| Methodist Medical Group | |
|
3400 W Wheatland Rd Ste 453 Dallas TX 75237-4418 | |
| (214) 884-4700 | |
| Not Available |
| Full Name | Methodist Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3400 W Wheatland Rd Ste 453, Dallas, Texas |
| Authorized Official Name and Position | George Williams (PRESIDENT) |
| Authorized Official Contact | 2148844744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Methodist Medical Group 3400 W Wheatland Rd Ste 453 Dallas TX 75237-4418 Ph: (214) 884-4700 | Methodist Medical Group 3400 W Wheatland Rd Ste 453 Dallas TX 75237-4418 Ph: (214) 884-4700 |
| NPI Number | 1912957200 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 02/28/2022 |
| Medicare PECOS PAC ID | 9931001567 |
|---|---|
| Medicare Enrollment ID | O20040123000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912957200 | NPI | - | NPPES |
| 200020002 | Medicaid | TX | |
| 146000802 | Medicaid | TX | |
| 200020001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2086S0127X | Surgery - Trauma Surgery | (* (Not Available)) | Secondary |
| Provider Name | Roberto Wayhs |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760430458 PECOS PAC ID: 4284547480 Enrollment ID: I20031112000316 |
| Provider Name | Faisal Q Jhandiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376581892 PECOS PAC ID: 8224934328 Enrollment ID: I20031210000106 |
| Provider Name | Harold L Rodgers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225037559 PECOS PAC ID: 6709784317 Enrollment ID: I20031220000038 |
| Provider Name | Steven A Haley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811913890 PECOS PAC ID: 0143117804 Enrollment ID: I20040228000139 |
| Provider Name | Donna A Shannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720052699 PECOS PAC ID: 8426048083 Enrollment ID: I20040514001125 |
| Provider Name | Alanna M Silverstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538164181 PECOS PAC ID: 6204819709 Enrollment ID: I20040607001524 |
| Provider Name | Michael D Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336114313 PECOS PAC ID: 5294718342 Enrollment ID: I20040609001431 |
| Provider Name | Joseph D Amos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629012588 PECOS PAC ID: 6507847613 Enrollment ID: I20040611000326 |
| Provider Name | Amelia C. Wayhs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043280357 PECOS PAC ID: 2062491806 Enrollment ID: I20040715001077 |
| Provider Name | Kelly E Farris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710978655 PECOS PAC ID: 7810968245 Enrollment ID: I20040802000252 |
| Provider Name | Lakshmi Chekuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255445953 PECOS PAC ID: 5890767396 Enrollment ID: I20040806000405 |
| Provider Name | Nhan Phuc Nguyen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124082128 PECOS PAC ID: 5597738658 Enrollment ID: I20040817000475 |
| Provider Name | Frank T Dean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316947666 PECOS PAC ID: 3274506902 Enrollment ID: I20040819000449 |
| Provider Name | Charles J Lostak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477549913 PECOS PAC ID: 3870561533 Enrollment ID: I20040922000177 |
| Provider Name | Shelly-ann Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790760445 PECOS PAC ID: 1850343179 Enrollment ID: I20050215000787 |
| Provider Name | Kathy Adrianne Cook Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568465136 PECOS PAC ID: 3274572649 Enrollment ID: I20050426001124 |
| Provider Name | William D Dodge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942233523 PECOS PAC ID: 3577503903 Enrollment ID: I20050505000273 |
| Provider Name | Kosunarty Fa |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114912839 PECOS PAC ID: 8022070341 Enrollment ID: I20050620000834 |
| Provider Name | Alejandro Mejia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508832536 PECOS PAC ID: 7416993423 Enrollment ID: I20050629001268 |
| Provider Name | Hector E Nazario |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437160827 PECOS PAC ID: 8527097104 Enrollment ID: I20050804000805 |
| Provider Name | Jay Van Wright |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932158292 PECOS PAC ID: 3072543339 Enrollment ID: I20050816000847 |
| Provider Name | Dhiresh Rohen Jeyarajah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235186446 PECOS PAC ID: 0840222048 Enrollment ID: I20050908000843 |
| Provider Name | Irfan A Agha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912982489 PECOS PAC ID: 7911899455 Enrollment ID: I20050921000974 |
| Provider Name | Kimberly Dionne Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538109509 PECOS PAC ID: 0446285589 Enrollment ID: I20050929000956 |
| Provider Name | Darien W Bradford |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376560961 PECOS PAC ID: 2567487739 Enrollment ID: I20051014000346 |
| Provider Name | Muhammad Anis Memon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780691923 PECOS PAC ID: 6608893995 Enrollment ID: I20051026000563 |
| Provider Name | Jose A Castillo-lugo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619962313 PECOS PAC ID: 6204856933 Enrollment ID: I20051128000111 |
| Provider Name | Donald F Dillahunty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255303020 PECOS PAC ID: 8224926886 Enrollment ID: I20051229000450 |
| Provider Name | Mark A Linane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700854304 PECOS PAC ID: 0042233637 Enrollment ID: I20060110000514 |
| Provider Name | Angela Sharrice Cheatham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487876546 PECOS PAC ID: 9830104660 Enrollment ID: I20060215000090 |
| Provider Name | Fay E Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700830171 PECOS PAC ID: 2062428105 Enrollment ID: I20060228000236 |
| Provider Name | Mary L Welp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902855646 PECOS PAC ID: 5698788735 Enrollment ID: I20060713000227 |
| Provider Name | Shakil Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821094616 PECOS PAC ID: 9436152832 Enrollment ID: I20060823000611 |
| Provider Name | Hetendra G Makanbhai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275556235 PECOS PAC ID: 9335145168 Enrollment ID: I20061018000249 |
| Provider Name | Eric J Beadle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164484218 PECOS PAC ID: 7113924796 Enrollment ID: I20061024000149 |
| Provider Name | Gerald G George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356316772 PECOS PAC ID: 5597667030 Enrollment ID: I20070208000077 |
| Provider Name | Brandy L Yeary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952492209 PECOS PAC ID: 1759483852 Enrollment ID: I20070220000595 |
| Provider Name | David L Walters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609832799 PECOS PAC ID: 0143322040 Enrollment ID: I20070223000353 |
| Provider Name | Kathleen E. Humphries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639135734 PECOS PAC ID: 1254433162 Enrollment ID: I20070223000419 |
| Provider Name | Shannon L Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700980158 PECOS PAC ID: 3072611219 Enrollment ID: I20070612000060 |
| Provider Name | Jennifer K Bang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396830071 PECOS PAC ID: 9638278971 Enrollment ID: I20070627000129 |
| Provider Name | Manuel E Castro Arreola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073562484 PECOS PAC ID: 3577454396 Enrollment ID: I20070707000033 |
| Provider Name | Patricia A Allamon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740308923 PECOS PAC ID: 3476653726 Enrollment ID: I20070716000315 |
| Provider Name | Manuel Lorenzo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093713901 PECOS PAC ID: 0446169270 Enrollment ID: I20070802000704 |
| Provider Name | John M Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205891207 PECOS PAC ID: 9133210032 Enrollment ID: I20070807000557 |
| Provider Name | Robert S Krombach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952504276 PECOS PAC ID: 8325130552 Enrollment ID: I20070817000430 |
| Provider Name | Michael S Truitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356497937 PECOS PAC ID: 0749373280 Enrollment ID: I20070829000671 |
| Provider Name | Denise A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265416580 PECOS PAC ID: 8325132467 Enrollment ID: I20070919000775 |
| Provider Name | Garish K Alexander |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902007917 PECOS PAC ID: 1557458502 Enrollment ID: I20071107000585 |
| Provider Name | Samer E Bibawi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528038759 PECOS PAC ID: 2668407776 Enrollment ID: I20071112000526 |
| Provider Name | James T Rester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013960426 PECOS PAC ID: 2769571439 Enrollment ID: I20071203000584 |
| Provider Name | Cheryl D Vera-burkhalter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700094984 PECOS PAC ID: 0648360875 Enrollment ID: I20071212000221 |
| Provider Name | Steven K Klemow |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568668713 PECOS PAC ID: 8325138266 Enrollment ID: I20071217000153 |
| Provider Name | Angela S Bentle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346230547 PECOS PAC ID: 8820060635 Enrollment ID: I20080325000041 |
| Provider Name | Mark A Lyons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609079904 PECOS PAC ID: 1456437805 Enrollment ID: I20080325000544 |
| Provider Name | Gary M Sackrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407831357 PECOS PAC ID: 4981781952 Enrollment ID: I20080402000200 |
| Provider Name | Arash Manzori |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962466367 PECOS PAC ID: 7214014620 Enrollment ID: I20080409000736 |
| Provider Name | Linda M Mcginty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447443122 PECOS PAC ID: 0749369023 Enrollment ID: I20080512000629 |
| Provider Name | James Moody |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417093329 PECOS PAC ID: 8527138320 Enrollment ID: I20080605000603 |
| Provider Name | Christopher T Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396806535 PECOS PAC ID: 2365543386 Enrollment ID: I20080610000136 |
| Provider Name | Richard B Meyrat |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376713917 PECOS PAC ID: 1456422583 Enrollment ID: I20080618000197 |
| Provider Name | Parvez S Mantry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770528697 PECOS PAC ID: 5092721761 Enrollment ID: I20080730000164 |
| Provider Name | Brandy R Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861604225 PECOS PAC ID: 1355416918 Enrollment ID: I20080815000248 |
| Provider Name | Edward A Dominguez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598765828 PECOS PAC ID: 6406950799 Enrollment ID: I20080822000076 |
| Provider Name | Naveen C Setty |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356548242 PECOS PAC ID: 9032286869 Enrollment ID: I20080922000033 |
| Provider Name | Elizabeth Eggerichs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275708349 PECOS PAC ID: 5092883769 Enrollment ID: I20081008000072 |
| Provider Name | Nancy Georgekutty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578735106 PECOS PAC ID: 9739257247 Enrollment ID: I20081010000624 |
| Provider Name | Roxana E Cham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558546150 PECOS PAC ID: 6901964972 Enrollment ID: I20081020000298 |
| Provider Name | Richard Burg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679774160 PECOS PAC ID: 5991893968 Enrollment ID: I20081113000344 |
| Provider Name | Amber D Hyde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902083082 PECOS PAC ID: 8325101975 Enrollment ID: I20090108000517 |
| Provider Name | Jill Waggoner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700940194 PECOS PAC ID: 2769545144 Enrollment ID: I20090112000264 |
| Provider Name | Kevin W Niblett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770525602 PECOS PAC ID: 3274696307 Enrollment ID: I20090115000073 |
| Provider Name | Padminie P Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003981275 PECOS PAC ID: 7911060843 Enrollment ID: I20090120000295 |
| Provider Name | Afia Umber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902057383 PECOS PAC ID: 6002970092 Enrollment ID: I20090206000209 |
| Provider Name | Henry C Jefferson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518900497 PECOS PAC ID: 7517022965 Enrollment ID: I20090218000334 |
| Provider Name | David R Ruiz-bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770732398 PECOS PAC ID: 8022174929 Enrollment ID: I20090302000188 |
| Provider Name | Craig C Callewart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487611620 PECOS PAC ID: 4284529421 Enrollment ID: I20090316000426 |
| Provider Name | Nimesh H Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669638078 PECOS PAC ID: 5597815936 Enrollment ID: I20090605000490 |
| Provider Name | Paul Samuel Hackett |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1154332393 PECOS PAC ID: 4587669502 Enrollment ID: I20090617000611 |
| Provider Name | Miguel A Villamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861592685 PECOS PAC ID: 5991808057 Enrollment ID: I20090618000285 |
| Provider Name | Joshua K Trussell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760684195 PECOS PAC ID: 5395897995 Enrollment ID: I20090713000320 |
| Provider Name | Thomas J Goaley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255320594 PECOS PAC ID: 4981756319 Enrollment ID: I20090716000319 |
| Provider Name | Jaclyn L. Ganacias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699912881 PECOS PAC ID: 2567515307 Enrollment ID: I20090727000793 |
| Provider Name | Mahendra N Kakarla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942303342 PECOS PAC ID: 0648323345 Enrollment ID: I20090728000596 |
| Provider Name | Leslie R Cler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538378310 PECOS PAC ID: 8022161777 Enrollment ID: I20090729000186 |
| Provider Name | Usha S Mani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932279924 PECOS PAC ID: 6103850698 Enrollment ID: I20090804000085 |
| Provider Name | Stephen T Drye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578786638 PECOS PAC ID: 6002994928 Enrollment ID: I20090805000030 |
| Provider Name | Alexander Cho |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356516793 PECOS PAC ID: 8022178391 Enrollment ID: I20090813000840 |
| Provider Name | Nathan K Yerger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609011444 PECOS PAC ID: 3375697683 Enrollment ID: I20090821000105 |
| Provider Name | Michael G Mcinnis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033189956 PECOS PAC ID: 3375697667 Enrollment ID: I20090824000250 |
| Provider Name | Jeremy Hataway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528203155 PECOS PAC ID: 9931266863 Enrollment ID: I20090825000150 |
| Provider Name | Jenevieve H Hughes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972588275 PECOS PAC ID: 5395649537 Enrollment ID: I20090827000132 |
| Provider Name | Carlos G Fasola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740463090 PECOS PAC ID: 6507858156 Enrollment ID: I20090827000344 |
| Provider Name | Sarang N Desai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205002581 PECOS PAC ID: 6406929686 Enrollment ID: I20091008000423 |
| Provider Name | Nadia Takieddine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033349980 PECOS PAC ID: 4486792447 Enrollment ID: I20091111000488 |
| Provider Name | David Levine |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720004708 PECOS PAC ID: 8820091440 Enrollment ID: I20100111000183 |
| Provider Name | Karen K Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598739658 PECOS PAC ID: 8123160959 Enrollment ID: I20100116000228 |
| Provider Name | Brian D Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225002298 PECOS PAC ID: 7012050578 Enrollment ID: I20100205000208 |
| Provider Name | Roberto M Nieto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750430419 PECOS PAC ID: 0244373520 Enrollment ID: I20100209000481 |
| Provider Name | Ganana Tesfa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891844577 PECOS PAC ID: 9335282615 Enrollment ID: I20100209000505 |
| Provider Name | Robert E Mcmichael |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205985934 PECOS PAC ID: 5799828075 Enrollment ID: I20100209000525 |
| Provider Name | Michael S Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881668952 PECOS PAC ID: 8820131014 Enrollment ID: I20100210000678 |
| Provider Name | Pamela L Santone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528033941 PECOS PAC ID: 1658416425 Enrollment ID: I20100304000232 |
| Provider Name | Michael Sheffield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801867379 PECOS PAC ID: 1254469778 Enrollment ID: I20100504000545 |
| Provider Name | Raymond Munoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922070374 PECOS PAC ID: 5991833469 Enrollment ID: I20100505000264 |
| Provider Name | Bradley Pirtle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881666139 PECOS PAC ID: 7416932108 Enrollment ID: I20100505000725 |
| Provider Name | Russell A Dickey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114960333 PECOS PAC ID: 8022929124 Enrollment ID: I20100506000579 |
| Provider Name | Jennifer M Burris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982832655 PECOS PAC ID: 1052449923 Enrollment ID: I20100513000712 |
| Provider Name | Baron C Atkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841239415 PECOS PAC ID: 4688702483 Enrollment ID: I20100517000032 |
| Provider Name | Margaret M Alloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053359562 PECOS PAC ID: 1850420126 Enrollment ID: I20100525000415 |
| Provider Name | Phillip L Sladek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659484376 PECOS PAC ID: 5799814950 Enrollment ID: I20100526000436 |
| Provider Name | Michael D Adams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134129794 PECOS PAC ID: 3072411685 Enrollment ID: I20100528000484 |
| Provider Name | Steven B Morgan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336149640 PECOS PAC ID: 3971660994 Enrollment ID: I20100528000516 |
| Provider Name | Barbara L Kallenbach-watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548281801 PECOS PAC ID: 2466583604 Enrollment ID: I20100701000427 |
| Provider Name | Sheila A Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770801029 PECOS PAC ID: 0345371357 Enrollment ID: I20100707000526 |
| Provider Name | Miguel Hernandez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174598635 PECOS PAC ID: 4284545526 Enrollment ID: I20100717000251 |
| Provider Name | Ray Aronowitz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275508756 PECOS PAC ID: 7719907229 Enrollment ID: I20100723000698 |
| Provider Name | Patrick W Daly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063480853 PECOS PAC ID: 4082747738 Enrollment ID: I20100802000032 |
| Provider Name | Kristen J Bracklein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730255357 PECOS PAC ID: 6507814068 Enrollment ID: I20100802000715 |
| Provider Name | Alan R Trumbly |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417121286 PECOS PAC ID: 2567595721 Enrollment ID: I20100809000782 |
| Provider Name | Lamyen Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538134622 PECOS PAC ID: 8729112032 Enrollment ID: I20100820000982 |
| Provider Name | Nerchi Love Nermal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427193762 PECOS PAC ID: 4486740883 Enrollment ID: I20100824000659 |
| Provider Name | Charles R Dell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689642936 PECOS PAC ID: 5294928479 Enrollment ID: I20101020000526 |
| Provider Name | Jaremy E James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063730505 PECOS PAC ID: 1052504826 Enrollment ID: I20101025001173 |
| Provider Name | Jeffrey Scott Weinstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336109735 PECOS PAC ID: 2668472416 Enrollment ID: I20101028001472 |
| Provider Name | Anand K Lodha |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1437349974 PECOS PAC ID: 3375737521 Enrollment ID: I20101101001344 |
| Provider Name | Halli B Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952585929 PECOS PAC ID: 0547321226 Enrollment ID: I20101104001364 |
| Provider Name | Jeffrey M Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366576282 PECOS PAC ID: 0749475226 Enrollment ID: I20101110000250 |
| Provider Name | Shyama D Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023213063 PECOS PAC ID: 4587851175 Enrollment ID: I20101208000893 |
| Provider Name | Nghi B Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649474222 PECOS PAC ID: 8729277447 Enrollment ID: I20110118000475 |
| Provider Name | Olga S Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265657571 PECOS PAC ID: 0143409904 Enrollment ID: I20110125001128 |
| Provider Name | Tara Norris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588843031 PECOS PAC ID: 0648459040 Enrollment ID: I20110131000685 |
| Provider Name | Sandra Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093022857 PECOS PAC ID: 7517149685 Enrollment ID: I20110310000468 |
| Provider Name | Richard M. Dickerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174565048 PECOS PAC ID: 2365344728 Enrollment ID: I20110413001044 |
| Provider Name | Levi Andrew Rice |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306176235 PECOS PAC ID: 9234315425 Enrollment ID: I20110524000621 |
| Provider Name | Adeola B. Darden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043248156 PECOS PAC ID: 9436123601 Enrollment ID: I20110607000787 |
| Provider Name | Paulo Calderon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467637819 PECOS PAC ID: 6901076884 Enrollment ID: I20110901000276 |
| Provider Name | Paul M. Derose |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659573780 PECOS PAC ID: 9436329224 Enrollment ID: I20110906000311 |
| Provider Name | Heather H Gardow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154521029 PECOS PAC ID: 3971773789 Enrollment ID: I20110906000472 |
| Provider Name | Valentine M Ebuh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598963175 PECOS PAC ID: 6204928278 Enrollment ID: I20110907001336 |
| Provider Name | Kenneth C Raney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093974503 PECOS PAC ID: 3173794799 Enrollment ID: I20110912000347 |
| Provider Name | Denise B Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972830909 PECOS PAC ID: 5092986646 Enrollment ID: I20110912000758 |
| Provider Name | Laurie Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942513676 PECOS PAC ID: 7012188873 Enrollment ID: I20110927000766 |
| Provider Name | Stacey D Castellanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184903130 PECOS PAC ID: 1456523133 Enrollment ID: I20111003000466 |
| Provider Name | Danny C Holland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699989582 PECOS PAC ID: 7618149501 Enrollment ID: I20111019000621 |
| Provider Name | Stephen E Mueller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669692802 PECOS PAC ID: 4880780410 Enrollment ID: I20120227000842 |
| Provider Name | Christine Y Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750456232 PECOS PAC ID: 6709982341 Enrollment ID: I20120312000169 |
| Provider Name | Milka W Ndungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538431739 PECOS PAC ID: 6901068600 Enrollment ID: I20120425000383 |
| Provider Name | Minh Q Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629203724 PECOS PAC ID: 7012163207 Enrollment ID: I20120802000744 |
| Provider Name | Amy Renee Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164793246 PECOS PAC ID: 3870749781 Enrollment ID: I20120808000989 |
| Provider Name | Joshua Michael Burak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386805331 PECOS PAC ID: 6800043464 Enrollment ID: I20120904000610 |
| Provider Name | Jagadeshwar Reddy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649250960 PECOS PAC ID: 2567423817 Enrollment ID: I20120906000367 |
| Provider Name | Zaineb Shams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487905709 PECOS PAC ID: 5496905556 Enrollment ID: I20121025000612 |
| Provider Name | Junghye Shin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780957886 PECOS PAC ID: 2264684869 Enrollment ID: I20121205000496 |
| Provider Name | Riadun Nahar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295022580 PECOS PAC ID: 6002061959 Enrollment ID: I20130227000251 |
| Provider Name | Vanessa L Bludau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063763670 PECOS PAC ID: 4486890704 Enrollment ID: I20130411000147 |
| Provider Name | April A Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285947663 PECOS PAC ID: 4981843976 Enrollment ID: I20130624000651 |
| Provider Name | Houssam Galal Osman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093035511 PECOS PAC ID: 9638318512 Enrollment ID: I20130626000093 |
| Provider Name | Adil Habib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831119882 PECOS PAC ID: 5698876357 Enrollment ID: I20130712000473 |
| Provider Name | Jerod B Patchin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386957769 PECOS PAC ID: 5294975124 Enrollment ID: I20130717000176 |
| Provider Name | Maisha N Barnes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699872119 PECOS PAC ID: 3870666100 Enrollment ID: I20130806000227 |
| Provider Name | Michael C. Oh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437487188 PECOS PAC ID: 2163664996 Enrollment ID: I20130807000834 |
| Provider Name | Vanessa K Shifflette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194924076 PECOS PAC ID: 7315180494 Enrollment ID: I20130821000986 |
| Provider Name | Heather J Havener |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275736480 PECOS PAC ID: 3274772751 Enrollment ID: I20130824000079 |
| Provider Name | Ahmed M Alobaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467778795 PECOS PAC ID: 0648413203 Enrollment ID: I20130829000210 |
| Provider Name | James R Goodsett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720027931 PECOS PAC ID: 4880725696 Enrollment ID: I20130912000731 |
| Provider Name | Irene Olabode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619297744 PECOS PAC ID: 2567619349 Enrollment ID: I20130916000597 |
| Provider Name | Salman Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942340088 PECOS PAC ID: 5496889057 Enrollment ID: I20131002000702 |
| Provider Name | Tri P Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013228782 PECOS PAC ID: 3577735810 Enrollment ID: I20131029000186 |
| Provider Name | Andrew Standerwick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598961898 PECOS PAC ID: 1557527991 Enrollment ID: I20131029001454 |
| Provider Name | Christopher M Broadway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639308836 PECOS PAC ID: 9739335787 Enrollment ID: I20131230000517 |
| Provider Name | Karen L Oehler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710208426 PECOS PAC ID: 1658509385 Enrollment ID: I20140102000142 |
| Provider Name | Jeremy Patrick Parcells |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831393412 PECOS PAC ID: 2062642689 Enrollment ID: I20140227001241 |
| Provider Name | Cheryl A Kleinjan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205158094 PECOS PAC ID: 1658501663 Enrollment ID: I20140312001785 |
| Provider Name | Mary A Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265795595 PECOS PAC ID: 5991935934 Enrollment ID: I20140313000431 |
| Provider Name | Heather Ann Tribble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437572898 PECOS PAC ID: 3476785866 Enrollment ID: I20140417001649 |
| Provider Name | Jaye Krubally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093132482 PECOS PAC ID: 7911120274 Enrollment ID: I20140514001624 |
| Provider Name | Cindy L Robertson-hugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851529069 PECOS PAC ID: 0749403681 Enrollment ID: I20140522001490 |
| Provider Name | Jessica A Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518257294 PECOS PAC ID: 1153551197 Enrollment ID: I20140625001798 |
| Provider Name | Gabriela A Arias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780979542 PECOS PAC ID: 7911136312 Enrollment ID: I20140625002477 |
| Provider Name | Mihaela Andreea Kruger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881861771 PECOS PAC ID: 5890840474 Enrollment ID: I20140728002098 |
| Provider Name | Jason R May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649680554 PECOS PAC ID: 7012134331 Enrollment ID: I20140811001634 |
| Provider Name | Muhammad Raza Karim Qureshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902062185 PECOS PAC ID: 5496995391 Enrollment ID: I20140818001588 |
| Provider Name | Musaab A Zaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730473182 PECOS PAC ID: 1254559842 Enrollment ID: I20140822001561 |
| Provider Name | Salman A Raheem |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1780970947 PECOS PAC ID: 9931327079 Enrollment ID: I20140902001613 |
| Provider Name | Jinhee Choi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700836442 PECOS PAC ID: 6709918766 Enrollment ID: I20140904001209 |
| Provider Name | Patrick L Boothe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730341694 PECOS PAC ID: 7012152820 Enrollment ID: I20140925001470 |
| Provider Name | Abir Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275708968 PECOS PAC ID: 8224287883 Enrollment ID: I20141020001819 |
| Provider Name | Tara D Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962727164 PECOS PAC ID: 0941324917 Enrollment ID: I20141104000679 |
| Provider Name | David P. Mason |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083678155 PECOS PAC ID: 8426005372 Enrollment ID: I20141104001400 |
| Provider Name | Jason A Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912095076 PECOS PAC ID: 5890976252 Enrollment ID: I20141117000202 |
| Provider Name | Angele J Arthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992899132 PECOS PAC ID: 8325260631 Enrollment ID: I20141120001274 |
| Provider Name | Ashley Durant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841576378 PECOS PAC ID: 2163744236 Enrollment ID: I20141126000537 |
| Provider Name | Courtney D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831521426 PECOS PAC ID: 3476876822 Enrollment ID: I20141216001872 |
| Provider Name | John Michael George |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891798856 PECOS PAC ID: 5294916391 Enrollment ID: I20141222000360 |
| Provider Name | Stephanie Megan Tipton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518224898 PECOS PAC ID: 7719200799 Enrollment ID: I20141223001822 |
| Provider Name | Sean Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780078469 PECOS PAC ID: 1456670421 Enrollment ID: I20150427000050 |
| Provider Name | William Posligua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902080484 PECOS PAC ID: 3577617174 Enrollment ID: I20150427000667 |
| Provider Name | Sheila A Dougan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144615741 PECOS PAC ID: 9739408899 Enrollment ID: I20150512001736 |
| Provider Name | Shavonne Jordan Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659767655 PECOS PAC ID: 6002136124 Enrollment ID: I20150513000913 |
| Provider Name | Christopher W Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326312026 PECOS PAC ID: 8820313364 Enrollment ID: I20150616000405 |
| Provider Name | Charnita P Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508243841 PECOS PAC ID: 2668787391 Enrollment ID: I20150810002742 |
| Provider Name | Silvi M Simon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982916862 PECOS PAC ID: 4981919701 Enrollment ID: I20150821014125 |
| Provider Name | Sarah B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306228291 PECOS PAC ID: 8729394093 Enrollment ID: I20150901001508 |
| Provider Name | Juan C Gavalda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992062160 PECOS PAC ID: 4082920129 Enrollment ID: I20150903001069 |
| Provider Name | Jerrin Varughese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629458724 PECOS PAC ID: 9436465424 Enrollment ID: I20150908000674 |
| Provider Name | Shaun Peter Garff |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1093135816 PECOS PAC ID: 6002037181 Enrollment ID: I20150916001844 |
| Provider Name | Asad Khan Mohmand |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497869101 PECOS PAC ID: 4880637891 Enrollment ID: I20150929001087 |
| Provider Name | Matt Fay |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467613067 PECOS PAC ID: 6204081094 Enrollment ID: I20150930001217 |
| Provider Name | Brandy M Valentino |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407235609 PECOS PAC ID: 8325356074 Enrollment ID: I20150930001706 |
| Provider Name | Boram K Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881983468 PECOS PAC ID: 8820238009 Enrollment ID: I20151113000679 |
| Provider Name | David G Minna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861747115 PECOS PAC ID: 7719115765 Enrollment ID: I20151202001115 |
| Provider Name | Riya Thenayan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124499850 PECOS PAC ID: 7517267297 Enrollment ID: I20151202001192 |
| Provider Name | Mangesh R Pagadala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780829374 PECOS PAC ID: 0446552731 Enrollment ID: I20160104000994 |
| Provider Name | Taiwo L Oyenuga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770774580 PECOS PAC ID: 1254487176 Enrollment ID: I20160130000033 |
| Provider Name | Curtiss R Moore |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184950503 PECOS PAC ID: 3870897564 Enrollment ID: I20160201000119 |
| Provider Name | Anas W Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447507330 PECOS PAC ID: 3173751526 Enrollment ID: I20160204000461 |
| Provider Name | Daniel R Pereira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982988697 PECOS PAC ID: 8022330414 Enrollment ID: I20160323000881 |
| Provider Name | Timothy Paterick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609863869 PECOS PAC ID: 3072648237 Enrollment ID: I20160627001975 |
| Provider Name | Philip Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992143549 PECOS PAC ID: 1254639693 Enrollment ID: I20160711000058 |
| Provider Name | Avery L Nolen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306281423 PECOS PAC ID: 4688996077 Enrollment ID: I20160714002218 |
| Provider Name | Edward M Mairura |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295027340 PECOS PAC ID: 2567766371 Enrollment ID: I20160803000504 |
| Provider Name | Lindsay Lancaster Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902250830 PECOS PAC ID: 6800180191 Enrollment ID: I20160809002758 |
| Provider Name | Colton Reisinger Redding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366889818 PECOS PAC ID: 3678876463 Enrollment ID: I20160824000307 |
| Provider Name | Sharisse Camille Holinej |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467764209 PECOS PAC ID: 2860627718 Enrollment ID: I20160826000355 |
| Provider Name | Anas Alomar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457586844 PECOS PAC ID: 6901043330 Enrollment ID: I20160923000986 |
| Provider Name | Susannah M Hambright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073831640 PECOS PAC ID: 8123256351 Enrollment ID: I20160929000641 |
| Provider Name | Jessica Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740733096 PECOS PAC ID: 6204123847 Enrollment ID: I20161202000149 |
| Provider Name | Linah K Mairura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790128098 PECOS PAC ID: 3678799962 Enrollment ID: I20161227001504 |
| Provider Name | Jai Hind Joshi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700849346 PECOS PAC ID: 6901880160 Enrollment ID: I20170120000168 |
| Provider Name | Zahid Vahora |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679716955 PECOS PAC ID: 3072614593 Enrollment ID: I20170123002789 |
| Provider Name | Vichin C Puri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003060211 PECOS PAC ID: 6901084656 Enrollment ID: I20170131000226 |
| Provider Name | Bartley D Mitchell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750613709 PECOS PAC ID: 7416278874 Enrollment ID: I20170203002244 |
| Provider Name | Lisa Gail Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437695863 PECOS PAC ID: 7113201922 Enrollment ID: I20170222002491 |
| Provider Name | Jhasmun D Crutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609225101 PECOS PAC ID: 4385928662 Enrollment ID: I20170306000922 |
| Provider Name | Derek Edwin Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336349448 PECOS PAC ID: 3173839859 Enrollment ID: I20170307000393 |
| Provider Name | George Andrew Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144273517 PECOS PAC ID: 8921018656 Enrollment ID: I20170407000999 |
| Provider Name | Daniela P Aguilera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780123083 PECOS PAC ID: 2062799893 Enrollment ID: I20170504001464 |
| Provider Name | Kristina Therese Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588014823 PECOS PAC ID: 4082908421 Enrollment ID: I20170719002745 |
| Provider Name | Tiwaah Maldima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588917983 PECOS PAC ID: 9638321441 Enrollment ID: I20170725001098 |
| Provider Name | Janet Olufunkebasirat Adeniran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578980678 PECOS PAC ID: 3577785344 Enrollment ID: I20170809003603 |
| Provider Name | John Robert Harris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962794354 PECOS PAC ID: 4082931050 Enrollment ID: I20170817000421 |
| Provider Name | John Mark Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912319427 PECOS PAC ID: 6204100068 Enrollment ID: I20170919000536 |
| Provider Name | Randall Graham |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174834295 PECOS PAC ID: 9537464813 Enrollment ID: I20171017003479 |
| Provider Name | Lissy Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871004101 PECOS PAC ID: 6507122785 Enrollment ID: I20171103000007 |
| Provider Name | Ashley Nicole Pirisino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548680358 PECOS PAC ID: 0042576100 Enrollment ID: I20171107001224 |
| Provider Name | Melissa Ann Hataway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649782046 PECOS PAC ID: 4284992785 Enrollment ID: I20171211000337 |
| Provider Name | Shayla Blackwell Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295247096 PECOS PAC ID: 4486912888 Enrollment ID: I20171212002316 |
| Provider Name | Christie W Gooden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679788947 PECOS PAC ID: 5294888475 Enrollment ID: I20171220001086 |
| Provider Name | Whitney L Mcclung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245743624 PECOS PAC ID: 2466710181 Enrollment ID: I20171229000067 |
| Provider Name | Idania Hidalgo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154701142 PECOS PAC ID: 5294016614 Enrollment ID: I20180205001179 |
| Provider Name | Nikita Shastri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245748797 PECOS PAC ID: 8123389301 Enrollment ID: I20180305000159 |
| Provider Name | Jasper Elisabet Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518463736 PECOS PAC ID: 6305100405 Enrollment ID: I20180425001682 |
| Provider Name | Dylan Andrew Lax |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679074322 PECOS PAC ID: 9638433691 Enrollment ID: I20180430000943 |
| Provider Name | Sarah Elizabeth Mcferon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902303183 PECOS PAC ID: 6204181480 Enrollment ID: I20180611002672 |
| Provider Name | Paul C. Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780811158 PECOS PAC ID: 4183871072 Enrollment ID: I20180620002029 |
| Provider Name | Kai-soon Chen Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194179580 PECOS PAC ID: 1951693811 Enrollment ID: I20180622000427 |
| Provider Name | Lauren Rodgers Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609291582 PECOS PAC ID: 0840511549 Enrollment ID: I20180713002556 |
| Provider Name | Asma Khatoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548671647 PECOS PAC ID: 9335448091 Enrollment ID: I20180717001483 |
| Provider Name | Amy E Mar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972983567 PECOS PAC ID: 1456650688 Enrollment ID: I20180720000748 |
| Provider Name | Edgar Teodoro Araiza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871856450 PECOS PAC ID: 8729384490 Enrollment ID: I20180720002739 |
| Provider Name | Angalene D Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770994766 PECOS PAC ID: 5092062091 Enrollment ID: I20180723001411 |
| Provider Name | Dhafer Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467855973 PECOS PAC ID: 8921356429 Enrollment ID: I20180731001733 |
| Provider Name | Maheen Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245611367 PECOS PAC ID: 5890043012 Enrollment ID: I20180806000014 |
| Provider Name | Alisha K Conway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649594219 PECOS PAC ID: 7214175785 Enrollment ID: I20180808001249 |
| Provider Name | Michael Poku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215322177 PECOS PAC ID: 3173844560 Enrollment ID: I20180814002363 |
| Provider Name | Blake D Hatfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811382062 PECOS PAC ID: 4587957071 Enrollment ID: I20180822001703 |
| Provider Name | Lori Michelle Kautzman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962555888 PECOS PAC ID: 3870767577 Enrollment ID: I20180822002371 |
| Provider Name | Linda Rodriguez-gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295247088 PECOS PAC ID: 1658620562 Enrollment ID: I20180824002125 |
| Provider Name | Imad Irshad Ahmad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396065645 PECOS PAC ID: 5496989428 Enrollment ID: I20180827002911 |
| Provider Name | Kyle Bradford Oholendt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750709374 PECOS PAC ID: 9234456963 Enrollment ID: I20180912001178 |
| Provider Name | Nabeel Samir Koro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467609362 PECOS PAC ID: 9234356320 Enrollment ID: I20180919001268 |
| Provider Name | Nida Mateen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366711962 PECOS PAC ID: 6204083249 Enrollment ID: I20181022001242 |
| Provider Name | Elwaleed Elnagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972788388 PECOS PAC ID: 2567596182 Enrollment ID: I20190114003142 |
| Provider Name | Michelle Dyan Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417423765 PECOS PAC ID: 3476891441 Enrollment ID: I20190218000684 |
| Provider Name | Ashwini Pramod Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174800908 PECOS PAC ID: 9335487131 Enrollment ID: I20190220000718 |
| Provider Name | Amna Ilahe |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124220298 PECOS PAC ID: 6901070192 Enrollment ID: I20190228001329 |
| Provider Name | Ronel Layugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144788480 PECOS PAC ID: 8628319365 Enrollment ID: I20190408001286 |
| Provider Name | Christina Tijerina Meza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588149827 PECOS PAC ID: 9638410749 Enrollment ID: I20190417001682 |
| Provider Name | Mini Sivadasan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336330570 PECOS PAC ID: 0941496707 Enrollment ID: I20190521000557 |
| Provider Name | Evelyn Corley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699177758 PECOS PAC ID: 1759603236 Enrollment ID: I20190618001011 |
| Provider Name | Ashley Kate Chapel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154775641 PECOS PAC ID: 2466787445 Enrollment ID: I20190712001636 |
| Provider Name | Juan Christian Avila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750744025 PECOS PAC ID: 9537468582 Enrollment ID: I20190723000995 |
| Provider Name | Farhan S Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124445259 PECOS PAC ID: 6103196316 Enrollment ID: I20190723001042 |
| Provider Name | Deepak Bommisetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922454982 PECOS PAC ID: 6709176522 Enrollment ID: I20190730002213 |
| Provider Name | Rathan Adunuthula Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912346057 PECOS PAC ID: 1153550496 Enrollment ID: I20190813000817 |
| Provider Name | Katherine O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689238339 PECOS PAC ID: 8921335803 Enrollment ID: I20190815000955 |
| Provider Name | Ashley Dion Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861856676 PECOS PAC ID: 7810270436 Enrollment ID: I20190826001188 |
| Provider Name | Kelly Marie Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760940746 PECOS PAC ID: 4385973254 Enrollment ID: I20190903001993 |
| Provider Name | Huda Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487000691 PECOS PAC ID: 9234425406 Enrollment ID: I20190924001091 |
| Provider Name | C Ivan E T Cruz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134547979 PECOS PAC ID: 7618198011 Enrollment ID: I20190926002774 |
| Provider Name | Maryam Ehtsham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831543842 PECOS PAC ID: 1355671744 Enrollment ID: I20190927001294 |
| Provider Name | Jason L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073165270 PECOS PAC ID: 6103156443 Enrollment ID: I20190930000638 |
| Provider Name | Carley Legan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780030999 PECOS PAC ID: 4486949211 Enrollment ID: I20191009003108 |
| Provider Name | Tiffany R Boone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154988806 PECOS PAC ID: 4385975812 Enrollment ID: I20191014002297 |
| Provider Name | Niladri Basu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326357666 PECOS PAC ID: 7719294594 Enrollment ID: I20191017002267 |
| Provider Name | Jaimin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326402249 PECOS PAC ID: 9739488628 Enrollment ID: I20191028002861 |
| Provider Name | Satyanarayana Chekuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801875083 PECOS PAC ID: 8527037530 Enrollment ID: I20191106001055 |
| Provider Name | Bhavisha Bhakta Nunez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992191829 PECOS PAC ID: 6901109446 Enrollment ID: I20191125002057 |
| Provider Name | Mohamad Halawi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841519212 PECOS PAC ID: 6406162429 Enrollment ID: I20191127001114 |
| Provider Name | Lauren Brek Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629625280 PECOS PAC ID: 6103259379 Enrollment ID: I20191202000280 |
| Provider Name | Kristie Zachariah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295373538 PECOS PAC ID: 5698101285 Enrollment ID: I20200129002614 |
| Provider Name | Stephen P Regina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710333836 PECOS PAC ID: 0042506297 Enrollment ID: I20200207000819 |
| Provider Name | Akash Ghai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588690440 PECOS PAC ID: 0042212144 Enrollment ID: I20200210001663 |
| Provider Name | Alexa C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669011300 PECOS PAC ID: 6800223496 Enrollment ID: I20200220000456 |
| Provider Name | Chester Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124578455 PECOS PAC ID: 1456788363 Enrollment ID: I20200304002670 |
| Provider Name | Jacqueline Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073143327 PECOS PAC ID: 2961831755 Enrollment ID: I20200330002576 |
| Provider Name | Monica Leigh Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538709084 PECOS PAC ID: 2668801416 Enrollment ID: I20200331001207 |
| Provider Name | Stephen Lee Katzen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447592662 PECOS PAC ID: 6608207972 Enrollment ID: I20200521000566 |
| Provider Name | Melissa Renee Quain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730702283 PECOS PAC ID: 3870914989 Enrollment ID: I20200528000187 |
| Provider Name | Mohamad Kabach |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811338361 PECOS PAC ID: 5597050468 Enrollment ID: I20200630000218 |
| Provider Name | Sam C Hankins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699139451 PECOS PAC ID: 3173946373 Enrollment ID: I20200707000982 |
| Provider Name | Loren Albritton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457885238 PECOS PAC ID: 1153691142 Enrollment ID: I20200709001537 |
| Provider Name | Zackquill J Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922534601 PECOS PAC ID: 3577829597 Enrollment ID: I20200709001574 |
| Provider Name | Joseph L Claiborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164954665 PECOS PAC ID: 3274803119 Enrollment ID: I20200713001734 |
| Provider Name | Wael Adel Samuel Hanna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932339868 PECOS PAC ID: 5991952244 Enrollment ID: I20200714000378 |
| Provider Name | Lauren Danielle Ausama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194258780 PECOS PAC ID: 9335563196 Enrollment ID: I20200727001662 |
| Provider Name | Bessie Burchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366051526 PECOS PAC ID: 2163847435 Enrollment ID: I20200803003234 |
| Provider Name | Hung H Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356877369 PECOS PAC ID: 1951676410 Enrollment ID: I20200810000464 |
| Provider Name | Christopher James Farmakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619405552 PECOS PAC ID: 9436424850 Enrollment ID: I20200810000542 |
| Provider Name | Farukh Gabriel Ikram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063949212 PECOS PAC ID: 8820354699 Enrollment ID: I20200812002646 |
| Provider Name | Kensey Erin Saltarelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881040178 PECOS PAC ID: 4981995156 Enrollment ID: I20200813003685 |
| Provider Name | Luis Segura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689194789 PECOS PAC ID: 6507131018 Enrollment ID: I20200827000735 |
| Provider Name | Kimberly A Misamore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306170642 PECOS PAC ID: 8224457338 Enrollment ID: I20200923000761 |
| Provider Name | Keshav Poddar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952765091 PECOS PAC ID: 7810283017 Enrollment ID: I20200923001056 |
| Provider Name | Trent Philip Hyatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841803913 PECOS PAC ID: 5193144798 Enrollment ID: I20201001000626 |
| Provider Name | Oluwadamilola Oluwatosin Babaniji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427584713 PECOS PAC ID: 0244505758 Enrollment ID: I20201005000333 |
| Provider Name | Catherine Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346770369 PECOS PAC ID: 9335410679 Enrollment ID: I20201015001179 |
| Provider Name | Patricia Rambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962011353 PECOS PAC ID: 1355761610 Enrollment ID: I20201026003341 |
| Provider Name | Moncy Varkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346479029 PECOS PAC ID: 5294984472 Enrollment ID: I20201118000383 |
| Provider Name | Sadia Ghias Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578095121 PECOS PAC ID: 5294073631 Enrollment ID: I20201130002227 |
| Provider Name | Shreya Mistry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235561168 PECOS PAC ID: 3476821125 Enrollment ID: I20201229000374 |
| Provider Name | Valerie Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528663754 PECOS PAC ID: 1850705500 Enrollment ID: I20210121000108 |
| Provider Name | Tonya Michelle Sweezer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437245271 PECOS PAC ID: 5890087183 Enrollment ID: I20210412000062 |
| Provider Name | Rachel Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841725298 PECOS PAC ID: 3375942295 Enrollment ID: I20210526001927 |
| Provider Name | Bridget Ugonna Onyegesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003481961 PECOS PAC ID: 3173922903 Enrollment ID: I20210528000352 |
| Provider Name | Abul Nasser Khan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265562110 PECOS PAC ID: 3173623097 Enrollment ID: I20210616001302 |
| Provider Name | Adam Christopher Hines |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053606210 PECOS PAC ID: 6305135450 Enrollment ID: I20210616002815 |
| Provider Name | Qammar Abbas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720359680 PECOS PAC ID: 4284955774 Enrollment ID: I20210708001730 |
| Provider Name | Susanna Avanesyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386140168 PECOS PAC ID: 8527461201 Enrollment ID: I20210720000679 |
| Provider Name | Brian H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902393366 PECOS PAC ID: 6901154582 Enrollment ID: I20210720003407 |
| Provider Name | Bryan Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144727843 PECOS PAC ID: 3476803222 Enrollment ID: I20210721004184 |
| Provider Name | Conner Clayton Mcdaniel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407243959 PECOS PAC ID: 3375840267 Enrollment ID: I20210819000113 |
| Provider Name | Loredana Rammage |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437683018 PECOS PAC ID: 7719257237 Enrollment ID: I20210901002619 |
| Provider Name | Amanda Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255004230 PECOS PAC ID: 4486050564 Enrollment ID: I20210915002280 |
| Provider Name | Laci Marie Childers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154916880 PECOS PAC ID: 2567869670 Enrollment ID: I20210916000307 |
| Provider Name | Jennifer Lee Wruck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144998204 PECOS PAC ID: 0446658330 Enrollment ID: I20211006003459 |
| Provider Name | Lourine Garcia Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548777295 PECOS PAC ID: 4082976956 Enrollment ID: I20211011000455 |
| Provider Name | Jin Sook Sung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740943596 PECOS PAC ID: 7911396718 Enrollment ID: I20211117001056 |
| Provider Name | Victor Alejandro Canela Samaniego |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902394513 PECOS PAC ID: 2769736727 Enrollment ID: I20211119000877 |
| Provider Name | Farzana Wakil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679230114 PECOS PAC ID: 2961892518 Enrollment ID: I20211214001559 |
| Provider Name | Rosalyn Ortiz-manso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285121996 PECOS PAC ID: 5698023174 Enrollment ID: I20220107000969 |
| Provider Name | Shurekkia Shantrice Hudgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073127379 PECOS PAC ID: 4183016801 Enrollment ID: I20220110000248 |
| Provider Name | Alyssa Morrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205473535 PECOS PAC ID: 1254724974 Enrollment ID: I20220201002621 |
| Provider Name | Lisa Mariko Maehara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760833644 PECOS PAC ID: 6103119805 Enrollment ID: I20220303000684 |
| Provider Name | Regina Walker Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609466978 PECOS PAC ID: 3678967882 Enrollment ID: I20220304001506 |
| Provider Name | Tyler Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356846570 PECOS PAC ID: 5698024321 Enrollment ID: I20220404000153 |
| Provider Name | Wisam Nachawati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043644537 PECOS PAC ID: 3274767629 Enrollment ID: I20220614000325 |
| Provider Name | Qi Grijalva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952043671 PECOS PAC ID: 7416337464 Enrollment ID: I20220707003137 |
| Provider Name | Anna Marie Slayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639742257 PECOS PAC ID: 1052791753 Enrollment ID: I20220711003633 |
| Provider Name | Sunitha Alluri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750673125 PECOS PAC ID: 0941456677 Enrollment ID: I20220802003803 |
| Provider Name | Umer Hashmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609221639 PECOS PAC ID: 3779812045 Enrollment ID: I20220813000316 |
| Provider Name | Hao T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306401146 PECOS PAC ID: 7214265412 Enrollment ID: I20220813000527 |
| Provider Name | Adam Rustam Karmali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679006480 PECOS PAC ID: 3173891934 Enrollment ID: I20220815003127 |
| Provider Name | Andrew David Karpisek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841645777 PECOS PAC ID: 6002101334 Enrollment ID: I20220825000478 |
| Provider Name | Adhish Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063076727 PECOS PAC ID: 9830427095 Enrollment ID: I20220825001529 |
| Provider Name | Jenna D Seawright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891292694 PECOS PAC ID: 6608125588 Enrollment ID: I20220825004238 |
| Provider Name | Shayan Noorani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548820483 PECOS PAC ID: 1658603642 Enrollment ID: I20220826001453 |
| Provider Name | Shailaja Reddy Katta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982086146 PECOS PAC ID: 8628386778 Enrollment ID: I20220829003262 |
| Provider Name | Crystal Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093109704 PECOS PAC ID: 0143573378 Enrollment ID: I20220901002492 |
| Provider Name | Daniela Carrasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396206264 PECOS PAC ID: 3577947910 Enrollment ID: I20220901003650 |
| Provider Name | Lauren Albert Sand |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437537941 PECOS PAC ID: 4981900842 Enrollment ID: I20220914000014 |
| Provider Name | Tina M Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093378911 PECOS PAC ID: 3779816806 Enrollment ID: I20220916000147 |
| Provider Name | Margaret Gavor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073073490 PECOS PAC ID: 5991103350 Enrollment ID: I20220919001093 |
| Provider Name | David Walton Didlake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215664768 PECOS PAC ID: 0840675195 Enrollment ID: I20220922001212 |
| Provider Name | Kaelen Nothnagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972016327 PECOS PAC ID: 8729415971 Enrollment ID: I20220930003111 |
| Provider Name | Abdul Hamid El Chafic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215168760 PECOS PAC ID: 9436398773 Enrollment ID: I20221027000454 |
| Provider Name | Niloufar Khanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508424516 PECOS PAC ID: 9032541412 Enrollment ID: I20221107002308 |
| Provider Name | Mariah F Burnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376084996 PECOS PAC ID: 0547530545 Enrollment ID: I20221121002960 |
| Provider Name | Michelle M Olson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1366405102 PECOS PAC ID: 4981630613 Enrollment ID: I20221213000684 |
| Provider Name | Mohsin Ijaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407160369 PECOS PAC ID: 7214228402 Enrollment ID: I20230214000040 |
| Provider Name | Grace Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043920721 PECOS PAC ID: 8729451901 Enrollment ID: I20230309000950 |
| Provider Name | Rebecca Marie Haber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225747199 PECOS PAC ID: 8123491289 Enrollment ID: I20230310001406 |
| Provider Name | Duaa Abdallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790262236 PECOS PAC ID: 4183977341 Enrollment ID: I20230314001771 |
| Provider Name | Mitchell J Magee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467440016 PECOS PAC ID: 8820065303 Enrollment ID: I20230316000317 |
| Provider Name | Geethu Philip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992467849 PECOS PAC ID: 6103290754 Enrollment ID: I20230321002922 |
| Provider Name | Sandra J Kummerfeldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669749214 PECOS PAC ID: 2365680394 Enrollment ID: I20230530000095 |
| Provider Name | Christopher Dal Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326740846 PECOS PAC ID: 5597122150 Enrollment ID: I20230613001954 |
| Provider Name | Claire Elise Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588351365 PECOS PAC ID: 6608234844 Enrollment ID: I20230621001625 |
| Provider Name | Aimiosinor Igetei |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023590981 PECOS PAC ID: 2961755053 Enrollment ID: I20230622003170 |
| Provider Name | Denise Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265500573 PECOS PAC ID: 9638268261 Enrollment ID: I20230703002711 |
| Provider Name | Laurette Prisca Femnou Mbuntum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366782856 PECOS PAC ID: 7214396662 Enrollment ID: I20230704000310 |
| Provider Name | David S Braun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235794843 PECOS PAC ID: 0042548166 Enrollment ID: I20230705002171 |
| Provider Name | Connor Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376077818 PECOS PAC ID: 1557639671 Enrollment ID: I20230710003551 |
| Provider Name | Daniel Pinkhas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518351485 PECOS PAC ID: 2668782517 Enrollment ID: I20230721001902 |
| Provider Name | Aaron B Hoffman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124248190 PECOS PAC ID: 9638263478 Enrollment ID: I20230726003890 |
| Provider Name | Krupa Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083001903 PECOS PAC ID: 7315252780 Enrollment ID: I20230825003309 |
| Provider Name | Mujahed Abualfoul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659991669 PECOS PAC ID: 9830512318 Enrollment ID: I20230912000674 |
| Provider Name | Joseph Frederick Buell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083682009 PECOS PAC ID: 2668578030 Enrollment ID: I20231017000129 |
| Provider Name | Spencer Joseph Glenn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417577503 PECOS PAC ID: 5092138545 Enrollment ID: I20231019001839 |
| Provider Name | Kidest Mezgebe Gebreamanuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689365785 PECOS PAC ID: 0941656854 Enrollment ID: I20231030001676 |
| Provider Name | Mirian Chibuzo Okoye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477016228 PECOS PAC ID: 1254664964 Enrollment ID: I20231128002134 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780204628 PECOS PAC ID: 3971926981 Enrollment ID: I20240125004694 |
| Provider Name | Terrinne Elaine Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144867482 PECOS PAC ID: 4688010069 Enrollment ID: I20240307001989 |
| Provider Name | Comfort Chidinma Uche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043817703 PECOS PAC ID: 7416350343 Enrollment ID: I20240321000164 |
| Provider Name | Ashley Elizabeth Attaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487353876 PECOS PAC ID: 6709226665 Enrollment ID: I20240425004141 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |