| Mercy Clinic Southeast | |
|
1701 Lacey St Cape Girardeau MO 63701-5230 | |
| (573) 331-6880 | |
| (573) 331-6887 |
| Full Name | Mercy Clinic Southeast |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 Lacey St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Krista Berry (CFO) |
| Authorized Official Contact | 5733316028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Southeast 1701 Lacey St Cape Girardeau MO 63701-5230 Ph: (573) 331-6880 | Mercy Clinic Southeast 1701 Lacey St Cape Girardeau MO 63701-5230 Ph: (573) 331-6880 |
| NPI Number | 1558311522 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 01/13/2024 |
| Medicare PECOS PAC ID | 9133024334 |
|---|---|
| Medicare Enrollment ID | O20031201000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558311522 | NPI | - | NPPES |
| 505394007 | Medicaid | MO |
| Provider Name | Robert T Naismith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871519090 PECOS PAC ID: 3870406804 Enrollment ID: I20031106000544 |
| Provider Name | Gayla A Dace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427195122 PECOS PAC ID: 0143134288 Enrollment ID: I20031113000665 |
| Provider Name | Mohamad Al-hosni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053351338 PECOS PAC ID: 5799680278 Enrollment ID: I20031208000054 |
| Provider Name | Matthew W Karshner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477598142 PECOS PAC ID: 5991604647 Enrollment ID: I20040102000157 |
| Provider Name | Donna Dee Akers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851370340 PECOS PAC ID: 5890682926 Enrollment ID: I20040302001380 |
| Provider Name | Kenneth A Decoursey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356473797 PECOS PAC ID: 3577452440 Enrollment ID: I20040311000085 |
| Provider Name | Renee M Stein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023064284 PECOS PAC ID: 9436041035 Enrollment ID: I20040329000183 |
| Provider Name | Jennifer C Jiang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083724447 PECOS PAC ID: 6204828932 Enrollment ID: I20040401000657 |
| Provider Name | Marcus S Teng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083724389 PECOS PAC ID: 5193718336 Enrollment ID: I20040405001220 |
| Provider Name | Alicia Casabar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215972955 PECOS PAC ID: 8820081847 Enrollment ID: I20040406000737 |
| Provider Name | Philip D Stevens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932172525 PECOS PAC ID: 2365432267 Enrollment ID: I20040513000748 |
| Provider Name | Susan G Sulser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811015480 PECOS PAC ID: 8628069259 Enrollment ID: I20040521000246 |
| Provider Name | Rajesh Swaminathan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720051527 PECOS PAC ID: 2769465863 Enrollment ID: I20040610000203 |
| Provider Name | Anisa Hassan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164537643 PECOS PAC ID: 0042296386 Enrollment ID: I20040628000008 |
| Provider Name | Damon Cory Clines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508800582 PECOS PAC ID: 9739163197 Enrollment ID: I20040721000314 |
| Provider Name | Ahmed T Robbie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801826052 PECOS PAC ID: 9931173903 Enrollment ID: I20040825000036 |
| Provider Name | Husam Ali Barakat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881610491 PECOS PAC ID: 8426023938 Enrollment ID: I20040828000200 |
| Provider Name | Peter Maher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639116213 PECOS PAC ID: 5294701611 Enrollment ID: I20040908000239 |
| Provider Name | Calvin E Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326085465 PECOS PAC ID: 3577539527 Enrollment ID: I20040909001195 |
| Provider Name | Bryan S Beck |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720018179 PECOS PAC ID: 3870555436 Enrollment ID: I20041027000566 |
| Provider Name | Bruce J Walz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063439677 PECOS PAC ID: 3577527399 Enrollment ID: I20041112000098 |
| Provider Name | Spencer Melby |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720081243 PECOS PAC ID: 4284698804 Enrollment ID: I20041115000165 |
| Provider Name | Sherry X Ma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275649048 PECOS PAC ID: 5193788479 Enrollment ID: I20041115001174 |
| Provider Name | Charles E Lavalle |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477537975 PECOS PAC ID: 8325005812 Enrollment ID: I20041216000310 |
| Provider Name | Mark F Gortmaker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649244161 PECOS PAC ID: 0749239036 Enrollment ID: I20050113000393 |
| Provider Name | Mohammed I Shakaib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609814128 PECOS PAC ID: 2466402235 Enrollment ID: I20050128000746 |
| Provider Name | Andrea Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043341928 PECOS PAC ID: 7517918865 Enrollment ID: I20050203000969 |
| Provider Name | Abdul B Chaudhari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407945934 PECOS PAC ID: 8729036686 Enrollment ID: I20050311000051 |
| Provider Name | John P Leland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205875051 PECOS PAC ID: 8628044112 Enrollment ID: I20050317000560 |
| Provider Name | Marc Luckett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881667608 PECOS PAC ID: 4587602966 Enrollment ID: I20050418000975 |
| Provider Name | Jeremy M Daves |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063513612 PECOS PAC ID: 0446299739 Enrollment ID: I20050426001343 |
| Provider Name | Charles R. Watson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104899558 PECOS PAC ID: 8729068754 Enrollment ID: I20050429000697 |
| Provider Name | Bassam Ar Hadi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053345231 PECOS PAC ID: 6204879414 Enrollment ID: I20050608000939 |
| Provider Name | Kevin W Callahan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427077072 PECOS PAC ID: 5991731572 Enrollment ID: I20050714000787 |
| Provider Name | Stanley Ziomek |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639124647 PECOS PAC ID: 2769424522 Enrollment ID: I20050719000005 |
| Provider Name | William H Boyce |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295865590 PECOS PAC ID: 2567492325 Enrollment ID: I20050822000381 |
| Provider Name | Mario J Marcinczyk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467409599 PECOS PAC ID: 9931182565 Enrollment ID: I20050912000032 |
| Provider Name | Billy A Hammond |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407806599 PECOS PAC ID: 8729011754 Enrollment ID: I20050912000376 |
| Provider Name | Peter P Jiang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245289263 PECOS PAC ID: 9436183506 Enrollment ID: I20050920000110 |
| Provider Name | Zahid Kaleem |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063476208 PECOS PAC ID: 4284659483 Enrollment ID: I20051006000734 |
| Provider Name | Shukri M Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861444879 PECOS PAC ID: 9537187554 Enrollment ID: I20051109000023 |
| Provider Name | Charles H. Goshen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750593927 PECOS PAC ID: 6901852581 Enrollment ID: I20051117000570 |
| Provider Name | Jamal Makhoul |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1114904745 PECOS PAC ID: 3779504774 Enrollment ID: I20051216000581 |
| Provider Name | Emanuel J Vlastos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710913306 PECOS PAC ID: 7214941913 Enrollment ID: I20060202000102 |
| Provider Name | Lee C Lavalle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427198761 PECOS PAC ID: 4587679295 Enrollment ID: I20060217000067 |
| Provider Name | Carmon A Collier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386767689 PECOS PAC ID: 1355358268 Enrollment ID: I20060320000006 |
| Provider Name | Arun K Singhal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578551446 PECOS PAC ID: 1052217148 Enrollment ID: I20060417000606 |
| Provider Name | Timothy Edwards |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356388557 PECOS PAC ID: 5597776658 Enrollment ID: I20060606000059 |
| Provider Name | Wu Wen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598711772 PECOS PAC ID: 9638182066 Enrollment ID: I20060801000103 |
| Provider Name | Donald K Hopewell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497741334 PECOS PAC ID: 6406760503 Enrollment ID: I20060824000071 |
| Provider Name | Mark Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609895911 PECOS PAC ID: 3375584931 Enrollment ID: I20061005000212 |
| Provider Name | Huilin Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003925041 PECOS PAC ID: 1951308832 Enrollment ID: I20061107000409 |
| Provider Name | Dawn M Walston |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710061551 PECOS PAC ID: 0042210353 Enrollment ID: I20070111000159 |
| Provider Name | Andrew Blaine Hyatt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982667986 PECOS PAC ID: 4789609900 Enrollment ID: I20070126000252 |
| Provider Name | Myriam C Yafar Ensling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255389037 PECOS PAC ID: 7517968894 Enrollment ID: I20070130000195 |
| Provider Name | Kathleen M Arnzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891726782 PECOS PAC ID: 3870696867 Enrollment ID: I20070313000005 |
| Provider Name | Beth J Gearhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215959101 PECOS PAC ID: 8123126901 Enrollment ID: I20070601000042 |
| Provider Name | Charity B Sandvos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225171804 PECOS PAC ID: 1557469863 Enrollment ID: I20070611000504 |
| Provider Name | Tracy M Tomlinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700091709 PECOS PAC ID: 8325146335 Enrollment ID: I20070614000069 |
| Provider Name | Sara C Armour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700839925 PECOS PAC ID: 7214037894 Enrollment ID: I20070711000813 |
| Provider Name | Margaret A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326239013 PECOS PAC ID: 1456444264 Enrollment ID: I20070911000172 |
| Provider Name | Binu S Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740323617 PECOS PAC ID: 8921194655 Enrollment ID: I20071011000103 |
| Provider Name | Ejaz Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053411942 PECOS PAC ID: 8123021029 Enrollment ID: I20071109000398 |
| Provider Name | Orin Paul Trentham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992740260 PECOS PAC ID: 1850489568 Enrollment ID: I20071114000050 |
| Provider Name | Sanjay T Bhat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356322036 PECOS PAC ID: 6103908256 Enrollment ID: I20080128000640 |
| Provider Name | Amanda L Deschenes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689851131 PECOS PAC ID: 1355428160 Enrollment ID: I20080403000306 |
| Provider Name | Aaliya Najib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932399086 PECOS PAC ID: 5890887129 Enrollment ID: I20080410000384 |
| Provider Name | Margaret Marcrander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972555332 PECOS PAC ID: 0345348637 Enrollment ID: I20080509000145 |
| Provider Name | Khalid I Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851475669 PECOS PAC ID: 6800965104 Enrollment ID: I20080513000062 |
| Provider Name | Thomas D Myles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598773475 PECOS PAC ID: 0648341602 Enrollment ID: I20080618000469 |
| Provider Name | Muhammad H Pathan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326150301 PECOS PAC ID: 2567534282 Enrollment ID: I20080711000359 |
| Provider Name | Norman Charles Petty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235166216 PECOS PAC ID: 0840270773 Enrollment ID: I20080711000549 |
| Provider Name | Gabriel E Soto |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528148491 PECOS PAC ID: 6507931151 Enrollment ID: I20080818000282 |
| Provider Name | Dana Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063672137 PECOS PAC ID: 3476629536 Enrollment ID: I20080915000155 |
| Provider Name | Thomas H Cramer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598814618 PECOS PAC ID: 0648347658 Enrollment ID: I20080917000204 |
| Provider Name | Yvette M Mcqueen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891760088 PECOS PAC ID: 6507856341 Enrollment ID: I20081029000512 |
| Provider Name | Andreas Brandt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871510321 PECOS PAC ID: 6608775218 Enrollment ID: I20090225000718 |
| Provider Name | Ismeth S Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245328020 PECOS PAC ID: 6406842996 Enrollment ID: I20090227000076 |
| Provider Name | Ayoob Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700832391 PECOS PAC ID: 8921164583 Enrollment ID: I20090305000497 |
| Provider Name | James C Mosley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518090125 PECOS PAC ID: 6305990672 Enrollment ID: I20090820000629 |
| Provider Name | Johnny G Yamoah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598973778 PECOS PAC ID: 4789739384 Enrollment ID: I20090903000387 |
| Provider Name | Juan G Gonzalez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801826425 PECOS PAC ID: 0840395182 Enrollment ID: I20090917000571 |
| Provider Name | Charles W Judy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467465799 PECOS PAC ID: 4789720780 Enrollment ID: I20091007000485 |
| Provider Name | Jeryl G Fullen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275631020 PECOS PAC ID: 6507803400 Enrollment ID: I20091008000493 |
| Provider Name | David Allen Law |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285670596 PECOS PAC ID: 7618964958 Enrollment ID: I20091015000343 |
| Provider Name | Kenneth W Retter |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033152335 PECOS PAC ID: 9830179696 Enrollment ID: I20091015000410 |
| Provider Name | Michael A Dawes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083831713 PECOS PAC ID: 2769529858 Enrollment ID: I20091022000022 |
| Provider Name | Eric Pruemer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063541241 PECOS PAC ID: 5395882484 Enrollment ID: I20091022000025 |
| Provider Name | Neil E Lavanchy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356481626 PECOS PAC ID: 2668519752 Enrollment ID: I20091022000035 |
| Provider Name | Pamela D Price |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699895532 PECOS PAC ID: 7113064213 Enrollment ID: I20091022000041 |
| Provider Name | Joan L Windeknecht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497978407 PECOS PAC ID: 6901943000 Enrollment ID: I20091022000065 |
| Provider Name | June A Craigmiles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902029853 PECOS PAC ID: 8527105626 Enrollment ID: I20091022000082 |
| Provider Name | Carl E Oslund |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902947344 PECOS PAC ID: 9234276338 Enrollment ID: I20091022000102 |
| Provider Name | Christopher G Huckstep |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205959590 PECOS PAC ID: 9133266232 Enrollment ID: I20091022000112 |
| Provider Name | Andrew J Moore |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881813202 PECOS PAC ID: 0042357147 Enrollment ID: I20091022000113 |
| Provider Name | Raina Shanks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417008475 PECOS PAC ID: 0941364418 Enrollment ID: I20091026000048 |
| Provider Name | Hersh Maniar |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1497965214 PECOS PAC ID: 0547355612 Enrollment ID: I20091026000091 |
| Provider Name | Lorilea Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205050010 PECOS PAC ID: 6305983800 Enrollment ID: I20091102000004 |
| Provider Name | Wade A Richey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821173287 PECOS PAC ID: 7416958491 Enrollment ID: I20091102000052 |
| Provider Name | Nancy E Weber Bornste |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457487712 PECOS PAC ID: 3274670781 Enrollment ID: I20091102000060 |
| Provider Name | Tia M Rademaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740514546 PECOS PAC ID: 9133268675 Enrollment ID: I20091123000450 |
| Provider Name | Joseph P Miller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265404750 PECOS PAC ID: 4284775909 Enrollment ID: I20100104000218 |
| Provider Name | Leigh A Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083617104 PECOS PAC ID: 7214993278 Enrollment ID: I20100224000771 |
| Provider Name | Gilad A Gross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619995354 PECOS PAC ID: 1658416383 Enrollment ID: I20100305000781 |
| Provider Name | Bevin Christine Guth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477882298 PECOS PAC ID: 7416082706 Enrollment ID: I20100311000571 |
| Provider Name | Donald E Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679782668 PECOS PAC ID: 3173658200 Enrollment ID: I20100315000889 |
| Provider Name | Laurence J Kinsella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770591646 PECOS PAC ID: 6608906995 Enrollment ID: I20100614000096 |
| Provider Name | Dianne S Woolard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336106103 PECOS PAC ID: 1658469978 Enrollment ID: I20100626000240 |
| Provider Name | Eric George Morton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841292216 PECOS PAC ID: 2264513480 Enrollment ID: I20100727000884 |
| Provider Name | Chris Robert Rosenquist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174525539 PECOS PAC ID: 5890876015 Enrollment ID: I20100727000936 |
| Provider Name | Stephanie D Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144413568 PECOS PAC ID: 5193859858 Enrollment ID: I20100817000374 |
| Provider Name | Heather Cugini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669707113 PECOS PAC ID: 5890829436 Enrollment ID: I20100817001606 |
| Provider Name | Jennie L Gorham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730166257 PECOS PAC ID: 9638203375 Enrollment ID: I20100818000281 |
| Provider Name | Russell D Deidiker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841265345 PECOS PAC ID: 0547384224 Enrollment ID: I20100901000907 |
| Provider Name | John David Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275731143 PECOS PAC ID: 1456475060 Enrollment ID: I20100903000473 |
| Provider Name | Joshua A Ferguson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750583647 PECOS PAC ID: 6507981164 Enrollment ID: I20100920000592 |
| Provider Name | Anthonia O Ekpenike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659577484 PECOS PAC ID: 8426174814 Enrollment ID: I20100922000975 |
| Provider Name | Mohammad Q. Najib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578510103 PECOS PAC ID: 5991790024 Enrollment ID: I20100923000222 |
| Provider Name | Raphael N Ngengwe |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699865857 PECOS PAC ID: 0840297198 Enrollment ID: I20100923001119 |
| Provider Name | Roula Al Dahhak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033116165 PECOS PAC ID: 5698720811 Enrollment ID: I20100929001037 |
| Provider Name | Olayiwola C Olagbegi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912011255 PECOS PAC ID: 1355347741 Enrollment ID: I20101008000332 |
| Provider Name | Christy L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811954761 PECOS PAC ID: 9335331164 Enrollment ID: I20101012000120 |
| Provider Name | Carol Thiele |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710129200 PECOS PAC ID: 8224221692 Enrollment ID: I20101018000745 |
| Provider Name | Susan Renee Frazier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811210065 PECOS PAC ID: 7517153679 Enrollment ID: I20101201000593 |
| Provider Name | Andrew N Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821398678 PECOS PAC ID: 0840487435 Enrollment ID: I20101208000778 |
| Provider Name | Magin L Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679876767 PECOS PAC ID: 1052590684 Enrollment ID: I20110127000778 |
| Provider Name | Laura E Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700871142 PECOS PAC ID: 2466463120 Enrollment ID: I20110215000595 |
| Provider Name | Jason R Oslund |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093010282 PECOS PAC ID: 4981887502 Enrollment ID: I20110319000042 |
| Provider Name | Christine Mosebach |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1780981373 PECOS PAC ID: 4183809593 Enrollment ID: I20110429000121 |
| Provider Name | Darren M Allcock |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225149990 PECOS PAC ID: 1850579558 Enrollment ID: I20110628000791 |
| Provider Name | Christopher M Crocker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558668640 PECOS PAC ID: 6406024009 Enrollment ID: I20110726000893 |
| Provider Name | Jamie D Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922260280 PECOS PAC ID: 6800066366 Enrollment ID: I20110819000468 |
| Provider Name | Atif Fazal Rahman Shahnawaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902056971 PECOS PAC ID: 3072784149 Enrollment ID: I20110921000341 |
| Provider Name | Rene M Kunstmuller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174524110 PECOS PAC ID: 1759364607 Enrollment ID: I20110928000879 |
| Provider Name | Samuel Maghidman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821086703 PECOS PAC ID: 0547296907 Enrollment ID: I20111018000051 |
| Provider Name | Andrew Edward Schulman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497716187 PECOS PAC ID: 4880756386 Enrollment ID: I20111208000628 |
| Provider Name | William K. Domarad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831108455 PECOS PAC ID: 0941262760 Enrollment ID: I20120105000443 |
| Provider Name | Jeffrey C Umfleet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861528127 PECOS PAC ID: 1759557960 Enrollment ID: I20120110000071 |
| Provider Name | David R Meece |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831224328 PECOS PAC ID: 0648446856 Enrollment ID: I20120110000085 |
| Provider Name | Michael A Kolda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346375870 PECOS PAC ID: 7315113537 Enrollment ID: I20120110000135 |
| Provider Name | Hugh R Protzel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134117328 PECOS PAC ID: 2769449594 Enrollment ID: I20120127000280 |
| Provider Name | Martin Musumbi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215185699 PECOS PAC ID: 9638336035 Enrollment ID: I20120213000277 |
| Provider Name | Glenda Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528284080 PECOS PAC ID: 4789842238 Enrollment ID: I20120301000053 |
| Provider Name | Mary E Corgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255664280 PECOS PAC ID: 3173782471 Enrollment ID: I20120306000519 |
| Provider Name | Kyu-sik Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952443202 PECOS PAC ID: 9931252905 Enrollment ID: I20120309000203 |
| Provider Name | John T Lake |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629270194 PECOS PAC ID: 2567621196 Enrollment ID: I20120316000481 |
| Provider Name | Danny T Berry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972647139 PECOS PAC ID: 2668633892 Enrollment ID: I20120416000756 |
| Provider Name | Naeem Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750347902 PECOS PAC ID: 6002720349 Enrollment ID: I20120524000123 |
| Provider Name | Steven J Carr |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790988947 PECOS PAC ID: 1052410636 Enrollment ID: I20120702000258 |
| Provider Name | Jennifer M Goldkamp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225291636 PECOS PAC ID: 9234395377 Enrollment ID: I20120718000431 |
| Provider Name | David M Borel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558368746 PECOS PAC ID: 4486640646 Enrollment ID: I20120806000156 |
| Provider Name | Christopher B Keller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598820268 PECOS PAC ID: 4486705647 Enrollment ID: I20120927000784 |
| Provider Name | Alex Dwuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417275041 PECOS PAC ID: 5698926111 Enrollment ID: I20121109000603 |
| Provider Name | Elie Khouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558324442 PECOS PAC ID: 0547336968 Enrollment ID: I20130213000479 |
| Provider Name | Dana M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760730139 PECOS PAC ID: 2365697786 Enrollment ID: I20130308000219 |
| Provider Name | Akinobu Itoh |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1396005211 PECOS PAC ID: 9133374499 Enrollment ID: I20130313000060 |
| Provider Name | Mark C Rusten |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912930777 PECOS PAC ID: 2860420684 Enrollment ID: I20130314000299 |
| Provider Name | Jaime Penix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760597025 PECOS PAC ID: 5890792543 Enrollment ID: I20130323000069 |
| Provider Name | Andrew C Dickey |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215148168 PECOS PAC ID: 1850536236 Enrollment ID: I20130408000338 |
| Provider Name | Joseph M Boyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578724068 PECOS PAC ID: 6709036411 Enrollment ID: I20130418000225 |
| Provider Name | Nancy K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205178274 PECOS PAC ID: 8224274154 Enrollment ID: I20130423000023 |
| Provider Name | April F Kibble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568716942 PECOS PAC ID: 4981841806 Enrollment ID: I20130514000409 |
| Provider Name | Nicholas James Shields |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710323191 PECOS PAC ID: 9537301585 Enrollment ID: I20130805000365 |
| Provider Name | George Berberian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1962569046 PECOS PAC ID: 7214016658 Enrollment ID: I20130925000526 |
| Provider Name | Kathryn M Hileman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245662725 PECOS PAC ID: 1254565039 Enrollment ID: I20131010000241 |
| Provider Name | Jessica Suhre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407125370 PECOS PAC ID: 4284869678 Enrollment ID: I20131018001653 |
| Provider Name | Laura Vricella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316150907 PECOS PAC ID: 5092846006 Enrollment ID: I20131022002140 |
| Provider Name | Minyo L Ticer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396177598 PECOS PAC ID: 1850526898 Enrollment ID: I20131030000215 |
| Provider Name | Deborah L Buckingham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134215098 PECOS PAC ID: 6406808146 Enrollment ID: I20131106001762 |
| Provider Name | Jennifer M Lovegreen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407084890 PECOS PAC ID: 9234364886 Enrollment ID: I20131106001969 |
| Provider Name | Chizor J Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386736379 PECOS PAC ID: 3274768759 Enrollment ID: I20131109000614 |
| Provider Name | Jeremy Kendel Baird |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609823467 PECOS PAC ID: 3274557376 Enrollment ID: I20131122000705 |
| Provider Name | Kiran Chintam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982930285 PECOS PAC ID: 9032367255 Enrollment ID: I20131209000995 |
| Provider Name | Jeffrey P Keck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467422113 PECOS PAC ID: 7416088737 Enrollment ID: I20140102000890 |
| Provider Name | Venumadhav Chirunomula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528292406 PECOS PAC ID: 8729238266 Enrollment ID: I20140109000517 |
| Provider Name | Rachael M Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053748582 PECOS PAC ID: 6406084649 Enrollment ID: I20140114001231 |
| Provider Name | Bhavani Vaddey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336374255 PECOS PAC ID: 7517117054 Enrollment ID: I20140116001419 |
| Provider Name | Paul Robison |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1427010735 PECOS PAC ID: 1355419763 Enrollment ID: I20140124001181 |
| Provider Name | Robert L Beshany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417926551 PECOS PAC ID: 2264324425 Enrollment ID: I20140131001897 |
| Provider Name | Yuan Fan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639312481 PECOS PAC ID: 7719131879 Enrollment ID: I20140319000699 |
| Provider Name | Evan Hirsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679513733 PECOS PAC ID: 7416932132 Enrollment ID: I20140319002127 |
| Provider Name | Randi Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295815892 PECOS PAC ID: 7113011123 Enrollment ID: I20140327001357 |
| Provider Name | Janet M Fleck |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922069897 PECOS PAC ID: 8729040746 Enrollment ID: I20140424001595 |
| Provider Name | Yveline D Jean-claude |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730127945 PECOS PAC ID: 8527018837 Enrollment ID: I20140605001584 |
| Provider Name | Karen Roof |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396162947 PECOS PAC ID: 6305060831 Enrollment ID: I20140624000636 |
| Provider Name | Daniel R Wheeler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306011937 PECOS PAC ID: 6406996404 Enrollment ID: I20140624001122 |
| Provider Name | Kali D Francis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346534351 PECOS PAC ID: 1951526185 Enrollment ID: I20140702001006 |
| Provider Name | Sterling Alexander Meza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003860545 PECOS PAC ID: 3779524228 Enrollment ID: I20140708001293 |
| Provider Name | Julie A Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720491301 PECOS PAC ID: 4284850645 Enrollment ID: I20140722000822 |
| Provider Name | Leslie Schermann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356756654 PECOS PAC ID: 5890911028 Enrollment ID: I20140724001886 |
| Provider Name | Anna Wahlig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245541663 PECOS PAC ID: 9830315647 Enrollment ID: I20140730001918 |
| Provider Name | Yifan Tu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447405899 PECOS PAC ID: 5991923922 Enrollment ID: I20140904000407 |
| Provider Name | Annamalai Arunachalam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235362344 PECOS PAC ID: 5597984252 Enrollment ID: I20140912000351 |
| Provider Name | Craig A Buchanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386923167 PECOS PAC ID: 7416177688 Enrollment ID: I20141010000861 |
| Provider Name | Eric E Hansen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043287733 PECOS PAC ID: 1557318862 Enrollment ID: I20141010001396 |
| Provider Name | Curtis L Jansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447530597 PECOS PAC ID: 2466673082 Enrollment ID: I20141024000806 |
| Provider Name | Brian Keenan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063699163 PECOS PAC ID: 0446425839 Enrollment ID: I20141029000299 |
| Provider Name | Elizabeth A Huenefeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609279025 PECOS PAC ID: 0345562302 Enrollment ID: I20141201002173 |
| Provider Name | Benjamin Yan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811158587 PECOS PAC ID: 4587815238 Enrollment ID: I20141215002384 |
| Provider Name | Jeremiah E Yerton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568682722 PECOS PAC ID: 5193856920 Enrollment ID: I20141216000082 |
| Provider Name | Aravind Pothineni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124215124 PECOS PAC ID: 1355664947 Enrollment ID: I20150107001267 |
| Provider Name | Janelle Vanzandt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659340099 PECOS PAC ID: 4688733918 Enrollment ID: I20150129002023 |
| Provider Name | Mahmoud M El Sayed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982618856 PECOS PAC ID: 0143225821 Enrollment ID: I20150205000336 |
| Provider Name | Muhammad Faraz Masood |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1306166327 PECOS PAC ID: 6608001847 Enrollment ID: I20150205001294 |
| Provider Name | Rodney K Pratt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225436678 PECOS PAC ID: 0345565321 Enrollment ID: I20150216000463 |
| Provider Name | Mark D Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780754127 PECOS PAC ID: 1052200391 Enrollment ID: I20150303000944 |
| Provider Name | Rupinderjit Singh Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619167483 PECOS PAC ID: 6002940822 Enrollment ID: I20150428002301 |
| Provider Name | Khawaja Owais Omar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104077312 PECOS PAC ID: 0042488223 Enrollment ID: I20150602001185 |
| Provider Name | James J Laguardia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790766996 PECOS PAC ID: 3577610930 Enrollment ID: I20150603001427 |
| Provider Name | Deirdre Donaldson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164482923 PECOS PAC ID: 9638368228 Enrollment ID: I20150608001960 |
| Provider Name | Trey Robert Graviett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194112409 PECOS PAC ID: 9133430986 Enrollment ID: I20150619000834 |
| Provider Name | Luis Arcay Montagne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225346802 PECOS PAC ID: 0244541761 Enrollment ID: I20150624001168 |
| Provider Name | Aaron T May |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306224639 PECOS PAC ID: 8628380045 Enrollment ID: I20150626001515 |
| Provider Name | Lara May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619359171 PECOS PAC ID: 3577878222 Enrollment ID: I20150811003412 |
| Provider Name | Jeffrey Biskup |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295013373 PECOS PAC ID: 6103131750 Enrollment ID: I20150812006731 |
| Provider Name | Jessica Leanne Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780943753 PECOS PAC ID: 4284872003 Enrollment ID: I20150825004482 |
| Provider Name | Mohammad Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144431925 PECOS PAC ID: 4284799529 Enrollment ID: I20150826002638 |
| Provider Name | Andrew Lawrence |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306133129 PECOS PAC ID: 8224263322 Enrollment ID: I20150827001954 |
| Provider Name | Julianna P Lippert Keck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548231673 PECOS PAC ID: 9335455666 Enrollment ID: I20150902000118 |
| Provider Name | Makenna R Wright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285013003 PECOS PAC ID: 1850608027 Enrollment ID: I20150921001649 |
| Provider Name | Kaitlin R Roslen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659756286 PECOS PAC ID: 3779890983 Enrollment ID: I20150921003059 |
| Provider Name | Kourtney L Hartwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053780551 PECOS PAC ID: 7911216973 Enrollment ID: I20151014002564 |
| Provider Name | Jessica Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376912816 PECOS PAC ID: 5193035079 Enrollment ID: I20151104002298 |
| Provider Name | Nickole E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578936175 PECOS PAC ID: 5294045928 Enrollment ID: I20151110001516 |
| Provider Name | Jehan P Murugaser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093074932 PECOS PAC ID: 7911217542 Enrollment ID: I20151110001967 |
| Provider Name | Luke Hubbard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265817779 PECOS PAC ID: 9537464847 Enrollment ID: I20160224002701 |
| Provider Name | Edward L Burkhalter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396708046 PECOS PAC ID: 4587658133 Enrollment ID: I20160308002754 |
| Provider Name | Kimberly Hagedorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669832556 PECOS PAC ID: 1951608454 Enrollment ID: I20160329000790 |
| Provider Name | Danielle N Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689034274 PECOS PAC ID: 7911205851 Enrollment ID: I20160411000787 |
| Provider Name | George Wettach |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407077852 PECOS PAC ID: 5799931598 Enrollment ID: I20160412002238 |
| Provider Name | Imran Haider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306132196 PECOS PAC ID: 4688813439 Enrollment ID: I20160524000737 |
| Provider Name | Mark A Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770938003 PECOS PAC ID: 7618268533 Enrollment ID: I20160624000223 |
| Provider Name | Michael A Holland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538423561 PECOS PAC ID: 0244464121 Enrollment ID: I20160706001742 |
| Provider Name | Eric Grabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427406396 PECOS PAC ID: 7911299052 Enrollment ID: I20160711000030 |
| Provider Name | Michael D Ornburn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881958429 PECOS PAC ID: 6406154061 Enrollment ID: I20160714002047 |
| Provider Name | Daren Mahoney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760724439 PECOS PAC ID: 7719270677 Enrollment ID: I20160729001173 |
| Provider Name | Joseph Polcaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598716920 PECOS PAC ID: 6507045317 Enrollment ID: I20160801001438 |
| Provider Name | Nitin Sainani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952745093 PECOS PAC ID: 8123327921 Enrollment ID: I20160803001307 |
| Provider Name | Anuj Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932420957 PECOS PAC ID: 6204075450 Enrollment ID: I20160810001481 |
| Provider Name | Bassam Albashiti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659668648 PECOS PAC ID: 4284865825 Enrollment ID: I20160815002543 |
| Provider Name | Jared Edwin Ebert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508270091 PECOS PAC ID: 7618191123 Enrollment ID: I20160909001118 |
| Provider Name | Puja Kachroo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1881899714 PECOS PAC ID: 0648491613 Enrollment ID: I20160912000748 |
| Provider Name | Matthew Charan Baker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386888527 PECOS PAC ID: 2961717921 Enrollment ID: I20160912000776 |
| Provider Name | Jeannie M Knotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457704983 PECOS PAC ID: 7315233699 Enrollment ID: I20160913001335 |
| Provider Name | Megan M Hecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952856080 PECOS PAC ID: 3577850544 Enrollment ID: I20160920001557 |
| Provider Name | Lisa Pagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194816116 PECOS PAC ID: 7113917402 Enrollment ID: I20161006000665 |
| Provider Name | Fernando A Arzola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275530065 PECOS PAC ID: 4587645999 Enrollment ID: I20161014000157 |
| Provider Name | Tessa L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578012282 PECOS PAC ID: 1759679350 Enrollment ID: I20161014000697 |
| Provider Name | Michael Di Bari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811924301 PECOS PAC ID: 7911967898 Enrollment ID: I20161014001227 |
| Provider Name | Heather N Schenimann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407306798 PECOS PAC ID: 8224326699 Enrollment ID: I20161018001581 |
| Provider Name | Amanda J Boatwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316498132 PECOS PAC ID: 7517245178 Enrollment ID: I20161102000663 |
| Provider Name | Moses A Aderanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932457371 PECOS PAC ID: 1850606203 Enrollment ID: I20161123000483 |
| Provider Name | Sarah Hodges |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073775227 PECOS PAC ID: 6507097078 Enrollment ID: I20161221001131 |
| Provider Name | Natasha Telesford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639593395 PECOS PAC ID: 1355562927 Enrollment ID: I20170106001497 |
| Provider Name | Altressa Drummond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891722849 PECOS PAC ID: 5496717456 Enrollment ID: I20170209000935 |
| Provider Name | Leanne Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124566104 PECOS PAC ID: 6103102876 Enrollment ID: I20170412000126 |
| Provider Name | Katana M Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073052296 PECOS PAC ID: 8921384504 Enrollment ID: I20170413001900 |
| Provider Name | Wendy Jauch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902347693 PECOS PAC ID: 1850678947 Enrollment ID: I20170427000223 |
| Provider Name | Jennifer R Lang |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891160164 PECOS PAC ID: 9931402393 Enrollment ID: I20170524001254 |
| Provider Name | Joseph Robert Starke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922414465 PECOS PAC ID: 9931407632 Enrollment ID: I20170623002106 |
| Provider Name | Samuel R Mitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619948213 PECOS PAC ID: 2466436159 Enrollment ID: I20170718001713 |
| Provider Name | Lauren M Kerley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417482530 PECOS PAC ID: 9234409418 Enrollment ID: I20170720001661 |
| Provider Name | Janet S Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194266528 PECOS PAC ID: 2961772991 Enrollment ID: I20170724001986 |
| Provider Name | Anthony Travis Thrower |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972032035 PECOS PAC ID: 8527339027 Enrollment ID: I20170802000086 |
| Provider Name | Zachary L Hudson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114269420 PECOS PAC ID: 6103104930 Enrollment ID: I20170808000398 |
| Provider Name | Brian Scott Lehnhof |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861831695 PECOS PAC ID: 1658661251 Enrollment ID: I20170815003856 |
| Provider Name | Lauren Virginia C Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033555891 PECOS PAC ID: 8022311695 Enrollment ID: I20170825001673 |
| Provider Name | Kia S Lannaman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164786166 PECOS PAC ID: 6608172150 Enrollment ID: I20170907003562 |
| Provider Name | Austin R Roubidoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760902571 PECOS PAC ID: 0244503399 Enrollment ID: I20170912001133 |
| Provider Name | Nataliya P Kozodoy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750671335 PECOS PAC ID: 1759522584 Enrollment ID: I20170912002089 |
| Provider Name | Abdul M Haseeb |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407897093 PECOS PAC ID: 6507859394 Enrollment ID: I20170919004112 |
| Provider Name | Crystal Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073030516 PECOS PAC ID: 2365717485 Enrollment ID: I20170928003907 |
| Provider Name | Elisabeth Henson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144673708 PECOS PAC ID: 3476847922 Enrollment ID: I20171018002462 |
| Provider Name | Merritt E Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972029031 PECOS PAC ID: 8224304191 Enrollment ID: I20171019002818 |
| Provider Name | Melissa Maria Grcic-jacobelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023094372 PECOS PAC ID: 0547202053 Enrollment ID: I20171031000211 |
| Provider Name | Leah Hayman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245759919 PECOS PAC ID: 9830465145 Enrollment ID: I20171031002435 |
| Provider Name | Michael Mirzoyan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073787545 PECOS PAC ID: 9931230562 Enrollment ID: I20171108002139 |
| Provider Name | Kenosa Kosicho Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184967838 PECOS PAC ID: 7315239779 Enrollment ID: I20180123001591 |
| Provider Name | Talmage E Pike |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295147767 PECOS PAC ID: 0749506079 Enrollment ID: I20180205001745 |
| Provider Name | Ravonne G Ross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609834118 PECOS PAC ID: 4789762477 Enrollment ID: I20180213002707 |
| Provider Name | Omar M Kuzez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558626572 PECOS PAC ID: 8224398102 Enrollment ID: I20180214002376 |
| Provider Name | Rudolph N Francis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609894476 PECOS PAC ID: 5597774760 Enrollment ID: I20180307000170 |
| Provider Name | Nashoria K Aclis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730548868 PECOS PAC ID: 7416242698 Enrollment ID: I20180328000249 |
| Provider Name | William Akwasi Ankobiah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386661163 PECOS PAC ID: 2264339605 Enrollment ID: I20180328001579 |
| Provider Name | Erika Beussink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255828638 PECOS PAC ID: 5294090098 Enrollment ID: I20180529000535 |
| Provider Name | Hill Ambrose Enuh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841547692 PECOS PAC ID: 6103128095 Enrollment ID: I20180712000388 |
| Provider Name | Morgan Reiminger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659882546 PECOS PAC ID: 6709132236 Enrollment ID: I20180712003379 |
| Provider Name | Brittany A Richardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073018263 PECOS PAC ID: 7113274077 Enrollment ID: I20180724000690 |
| Provider Name | Drew Zural Satterfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316328735 PECOS PAC ID: 7517279193 Enrollment ID: I20180807000363 |
| Provider Name | Sara Elizabeth Redmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922502111 PECOS PAC ID: 8921357955 Enrollment ID: I20180823002266 |
| Provider Name | Krystal Ferguson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194201525 PECOS PAC ID: 0244589224 Enrollment ID: I20180824000498 |
| Provider Name | Jennifer Burchfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316444672 PECOS PAC ID: 3870843683 Enrollment ID: I20180828004373 |
| Provider Name | Erin E Ezzell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801091996 PECOS PAC ID: 3072737170 Enrollment ID: I20180904003272 |
| Provider Name | Regina M Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700366218 PECOS PAC ID: 4486906443 Enrollment ID: I20181003000667 |
| Provider Name | Haseeb Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659756005 PECOS PAC ID: 9638469703 Enrollment ID: I20181119002753 |
| Provider Name | Seth Tyler Koehler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255782843 PECOS PAC ID: 3577854108 Enrollment ID: I20181203000133 |
| Provider Name | Nassif Azzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801025820 PECOS PAC ID: 0749413508 Enrollment ID: I20181210002176 |
| Provider Name | Alexandria M Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891270666 PECOS PAC ID: 5991049470 Enrollment ID: I20181211001065 |
| Provider Name | Anthony A Mcpherron |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487645990 PECOS PAC ID: 1456312214 Enrollment ID: I20190116001355 |
| Provider Name | Katherine L Jones-grady |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841604253 PECOS PAC ID: 3072850841 Enrollment ID: I20190201000512 |
| Provider Name | Nieka Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396825618 PECOS PAC ID: 0547408395 Enrollment ID: I20190225001642 |
| Provider Name | Elizabeth Shallenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104300094 PECOS PAC ID: 7719231562 Enrollment ID: I20190306001814 |
| Provider Name | Meagan Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295238681 PECOS PAC ID: 8628319423 Enrollment ID: I20190404000274 |
| Provider Name | Sinokuthaba Sibanda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912465758 PECOS PAC ID: 0840532115 Enrollment ID: I20190507001679 |
| Provider Name | Ashley Haegele Ali |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922340603 PECOS PAC ID: 3274876073 Enrollment ID: I20190518000190 |
| Provider Name | Christopher L Valencia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649305608 PECOS PAC ID: 1254360480 Enrollment ID: I20190702002154 |
| Provider Name | Sivagamy Nyanzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205495272 PECOS PAC ID: 9638404155 Enrollment ID: I20190703003066 |
| Provider Name | Amanda S Graser |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942868542 PECOS PAC ID: 2567797020 Enrollment ID: I20190706000106 |
| Provider Name | Amanda Pleimann-king |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659722155 PECOS PAC ID: 0244522621 Enrollment ID: I20190724000695 |
| Provider Name | Jamie L Vandermierden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487213864 PECOS PAC ID: 4082940853 Enrollment ID: I20190731003677 |
| Provider Name | Mitchell Grobman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073556056 PECOS PAC ID: 2567623267 Enrollment ID: I20190802002686 |
| Provider Name | Jennifer Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477105427 PECOS PAC ID: 6507193083 Enrollment ID: I20190806002924 |
| Provider Name | Brian Paul Duffell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629426978 PECOS PAC ID: 9335499409 Enrollment ID: I20190807002276 |
| Provider Name | Parker Capshaw Kohlfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215389259 PECOS PAC ID: 9931491784 Enrollment ID: I20190819000542 |
| Provider Name | Eric L Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104276310 PECOS PAC ID: 4183910961 Enrollment ID: I20190820003572 |
| Provider Name | Jamie Rich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104383017 PECOS PAC ID: 9537497128 Enrollment ID: I20190820003584 |
| Provider Name | Charity A Jacobs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962764183 PECOS PAC ID: 3870883911 Enrollment ID: I20190820003943 |
| Provider Name | Emily B Burdin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922654359 PECOS PAC ID: 4486983640 Enrollment ID: I20190912002790 |
| Provider Name | Aman Ullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407207624 PECOS PAC ID: 6103103890 Enrollment ID: I20190926003341 |
| Provider Name | Sajjad Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851742092 PECOS PAC ID: 2961798236 Enrollment ID: I20191021000375 |
| Provider Name | Gabrielle Rebecca Sierman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861041311 PECOS PAC ID: 5092047050 Enrollment ID: I20191024003056 |
| Provider Name | Kimberly Shae Burks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831561240 PECOS PAC ID: 7810293651 Enrollment ID: I20191118000318 |
| Provider Name | Tabitha W Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720629561 PECOS PAC ID: 7012349475 Enrollment ID: I20191123000067 |
| Provider Name | Cynthia Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003478066 PECOS PAC ID: 0042643355 Enrollment ID: I20191127000504 |
| Provider Name | Mariam Aehtesham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033561170 PECOS PAC ID: 3274966346 Enrollment ID: I20191203001552 |
| Provider Name | Nataraj Kasal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912915034 PECOS PAC ID: 1951585397 Enrollment ID: I20191210002504 |
| Provider Name | Muhammad A Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851656706 PECOS PAC ID: 9537487327 Enrollment ID: I20191218002331 |
| Provider Name | Matthew Nanney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033757992 PECOS PAC ID: 5294169033 Enrollment ID: I20200102001692 |
| Provider Name | Alison Leigh Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598004087 PECOS PAC ID: 9335442375 Enrollment ID: I20200211000888 |
| Provider Name | Brittney F Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205480795 PECOS PAC ID: 1355778069 Enrollment ID: I20200218003102 |
| Provider Name | Ashtin P Cohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376174227 PECOS PAC ID: 3779910187 Enrollment ID: I20200225001115 |
| Provider Name | Caleb O Paniamogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467411009 PECOS PAC ID: 5991604134 Enrollment ID: I20200331002762 |
| Provider Name | Munira M Rahman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639597578 PECOS PAC ID: 0143447391 Enrollment ID: I20200401002355 |
| Provider Name | Tara Ann Elizabeth Ribbing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023595261 PECOS PAC ID: 9739519893 Enrollment ID: I20200414001579 |
| Provider Name | Morgan P Siemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619502770 PECOS PAC ID: 7113357765 Enrollment ID: I20200422000647 |
| Provider Name | Rebekah C Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588072318 PECOS PAC ID: 2769813765 Enrollment ID: I20200507000147 |
| Provider Name | Andrew Richardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598389306 PECOS PAC ID: 7911329222 Enrollment ID: I20200615001632 |
| Provider Name | Kiddy Ume |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659721884 PECOS PAC ID: 4486948858 Enrollment ID: I20200702000451 |
| Provider Name | Jacob S Wren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154940344 PECOS PAC ID: 1658794896 Enrollment ID: I20200707002625 |
| Provider Name | Sarah J Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558916023 PECOS PAC ID: 6901229517 Enrollment ID: I20200714002984 |
| Provider Name | Michelle Ann Backfisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639731474 PECOS PAC ID: 4880018530 Enrollment ID: I20200728001552 |
| Provider Name | Ryan Eaton |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790168466 PECOS PAC ID: 4284059866 Enrollment ID: I20200729002871 |
| Provider Name | Jessica K Lehmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053765214 PECOS PAC ID: 4082908470 Enrollment ID: I20200812003548 |
| Provider Name | Shane E Hendon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992757975 PECOS PAC ID: 9234140591 Enrollment ID: I20200820001124 |
| Provider Name | Matthew James Hileman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912357161 PECOS PAC ID: 9931495397 Enrollment ID: I20200904000667 |
| Provider Name | Thomas E Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114453248 PECOS PAC ID: 6204193253 Enrollment ID: I20201118002658 |
| Provider Name | William L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457951279 PECOS PAC ID: 5597176560 Enrollment ID: I20201123002391 |
| Provider Name | Jaimie S Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902297880 PECOS PAC ID: 6507279098 Enrollment ID: I20201229002983 |
| Provider Name | Edward Lawrence Johansson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306873633 PECOS PAC ID: 5092784157 Enrollment ID: I20210114001852 |
| Provider Name | Heather N Uelhof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881296788 PECOS PAC ID: 2961816673 Enrollment ID: I20210120002158 |
| Provider Name | Andrew G Chan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902285844 PECOS PAC ID: 9739591462 Enrollment ID: I20210204000629 |
| Provider Name | Channin J Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518921519 PECOS PAC ID: 3971531757 Enrollment ID: I20210315000542 |
| Provider Name | Connie G Lynn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366464620 PECOS PAC ID: 6406845502 Enrollment ID: I20210324000172 |
| Provider Name | Cynthia Dennis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477765899 PECOS PAC ID: 6507174836 Enrollment ID: I20210413002369 |
| Provider Name | John F Niswonger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215537220 PECOS PAC ID: 1850790304 Enrollment ID: I20210603000820 |
| Provider Name | Summer R Black |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871113696 PECOS PAC ID: 8527486612 Enrollment ID: I20210603002007 |
| Provider Name | Gilbert S Duxbury |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508014044 PECOS PAC ID: 7719133198 Enrollment ID: I20210716000257 |
| Provider Name | Tiffany Nicole Hines |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134605488 PECOS PAC ID: 1658611850 Enrollment ID: I20210716000370 |
| Provider Name | Cassie M Henninger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962933770 PECOS PAC ID: 6103198593 Enrollment ID: I20210721000950 |
| Provider Name | Elyse C Parchmont |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720376254 PECOS PAC ID: 2264603422 Enrollment ID: I20210722000975 |
| Provider Name | Marcus J House |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942870449 PECOS PAC ID: 0143623595 Enrollment ID: I20210723000210 |
| Provider Name | Crista J Merriman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548836190 PECOS PAC ID: 5890198030 Enrollment ID: I20210726000686 |
| Provider Name | Megan K Reis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477787620 PECOS PAC ID: 2466856166 Enrollment ID: I20210803000684 |
| Provider Name | Chelsea N Grigery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679861785 PECOS PAC ID: 3072917772 Enrollment ID: I20210803000846 |
| Provider Name | Greg Cugini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245479419 PECOS PAC ID: 7315341013 Enrollment ID: I20210803000914 |
| Provider Name | Matthew Schilling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285206912 PECOS PAC ID: 3577967215 Enrollment ID: I20210803002269 |
| Provider Name | Tyler John Egbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801389853 PECOS PAC ID: 5193071215 Enrollment ID: I20210811004149 |
| Provider Name | Niraj R Chavan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700124427 PECOS PAC ID: 4688947757 Enrollment ID: I20210816002728 |
| Provider Name | Ulfur T Gudjonsson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467656926 PECOS PAC ID: 3779678594 Enrollment ID: I20210818001347 |
| Provider Name | Tammy June Stricker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740578939 PECOS PAC ID: 0042481749 Enrollment ID: I20210830002354 |
| Provider Name | Leslie Gravlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932599461 PECOS PAC ID: 2365762200 Enrollment ID: I20210831001942 |
| Provider Name | Dodi K Suhari |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083043483 PECOS PAC ID: 1759505746 Enrollment ID: I20210915000432 |
| Provider Name | Radha Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649288374 PECOS PAC ID: 8123189610 Enrollment ID: I20210915000865 |
| Provider Name | Joshua M Hammond |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831570233 PECOS PAC ID: 3375856925 Enrollment ID: I20210928000189 |
| Provider Name | Corrine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992476923 PECOS PAC ID: 5698163376 Enrollment ID: I20211029000642 |
| Provider Name | Mary S Wehner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235125923 PECOS PAC ID: 6305803339 Enrollment ID: I20211103000291 |
| Provider Name | Patrick J Mollett |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740677483 PECOS PAC ID: 8820308976 Enrollment ID: I20211103001958 |
| Provider Name | Rodney A Finch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750481263 PECOS PAC ID: 4183630569 Enrollment ID: I20211210000497 |
| Provider Name | Julia Sophia White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427658301 PECOS PAC ID: 0648685438 Enrollment ID: I20211213000724 |
| Provider Name | Audrey M Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679231690 PECOS PAC ID: 7416348255 Enrollment ID: I20220105000683 |
| Provider Name | Dianna Graber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447341458 PECOS PAC ID: 0244264562 Enrollment ID: I20220201002438 |
| Provider Name | Kyle R West |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568004968 PECOS PAC ID: 7618303181 Enrollment ID: I20220218000451 |
| Provider Name | Clyde Sullivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295939262 PECOS PAC ID: 5193876464 Enrollment ID: I20220316001162 |
| Provider Name | Jason Blandford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952056004 PECOS PAC ID: 4183019813 Enrollment ID: I20220316002547 |
| Provider Name | Saundra M Hickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922755479 PECOS PAC ID: 5193111243 Enrollment ID: I20220330000386 |
| Provider Name | Mario Dewayne Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396261905 PECOS PAC ID: 1759647886 Enrollment ID: I20220407000239 |
| Provider Name | Madison C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639827124 PECOS PAC ID: 8921495953 Enrollment ID: I20220421002056 |
| Provider Name | Annamaria Boyce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942599584 PECOS PAC ID: 1355527433 Enrollment ID: I20220523000179 |
| Provider Name | Bryan A Feinstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417419771 PECOS PAC ID: 4486032794 Enrollment ID: I20220527000554 |
| Provider Name | James A Butler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033671342 PECOS PAC ID: 5597143438 Enrollment ID: I20220603002354 |
| Provider Name | Chelsea Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578024626 PECOS PAC ID: 7214261502 Enrollment ID: I20220610000979 |
| Provider Name | Jena Lyn Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861121253 PECOS PAC ID: 8729467022 Enrollment ID: I20220616001020 |
| Provider Name | Tammy A Bishop |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083620801 PECOS PAC ID: 3779531207 Enrollment ID: I20220623000794 |
| Provider Name | Jennifer S Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922738145 PECOS PAC ID: 3577943984 Enrollment ID: I20220701000843 |
| Provider Name | Thomas Peter Gransinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780942862 PECOS PAC ID: 9537315429 Enrollment ID: I20220722002394 |
| Provider Name | Monica A Unterreiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639730328 PECOS PAC ID: 0749515781 Enrollment ID: I20220723000153 |
| Provider Name | Basil I Shahin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851951982 PECOS PAC ID: 0446648802 Enrollment ID: I20220802000672 |
| Provider Name | Violet H De La Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700518552 PECOS PAC ID: 2567844970 Enrollment ID: I20220802001608 |
| Provider Name | Megan E Mcdermott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679206668 PECOS PAC ID: 4789066796 Enrollment ID: I20220806000506 |
| Provider Name | Kerri Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104550664 PECOS PAC ID: 4082097142 Enrollment ID: I20220823000797 |
| Provider Name | Frank A Furnari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083176929 PECOS PAC ID: 4284017377 Enrollment ID: I20220823002181 |
| Provider Name | Becky B Everett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760578843 PECOS PAC ID: 4385620699 Enrollment ID: I20220826002896 |
| Provider Name | John L Starwalt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780146662 PECOS PAC ID: 6103201165 Enrollment ID: I20220913000377 |
| Provider Name | Carmen Fabiola Paredes Saenz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649650722 PECOS PAC ID: 1951786607 Enrollment ID: I20220915001912 |
| Provider Name | Angela M Harvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588707020 PECOS PAC ID: 9234238726 Enrollment ID: I20220928003297 |
| Provider Name | Nahada D Gudger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811544281 PECOS PAC ID: 9032542477 Enrollment ID: I20221028000813 |
| Provider Name | Jessica N Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063138949 PECOS PAC ID: 0840668539 Enrollment ID: I20221130003308 |
| Provider Name | Lauren M Schick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538886460 PECOS PAC ID: 6800265562 Enrollment ID: I20221220001121 |
| Provider Name | Brian J. Sutterer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720519184 PECOS PAC ID: 7517239270 Enrollment ID: I20230109000629 |
| Provider Name | Melissa A Lovins-bewley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396357141 PECOS PAC ID: 4789091562 Enrollment ID: I20230110000882 |
| Provider Name | Pamela P Clegg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922091859 PECOS PAC ID: 4789787490 Enrollment ID: I20230125002958 |
| Provider Name | Elle S Weilbrenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518684711 PECOS PAC ID: 0143693127 Enrollment ID: I20230223000163 |
| Provider Name | Ashley M Gantner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245959717 PECOS PAC ID: 4082089065 Enrollment ID: I20230404002318 |
| Provider Name | Rasleen Kanwal Saluja |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821477829 PECOS PAC ID: 8921402884 Enrollment ID: I20230406001049 |
| Provider Name | Jordyne F Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851006522 PECOS PAC ID: 9032584701 Enrollment ID: I20230411001623 |
| Provider Name | Cassidy L Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083327571 PECOS PAC ID: 8921473596 Enrollment ID: I20230412002803 |
| Provider Name | Kristopher R Lange |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376084327 PECOS PAC ID: 5092180661 Enrollment ID: I20230412002978 |
| Provider Name | Evan Weber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982066502 PECOS PAC ID: 3476848193 Enrollment ID: I20230427002039 |
| Provider Name | Kelsie N Jansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518679976 PECOS PAC ID: 7517322050 Enrollment ID: I20230505000166 |
| Provider Name | Terren J Chapman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972091783 PECOS PAC ID: 3870845068 Enrollment ID: I20230522000520 |
| Provider Name | Brent Michael Lindsley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386089324 PECOS PAC ID: 9436451903 Enrollment ID: I20230525000417 |
| Provider Name | Keandra E Speakman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508561614 PECOS PAC ID: 6103283130 Enrollment ID: I20230607001822 |
| Provider Name | Meghan A Buhs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588355598 PECOS PAC ID: 5092172932 Enrollment ID: I20230607002393 |
| Provider Name | Kristen R Seyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427741578 PECOS PAC ID: 5294193660 Enrollment ID: I20230615003486 |
| Provider Name | Heather Michelle O'connor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619401221 PECOS PAC ID: 5799050993 Enrollment ID: I20230627003279 |
| Provider Name | Preston T Holifield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982397436 PECOS PAC ID: 7517326192 Enrollment ID: I20230629001269 |
| Provider Name | Chase Silvers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801357850 PECOS PAC ID: 3779810502 Enrollment ID: I20230712003637 |
| Provider Name | Munis Raza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164807087 PECOS PAC ID: 7416261060 Enrollment ID: I20230726002743 |
| Provider Name | Ali U Farooq |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174907026 PECOS PAC ID: 6901113364 Enrollment ID: I20230808001708 |
| Provider Name | James Robert Atwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750536397 PECOS PAC ID: 6204997257 Enrollment ID: I20230822003270 |
| Provider Name | Lisa M Atwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477070407 PECOS PAC ID: 3678833670 Enrollment ID: I20230905003603 |
| Provider Name | Sara E Hocker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710141502 PECOS PAC ID: 3678697752 Enrollment ID: I20230911000747 |
| Provider Name | Joshua H Buell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881215697 PECOS PAC ID: 9436503554 Enrollment ID: I20230922003523 |
| Provider Name | Toms Vengaloor Thomas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962817445 PECOS PAC ID: 6507268224 Enrollment ID: I20230929001796 |
| Provider Name | Anu Abraham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952898058 PECOS PAC ID: 4082963632 Enrollment ID: I20231004001339 |
| Provider Name | Dexter Guidry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033249719 PECOS PAC ID: 1153426630 Enrollment ID: I20231004002504 |
| Provider Name | Kenneth James Shortt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649767294 PECOS PAC ID: 0244564862 Enrollment ID: I20231006000330 |
| Provider Name | John B Andelin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982793386 PECOS PAC ID: 2567536493 Enrollment ID: I20231016003367 |
| Provider Name | Patrice Holly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295276376 PECOS PAC ID: 5092080507 Enrollment ID: I20231023003009 |
| Provider Name | Timothy N Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376501395 PECOS PAC ID: 0143214254 Enrollment ID: I20231117002310 |
| Provider Name | Rachael E Daume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366214199 PECOS PAC ID: 4284082397 Enrollment ID: I20231130001351 |
| Provider Name | Danuta A Clonan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295102168 PECOS PAC ID: 5092025833 Enrollment ID: I20231215000720 |
| Provider Name | James G Cox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467490748 PECOS PAC ID: 5991716987 Enrollment ID: I20240104002330 |
| Provider Name | Tomika Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962990341 PECOS PAC ID: 6204185606 Enrollment ID: I20240122002254 |
| Provider Name | Prasanna Sridharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619237971 PECOS PAC ID: 1355647397 Enrollment ID: I20240228002592 |
| Provider Name | Benigno Cartagena Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538315114 PECOS PAC ID: 0648443770 Enrollment ID: I20240228003012 |
| Provider Name | Brian West |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629179965 PECOS PAC ID: 6901705565 Enrollment ID: I20240304001814 |
| Provider Name | David D Baldwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265486799 PECOS PAC ID: 8921063496 Enrollment ID: I20240320003901 |
| Provider Name | Nancy W Lo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316197221 PECOS PAC ID: 5799909537 Enrollment ID: I20240405002830 |
| Provider Name | Brice H Fitch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306027750 PECOS PAC ID: 0547342958 Enrollment ID: I20240420000031 |
| Provider Name | Jaime Nicole Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437913308 PECOS PAC ID: 9931641735 Enrollment ID: I20240607002686 |
Johns Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Independence St Ste A, Cape Girardeau, MO 63703 Phone: 573-304-3143 Fax: 573-334-0493 | |
Cross Trails Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2430 Golden Street, Cape Girardeau, MO 63703 Phone: 573-339-1196 Fax: 573-339-9378 | |
Auburn Surgery Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Mount Auburn Rd, Ste 200, Cape Girardeau, MO 63703 Phone: 573-332-7881 Fax: 573-651-4431 | |
Midtown Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Sprigg St, Cape Girardeau, MO 63701 Phone: 573-332-7992 Fax: 573-332-7998 | |
Kenneth A Decoursey, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 Broadway St, Suite 120, Cape Girardeau, MO 63701 Phone: 573-334-7194 Fax: 573-334-4937 | |
Immediate Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 Fax: 573-339-1876 | |
Immediate Convenient Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 |