton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164441432 PECOS PAC ID: 1951425966 Enrollment ID: I20100827000503 |
| Provider Name | Jennifer E Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215256680 PECOS PAC ID: 9638293202 Enrollment ID: I20100902001156 |
| Provider Name | Donald W Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730256926 PECOS PAC ID: 7315048402 Enrollment ID: I20100913000028 |
| Provider Name | Stephen J. Seffense |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336158005 PECOS PAC ID: 7214825785 Enrollment ID: I20101014001492 |
| Provider Name | Ahmad Kaako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679798995 PECOS PAC ID: 7416142302 Enrollment ID: I20101117001185 |
| Provider Name | James W Murdock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295848323 PECOS PAC ID: 1153517222 Enrollment ID: I20101201000730 |
| Provider Name | Ivelesse Dupree |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841466117 PECOS PAC ID: 0446326490 Enrollment ID: I20101215000901 |
| Provider Name | Richard A Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194968917 PECOS PAC ID: 9436338027 Enrollment ID: I20110128000294 |
| Provider Name | Matthew C Renner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942229190 PECOS PAC ID: 1254511090 Enrollment ID: I20110210000563 |
| Provider Name | Rubina N Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124281563 PECOS PAC ID: 3072796812 Enrollment ID: I20110331000626 |
| Provider Name | Melanie A Gramling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194024158 PECOS PAC ID: 2668656059 Enrollment ID: I20110408000461 |
| Provider Name | Lane T Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003044207 PECOS PAC ID: 5698951994 Enrollment ID: I20110523000296 |
| Provider Name | Gina Danley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851614648 PECOS PAC ID: 5698952638 Enrollment ID: I20110531000663 |
| Provider Name | Tabasum Imran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801057583 PECOS PAC ID: 1759569858 Enrollment ID: I20110620000399 |
| Provider Name | Manuel Gonzalez |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447440045 PECOS PAC ID: 8820144504 Enrollment ID: I20110624000122 |
| Provider Name | Christopher B Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053548461 PECOS PAC ID: 4385822766 Enrollment ID: I20110707000537 |
| Provider Name | Mansoor Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174750962 PECOS PAC ID: 8325192354 Enrollment ID: I20110718000182 |
| Provider Name | Shannon D Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457518821 PECOS PAC ID: 5395914519 Enrollment ID: I20110804000349 |
| Provider Name | Dumitru Rotaru |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407042252 PECOS PAC ID: 2264601038 Enrollment ID: I20110811000681 |
| Provider Name | Rachel E Farrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629225362 PECOS PAC ID: 1456521954 Enrollment ID: I20110818000606 |
| Provider Name | Patrick Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659576080 PECOS PAC ID: 8123157393 Enrollment ID: I20110823000066 |
| Provider Name | Jason M Mckinney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679668925 PECOS PAC ID: 2769582253 Enrollment ID: I20110823000085 |
| Provider Name | Vera Y Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942299482 PECOS PAC ID: 6709847510 Enrollment ID: I20110829000523 |
| Provider Name | Peggy Ann Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265727960 PECOS PAC ID: 0446421127 Enrollment ID: I20110929000580 |
| Provider Name | Sara L Roberson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285862540 PECOS PAC ID: 2062686082 Enrollment ID: I20111130000746 |
| Provider Name | Gregory O Fluitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316211782 PECOS PAC ID: 4587827019 Enrollment ID: I20120521000576 |
| Provider Name | Jody Aaron Bradshaw |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972722205 PECOS PAC ID: 5597929166 Enrollment ID: I20120611000560 |
| Provider Name | Michael L Hight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881910602 PECOS PAC ID: 2062676372 Enrollment ID: I20120619000054 |
| Provider Name | Timothy J Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740224831 PECOS PAC ID: 3870685340 Enrollment ID: I20120712000151 |
| Provider Name | Melissa K Albers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679701957 PECOS PAC ID: 3072769330 Enrollment ID: I20120802000351 |
| Provider Name | Paula Brosnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578818621 PECOS PAC ID: 1254581572 Enrollment ID: I20121023000510 |
| Provider Name | Corey Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487944617 PECOS PAC ID: 8224281019 Enrollment ID: I20130103000036 |
| Provider Name | Jeremy Sturgell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376741173 PECOS PAC ID: 6002961612 Enrollment ID: I20130110000410 |
| Provider Name | Cassandra M Cole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700104148 PECOS PAC ID: 2961649009 Enrollment ID: I20130509000568 |
| Provider Name | Rachel R Fiori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083887483 PECOS PAC ID: 8820236227 Enrollment ID: I20130524000021 |
| Provider Name | Michael Jay Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154334860 PECOS PAC ID: 9830126945 Enrollment ID: I20130606000699 |
| Provider Name | Brian Zimmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447589056 PECOS PAC ID: 5799978904 Enrollment ID: I20130617000064 |
| Provider Name | Sumanth Balguri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598077679 PECOS PAC ID: 2769625508 Enrollment ID: I20130827000583 |
| Provider Name | Jan Kasal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205879384 PECOS PAC ID: 1052324043 Enrollment ID: I20130828000666 |
| Provider Name | Jeffry S Blackwell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568620540 PECOS PAC ID: 1052555042 Enrollment ID: I20130912000473 |
| Provider Name | Dheeraj Anand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831453935 PECOS PAC ID: 0547404592 Enrollment ID: I20130913000373 |
| Provider Name | Amy L Schochler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851397822 PECOS PAC ID: 1153340989 Enrollment ID: I20130913000646 |
| Provider Name | Beau D Admire |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568604569 PECOS PAC ID: 8325282296 Enrollment ID: I20130913000688 |
| Provider Name | Roland C Vizconde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801104682 PECOS PAC ID: 5698919363 Enrollment ID: I20130919000053 |
| Provider Name | Kristin R Pece |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336378462 PECOS PAC ID: 0749414753 Enrollment ID: I20131007000593 |
| Provider Name | Tharwat A Ghattas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043523277 PECOS PAC ID: 0840424636 Enrollment ID: I20131010000416 |
| Provider Name | Beena Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275840480 PECOS PAC ID: 0840425906 Enrollment ID: I20131025000295 |
| Provider Name | Lyndsey Kramp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669798807 PECOS PAC ID: 8729213574 Enrollment ID: I20131101000587 |
| Provider Name | Yacin M Zawam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215239553 PECOS PAC ID: 1153558234 Enrollment ID: I20131217000654 |
| Provider Name | Michael W Colgrove |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548474240 PECOS PAC ID: 8729148663 Enrollment ID: I20140211001209 |
| Provider Name | Ryan Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801029657 PECOS PAC ID: 4688710502 Enrollment ID: I20140401000920 |
| Provider Name | Christina Marie Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063836542 PECOS PAC ID: 0042442808 Enrollment ID: I20140409000679 |
| Provider Name | Lou Ann Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316361009 PECOS PAC ID: 0042442287 Enrollment ID: I20140422001601 |
| Provider Name | Ma-ko Chen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134433303 PECOS PAC ID: 3072747393 Enrollment ID: I20140422002229 |
| Provider Name | Christopher Cross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013170596 PECOS PAC ID: 6507902277 Enrollment ID: I20140618000845 |
| Provider Name | James R Barber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083932842 PECOS PAC ID: 2567687858 Enrollment ID: I20140630000671 |
| Provider Name | Sherilyn J Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629408497 PECOS PAC ID: 4183841950 Enrollment ID: I20140819001470 |
| Provider Name | Larry G Linson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164658571 PECOS PAC ID: 3577781145 Enrollment ID: I20140822001007 |
| Provider Name | Rachel B Sing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457641763 PECOS PAC ID: 9335360924 Enrollment ID: I20141023002360 |
| Provider Name | Russell Roberson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750572277 PECOS PAC ID: 2769646272 Enrollment ID: I20141205001306 |
| Provider Name | Travis Walling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114329497 PECOS PAC ID: 2466774070 Enrollment ID: I20141210002182 |
| Provider Name | Ndidibuike N Ukwe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548572027 PECOS PAC ID: 9931371226 Enrollment ID: I20141211000829 |
| Provider Name | Arthur Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407898588 PECOS PAC ID: 3779573977 Enrollment ID: I20141229000334 |
| Provider Name | Rosine Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962675181 PECOS PAC ID: 4486680113 Enrollment ID: I20150204000335 |
| Provider Name | Mandy Lee Fluitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386042927 PECOS PAC ID: 3870818297 Enrollment ID: I20150206000218 |
| Provider Name | Gayla Denise Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033500673 PECOS PAC ID: 0648597047 Enrollment ID: I20150324001039 |
| Provider Name | Adaora S Udekwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487880373 PECOS PAC ID: 9436477957 Enrollment ID: I20150414000906 |
| Provider Name | Dana L Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699163964 PECOS PAC ID: 0547588980 Enrollment ID: I20150414002079 |
| Provider Name | Mian Adnan Waheed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326358565 PECOS PAC ID: 2860713948 Enrollment ID: I20150601001904 |
| Provider Name | Daphne Karen Macbruce |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780966937 PECOS PAC ID: 5991016453 Enrollment ID: I20150624002434 |
| Provider Name | Demi D Merlino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144611922 PECOS PAC ID: 9931411394 Enrollment ID: I20150629000855 |
| Provider Name | Christopher T Fortson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770842148 PECOS PAC ID: 6305158825 Enrollment ID: I20150710002329 |
| Provider Name | Carla Ladynnapr Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104210095 PECOS PAC ID: 2567775729 Enrollment ID: I20150716001560 |
| Provider Name | Amita Heaser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902062219 PECOS PAC ID: 0446429864 Enrollment ID: I20150806011966 |
| Provider Name | Jonathan Paul Ferrari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417264250 PECOS PAC ID: 7416262746 Enrollment ID: I20150817000793 |
| Provider Name | Cheryl Premila Speake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295051167 PECOS PAC ID: 5597071506 Enrollment ID: I20150904000628 |
| Provider Name | Jason W Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699151209 PECOS PAC ID: 0648586602 Enrollment ID: I20150904002186 |
| Provider Name | Joseph Lee Speake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578889440 PECOS PAC ID: 5395906564 Enrollment ID: I20150908002172 |
| Provider Name | Gina Marie Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720218894 PECOS PAC ID: 1850557414 Enrollment ID: I20150914000781 |
| Provider Name | Suzanna Chatterjee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942439377 PECOS PAC ID: 8921234816 Enrollment ID: I20150915001054 |
| Provider Name | Michael Yefimovich Neyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619224615 PECOS PAC ID: 9436467222 Enrollment ID: I20150928001987 |
| Provider Name | Tammie L Frizzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972987824 PECOS PAC ID: 5991013443 Enrollment ID: I20151001002502 |
| Provider Name | Jeffrey Dixon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669463865 PECOS PAC ID: 4082680962 Enrollment ID: I20151012000703 |
| Provider Name | Nedil Aldarondo-antonini |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649450172 PECOS PAC ID: 1254300304 Enrollment ID: I20151019000618 |
| Provider Name | Eric Woolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043231749 PECOS PAC ID: 5092713008 Enrollment ID: I20151028000240 |
| Provider Name | Jeffrey A Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356386528 PECOS PAC ID: 2668406935 Enrollment ID: I20151029000217 |
| Provider Name | William Knight Gray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891786000 PECOS PAC ID: 6709852684 Enrollment ID: I20151030000535 |
| Provider Name | Abrar Ashraf Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578976908 PECOS PAC ID: 9739499534 Enrollment ID: I20151106001334 |
| Provider Name | Alberto Gomez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164832903 PECOS PAC ID: 5395060529 Enrollment ID: I20151111000393 |
| Provider Name | Zachary T Tippin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295154714 PECOS PAC ID: 8426369315 Enrollment ID: I20151111001784 |
| Provider Name | Benjamin David Lynch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265775738 PECOS PAC ID: 6709195159 Enrollment ID: I20151117000854 |
| Provider Name | Jesse L Hatfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275822298 PECOS PAC ID: 3274779822 Enrollment ID: I20151202001086 |
| Provider Name | Shoaib Alam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962451245 PECOS PAC ID: 6800866914 Enrollment ID: I20151210000202 |
| Provider Name | Jeffrey A Yablong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467479287 PECOS PAC ID: 6800797002 Enrollment ID: I20160106001594 |
| Provider Name | Kathleen S Street |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871880278 PECOS PAC ID: 8123342193 Enrollment ID: I20160128001006 |
| Provider Name | Sunny Deshai Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437517281 PECOS PAC ID: 9739484718 Enrollment ID: I20160301000064 |
| Provider Name | Cherrie Palisoc Phouthavong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952768780 PECOS PAC ID: 2961707864 Enrollment ID: I20160301000963 |
| Provider Name | Janice Darlene Sudbrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295192847 PECOS PAC ID: 9537465471 Enrollment ID: I20160302002579 |
| Provider Name | Craig Allen Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356332555 PECOS PAC ID: 0941219687 Enrollment ID: I20160405001279 |
| Provider Name | Dennis Kolokolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477575355 PECOS PAC ID: 5092788471 Enrollment ID: I20160427001348 |
| Provider Name | Stacy Smalley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619909009 PECOS PAC ID: 9436041852 Enrollment ID: I20160429000575 |
| Provider Name | Candy L Lindsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710206313 PECOS PAC ID: 5395919237 Enrollment ID: I20160608002067 |
| Provider Name | Ahmed Halal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447495569 PECOS PAC ID: 8527184381 Enrollment ID: I20160613000973 |
| Provider Name | Russell Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114939733 PECOS PAC ID: 9032116314 Enrollment ID: I20160623000961 |
| Provider Name | Rebecca Marie Padley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710229059 PECOS PAC ID: 7911218862 Enrollment ID: I20160628001254 |
| Provider Name | Stephen T Bashuk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952338428 PECOS PAC ID: 7618943697 Enrollment ID: I20160705000060 |
| Provider Name | Alan Cutler Schumacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366718553 PECOS PAC ID: 6901025709 Enrollment ID: I20160720000197 |
| Provider Name | Jenny Marie Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194174086 PECOS PAC ID: 9032402227 Enrollment ID: I20160726001329 |
| Provider Name | Shiv Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417246877 PECOS PAC ID: 6103048954 Enrollment ID: I20160804000377 |
| Provider Name | John Christopher Frank |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134431869 PECOS PAC ID: 0244450096 Enrollment ID: I20160917000268 |
| Provider Name | Yong Ounpraseuth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427501451 PECOS PAC ID: 5193012276 Enrollment ID: I20160919001170 |
| Provider Name | Amanda Ann English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376912824 PECOS PAC ID: 1254629025 Enrollment ID: I20161011000927 |
| Provider Name | Nathan Allen Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306393061 PECOS PAC ID: 6507154226 Enrollment ID: I20161013000247 |
| Provider Name | Wallace Lock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437545761 PECOS PAC ID: 8527373398 Enrollment ID: I20161025000574 |
| Provider Name | Debra A Boucaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154549632 PECOS PAC ID: 4385922368 Enrollment ID: I20161026000497 |
| Provider Name | Emily Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174814727 PECOS PAC ID: 6305073792 Enrollment ID: I20161203000082 |
| Provider Name | Michael Scott Plisco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861432049 PECOS PAC ID: 7911895503 Enrollment ID: I20161203000130 |
| Provider Name | Patricio Jose Montiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285053983 PECOS PAC ID: 9234440066 Enrollment ID: I20161205002312 |
| Provider Name | Bethany Mott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548613029 PECOS PAC ID: 8325328347 Enrollment ID: I20161209000394 |
| Provider Name | Karrie Faye Beam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811442247 PECOS PAC ID: 4183904709 Enrollment ID: I20161216000734 |
| Provider Name | Khem Nouansavane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497206924 PECOS PAC ID: 3072893668 Enrollment ID: I20161219000895 |
| Provider Name | David Tannehill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750591053 PECOS PAC ID: 4486714623 Enrollment ID: I20161220000562 |
| Provider Name | Catherine Mercer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902037252 PECOS PAC ID: 6103965405 Enrollment ID: I20161221000121 |
| Provider Name | Michelle Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588106678 PECOS PAC ID: 0042591463 Enrollment ID: I20161227000230 |
| Provider Name | Selamawit Negusse |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316144041 PECOS PAC ID: 7517139546 Enrollment ID: I20170106001343 |
| Provider Name | Daniel Mwanza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275827826 PECOS PAC ID: 9335326719 Enrollment ID: I20170110002001 |
| Provider Name | Dustin K Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013304393 PECOS PAC ID: 3476869918 Enrollment ID: I20170124002138 |
| Provider Name | Samantha L Whiteside |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871819615 PECOS PAC ID: 4284800913 Enrollment ID: I20170126001808 |
| Provider Name | David Adam Hebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003867151 PECOS PAC ID: 2860463619 Enrollment ID: I20170126001942 |
| Provider Name | Kevin Kierl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992148407 PECOS PAC ID: 6103133640 Enrollment ID: I20170127000781 |
| Provider Name | Laura Michelle Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679018469 PECOS PAC ID: 9537441415 Enrollment ID: I20170130001587 |
| Provider Name | Timothy D Herrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710321765 PECOS PAC ID: 9830412915 Enrollment ID: I20170131000518 |
| Provider Name | Barry K Stoll |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750677928 PECOS PAC ID: 0840418760 Enrollment ID: I20170206002227 |
| Provider Name | James Douglas Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144260787 PECOS PAC ID: 3173414893 Enrollment ID: I20170210001331 |
| Provider Name | Angelisa Annette Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750827036 PECOS PAC ID: 1557645678 Enrollment ID: I20170308001971 |
| Provider Name | Shelly Denise Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992244800 PECOS PAC ID: 8123303500 Enrollment ID: I20170327002098 |
| Provider Name | Sherry L Loyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073051249 PECOS PAC ID: 2961788047 Enrollment ID: I20170405000365 |
| Provider Name | Amber D Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750821740 PECOS PAC ID: 5991081267 Enrollment ID: I20170421000883 |
| Provider Name | Brooke M Youngwolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275074049 PECOS PAC ID: 4385921535 Enrollment ID: I20170426000940 |
| Provider Name | Carlos Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659675296 PECOS PAC ID: 9436372638 Enrollment ID: I20170503001428 |
| Provider Name | Glenda Marie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740664226 PECOS PAC ID: 8729378013 Enrollment ID: I20170511000509 |
| Provider Name | Shawna D Donaghue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144753302 PECOS PAC ID: 7810274115 Enrollment ID: I20170515000061 |
| Provider Name | Nicole Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184165441 PECOS PAC ID: 1254618523 Enrollment ID: I20170516000728 |
| Provider Name | Amanda Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942404884 PECOS PAC ID: 4880732213 Enrollment ID: I20170518002190 |
| Provider Name | Jason Daily |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043290836 PECOS PAC ID: 6709024219 Enrollment ID: I20170524001258 |
| Provider Name | Andres Mauricio Vargas Estrada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760794192 PECOS PAC ID: 8628210036 Enrollment ID: I20170609000821 |
| Provider Name | Ian T Cheyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740695410 PECOS PAC ID: 3577831668 Enrollment ID: I20170614000283 |
| Provider Name | Misty R Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013336296 PECOS PAC ID: 7315259470 Enrollment ID: I20170620000448 |
| Provider Name | Teresa Danielle Cothern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770921207 PECOS PAC ID: 9234408063 Enrollment ID: I20170710002379 |
| Provider Name | Ashley N Gattis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063932283 PECOS PAC ID: 1052331428 Enrollment ID: I20170712003756 |
| Provider Name | Lesley A Schmitz |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1578573325 PECOS PAC ID: 1850452467 Enrollment ID: I20170717001175 |
| Provider Name | Chandra D Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548718125 PECOS PAC ID: 4587934625 Enrollment ID: I20170721001013 |
| Provider Name | Yazan Ghosheh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861706046 PECOS PAC ID: 6406159649 Enrollment ID: I20170724003363 |
| Provider Name | Timothy J Buffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164422663 PECOS PAC ID: 2860456191 Enrollment ID: I20170728002666 |
| Provider Name | Zerihun A Bunaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668848 PECOS PAC ID: 5890963466 Enrollment ID: I20170801001160 |
| Provider Name | Eric Avery Reddick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225354012 PECOS PAC ID: 2668613639 Enrollment ID: I20170802002043 |
| Provider Name | Kasey J Nix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144630955 PECOS PAC ID: 1052622875 Enrollment ID: I20170808000731 |
| Provider Name | Rajnish Rammohan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386045763 PECOS PAC ID: 6406127232 Enrollment ID: I20170811002418 |
| Provider Name | Javad C Vaziri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528354727 PECOS PAC ID: 3971731365 Enrollment ID: I20170822002604 |
| Provider Name | Carla A Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740704774 PECOS PAC ID: 2466724653 Enrollment ID: I20170823001701 |
| Provider Name | Aaron W Bull |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861886731 PECOS PAC ID: 9638443492 Enrollment ID: I20170919000651 |
| Provider Name | Chelsea Agent Real |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497280630 PECOS PAC ID: 2961778162 Enrollment ID: I20171016001281 |
| Provider Name | Liberty B Neoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700395225 PECOS PAC ID: 6305112715 Enrollment ID: I20171030000872 |
| Provider Name | Melissa M Kuehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912380361 PECOS PAC ID: 1456617653 Enrollment ID: I20171103000706 |
| Provider Name | Rafay S Abbasi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447699822 PECOS PAC ID: 1456570589 Enrollment ID: I20171130003088 |
| Provider Name | Lee Richard Morisy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548233430 PECOS PAC ID: 1153515820 Enrollment ID: I20180102002060 |
| Provider Name | Sridivya Parvataneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154748143 PECOS PAC ID: 9234416736 Enrollment ID: I20180108000686 |
| Provider Name | Donald Gene Sanders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558787143 PECOS PAC ID: 1557678109 Enrollment ID: I20180118001912 |
| Provider Name | Garrett Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083906143 PECOS PAC ID: 1850530973 Enrollment ID: I20180119001472 |
| Provider Name | Karen L Yates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083795215 PECOS PAC ID: 0446142012 Enrollment ID: I20180129001460 |
| Provider Name | Theresa D Fontaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639687437 PECOS PAC ID: 2264792522 Enrollment ID: I20180205002455 |
| Provider Name | Jessica Lynn Duggar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306368501 PECOS PAC ID: 4688934953 Enrollment ID: I20180206000147 |
| Provider Name | Jonathan David Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174021067 PECOS PAC ID: 8426318460 Enrollment ID: I20180212001874 |
| Provider Name | Josiah Onyenekwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558781740 PECOS PAC ID: 3476877184 Enrollment ID: I20180219002010 |
| Provider Name | Kelly A Hokit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043609340 PECOS PAC ID: 3274852280 Enrollment ID: I20180327001800 |
| Provider Name | Jerry J Castleberry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417919762 PECOS PAC ID: 6305895178 Enrollment ID: I20180402001723 |
| Provider Name | Scott T O'hern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639559230 PECOS PAC ID: 7012216120 Enrollment ID: I20180425000214 |
| Provider Name | Peggy S Rosson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679078489 PECOS PAC ID: 1759645625 Enrollment ID: I20180430001672 |
| Provider Name | Keith F Watson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972540557 PECOS PAC ID: 4486827698 Enrollment ID: I20180517001707 |
| Provider Name | Fatima Rizwan Khalid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710273685 PECOS PAC ID: 4880827211 Enrollment ID: I20180611001340 |
| Provider Name | Runa Shrestha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649525866 PECOS PAC ID: 9234439456 Enrollment ID: I20180611001831 |
| Provider Name | Brock Dupree Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740609486 PECOS PAC ID: 7113272287 Enrollment ID: I20180613000700 |
| Provider Name | Robert Scott Duff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265475727 PECOS PAC ID: 2365472164 Enrollment ID: I20180614001180 |
| Provider Name | Rajesh Mourya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891059929 PECOS PAC ID: 5597071209 Enrollment ID: I20180614001665 |
| Provider Name | Lisa Skinner Newton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245659002 PECOS PAC ID: 3870819766 Enrollment ID: I20180614002275 |
| Provider Name | Thomas W Morris |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457641664 PECOS PAC ID: 8820313505 Enrollment ID: I20180618001244 |
| Provider Name | Krishna Siva Sai Kakkera |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831445261 PECOS PAC ID: 4587982152 Enrollment ID: I20180619001562 |
| Provider Name | Quoc-anh Thai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558328278 PECOS PAC ID: 4082659198 Enrollment ID: I20180619002568 |
| Provider Name | Amanda Satterwhite |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669859815 PECOS PAC ID: 7012295983 Enrollment ID: I20180627000838 |
| Provider Name | Stephanie Leighann Koonce |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750612727 PECOS PAC ID: 4587808290 Enrollment ID: I20180629000148 |
| Provider Name | Kapil Yadav |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265729537 PECOS PAC ID: 8123374923 Enrollment ID: I20180710000876 |
| Provider Name | Jeffrey Allen Coldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518386903 PECOS PAC ID: 1052628484 Enrollment ID: I20180712002806 |
| Provider Name | Kody A Nichols |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255726097 PECOS PAC ID: 9032425376 Enrollment ID: I20180725003281 |
| Provider Name | Kenneth E Phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215995360 PECOS PAC ID: 8729972872 Enrollment ID: I20180731003022 |
| Provider Name | Kathryn J Buffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700267515 PECOS PAC ID: 6608188396 Enrollment ID: I20180806000516 |
| Provider Name | David Deschamps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700107869 PECOS PAC ID: 8921227901 Enrollment ID: I20180806003078 |
| Provider Name | Jeffrey Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336451269 PECOS PAC ID: 4183880271 Enrollment ID: I20180810001411 |
| Provider Name | Tyler Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538514419 PECOS PAC ID: 6901192574 Enrollment ID: I20180823000697 |
| Provider Name | Steven A Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003395427 PECOS PAC ID: 6800145715 Enrollment ID: I20180824001839 |
| Provider Name | Alec M Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629455449 PECOS PAC ID: 1254610637 Enrollment ID: I20180913000490 |
| Provider Name | Bentlee Katherine Rundell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538649231 PECOS PAC ID: 5092066167 Enrollment ID: I20180928002105 |
| Provider Name | William Andrew Stevenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558716738 PECOS PAC ID: 0446549083 Enrollment ID: I20181003001087 |
| Provider Name | Clyde Ray Redmond |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700952462 PECOS PAC ID: 1355383431 Enrollment ID: I20181003001785 |
| Provider Name | James B Hensel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699154070 PECOS PAC ID: 0547558538 Enrollment ID: I20181024001015 |
| Provider Name | Andrew S Ryals |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508295601 PECOS PAC ID: 9830417922 Enrollment ID: I20181030000475 |
| Provider Name | David G Grant |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174839864 PECOS PAC ID: 0244355915 Enrollment ID: I20181102002272 |
| Provider Name | Kevin A Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033452990 PECOS PAC ID: 7618294976 Enrollment ID: I20181114002708 |
| Provider Name | Loren Kierl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336438027 PECOS PAC ID: 4385883529 Enrollment ID: I20181218000640 |
| Provider Name | Nata T Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346724887 PECOS PAC ID: 2668717562 Enrollment ID: I20181221000026 |
| Provider Name | Sam Sadler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578870796 PECOS PAC ID: 4082856117 Enrollment ID: I20190123001922 |
| Provider Name | Brianna Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538633995 PECOS PAC ID: 2668710708 Enrollment ID: I20190214001608 |
| Provider Name | Andrew Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659838092 PECOS PAC ID: 3971842832 Enrollment ID: I20190312000517 |
| Provider Name | Rachel Elise Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760949887 PECOS PAC ID: 6002155975 Enrollment ID: I20190312000895 |
| Provider Name | Netlla Anne Cureton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649737719 PECOS PAC ID: 4385984806 Enrollment ID: I20190320001805 |
| Provider Name | Moneeb Ehtesham |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346413929 PECOS PAC ID: 8820302672 Enrollment ID: I20190327002894 |
| Provider Name | Amanda L Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922566785 PECOS PAC ID: 1759622665 Enrollment ID: I20190402002522 |
| Provider Name | Derek Knotts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235497363 PECOS PAC ID: 2769605013 Enrollment ID: I20190408001839 |
| Provider Name | Heather R Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679824197 PECOS PAC ID: 2163677360 Enrollment ID: I20190424000137 |
| Provider Name | Sandra Elaine Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669933370 PECOS PAC ID: 6204178023 Enrollment ID: I20190426001950 |
| Provider Name | Jerad Ball |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790158764 PECOS PAC ID: 4183902299 Enrollment ID: I20190430002414 |
| Provider Name | Tony A Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336131242 PECOS PAC ID: 8628971462 Enrollment ID: I20190502000437 |
| Provider Name | Rachel Catherine Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598328163 PECOS PAC ID: 7315280500 Enrollment ID: I20190509001302 |
| Provider Name | Stephen Golder |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154434264 PECOS PAC ID: 3678581766 Enrollment ID: I20190610000383 |
| Provider Name | Aswini Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619318029 PECOS PAC ID: 7416241393 Enrollment ID: I20190618002625 |
| Provider Name | Dabney P Herrold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033776497 PECOS PAC ID: 9335473792 Enrollment ID: I20190619001736 |
| Provider Name | Katarzyna Halina Czerniecka-foxx |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396003364 PECOS PAC ID: 2567796840 Enrollment ID: I20190619002947 |
| Provider Name | Syed Mustafa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326393885 PECOS PAC ID: 9739413022 Enrollment ID: I20190619003530 |
| Provider Name | Venkata Vijaya Kumar Dalai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255741310 PECOS PAC ID: 7315271681 Enrollment ID: I20190620002941 |
| Provider Name | Brooke H Houser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780188193 PECOS PAC ID: 0547594764 Enrollment ID: I20190621001952 |
| Provider Name | Amy Joyce Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154776409 PECOS PAC ID: 5890029953 Enrollment ID: I20190624000417 |
| Provider Name | Devron Lee Kelley Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851742712 PECOS PAC ID: 2466786553 Enrollment ID: I20190624001641 |
| Provider Name | Aaron M Lawrence |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710273198 PECOS PAC ID: 5496007866 Enrollment ID: I20190624001755 |
| Provider Name | Monali Hanmant Patil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952620544 PECOS PAC ID: 5395018360 Enrollment ID: I20190624002009 |
| Provider Name | Kenneth Clair Foxx |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568720548 PECOS PAC ID: 9931490463 Enrollment ID: I20190625000218 |
| Provider Name | Bryant T Virden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891114385 PECOS PAC ID: 3274859434 Enrollment ID: I20190625000860 |
| Provider Name | Lan Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326472002 PECOS PAC ID: 2365660818 Enrollment ID: I20190626001000 |
| Provider Name | Aniket Kishor Sakharpe |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720399967 PECOS PAC ID: 3678866936 Enrollment ID: I20190626001634 |
| Provider Name | Alejandro Daniel Castellvi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356627350 PECOS PAC ID: 7315235504 Enrollment ID: I20190628001226 |
| Provider Name | Sunghoon Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184642175 PECOS PAC ID: 1850334541 Enrollment ID: I20190702002785 |
| Provider Name | Stephen Russell Bergman |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1609021104 PECOS PAC ID: 6709936586 Enrollment ID: I20190724001112 |
| Provider Name | Sharon Marie Napier |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578673455 PECOS PAC ID: 7810181369 Enrollment ID: I20190730001072 |
| Provider Name | Rebecca Elizabeth Cisneros |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235505074 PECOS PAC ID: 9638405525 Enrollment ID: I20190730004630 |
| Provider Name | David Lang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053396200 PECOS PAC ID: 6800820929 Enrollment ID: I20190805001432 |
| Provider Name | Eddie Tang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093729691 PECOS PAC ID: 3870562267 Enrollment ID: I20190805001768 |
| Provider Name | James W Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053316745 PECOS PAC ID: 7416942388 Enrollment ID: I20190809002719 |
| Provider Name | Hsin-wei Huang |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831753607 PECOS PAC ID: 8729312764 Enrollment ID: I20190814002257 |
| Provider Name | Clayton Newton Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649643412 PECOS PAC ID: 3375841158 Enrollment ID: I20190820000533 |
| Provider Name | Divine Ribakare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932441680 PECOS PAC ID: 0244531382 Enrollment ID: I20190821000825 |
| Provider Name | Bryan Matthew Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578592895 PECOS PAC ID: 8426088808 Enrollment ID: I20190822000463 |
| Provider Name | Michael Jay Scott Sheridan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1174519466 PECOS PAC ID: 1951203835 Enrollment ID: I20190829002208 |
| Provider Name | Lino Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588212575 PECOS PAC ID: 9638401649 Enrollment ID: I20191024000545 |
| Provider Name | Peter Mikhail |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518030535 PECOS PAC ID: 7810082096 Enrollment ID: I20191030002029 |
| Provider Name | Michele J Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275174518 PECOS PAC ID: 0547692592 Enrollment ID: I20191113003303 |
| Provider Name | Vemana Jampala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538509385 PECOS PAC ID: 4587950274 Enrollment ID: I20191118001039 |
| Provider Name | Alicia Schlesier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891337275 PECOS PAC ID: 9133552938 Enrollment ID: I20191210000319 |
| Provider Name | Jacquelyn Renee Isaacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487295572 PECOS PAC ID: 1355776618 Enrollment ID: I20200114001490 |
| Provider Name | Ashley Renee Calvillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538424 PECOS PAC ID: 3072948157 Enrollment ID: I20200117001604 |
| Provider Name | Julie Renee Stover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578103982 PECOS PAC ID: 0345676094 Enrollment ID: I20200129000602 |
| Provider Name | Kathleen M Toon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083251821 PECOS PAC ID: 2163858663 Enrollment ID: I20200131000995 |
| Provider Name | Brett Monroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497246086 PECOS PAC ID: 7113353632 Enrollment ID: I20200131001813 |
| Provider Name | Tawni Glander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558992149 PECOS PAC ID: 2961830534 Enrollment ID: I20200312001967 |
| Provider Name | Elizabeth A Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598308140 PECOS PAC ID: 9931537297 Enrollment ID: I20200319002126 |
| Provider Name | Jenna Siebenmorgen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497387716 PECOS PAC ID: 7911335229 Enrollment ID: I20200320000865 |
| Provider Name | Sirish Venkata Parvathaneni |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1659360915 PECOS PAC ID: 5890725683 Enrollment ID: I20200320002205 |
| Provider Name | Sami Khoshyomn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699719963 PECOS PAC ID: 6709815244 Enrollment ID: I20200328000031 |
| Provider Name | Irfan Qureshi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881853133 PECOS PAC ID: 5799006508 Enrollment ID: I20200623000221 |
| Provider Name | John Agnone |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346311404 PECOS PAC ID: 0941251755 Enrollment ID: I20200623001210 |
| Provider Name | David Michael Crow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669907051 PECOS PAC ID: 1759659857 Enrollment ID: I20200713001386 |
| Provider Name | Megan L Minniear Corrons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568998235 PECOS PAC ID: 5193093060 Enrollment ID: I20200713003187 |
| Provider Name | Sujan Teegala Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790170223 PECOS PAC ID: 6507280195 Enrollment ID: I20200715001936 |
| Provider Name | David Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306366117 PECOS PAC ID: 5193094035 Enrollment ID: I20200715002373 |
| Provider Name | Aswanth Md Reddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922448075 PECOS PAC ID: 5890086532 Enrollment ID: I20200716000644 |
| Provider Name | Hannah Eveld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558897967 PECOS PAC ID: 5092080408 Enrollment ID: I20200729000798 |
| Provider Name | Audrey Tobey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265895189 PECOS PAC ID: 5294150314 Enrollment ID: I20200806001963 |
| Provider Name | Suchita Varhade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518351402 PECOS PAC ID: 0941535785 Enrollment ID: I20200811001920 |
| Provider Name | Adeel Shamim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467893446 PECOS PAC ID: 7618101171 Enrollment ID: I20200812003789 |
| Provider Name | Jordan Magarik |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205279213 PECOS PAC ID: 8325347933 Enrollment ID: I20200903002229 |
| Provider Name | Dennis Jared Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770088296 PECOS PAC ID: 4587082524 Enrollment ID: I20200908002562 |
| Provider Name | Amsa Arshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467987875 PECOS PAC ID: 1759700578 Enrollment ID: I20200929000562 |
| Provider Name | Rafay Cheema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649761917 PECOS PAC ID: 3779831078 Enrollment ID: I20200929001720 |
| Provider Name | Eric Fredrickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417343724 PECOS PAC ID: 1153610308 Enrollment ID: I20201016002538 |
| Provider Name | Mark Gardon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366470544 PECOS PAC ID: 2163442500 Enrollment ID: I20201110000048 |
| Provider Name | Tessa Quyen Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114534070 PECOS PAC ID: 9032529623 Enrollment ID: I20201111000122 |
| Provider Name | Amanda K Cheatham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659997351 PECOS PAC ID: 7719398692 Enrollment ID: I20201125000554 |
| Provider Name | Valentina Nastasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003416421 PECOS PAC ID: 9931511730 Enrollment ID: I20201221001241 |
| Provider Name | Andrew Starnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124525878 PECOS PAC ID: 0840540134 Enrollment ID: I20210114000164 |
| Provider Name | Stephanie Kekulawela |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396979175 PECOS PAC ID: 1355645755 Enrollment ID: I20210205001980 |
| Provider Name | Steven Curiale |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649290834 PECOS PAC ID: 2062419708 Enrollment ID: I20210212000440 |
| Provider Name | Roscoe Chan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891792941 PECOS PAC ID: 4789696774 Enrollment ID: I20210303003154 |
| Provider Name | Daraspreet Kainth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497915904 PECOS PAC ID: 1658692215 Enrollment ID: I20210317002714 |
| Provider Name | Eric Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124226873 PECOS PAC ID: 0345335618 Enrollment ID: I20210329001476 |
| Provider Name | Reza Khodaverdian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700050689 PECOS PAC ID: 1658427307 Enrollment ID: I20210331001244 |
| Provider Name | Edward W Pottmeyer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982710539 PECOS PAC ID: 4880651553 Enrollment ID: I20210407001204 |
| Provider Name | Jaspreet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710306139 PECOS PAC ID: 1658679360 Enrollment ID: I20210412001903 |
| Provider Name | Dorcas Lomo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225599863 PECOS PAC ID: 2163757519 Enrollment ID: I20210412002093 |
| Provider Name | Angela Riley Cromer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558942094 PECOS PAC ID: 4587072848 Enrollment ID: I20210426002631 |
| Provider Name | Seth Andrew Bartholomew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508362369 PECOS PAC ID: 7012264435 Enrollment ID: I20210503001976 |
| Provider Name | David Sean Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427403955 PECOS PAC ID: 6305255845 Enrollment ID: I20210512003035 |
| Provider Name | Ashley Nicole Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679151609 PECOS PAC ID: 8628487972 Enrollment ID: I20210517002629 |
| Provider Name | Richard Scott Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508451170 PECOS PAC ID: 4486053683 Enrollment ID: I20210520000395 |
| Provider Name | Martha Lynn Brawner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124666482 PECOS PAC ID: 5698175081 Enrollment ID: I20210607000359 |
| Provider Name | Heather Erwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740820950 PECOS PAC ID: 9234530007 Enrollment ID: I20210630002738 |
| Provider Name | Laura E Werline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972008985 PECOS PAC ID: 6305194812 Enrollment ID: I20210712002577 |
| Provider Name | Emily Amanda Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629661053 PECOS PAC ID: 4789086687 Enrollment ID: I20210715000414 |
| Provider Name | Sundeep Mummaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831693076 PECOS PAC ID: 8123421674 Enrollment ID: I20210721004274 |
| Provider Name | Shoaib Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548767130 PECOS PAC ID: 4385909951 Enrollment ID: I20210722000565 |
| Provider Name | Matthew Sharum |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336595271 PECOS PAC ID: 3375838659 Enrollment ID: I20210723003158 |
| Provider Name | Robert Jack Langston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225607724 PECOS PAC ID: 9931248036 Enrollment ID: I20210726001138 |
| Provider Name | Zachary R Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457672388 PECOS PAC ID: 2365799772 Enrollment ID: I20210726002143 |
| Provider Name | Jacob R Howard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508362591 PECOS PAC ID: 5092063644 Enrollment ID: I20210728002686 |
| Provider Name | Michael F Meurer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750474144 PECOS PAC ID: 3577469147 Enrollment ID: I20210802001621 |
| Provider Name | Wun Augustin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174687834 PECOS PAC ID: 7012094808 Enrollment ID: I20210802001880 |
| Provider Name | Curtis Lee Lowery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376038877 PECOS PAC ID: 1850640319 Enrollment ID: I20210812002251 |
| Provider Name | Marsha Kay Howerton Engles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790720456 PECOS PAC ID: 9537331392 Enrollment ID: I20210818000122 |
| Provider Name | Gray Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972965549 PECOS PAC ID: 9537436852 Enrollment ID: I20210901003746 |
| Provider Name | Diem Quynh Phuong Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689171019 PECOS PAC ID: 9234535014 Enrollment ID: I20210901003916 |
| Provider Name | Sophia Addy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730610684 PECOS PAC ID: 9931505641 Enrollment ID: I20210908001978 |
| Provider Name | Parikshit Thakur Hameer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477822799 PECOS PAC ID: 8325350846 Enrollment ID: I20210913003612 |
| Provider Name | Jacob W Didion |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104275239 PECOS PAC ID: 3779878269 Enrollment ID: I20210914002526 |
| Provider Name | Todd L Engdahl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356330005 PECOS PAC ID: 8325095862 Enrollment ID: I20210920003417 |
| Provider Name | William M Rambo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619079753 PECOS PAC ID: 6002018447 Enrollment ID: I20211018000449 |
| Provider Name | Robert Calynn Cluck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992395966 PECOS PAC ID: 5890183909 Enrollment ID: I20211022000110 |
| Provider Name | Alexander Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20211022001361 |
| Provider Name | Azeem Rehman Khan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659560597 PECOS PAC ID: 5698848109 Enrollment ID: I20211028002772 |
| Provider Name | Andrea Nicole Jansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730859414 PECOS PAC ID: 4880083088 Enrollment ID: I20211109002517 |
| Provider Name | Jessica Michelle Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548831696 PECOS PAC ID: 2769871987 Enrollment ID: I20211109003187 |
| Provider Name | Cortina Rae Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821678269 PECOS PAC ID: 2860882354 Enrollment ID: I20211123002108 |
| Provider Name | Denis Raleigh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1427069855 PECOS PAC ID: 0941219497 Enrollment ID: I20211221002005 |
| Provider Name | Lauren H Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821752825 PECOS PAC ID: 5890186068 Enrollment ID: I20211222001907 |
| Provider Name | Supriya Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023190469 PECOS PAC ID: 4688660129 Enrollment ID: I20220104000401 |
| Provider Name | Haley Nicole Dehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457016370 PECOS PAC ID: 6901297746 Enrollment ID: I20220105000545 |
| Provider Name | Carla D Mendieta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407522303 PECOS PAC ID: 3173914876 Enrollment ID: I20220106000097 |
| Provider Name | Deo Mulindwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881092385 PECOS PAC ID: 3476869587 Enrollment ID: I20220106001974 |
| Provider Name | Moriah Christine Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669048799 PECOS PAC ID: 8527450808 Enrollment ID: I20220118002104 |
| Provider Name | Mary Scheerer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346628302 PECOS PAC ID: 9739488958 Enrollment ID: I20220118002606 |
| Provider Name | Vonzell Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861674921 PECOS PAC ID: 4082884333 Enrollment ID: I20220119000157 |
| Provider Name | Christy Lee Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114687316 PECOS PAC ID: 7911390414 Enrollment ID: I20220204001372 |
| Provider Name | Paula Ellen Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710647979 PECOS PAC ID: 1052704954 Enrollment ID: I20220216001387 |
| Provider Name | Kelsie Rae Benavides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033862883 PECOS PAC ID: 4688069560 Enrollment ID: I20220310001786 |
| Provider Name | Robert Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336646496 PECOS PAC ID: 2860887551 Enrollment ID: I20220316000360 |
| Provider Name | Ryan D Gholson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285951186 PECOS PAC ID: 5991928202 Enrollment ID: I20220426001617 |
| Provider Name | Venus Nabors |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083806210 PECOS PAC ID: 7618091463 Enrollment ID: I20220520002350 |
| Provider Name | David Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427157478 PECOS PAC ID: 4880675909 Enrollment ID: I20220523001330 |
| Provider Name | Charlotte Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174521702 PECOS PAC ID: 0042450793 Enrollment ID: I20220524001044 |
| Provider Name | Abigail D Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679710768 PECOS PAC ID: 8325188279 Enrollment ID: I20220601000281 |
| Provider Name | Maegan Aleis London |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407596380 PECOS PAC ID: 7315325214 Enrollment ID: I20220606001339 |
| Provider Name | Zalmi Rahmany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568026466 PECOS PAC ID: 4385023027 Enrollment ID: I20220627000539 |
| Provider Name | Chris John Aponte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962961995 PECOS PAC ID: 9335529601 Enrollment ID: I20220704000256 |
| Provider Name | Jeffrey B Manley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700016961 PECOS PAC ID: 8426207416 Enrollment ID: I20220718003145 |
| Provider Name | Cara Lynn Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700534443 PECOS PAC ID: 4981085990 Enrollment ID: I20220722000599 |
| Provider Name | Connor E Rayburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215498399 PECOS PAC ID: 6507190410 Enrollment ID: I20220725002034 |
| Provider Name | Jaimie Leigh Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851960025 PECOS PAC ID: 4486035201 Enrollment ID: I20220725002520 |
| Provider Name | Renee G Lockey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447265509 PECOS PAC ID: 6709959372 Enrollment ID: I20220727003775 |
| Provider Name | Sidi Yassine Benlamhidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447711379 PECOS PAC ID: 4385026905 Enrollment ID: I20220728003710 |
| Provider Name | Mohankumar Doraiswamy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740631530 PECOS PAC ID: 7113309493 Enrollment ID: I20220803000726 |
| Provider Name | Thomas Stephen Leitzsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023579141 PECOS PAC ID: 7911232178 Enrollment ID: I20220804001671 |
| Provider Name | Marc Luckett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881667608 PECOS PAC ID: 4587602966 Enrollment ID: I20220809001774 |
| Provider Name | Clyde Mcclellan Stauffer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669909255 PECOS PAC ID: 0749559763 Enrollment ID: I20220817003323 |
| Provider Name | Yasser Jeelani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740619162 PECOS PAC ID: 6002299096 Enrollment ID: I20220824002604 |
| Provider Name | Brian Wade Garland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811551039 PECOS PAC ID: 0547595506 Enrollment ID: I20220825001263 |
| Provider Name | Sarah Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649695867 PECOS PAC ID: 9436534526 Enrollment ID: I20220909000575 |
| Provider Name | Charles Keefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861935967 PECOS PAC ID: 7315227972 Enrollment ID: I20220909002880 |
| Provider Name | Christy Anders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730774308 PECOS PAC ID: 7810372893 Enrollment ID: I20220912001191 |
| Provider Name | Jessica Marie Kopacz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528786316 PECOS PAC ID: 0648655423 Enrollment ID: I20220914002303 |
| Provider Name | Shalyn Breh Calaway |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033849765 PECOS PAC ID: 3173908423 Enrollment ID: I20220922001410 |
| Provider Name | Kristal Newlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639831274 PECOS PAC ID: 0840676060 Enrollment ID: I20220926001892 |
| Provider Name | Casandra Ann Thurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154058816 PECOS PAC ID: 0042696148 Enrollment ID: I20220927001970 |
| Provider Name | Leah Marie Flores |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154042349 PECOS PAC ID: 6507242534 Enrollment ID: I20220928003698 |
| Provider Name | Ian T Lyn |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1376529826 PECOS PAC ID: 2466472741 Enrollment ID: I20221017001143 |
| Provider Name | James Allen Mcelroy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013956861 PECOS PAC ID: 9436157369 Enrollment ID: I20221018001092 |
| Provider Name | Sarah B Placek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578828828 PECOS PAC ID: 0648561589 Enrollment ID: I20221018002870 |
| Provider Name | Joann Michele Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427772805 PECOS PAC ID: 7315313111 Enrollment ID: I20221019002106 |
| Provider Name | Taylor Faye Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528780343 PECOS PAC ID: 5193192011 Enrollment ID: I20221107002144 |
| Provider Name | Sam Shamsnia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568773901 PECOS PAC ID: 2668698804 Enrollment ID: I20221116002286 |
| Provider Name | Kathleen Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083867444 PECOS PAC ID: 4688891294 Enrollment ID: I20221129000608 |
| Provider Name | Laura Carrizo Barber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982803631 PECOS PAC ID: 5496871519 Enrollment ID: I20221220000852 |
| Provider Name | Cristina L Guerra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417930041 PECOS PAC ID: 3779515523 Enrollment ID: I20221227000346 |
| Provider Name | Jessie Golden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801509690 PECOS PAC ID: 3870963846 Enrollment ID: I20230109001365 |
| Provider Name | Clement Fox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154627941 PECOS PAC ID: 1951681725 Enrollment ID: I20230111001146 |
| Provider Name | Qasim Butt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598966715 PECOS PAC ID: 9234299249 Enrollment ID: I20230131001796 |
| Provider Name | Amory Godwin Grijaldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487045795 PECOS PAC ID: 0345566402 Enrollment ID: I20230214002448 |
| Provider Name | Mohanad Abu Speitan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942563820 PECOS PAC ID: 7618286675 Enrollment ID: I20230222003196 |
| Provider Name | Sabrina Marie Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811608029 PECOS PAC ID: 8729451505 Enrollment ID: I20230224002017 |
| Provider Name | Kimberly Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710699657 PECOS PAC ID: 6305219130 Enrollment ID: I20230227001095 |
| Provider Name | Audrae Dawn Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528765146 PECOS PAC ID: 1658745666 Enrollment ID: I20230314002203 |
| Provider Name | Francis Cyril Hatol De Guzman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164120044 PECOS PAC ID: 5698149276 Enrollment ID: I20230322000976 |
| Provider Name | Jayce Lee Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043978091 PECOS PAC ID: 4587038989 Enrollment ID: I20230327001906 |
| Provider Name | Jennifer Nicole Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609573203 PECOS PAC ID: 8527433754 Enrollment ID: I20230331000847 |
| Provider Name | Muhammad Ziad Souqiyyeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538612015 PECOS PAC ID: 8921389404 Enrollment ID: I20230418000432 |
| Provider Name | Marissa Leigh Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235839473 PECOS PAC ID: 4880059781 Enrollment ID: I20230428000292 |
| Provider Name | Jouma Jalou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720571102 PECOS PAC ID: 5193127140 Enrollment ID: I20230508001588 |
| Provider Name | Sandra Lynn Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598456980 PECOS PAC ID: 8820455082 Enrollment ID: I20230601003027 |
| Provider Name | Elizabeth Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598422636 PECOS PAC ID: 9638562838 Enrollment ID: I20230607000834 |
| Provider Name | Carolyn Jean Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801582457 PECOS PAC ID: 4587025374 Enrollment ID: I20230726001456 |
| Provider Name | Edward Chester Wemmerus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952757254 PECOS PAC ID: 0345532347 Enrollment ID: I20230730000074 |
| Provider Name | Jory Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790210631 PECOS PAC ID: 6406183110 Enrollment ID: I20230807001698 |
| Provider Name | Justin Lee Scantling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356034748 PECOS PAC ID: 0446612402 Enrollment ID: I20230808004194 |
| Provider Name | Martin Musumbi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215185699 PECOS PAC ID: 9638336035 Enrollment ID: I20230809000977 |
| Provider Name | Melea Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225722804 PECOS PAC ID: 7911369525 Enrollment ID: I20230815000046 |
| Provider Name | David Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265629661 PECOS PAC ID: 4183748841 Enrollment ID: I20230816004471 |
| Provider Name | Richard C Cline |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245237080 PECOS PAC ID: 0143369033 Enrollment ID: I20230829004467 |
| Provider Name | Adam Olszewski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164818753 PECOS PAC ID: 9436479516 Enrollment ID: I20230912002087 |
| Provider Name | Drake Schichtl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316654767 PECOS PAC ID: 1254705080 Enrollment ID: I20230926004286 |
| Provider Name | Andres David Pirela Araque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316432024 PECOS PAC ID: 3779991443 Enrollment ID: I20230929002863 |
| Provider Name | Raja Damayanthi Murali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730702515 PECOS PAC ID: 8820442296 Enrollment ID: I20231004000777 |
| Provider Name | Cindy Nicole Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922784941 PECOS PAC ID: 5193170678 Enrollment ID: I20231018003993 |
| Provider Name | Jeffrey Don Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1659309128 PECOS PAC ID: 8224926464 Enrollment ID: I20231028000033 |
| Provider Name | Timothy Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528521127 PECOS PAC ID: 5395088215 Enrollment ID: I20231104000346 |
| Provider Name | Ginger Gladden Medders |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1134488174 PECOS PAC ID: 3779716352 Enrollment ID: I20231109002954 |
| Provider Name | Anna Kathryn Dockery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114705795 PECOS PAC ID: 9032566096 Enrollment ID: I20231113002261 |
| Provider Name | Adrian Mzee Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538375076 PECOS PAC ID: 1153558440 Enrollment ID: I20231121002604 |
| Provider Name | Andrew Joseph Bergeron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164051694 PECOS PAC ID: 2961850359 Enrollment ID: I20231124000152 |
| Provider Name | Matthew Budway |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760412100 PECOS PAC ID: 3577506344 Enrollment ID: I20231205003083 |
| Provider Name | Elizabeth Hutson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801410527 PECOS PAC ID: 1557761459 Enrollment ID: I20231206000948 |
| Provider Name | Elizabeth A Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659912855 PECOS PAC ID: 7618304437 Enrollment ID: I20231222002781 |
| Provider Name | Shay A Barfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942785100 PECOS PAC ID: 1658617964 Enrollment ID: I20240109004868 |
| Provider Name | Chetan Soni |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598876526 PECOS PAC ID: 3577719947 Enrollment ID: I20240115000395 |
| Provider Name | Sarah Neubauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689034068 PECOS PAC ID: 4688026958 Enrollment ID: I20240123001082 |
| Provider Name | Melanie H Pagette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831151513 PECOS PAC ID: 4587601943 Enrollment ID: I20240131000256 |
| Provider Name | Ashley Curtis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801254792 PECOS PAC ID: 0547566184 Enrollment ID: I20240131000696 |
| Provider Name | John A Pinkston |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922004431 PECOS PAC ID: 0749194470 Enrollment ID: I20240308002057 |
| Provider Name | Tyler Daniel Mckee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902338320 PECOS PAC ID: 8628490414 Enrollment ID: I20240315000819 |
| Provider Name | Samer Shuaib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720294440 PECOS PAC ID: 3971785965 Enrollment ID: I20240322003189 |
| Provider Name | Kelsey Ann Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013778612 PECOS PAC ID: 7911346531 Enrollment ID: I20240416001718 |
| Provider Name | Nicolas Khattar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326400060 PECOS PAC ID: 7113283318 Enrollment ID: I20240515003772 |
| Provider Name | Joseph Lockwood |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245612753 PECOS PAC ID: 2163714155 Enrollment ID: I20240606002021 |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
Rvpcs Northside Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4900 Kelley Highway, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708 | |
Fort Smith Eye Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8301 Rogers Ave, Doctor's Office, Fort Smith, AR 72903 Phone: 479-452-1580 Fax: 479-452-6910 | |
Premise Health - Rheem Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 Old Greenwood Rd, Fort Smith, AR 72908 Phone: 479-242-4290 Fax: 479-242-4640 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |
Available Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 Rogers Ave, Suite 1, Fort Smith, AR 72903 Phone: 479-452-6362 Fax: 479-484-5652 |