| Mymichigan Medical Group | |
|
4000 Wellness Dr Midland MI 48670-0001 | |
| (989) 837-9300 | |
| Not Available |
| Full Name | Mymichigan Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4000 Wellness Dr, Midland, Michigan |
| Authorized Official Name and Position | Sarah James (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 9897014734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mymichigan Medical Group 4000 Wellness Dr Midland MI 48670-0001 Ph: () - | Mymichigan Medical Group 4000 Wellness Dr Midland MI 48670-0001 Ph: (989) 837-9300 |
| NPI Number | 1740230127 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 09/27/2022 |
| Medicare PECOS PAC ID | 4981501939 |
|---|---|
| Medicare Enrollment ID | O20040126000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740230127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pankaj Jandwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700824612 PECOS PAC ID: 3678461399 Enrollment ID: I20040305000269 |
| Provider Name | Jean Thiele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528168242 PECOS PAC ID: 0648160440 Enrollment ID: I20040316001344 |
| Provider Name | James Brian Haering |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679664775 PECOS PAC ID: 5597656454 Enrollment ID: I20040322001112 |
| Provider Name | Radwan A Alkiek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548237787 PECOS PAC ID: 8628050358 Enrollment ID: I20040615001317 |
| Provider Name | Lorenzo D Berlanga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063487411 PECOS PAC ID: 9830184266 Enrollment ID: I20040806001248 |
| Provider Name | Seemab G Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851485882 PECOS PAC ID: 4587611173 Enrollment ID: I20050406000083 |
| Provider Name | Christy L Werth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750390498 PECOS PAC ID: 0840234654 Enrollment ID: I20050613001139 |
| Provider Name | Amarish S Potnis |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962440867 PECOS PAC ID: 6901841337 Enrollment ID: I20050624001030 |
| Provider Name | Noel Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184676090 PECOS PAC ID: 1759317316 Enrollment ID: I20050714000576 |
| Provider Name | Chad H Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730186594 PECOS PAC ID: 8426087784 Enrollment ID: I20050806000112 |
| Provider Name | David M Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215988084 PECOS PAC ID: 2062444888 Enrollment ID: I20050901000156 |
| Provider Name | Kevin J Berlin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902974090 PECOS PAC ID: 1557391851 Enrollment ID: I20050922000472 |
| Provider Name | Daniel Louis Maxwell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093752156 PECOS PAC ID: 5890729479 Enrollment ID: I20050922001030 |
| Provider Name | Marina Bogdanovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225099088 PECOS PAC ID: 8426062241 Enrollment ID: I20060201000258 |
| Provider Name | Kenneth M Mackinnon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245284124 PECOS PAC ID: 9537115365 Enrollment ID: I20060504000688 |
| Provider Name | David B Butcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164469862 PECOS PAC ID: 6507878089 Enrollment ID: I20060627000276 |
| Provider Name | Kirk Jon Bortel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063466837 PECOS PAC ID: 9830194562 Enrollment ID: I20061002000174 |
| Provider Name | Jamie A Poliskey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982658787 PECOS PAC ID: 9830194570 Enrollment ID: I20061002000184 |
| Provider Name | Laura E Leppink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629155163 PECOS PAC ID: 2163422098 Enrollment ID: I20061228000055 |
| Provider Name | Lisa Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104871169 PECOS PAC ID: 3274533815 Enrollment ID: I20070105000243 |
| Provider Name | Ronald A Pacis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316039936 PECOS PAC ID: 6002916889 Enrollment ID: I20070709000407 |
| Provider Name | Michael T Ross |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467526582 PECOS PAC ID: 8729172671 Enrollment ID: I20070921000773 |
| Provider Name | David E Newcomb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326158072 PECOS PAC ID: 6608961487 Enrollment ID: I20071009000535 |
| Provider Name | Chong U Yi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366641573 PECOS PAC ID: 0244328169 Enrollment ID: I20071109000620 |
| Provider Name | Otto Leiti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346425816 PECOS PAC ID: 5597848010 Enrollment ID: I20080207000100 |
| Provider Name | Paul Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740377688 PECOS PAC ID: 6901989284 Enrollment ID: I20080208000513 |
| Provider Name | Maria Shvab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992980460 PECOS PAC ID: 4789761602 Enrollment ID: I20080402000725 |
| Provider Name | George Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396735791 PECOS PAC ID: 1658323985 Enrollment ID: I20081229000210 |
| Provider Name | Adriss E Faraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902014509 PECOS PAC ID: 9739231929 Enrollment ID: I20090720000168 |
| Provider Name | Jack Pinney |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982617247 PECOS PAC ID: 4981744968 Enrollment ID: I20091223000267 |
| Provider Name | David W Jordahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376552489 PECOS PAC ID: 7012097603 Enrollment ID: I20100113000130 |
| Provider Name | Nazem Abdelfattah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255374757 PECOS PAC ID: 6406998475 Enrollment ID: I20100128000941 |
| Provider Name | Gail Colby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770502593 PECOS PAC ID: 6204961030 Enrollment ID: I20100318000849 |
| Provider Name | Heidi Elizabeth Monaghan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992971212 PECOS PAC ID: 0143353250 Enrollment ID: I20100726000872 |
| Provider Name | Rong Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215116025 PECOS PAC ID: 2466646997 Enrollment ID: I20101028001342 |
| Provider Name | Craig R Sonke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215906052 PECOS PAC ID: 5294795951 Enrollment ID: I20101118001312 |
| Provider Name | Hernan Maldonado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306043773 PECOS PAC ID: 6204022429 Enrollment ID: I20101130000206 |
| Provider Name | Kelly Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649287962 PECOS PAC ID: 9830378553 Enrollment ID: I20110127000574 |
| Provider Name | Nicholas David Post Vasold |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174780654 PECOS PAC ID: 8729260617 Enrollment ID: I20110314001066 |
| Provider Name | Satyendra Dhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891019444 PECOS PAC ID: 4284812355 Enrollment ID: I20110621000478 |
| Provider Name | Maduabuchi Okoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447556436 PECOS PAC ID: 0648448753 Enrollment ID: I20110715000292 |
| Provider Name | Ameed Abdulrazzak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902069016 PECOS PAC ID: 5698943132 Enrollment ID: I20110727000533 |
| Provider Name | Loabat Amiri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295959104 PECOS PAC ID: 8527237684 Enrollment ID: I20110805000129 |
| Provider Name | Melissa B Murtha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427337963 PECOS PAC ID: 1759553381 Enrollment ID: I20111004000336 |
| Provider Name | Natalia Iosifovna Tetyuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265693980 PECOS PAC ID: 2668659970 Enrollment ID: I20120322000612 |
| Provider Name | Julie A Reneaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942575907 PECOS PAC ID: 0244490589 Enrollment ID: I20120324000033 |
| Provider Name | Shelliann M Endline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275682437 PECOS PAC ID: 7911161021 Enrollment ID: I20120620000695 |
| Provider Name | Evan B Fonger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467655886 PECOS PAC ID: 4981869831 Enrollment ID: I20120627000810 |
| Provider Name | Tami Dutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932454501 PECOS PAC ID: 8123277613 Enrollment ID: I20120926000700 |
| Provider Name | Chidamber Alamelumangapuram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992956122 PECOS PAC ID: 3678725421 Enrollment ID: I20121130000536 |
| Provider Name | Corinne Y Howdyshell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629329180 PECOS PAC ID: 8224280730 Enrollment ID: I20121207000510 |
| Provider Name | Renee Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770829467 PECOS PAC ID: 6901042688 Enrollment ID: I20130425000208 |
| Provider Name | Fawaz Alsmaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275846230 PECOS PAC ID: 6406081850 Enrollment ID: I20131021001122 |
| Provider Name | Rachel A Kerttu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134551179 PECOS PAC ID: 0547496721 Enrollment ID: I20131118000369 |
| Provider Name | Querobin M Calvan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871804252 PECOS PAC ID: 3971731589 Enrollment ID: I20140103001554 |
| Provider Name | Maureen L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770912776 PECOS PAC ID: 2163650110 Enrollment ID: I20140121000195 |
| Provider Name | Jodie L Risnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760811392 PECOS PAC ID: 5395976153 Enrollment ID: I20140320001997 |
| Provider Name | Rachael D Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053745257 PECOS PAC ID: 9739312943 Enrollment ID: I20140423001468 |
| Provider Name | Drenda M Hukill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427469238 PECOS PAC ID: 5799909446 Enrollment ID: I20140619000518 |
| Provider Name | Abood Salipi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083996318 PECOS PAC ID: 4587889456 Enrollment ID: I20140709000952 |
| Provider Name | Andrew R Wolford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609160506 PECOS PAC ID: 8527298652 Enrollment ID: I20140715000038 |
| Provider Name | Thomas G Saba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659679934 PECOS PAC ID: 2668698093 Enrollment ID: I20140721002199 |
| Provider Name | Sujay Madduri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962738351 PECOS PAC ID: 3870719107 Enrollment ID: I20140723000739 |
| Provider Name | Samantha J Haken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154735850 PECOS PAC ID: 3870710585 Enrollment ID: I20140804000982 |
| Provider Name | Shannon R Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952609091 PECOS PAC ID: 7214160829 Enrollment ID: I20140926001406 |
| Provider Name | Susan M Knoerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275936445 PECOS PAC ID: 9032331921 Enrollment ID: I20141110000060 |
| Provider Name | Steven M Laporte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952793622 PECOS PAC ID: 3072831569 Enrollment ID: I20150413002348 |
| Provider Name | Travis C Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437266582 PECOS PAC ID: 5991700973 Enrollment ID: I20150605001649 |
| Provider Name | Kenneth Son |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831194992 PECOS PAC ID: 1658307954 Enrollment ID: I20150622002033 |
| Provider Name | Nicholas Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861756595 PECOS PAC ID: 2961714068 Enrollment ID: I20150702000290 |
| Provider Name | Stacy Carstensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235519638 PECOS PAC ID: 9133431984 Enrollment ID: I20150707003287 |
| Provider Name | Lavonna Lynnsilee Alvera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124404793 PECOS PAC ID: 4183927015 Enrollment ID: I20160126002132 |
| Provider Name | Vinosha Balakrishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346552718 PECOS PAC ID: 3072810852 Enrollment ID: I20160322000831 |
| Provider Name | Amber D Rivard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295116515 PECOS PAC ID: 8820391493 Enrollment ID: I20160428001412 |
| Provider Name | Laurence Yung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376653352 PECOS PAC ID: 2961500640 Enrollment ID: I20160606000407 |
| Provider Name | Sheana Kamyszek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255754743 PECOS PAC ID: 0143510859 Enrollment ID: I20160609000219 |
| Provider Name | Riad Hassan Al Natour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891059077 PECOS PAC ID: 2365680600 Enrollment ID: I20160617001641 |
| Provider Name | Rachel A Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063861821 PECOS PAC ID: 0345534053 Enrollment ID: I20160803001277 |
| Provider Name | Ghazwan Jabri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194115196 PECOS PAC ID: 1759679830 Enrollment ID: I20161005000221 |
| Provider Name | Kristin R Raleigh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700143997 PECOS PAC ID: 8426289794 Enrollment ID: I20161108002471 |
| Provider Name | Erin Harwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659806347 PECOS PAC ID: 7618244492 Enrollment ID: I20170526000806 |
| Provider Name | Meaghan K Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346689858 PECOS PAC ID: 6002046174 Enrollment ID: I20170710001629 |
| Provider Name | Deborah Maschino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811424914 PECOS PAC ID: 4688943319 Enrollment ID: I20170711003583 |
| Provider Name | David A Santini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467862516 PECOS PAC ID: 2769703099 Enrollment ID: I20170727002557 |
| Provider Name | Stacey L Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366979338 PECOS PAC ID: 6608147996 Enrollment ID: I20170804000991 |
| Provider Name | Arshdeep Sandhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730593146 PECOS PAC ID: 6103043914 Enrollment ID: I20170811001391 |
| Provider Name | Patrick Christopher Schafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932529799 PECOS PAC ID: 9739485004 Enrollment ID: I20170901000846 |
| Provider Name | Damilola Babalola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740691286 PECOS PAC ID: 0345513487 Enrollment ID: I20170912000618 |
| Provider Name | Gayle L Byker |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1881897866 PECOS PAC ID: 4486807559 Enrollment ID: I20170914003641 |
| Provider Name | Jennifer K Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530449 PECOS PAC ID: 8426316530 Enrollment ID: I20171219002309 |
| Provider Name | Margaret M Okeeffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235138702 PECOS PAC ID: 2466496021 Enrollment ID: I20171228002369 |
| Provider Name | Amanda L Kellogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144730581 PECOS PAC ID: 3678832011 Enrollment ID: I20180110003452 |
| Provider Name | Ashley Lynn Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942756325 PECOS PAC ID: 8224399753 Enrollment ID: I20180226001743 |
| Provider Name | Faiza Masoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992061592 PECOS PAC ID: 3173821394 Enrollment ID: I20180301002261 |
| Provider Name | Jennifer M Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669997425 PECOS PAC ID: 1153683628 Enrollment ID: I20180321000343 |
| Provider Name | Adam Pinney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639529290 PECOS PAC ID: 9335403039 Enrollment ID: I20180504001224 |
| Provider Name | Jenny Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538657697 PECOS PAC ID: 0345505038 Enrollment ID: I20180530001535 |
| Provider Name | Karen J Miljour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982613535 PECOS PAC ID: 3072791318 Enrollment ID: I20180605001831 |
| Provider Name | Mark Jacob |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063688497 PECOS PAC ID: 4486827011 Enrollment ID: I20180626003693 |
| Provider Name | Daniel Diaz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770997884 PECOS PAC ID: 5991921561 Enrollment ID: I20180626003744 |
| Provider Name | Rajiv Deochand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194139220 PECOS PAC ID: 5991023244 Enrollment ID: I20180627002907 |
| Provider Name | Michelle Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235543372 PECOS PAC ID: 2062730310 Enrollment ID: I20180703001729 |
| Provider Name | Melissa Weckesser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588078620 PECOS PAC ID: 4082932330 Enrollment ID: I20180718000260 |
| Provider Name | Julie Anne Steinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164918447 PECOS PAC ID: 3870841216 Enrollment ID: I20180801002803 |
| Provider Name | Nathan P Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497138226 PECOS PAC ID: 8729336623 Enrollment ID: I20180809003625 |
| Provider Name | Amer Bleibel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851772388 PECOS PAC ID: 3678829603 Enrollment ID: I20180814001790 |
| Provider Name | Danielle Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881717528 PECOS PAC ID: 8426307943 Enrollment ID: I20180816002243 |
| Provider Name | Zaid Al-rufaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013390020 PECOS PAC ID: 4981991759 Enrollment ID: I20180829001213 |
| Provider Name | Kayla V Wilczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336634864 PECOS PAC ID: 8325398571 Enrollment ID: I20180910000287 |
| Provider Name | Emil Putrus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821483058 PECOS PAC ID: 5597069567 Enrollment ID: I20180928000119 |
| Provider Name | Laura K Mastee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043798457 PECOS PAC ID: 7113279662 Enrollment ID: I20181010002557 |
| Provider Name | Andrew Brookes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942782578 PECOS PAC ID: 5395099402 Enrollment ID: I20181108000500 |
| Provider Name | Charles Keith Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497085963 PECOS PAC ID: 0648524512 Enrollment ID: I20181112002053 |
| Provider Name | Kristina Marie Hug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609350438 PECOS PAC ID: 7214281765 Enrollment ID: I20181119003292 |
| Provider Name | Stephanie Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295202208 PECOS PAC ID: 3274877576 Enrollment ID: I20181127001637 |
| Provider Name | Megan Hasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174091565 PECOS PAC ID: 4688918956 Enrollment ID: I20181128001131 |
| Provider Name | Ashlee Satkowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295204576 PECOS PAC ID: 4981948973 Enrollment ID: I20181203000297 |
| Provider Name | Hani Ahmad Bleibel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245488659 PECOS PAC ID: 2365597333 Enrollment ID: I20181206001535 |
| Provider Name | Lindsey Rae Pulcer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003382086 PECOS PAC ID: 8820333628 Enrollment ID: I20181226001241 |
| Provider Name | Jenna M Mccummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972073807 PECOS PAC ID: 5496092033 Enrollment ID: I20190121001187 |
| Provider Name | Farashin Farhan Silevany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265819171 PECOS PAC ID: 0042550576 Enrollment ID: I20190320002033 |
| Provider Name | Jennifer L Jordahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548321045 PECOS PAC ID: 2264657899 Enrollment ID: I20190325002439 |
| Provider Name | Khalid Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740701093 PECOS PAC ID: 0042581878 Enrollment ID: I20190418000078 |
| Provider Name | Rebecca Sue Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750890042 PECOS PAC ID: 2264790708 Enrollment ID: I20190424000170 |
| Provider Name | Scott H Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912357088 PECOS PAC ID: 8628361326 Enrollment ID: I20190513001209 |
| Provider Name | Bradley Greib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124480769 PECOS PAC ID: 9234423831 Enrollment ID: I20190521001411 |
| Provider Name | Landon Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104383124 PECOS PAC ID: 8123361839 Enrollment ID: I20190521002354 |
| Provider Name | Pankti Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770961021 PECOS PAC ID: 9032453618 Enrollment ID: I20190530000948 |
| Provider Name | Madline F Chembola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528416492 PECOS PAC ID: 4385939131 Enrollment ID: I20190621001317 |
| Provider Name | Robert Reichmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124477864 PECOS PAC ID: 4082906276 Enrollment ID: I20190628002775 |
| Provider Name | Jeremy C Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760832927 PECOS PAC ID: 0345533030 Enrollment ID: I20190628002939 |
| Provider Name | Monica M Tadros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215386552 PECOS PAC ID: 0547554032 Enrollment ID: I20190712002278 |
| Provider Name | Joseph Frank Sedlar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942868815 PECOS PAC ID: 5597091108 Enrollment ID: I20190719000606 |
| Provider Name | Andrew G Gregson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538514518 PECOS PAC ID: 0547596686 Enrollment ID: I20190726000309 |
| Provider Name | Amanda Fetterolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518528710 PECOS PAC ID: 5597091587 Enrollment ID: I20190729003436 |
| Provider Name | Jayne Olivia Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124479936 PECOS PAC ID: 2365735073 Enrollment ID: I20190802000346 |
| Provider Name | Brittany Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063849503 PECOS PAC ID: 3971896747 Enrollment ID: I20190805001796 |
| Provider Name | Zahraa Karoofa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801246012 PECOS PAC ID: 6204164999 Enrollment ID: I20190819003497 |
| Provider Name | Raid Saco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154701985 PECOS PAC ID: 7315232972 Enrollment ID: I20190914000166 |
| Provider Name | Megan Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487295028 PECOS PAC ID: 5193057461 Enrollment ID: I20191106001455 |
| Provider Name | Jessica L Lerczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902448533 PECOS PAC ID: 1557796133 Enrollment ID: I20200109001521 |
| Provider Name | Beth Spiris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396389136 PECOS PAC ID: 8527495175 Enrollment ID: I20200221000275 |
| Provider Name | Christopher Scott Somers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336783646 PECOS PAC ID: 7113356684 Enrollment ID: I20200403001866 |
| Provider Name | Michelle Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215465687 PECOS PAC ID: 0547539306 Enrollment ID: I20200601000187 |
| Provider Name | John Gerald Hagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548790165 PECOS PAC ID: 3577984160 Enrollment ID: I20200608001398 |
| Provider Name | Al Sadek Ali Makki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770011140 PECOS PAC ID: 7810266673 Enrollment ID: I20200608002359 |
| Provider Name | Chandramouli Mandalaparty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952822884 PECOS PAC ID: 9335419068 Enrollment ID: I20200709003369 |
| Provider Name | Haley Ross |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952832073 PECOS PAC ID: 0547527228 Enrollment ID: I20200710002355 |
| Provider Name | Mohamed Zghouzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275897993 PECOS PAC ID: 6305153818 Enrollment ID: I20200723003770 |
| Provider Name | Kadhim Al Banaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548790041 PECOS PAC ID: 3072939735 Enrollment ID: I20200812003337 |
| Provider Name | Yezi Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760910137 PECOS PAC ID: 0648549402 Enrollment ID: I20200827001393 |
| Provider Name | Brian G Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902415193 PECOS PAC ID: 1951728054 Enrollment ID: I20200903002797 |
| Provider Name | Sandeep V Yalamanchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164870788 PECOS PAC ID: 2163714783 Enrollment ID: I20200910001943 |
| Provider Name | Anthony Bianco Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205444866 PECOS PAC ID: 8224456967 Enrollment ID: I20200914000485 |
| Provider Name | Brandon Filbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356957286 PECOS PAC ID: 9436578200 Enrollment ID: I20200928001881 |
| Provider Name | Kristy Dzurka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134731326 PECOS PAC ID: 8820417298 Enrollment ID: I20201005000594 |
| Provider Name | Shelby Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083220388 PECOS PAC ID: 2264852292 Enrollment ID: I20201013003004 |
| Provider Name | Renee Frahm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912591579 PECOS PAC ID: 0547676140 Enrollment ID: I20210305000982 |
| Provider Name | Cassandra Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003407784 PECOS PAC ID: 0244646842 Enrollment ID: I20210305001148 |
| Provider Name | Rabia Zahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346734043 PECOS PAC ID: 0143577387 Enrollment ID: I20210512002176 |
| Provider Name | Ahmed Zaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548750730 PECOS PAC ID: 8820407265 Enrollment ID: I20210514000704 |
| Provider Name | Gerald Whitney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164914768 PECOS PAC ID: 4688920812 Enrollment ID: I20210608000912 |
| Provider Name | Matthew Augsburger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265927610 PECOS PAC ID: 6507113677 Enrollment ID: I20210629003430 |
| Provider Name | Raelynn Weiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770154676 PECOS PAC ID: 4688076516 Enrollment ID: I20210714001741 |
| Provider Name | Anna O'keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043898745 PECOS PAC ID: 0042617441 Enrollment ID: I20210928002383 |
| Provider Name | Danielle R Mcauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548832124 PECOS PAC ID: 7810395514 Enrollment ID: I20211011002312 |
| Provider Name | Jessica Marie Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407526619 PECOS PAC ID: 6103224720 Enrollment ID: I20211013000818 |
| Provider Name | Kimberly Azelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972038594 PECOS PAC ID: 9537438908 Enrollment ID: I20211022000616 |
| Provider Name | Amanda Paris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619474459 PECOS PAC ID: 6406102532 Enrollment ID: I20211029000555 |
| Provider Name | Julia Grace Reinhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922534874 PECOS PAC ID: 4789073172 Enrollment ID: I20211104002151 |
| Provider Name | Joseph Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689104358 PECOS PAC ID: 2062782980 Enrollment ID: I20211118001064 |
| Provider Name | Keagan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346842242 PECOS PAC ID: 1850781824 Enrollment ID: I20211206002217 |
| Provider Name | Tatyana Gluzberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790991339 PECOS PAC ID: 7214073485 Enrollment ID: I20211217001767 |
| Provider Name | Jaime Marie Makela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982362885 PECOS PAC ID: 0042601031 Enrollment ID: I20211230000654 |
| Provider Name | Rachel Ann Kruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588322713 PECOS PAC ID: 2365833258 Enrollment ID: I20220104001316 |
| Provider Name | Maamoun Zane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669831509 PECOS PAC ID: 0749691384 Enrollment ID: I20220110000094 |
| Provider Name | Hassan Ali Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033631858 PECOS PAC ID: 2769739465 Enrollment ID: I20220118001233 |
| Provider Name | Kallyn Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629729843 PECOS PAC ID: 0547653255 Enrollment ID: I20220201002148 |
| Provider Name | Michelle Marie Amore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629723416 PECOS PAC ID: 4688068612 Enrollment ID: I20220308001372 |
| Provider Name | Glen Hybarger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720249899 PECOS PAC ID: 3678749975 Enrollment ID: I20220315001122 |
| Provider Name | Jessica Matheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043986326 PECOS PAC ID: 9931505161 Enrollment ID: I20220317001239 |
| Provider Name | Maria Cuda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316946320 PECOS PAC ID: 4789671710 Enrollment ID: I20220325000519 |
| Provider Name | Dawit Worku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942732789 PECOS PAC ID: 3072848043 Enrollment ID: I20220421002580 |
| Provider Name | Hussein Ayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811458292 PECOS PAC ID: 7012304504 Enrollment ID: I20220502002031 |
| Provider Name | Ishani Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568485795 PECOS PAC ID: 8527027010 Enrollment ID: I20220526000817 |
| Provider Name | Raad Al Shaikhli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326433483 PECOS PAC ID: 5698073492 Enrollment ID: I20220601001067 |
| Provider Name | Opeyemi Abiodun Babalola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184186017 PECOS PAC ID: 5294114492 Enrollment ID: I20220617001795 |
| Provider Name | Alec Kurjian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639639362 PECOS PAC ID: 5092046359 Enrollment ID: I20220629003337 |
| Provider Name | John Paul Mcroberts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194205773 PECOS PAC ID: 6709135809 Enrollment ID: I20220714004003 |
| Provider Name | Monika A Potrykus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649764242 PECOS PAC ID: 5890041917 Enrollment ID: I20220728001733 |
| Provider Name | Tamara Kurbanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659832715 PECOS PAC ID: 3375928849 Enrollment ID: I20220920000633 |
| Provider Name | Laurel Doherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710338504 PECOS PAC ID: 7214220326 Enrollment ID: I20220928003045 |
| Provider Name | Kelly Jo Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114641164 PECOS PAC ID: 3678949179 Enrollment ID: I20221025002954 |
| Provider Name | Melissa Catherine Wakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104547611 PECOS PAC ID: 2062881618 Enrollment ID: I20221205000284 |
| Provider Name | Sara Fawaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245725712 PECOS PAC ID: 5799179651 Enrollment ID: I20230124000943 |
| Provider Name | Danielle Fergin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295434231 PECOS PAC ID: 0244604155 Enrollment ID: I20230316000214 |
| Provider Name | Irfan Shaukat Manzoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932769577 PECOS PAC ID: 3779817317 Enrollment ID: I20230503000386 |
| Provider Name | Hira Hayee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245890888 PECOS PAC ID: 9931433570 Enrollment ID: I20230503002622 |
| Provider Name | Emily Hemond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871120071 PECOS PAC ID: 5799100640 Enrollment ID: I20230511001956 |
| Provider Name | Alsadiq Waleed Mohammad Al Hillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932632700 PECOS PAC ID: 5991161150 Enrollment ID: I20230515002332 |
| Provider Name | Zachary Beavers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932729290 PECOS PAC ID: 9739519380 Enrollment ID: I20230515003126 |
| Provider Name | Jenna J Bernson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972128619 PECOS PAC ID: 8426470220 Enrollment ID: I20230517002344 |
| Provider Name | Nadim Kanaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871117440 PECOS PAC ID: 3577984970 Enrollment ID: I20230522000589 |
| Provider Name | Katharyn I Mirzaee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386204915 PECOS PAC ID: 7214261858 Enrollment ID: I20230615003811 |
| Provider Name | Justin L Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619221934 PECOS PAC ID: 0547408668 Enrollment ID: I20230622002920 |
| Provider Name | Joseph R Wille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073134839 PECOS PAC ID: 7416375415 Enrollment ID: I20230705000515 |
| Provider Name | Jonathan Sharley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992325492 PECOS PAC ID: 0244654622 Enrollment ID: I20230720003238 |
| Provider Name | Tyler Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396368759 PECOS PAC ID: 3971958455 Enrollment ID: I20231018003695 |
| Provider Name | Andrea Marie Bick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861170037 PECOS PAC ID: 5890140628 Enrollment ID: I20231019000141 |
| Provider Name | Anum Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538653134 PECOS PAC ID: 0547516668 Enrollment ID: I20231019002090 |
| Provider Name | Angela Lynn Bratschi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346020229 PECOS PAC ID: 7416303094 Enrollment ID: I20231102002242 |
| Provider Name | Jorie Reder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639959448 PECOS PAC ID: 0143678722 Enrollment ID: I20231120002072 |
| Provider Name | Angela Grace Steih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992570162 PECOS PAC ID: 7810349420 Enrollment ID: I20240119000746 |
| Provider Name | Claire Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578262846 PECOS PAC ID: 0143666271 Enrollment ID: I20240312002435 |
| Provider Name | Derrek Wayne Humphries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518535475 PECOS PAC ID: 7618370883 Enrollment ID: I20240514002674 |
Naheed Rizvi Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 W Wackerly St, Midland, MI 48640 Phone: 989-513-4255 | |
Family Medicine Associates Of Midland, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 419 W. Wackerly St, Midland, MI 48640 Phone: 989-631-9515 Fax: 989-835-6824 | |
Gastroenterology & Hepatology Associates Of Midmichigan P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4011 Orchard Dr Ste 3008, Midland, MI 48640 Phone: 989-839-0751 Fax: 989-839-9037 | |
Lorenzo Berlanga Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Cambridge St, Midland, MI 48642 Phone: 989-486-1707 | |
Mclaren Nowplusclinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 S Saginaw Rd, Midland, MI 48640 Phone: 989-423-1768 | |
Renal Associates Of Mid-michigan Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 W Wackerly St, Midland, MI 48640 Phone: 989-837-6505 Fax: 989-835-8428 | |
Mymichigan Medical Center Midland Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 844-832-1956 |