| Mercy Clinic Oklahoma Communities | |
|
4300 W Memorial Rd Oklahoma City OK 73120-8304 | |
| (405) 752-3333 | |
| Not Available |
| Full Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Speciality | Family Medicine |
| Location | 4300 W Memorial Rd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Jesse R Campbell (PRESIDENT) |
| Authorized Official Contact | 4054868874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Oklahoma Communities 4300 W Memorial Rd Oklahoma City OK 73120-8304 Ph: () - | Mercy Clinic Oklahoma Communities 4300 W Memorial Rd Oklahoma City OK 73120-8304 Ph: (405) 752-3333 |
| NPI Number | 1386874550 |
|---|---|
| Provider Enumeration Date | 07/21/2009 |
| Last Update Date | 12/16/2020 |
| Medicare PECOS PAC ID | 1153468921 |
|---|---|
| Medicare Enrollment ID | O20091027000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386874550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | George M Strickland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831184480 PECOS PAC ID: 6709790785 Enrollment ID: I20031113000840 |
| Provider Name | Steven M Magness |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871553107 PECOS PAC ID: 1658275946 Enrollment ID: I20031119000802 |
| Provider Name | Brent C Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760440879 PECOS PAC ID: 3870497639 Enrollment ID: I20031122000127 |
| Provider Name | Timothy L Grode |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639164163 PECOS PAC ID: 1658277603 Enrollment ID: I20031210000499 |
| Provider Name | Joel S Sabangan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871520908 PECOS PAC ID: 6002713237 Enrollment ID: I20031216000819 |
| Provider Name | Mary H Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174581193 PECOS PAC ID: 5496657298 Enrollment ID: I20040122000819 |
| Provider Name | Rory C Dunham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255321063 PECOS PAC ID: 4789586330 Enrollment ID: I20040123000341 |
| Provider Name | Seyed M Alamian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427067628 PECOS PAC ID: 8921900101 Enrollment ID: I20040127000512 |
| Provider Name | Lori A Manning |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598863409 PECOS PAC ID: 3375436751 Enrollment ID: I20040209000145 |
| Provider Name | Rebecca Leah Manevitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639149644 PECOS PAC ID: 2062306152 Enrollment ID: I20040211000375 |
| Provider Name | Elizabeth Wickersham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992706048 PECOS PAC ID: 8224924337 Enrollment ID: I20040228000307 |
| Provider Name | Lyndon Drew Eldridge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174501613 PECOS PAC ID: 1355238767 Enrollment ID: I20040301001164 |
| Provider Name | Jonathan D Wilks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740385533 PECOS PAC ID: 8729976600 Enrollment ID: I20040310001133 |
| Provider Name | Rick Visor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487611570 PECOS PAC ID: 8527957174 Enrollment ID: I20040317000658 |
| Provider Name | Robert A Benson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962442954 PECOS PAC ID: 3577454560 Enrollment ID: I20040320000727 |
| Provider Name | Nancy Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316946361 PECOS PAC ID: 0648268441 Enrollment ID: I20040501000443 |
| Provider Name | Brian M Shockey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366404105 PECOS PAC ID: 2264413533 Enrollment ID: I20040525000526 |
| Provider Name | Jess F Armor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922059666 PECOS PAC ID: 9032190095 Enrollment ID: I20040526000304 |
| Provider Name | Justin Plaxico |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518996958 PECOS PAC ID: 8820079452 Enrollment ID: I20040528000222 |
| Provider Name | Juan Carlos Nalagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841259876 PECOS PAC ID: 1951385996 Enrollment ID: I20040616000941 |
| Provider Name | Glen Howard Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194710897 PECOS PAC ID: 5092791277 Enrollment ID: I20040628001124 |
| Provider Name | Thuan V Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144330218 PECOS PAC ID: 8123006863 Enrollment ID: I20040709000860 |
| Provider Name | Yunus A Moosa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548280464 PECOS PAC ID: 3072591494 Enrollment ID: I20040712001233 |
| Provider Name | Kevin L White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689696858 PECOS PAC ID: 0547159055 Enrollment ID: I20040713000009 |
| Provider Name | Sang H Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003802182 PECOS PAC ID: 3375521644 Enrollment ID: I20040713000023 |
| Provider Name | Mark G Miles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255335287 PECOS PAC ID: 3375522311 Enrollment ID: I20040714001241 |
| Provider Name | Edwin Cole |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801895776 PECOS PAC ID: 7618957689 Enrollment ID: I20040721000566 |
| Provider Name | Stacey D Knapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104826569 PECOS PAC ID: 6204800857 Enrollment ID: I20040820000565 |
| Provider Name | Michael Opong Kusi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336133024 PECOS PAC ID: 1355317603 Enrollment ID: I20040908000517 |
| Provider Name | Misty Hsieh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548204902 PECOS PAC ID: 4789652892 Enrollment ID: I20040916001351 |
| Provider Name | Geoffrey W Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720039100 PECOS PAC ID: 2668440975 Enrollment ID: I20040923000444 |
| Provider Name | Randall S Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578558672 PECOS PAC ID: 8123087913 Enrollment ID: I20041007000350 |
| Provider Name | Zane E Uhland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518962323 PECOS PAC ID: 9830158344 Enrollment ID: I20041008000653 |
| Provider Name | Herschel L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922047570 PECOS PAC ID: 1951362508 Enrollment ID: I20041026000917 |
| Provider Name | John M Bundy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821027210 PECOS PAC ID: 9436112133 Enrollment ID: I20041104000205 |
| Provider Name | Steven A Burner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538199450 PECOS PAC ID: 3173586880 Enrollment ID: I20041104000289 |
| Provider Name | Stanley D Corley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043247703 PECOS PAC ID: 5799748406 Enrollment ID: I20041104000313 |
| Provider Name | James Dixson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790729895 PECOS PAC ID: 4183534589 Enrollment ID: I20041105000391 |
| Provider Name | Jonathon M Knox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801823505 PECOS PAC ID: 3678536117 Enrollment ID: I20041105000795 |
| Provider Name | Nestor F Pinaroc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164468542 PECOS PAC ID: 6507829058 Enrollment ID: I20041105000866 |
| Provider Name | Marion K Studebaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306875729 PECOS PAC ID: 9638132194 Enrollment ID: I20041105000983 |
| Provider Name | Teddy E Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508890666 PECOS PAC ID: 3678536034 Enrollment ID: I20041105001017 |
| Provider Name | James Michael Fitzgerald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538155718 PECOS PAC ID: 7618930850 Enrollment ID: I20041108001270 |
| Provider Name | Brian J Seaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548228315 PECOS PAC ID: 0840254660 Enrollment ID: I20041112000106 |
| Provider Name | David A Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922065069 PECOS PAC ID: 5597729350 Enrollment ID: I20041112000326 |
| Provider Name | Astrid E Morrison |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356348171 PECOS PAC ID: 0345204939 Enrollment ID: I20041113000230 |
| Provider Name | Clinton Medbery |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609873421 PECOS PAC ID: 2860480019 Enrollment ID: I20041115000562 |
| Provider Name | Edward Leslie Barns |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922007988 PECOS PAC ID: 3971569872 Enrollment ID: I20041202000505 |
| Provider Name | Darrel L Stout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356362073 PECOS PAC ID: 8729044201 Enrollment ID: I20041207000127 |
| Provider Name | Alan B Hollingsworth |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457385510 PECOS PAC ID: 1153387477 Enrollment ID: I20041208000062 |
| Provider Name | Mitchell L Earley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235179003 PECOS PAC ID: 2365409802 Enrollment ID: I20041215000961 |
| Provider Name | Gary Bob Fraley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669410601 PECOS PAC ID: 4082524434 Enrollment ID: I20041216000660 |
| Provider Name | Gary Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376529511 PECOS PAC ID: 5698733277 Enrollment ID: I20041229000487 |
| Provider Name | Patrick M Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598748113 PECOS PAC ID: 4981653649 Enrollment ID: I20050124000665 |
| Provider Name | Grace M Ruidera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407886492 PECOS PAC ID: 6507846847 Enrollment ID: I20050125000000 |
| Provider Name | Darren W Goff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700858347 PECOS PAC ID: 7618927278 Enrollment ID: I20050203000072 |
| Provider Name | Patrick G Livingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881687200 PECOS PAC ID: 0941256069 Enrollment ID: I20050323000232 |
| Provider Name | Maroun M Tawk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255300927 PECOS PAC ID: 5698712784 Enrollment ID: I20050411000663 |
| Provider Name | Shawn C Schlinke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205868379 PECOS PAC ID: 9830137934 Enrollment ID: I20050419001506 |
| Provider Name | Beth M. May |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497743611 PECOS PAC ID: 2860449444 Enrollment ID: I20050509000619 |
| Provider Name | Barbara E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831124932 PECOS PAC ID: 4880634559 Enrollment ID: I20050517001024 |
| Provider Name | Steven K Sacket |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538196886 PECOS PAC ID: 3870540750 Enrollment ID: I20050526000069 |
| Provider Name | Jesse R Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982653721 PECOS PAC ID: 0446294292 Enrollment ID: I20050614000140 |
| Provider Name | Bettina G Veronneau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083663322 PECOS PAC ID: 5991749756 Enrollment ID: I20050614000221 |
| Provider Name | Greg E Halko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124114764 PECOS PAC ID: 4981631397 Enrollment ID: I20050718000593 |
| Provider Name | Kendall J Little |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891772307 PECOS PAC ID: 5294778452 Enrollment ID: I20050722000892 |
| Provider Name | Shawn K Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285733345 PECOS PAC ID: 2163451014 Enrollment ID: I20050810001001 |
| Provider Name | Robert G Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639180318 PECOS PAC ID: 4284679184 Enrollment ID: I20050827000025 |
| Provider Name | Amanda K Levine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699756775 PECOS PAC ID: 1951337930 Enrollment ID: I20050909000565 |
| Provider Name | Nolen Dale Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477515484 PECOS PAC ID: 8426085812 Enrollment ID: I20050921000282 |
| Provider Name | Kristin F Earley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306886106 PECOS PAC ID: 1456389063 Enrollment ID: I20051003000695 |
| Provider Name | Diane M Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932197183 PECOS PAC ID: 2062438757 Enrollment ID: I20051021000471 |
| Provider Name | Kori M Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760417851 PECOS PAC ID: 6800821430 Enrollment ID: I20051025000356 |
| Provider Name | Jeffrey Clayton Cumming |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023072261 PECOS PAC ID: 7618908302 Enrollment ID: I20051105000400 |
| Provider Name | Rachel D Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720040223 PECOS PAC ID: 3375574676 Enrollment ID: I20051107000273 |
| Provider Name | Frederick C Delafield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982708939 PECOS PAC ID: 2365465291 Enrollment ID: I20060106000247 |
| Provider Name | Karen M Ross |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265400170 PECOS PAC ID: 2668495367 Enrollment ID: I20060109000734 |
| Provider Name | Robert J Gunderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598748907 PECOS PAC ID: 7214926500 Enrollment ID: I20060117000761 |
| Provider Name | Devin Lynn Peery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295717866 PECOS PAC ID: 3678597457 Enrollment ID: I20060119000470 |
| Provider Name | George K Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205804424 PECOS PAC ID: 1759397128 Enrollment ID: I20060223000106 |
| Provider Name | John Fulton Tompkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306814439 PECOS PAC ID: 7911911060 Enrollment ID: I20060223000223 |
| Provider Name | Jeffrey Dixon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669463865 PECOS PAC ID: 4082680962 Enrollment ID: I20060301000447 |
| Provider Name | Craig Allen Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356332555 PECOS PAC ID: 0941219687 Enrollment ID: I20060407000445 |
| Provider Name | Thelma L Peery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871543330 PECOS PAC ID: 7517943582 Enrollment ID: I20060418000002 |
| Provider Name | Conrad C Caldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568423515 PECOS PAC ID: 3173535390 Enrollment ID: I20060706000288 |
| Provider Name | Colby D Mayo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154383297 PECOS PAC ID: 2062454770 Enrollment ID: I20060707000079 |
| Provider Name | Toribio C Velasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194779975 PECOS PAC ID: 7810900966 Enrollment ID: I20060713000324 |
| Provider Name | Marie H Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932139797 PECOS PAC ID: 8325041585 Enrollment ID: I20060809000188 |
| Provider Name | Jeffrey A Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356386528 PECOS PAC ID: 2668406935 Enrollment ID: I20060817000644 |
| Provider Name | Jignesh J Veragiwala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275567513 PECOS PAC ID: 2466455134 Enrollment ID: I20060911000641 |
| Provider Name | Sallie J Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306889878 PECOS PAC ID: 5092718908 Enrollment ID: I20060911000672 |
| Provider Name | Wei Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093829889 PECOS PAC ID: 9830194794 Enrollment ID: I20060927000286 |
| Provider Name | Christian M Ellis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205832607 PECOS PAC ID: 2264485770 Enrollment ID: I20060928000488 |
| Provider Name | Jeanie L Klabzuba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699719773 PECOS PAC ID: 4385665405 Enrollment ID: I20060929000110 |
| Provider Name | Jeffrey A Rother |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811951999 PECOS PAC ID: 0749287290 Enrollment ID: I20061026000280 |
| Provider Name | Mark E Dickson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134108715 PECOS PAC ID: 9739187170 Enrollment ID: I20061120000426 |
| Provider Name | Paul B Plowman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619923463 PECOS PAC ID: 4688671274 Enrollment ID: I20061212000331 |
| Provider Name | Sara E Suthers |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1619936184 PECOS PAC ID: 8729002639 Enrollment ID: I20061221000211 |
| Provider Name | Matthew S Dowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164457255 PECOS PAC ID: 9335149392 Enrollment ID: I20061222000277 |
| Provider Name | William Knight Gray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891786000 PECOS PAC ID: 6709852684 Enrollment ID: I20070108000088 |
| Provider Name | Stephen D Schlinke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801861166 PECOS PAC ID: 5193725489 Enrollment ID: I20070111000005 |
| Provider Name | Steven D Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831174507 PECOS PAC ID: 9032211867 Enrollment ID: I20070226000638 |
| Provider Name | David N Roberts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285799825 PECOS PAC ID: 1759486624 Enrollment ID: I20070420000511 |
| Provider Name | Tarek A Dernaika |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639220437 PECOS PAC ID: 0941307664 Enrollment ID: I20070515000131 |
| Provider Name | Jeffery R Pruitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497803860 PECOS PAC ID: 2668579277 Enrollment ID: I20070516000143 |
| Provider Name | Sachidanandan Naidu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104856160 PECOS PAC ID: 9931140266 Enrollment ID: I20070531000438 |
| Provider Name | Ruben L Sunga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972699627 PECOS PAC ID: 9638135304 Enrollment ID: I20070724000598 |
| Provider Name | Ousama Moammar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699981431 PECOS PAC ID: 1658462908 Enrollment ID: I20070801000374 |
| Provider Name | Debra A Riggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164454518 PECOS PAC ID: 7911098744 Enrollment ID: I20070809000056 |
| Provider Name | Jeffrey L Sabine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932131372 PECOS PAC ID: 5698775260 Enrollment ID: I20070809000077 |
| Provider Name | Abby R Bova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013058452 PECOS PAC ID: 3870686314 Enrollment ID: I20070829000718 |
| Provider Name | Brent Mefford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497774293 PECOS PAC ID: 4183630627 Enrollment ID: I20070904000259 |
| Provider Name | Carl Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427256619 PECOS PAC ID: 8426142878 Enrollment ID: I20070917000413 |
| Provider Name | Dereck A Peery |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164543203 PECOS PAC ID: 3375638844 Enrollment ID: I20070927001030 |
| Provider Name | Jeffrey G Reames |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528080793 PECOS PAC ID: 8022103563 Enrollment ID: I20070928000464 |
| Provider Name | Frederick A Dorroh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275511214 PECOS PAC ID: 6901825165 Enrollment ID: I20071012000575 |
| Provider Name | Visal Pok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457487217 PECOS PAC ID: 3072609122 Enrollment ID: I20071019000517 |
| Provider Name | Brendon D Mccollom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225256282 PECOS PAC ID: 1759478373 Enrollment ID: I20071030000138 |
| Provider Name | Fionnuala Gurley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932187606 PECOS PAC ID: 6103873294 Enrollment ID: I20071109000387 |
| Provider Name | Stephen N Adler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346349404 PECOS PAC ID: 4284723040 Enrollment ID: I20071130000425 |
| Provider Name | Kirby Douglas Slifer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073507422 PECOS PAC ID: 8022906452 Enrollment ID: I20071227000586 |
| Provider Name | Stephen A Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861534406 PECOS PAC ID: 4688754419 Enrollment ID: I20080107000610 |
| Provider Name | Erin K Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548360779 PECOS PAC ID: 1951482926 Enrollment ID: I20080116000041 |
| Provider Name | Rajesh Kanagala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659308435 PECOS PAC ID: 4789689837 Enrollment ID: I20080331000288 |
| Provider Name | Bobby J Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679595144 PECOS PAC ID: 2466417753 Enrollment ID: I20080401000912 |
| Provider Name | Mark F Kowalski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104822790 PECOS PAC ID: 2860561909 Enrollment ID: I20080515000536 |
| Provider Name | Jesse R Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285835447 PECOS PAC ID: 2860565058 Enrollment ID: I20080722000152 |
| Provider Name | Gary B Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952496259 PECOS PAC ID: 4486689825 Enrollment ID: I20080730000139 |
| Provider Name | John Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407949142 PECOS PAC ID: 2264467604 Enrollment ID: I20080730000369 |
| Provider Name | Deena Wise |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982683488 PECOS PAC ID: 7517031115 Enrollment ID: I20080730000687 |
| Provider Name | Patrick M Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598806663 PECOS PAC ID: 2860566114 Enrollment ID: I20080804000638 |
| Provider Name | Michael E Kiehn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366538902 PECOS PAC ID: 6406881846 Enrollment ID: I20080812000265 |
| Provider Name | Richard A Ruffin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750477568 PECOS PAC ID: 9335175983 Enrollment ID: I20080812000284 |
| Provider Name | David J Flesher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962598524 PECOS PAC ID: 5799711347 Enrollment ID: I20080812000355 |
| Provider Name | Robert R Farquharson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639287295 PECOS PAC ID: 9032190590 Enrollment ID: I20080819000312 |
| Provider Name | Jequita D Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255511309 PECOS PAC ID: 3476622267 Enrollment ID: I20080826000700 |
| Provider Name | Brian A Link |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023167798 PECOS PAC ID: 9537258199 Enrollment ID: I20080918000080 |
| Provider Name | David A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306039615 PECOS PAC ID: 2264500842 Enrollment ID: I20081009000264 |
| Provider Name | Imtiaz Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215108907 PECOS PAC ID: 1052479946 Enrollment ID: I20081021000881 |
| Provider Name | Terrill D Hulson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639136542 PECOS PAC ID: 1456456888 Enrollment ID: I20081024000608 |
| Provider Name | Hoi Y Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003027947 PECOS PAC ID: 0042370561 Enrollment ID: I20081113000498 |
| Provider Name | Tiffany R Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619124989 PECOS PAC ID: 5991868275 Enrollment ID: I20090113000385 |
| Provider Name | Cheryl H Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619147956 PECOS PAC ID: 2163586777 Enrollment ID: I20090127000254 |
| Provider Name | Mark A Hulsey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932142361 PECOS PAC ID: 3072694421 Enrollment ID: I20090202000579 |
| Provider Name | Darin K Stockton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689638652 PECOS PAC ID: 9931263068 Enrollment ID: I20090204000125 |
| Provider Name | Michael Olay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205801552 PECOS PAC ID: 8022113455 Enrollment ID: I20090205000316 |
| Provider Name | William Bondurant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669447371 PECOS PAC ID: 3476658808 Enrollment ID: I20090205000338 |
| Provider Name | Joseph A Jamison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497720114 PECOS PAC ID: 7113022542 Enrollment ID: I20090205000360 |
| Provider Name | Sabrina R Olay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164497780 PECOS PAC ID: 5294830626 Enrollment ID: I20090205000491 |
| Provider Name | Theodore M Ware |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417067794 PECOS PAC ID: 2365507613 Enrollment ID: I20090219000552 |
| Provider Name | Winston D Shipley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154393163 PECOS PAC ID: 2264415173 Enrollment ID: I20090303000304 |
| Provider Name | Wayne L Wasemiller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396717310 PECOS PAC ID: 5890778708 Enrollment ID: I20090303000318 |
| Provider Name | Michael A Tribbey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629040506 PECOS PAC ID: 6800879719 Enrollment ID: I20090303000331 |
| Provider Name | Heather A Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487891685 PECOS PAC ID: 3870659493 Enrollment ID: I20090306000143 |
| Provider Name | Stephen M Barr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487796199 PECOS PAC ID: 3375600752 Enrollment ID: I20090330000648 |
| Provider Name | Robert Lewis Cunningham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548461007 PECOS PAC ID: 4183799422 Enrollment ID: I20090422000472 |
| Provider Name | Stephen E Connery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184616070 PECOS PAC ID: 9335178052 Enrollment ID: I20090424000467 |
| Provider Name | Todd J Ramer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013142462 PECOS PAC ID: 8224188453 Enrollment ID: I20090610000324 |
| Provider Name | Carla D Kurkjian |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760534127 PECOS PAC ID: 9537219761 Enrollment ID: I20090610000385 |
| Provider Name | Jonathan Alan Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437363702 PECOS PAC ID: 9931286929 Enrollment ID: I20090728000205 |
| Provider Name | Dillon J Roach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508055690 PECOS PAC ID: 5698864635 Enrollment ID: I20090728000920 |
| Provider Name | Michael L Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821260209 PECOS PAC ID: 7214009455 Enrollment ID: I20090804000049 |
| Provider Name | Joseph C Buendia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134308737 PECOS PAC ID: 1557414554 Enrollment ID: I20090807000355 |
| Provider Name | Harold N Claver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053541821 PECOS PAC ID: 5597819276 Enrollment ID: I20090814000131 |
| Provider Name | Lisa Hoffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467593210 PECOS PAC ID: 9436203767 Enrollment ID: I20090820000300 |
| Provider Name | Divya Joykutty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336370113 PECOS PAC ID: 9133274087 Enrollment ID: I20090828000551 |
| Provider Name | David W Rader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255387999 PECOS PAC ID: 5597811497 Enrollment ID: I20090917000581 |
| Provider Name | Ryan Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801029657 PECOS PAC ID: 4688710502 Enrollment ID: I20091007000369 |
| Provider Name | Courtney W Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992938450 PECOS PAC ID: 1355488669 Enrollment ID: I20091019000535 |
| Provider Name | Kenna S Wenthold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598098717 PECOS PAC ID: 0042358657 Enrollment ID: I20091118000500 |
| Provider Name | Dawn C Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720189350 PECOS PAC ID: 5698813244 Enrollment ID: I20091119000138 |
| Provider Name | Craig L Reitz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881635852 PECOS PAC ID: 3870501174 Enrollment ID: I20091201000200 |
| Provider Name | Michael J Keefer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386697548 PECOS PAC ID: 0042228348 Enrollment ID: I20091201000257 |
| Provider Name | Michael S Elliott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770581803 PECOS PAC ID: 2365582103 Enrollment ID: I20091229000544 |
| Provider Name | Laurie A Orme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114925302 PECOS PAC ID: 4880734649 Enrollment ID: I20091229000670 |
| Provider Name | James E Reeves |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1821039892 PECOS PAC ID: 3779591086 Enrollment ID: I20100107000377 |
| Provider Name | Brooks Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306845367 PECOS PAC ID: 1153366950 Enrollment ID: I20100111000824 |
| Provider Name | Marc J Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194763060 PECOS PAC ID: 4284626417 Enrollment ID: I20100129000540 |
| Provider Name | William Randall Kakish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851300438 PECOS PAC ID: 9739146507 Enrollment ID: I20100330001370 |
| Provider Name | John Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306819917 PECOS PAC ID: 2769461466 Enrollment ID: I20100428000524 |
| Provider Name | Joe Carroll Zuerker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780693309 PECOS PAC ID: 7719930106 Enrollment ID: I20100428000961 |
| Provider Name | Mark E Melton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801854617 PECOS PAC ID: 1850380668 Enrollment ID: I20100503000408 |
| Provider Name | Vijay Nirmal Prabhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982616538 PECOS PAC ID: 9335276203 Enrollment ID: I20100503000782 |
| Provider Name | Michael D Gotcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306021571 PECOS PAC ID: 7012045255 Enrollment ID: I20100510000649 |
| Provider Name | David K Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265626352 PECOS PAC ID: 5890823876 Enrollment ID: I20100512000696 |
| Provider Name | Alexia S Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497825160 PECOS PAC ID: 8224039201 Enrollment ID: I20100524000032 |
| Provider Name | Barbara G Stephen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376869859 PECOS PAC ID: 5193854081 Enrollment ID: I20100602000990 |
| Provider Name | Stacie E Rougas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194793430 PECOS PAC ID: 9234260092 Enrollment ID: I20100623000688 |
| Provider Name | Dustan P Buckley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730171794 PECOS PAC ID: 3375674336 Enrollment ID: I20100708000576 |
| Provider Name | Mansoor Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700078797 PECOS PAC ID: 1951433895 Enrollment ID: I20100713000315 |
| Provider Name | Carol L Enkoji |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922007715 PECOS PAC ID: 4587796263 Enrollment ID: I20100715000422 |
| Provider Name | Chad M Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578604989 PECOS PAC ID: 5890827265 Enrollment ID: I20100720001023 |
| Provider Name | Thaddeus A Carnine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821190174 PECOS PAC ID: 4981737400 Enrollment ID: I20100804001086 |
| Provider Name | Erin Collette Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306074331 PECOS PAC ID: 2264586494 Enrollment ID: I20100810000946 |
| Provider Name | Branson R Kester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134260201 PECOS PAC ID: 6204960735 Enrollment ID: I20100818001255 |
| Provider Name | Heather Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417949744 PECOS PAC ID: 0244364602 Enrollment ID: I20100820000297 |
| Provider Name | Leanne R Dias Da Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689879355 PECOS PAC ID: 8123152501 Enrollment ID: I20100820000498 |
| Provider Name | Thomas H Merrill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760474605 PECOS PAC ID: 4082641675 Enrollment ID: I20100823000095 |
| Provider Name | Lydia R Ballard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760483457 PECOS PAC ID: 2264461987 Enrollment ID: I20100823000140 |
| Provider Name | Christian C Sieck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811989619 PECOS PAC ID: 1456380179 Enrollment ID: I20100823000206 |
| Provider Name | John Michael Krodel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225020035 PECOS PAC ID: 6507895224 Enrollment ID: I20100901000315 |
| Provider Name | Charles H Mitchell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356341721 PECOS PAC ID: 8123142601 Enrollment ID: I20100907000237 |
| Provider Name | Bryan Roehl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720248164 PECOS PAC ID: 5294927208 Enrollment ID: I20101008000886 |
| Provider Name | Paul L Plusquellec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295727089 PECOS PAC ID: 1557390275 Enrollment ID: I20101018000092 |
| Provider Name | Stephen G Lindsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700887494 PECOS PAC ID: 7719965110 Enrollment ID: I20101019000236 |
| Provider Name | Brian Zimmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447589056 PECOS PAC ID: 5799978904 Enrollment ID: I20101020001050 |
| Provider Name | Weidong Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831351287 PECOS PAC ID: 5395939052 Enrollment ID: I20101027000641 |
| Provider Name | Lauren C Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013172683 PECOS PAC ID: 6901090240 Enrollment ID: I20101101001071 |
| Provider Name | Ralph Kanaan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942493747 PECOS PAC ID: 9739373564 Enrollment ID: I20101104001585 |
| Provider Name | John Warren Seagraves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811208622 PECOS PAC ID: 7719172881 Enrollment ID: I20101115000846 |
| Provider Name | Eduardo Adonias De Sousa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992819700 PECOS PAC ID: 9133124969 Enrollment ID: I20101202000641 |
| Provider Name | Steven E Saltiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841501376 PECOS PAC ID: 1153323043 Enrollment ID: I20101208001198 |
| Provider Name | Richard B Evans |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881707602 PECOS PAC ID: 4082678818 Enrollment ID: I20101215001135 |
| Provider Name | Hafida R Mumallah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225283096 PECOS PAC ID: 3779772736 Enrollment ID: I20110106001056 |
| Provider Name | Arek Kurkciyan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609036839 PECOS PAC ID: 4183813694 Enrollment ID: I20110114000570 |
| Provider Name | Lanese M Cummings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649349887 PECOS PAC ID: 1254520646 Enrollment ID: I20110118000207 |
| Provider Name | Muneer A Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073504684 PECOS PAC ID: 7214968833 Enrollment ID: I20110121000467 |
| Provider Name | Dennis R Whitehouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306956156 PECOS PAC ID: 1153353743 Enrollment ID: I20110126001073 |
| Provider Name | David W Seitsinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568492577 PECOS PAC ID: 2860672755 Enrollment ID: I20110209001106 |
| Provider Name | Mandie M Works |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851525562 PECOS PAC ID: 9032391545 Enrollment ID: I20110304000290 |
| Provider Name | David S Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740377027 PECOS PAC ID: 4981886736 Enrollment ID: I20110315000788 |
| Provider Name | John A Koontz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881666071 PECOS PAC ID: 4587746987 Enrollment ID: I20110330000810 |
| Provider Name | Robert J Tyndall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225066830 PECOS PAC ID: 3870599392 Enrollment ID: I20110330000956 |
| Provider Name | Roger Enos Smith |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356361380 PECOS PAC ID: 0042298580 Enrollment ID: I20110331000079 |
| Provider Name | Kyle C Wooderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508095977 PECOS PAC ID: 1951585769 Enrollment ID: I20110401000614 |
| Provider Name | Allison L Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235457938 PECOS PAC ID: 2668657057 Enrollment ID: I20110504000510 |
| Provider Name | Timothy C Hoekstra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902862600 PECOS PAC ID: 0244295707 Enrollment ID: I20110505000278 |
| Provider Name | Alice J Mankin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104086321 PECOS PAC ID: 8921284563 Enrollment ID: I20110517000409 |
| Provider Name | Robert L Waddell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750485058 PECOS PAC ID: 9931386083 Enrollment ID: I20110527000145 |
| Provider Name | Akshey Bhanot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437189198 PECOS PAC ID: 1658397351 Enrollment ID: I20110615000479 |
| Provider Name | Robin R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891020889 PECOS PAC ID: 5193856334 Enrollment ID: I20110808000775 |
| Provider Name | Erin E Corbin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861652406 PECOS PAC ID: 0446421085 Enrollment ID: I20110912000621 |
| Provider Name | Robert D Crane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033344437 PECOS PAC ID: 5890966352 Enrollment ID: I20110914000495 |
| Provider Name | Joshua R Payne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912167966 PECOS PAC ID: 5294874129 Enrollment ID: I20110919000573 |
| Provider Name | Lindsay Davault |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750421251 PECOS PAC ID: 2961674536 Enrollment ID: I20111004000802 |
| Provider Name | Rise Lynne Kester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063637130 PECOS PAC ID: 2769654235 Enrollment ID: I20111005000060 |
| Provider Name | Craig M Couvillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235399403 PECOS PAC ID: 0143492017 Enrollment ID: I20111019000360 |
| Provider Name | Cherian A Karunapuzha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881896397 PECOS PAC ID: 0446422281 Enrollment ID: I20111020000346 |
| Provider Name | Chad L Garmany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407019219 PECOS PAC ID: 3971775735 Enrollment ID: I20111020000672 |
| Provider Name | Justin Fields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003013723 PECOS PAC ID: 7214100726 Enrollment ID: I20111028000178 |
| Provider Name | Richard O Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366604464 PECOS PAC ID: 6901079425 Enrollment ID: I20111028000370 |
| Provider Name | Savannah D Stumph |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225293012 PECOS PAC ID: 5698948115 Enrollment ID: I20111028000415 |
| Provider Name | Mark Godish |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689632937 PECOS PAC ID: 1850491549 Enrollment ID: I20111102000198 |
| Provider Name | Luann Evert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659536530 PECOS PAC ID: 0143494088 Enrollment ID: I20111110000887 |
| Provider Name | Lindsay A Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306133541 PECOS PAC ID: 7214101096 Enrollment ID: I20111111000535 |
| Provider Name | Steven P Brantley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124239413 PECOS PAC ID: 6002080819 Enrollment ID: I20111114000030 |
| Provider Name | Lauren K Garabelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487883633 PECOS PAC ID: 5597810531 Enrollment ID: I20111117000111 |
| Provider Name | Colby Lee Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114093655 PECOS PAC ID: 6305010802 Enrollment ID: I20111118000350 |
| Provider Name | Samuel Bieligk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982618112 PECOS PAC ID: 2567423999 Enrollment ID: I20111122000435 |
| Provider Name | Carrie D Geurts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124284559 PECOS PAC ID: 5799950911 Enrollment ID: I20111215000738 |
| Provider Name | Samantha L Whiteside |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871819615 PECOS PAC ID: 4284800913 Enrollment ID: I20111230000480 |
| Provider Name | Summer A Kirby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376703595 PECOS PAC ID: 2264699412 Enrollment ID: I20120131000632 |
| Provider Name | John Harkess |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366496218 PECOS PAC ID: 6800064932 Enrollment ID: I20120224000117 |
| Provider Name | Jeremy A Davis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013038371 PECOS PAC ID: 7214197193 Enrollment ID: I20120330000134 |
| Provider Name | James Kirk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073567921 PECOS PAC ID: 5698935302 Enrollment ID: I20120404000418 |
| Provider Name | Valerie Nicole Jolly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780724260 PECOS PAC ID: 4789716945 Enrollment ID: I20120406000409 |
| Provider Name | Sophia Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285606491 PECOS PAC ID: 0244284396 Enrollment ID: I20120410000312 |
| Provider Name | Keith Kurt Fischborn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023334067 PECOS PAC ID: 4587825740 Enrollment ID: I20120416000085 |
| Provider Name | Korby A Pogue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154647386 PECOS PAC ID: 4981865847 Enrollment ID: I20120419000794 |
| Provider Name | Michael Duane Plinsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205096880 PECOS PAC ID: 4284895186 Enrollment ID: I20120420000352 |
| Provider Name | Soisangvane Wingard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922370899 PECOS PAC ID: 6507020989 Enrollment ID: I20120614000793 |
| Provider Name | Veronica L Zollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306155148 PECOS PAC ID: 1254596505 Enrollment ID: I20120711000544 |
| Provider Name | Jessica Cunningham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144494576 PECOS PAC ID: 5395901862 Enrollment ID: I20120727000311 |
| Provider Name | Benjamin I Panter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154527992 PECOS PAC ID: 2466618897 Enrollment ID: I20120730000216 |
| Provider Name | Erica Dawn Dearman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497989248 PECOS PAC ID: 7517123987 Enrollment ID: I20120730000729 |
| Provider Name | Leslie P Warcup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598039455 PECOS PAC ID: 1557517828 Enrollment ID: I20120802000429 |
| Provider Name | Christopher L Thompson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740321447 PECOS PAC ID: 3476677360 Enrollment ID: I20120809000189 |
| Provider Name | Mohammad Razaq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710900337 PECOS PAC ID: 7012955578 Enrollment ID: I20120814000672 |
| Provider Name | Joel Mark Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689876435 PECOS PAC ID: 6800042417 Enrollment ID: I20120815000330 |
| Provider Name | Kayci D Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609006428 PECOS PAC ID: 9032367495 Enrollment ID: I20120911000081 |
| Provider Name | Girish J Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013146398 PECOS PAC ID: 3476701731 Enrollment ID: I20120912000471 |
| Provider Name | Randall Lawrence Henderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225393275 PECOS PAC ID: 3577711746 Enrollment ID: I20120912000716 |
| Provider Name | Shehzad Bandhani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295005072 PECOS PAC ID: 1557519279 Enrollment ID: I20120920000753 |
| Provider Name | Steffan Libarnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326376773 PECOS PAC ID: 6204085673 Enrollment ID: I20120927000843 |
| Provider Name | Nagib Toubia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861601288 PECOS PAC ID: 3375698392 Enrollment ID: I20121019000098 |
| Provider Name | David Eugene Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457586885 PECOS PAC ID: 7214189562 Enrollment ID: I20121212000478 |
| Provider Name | Yader Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437383825 PECOS PAC ID: 2062666225 Enrollment ID: I20130218000165 |
| Provider Name | Sarah Courtney Knife Chief |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043359805 PECOS PAC ID: 4789873647 Enrollment ID: I20130218000251 |
| Provider Name | Melinda A Snelson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083781066 PECOS PAC ID: 1850461831 Enrollment ID: I20130307000477 |
| Provider Name | Molly Ann Mayfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407106727 PECOS PAC ID: 3274778410 Enrollment ID: I20130318000386 |
| Provider Name | Jeffrey Craig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053594655 PECOS PAC ID: 5395898258 Enrollment ID: I20130508000382 |
| Provider Name | Stephanie R Mowdy |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316178262 PECOS PAC ID: 4789821760 Enrollment ID: I20130510000417 |
| Provider Name | Garrett Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083906143 PECOS PAC ID: 1850530973 Enrollment ID: I20130621000488 |
| Provider Name | Jason L Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679603153 PECOS PAC ID: 8921043019 Enrollment ID: I20130626000621 |
| Provider Name | Jaime M Baum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649582966 PECOS PAC ID: 7517142748 Enrollment ID: I20130701000017 |
| Provider Name | Shawn Ellis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851551790 PECOS PAC ID: 6709026826 Enrollment ID: I20130712000091 |
| Provider Name | Jeffrey P Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790009736 PECOS PAC ID: 5395986442 Enrollment ID: I20130801000198 |
| Provider Name | Eric Avery Reddick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225354012 PECOS PAC ID: 2668613639 Enrollment ID: I20130802000589 |
| Provider Name | Jesse Samuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902120934 PECOS PAC ID: 3779725395 Enrollment ID: I20130812000353 |
| Provider Name | Geetika M Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487967717 PECOS PAC ID: 4284876525 Enrollment ID: I20130815000403 |
| Provider Name | Anthony Vaughn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326273905 PECOS PAC ID: 3072755362 Enrollment ID: I20130816000087 |
| Provider Name | Sonia John Varghese |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396065405 PECOS PAC ID: 1759523988 Enrollment ID: I20130816000679 |
| Provider Name | Gerald English |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205157989 PECOS PAC ID: 8527217611 Enrollment ID: I20130820000855 |
| Provider Name | Arthur Beacham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144474362 PECOS PAC ID: 7416190319 Enrollment ID: I20130824000210 |
| Provider Name | Hunter D Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003256397 PECOS PAC ID: 6608019021 Enrollment ID: I20130903000640 |
| Provider Name | Ashley Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366761173 PECOS PAC ID: 7214171487 Enrollment ID: I20130910000742 |
| Provider Name | William W Stewart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477759785 PECOS PAC ID: 4587812102 Enrollment ID: I20130911000716 |
| Provider Name | Travis C Garrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700105236 PECOS PAC ID: 5698919983 Enrollment ID: I20130927000011 |
| Provider Name | Elizabeth A Hooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255587598 PECOS PAC ID: 7315194065 Enrollment ID: I20130927000087 |
| Provider Name | Michelle Deann Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134449150 PECOS PAC ID: 7113151200 Enrollment ID: I20131003000053 |
| Provider Name | Brandon S Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497071609 PECOS PAC ID: 2567696487 Enrollment ID: I20131009000417 |
| Provider Name | Nathaniel Stetson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194930727 PECOS PAC ID: 3274768361 Enrollment ID: I20131025000976 |
| Provider Name | Meghan A Shayhorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578786646 PECOS PAC ID: 6507044682 Enrollment ID: I20131112000449 |
| Provider Name | Ariel E Lufkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427369958 PECOS PAC ID: 3971743972 Enrollment ID: I20131112000591 |
| Provider Name | Jennifer M Damitsian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609939255 PECOS PAC ID: 7113193335 Enrollment ID: I20131203001781 |
| Provider Name | Syed S Anwer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689720443 PECOS PAC ID: 2860582525 Enrollment ID: I20131218000588 |
| Provider Name | Rebecca K Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851732036 PECOS PAC ID: 3577790252 Enrollment ID: I20131231000078 |
| Provider Name | Andrew M Eaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922449289 PECOS PAC ID: 0648404715 Enrollment ID: I20140129001341 |
| Provider Name | Ali Tipu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518218304 PECOS PAC ID: 2264675925 Enrollment ID: I20140217000601 |
| Provider Name | Ryan J Lynch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679914915 PECOS PAC ID: 0547490153 Enrollment ID: I20140227000713 |
| Provider Name | Kellie L Rohwer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033530266 PECOS PAC ID: 0840421723 Enrollment ID: I20140317001808 |
| Provider Name | Elizabeth Anne Magann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912332099 PECOS PAC ID: 4183855471 Enrollment ID: I20140331001043 |
| Provider Name | Nadia Sky Iovettz-tereshchenko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801082482 PECOS PAC ID: 3870661408 Enrollment ID: I20140410000971 |
| Provider Name | Luis H Vigil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750302873 PECOS PAC ID: 2567565336 Enrollment ID: I20140425000725 |
| Provider Name | Julie Marie Hinchey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992131791 PECOS PAC ID: 9931332665 Enrollment ID: I20140505001821 |
| Provider Name | Rhonda Mose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023433901 PECOS PAC ID: 1850514183 Enrollment ID: I20140514000739 |
| Provider Name | Derek Knotts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235497363 PECOS PAC ID: 2769605013 Enrollment ID: I20140514001121 |
| Provider Name | Jay M Stanley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184808677 PECOS PAC ID: 8224160197 Enrollment ID: I20140519001694 |
| Provider Name | Aaron Farrow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376864439 PECOS PAC ID: 9436373990 Enrollment ID: I20140624001696 |
| Provider Name | Michelle Talkington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700225638 PECOS PAC ID: 3375768542 Enrollment ID: I20140701001733 |
| Provider Name | Tyler Alan Webb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770718108 PECOS PAC ID: 4880819713 Enrollment ID: I20140708001951 |
| Provider Name | Tina Marie Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881935476 PECOS PAC ID: 3375680903 Enrollment ID: I20140711002050 |
| Provider Name | Kimberly C Hummer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881829455 PECOS PAC ID: 7719103324 Enrollment ID: I20140716002010 |
| Provider Name | Tony H Tran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487829362 PECOS PAC ID: 0648496299 Enrollment ID: I20140717000974 |
| Provider Name | John L Glomset |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043400641 PECOS PAC ID: 7315163698 Enrollment ID: I20140722001832 |
| Provider Name | Bryan Vanzandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003132978 PECOS PAC ID: 5991945487 Enrollment ID: I20140725001702 |
| Provider Name | Anas Alsadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881841013 PECOS PAC ID: 5890912703 Enrollment ID: I20140815001036 |
| Provider Name | Joel Jason Kraft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629365572 PECOS PAC ID: 7911125679 Enrollment ID: I20140822000234 |
| Provider Name | Michelle Lynn Brunnabend |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992006886 PECOS PAC ID: 6709004344 Enrollment ID: I20140825000302 |
| Provider Name | Sylvia Susana Gray |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1558552737 PECOS PAC ID: 0345468740 Enrollment ID: I20140827000492 |
| Provider Name | Leslie T Yonemoto |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336235456 PECOS PAC ID: 4880730282 Enrollment ID: I20140827001087 |
| Provider Name | Amanda Oblander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114330099 PECOS PAC ID: 3971721309 Enrollment ID: I20140827001343 |
| Provider Name | Jonathan Capelle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982863254 PECOS PAC ID: 2860627205 Enrollment ID: I20140829000610 |
| Provider Name | Daniel Pascucci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801089073 PECOS PAC ID: 2163654732 Enrollment ID: I20140903001600 |
| Provider Name | Debra Perdue |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962776401 PECOS PAC ID: 6002034089 Enrollment ID: I20140904002192 |
| Provider Name | Burt Bromberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124135454 PECOS PAC ID: 3476593047 Enrollment ID: I20140916000734 |
| Provider Name | Faustino Mires Kazenske |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982978748 PECOS PAC ID: 1557503760 Enrollment ID: I20140923000684 |
| Provider Name | Celeste Boeckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083903728 PECOS PAC ID: 8224258231 Enrollment ID: I20140925000654 |
| Provider Name | Michelle L Stapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619381902 PECOS PAC ID: 8325268675 Enrollment ID: I20141008001595 |
| Provider Name | Ashley R Smalling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467860189 PECOS PAC ID: 0042430191 Enrollment ID: I20141013001756 |
| Provider Name | Adam Michael Savage |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013150481 PECOS PAC ID: 8022239094 Enrollment ID: I20141016002517 |
| Provider Name | Sara E King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275962102 PECOS PAC ID: 5395973259 Enrollment ID: I20141024001683 |
| Provider Name | Janson Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912333493 PECOS PAC ID: 6305068206 Enrollment ID: I20141110000574 |
| Provider Name | Corinna A Irwin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902049141 PECOS PAC ID: 5890017669 Enrollment ID: I20141205000264 |
| Provider Name | Hokehe E Effiong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811208945 PECOS PAC ID: 9032431499 Enrollment ID: I20141215000593 |
| Provider Name | Tina R Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821413501 PECOS PAC ID: 6103149356 Enrollment ID: I20141219001829 |
| Provider Name | Timothy D Herrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710321765 PECOS PAC ID: 9830412915 Enrollment ID: I20141222000615 |
| Provider Name | Christopher H May |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699942482 PECOS PAC ID: 2668606229 Enrollment ID: I20141230000414 |
| Provider Name | Megan Spradlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609292523 PECOS PAC ID: 8729302229 Enrollment ID: I20150109000680 |
| Provider Name | Bethany Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366848798 PECOS PAC ID: 1658695101 Enrollment ID: I20150112000458 |
| Provider Name | Laura B Stucki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366864373 PECOS PAC ID: 1759605132 Enrollment ID: I20150112002070 |
| Provider Name | Amy N Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316190929 PECOS PAC ID: 5496070203 Enrollment ID: I20150218001467 |
| Provider Name | Jennifer J Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922406859 PECOS PAC ID: 1355667999 Enrollment ID: I20150226000624 |
| Provider Name | John Palmer Weddle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972582237 PECOS PAC ID: 3173572823 Enrollment ID: I20150312000729 |
| Provider Name | Lisa J Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912395898 PECOS PAC ID: 0648596478 Enrollment ID: I20150313000160 |
| Provider Name | Anna E Cottle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851691059 PECOS PAC ID: 7517284334 Enrollment ID: I20150316001230 |
| Provider Name | Bradden R Pyron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447363338 PECOS PAC ID: 5597903666 Enrollment ID: I20150416000888 |
| Provider Name | Venkatasubbaraya Chowdary Achanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780693648 PECOS PAC ID: 2163423047 Enrollment ID: I20150507001186 |
| Provider Name | Kathryn Haag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811382187 PECOS PAC ID: 4082934872 Enrollment ID: I20150519000727 |
| Provider Name | Lara Eileen Shirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376946889 PECOS PAC ID: 8426378787 Enrollment ID: I20150528000412 |
| Provider Name | Herbert B Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841266731 PECOS PAC ID: 7416997614 Enrollment ID: I20150615001060 |
| Provider Name | Kristin Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023378650 PECOS PAC ID: 1052622180 Enrollment ID: I20150616002583 |
| Provider Name | Kathryn Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235428418 PECOS PAC ID: 8224349162 Enrollment ID: I20150619000175 |
| Provider Name | Abie John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124113469 PECOS PAC ID: 2860670346 Enrollment ID: I20150619000407 |
| Provider Name | Tung Minh Ba Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598027377 PECOS PAC ID: 7113238718 Enrollment ID: I20150624000279 |
| Provider Name | Viral Doshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164654117 PECOS PAC ID: 7911218524 Enrollment ID: I20150624000630 |
| Provider Name | Holly J Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235468679 PECOS PAC ID: 3779615257 Enrollment ID: I20150701002022 |
| Provider Name | Michelle L Ellenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316327661 PECOS PAC ID: 1951613835 Enrollment ID: I20150707000971 |
| Provider Name | Susan E White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811258502 PECOS PAC ID: 1658684881 Enrollment ID: I20150717000372 |
| Provider Name | Margo Shultes Von Schlageter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255422549 PECOS PAC ID: 8628381472 Enrollment ID: I20150722004829 |
| Provider Name | Edward Jamelarin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104024900 PECOS PAC ID: 4688737927 Enrollment ID: I20150723006704 |
| Provider Name | Priscila Moores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639585045 PECOS PAC ID: 6305150996 Enrollment ID: I20150727000976 |
| Provider Name | James M Jang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457606055 PECOS PAC ID: 6507081163 Enrollment ID: I20150729009203 |
| Provider Name | Andre Fredieu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578543260 PECOS PAC ID: 4587550017 Enrollment ID: I20150807013251 |
| Provider Name | Camille Catherine Jackson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700046943 PECOS PAC ID: 7113232711 Enrollment ID: I20150811005343 |
| Provider Name | Lauren Katherine Dubberstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689055600 PECOS PAC ID: 0648585042 Enrollment ID: I20150813011618 |
| Provider Name | Sydney E Haggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013263136 PECOS PAC ID: 5799090197 Enrollment ID: I20150813011744 |
| Provider Name | Paul B Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891853354 PECOS PAC ID: 7719070614 Enrollment ID: I20150818003917 |
| Provider Name | Michael P Giovan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427077064 PECOS PAC ID: 5799721197 Enrollment ID: I20150825004503 |
| Provider Name | Christian W Mangrum |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568789675 PECOS PAC ID: 1658503123 Enrollment ID: I20150828001804 |
| Provider Name | Stephanie D Pickett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255592952 PECOS PAC ID: 1355657362 Enrollment ID: I20150904000429 |
| Provider Name | John Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811255268 PECOS PAC ID: 7416264866 Enrollment ID: I20150916003114 |
| Provider Name | Kevin Kierl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992148407 PECOS PAC ID: 6103133640 Enrollment ID: I20150921000368 |
| Provider Name | David Edward Abernethy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811194749 PECOS PAC ID: 9335272954 Enrollment ID: I20150921001137 |
| Provider Name | Thara R Damodaran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265455604 PECOS PAC ID: 9133125917 Enrollment ID: I20150924001243 |
| Provider Name | Kristin Ruth Laizure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699031559 PECOS PAC ID: 7517275977 Enrollment ID: I20151005000921 |
| Provider Name | Carmon R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649656125 PECOS PAC ID: 1850609272 Enrollment ID: I20151006000164 |
| Provider Name | Anthony L Umoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891190492 PECOS PAC ID: 1759699960 Enrollment ID: I20151007001438 |
| Provider Name | Gayla A Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699151142 PECOS PAC ID: 2961710108 Enrollment ID: I20151007002527 |
| Provider Name | Amber Erben |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1760894695 PECOS PAC ID: 3678882131 Enrollment ID: I20151023000156 |
| Provider Name | Benjamin David Lynch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265775738 PECOS PAC ID: 6709195159 Enrollment ID: I20151026001040 |
| Provider Name | Elizabeth M Nolan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831319938 PECOS PAC ID: 7810183670 Enrollment ID: I20151109002423 |
| Provider Name | Mallory E Tagge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548636293 PECOS PAC ID: 4587974837 Enrollment ID: I20151117001195 |
| Provider Name | Stacy A Weible-torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891005823 PECOS PAC ID: 8426358789 Enrollment ID: I20151118002892 |
| Provider Name | Jennifer N Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356613004 PECOS PAC ID: 5890095624 Enrollment ID: I20151201001856 |
| Provider Name | Cody J Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558781773 PECOS PAC ID: 5597066910 Enrollment ID: I20151209000421 |
| Provider Name | Nicole Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295108751 PECOS PAC ID: 4981905312 Enrollment ID: I20151209000720 |
| Provider Name | Sheila Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538539374 PECOS PAC ID: 6507167756 Enrollment ID: I20151214001126 |
| Provider Name | Jahannah Harper Jamelarin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538393137 PECOS PAC ID: 2567600026 Enrollment ID: I20151214002691 |
| Provider Name | Breanna L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053619254 PECOS PAC ID: 9335441856 Enrollment ID: I20151230000690 |
| Provider Name | Angela Y Atterberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902273907 PECOS PAC ID: 8022310119 Enrollment ID: I20160106001747 |
| Provider Name | Holly Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275974719 PECOS PAC ID: 3476779182 Enrollment ID: I20160107002419 |
| Provider Name | Sanjay K Sikka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528295698 PECOS PAC ID: 1951371756 Enrollment ID: I20160130000007 |
| Provider Name | Kristina Nichole Hester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609133180 PECOS PAC ID: 7911201330 Enrollment ID: I20160205000327 |
| Provider Name | Karyn Koller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144514142 PECOS PAC ID: 3577867886 Enrollment ID: I20160208000436 |
| Provider Name | Timothy Jones |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063424331 PECOS PAC ID: 1456304666 Enrollment ID: I20160208001786 |
| Provider Name | Kerri Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629435847 PECOS PAC ID: 5395040232 Enrollment ID: I20160301002010 |
| Provider Name | Derek T Landis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487854642 PECOS PAC ID: 8022314962 Enrollment ID: I20160302002447 |
| Provider Name | Michael Neil Talkington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386003564 PECOS PAC ID: 3072810308 Enrollment ID: I20160331000145 |
| Provider Name | Robin Rae Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083071906 PECOS PAC ID: 5092012369 Enrollment ID: I20160331001434 |
| Provider Name | Pamela Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568820587 PECOS PAC ID: 1456658574 Enrollment ID: I20160404001847 |
| Provider Name | Tracye M Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073995999 PECOS PAC ID: 8921306598 Enrollment ID: I20160414001233 |
| Provider Name | Ernest Henry Sutton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609130327 PECOS PAC ID: 0749599884 Enrollment ID: I20160427000071 |
| Provider Name | Kristin C Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306130547 PECOS PAC ID: 8224356514 Enrollment ID: I20160510001873 |
| Provider Name | Jimmy Argo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033404892 PECOS PAC ID: 0941591150 Enrollment ID: I20160620000159 |
| Provider Name | Zachary M Hurwitz |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1740487826 PECOS PAC ID: 3375835887 Enrollment ID: I20160701000457 |
| Provider Name | Jane A. Detrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992149389 PECOS PAC ID: 2062704331 Enrollment ID: I20160706001860 |
| Provider Name | Ryan Gotcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740621291 PECOS PAC ID: 1153542105 Enrollment ID: I20160706002302 |
| Provider Name | Casey L Cochran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821433681 PECOS PAC ID: 5991097693 Enrollment ID: I20160715000559 |
| Provider Name | Amanda Rene' Titus |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750675971 PECOS PAC ID: 7911208871 Enrollment ID: I20160722000162 |
| Provider Name | Matthew B Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861753287 PECOS PAC ID: 4880818715 Enrollment ID: I20160726000779 |
| Provider Name | Manya Somiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770828758 PECOS PAC ID: 6507167160 Enrollment ID: I20160726002803 |
| Provider Name | Tyrone H Philipson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407288756 PECOS PAC ID: 3274840582 Enrollment ID: I20160728002541 |
| Provider Name | Wesley A Vaughan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609137330 PECOS PAC ID: 1850690975 Enrollment ID: I20160729001233 |
| Provider Name | John Cloud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902274749 PECOS PAC ID: 5496048209 Enrollment ID: I20160801000628 |
| Provider Name | Penni Cartlidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740644970 PECOS PAC ID: 0840583654 Enrollment ID: I20160801000647 |
| Provider Name | Sandeep Shrestha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063767051 PECOS PAC ID: 7810290376 Enrollment ID: I20160801001491 |
| Provider Name | Michael Cody Curry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144515016 PECOS PAC ID: 8325332117 Enrollment ID: I20160802000709 |
| Provider Name | Jami Willene Grantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992155386 PECOS PAC ID: 8123312717 Enrollment ID: I20160804000729 |
| Provider Name | Jimmy Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649653833 PECOS PAC ID: 4981909462 Enrollment ID: I20160809000605 |
| Provider Name | Brooke A Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184077273 PECOS PAC ID: 8325332406 Enrollment ID: I20160812000299 |
| Provider Name | Daniel R Dorton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013323815 PECOS PAC ID: 0648560128 Enrollment ID: I20160826000301 |
| Provider Name | Claudette Green Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174895585 PECOS PAC ID: 9335309996 Enrollment ID: I20160901001133 |
| Provider Name | Jaime D Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629429386 PECOS PAC ID: 0648566430 Enrollment ID: I20160902000645 |
| Provider Name | Kent A. French |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619262052 PECOS PAC ID: 4284920976 Enrollment ID: I20160906002348 |
| Provider Name | Imari E Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003182718 PECOS PAC ID: 3072809433 Enrollment ID: I20160912000052 |
| Provider Name | Omar Baber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457799850 PECOS PAC ID: 4183910409 Enrollment ID: I20160912002428 |
| Provider Name | Vincent Olorunnisomo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396064176 PECOS PAC ID: 6406142769 Enrollment ID: I20160913000976 |
| Provider Name | Rhonda M Mould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154775583 PECOS PAC ID: 9133416423 Enrollment ID: I20160930000509 |
| Provider Name | Courtney L Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487052999 PECOS PAC ID: 2961790191 Enrollment ID: I20161004001278 |
| Provider Name | Jamie Spence |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861845190 PECOS PAC ID: 8426346180 Enrollment ID: I20161012001082 |
| Provider Name | Christina E Meier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609249671 PECOS PAC ID: 7810285533 Enrollment ID: I20161013000437 |
| Provider Name | Renee Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588014724 PECOS PAC ID: 6608164140 Enrollment ID: I20161015000277 |
| Provider Name | Stacey A. Lytle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265989982 PECOS PAC ID: 0840578159 Enrollment ID: I20161020001216 |
| Provider Name | Alexandria Caldwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972949238 PECOS PAC ID: 1759669856 Enrollment ID: I20161025000368 |
| Provider Name | Roselynn Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427445881 PECOS PAC ID: 4385938265 Enrollment ID: I20161104000531 |
| Provider Name | Willy Alberto Bustinza Farfan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023455508 PECOS PAC ID: 0749580033 Enrollment ID: I20161107000724 |
| Provider Name | Koby Booth Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518337484 PECOS PAC ID: 9335428218 Enrollment ID: I20161116002836 |
| Provider Name | Jessica Provost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659724144 PECOS PAC ID: 6901187285 Enrollment ID: I20161228000550 |
| Provider Name | Arnold A. Fikkert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023050754 PECOS PAC ID: 4688799976 Enrollment ID: I20170106001255 |
| Provider Name | Melissa Hallum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760924153 PECOS PAC ID: 5193006005 Enrollment ID: I20170109002633 |
| Provider Name | Marguerite A Butchee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558622282 PECOS PAC ID: 0143502500 Enrollment ID: I20170119000303 |
| Provider Name | Ayesha Mughal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811243009 PECOS PAC ID: 2365663325 Enrollment ID: I20170123002465 |
| Provider Name | Miranda V Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932655958 PECOS PAC ID: 0446533228 Enrollment ID: I20170202001348 |
| Provider Name | Jenna Geohagan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760879076 PECOS PAC ID: 8426343278 Enrollment ID: I20170207002850 |
| Provider Name | Amanda K Hollenbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104273192 PECOS PAC ID: 3476836685 Enrollment ID: I20170214002044 |
| Provider Name | Jennifer Chang Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629393525 PECOS PAC ID: 1951536002 Enrollment ID: I20170216000583 |
| Provider Name | Angela Baustert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124498282 PECOS PAC ID: 6901180611 Enrollment ID: I20170224000483 |
| Provider Name | Perrine Pham |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740694710 PECOS PAC ID: 0547488025 Enrollment ID: I20170313001739 |
| Provider Name | Amanda Satterwhite |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669859815 PECOS PAC ID: 7012295983 Enrollment ID: I20170403000597 |
| Provider Name | Taylor Snapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881136695 PECOS PAC ID: 2769769827 Enrollment ID: I20170615001709 |
| Provider Name | Lacey Renea Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174966980 PECOS PAC ID: 8527380047 Enrollment ID: I20170626001597 |
| Provider Name | Ladonna Culp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114463981 PECOS PAC ID: 9931478781 Enrollment ID: I20170711000124 |
| Provider Name | Jennifer Dimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871021352 PECOS PAC ID: 4587933221 Enrollment ID: I20170712000217 |
| Provider Name | Erika Breedlove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447663281 PECOS PAC ID: 9436473725 Enrollment ID: I20170721002884 |
| Provider Name | Michelle Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912311135 PECOS PAC ID: 3375813462 Enrollment ID: I20170722000052 |
| Provider Name | Ashtami Banavali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902184518 PECOS PAC ID: 2668609256 Enrollment ID: I20170725001642 |
| Provider Name | Mary M Hines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588078331 PECOS PAC ID: 0941520266 Enrollment ID: I20170725001711 |
| Provider Name | Majed Gharfeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821433897 PECOS PAC ID: 7012288384 Enrollment ID: I20170804000303 |
| Provider Name | Jessica Yocum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033523220 PECOS PAC ID: 6901177070 Enrollment ID: I20170808001512 |
| Provider Name | Jordan Malie Morton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659665867 PECOS PAC ID: 2466777248 Enrollment ID: I20170808002077 |
| Provider Name | Sarah Katharine Petty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639583628 PECOS PAC ID: 8820218118 Enrollment ID: I20170810000191 |
| Provider Name | Sarah Elizabeth Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093121675 PECOS PAC ID: 0446540140 Enrollment ID: I20170810001540 |
| Provider Name | Alisha Solomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194169672 PECOS PAC ID: 2062730864 Enrollment ID: I20170810001819 |
| Provider Name | Steven Quattlebaum |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952667750 PECOS PAC ID: 7416198478 Enrollment ID: I20170810003199 |
| Provider Name | Jahangir H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831531615 PECOS PAC ID: 6002039427 Enrollment ID: I20170811000613 |
| Provider Name | Natalie Rose Kurkjian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366887820 PECOS PAC ID: 7416253604 Enrollment ID: I20170811000912 |
| Provider Name | Cassie Marie Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578852703 PECOS PAC ID: 7012144884 Enrollment ID: I20170812000015 |
| Provider Name | Vishal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912317256 PECOS PAC ID: 4880965664 Enrollment ID: I20170814000623 |
| Provider Name | Jerimiah Capen Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770998429 PECOS PAC ID: 2860617487 Enrollment ID: I20170814000961 |
| Provider Name | Thuy-phuong Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952715807 PECOS PAC ID: 8729387600 Enrollment ID: I20170814001448 |
| Provider Name | Amy Lynn Martindale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851769863 PECOS PAC ID: 7214209006 Enrollment ID: I20170814001593 |
| Provider Name | Gretchen Lynne Stroud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609282235 PECOS PAC ID: 6204125610 Enrollment ID: I20170814002625 |
| Provider Name | Scott Melson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518252360 PECOS PAC ID: 1254658123 Enrollment ID: I20170814002677 |
| Provider Name | Mai-thao Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962815217 PECOS PAC ID: 4880910256 Enrollment ID: I20170814003132 |
| Provider Name | Patience Ozor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710321245 PECOS PAC ID: 5496048175 Enrollment ID: I20170815000505 |
| Provider Name | Adil Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255747986 PECOS PAC ID: 2163649922 Enrollment ID: I20170816000064 |
| Provider Name | Celeste Adrian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265796023 PECOS PAC ID: 1759512411 Enrollment ID: I20170821001440 |
| Provider Name | Jennifer Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881120483 PECOS PAC ID: 6406128727 Enrollment ID: I20170822002087 |
| Provider Name | Julia L Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538531306 PECOS PAC ID: 2365732070 Enrollment ID: I20170823001391 |
| Provider Name | Sara Ann Buster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265972822 PECOS PAC ID: 7113290610 Enrollment ID: I20170905002697 |
| Provider Name | Jonathan Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003369133 PECOS PAC ID: 6608149125 Enrollment ID: I20170906000500 |
| Provider Name | Pranjal Harendrabhai Desai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265607881 PECOS PAC ID: 6204100688 Enrollment ID: I20170923000104 |
| Provider Name | Meghann Lodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285155663 PECOS PAC ID: 1658645049 Enrollment ID: I20170925000132 |
| Provider Name | Erin Kelley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629591649 PECOS PAC ID: 4880969914 Enrollment ID: I20170929000154 |
| Provider Name | Casey R Liston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295288280 PECOS PAC ID: 4688949118 Enrollment ID: I20171009001852 |
| Provider Name | Kale Zachary Melton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376995324 PECOS PAC ID: 6800161381 Enrollment ID: I20171010000417 |
| Provider Name | Myles G Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407208333 PECOS PAC ID: 7911273107 Enrollment ID: I20171016001039 |
| Provider Name | Mohammedali Hashmi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497208581 PECOS PAC ID: 4385910561 Enrollment ID: I20171017001498 |
| Provider Name | Laurie Rozzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942724125 PECOS PAC ID: 8325314347 Enrollment ID: I20171019000296 |
| Provider Name | Rory Brewster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992247449 PECOS PAC ID: 9537435581 Enrollment ID: I20171019001516 |
| Provider Name | Tara Ann Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548789688 PECOS PAC ID: 5890061634 Enrollment ID: I20171024001149 |
| Provider Name | Jacob Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609220342 PECOS PAC ID: 3779859129 Enrollment ID: I20171030002789 |
| Provider Name | Jason Stephen Seay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477000578 PECOS PAC ID: 3173899465 Enrollment ID: I20171101002480 |
| Provider Name | Sean G Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548647472 PECOS PAC ID: 1355607433 Enrollment ID: I20171106001197 |
| Provider Name | Aliaksandr Savitski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053654863 PECOS PAC ID: 1658679170 Enrollment ID: I20171113002272 |
| Provider Name | Helen K Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760833701 PECOS PAC ID: 5496021792 Enrollment ID: I20171211001025 |
| Provider Name | Megan Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598216830 PECOS PAC ID: 1153696059 Enrollment ID: I20171211001869 |
| Provider Name | Bantoo Sehgal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558677690 PECOS PAC ID: 2163601840 Enrollment ID: I20171212002250 |
| Provider Name | Garrett Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801308010 PECOS PAC ID: 1850659095 Enrollment ID: I20171218001696 |
| Provider Name | Christopher Jared Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659884344 PECOS PAC ID: 9638437411 Enrollment ID: I20171228000373 |
| Provider Name | Allison K Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508217514 PECOS PAC ID: 5890054399 Enrollment ID: I20180108002653 |
| Provider Name | Tiffany L Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750370383 PECOS PAC ID: 6406862572 Enrollment ID: I20180201001511 |
| Provider Name | Richard D Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215452107 PECOS PAC ID: 6608136551 Enrollment ID: I20180214001251 |
| Provider Name | Charles W Brian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346344975 PECOS PAC ID: 3779560214 Enrollment ID: I20180219000410 |
| Provider Name | Jessica L Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689174989 PECOS PAC ID: 4688935976 Enrollment ID: I20180301001282 |
| Provider Name | Rindi Linn Appelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003315995 PECOS PAC ID: 9133481971 Enrollment ID: I20180315000255 |
| Provider Name | Keith P Minihane |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669462404 PECOS PAC ID: 7113082694 Enrollment ID: I20180315001651 |
| Provider Name | Kelly R Kimbrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881105161 PECOS PAC ID: 6406119080 Enrollment ID: I20180412001459 |
| Provider Name | Jennifer Lauren Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114426053 PECOS PAC ID: 9537422712 Enrollment ID: I20180423001133 |
| Provider Name | Kaitlyn Knedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942702634 PECOS PAC ID: 2860756830 Enrollment ID: I20180430001191 |
| Provider Name | Jennifer Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487991949 PECOS PAC ID: 0143475061 Enrollment ID: I20180503002066 |
| Provider Name | Charles David Wood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871608497 PECOS PAC ID: 8820073562 Enrollment ID: I20180518001539 |
| Provider Name | Sneha Pranjal Desai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265760508 PECOS PAC ID: 5193956134 Enrollment ID: I20180523002305 |
| Provider Name | Michele G Suter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477912434 PECOS PAC ID: 9335404839 Enrollment ID: I20180605000300 |
| Provider Name | Robert E Suter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124098926 PECOS PAC ID: 3375503006 Enrollment ID: I20180605000468 |
| Provider Name | Khairuddin Memon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699037689 PECOS PAC ID: 8921363227 Enrollment ID: I20180606003069 |
| Provider Name | Elizabeth Mccabe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366888604 PECOS PAC ID: 8729343082 Enrollment ID: I20180607002090 |
| Provider Name | Rama Krishna Reddy Chanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710261961 PECOS PAC ID: 6305078288 Enrollment ID: I20180611001637 |
| Provider Name | Kathryn Griffin Cunningham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992055990 PECOS PAC ID: 5395054332 Enrollment ID: I20180613001277 |
| Provider Name | Dekoda Kole Bost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952609885 PECOS PAC ID: 9133346976 Enrollment ID: I20180703001981 |
| Provider Name | Hussein Bitar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548525645 PECOS PAC ID: 3678793353 Enrollment ID: I20180716002537 |
| Provider Name | Christopher Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215295373 PECOS PAC ID: 8527349638 Enrollment ID: I20180717002446 |
| Provider Name | Adriane Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932179991 PECOS PAC ID: 8820077688 Enrollment ID: I20180718000226 |
| Provider Name | Maria Sandra Escandor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457732109 PECOS PAC ID: 1052668159 Enrollment ID: I20180720000615 |
| Provider Name | Henry Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417334426 PECOS PAC ID: 7113274820 Enrollment ID: I20180725002984 |
| Provider Name | Lirin Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063830263 PECOS PAC ID: 0244456721 Enrollment ID: I20180726000520 |
| Provider Name | Elvin Hardy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750600748 PECOS PAC ID: 7618100371 Enrollment ID: I20180726002645 |
| Provider Name | Shamsuddin B Lalani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578853594 PECOS PAC ID: 7214252683 Enrollment ID: I20180731001266 |
| Provider Name | David John Olek |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821431370 PECOS PAC ID: 0749561751 Enrollment ID: I20180731001364 |
| Provider Name | Joshua Priddle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154736346 PECOS PAC ID: 8022327311 Enrollment ID: I20180731002188 |
| Provider Name | James S Kohn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316901424 PECOS PAC ID: 3870756208 Enrollment ID: I20180731002863 |
| Provider Name | Asif Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174907737 PECOS PAC ID: 9739484163 Enrollment ID: I20180801003528 |
| Provider Name | Maryann E Martinovic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1528329133 PECOS PAC ID: 2668612953 Enrollment ID: I20180806000762 |
| Provider Name | Janki Dhirubhai Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457794430 PECOS PAC ID: 9335428861 Enrollment ID: I20180808000021 |
| Provider Name | Kathryn Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205216157 PECOS PAC ID: 5799099834 Enrollment ID: I20180815001576 |
| Provider Name | Brook W Hightower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831441930 PECOS PAC ID: 1456600899 Enrollment ID: I20180820000517 |
| Provider Name | Kimberly Litton Peck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043463698 PECOS PAC ID: 3678822855 Enrollment ID: I20180821003277 |
| Provider Name | Jenna Lynn Crowder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740694611 PECOS PAC ID: 6305156548 Enrollment ID: I20180924001050 |
| Provider Name | Christina Renata Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104247378 PECOS PAC ID: 6800147273 Enrollment ID: I20180924002937 |
| Provider Name | Hans C Olaveson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023538402 PECOS PAC ID: 6103179189 Enrollment ID: I20181020000314 |
| Provider Name | Julia M John Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336630888 PECOS PAC ID: 8325391311 Enrollment ID: I20181020000640 |
| Provider Name | Jesse Arthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710407937 PECOS PAC ID: 3870846843 Enrollment ID: I20181022003117 |
| Provider Name | Ruby Hoang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770976623 PECOS PAC ID: 7911250774 Enrollment ID: I20181024000798 |
| Provider Name | Sandy Kay Harman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821279977 PECOS PAC ID: 0345292538 Enrollment ID: I20181030002317 |
| Provider Name | Amy Jo Renfro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467935163 PECOS PAC ID: 4789937269 Enrollment ID: I20181031000175 |
| Provider Name | Lisa Lakins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629483623 PECOS PAC ID: 1052664562 Enrollment ID: I20181031001068 |
| Provider Name | Kandice Burk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902371925 PECOS PAC ID: 6901150887 Enrollment ID: I20181112002152 |
| Provider Name | Travis Daniel Buckner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306376603 PECOS PAC ID: 8729332408 Enrollment ID: I20181115001551 |
| Provider Name | Jiten Vasantlal Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235559774 PECOS PAC ID: 5799039277 Enrollment ID: I20181120001117 |
| Provider Name | Stephanie D Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366938391 PECOS PAC ID: 6901140599 Enrollment ID: I20181210000478 |
| Provider Name | Meredith Anne Dewitte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891294419 PECOS PAC ID: 2567706922 Enrollment ID: I20181212000737 |
| Provider Name | Melanie A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104300649 PECOS PAC ID: 8325382781 Enrollment ID: I20181212000966 |
| Provider Name | Kelby Lee Sunarto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740700152 PECOS PAC ID: 9739424862 Enrollment ID: I20181218003347 |
| Provider Name | David A Schomas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811974199 PECOS PAC ID: 8921036971 Enrollment ID: I20181226000517 |
| Provider Name | Kevin Bradley Waldrep |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790912061 PECOS PAC ID: 4587912332 Enrollment ID: I20190108003948 |
| Provider Name | Cathy Lynn Dalrymple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033686845 PECOS PAC ID: 7618213752 Enrollment ID: I20190110003248 |
| Provider Name | Ramon Noriega |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417216037 PECOS PAC ID: 9436438637 Enrollment ID: I20190115000916 |
| Provider Name | Jolaiya Faturoti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588074611 PECOS PAC ID: 9739425521 Enrollment ID: I20190116000600 |
| Provider Name | Cade Parke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598124018 PECOS PAC ID: 3274828363 Enrollment ID: I20190122002156 |
| Provider Name | Ronald Edward Brunnabend |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023370640 PECOS PAC ID: 7517226285 Enrollment ID: I20190125001867 |
| Provider Name | Lisa L. Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023599768 PECOS PAC ID: 8123365178 Enrollment ID: I20190129001521 |
| Provider Name | Kadi A Nail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649769290 PECOS PAC ID: 1658636600 Enrollment ID: I20190211000437 |
| Provider Name | Jenna Kathleen Weathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306315783 PECOS PAC ID: 1052650868 Enrollment ID: I20190221002614 |
| Provider Name | Peter Louis Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700352317 PECOS PAC ID: 3476892175 Enrollment ID: I20190225000832 |
| Provider Name | Justin Rammage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609330968 PECOS PAC ID: 8921347980 Enrollment ID: I20190308001845 |
| Provider Name | Marcus Toschi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003263757 PECOS PAC ID: 2961742689 Enrollment ID: I20190315002212 |
| Provider Name | Elizabeth Ramsay-thompson Forsythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538662267 PECOS PAC ID: 0840530382 Enrollment ID: I20190320002532 |
| Provider Name | Andre Dean Graham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376525253 PECOS PAC ID: 1658472139 Enrollment ID: I20190507002973 |
| Provider Name | John Keith Abbott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255540936 PECOS PAC ID: 6305995473 Enrollment ID: I20190517000473 |
| Provider Name | Giselle Zagari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700908068 PECOS PAC ID: 1254427917 Enrollment ID: I20190610001897 |
| Provider Name | Joshua Marvin Woolard |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942620604 PECOS PAC ID: 4183911159 Enrollment ID: I20190611003054 |
| Provider Name | Taylor Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992277297 PECOS PAC ID: 0143553867 Enrollment ID: I20190612002515 |
| Provider Name | Christine M Tavakoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932554581 PECOS PAC ID: 0446585939 Enrollment ID: I20190703001940 |
| Provider Name | Kristina Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790259406 PECOS PAC ID: 6608101076 Enrollment ID: I20190709000454 |
| Provider Name | Jared Pembrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659735710 PECOS PAC ID: 5890021901 Enrollment ID: I20190727000225 |
| Provider Name | Bahar Seyedeh Malakouti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528478575 PECOS PAC ID: 9931490513 Enrollment ID: I20190729002407 |
| Provider Name | Sterling H Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922016617 PECOS PAC ID: 6204932585 Enrollment ID: I20190802000204 |
| Provider Name | Quy Tien Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720440894 PECOS PAC ID: 0941589428 Enrollment ID: I20190807001830 |
| Provider Name | Christopher Arthur Goodwill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073976791 PECOS PAC ID: 7315295334 Enrollment ID: I20190808001029 |
| Provider Name | Jared Levon Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871069153 PECOS PAC ID: 9032455357 Enrollment ID: I20190808002432 |
| Provider Name | Ryan Alan Vincent |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1376986604 PECOS PAC ID: 7517294531 Enrollment ID: I20190813002139 |
| Provider Name | Kyle R Judkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316271836 PECOS PAC ID: 6800014309 Enrollment ID: I20190813002313 |
| Provider Name | Caitlin Marie Bryan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013577402 PECOS PAC ID: 4284961137 Enrollment ID: I20190814004043 |
| Provider Name | Spenser James Rentz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548767098 PECOS PAC ID: 0840527602 Enrollment ID: I20190816000896 |
| Provider Name | Nicholas Molacek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164840823 PECOS PAC ID: 7113223223 Enrollment ID: I20190821000156 |
| Provider Name | Taiwo B Adedipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407207806 PECOS PAC ID: 2466780481 Enrollment ID: I20190828002445 |
| Provider Name | Bradley W Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649533878 PECOS PAC ID: 9830335793 Enrollment ID: I20190828004147 |
| Provider Name | Joanna Bartholomew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932554961 PECOS PAC ID: 9133457062 Enrollment ID: I20190829003433 |
| Provider Name | Christopher Kuykendall |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811558281 PECOS PAC ID: 0648508531 Enrollment ID: I20190830001537 |
| Provider Name | David B Parker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568806479 PECOS PAC ID: 2961707039 Enrollment ID: I20190830002170 |
| Provider Name | Sara Kathleen Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750738308 PECOS PAC ID: 8123312865 Enrollment ID: I20190904001970 |
| Provider Name | Peter M Collister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689017204 PECOS PAC ID: 6507009768 Enrollment ID: I20190904002226 |
| Provider Name | Amish R Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215433495 PECOS PAC ID: 9739418401 Enrollment ID: I20190905000441 |
| Provider Name | Areeb Bangash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710361506 PECOS PAC ID: 7012246754 Enrollment ID: I20190905003200 |
| Provider Name | Jody Lee Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386090066 PECOS PAC ID: 4789962978 Enrollment ID: I20190906001345 |
| Provider Name | Joshua Y Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699272906 PECOS PAC ID: 6608105093 Enrollment ID: I20190910003340 |
| Provider Name | Rebecca Michelle Gupton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922469436 PECOS PAC ID: 4688903081 Enrollment ID: I20190910003447 |
| Provider Name | Jacob Witmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619473972 PECOS PAC ID: 4284963513 Enrollment ID: I20190911001299 |
| Provider Name | Jean Abed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528371754 PECOS PAC ID: 9032343108 Enrollment ID: I20190911002896 |
| Provider Name | Ramsha Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962956417 PECOS PAC ID: 5698004828 Enrollment ID: I20190912001782 |
| Provider Name | Wayne Edward Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689055881 PECOS PAC ID: 9335456797 Enrollment ID: I20190918000633 |
| Provider Name | Chris Long Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124478516 PECOS PAC ID: 9133498785 Enrollment ID: I20190918001740 |
| Provider Name | Ashley R. Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437703527 PECOS PAC ID: 4587994314 Enrollment ID: I20190921000048 |
| Provider Name | Brittany Jo Mathias |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669765368 PECOS PAC ID: 8921235755 Enrollment ID: I20190930001952 |
| Provider Name | Latha Nachimuthu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124098967 PECOS PAC ID: 6800874959 Enrollment ID: I20191010000015 |
| Provider Name | David Brennan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013414952 PECOS PAC ID: 8527399872 Enrollment ID: I20191017001033 |
| Provider Name | Rachel Diane Wrany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487213302 PECOS PAC ID: 6800128968 Enrollment ID: I20191023001826 |
| Provider Name | Erin M Olmsted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053968818 PECOS PAC ID: 2769814318 Enrollment ID: I20191120000225 |
| Provider Name | Terah Crosson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124687603 PECOS PAC ID: 8123451440 Enrollment ID: I20191127000993 |
| Provider Name | Tameka M Scott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396016234 PECOS PAC ID: 7214296078 Enrollment ID: I20191203002389 |
| Provider Name | Marisela Gonzalez Mercado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336522028 PECOS PAC ID: 5597199000 Enrollment ID: I20191216001987 |
| Provider Name | Brittney Jeane Bellamy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215324785 PECOS PAC ID: 5991139446 Enrollment ID: I20191217000577 |
| Provider Name | Amberlea Dawn Bradford Elliott |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801382775 PECOS PAC ID: 3072947522 Enrollment ID: I20191217000624 |
| Provider Name | Derek Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255981601 PECOS PAC ID: 1456785088 Enrollment ID: I20200107001317 |
| Provider Name | Dylon Stewart Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942693023 PECOS PAC ID: 2062847114 Enrollment ID: I20200117000240 |
| Provider Name | Christopher Seitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043650831 PECOS PAC ID: 3870725641 Enrollment ID: I20200123001347 |
| Provider Name | Rahul R Malireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376988055 PECOS PAC ID: 8022304310 Enrollment ID: I20200131001083 |
| Provider Name | Rachel Sloan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568000750 PECOS PAC ID: 1052747979 Enrollment ID: I20200212000681 |
| Provider Name | Abbie Deeann Mclemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497391452 PECOS PAC ID: 0941637706 Enrollment ID: I20200218000369 |
| Provider Name | Talal Zahoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912352162 PECOS PAC ID: 8022304054 Enrollment ID: I20200218002230 |
| Provider Name | Carly Strus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336616713 PECOS PAC ID: 4284061102 Enrollment ID: I20200305000076 |
| Provider Name | Neans L Denson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881225290 PECOS PAC ID: 1658709019 Enrollment ID: I20200318000186 |
| Provider Name | Jenna Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437717196 PECOS PAC ID: 3577992759 Enrollment ID: I20200409001706 |
| Provider Name | Stacy Lea Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730651779 PECOS PAC ID: 2668802737 Enrollment ID: I20200414002100 |
| Provider Name | Tangra Broge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851689517 PECOS PAC ID: 6204146020 Enrollment ID: I20200422000164 |
| Provider Name | Devon Isaacson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699065912 PECOS PAC ID: 7719291921 Enrollment ID: I20200429002264 |
| Provider Name | Adam Krouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588919476 PECOS PAC ID: 3072753557 Enrollment ID: I20200513002011 |
| Provider Name | Katrina Ann Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497399661 PECOS PAC ID: 5597186742 Enrollment ID: I20200527000138 |
| Provider Name | Khanh Cao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316385057 PECOS PAC ID: 6002106267 Enrollment ID: I20200617001683 |
| Provider Name | Dallas Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033552831 PECOS PAC ID: 1052604774 Enrollment ID: I20200629000823 |
| Provider Name | Chris Gasbarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124555263 PECOS PAC ID: 0941622427 Enrollment ID: I20200630001153 |
| Provider Name | Terrence M Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760566277 PECOS PAC ID: 8729011325 Enrollment ID: I20200707000560 |
| Provider Name | Corbin Elizabeth Cordis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972135929 PECOS PAC ID: 5496178592 Enrollment ID: I20200708001462 |
| Provider Name | Riley Shuler Polk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023506292 PECOS PAC ID: 4880018258 Enrollment ID: I20200717000805 |
| Provider Name | Timothy Aaron Graham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710390869 PECOS PAC ID: 9739503913 Enrollment ID: I20200721002151 |
| Provider Name | Rhea Rushing Frans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114540184 PECOS PAC ID: 6406270586 Enrollment ID: I20200722001560 |
| Provider Name | Christopher C Benson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033772728 PECOS PAC ID: 3476977133 Enrollment ID: I20200728001778 |
| Provider Name | Matthew B Millington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265939698 PECOS PAC ID: 7517382252 Enrollment ID: I20200729000914 |
| Provider Name | Matthew J Lipinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649701491 PECOS PAC ID: 4981029519 Enrollment ID: I20200730000352 |
| Provider Name | Keithen B Cast |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356904940 PECOS PAC ID: 3476978891 Enrollment ID: I20200803000787 |
| Provider Name | Caleb King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730616160 PECOS PAC ID: 9234469685 Enrollment ID: I20200811002511 |
| Provider Name | Douglas Thornton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780071571 PECOS PAC ID: 8628362530 Enrollment ID: I20200818001111 |
| Provider Name | Cory Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326664772 PECOS PAC ID: 8325465297 Enrollment ID: I20200825000190 |
| Provider Name | Emmanuel Obi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447791645 PECOS PAC ID: 3678840824 Enrollment ID: I20200901001573 |
| Provider Name | Thomas Cuff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376962753 PECOS PAC ID: 7214239102 Enrollment ID: I20200902003479 |
| Provider Name | Andrew J Moore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821445891 PECOS PAC ID: 5698060465 Enrollment ID: I20200918000510 |
| Provider Name | Navin K Gazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508183146 PECOS PAC ID: 5092934026 Enrollment ID: I20200928002337 |
| Provider Name | Brooke A Walling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184234130 PECOS PAC ID: 6305265679 Enrollment ID: I20201006001969 |
| Provider Name | James Studdard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164491270 PECOS PAC ID: 8022027374 Enrollment ID: I20201020002215 |
| Provider Name | Mohammad Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780115436 PECOS PAC ID: 1254670029 Enrollment ID: I20201021002105 |
| Provider Name | Brandon Reece Hull |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851703953 PECOS PAC ID: 9133458516 Enrollment ID: I20201021003204 |
| Provider Name | Jennifer Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245858018 PECOS PAC ID: 4789004243 Enrollment ID: I20201022000062 |
| Provider Name | Catherine A Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780296947 PECOS PAC ID: 6406266048 Enrollment ID: I20201110001220 |
| Provider Name | Katrina M Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932712973 PECOS PAC ID: 5496167439 Enrollment ID: I20201215002249 |
| Provider Name | Cristina E. Solis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497827216 PECOS PAC ID: 6204017254 Enrollment ID: I20201231000101 |
| Provider Name | Tara Lynn Bolerjack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689281057 PECOS PAC ID: 4789097759 Enrollment ID: I20210112001703 |
| Provider Name | Preston Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942801246 PECOS PAC ID: 8325451032 Enrollment ID: I20210119000502 |
| Provider Name | Deanna Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821609074 PECOS PAC ID: 2860807146 Enrollment ID: I20210218002093 |
| Provider Name | Lorinda G Sipe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205974805 PECOS PAC ID: 1456765338 Enrollment ID: I20210219001532 |
| Provider Name | Tiffany Tabiai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477162204 PECOS PAC ID: 5698180727 Enrollment ID: I20210223000240 |
| Provider Name | Phillip Craig Hatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407448988 PECOS PAC ID: 1254746142 Enrollment ID: I20210301000257 |
| Provider Name | Meena Ezzat Guirguis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316309164 PECOS PAC ID: 7618261876 Enrollment ID: I20210301000331 |
| Provider Name | Natalie Nicole Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760027379 PECOS PAC ID: 7517374572 Enrollment ID: I20210318002970 |
| Provider Name | Shymol Aji John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679115703 PECOS PAC ID: 3779990973 Enrollment ID: I20210407000066 |
| Provider Name | Jerry Baez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851866222 PECOS PAC ID: 7315356342 Enrollment ID: I20210504001481 |
| Provider Name | Bethany D Kingsberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770045767 PECOS PAC ID: 0042619264 Enrollment ID: I20210520001182 |
| Provider Name | Ashli Stamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790370559 PECOS PAC ID: 1759780356 Enrollment ID: I20210602001748 |
| Provider Name | Jennifer K Yeaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770123655 PECOS PAC ID: 8325448319 Enrollment ID: I20210614000497 |
| Provider Name | Haley Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992398333 PECOS PAC ID: 9133520539 Enrollment ID: I20210623000717 |
| Provider Name | Reynald John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205326832 PECOS PAC ID: 4385999630 Enrollment ID: I20210623003786 |
| Provider Name | Ethan Troutt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780178525 PECOS PAC ID: 1254733231 Enrollment ID: I20210713003623 |
| Provider Name | Alison Roostaeyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346738689 PECOS PAC ID: 6305197286 Enrollment ID: I20210723001514 |
| Provider Name | Omid Roostaeyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164929774 PECOS PAC ID: 3678823051 Enrollment ID: I20210723002626 |
| Provider Name | Sharmeen Fatima Hussaini |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992156368 PECOS PAC ID: 9436496189 Enrollment ID: I20210727002533 |
| Provider Name | Muhammad Masood Khalid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194278580 PECOS PAC ID: 4981008307 Enrollment ID: I20210807000097 |
| Provider Name | Kale Joseph Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750885109 PECOS PAC ID: 2769732189 Enrollment ID: I20210810000267 |
| Provider Name | Garett West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639674088 PECOS PAC ID: 4880025436 Enrollment ID: I20210811003690 |
| Provider Name | Mary Hinojos Mamut |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518314939 PECOS PAC ID: 4284921065 Enrollment ID: I20210812000621 |
| Provider Name | Matthew Brice Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003433582 PECOS PAC ID: 5799191722 Enrollment ID: I20210814000322 |
| Provider Name | Kevin L Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821620451 PECOS PAC ID: 9931539574 Enrollment ID: I20210826001639 |
| Provider Name | Robert Hamilton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689020414 PECOS PAC ID: 7618372640 Enrollment ID: I20210830000146 |
| Provider Name | Hunter Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396159828 PECOS PAC ID: 2860612520 Enrollment ID: I20210830002004 |
| Provider Name | Jessica E Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649842303 PECOS PAC ID: 2365848181 Enrollment ID: I20210902001390 |
| Provider Name | Jacklyn Papa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922595370 PECOS PAC ID: 4183020928 Enrollment ID: I20210902002218 |
| Provider Name | David Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457350936 PECOS PAC ID: 7911195664 Enrollment ID: I20210907001256 |
| Provider Name | Marco Canulla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194700286 PECOS PAC ID: 9335038355 Enrollment ID: I20210907001698 |
| Provider Name | Tina Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396242509 PECOS PAC ID: 4183020779 Enrollment ID: I20210907002861 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20210928003792 |
| Provider Name | Kayla L Birchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548868573 PECOS PAC ID: 8325445687 Enrollment ID: I20210929001557 |
| Provider Name | Nicholas Anastas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922597905 PECOS PAC ID: 8921406737 Enrollment ID: I20211008001334 |
| Provider Name | Lior N Shamai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093963563 PECOS PAC ID: 7315189016 Enrollment ID: I20211011000672 |
| Provider Name | Ashley Grados |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720662752 PECOS PAC ID: 1658779210 Enrollment ID: I20211012001682 |
| Provider Name | Kimberly June Reeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932793130 PECOS PAC ID: 9830587088 Enrollment ID: I20211021000644 |
| Provider Name | Kyle Sierra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649686171 PECOS PAC ID: 0345461398 Enrollment ID: I20211025002651 |
| Provider Name | Jana M Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568044501 PECOS PAC ID: 1850780933 Enrollment ID: I20211110002846 |
| Provider Name | Carley Abbott Nitschmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346914041 PECOS PAC ID: 9032509203 Enrollment ID: I20211201002599 |
| Provider Name | Olayemi Bolarinwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376006460 PECOS PAC ID: 9638569700 Enrollment ID: I20211203000425 |
| Provider Name | Ramona Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659034221 PECOS PAC ID: 9739579533 Enrollment ID: I20211210000513 |
| Provider Name | Jeremy Scheidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669960191 PECOS PAC ID: 4183028244 Enrollment ID: I20220110000597 |
| Provider Name | Kanika Manne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083275747 PECOS PAC ID: 1850783507 Enrollment ID: I20220110001339 |
| Provider Name | Amanda Rigney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316578842 PECOS PAC ID: 8921401522 Enrollment ID: I20220113000703 |
| Provider Name | Keeley Erin Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477221935 PECOS PAC ID: 7214329499 Enrollment ID: I20220120001089 |
| Provider Name | Beverly Ann Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417624362 PECOS PAC ID: 9133512981 Enrollment ID: I20220131001828 |
| Provider Name | Stephen Michael Hix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477224392 PECOS PAC ID: 4880087568 Enrollment ID: I20220201000824 |
| Provider Name | Brandy J Vermillion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275284028 PECOS PAC ID: 2466845755 Enrollment ID: I20220209001456 |
| Provider Name | Karlee Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609476480 PECOS PAC ID: 8426442021 Enrollment ID: I20220224001907 |
| Provider Name | Ryan Hightower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225799935 PECOS PAC ID: 1052706645 Enrollment ID: I20220317001408 |
| Provider Name | Isaac Obiri Karikari |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497891717 PECOS PAC ID: 7214166768 Enrollment ID: I20220324000594 |
| Provider Name | Madison Reide Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134885551 PECOS PAC ID: 3072908102 Enrollment ID: I20220328000598 |
| Provider Name | Amy R Cavner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427712421 PECOS PAC ID: 4385021914 Enrollment ID: I20220519001562 |
| Provider Name | Katherine Ann Brashears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700380268 PECOS PAC ID: 7810375151 Enrollment ID: I20220527001501 |
| Provider Name | Amber M Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720016074 PECOS PAC ID: 6507809134 Enrollment ID: I20220614000212 |
| Provider Name | Robert Satterlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336770601 PECOS PAC ID: 3274964101 Enrollment ID: I20220616001028 |
| Provider Name | Abhilash Makkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750603270 PECOS PAC ID: 1254463961 Enrollment ID: I20220630000754 |
| Provider Name | Margaret C Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689195703 PECOS PAC ID: 5395018204 Enrollment ID: I20220704000157 |
| Provider Name | Amanda Rushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124638192 PECOS PAC ID: 4486034501 Enrollment ID: I20220707001761 |
| Provider Name | Anthony Milard Abraham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336474535 PECOS PAC ID: 1052563384 Enrollment ID: I20220712000102 |
| Provider Name | Caleb William St. Laurent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922663053 PECOS PAC ID: 5193053452 Enrollment ID: I20220718002279 |
| Provider Name | Marissa Lenee Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043883036 PECOS PAC ID: 5698156727 Enrollment ID: I20220720001071 |
| Provider Name | Chidozie Odigwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447611579 PECOS PAC ID: 6507157856 Enrollment ID: I20220721003752 |
| Provider Name | Ghaith Al-qudah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629421409 PECOS PAC ID: 4981998978 Enrollment ID: I20220727002283 |
| Provider Name | Keely Nicole Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487309324 PECOS PAC ID: 8123400728 Enrollment ID: I20220728003098 |
| Provider Name | Lindsey Nicole West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588396162 PECOS PAC ID: 6103208632 Enrollment ID: I20220801001190 |
| Provider Name | Elizabeth Omoniyi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194250985 PECOS PAC ID: 2264778554 Enrollment ID: I20220802001419 |
| Provider Name | Muhammad Rizwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750886040 PECOS PAC ID: 7113322090 Enrollment ID: I20220804002901 |
| Provider Name | Kathryn Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649735507 PECOS PAC ID: 0244612232 Enrollment ID: I20220808002542 |
| Provider Name | Mehmet Cilingiroglu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710922125 PECOS PAC ID: 8022036110 Enrollment ID: I20220811003317 |
| Provider Name | Stacy Lepsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871139857 PECOS PAC ID: 2365876992 Enrollment ID: I20220817000035 |
| Provider Name | Ashley Dorner Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922628239 PECOS PAC ID: 7719360916 Enrollment ID: I20220822001641 |
| Provider Name | Anna C Royce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154883825 PECOS PAC ID: 4486983020 Enrollment ID: I20220901000121 |
| Provider Name | Wendy Lynn Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487387981 PECOS PAC ID: 3678957933 Enrollment ID: I20220906001148 |
| Provider Name | Zachary K Clary |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750776050 PECOS PAC ID: 2668771460 Enrollment ID: I20220907002162 |
| Provider Name | Chidinma Joy Anyiwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700349693 PECOS PAC ID: 9436576303 Enrollment ID: I20220914001630 |
| Provider Name | Julie Giovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760914873 PECOS PAC ID: 7214312909 Enrollment ID: I20220915004009 |
| Provider Name | Courtney R Iser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144758079 PECOS PAC ID: 7810397569 Enrollment ID: I20220920003559 |
| Provider Name | Halli J Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720614704 PECOS PAC ID: 7911382379 Enrollment ID: I20220921001069 |
| Provider Name | David M Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568826501 PECOS PAC ID: 1355634460 Enrollment ID: I20220924000098 |
| Provider Name | Michael Lance Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144953837 PECOS PAC ID: 7719363522 Enrollment ID: I20221003000622 |
| Provider Name | William Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134173800 PECOS PAC ID: 6103820097 Enrollment ID: I20221005003507 |
| Provider Name | Rodney Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649590886 PECOS PAC ID: 8325287733 Enrollment ID: I20221114003201 |
| Provider Name | Cortney Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265151757 PECOS PAC ID: 1658749676 Enrollment ID: I20221123001402 |
| Provider Name | Karan Khosla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992228670 PECOS PAC ID: 4486078250 Enrollment ID: I20221210000442 |
| Provider Name | Sylaza Kantamneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720237498 PECOS PAC ID: 3274693874 Enrollment ID: I20221216000939 |
| Provider Name | Chelsea Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174961486 PECOS PAC ID: 1153633409 Enrollment ID: I20221226000000 |
| Provider Name | Anthony Charles William Stolzy |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679299218 PECOS PAC ID: 6608247689 Enrollment ID: I20230131000610 |
| Provider Name | Drew Riley Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407563323 PECOS PAC ID: 8123490653 Enrollment ID: I20230210000093 |
| Provider Name | Traci Ellen Mcclay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255966685 PECOS PAC ID: 3971975103 Enrollment ID: I20230215002667 |
| Provider Name | Oludayo Olusanya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326496613 PECOS PAC ID: 3072804863 Enrollment ID: I20230216001222 |
| Provider Name | Andrew M Vitale |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114311271 PECOS PAC ID: 9436429420 Enrollment ID: I20230227000160 |
| Provider Name | Andrea N Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073246393 PECOS PAC ID: 8224401070 Enrollment ID: I20230227001943 |
| Provider Name | Muhammad Nabeel Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699126649 PECOS PAC ID: 0547539918 Enrollment ID: I20230315002479 |
| Provider Name | Julia Johnson Wambolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346951076 PECOS PAC ID: 0143694554 Enrollment ID: I20230327002253 |
| Provider Name | Brooke E Friedl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386270320 PECOS PAC ID: 6305211616 Enrollment ID: I20230418001825 |
| Provider Name | Muhammad F. Asghar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063862795 PECOS PAC ID: 3870860547 Enrollment ID: I20230427002323 |
| Provider Name | Crystal G Jankowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275249310 PECOS PAC ID: 1153786793 Enrollment ID: I20230503002028 |
| Provider Name | Kristine Marie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003516311 PECOS PAC ID: 7719345495 Enrollment ID: I20230628002022 |
| Provider Name | Ghias Nawaz Sheikh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174971113 PECOS PAC ID: 1456711811 Enrollment ID: I20230717001771 |
| Provider Name | Tiffany Lynn Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619670908 PECOS PAC ID: 7315307618 Enrollment ID: I20230718003615 |
| Provider Name | Jesse Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871118208 PECOS PAC ID: 9830559756 Enrollment ID: I20230724001885 |
| Provider Name | Cameron Paul Lancarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376107060 PECOS PAC ID: 5799012449 Enrollment ID: I20230724004010 |
| Provider Name | Casey Jane Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174027098 PECOS PAC ID: 0840548566 Enrollment ID: I20230725000577 |
| Provider Name | Nathan Harper Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114506037 PECOS PAC ID: 7517366461 Enrollment ID: I20230727001965 |
| Provider Name | Micah L Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508495615 PECOS PAC ID: 2466876644 Enrollment ID: I20230801001238 |
| Provider Name | Junaid Mohammed Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881222024 PECOS PAC ID: 2860853256 Enrollment ID: I20230801004648 |
| Provider Name | Robert Sage Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366948473 PECOS PAC ID: 7618224924 Enrollment ID: I20230803000108 |
| Provider Name | Mohammad Hassan Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376163667 PECOS PAC ID: 9032570254 Enrollment ID: I20230803001281 |
| Provider Name | Clay Thomas Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841721438 PECOS PAC ID: 1850663998 Enrollment ID: I20230804001369 |
| Provider Name | Kelsey Jordan Lemay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760942957 PECOS PAC ID: 8729440557 Enrollment ID: I20230810003789 |
| Provider Name | Nicole Cabalo Bowden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487212718 PECOS PAC ID: 8325400484 Enrollment ID: I20230822001242 |
| Provider Name | Shahzad Shallwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992268999 PECOS PAC ID: 8224360268 Enrollment ID: I20230824001793 |
| Provider Name | Gabriel Drews Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356960561 PECOS PAC ID: 7911360250 Enrollment ID: I20230901003484 |
| Provider Name | Chandlar Maria Vazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114549201 PECOS PAC ID: 9638533862 Enrollment ID: I20230906003940 |
| Provider Name | Shelby Bassett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285196170 PECOS PAC ID: 0446581011 Enrollment ID: I20230911001440 |
| Provider Name | Anne Nyamagu Kingori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376230128 PECOS PAC ID: 7618331505 Enrollment ID: I20230911003383 |
| Provider Name | Bethany Joy Clutts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003313982 PECOS PAC ID: 9830553635 Enrollment ID: I20230912004206 |
| Provider Name | Danielle Anise Larsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780213892 PECOS PAC ID: 1456775311 Enrollment ID: I20230915003584 |
| Provider Name | Yanna Fernandez Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841827417 PECOS PAC ID: 8426474933 Enrollment ID: I20230925003305 |
| Provider Name | Kelly Spychalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790182368 PECOS PAC ID: 6103141734 Enrollment ID: I20230926000711 |
| Provider Name | George Rainey Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346862240 PECOS PAC ID: 7517312655 Enrollment ID: I20231010003171 |
| Provider Name | Payman Sattar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780609057 PECOS PAC ID: 4082696257 Enrollment ID: I20231016002988 |
| Provider Name | Janelle M Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770103418 PECOS PAC ID: 4284080144 Enrollment ID: I20231028000100 |
| Provider Name | Mitchell L Devlin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700888468 PECOS PAC ID: 9931131091 Enrollment ID: I20231031002779 |
| Provider Name | Alexis Nicole Smirlis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679199673 PECOS PAC ID: 3678996360 Enrollment ID: I20231122001559 |
| Provider Name | Brett Avery Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184321390 PECOS PAC ID: 3577915958 Enrollment ID: I20240122002411 |
| Provider Name | Russell Chad Mcalvain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447966411 PECOS PAC ID: 3577937267 Enrollment ID: I20240129004109 |
| Provider Name | Masud Habibullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285992602 PECOS PAC ID: 5294041893 Enrollment ID: I20240228001169 |
| Provider Name | Jeffery Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023697075 PECOS PAC ID: 0345649240 Enrollment ID: I20240308000508 |
| Provider Name | William Conan Mustain |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1760635890 PECOS PAC ID: 6002121555 Enrollment ID: I20240404003070 |
| Provider Name | Lori Michelle Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154187896 PECOS PAC ID: 8527407444 Enrollment ID: I20240411002579 |
| Provider Name | Jessica Visser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912249756 PECOS PAC ID: 6901185784 Enrollment ID: I20240419003609 |
| Provider Name | Ashley Ann Joshua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245095967 PECOS PAC ID: 6800236845 Enrollment ID: I20240424003252 |
| Provider Name | Buffy Aliss Gabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447960729 PECOS PAC ID: 9537601273 Enrollment ID: I20240610000351 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |