| Mercy Health Northwest Arkansas Communities | |
|
2710 S Rife Medical Ln Rogers AR 72758-1452 | |
| (479) 338-8000 | |
| (479) 338-3418 |
| Full Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Speciality | Clinic/Center |
| Location | 2710 S Rife Medical Ln, Rogers, Arkansas |
| Authorized Official Name and Position | Benny J Stover (VP FINANCE) |
| Authorized Official Contact | 4793382230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Northwest Arkansas Communities 2710 Rife Medical Lane Rogers AR 72758-1452 Ph: (479) 338-8000 | Mercy Health Northwest Arkansas Communities 2710 S Rife Medical Ln Rogers AR 72758-1452 Ph: (479) 338-8000 |
| NPI Number | 1265490916 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 04/03/2018 |
| Medicare PECOS PAC ID | 0648177873 |
|---|---|
| Medicare Enrollment ID | O20031216000788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265490916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ralph C Ritz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346208030 PECOS PAC ID: 7618877374 Enrollment ID: I20040126000122 |
| Provider Name | Marcus Gunter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144222993 PECOS PAC ID: 4385628320 Enrollment ID: I20040616000940 |
| Provider Name | Debra Ann Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518039452 PECOS PAC ID: 6204819261 Enrollment ID: I20040623000939 |
| Provider Name | Christopher Simpson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811931090 PECOS PAC ID: 7315922176 Enrollment ID: I20040624000174 |
| Provider Name | Rossitza H Hristoskova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477501518 PECOS PAC ID: 2567448954 Enrollment ID: I20040626000079 |
| Provider Name | Lance Faddis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255398400 PECOS PAC ID: 8921085630 Enrollment ID: I20040701000149 |
| Provider Name | William Cody Grammer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881650554 PECOS PAC ID: 9537148838 Enrollment ID: I20040720000057 |
| Provider Name | Heather E Rothrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780798819 PECOS PAC ID: 0648241653 Enrollment ID: I20040803001654 |
| Provider Name | Lawrence E Schmitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104886761 PECOS PAC ID: 2466427745 Enrollment ID: I20040831000204 |
| Provider Name | Douglas J Gottschalk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598724619 PECOS PAC ID: 4688640972 Enrollment ID: I20040908000810 |
| Provider Name | Hugh H Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821085648 PECOS PAC ID: 5597733949 Enrollment ID: I20040922001209 |
| Provider Name | David Alfred Sitzes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336107010 PECOS PAC ID: 6103881065 Enrollment ID: I20041119001082 |
| Provider Name | Janelle L Potts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134187925 PECOS PAC ID: 1850340357 Enrollment ID: I20050121000167 |
| Provider Name | Christopher Coleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962430504 PECOS PAC ID: 1951376136 Enrollment ID: I20050131000484 |
| Provider Name | Staci L Hopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659345247 PECOS PAC ID: 3577581214 Enrollment ID: I20051110000582 |
| Provider Name | Carl Augustus Engmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659323038 PECOS PAC ID: 3678595931 Enrollment ID: I20051229000749 |
| Provider Name | Mildred Anne Ehrhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134189137 PECOS PAC ID: 2062434111 Enrollment ID: I20060103000757 |
| Provider Name | William K Flake |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235248220 PECOS PAC ID: 0446274278 Enrollment ID: I20060119000865 |
| Provider Name | Robert Joseph Stuppy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316995137 PECOS PAC ID: 6800797499 Enrollment ID: I20060125000835 |
| Provider Name | David Scott Estes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013958008 PECOS PAC ID: 0840182143 Enrollment ID: I20060201000386 |
| Provider Name | Lisa K Low |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376591305 PECOS PAC ID: 1951311760 Enrollment ID: I20060424000641 |
| Provider Name | Robert A Zimmerman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669420931 PECOS PAC ID: 0143223453 Enrollment ID: I20060804000339 |
| Provider Name | Karol Palczynski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174552210 PECOS PAC ID: 1850396334 Enrollment ID: I20060918000128 |
| Provider Name | Cheryl Ann Fulton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205832219 PECOS PAC ID: 7618967985 Enrollment ID: I20060920000374 |
| Provider Name | Tiffany Weathers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215960471 PECOS PAC ID: 2466457023 Enrollment ID: I20061003000676 |
| Provider Name | Anna Eremieva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750316634 PECOS PAC ID: 6305842170 Enrollment ID: I20061018000577 |
| Provider Name | Matthew Glen Steed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427067867 PECOS PAC ID: 1658378864 Enrollment ID: I20061101000248 |
| Provider Name | James M Merritt |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1831115047 PECOS PAC ID: 8224038401 Enrollment ID: I20070111000612 |
| Provider Name | Roberto Saez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811925910 PECOS PAC ID: 2163423104 Enrollment ID: I20070118000264 |
| Provider Name | Albert P Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144329798 PECOS PAC ID: 1951302728 Enrollment ID: I20070122000268 |
| Provider Name | Melanie Kristin Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770695223 PECOS PAC ID: 4284626805 Enrollment ID: I20070723000177 |
| Provider Name | Nirmal K Kilambi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861476897 PECOS PAC ID: 5496847873 Enrollment ID: I20070822000741 |
| Provider Name | Walton Cheng Toy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033231915 PECOS PAC ID: 3476645920 Enrollment ID: I20070828000960 |
| Provider Name | Philip Michael Riley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962440685 PECOS PAC ID: 7517059082 Enrollment ID: I20070829000053 |
| Provider Name | Larry Wayne Weathers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770635047 PECOS PAC ID: 5597773275 Enrollment ID: I20071022000802 |
| Provider Name | Mark S Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679515522 PECOS PAC ID: 9830173285 Enrollment ID: I20071130000244 |
| Provider Name | Mark Alan Hewett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497810139 PECOS PAC ID: 1355318155 Enrollment ID: I20080306000218 |
| Provider Name | Paul M. Bumpers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922065333 PECOS PAC ID: 0042395618 Enrollment ID: I20080306000249 |
| Provider Name | Orlando Ferrer Aguilar-guzman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093732646 PECOS PAC ID: 0244315810 Enrollment ID: I20080306000263 |
| Provider Name | Randall W Black |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942268909 PECOS PAC ID: 9335226778 Enrollment ID: I20080409000248 |
| Provider Name | John Smiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316089147 PECOS PAC ID: 5294812319 Enrollment ID: I20080414000252 |
| Provider Name | Kimberly K Bruyere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881626331 PECOS PAC ID: 6800974809 Enrollment ID: I20080416000225 |
| Provider Name | John Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154389344 PECOS PAC ID: 1456439322 Enrollment ID: I20080417000077 |
| Provider Name | Michael E Potts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144278102 PECOS PAC ID: 8325117328 Enrollment ID: I20080516000361 |
| Provider Name | Laurie Lynne Corbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588622039 PECOS PAC ID: 3476622481 Enrollment ID: I20080516000406 |
| Provider Name | Cara L Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578536017 PECOS PAC ID: 6608864764 Enrollment ID: I20080610000187 |
| Provider Name | Amr G El-shafei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144399718 PECOS PAC ID: 6709840036 Enrollment ID: I20080827000148 |
| Provider Name | Donna J Murdock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861448789 PECOS PAC ID: 1759372766 Enrollment ID: I20080930000405 |
| Provider Name | Amy Turner Buckner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184881880 PECOS PAC ID: 0345302121 Enrollment ID: I20090105000297 |
| Provider Name | Brenda Gail Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225161805 PECOS PAC ID: 1658478078 Enrollment ID: I20090121000164 |
| Provider Name | Alan M Scarrow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972537132 PECOS PAC ID: 9638077936 Enrollment ID: I20090209000470 |
| Provider Name | Staci Herndon Gathright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023254257 PECOS PAC ID: 6103983341 Enrollment ID: I20090316000275 |
| Provider Name | Gannon Brandt Randolph |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528173697 PECOS PAC ID: 0941230619 Enrollment ID: I20090327000295 |
| Provider Name | Charles Dean Varela |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518071638 PECOS PAC ID: 1759276090 Enrollment ID: I20090519000624 |
| Provider Name | Ashley K Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730151408 PECOS PAC ID: 0345227534 Enrollment ID: I20091020000730 |
| Provider Name | Graeme C.m. Archer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326240797 PECOS PAC ID: 4486791381 Enrollment ID: I20091026000646 |
| Provider Name | Heather L Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295967917 PECOS PAC ID: 6800934894 Enrollment ID: I20091111000729 |
| Provider Name | Barry I Katz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467408641 PECOS PAC ID: 6002955945 Enrollment ID: I20091205000040 |
| Provider Name | Scott Snow Cooper |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902878440 PECOS PAC ID: 0547395303 Enrollment ID: I20100318000143 |
| Provider Name | John D Mertz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689646226 PECOS PAC ID: 6800922998 Enrollment ID: I20100329000065 |
| Provider Name | Ronald Jacob Kaler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972576072 PECOS PAC ID: 7416085733 Enrollment ID: I20100507000029 |
| Provider Name | Stephen L Goss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982662185 PECOS PAC ID: 5890848469 Enrollment ID: I20100624000218 |
| Provider Name | James D Byrum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396703252 PECOS PAC ID: 5496712572 Enrollment ID: I20100625000834 |
| Provider Name | Shannon A. Jewell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134187156 PECOS PAC ID: 5496886921 Enrollment ID: I20100628000769 |
| Provider Name | Charles R. Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114017555 PECOS PAC ID: 0446381982 Enrollment ID: I20100628000951 |
| Provider Name | George V Schaefer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700834603 PECOS PAC ID: 9436280872 Enrollment ID: I20100628000971 |
| Provider Name | Andrew James Lueders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609834597 PECOS PAC ID: 3274664610 Enrollment ID: I20100628001074 |
| Provider Name | Robert E Holder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699723601 PECOS PAC ID: 4688705072 Enrollment ID: I20100629000498 |
| Provider Name | David L Beeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528025038 PECOS PAC ID: 5799816047 Enrollment ID: I20100630000229 |
| Provider Name | Virginia B Neaville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114985801 PECOS PAC ID: 9739210030 Enrollment ID: I20100630000771 |
| Provider Name | Joy Lynne Wilson Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235197435 PECOS PAC ID: 2163553298 Enrollment ID: I20100706000281 |
| Provider Name | Cynthia Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215985973 PECOS PAC ID: 6709917701 Enrollment ID: I20100707000390 |
| Provider Name | Thomas H Youngblood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194773861 PECOS PAC ID: 0547313116 Enrollment ID: I20100709000604 |
| Provider Name | Christopher S Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508824871 PECOS PAC ID: 6800949470 Enrollment ID: I20100713000220 |
| Provider Name | Robert W Donnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306803655 PECOS PAC ID: 3779615323 Enrollment ID: I20100716000277 |
| Provider Name | Vera Caroline Ann Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073592382 PECOS PAC ID: 1153453568 Enrollment ID: I20100721000312 |
| Provider Name | Megan Vongremp Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093763807 PECOS PAC ID: 1355473612 Enrollment ID: I20100722000058 |
| Provider Name | John A Huskins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962460212 PECOS PAC ID: 2365574563 Enrollment ID: I20100723000751 |
| Provider Name | Mary M Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073836466 PECOS PAC ID: 4981737863 Enrollment ID: I20100728001144 |
| Provider Name | Edgar J Chauvin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669471157 PECOS PAC ID: 8628101128 Enrollment ID: I20100804000938 |
| Provider Name | Dimitry A Fomin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831171263 PECOS PAC ID: 5496820268 Enrollment ID: I20100810001011 |
| Provider Name | Hugh Garland Donnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770540023 PECOS PAC ID: 7911031851 Enrollment ID: I20100814000185 |
| Provider Name | Lawrence Joseph Schemel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083603369 PECOS PAC ID: 5193874469 Enrollment ID: I20101006000202 |
| Provider Name | Terryl J Ortego |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720021702 PECOS PAC ID: 3173517034 Enrollment ID: I20101021000195 |
| Provider Name | Christina F James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144496894 PECOS PAC ID: 0345315503 Enrollment ID: I20110105000727 |
| Provider Name | Raymond Britt Mahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730137811 PECOS PAC ID: 1951490580 Enrollment ID: I20110117000083 |
| Provider Name | Lisa P Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750354007 PECOS PAC ID: 1153399498 Enrollment ID: I20110121000093 |
| Provider Name | James Irwin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356362040 PECOS PAC ID: 5890799571 Enrollment ID: I20110126000649 |
| Provider Name | Lindsey A Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144482498 PECOS PAC ID: 7113106576 Enrollment ID: I20110201000306 |
| Provider Name | Willliam C Wigington |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114028701 PECOS PAC ID: 5698867349 Enrollment ID: I20110208000314 |
| Provider Name | Richard L Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821135690 PECOS PAC ID: 3476572801 Enrollment ID: I20110309000522 |
| Provider Name | Angela Buonagura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780676841 PECOS PAC ID: 3072637024 Enrollment ID: I20110310000757 |
| Provider Name | Douglas A Treptow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518925759 PECOS PAC ID: 8325110687 Enrollment ID: I20110329000424 |
| Provider Name | Donna D Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417915794 PECOS PAC ID: 9335211762 Enrollment ID: I20110330000974 |
| Provider Name | Jennifer Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538459425 PECOS PAC ID: 1254517782 Enrollment ID: I20110518000596 |
| Provider Name | Dawn M Weiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457555294 PECOS PAC ID: 0042498339 Enrollment ID: I20110711000602 |
| Provider Name | Celeste S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780980847 PECOS PAC ID: 6507035888 Enrollment ID: I20110802000501 |
| Provider Name | Lyndell C Horine |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699932319 PECOS PAC ID: 4183893357 Enrollment ID: I20110803000838 |
| Provider Name | Rachel E Farrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629225362 PECOS PAC ID: 1456521954 Enrollment ID: I20110818000606 |
| Provider Name | Jason M Mckinney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679668925 PECOS PAC ID: 2769582253 Enrollment ID: I20110823000085 |
| Provider Name | Rhonda R Pauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144519570 PECOS PAC ID: 9739351842 Enrollment ID: I20111014000455 |
| Provider Name | Mary L Kerby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811286750 PECOS PAC ID: 7214100668 Enrollment ID: I20111031000093 |
| Provider Name | Raja Sekhar Dondeti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194040865 PECOS PAC ID: 6305013624 Enrollment ID: I20120126000730 |
| Provider Name | James C Spann |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134209273 PECOS PAC ID: 1557363934 Enrollment ID: I20120515000359 |
| Provider Name | Jonathan Stringer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275742884 PECOS PAC ID: 9537323159 Enrollment ID: I20120612000322 |
| Provider Name | Robin Lianne Forward-wise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407021330 PECOS PAC ID: 3072778505 Enrollment ID: I20120706000124 |
| Provider Name | Lance W Weathers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902086119 PECOS PAC ID: 1355426388 Enrollment ID: I20120706000490 |
| Provider Name | Randal S Scholma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558574566 PECOS PAC ID: 3476718875 Enrollment ID: I20120710000721 |
| Provider Name | Prajesh M Joshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316100654 PECOS PAC ID: 7517122765 Enrollment ID: I20120713000230 |
| Provider Name | Kale D. Dittmeyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609036755 PECOS PAC ID: 5799941902 Enrollment ID: I20120716000290 |
| Provider Name | Janice Lynn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013278167 PECOS PAC ID: 8527224500 Enrollment ID: I20120718000800 |
| Provider Name | Paul K Edwards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235289596 PECOS PAC ID: 6608952031 Enrollment ID: I20120723000217 |
| Provider Name | Elizabeth L Flax |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982916995 PECOS PAC ID: 8820244700 Enrollment ID: I20120808000590 |
| Provider Name | Laura Beth Belviy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609046556 PECOS PAC ID: 3678697117 Enrollment ID: I20121018000361 |
| Provider Name | Katiutschka E Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912258393 PECOS PAC ID: 6204086622 Enrollment ID: I20121022000023 |
| Provider Name | Adegbenga A Olayemi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407084320 PECOS PAC ID: 7618120007 Enrollment ID: I20130115000384 |
| Provider Name | Amer Raza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295926533 PECOS PAC ID: 0749460582 Enrollment ID: I20130215000141 |
| Provider Name | Merideth Karen Hanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124366943 PECOS PAC ID: 4587801006 Enrollment ID: I20130430000585 |
| Provider Name | Susan Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154647238 PECOS PAC ID: 0840433397 Enrollment ID: I20130830000585 |
| Provider Name | Robert Thaxton Wells |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437104007 PECOS PAC ID: 5193728822 Enrollment ID: I20130905000430 |
| Provider Name | Megan Renee Merrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134403884 PECOS PAC ID: 5395989479 Enrollment ID: I20130911000030 |
| Provider Name | Blake Douglas Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164740452 PECOS PAC ID: 2769626654 Enrollment ID: I20130916000192 |
| Provider Name | Mendy Acanthe Mack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508000167 PECOS PAC ID: 6305080292 Enrollment ID: I20130916000198 |
| Provider Name | Crystal Lynne Deweese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275709545 PECOS PAC ID: 4385888296 Enrollment ID: I20130916000368 |
| Provider Name | Sara J Mccord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861730665 PECOS PAC ID: 7315183266 Enrollment ID: I20131029001518 |
| Provider Name | Hunter Judkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255306502 PECOS PAC ID: 1456256445 Enrollment ID: I20131101000187 |
| Provider Name | Janean D Woods |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679803688 PECOS PAC ID: 3971732728 Enrollment ID: I20140128000445 |
| Provider Name | Lori E Rogers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700189701 PECOS PAC ID: 7416187356 Enrollment ID: I20140220001209 |
| Provider Name | Irma Lucille Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699199570 PECOS PAC ID: 4385875962 Enrollment ID: I20140324002023 |
| Provider Name | Jaclyn Elizabeth Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558793125 PECOS PAC ID: 3375774847 Enrollment ID: I20140326000761 |
| Provider Name | Ryan Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801029657 PECOS PAC ID: 4688710502 Enrollment ID: I20140401000920 |
| Provider Name | Gregory Allen Henson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467715656 PECOS PAC ID: 6002048907 Enrollment ID: I20140408000810 |
| Provider Name | Erika Nikole Jaramillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518389709 PECOS PAC ID: 7416189808 Enrollment ID: I20140417001487 |
| Provider Name | Cathy Barker-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194141267 PECOS PAC ID: 0749403970 Enrollment ID: I20140515001601 |
| Provider Name | Christine H Gosch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114030012 PECOS PAC ID: 0840315685 Enrollment ID: I20140618000294 |
| Provider Name | Adam W Green |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1861620213 PECOS PAC ID: 6103041694 Enrollment ID: I20140625000463 |
| Provider Name | Holly D Mcadams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316360191 PECOS PAC ID: 9133347644 Enrollment ID: I20140826000170 |
| Provider Name | Kressa L Schuett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164832085 PECOS PAC ID: 8820217375 Enrollment ID: I20140915001809 |
| Provider Name | Junaid Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912163809 PECOS PAC ID: 2668691122 Enrollment ID: I20140915002086 |
| Provider Name | Shiva P Tadakal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568750941 PECOS PAC ID: 5092935114 Enrollment ID: I20141013000300 |
| Provider Name | Brenda L Rude |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306956032 PECOS PAC ID: 7517145527 Enrollment ID: I20141111001550 |
| Provider Name | Tu Thi Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689078156 PECOS PAC ID: 0941522007 Enrollment ID: I20141201001879 |
| Provider Name | Emily M Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013329218 PECOS PAC ID: 2668795733 Enrollment ID: I20141222000215 |
| Provider Name | Sarah Helen Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992113294 PECOS PAC ID: 4385967082 Enrollment ID: I20150105001928 |
| Provider Name | Jason R Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205224870 PECOS PAC ID: 7810213717 Enrollment ID: I20150312001745 |
| Provider Name | Mark J Perna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871790113 PECOS PAC ID: 3971759929 Enrollment ID: I20150526002081 |
| Provider Name | Matthew Parmley |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346370335 PECOS PAC ID: 7517935802 Enrollment ID: I20150605001477 |
| Provider Name | Melanie Anne Rathke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760878508 PECOS PAC ID: 8820309925 Enrollment ID: I20150616001551 |
| Provider Name | Anton L. Cherney |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932458544 PECOS PAC ID: 2365660123 Enrollment ID: I20150716001658 |
| Provider Name | Douglas Scott Eddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982961124 PECOS PAC ID: 0941442909 Enrollment ID: I20150807015474 |
| Provider Name | Penchala Swamy Mittadodla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720219397 PECOS PAC ID: 9335454123 Enrollment ID: I20150824001262 |
| Provider Name | Christopher Broyles Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962766840 PECOS PAC ID: 2163642737 Enrollment ID: I20150915000926 |
| Provider Name | Cassie Jackson Dyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306112396 PECOS PAC ID: 5092023911 Enrollment ID: I20150925002276 |
| Provider Name | Charles I Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295978443 PECOS PAC ID: 5193033538 Enrollment ID: I20151005000409 |
| Provider Name | Amanda Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336535350 PECOS PAC ID: 0244540698 Enrollment ID: I20151114000017 |
| Provider Name | Shoaib Alam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962451245 PECOS PAC ID: 6800866914 Enrollment ID: I20151210000202 |
| Provider Name | Megan E Busch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003234105 PECOS PAC ID: 8628394194 Enrollment ID: I20160108002405 |
| Provider Name | Aleisha J Spytma-woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225475551 PECOS PAC ID: 1850695578 Enrollment ID: I20160201001243 |
| Provider Name | Lindsey Brooke Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518323542 PECOS PAC ID: 2466759030 Enrollment ID: I20160324001974 |
| Provider Name | Elizabeth Heisserer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700123502 PECOS PAC ID: 0547407413 Enrollment ID: I20160329001172 |
| Provider Name | Sarah Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508239674 PECOS PAC ID: 3274831532 Enrollment ID: I20160420000270 |
| Provider Name | Renee Denise Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962877852 PECOS PAC ID: 2264730415 Enrollment ID: I20160421000446 |
| Provider Name | Willard Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487609541 PECOS PAC ID: 3779551106 Enrollment ID: I20160428000728 |
| Provider Name | Robyn M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265892475 PECOS PAC ID: 1052601713 Enrollment ID: I20160608001528 |
| Provider Name | Kevin Bradley Meredith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093009078 PECOS PAC ID: 9436475936 Enrollment ID: I20160623001391 |
| Provider Name | Kristy Lynn Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770808396 PECOS PAC ID: 0941427934 Enrollment ID: I20160726001914 |
| Provider Name | Courtney Poe Rushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912352055 PECOS PAC ID: 2567755648 Enrollment ID: I20160727000784 |
| Provider Name | Kelly L Madia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336503457 PECOS PAC ID: 8426342965 Enrollment ID: I20160806000077 |
| Provider Name | Benjamin Michael Boral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922442656 PECOS PAC ID: 0648585695 Enrollment ID: I20160907002690 |
| Provider Name | Dianna Lea Juarez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952536336 PECOS PAC ID: 8628212875 Enrollment ID: I20161014001713 |
| Provider Name | Alisha Nicole Trent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598021453 PECOS PAC ID: 6901055110 Enrollment ID: I20161101001901 |
| Provider Name | Stewart Rowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528446283 PECOS PAC ID: 0749560696 Enrollment ID: I20161210000104 |
| Provider Name | Dana Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760925598 PECOS PAC ID: 9133400955 Enrollment ID: I20170110000097 |
| Provider Name | Jennifer Diane Liles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174069611 PECOS PAC ID: 7618251794 Enrollment ID: I20170309001769 |
| Provider Name | Rosanna Nicole Rephan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508399502 PECOS PAC ID: 9739466210 Enrollment ID: I20170510002320 |
| Provider Name | Tammy E Stallings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417290412 PECOS PAC ID: 2769707447 Enrollment ID: I20170620002659 |
| Provider Name | Pardha Naga Pavan Kumar Devaki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912285644 PECOS PAC ID: 1153690953 Enrollment ID: I20170711001714 |
| Provider Name | Tiffany Lynn Shanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750818894 PECOS PAC ID: 9537438130 Enrollment ID: I20170712002652 |
| Provider Name | Paige L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013447846 PECOS PAC ID: 7214207935 Enrollment ID: I20170727003083 |
| Provider Name | Patrick Tyler Greenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336569532 PECOS PAC ID: 9537470349 Enrollment ID: I20170731000346 |
| Provider Name | Christopher Andrew Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013250265 PECOS PAC ID: 1052636719 Enrollment ID: I20170801003437 |
| Provider Name | Matthew Aaron Cozart |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437477783 PECOS PAC ID: 2466674882 Enrollment ID: I20170802003356 |
| Provider Name | Lara Jenkins Shepherd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902121874 PECOS PAC ID: 3173894466 Enrollment ID: I20170804000898 |
| Provider Name | Kasey J Nix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144630955 PECOS PAC ID: 1052622875 Enrollment ID: I20170808000731 |
| Provider Name | Rupali Abhijit Paradkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215172713 PECOS PAC ID: 9436296951 Enrollment ID: I20170822001279 |
| Provider Name | Richard Dean Turbeville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336552348 PECOS PAC ID: 4183841539 Enrollment ID: I20170918002260 |
| Provider Name | Sarah Michelle Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962946848 PECOS PAC ID: 7113284068 Enrollment ID: I20171130001588 |
| Provider Name | Alyson Nicole Sweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659890606 PECOS PAC ID: 0547528911 Enrollment ID: I20171213002645 |
| Provider Name | Shawn L Brummett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477940971 PECOS PAC ID: 2567778095 Enrollment ID: I20171228000397 |
| Provider Name | Meredith P Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417465998 PECOS PAC ID: 8527328590 Enrollment ID: I20180213000324 |
| Provider Name | Tara Leann Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598272866 PECOS PAC ID: 7618238866 Enrollment ID: I20180302001331 |
| Provider Name | Joe Olivi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578663191 PECOS PAC ID: 7214084136 Enrollment ID: I20180420000773 |
| Provider Name | Megan Denise Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821506817 PECOS PAC ID: 0547524027 Enrollment ID: I20180509001320 |
| Provider Name | Kali Michelle Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750884821 PECOS PAC ID: 1153686985 Enrollment ID: I20180529001869 |
| Provider Name | Rachel Carlisle Macleod |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669849733 PECOS PAC ID: 5698020949 Enrollment ID: I20180611000895 |
| Provider Name | Pamela Laney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386156628 PECOS PAC ID: 6406101781 Enrollment ID: I20180611002082 |
| Provider Name | Patricia J Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467955088 PECOS PAC ID: 7012262298 Enrollment ID: I20180611002692 |
| Provider Name | Thomas W Morris |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457641664 PECOS PAC ID: 8820313505 Enrollment ID: I20180618001244 |
| Provider Name | Quoc-anh Thai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558328278 PECOS PAC ID: 4082659198 Enrollment ID: I20180619002568 |
| Provider Name | Paige Boles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154810612 PECOS PAC ID: 8224384748 Enrollment ID: I20180712002998 |
| Provider Name | Jaime Marie Holthaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194210070 PECOS PAC ID: 2466700984 Enrollment ID: I20180731002231 |
| Provider Name | Kyle Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881071348 PECOS PAC ID: 4688980048 Enrollment ID: I20180806003283 |
| Provider Name | Amanda Dawn Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518459965 PECOS PAC ID: 3072861103 Enrollment ID: I20180807001574 |
| Provider Name | Dominic Amadeo Jacobelli |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154601805 PECOS PAC ID: 8628335601 Enrollment ID: I20180821001006 |
| Provider Name | Amanda Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114330420 PECOS PAC ID: 7012296197 Enrollment ID: I20180906002730 |
| Provider Name | Alisa Kay Branscum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720575467 PECOS PAC ID: 2769732866 Enrollment ID: I20180911003428 |
| Provider Name | Meredith R Krohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568958833 PECOS PAC ID: 8426309444 Enrollment ID: I20181001001742 |
| Provider Name | Mubashir Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417990425 PECOS PAC ID: 4082635826 Enrollment ID: I20181114000366 |
| Provider Name | Lisa J. H. Fitzgibbons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871637132 PECOS PAC ID: 3971840349 Enrollment ID: I20190123001139 |
| Provider Name | Tara M Cole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215183280 PECOS PAC ID: 0941547855 Enrollment ID: I20190131001014 |
| Provider Name | Nayneshkumar Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154539807 PECOS PAC ID: 6103992763 Enrollment ID: I20190205000504 |
| Provider Name | Brandon Patrick Corbett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639435142 PECOS PAC ID: 2668772567 Enrollment ID: I20190305002657 |
| Provider Name | Melinda S Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093273195 PECOS PAC ID: 6002156221 Enrollment ID: I20190325002113 |
| Provider Name | Moneeb Ehtesham |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346413929 PECOS PAC ID: 8820302672 Enrollment ID: I20190327002894 |
| Provider Name | Jennifer Rose Mira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346707981 PECOS PAC ID: 2163763061 Enrollment ID: I20190402001778 |
| Provider Name | Saumitra Biswas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699861740 PECOS PAC ID: 7810999133 Enrollment ID: I20190513000349 |
| Provider Name | Daniel Sundaresan Paul |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841266319 PECOS PAC ID: 7214998384 Enrollment ID: I20190522001557 |
| Provider Name | Kyle J Mackin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053755637 PECOS PAC ID: 2466774674 Enrollment ID: I20190610002500 |
| Provider Name | David L Benson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1417367103 PECOS PAC ID: 8527349547 Enrollment ID: I20190625001069 |
| Provider Name | Jonathan Fausett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417307547 PECOS PAC ID: 7113283292 Enrollment ID: I20190627000080 |
| Provider Name | Alejandro Daniel Castellvi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356627350 PECOS PAC ID: 7315235504 Enrollment ID: I20190628001226 |
| Provider Name | Tyler James Severson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104245281 PECOS PAC ID: 9830403542 Enrollment ID: I20190701001498 |
| Provider Name | Sunghoon Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184642175 PECOS PAC ID: 1850334541 Enrollment ID: I20190702002785 |
| Provider Name | Kiran R Kurichety |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568490118 PECOS PAC ID: 3870561400 Enrollment ID: I20190730003852 |
| Provider Name | Eddie Tang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093729691 PECOS PAC ID: 3870562267 Enrollment ID: I20190805001768 |
| Provider Name | Jennifer C Heisserer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265092134 PECOS PAC ID: 3476880022 Enrollment ID: I20190806001365 |
| Provider Name | James W Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053316745 PECOS PAC ID: 7416942388 Enrollment ID: I20190809002719 |
| Provider Name | Paula Suzanne Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326690132 PECOS PAC ID: 4688901531 Enrollment ID: I20190815000060 |
| Provider Name | Andreas J Chen |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1245673938 PECOS PAC ID: 5092010140 Enrollment ID: I20190827000994 |
| Provider Name | Patrick C Dickerson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467718619 PECOS PAC ID: 5799083432 Enrollment ID: I20190829001050 |
| Provider Name | Shaun D Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417301417 PECOS PAC ID: 0840583043 Enrollment ID: I20190925003203 |
| Provider Name | Mark D Shelnutt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508177957 PECOS PAC ID: 0648415414 Enrollment ID: I20191014000282 |
| Provider Name | Peter Mikhail |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518030535 PECOS PAC ID: 7810082096 Enrollment ID: I20191030002029 |
| Provider Name | Arthur N Turken |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801963301 PECOS PAC ID: 7416004700 Enrollment ID: I20191101000242 |
| Provider Name | Jesse G. Taylor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619905122 PECOS PAC ID: 9830221936 Enrollment ID: I20191119002945 |
| Provider Name | Dalton Marie Gall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184186926 PECOS PAC ID: 6800120510 Enrollment ID: I20200122003192 |
| Provider Name | Laura Ochieng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326437831 PECOS PAC ID: 8325385339 Enrollment ID: I20200129000173 |
| Provider Name | Kathleen Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578041703 PECOS PAC ID: 0042557043 Enrollment ID: I20200129000253 |
| Provider Name | Sarah Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699260521 PECOS PAC ID: 2668711771 Enrollment ID: I20200129001705 |
| Provider Name | Julie E Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467830018 PECOS PAC ID: 9739490822 Enrollment ID: I20200129002008 |
| Provider Name | Romer Mosquera |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1790930782 PECOS PAC ID: 1153581277 Enrollment ID: I20200224000226 |
| Provider Name | Matthew C Kincade |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396963658 PECOS PAC ID: 5991877508 Enrollment ID: I20200303001989 |
| Provider Name | Amanda Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336779305 PECOS PAC ID: 0244668135 Enrollment ID: I20200306000588 |
| Provider Name | Manisha Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871035766 PECOS PAC ID: 7719267913 Enrollment ID: I20200306000761 |
| Provider Name | Elizabeth Muller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316157142 PECOS PAC ID: 4981877552 Enrollment ID: I20200309001381 |
| Provider Name | Emily Specker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912430315 PECOS PAC ID: 6305105859 Enrollment ID: I20200310000346 |
| Provider Name | James Braxton Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922630367 PECOS PAC ID: 5496183139 Enrollment ID: I20200312000399 |
| Provider Name | Jenna Siebenmorgen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497387716 PECOS PAC ID: 7911335229 Enrollment ID: I20200320000865 |
| Provider Name | Sami Khoshyomn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699719963 PECOS PAC ID: 6709815244 Enrollment ID: I20200328000031 |
| Provider Name | Alicia Busso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386679751 PECOS PAC ID: 6103824917 Enrollment ID: I20200416000033 |
| Provider Name | Anne Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043760259 PECOS PAC ID: 3476833047 Enrollment ID: I20200511002577 |
| Provider Name | Maripat Gatter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649374208 PECOS PAC ID: 9638171184 Enrollment ID: I20200512003539 |
| Provider Name | Robert Corley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427004829 PECOS PAC ID: 0840242616 Enrollment ID: I20200521000033 |
| Provider Name | Karen K Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407327588 PECOS PAC ID: 5799020475 Enrollment ID: I20200526000353 |
| Provider Name | Kenita R Poore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063048817 PECOS PAC ID: 2769803873 Enrollment ID: I20200528000270 |
| Provider Name | John Agnone |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346311404 PECOS PAC ID: 0941251755 Enrollment ID: I20200623001210 |
| Provider Name | Christopher Cundiff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689908105 PECOS PAC ID: 5496890550 Enrollment ID: I20200624000372 |
| Provider Name | Brian Weisenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093831042 PECOS PAC ID: 2062572753 Enrollment ID: I20200625002330 |
| Provider Name | Allison Lavine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639530538 PECOS PAC ID: 5597050773 Enrollment ID: I20200626002204 |
| Provider Name | Phu D Vu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295718294 PECOS PAC ID: 7315928462 Enrollment ID: I20200629002264 |
| Provider Name | Kevin Journagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952492969 PECOS PAC ID: 5193800480 Enrollment ID: I20200629002832 |
| Provider Name | Melinda D Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720345085 PECOS PAC ID: 5597073114 Enrollment ID: I20200630000981 |
| Provider Name | Julia L Horton-bertrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811421431 PECOS PAC ID: 1052680345 Enrollment ID: I20200729001975 |
| Provider Name | Laura J Steines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154432854 PECOS PAC ID: 2365442159 Enrollment ID: I20200730001180 |
| Provider Name | Senthil Aruchamy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386873883 PECOS PAC ID: 5496903254 Enrollment ID: I20200803002543 |
| Provider Name | Christopher D Miller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699777409 PECOS PAC ID: 4789654922 Enrollment ID: I20200810001215 |
| Provider Name | Donald Franklin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518377431 PECOS PAC ID: 6103154174 Enrollment ID: I20200811001303 |
| Provider Name | Glauber Bruno Pereira |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841610037 PECOS PAC ID: 1456584846 Enrollment ID: I20200811003698 |
| Provider Name | Jeffrey T Alliston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811382906 PECOS PAC ID: 6406163062 Enrollment ID: I20200825001597 |
| Provider Name | Jordan Magarik |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205279213 PECOS PAC ID: 8325347933 Enrollment ID: I20200903002229 |
| Provider Name | Sonia Levy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033258249 PECOS PAC ID: 5092736215 Enrollment ID: I20200903003758 |
| Provider Name | Michelle Goetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740591494 PECOS PAC ID: 3577721406 Enrollment ID: I20200925002476 |
| Provider Name | Tara E Howerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780218206 PECOS PAC ID: 1355760802 Enrollment ID: I20201001002330 |
| Provider Name | Rachel Rosenbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891301818 PECOS PAC ID: 4385064500 Enrollment ID: I20201008002695 |
| Provider Name | Colin Adrian Meghoo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871660597 PECOS PAC ID: 7416249610 Enrollment ID: I20201020001839 |
| Provider Name | I David Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992733281 PECOS PAC ID: 6507994894 Enrollment ID: I20201027000607 |
| Provider Name | Nancy Enger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306107875 PECOS PAC ID: 7416378997 Enrollment ID: I20201105000181 |
| Provider Name | Mark Gardon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366470544 PECOS PAC ID: 2163442500 Enrollment ID: I20201110000048 |
| Provider Name | Cassie Jonelle Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194331744 PECOS PAC ID: 0446661755 Enrollment ID: I20201117002638 |
| Provider Name | Matrecha Ann Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891211553 PECOS PAC ID: 6608104591 Enrollment ID: I20201201000230 |
| Provider Name | Elizabeth A Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003326711 PECOS PAC ID: 5294001848 Enrollment ID: I20201203000615 |
| Provider Name | Christie Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023577442 PECOS PAC ID: 7517290265 Enrollment ID: I20201214002346 |
| Provider Name | Lauren Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306489083 PECOS PAC ID: 4880015452 Enrollment ID: I20201221000043 |
| Provider Name | Judith Degraff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467544403 PECOS PAC ID: 8527952233 Enrollment ID: I20210121001492 |
| Provider Name | Polly Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790150688 PECOS PAC ID: 3476845405 Enrollment ID: I20210129000615 |
| Provider Name | Hannah Leigh Nolan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477157162 PECOS PAC ID: 9739594367 Enrollment ID: I20210212000900 |
| Provider Name | Kirsten Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356617443 PECOS PAC ID: 6709106057 Enrollment ID: I20210226002112 |
| Provider Name | Maryellen Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407938954 PECOS PAC ID: 8325216997 Enrollment ID: I20210303002601 |
| Provider Name | Leanne Watson-ficken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164451373 PECOS PAC ID: 9638182470 Enrollment ID: I20210303002603 |
| Provider Name | Scott Hof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881818037 PECOS PAC ID: 9133267131 Enrollment ID: I20210303003190 |
| Provider Name | Sameer Kirtane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871755777 PECOS PAC ID: 7517145725 Enrollment ID: I20210303003336 |
| Provider Name | Justin Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902096613 PECOS PAC ID: 4183758089 Enrollment ID: I20210308000405 |
| Provider Name | Kelly Ludwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992720361 PECOS PAC ID: 2365439437 Enrollment ID: I20210308002107 |
| Provider Name | Sarah Md Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417120577 PECOS PAC ID: 7517115819 Enrollment ID: I20210309001414 |
| Provider Name | Kelly Pantazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306326855 PECOS PAC ID: 4587909619 Enrollment ID: I20210309001540 |
| Provider Name | Jacqueline Rickard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336235928 PECOS PAC ID: 0244330629 Enrollment ID: I20210309002351 |
| Provider Name | Jennifer Breathitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932749561 PECOS PAC ID: 5395151674 Enrollment ID: I20210311000481 |
| Provider Name | Kate Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649697376 PECOS PAC ID: 2860791753 Enrollment ID: I20210312000378 |
| Provider Name | Lauren Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255803946 PECOS PAC ID: 4789923616 Enrollment ID: I20210315001075 |
| Provider Name | Kaitlyn Greenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790297729 PECOS PAC ID: 0446518070 Enrollment ID: I20210315002137 |
| Provider Name | Daraspreet Kainth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497915904 PECOS PAC ID: 1658692215 Enrollment ID: I20210317002714 |
| Provider Name | Peter A Innes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255343455 PECOS PAC ID: 7315911294 Enrollment ID: I20210322000571 |
| Provider Name | Diana Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861077802 PECOS PAC ID: 4082021852 Enrollment ID: I20210322002585 |
| Provider Name | Andrew Russell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326509365 PECOS PAC ID: 1052648169 Enrollment ID: I20210326000245 |
| Provider Name | Christina Roeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619441201 PECOS PAC ID: 7416295910 Enrollment ID: I20210409000819 |
| Provider Name | Damon Broyles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407856396 PECOS PAC ID: 2466421516 Enrollment ID: I20210413001336 |
| Provider Name | Meaghan Boland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790225894 PECOS PAC ID: 9830430966 Enrollment ID: I20210414002358 |
| Provider Name | Lindsay White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538762737 PECOS PAC ID: 3577979236 Enrollment ID: I20210420002702 |
| Provider Name | Amanda Bertholomey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871103093 PECOS PAC ID: 3678983566 Enrollment ID: I20210426000123 |
| Provider Name | Vanessa Fitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790146280 PECOS PAC ID: 4688931108 Enrollment ID: I20210427002319 |
| Provider Name | Cristina Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912589151 PECOS PAC ID: 5597174177 Enrollment ID: I20210512000214 |
| Provider Name | Anne Bannister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245621093 PECOS PAC ID: 8123345428 Enrollment ID: I20210517000486 |
| Provider Name | Margie Uzoma Chinasa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871989939 PECOS PAC ID: 2466754791 Enrollment ID: I20210609001078 |
| Provider Name | Del Sloneker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871855650 PECOS PAC ID: 3476850637 Enrollment ID: I20210630001438 |
| Provider Name | Carol Ann Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750961785 PECOS PAC ID: 1850793837 Enrollment ID: I20210713003411 |
| Provider Name | Marcella Ruth Mclarty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841295706 PECOS PAC ID: 8022078542 Enrollment ID: I20210728001032 |
| Provider Name | Joshua Aaron Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811420730 PECOS PAC ID: 4284900762 Enrollment ID: I20210803001504 |
| Provider Name | Christopher Campbell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689037186 PECOS PAC ID: 9032402565 Enrollment ID: I20210806002673 |
| Provider Name | Steven Trottier |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699832923 PECOS PAC ID: 6305875675 Enrollment ID: I20210907000841 |
| Provider Name | Erin Elizabeth Kistner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356015465 PECOS PAC ID: 9335546233 Enrollment ID: I20210920002413 |
| Provider Name | William M Rambo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619079753 PECOS PAC ID: 6002018447 Enrollment ID: I20211018000449 |
| Provider Name | Alexander Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20211022001361 |
| Provider Name | Diana Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609447515 PECOS PAC ID: 7315338944 Enrollment ID: I20211215001873 |
| Provider Name | Denis Raleigh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1427069855 PECOS PAC ID: 0941219497 Enrollment ID: I20211221002005 |
| Provider Name | Kourtney Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962762682 PECOS PAC ID: 9436448008 Enrollment ID: I20220110001602 |
| Provider Name | Jamie Elizabeth Mar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093470213 PECOS PAC ID: 3779975255 Enrollment ID: I20220112002080 |
| Provider Name | Brandi R Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144693979 PECOS PAC ID: 0446642821 Enrollment ID: I20220114000691 |
| Provider Name | Christy Lee Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114687316 PECOS PAC ID: 7911390414 Enrollment ID: I20220204001372 |
| Provider Name | Chandler Cracraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700545969 PECOS PAC ID: 0446644181 Enrollment ID: I20220223002039 |
| Provider Name | Soudarath Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962153452 PECOS PAC ID: 5597159251 Enrollment ID: I20220223002678 |
| Provider Name | William Cody Tompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396499737 PECOS PAC ID: 9638564453 Enrollment ID: I20220315000053 |
| Provider Name | Tanja T Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689321085 PECOS PAC ID: 4587059696 Enrollment ID: I20220328000085 |
| Provider Name | Joshua Blaylock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669908646 PECOS PAC ID: 7416221221 Enrollment ID: I20220418001953 |
| Provider Name | Ryan D Gholson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285951186 PECOS PAC ID: 5991928202 Enrollment ID: I20220426001617 |
| Provider Name | David Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427157478 PECOS PAC ID: 4880675909 Enrollment ID: I20220523001330 |
| Provider Name | Whiyie Alfonso Sang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952756389 PECOS PAC ID: 2668877499 Enrollment ID: I20220613001485 |
| Provider Name | Michal Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659497311 PECOS PAC ID: 8921185141 Enrollment ID: I20220627000568 |
| Provider Name | Kaitlyn Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841823770 PECOS PAC ID: 8123457850 Enrollment ID: I20220718002674 |
| Provider Name | Jessica Lynn Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558094631 PECOS PAC ID: 1557742715 Enrollment ID: I20220719001802 |
| Provider Name | Lauren Nueske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003492059 PECOS PAC ID: 6002214004 Enrollment ID: I20220725003080 |
| Provider Name | Matt Thomas Solverson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437670288 PECOS PAC ID: 1557635745 Enrollment ID: I20220726003655 |
| Provider Name | Paul Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265163513 PECOS PAC ID: 9830571223 Enrollment ID: I20220802000582 |
| Provider Name | Whitney A Davidson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245765767 PECOS PAC ID: 4688925175 Enrollment ID: I20220802001173 |
| Provider Name | Dyllan T Landry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477073575 PECOS PAC ID: 6608147921 Enrollment ID: I20220803002363 |
| Provider Name | Suman S Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821135070 PECOS PAC ID: 1759360894 Enrollment ID: I20220805002649 |
| Provider Name | Alainna Simpson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609315951 PECOS PAC ID: 6406108604 Enrollment ID: I20220808000058 |
| Provider Name | Hugo Md Lai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144783200 PECOS PAC ID: 6002299740 Enrollment ID: I20220813000244 |
| Provider Name | Ashley Early |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588279475 PECOS PAC ID: 6507249604 Enrollment ID: I20220823002447 |
| Provider Name | Stephen Michael Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063753465 PECOS PAC ID: 9638552672 Enrollment ID: I20220824000194 |
| Provider Name | Yasser Jeelani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740619162 PECOS PAC ID: 6002299096 Enrollment ID: I20220824002604 |
| Provider Name | James Parks Tullis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083177141 PECOS PAC ID: 7911382825 Enrollment ID: I20220913002935 |
| Provider Name | Ellen Joy Morris |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821623950 PECOS PAC ID: 8426433681 Enrollment ID: I20220923002615 |
| Provider Name | Pradeep Pallati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033323274 PECOS PAC ID: 5496902488 Enrollment ID: I20221017000301 |
| Provider Name | Cyrece Dawn Engelberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053047969 PECOS PAC ID: 4789050204 Enrollment ID: I20221024002656 |
| Provider Name | Colby Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982277505 PECOS PAC ID: 5890190607 Enrollment ID: I20221025001341 |
| Provider Name | Andrea Kaylan Chaffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649995861 PECOS PAC ID: 9931575412 Enrollment ID: I20221025002149 |
| Provider Name | Katherine Elizabeth Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871218271 PECOS PAC ID: 7113394347 Enrollment ID: I20221101001741 |
| Provider Name | Aubyn Rene Friedland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881318475 PECOS PAC ID: 1557739018 Enrollment ID: I20221115001794 |
| Provider Name | Sam Shamsnia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568773901 PECOS PAC ID: 2668698804 Enrollment ID: I20221116002286 |
| Provider Name | Rebecca M Broadbent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578183653 PECOS PAC ID: 4183092794 Enrollment ID: I20221201000715 |
| Provider Name | Shanica Nembhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124744321 PECOS PAC ID: 9335518653 Enrollment ID: I20221208002077 |
| Provider Name | Priyanka Baweja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023322567 PECOS PAC ID: 4082863402 Enrollment ID: I20221214002236 |
| Provider Name | Jayna Monical |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124343074 PECOS PAC ID: 3476681693 Enrollment ID: I20230113002564 |
| Provider Name | Danine T Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710953559 PECOS PAC ID: 0648208579 Enrollment ID: I20230124000185 |
| Provider Name | Heather Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821795394 PECOS PAC ID: 6103299805 Enrollment ID: I20230228001285 |
| Provider Name | Robert Thomas |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1548248206 PECOS PAC ID: 3779558853 Enrollment ID: I20230308002526 |
| Provider Name | Trung Tran |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609211572 PECOS PAC ID: 1850789017 Enrollment ID: I20230316000461 |
| Provider Name | Susan Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992024491 PECOS PAC ID: 9436339348 Enrollment ID: I20230403002606 |
| Provider Name | Lawrence Hoyt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003379173 PECOS PAC ID: 6204211360 Enrollment ID: I20230418000643 |
| Provider Name | Grayson Bridger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083320238 PECOS PAC ID: 3072978592 Enrollment ID: I20230504002316 |
| Provider Name | Shalini Bichala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548452634 PECOS PAC ID: 7416136031 Enrollment ID: I20230504003274 |
| Provider Name | Jennifer Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609534247 PECOS PAC ID: 2163812736 Enrollment ID: I20230523001861 |
| Provider Name | Christopher Eckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922666171 PECOS PAC ID: 1951734557 Enrollment ID: I20230728002017 |
| Provider Name | Audrey Hand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841604246 PECOS PAC ID: 4486969755 Enrollment ID: I20230803001282 |
| Provider Name | Allison Lea Galloway |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811143944 PECOS PAC ID: 2961646807 Enrollment ID: I20230817001703 |
| Provider Name | Shelby Wigginton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083107452 PECOS PAC ID: 4880942507 Enrollment ID: I20230821003608 |
| Provider Name | Isaac Majors |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801327317 PECOS PAC ID: 4183994114 Enrollment ID: I20230822004004 |
| Provider Name | Anthony Dolomisiewicz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023515129 PECOS PAC ID: 4789932120 Enrollment ID: I20230824000529 |
| Provider Name | Constance Lents |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295295269 PECOS PAC ID: 1759795396 Enrollment ID: I20230828002634 |
| Provider Name | Trenden L Flanigan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245694371 PECOS PAC ID: 1850683061 Enrollment ID: I20230830003385 |
| Provider Name | Belinda Ann Burden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609364934 PECOS PAC ID: 1052656154 Enrollment ID: I20230901002362 |
| Provider Name | Adam Olszewski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164818753 PECOS PAC ID: 9436479516 Enrollment ID: I20230912002087 |
| Provider Name | Seth Mobley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891311254 PECOS PAC ID: 6406279561 Enrollment ID: I20230915000575 |
| Provider Name | Alshaimaa Hazaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003445370 PECOS PAC ID: 6103270129 Enrollment ID: I20230925003863 |
| Provider Name | Taylor Sierocuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164100376 PECOS PAC ID: 0446614903 Enrollment ID: I20231018003064 |
| Provider Name | Trenton J Bickel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013446285 PECOS PAC ID: 9133499668 Enrollment ID: I20231019003319 |
| Provider Name | Palak L Krushiker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487273546 PECOS PAC ID: 9436505864 Enrollment ID: I20231021000036 |
| Provider Name | Andrea Dohlman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255737359 PECOS PAC ID: 3870818198 Enrollment ID: I20231116000164 |
| Provider Name | Lauren Hayes Bailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841633781 PECOS PAC ID: 4385964485 Enrollment ID: I20231128003582 |
| Provider Name | Matthew Budway |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760412100 PECOS PAC ID: 3577506344 Enrollment ID: I20231205003083 |
| Provider Name | Hamid Shah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679693931 PECOS PAC ID: 2668503798 Enrollment ID: I20240126000465 |
| Provider Name | Jackson Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194407379 PECOS PAC ID: 2668825357 Enrollment ID: I20240130000475 |
| Provider Name | Heath Ray Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275164782 PECOS PAC ID: 2668815697 Enrollment ID: I20240207001021 |
| Provider Name | Ryan Frederick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902096498 PECOS PAC ID: 5092024968 Enrollment ID: I20240418001646 |
| Provider Name | Amber Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235812033 PECOS PAC ID: 7810336146 Enrollment ID: I20240418002822 |
| Provider Name | Sarah K Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982856837 PECOS PAC ID: 6103267158 Enrollment ID: I20240508003470 |
| Provider Name | Nicolas Khattar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326400060 PECOS PAC ID: 7113283318 Enrollment ID: I20240515003772 |
| Provider Name | Joseph Lockwood |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245612753 PECOS PAC ID: 2163714155 Enrollment ID: I20240606002021 |
Ehc Mjp Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5102 W Pauline Whitaker Pkwy Ste 121, Rogers, AR 72758 Phone: 479-278-2753 | |
Wound Solutions Of Nwa, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Halsted Cir Ste 2b, Rogers, AR 72756 Phone: 870-898-0088 | |
Glomar Medical Nwa Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4305 S Pleasant Crossing Blvd Ste 103, Rogers, AR 72758 Phone: 800-511-2747 Fax: 501-255-9109 | |
Family Health & Wellness, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2877 W Walnut St Ste 103, Rogers, AR 72756 Phone: 479-372-4030 Fax: 479-372-4031 | |
Och Benton County Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 Russell Road, Rogers, AR 72756 Phone: 479-278-7189 Fax: 479-278-2199 | |
Platinum Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 S 52nd St, Suite 201, Rogers, AR 72758 Phone: 479-319-6009 Fax: 479-319-6002 | |
Melloy Concierge And Aesthetics Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S 20th St Ste C, Rogers, AR 72758 Phone: 479-278-7010 Fax: 479-974-2009 |