| Millennium Physician Group Llc | |
|
6321 Daniels Pkwy Fort Myers FL 33912-4773 | |
| (877) 856-3774 | |
| (239) 599-2612 |
| Full Name | Millennium Physician Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6321 Daniels Pkwy, Fort Myers, Florida |
| Authorized Official Name and Position | Mary Haltigan (DIRECTOR REVENUE CYCLE MNGMT) |
| Authorized Official Contact | 8778563774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Physician Group Llc 2675 Winkler Ave Fl 2 Fort Myers FL 33901-9342 Ph: (877) 856-3774 | Millennium Physician Group Llc 6321 Daniels Pkwy Fort Myers FL 33912-4773 Ph: (877) 856-3774 |
| NPI Number | 1811122880 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 02/23/2024 |
| Medicare PECOS PAC ID | 9830244433 |
|---|---|
| Medicare Enrollment ID | O20090903000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811122880 | NPI | - | NPPES |
| Provider Name | Stanley J. Litvak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548248503 PECOS PAC ID: 9931003225 Enrollment ID: I20031119000794 |
| Provider Name | Neil Stuart Shechtman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154340156 PECOS PAC ID: 4385548452 Enrollment ID: I20031124000560 |
| Provider Name | Julio Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649272055 PECOS PAC ID: 8628973377 Enrollment ID: I20031204001088 |
| Provider Name | Jeffrey Paul Fraser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740292762 PECOS PAC ID: 3072419977 Enrollment ID: I20031211000024 |
| Provider Name | Albert E Charron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437158409 PECOS PAC ID: 1951208016 Enrollment ID: I20031217000038 |
| Provider Name | Frederick J Burford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033226329 PECOS PAC ID: 2062319981 Enrollment ID: I20031217000951 |
| Provider Name | Mary L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669425732 PECOS PAC ID: 5496654121 Enrollment ID: I20040102000004 |
| Provider Name | Roseviminda Veroy Tordecillas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801881735 PECOS PAC ID: 8224937461 Enrollment ID: I20040107000150 |
| Provider Name | Germaine Eurich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154316313 PECOS PAC ID: 8022919711 Enrollment ID: I20040115001069 |
| Provider Name | Shawn Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124106745 PECOS PAC ID: 4981504974 Enrollment ID: I20040116000570 |
| Provider Name | Arelis M Madera |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487697272 PECOS PAC ID: 5991608291 Enrollment ID: I20040202000366 |
| Provider Name | Trent Mascola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134127020 PECOS PAC ID: 4284527631 Enrollment ID: I20040207000389 |
| Provider Name | Luis A Casanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841297942 PECOS PAC ID: 9234023748 Enrollment ID: I20040213000204 |
| Provider Name | Binh Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134116593 PECOS PAC ID: 5496642027 Enrollment ID: I20040301000038 |
| Provider Name | Ronald M Stengel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942255062 PECOS PAC ID: 3173411576 Enrollment ID: I20040308000854 |
| Provider Name | Elias N Saikali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790774123 PECOS PAC ID: 6002705274 Enrollment ID: I20040315000505 |
| Provider Name | Neetha Grace Sallapudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780798900 PECOS PAC ID: 8820080583 Enrollment ID: I20040401000843 |
| Provider Name | Zenobio Aguila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205882164 PECOS PAC ID: 6901899509 Enrollment ID: I20040407001700 |
| Provider Name | Melody H Burt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487638706 PECOS PAC ID: 3476548330 Enrollment ID: I20040419001409 |
| Provider Name | Ena C Casanova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447257548 PECOS PAC ID: 2365432424 Enrollment ID: I20040514000223 |
| Provider Name | Mario Depinto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194747063 PECOS PAC ID: 5193706307 Enrollment ID: I20040525000833 |
| Provider Name | William E Cogburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063438430 PECOS PAC ID: 1153302377 Enrollment ID: I20040525000955 |
| Provider Name | Adam T Aroyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336137843 PECOS PAC ID: 6709867195 Enrollment ID: I20040601000660 |
| Provider Name | Nelly D Chambers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265435143 PECOS PAC ID: 1355324260 Enrollment ID: I20040611000114 |
| Provider Name | William Phifer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164435095 PECOS PAC ID: 8426031162 Enrollment ID: I20040611001194 |
| Provider Name | Mary E Swain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982658555 PECOS PAC ID: 2466436548 Enrollment ID: I20040616000403 |
| Provider Name | George E Nackley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922085943 PECOS PAC ID: 0042104929 Enrollment ID: I20040622001489 |
| Provider Name | Victor M Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699715755 PECOS PAC ID: 8123001997 Enrollment ID: I20040622001589 |
| Provider Name | Manuel Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427151489 PECOS PAC ID: 6608852108 Enrollment ID: I20040626000029 |
| Provider Name | Ashley Langford Tunkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285603670 PECOS PAC ID: 4082690011 Enrollment ID: I20040629000585 |
| Provider Name | Deborah A Voutour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508890674 PECOS PAC ID: 9335128800 Enrollment ID: I20040717000365 |
| Provider Name | Gladys Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245225895 PECOS PAC ID: 2264411503 Enrollment ID: I20040719001261 |
| Provider Name | Sunaina Khurana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952357816 PECOS PAC ID: 5496734667 Enrollment ID: I20040720000638 |
| Provider Name | James E White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831175561 PECOS PAC ID: 9234022179 Enrollment ID: I20040804000732 |
| Provider Name | Tyrone J Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255494092 PECOS PAC ID: 8921070566 Enrollment ID: I20040812000722 |
| Provider Name | Jeffrey N Martin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083677926 PECOS PAC ID: 0143294611 Enrollment ID: I20040820000787 |
| Provider Name | Kate R Lops |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518938653 PECOS PAC ID: 8224003082 Enrollment ID: I20040826000762 |
| Provider Name | Alexander T Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639232911 PECOS PAC ID: 6800861964 Enrollment ID: I20040901000094 |
| Provider Name | Alpa M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407819683 PECOS PAC ID: 7315936317 Enrollment ID: I20040901001230 |
| Provider Name | Manuel Fabian Bustamante |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568411809 PECOS PAC ID: 1759357700 Enrollment ID: I20040909001201 |
| Provider Name | Nancy Baratta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578590121 PECOS PAC ID: 6204803174 Enrollment ID: I20040911000180 |
| Provider Name | Saurin J Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326026931 PECOS PAC ID: 2466429220 Enrollment ID: I20040913000567 |
| Provider Name | William W Hutchins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922051200 PECOS PAC ID: 9133196355 Enrollment ID: I20040915001136 |
| Provider Name | Eric Norenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316988173 PECOS PAC ID: 0648247700 Enrollment ID: I20040916000909 |
| Provider Name | Emily J June |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770698193 PECOS PAC ID: 4082683958 Enrollment ID: I20040928000335 |
| Provider Name | Benjamin P Marquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235147182 PECOS PAC ID: 0143280206 Enrollment ID: I20041014000830 |
| Provider Name | Jack E Baron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174543441 PECOS PAC ID: 2163482753 Enrollment ID: I20041018000995 |
| Provider Name | Oscar E Rodas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528002748 PECOS PAC ID: 0143281915 Enrollment ID: I20041026000104 |
| Provider Name | Lawrence D Leigh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740228543 PECOS PAC ID: 5496718512 Enrollment ID: I20041110000158 |
| Provider Name | Anthony L Capasso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932105434 PECOS PAC ID: 2264495431 Enrollment ID: I20041110000302 |
| Provider Name | Chaim J Margolin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700825551 PECOS PAC ID: 4284697319 Enrollment ID: I20041110000377 |
| Provider Name | William B Hearn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043259252 PECOS PAC ID: 7911960950 Enrollment ID: I20041110000387 |
| Provider Name | Hui Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649275488 PECOS PAC ID: 8921061847 Enrollment ID: I20041111000401 |
| Provider Name | Vincent T Buckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346248762 PECOS PAC ID: 7810953247 Enrollment ID: I20041207000687 |
| Provider Name | Teri L Nies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639291578 PECOS PAC ID: 1658338389 Enrollment ID: I20041214001245 |
| Provider Name | Ricardo R Martinez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780697706 PECOS PAC ID: 9234196858 Enrollment ID: I20041215000762 |
| Provider Name | Terence P Connelly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982617072 PECOS PAC ID: 7517944887 Enrollment ID: I20041215000792 |
| Provider Name | Mario J Lopez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710990882 PECOS PAC ID: 3375529225 Enrollment ID: I20041215000819 |
| Provider Name | Cesar Deleon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134282411 PECOS PAC ID: 8921066192 Enrollment ID: I20041221000223 |
| Provider Name | Maria Julia Del Rio Giles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245280239 PECOS PAC ID: 3971561812 Enrollment ID: I20041227000022 |
| Provider Name | Usha Chandrahasa |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548254857 PECOS PAC ID: 5799743563 Enrollment ID: I20041227000397 |
| Provider Name | Adriana Mirtch Loukanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144217456 PECOS PAC ID: 7618926015 Enrollment ID: I20050112000751 |
| Provider Name | Doreen W Cassarino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245266493 PECOS PAC ID: 6507816105 Enrollment ID: I20050131000635 |
| Provider Name | Craig T Reiheld |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861439325 PECOS PAC ID: 8224089693 Enrollment ID: I20050202000742 |
| Provider Name | Odel Ruano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659384147 PECOS PAC ID: 6002868221 Enrollment ID: I20050216000485 |
| Provider Name | Judella E Haddad Lacle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851351050 PECOS PAC ID: 9739134735 Enrollment ID: I20050312000050 |
| Provider Name | Evelyn C Maningo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205859592 PECOS PAC ID: 3476509456 Enrollment ID: I20050323000276 |
| Provider Name | Abel Natali-lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043208002 PECOS PAC ID: 0648219691 Enrollment ID: I20050428000725 |
| Provider Name | Karen L Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326046756 PECOS PAC ID: 9638118482 Enrollment ID: I20050503000139 |
| Provider Name | Barbara A Fraser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619966124 PECOS PAC ID: 9638119233 Enrollment ID: I20050503000854 |
| Provider Name | Paul B Graniero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205868981 PECOS PAC ID: 7911947528 Enrollment ID: I20050503000927 |
| Provider Name | Nancy J Gresham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215982921 PECOS PAC ID: 8628019791 Enrollment ID: I20050518001188 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669585378 PECOS PAC ID: 2961444229 Enrollment ID: I20050526000166 |
| Provider Name | Robert A Poling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205888575 PECOS PAC ID: 7214918416 Enrollment ID: I20050603000249 |
| Provider Name | Stacey Bushnell Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538109673 PECOS PAC ID: 8426092396 Enrollment ID: I20050613000739 |
| Provider Name | Patricia S Poling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528010899 PECOS PAC ID: 2466347877 Enrollment ID: I20050620000427 |
| Provider Name | Charles J Kilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306886635 PECOS PAC ID: 4284679101 Enrollment ID: I20050622000199 |
| Provider Name | Angel Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316986680 PECOS PAC ID: 7315982766 Enrollment ID: I20050627000072 |
| Provider Name | Jan M Barrios |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164538138 PECOS PAC ID: 7214972660 Enrollment ID: I20050627000081 |
| Provider Name | Rhoniel P Perdigon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386657393 PECOS PAC ID: 7416993068 Enrollment ID: I20050705000770 |
| Provider Name | Ramon M Deleon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750305561 PECOS PAC ID: 8123064771 Enrollment ID: I20050705000782 |
| Provider Name | Margo H Roca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114973542 PECOS PAC ID: 1052204989 Enrollment ID: I20050709000011 |
| Provider Name | John F Oliva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871581421 PECOS PAC ID: 2264469832 Enrollment ID: I20050726000205 |
| Provider Name | Christopher P Stowers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083682967 PECOS PAC ID: 2264461516 Enrollment ID: I20050808000687 |
| Provider Name | Denise P Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922097864 PECOS PAC ID: 6901705367 Enrollment ID: I20050813000017 |
| Provider Name | David I Sommerfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952341349 PECOS PAC ID: 3577516335 Enrollment ID: I20050826000040 |
| Provider Name | David M Gutstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740279140 PECOS PAC ID: 3678504701 Enrollment ID: I20050829000159 |
| Provider Name | Brian C Taschner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538126966 PECOS PAC ID: 0345272985 Enrollment ID: I20050907000645 |
| Provider Name | Christopher A Herrington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417967779 PECOS PAC ID: 1355373580 Enrollment ID: I20050908000274 |
| Provider Name | Ann L Kurn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609808682 PECOS PAC ID: 9537193404 Enrollment ID: I20050920001038 |
| Provider Name | Mario Catipay Trance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922112879 PECOS PAC ID: 7012941982 Enrollment ID: I20050920001088 |
| Provider Name | Robert M Grohowski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700857356 PECOS PAC ID: 5193750180 Enrollment ID: I20050928000863 |
| Provider Name | Steven T Lee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760454136 PECOS PAC ID: 7315972304 Enrollment ID: I20050928000912 |
| Provider Name | Julio E Conrado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588624944 PECOS PAC ID: 9436184322 Enrollment ID: I20050929000221 |
| Provider Name | Keith B Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184695710 PECOS PAC ID: 5294750162 Enrollment ID: I20051010000830 |
| Provider Name | Michael Laufer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164493946 PECOS PAC ID: 6608860903 Enrollment ID: I20051011000112 |
| Provider Name | Boyd Daniel Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790760296 PECOS PAC ID: 1254356835 Enrollment ID: I20051013000203 |
| Provider Name | Laurie Desouza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487872826 PECOS PAC ID: 3072539204 Enrollment ID: I20051018000362 |
| Provider Name | Dmitriy G Chatskiy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972556686 PECOS PAC ID: 2961448378 Enrollment ID: I20051114000724 |
| Provider Name | Angelito Tecson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144283219 PECOS PAC ID: 9638198575 Enrollment ID: I20051121000242 |
| Provider Name | Jean Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053372128 PECOS PAC ID: 3870514748 Enrollment ID: I20051207001005 |
| Provider Name | Steven D Christesen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871586602 PECOS PAC ID: 0749202471 Enrollment ID: I20051222000209 |
| Provider Name | Paul Jasan Dorio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407825912 PECOS PAC ID: 7214920594 Enrollment ID: I20060113000241 |
| Provider Name | Laurel E Ciccarello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790722957 PECOS PAC ID: 8123033123 Enrollment ID: I20060213000402 |
| Provider Name | Kedra F Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225135031 PECOS PAC ID: 0446266571 Enrollment ID: I20060228000205 |
| Provider Name | Brice R Tompkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114904299 PECOS PAC ID: 5799730206 Enrollment ID: I20060417000608 |
| Provider Name | George C Kalemeris |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407835234 PECOS PAC ID: 1759390115 Enrollment ID: I20060419000266 |
| Provider Name | Laura T Moritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861434300 PECOS PAC ID: 2163432410 Enrollment ID: I20060501000602 |
| Provider Name | Joann Irving |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821041716 PECOS PAC ID: 8022028067 Enrollment ID: I20060504000423 |
| Provider Name | Lynn M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255361101 PECOS PAC ID: 0143123380 Enrollment ID: I20060508000392 |
| Provider Name | Kimberly Jo Bravo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447270400 PECOS PAC ID: 1456362037 Enrollment ID: I20060510000405 |
| Provider Name | Jennifer A Morrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649220419 PECOS PAC ID: 7416969175 Enrollment ID: I20060620000141 |
| Provider Name | Luis Pozniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356392583 PECOS PAC ID: 6800899006 Enrollment ID: I20060808000329 |
| Provider Name | Mitchell L Petusevsky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275584435 PECOS PAC ID: 9537162730 Enrollment ID: I20060808000332 |
| Provider Name | Eric E Vensel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104857986 PECOS PAC ID: 3779586847 Enrollment ID: I20060809000365 |
| Provider Name | Alejandro Daniel Perez Trepichio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487605622 PECOS PAC ID: 8426051376 Enrollment ID: I20060814000324 |
| Provider Name | Nora A David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821043522 PECOS PAC ID: 0143226795 Enrollment ID: I20061005000022 |
| Provider Name | Ernst B Michel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619961091 PECOS PAC ID: 5496751752 Enrollment ID: I20061010000054 |
| Provider Name | Dheeraj S Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457364028 PECOS PAC ID: 5890696983 Enrollment ID: I20061113000455 |
| Provider Name | Vlatko Salopek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861435695 PECOS PAC ID: 4688672017 Enrollment ID: I20061120000333 |
| Provider Name | Ismael Martin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750353322 PECOS PAC ID: 9436051612 Enrollment ID: I20061211000313 |
| Provider Name | Adam C Means |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922051374 PECOS PAC ID: 8022019801 Enrollment ID: I20070122000364 |
| Provider Name | David J Fleszar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083704845 PECOS PAC ID: 3678466513 Enrollment ID: I20070207000173 |
| Provider Name | Dantuluri P Raju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053316133 PECOS PAC ID: 4789686379 Enrollment ID: I20070212000166 |
| Provider Name | Laura S Rainer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568575710 PECOS PAC ID: 8224132196 Enrollment ID: I20070402000758 |
| Provider Name | Alberto Rotsztain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619912193 PECOS PAC ID: 4183510332 Enrollment ID: I20070418000108 |
| Provider Name | Pawel Kalwinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467540559 PECOS PAC ID: 9234234006 Enrollment ID: I20070424000246 |
| Provider Name | Michael Y Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306847447 PECOS PAC ID: 5991765554 Enrollment ID: I20070425000478 |
| Provider Name | Yemuna E Satya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790781771 PECOS PAC ID: 2163529579 Enrollment ID: I20070521000020 |
| Provider Name | Lorraine Rizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316902349 PECOS PAC ID: 9931207834 Enrollment ID: I20070530000509 |
| Provider Name | Vickie A Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528081510 PECOS PAC ID: 2466550751 Enrollment ID: I20070611000329 |
| Provider Name | Zwinda S Ortiz-roldan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609838127 PECOS PAC ID: 7517065709 Enrollment ID: I20070612000571 |
| Provider Name | Alexander G Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619062155 PECOS PAC ID: 3476651670 Enrollment ID: I20070612000627 |
| Provider Name | Kevin Desantis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255353595 PECOS PAC ID: 9335142637 Enrollment ID: I20070616000057 |
| Provider Name | Roshni Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174614762 PECOS PAC ID: 0941309702 Enrollment ID: I20070620000453 |
| Provider Name | Roland Werres |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043215155 PECOS PAC ID: 6204728819 Enrollment ID: I20070621000295 |
| Provider Name | Cathy L Criss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346223229 PECOS PAC ID: 4486753944 Enrollment ID: I20070625000113 |
| Provider Name | Dana F Planer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275516197 PECOS PAC ID: 1658470117 Enrollment ID: I20070625000129 |
| Provider Name | David L Mcatee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841273828 PECOS PAC ID: 7012016587 Enrollment ID: I20070625000135 |
| Provider Name | Shaheen Faruque |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386744639 PECOS PAC ID: 2264422989 Enrollment ID: I20070625000690 |
| Provider Name | Ulises M Caraballo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962464461 PECOS PAC ID: 5597731505 Enrollment ID: I20070719000104 |
| Provider Name | Michael V Sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750382669 PECOS PAC ID: 7214846526 Enrollment ID: I20070719000176 |
| Provider Name | George E Platt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700881158 PECOS PAC ID: 3971604018 Enrollment ID: I20070719000601 |
| Provider Name | Phoebe Oakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801096664 PECOS PAC ID: 3476644048 Enrollment ID: I20070810000523 |
| Provider Name | John Michael Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487648556 PECOS PAC ID: 6103813118 Enrollment ID: I20070822001141 |
| Provider Name | Liliana Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316922016 PECOS PAC ID: 5890888374 Enrollment ID: I20070830000000 |
| Provider Name | Niranjan Seshadri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306840210 PECOS PAC ID: 3072594852 Enrollment ID: I20070918000498 |
| Provider Name | Eihab Hassanein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063619153 PECOS PAC ID: 2466546361 Enrollment ID: I20070924000150 |
| Provider Name | Deborah L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205959442 PECOS PAC ID: 2466547203 Enrollment ID: I20071009000200 |
| Provider Name | George W Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598774531 PECOS PAC ID: 7618062498 Enrollment ID: I20071009000615 |
| Provider Name | Stephen Piccione |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811918295 PECOS PAC ID: 2769578194 Enrollment ID: I20071017000439 |
| Provider Name | Aneeta P Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962528885 PECOS PAC ID: 9537255815 Enrollment ID: I20071017000950 |
| Provider Name | Antonella Bianchi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548379472 PECOS PAC ID: 8729175021 Enrollment ID: I20071102000580 |
| Provider Name | Juan I Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275521023 PECOS PAC ID: 4688761828 Enrollment ID: I20071105000054 |
| Provider Name | Patricia J Daneshmand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720017270 PECOS PAC ID: 1850488800 Enrollment ID: I20071107000560 |
| Provider Name | Michele A Candelore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720146566 PECOS PAC ID: 4183712375 Enrollment ID: I20071126000212 |
| Provider Name | Patrick P Bunyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871518787 PECOS PAC ID: 9335238344 Enrollment ID: I20071128000651 |
| Provider Name | David Kutob |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659351062 PECOS PAC ID: 0345339370 Enrollment ID: I20071128000822 |
| Provider Name | Nancy L Hundt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427031517 PECOS PAC ID: 8729175344 Enrollment ID: I20071201000022 |
| Provider Name | Razvan I Balotescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669426094 PECOS PAC ID: 0749232585 Enrollment ID: I20071208000017 |
| Provider Name | Holly L Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760522403 PECOS PAC ID: 5597669184 Enrollment ID: I20071212000122 |
| Provider Name | Alan Obregon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265454920 PECOS PAC ID: 0648291781 Enrollment ID: I20071218000496 |
| Provider Name | Jeffry W Misko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982603809 PECOS PAC ID: 9739179870 Enrollment ID: I20080102000601 |
| Provider Name | Peter Lautenbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447214374 PECOS PAC ID: 1951484633 Enrollment ID: I20080219000385 |
| Provider Name | Matthew J Ward |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740289644 PECOS PAC ID: 9739285503 Enrollment ID: I20080219000635 |
| Provider Name | Sheeba Mesghali Morales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336362706 PECOS PAC ID: 6305922147 Enrollment ID: I20080319000567 |
| Provider Name | Raymond L Raitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558368423 PECOS PAC ID: 9739266933 Enrollment ID: I20080414000169 |
| Provider Name | Sean Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356522890 PECOS PAC ID: 1456438589 Enrollment ID: I20080414000277 |
| Provider Name | James A Briles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194722983 PECOS PAC ID: 1557448750 Enrollment ID: I20080414000329 |
| Provider Name | Richard J Torricelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093873846 PECOS PAC ID: 4880625805 Enrollment ID: I20080520000549 |
| Provider Name | Peter Schreiber |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306809769 PECOS PAC ID: 2163592692 Enrollment ID: I20080610000207 |
| Provider Name | Brian A Babbin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811955818 PECOS PAC ID: 7012983711 Enrollment ID: I20080624000071 |
| Provider Name | Ray H Blair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467519421 PECOS PAC ID: 9234201724 Enrollment ID: I20080627000212 |
| Provider Name | Yvonne O Latimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841300662 PECOS PAC ID: 2668449430 Enrollment ID: I20080710000746 |
| Provider Name | Nektarios S Demetriou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154443521 PECOS PAC ID: 3971696345 Enrollment ID: I20080721000409 |
| Provider Name | William I Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659479764 PECOS PAC ID: 2264328525 Enrollment ID: I20080731000554 |
| Provider Name | Bruce G Roy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538187018 PECOS PAC ID: 6204871833 Enrollment ID: I20080807000233 |
| Provider Name | Richard D Pagliara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194994509 PECOS PAC ID: 0143394213 Enrollment ID: I20080807000316 |
| Provider Name | Jennifer E Canfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467481119 PECOS PAC ID: 0749355634 Enrollment ID: I20080812000200 |
| Provider Name | Harmindar Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326092644 PECOS PAC ID: 9032284831 Enrollment ID: I20080813000444 |
| Provider Name | Cyrus T Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871707265 PECOS PAC ID: 8527133222 Enrollment ID: I20080814000436 |
| Provider Name | Satywan Chhabria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851313670 PECOS PAC ID: 1658387196 Enrollment ID: I20080917000763 |
| Provider Name | Donald D Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225131329 PECOS PAC ID: 6204903271 Enrollment ID: I20080917000786 |
| Provider Name | Patrick M Kane |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396741674 PECOS PAC ID: 0547337958 Enrollment ID: I20080927000098 |
| Provider Name | Aurea P Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174798037 PECOS PAC ID: 7517035207 Enrollment ID: I20081008000278 |
| Provider Name | Jennifer C May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902058027 PECOS PAC ID: 9133289671 Enrollment ID: I20081113000704 |
| Provider Name | Jacquelyn Danette Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558536490 PECOS PAC ID: 4587724307 Enrollment ID: I20081124000096 |
| Provider Name | Keith P Hussey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669583209 PECOS PAC ID: 6305735127 Enrollment ID: I20081124000628 |
| Provider Name | Luis Cisneros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184703399 PECOS PAC ID: 8426135104 Enrollment ID: I20081201000410 |
| Provider Name | Melissa Garrison Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053393066 PECOS PAC ID: 9436055498 Enrollment ID: I20081212000406 |
| Provider Name | Janice G Nord |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063452100 PECOS PAC ID: 3870656614 Enrollment ID: I20090106000303 |
| Provider Name | Linda M Yarris Ewert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780796359 PECOS PAC ID: 4981767654 Enrollment ID: I20090107000453 |
| Provider Name | R. Michael Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497742936 PECOS PAC ID: 9638234172 Enrollment ID: I20090217000073 |
| Provider Name | Raymond R Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992885214 PECOS PAC ID: 5193890895 Enrollment ID: I20090218000527 |
| Provider Name | David G Cislo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699752436 PECOS PAC ID: 2264471796 Enrollment ID: I20090309000546 |
| Provider Name | Robert F Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952388795 PECOS PAC ID: 2264598689 Enrollment ID: I20090309000576 |
| Provider Name | Ebrahim Papan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053318592 PECOS PAC ID: 5698831014 Enrollment ID: I20090309000599 |
| Provider Name | Aleixo M Viegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730149279 PECOS PAC ID: 0042278871 Enrollment ID: I20090316000231 |
| Provider Name | Mohammad F Taj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720282106 PECOS PAC ID: 5890881486 Enrollment ID: I20090324000654 |
| Provider Name | Ruth A Dupont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710152376 PECOS PAC ID: 9234286428 Enrollment ID: I20090403000304 |
| Provider Name | George G Le-bert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033318928 PECOS PAC ID: 6406905686 Enrollment ID: I20090518000505 |
| Provider Name | Rhena M Ruiz-novero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235144932 PECOS PAC ID: 4183621378 Enrollment ID: I20090520000623 |
| Provider Name | Debra Ihnot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750522900 PECOS PAC ID: 3678623048 Enrollment ID: I20090604000552 |
| Provider Name | David J Gooding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053377010 PECOS PAC ID: 3173673902 Enrollment ID: I20090616000598 |
| Provider Name | Darilo Chirino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679738074 PECOS PAC ID: 7517010929 Enrollment ID: I20090803000548 |
| Provider Name | John M Baga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407090921 PECOS PAC ID: 8527112465 Enrollment ID: I20090812000437 |
| Provider Name | Christopher Scuderi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760454037 PECOS PAC ID: 9133273899 Enrollment ID: I20090813000797 |
| Provider Name | Glenn A Tovar Dias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598867251 PECOS PAC ID: 5395891303 Enrollment ID: I20090916000401 |
| Provider Name | Kearston K Perfetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003045857 PECOS PAC ID: 9537215967 Enrollment ID: I20090925000348 |
| Provider Name | Emie A Kuyumjian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962602482 PECOS PAC ID: 0840336582 Enrollment ID: I20091009000164 |
| Provider Name | Juleidis Quintana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477782415 PECOS PAC ID: 7810033560 Enrollment ID: I20091009000204 |
| Provider Name | Pareena Bilkoo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285749705 PECOS PAC ID: 9234140146 Enrollment ID: I20091012000472 |
| Provider Name | David R Bruah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962511634 PECOS PAC ID: 8628068509 Enrollment ID: I20091102000051 |
| Provider Name | Alka Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033256326 PECOS PAC ID: 8022034024 Enrollment ID: I20091107000033 |
| Provider Name | Daniel Kessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306003025 PECOS PAC ID: 3779621818 Enrollment ID: I20091111000196 |
| Provider Name | Kelly Fennemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427213081 PECOS PAC ID: 1759420797 Enrollment ID: I20091203000571 |
| Provider Name | Jennifer Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467682450 PECOS PAC ID: 4587703426 Enrollment ID: I20091205000104 |
| Provider Name | Chandra R Parsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083726350 PECOS PAC ID: 2961543277 Enrollment ID: I20100108000610 |
| Provider Name | David Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740275577 PECOS PAC ID: 1557404597 Enrollment ID: I20100129000722 |
| Provider Name | William J Eaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275514333 PECOS PAC ID: 9335282516 Enrollment ID: I20100210000605 |
| Provider Name | Arlene T Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598758567 PECOS PAC ID: 9133263916 Enrollment ID: I20100217000275 |
| Provider Name | Denise M Mcglothlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306083423 PECOS PAC ID: 4183769201 Enrollment ID: I20100301000556 |
| Provider Name | David White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952344392 PECOS PAC ID: 0143305698 Enrollment ID: I20100309000133 |
| Provider Name | Alan S Galbut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285797563 PECOS PAC ID: 9830293372 Enrollment ID: I20100309000159 |
| Provider Name | Mary Ann Lomonaco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457308199 PECOS PAC ID: 5698850147 Enrollment ID: I20100309000208 |
| Provider Name | Vladimir J Mathieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437212719 PECOS PAC ID: 5092850479 Enrollment ID: I20100310000363 |
| Provider Name | Shelly Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346375219 PECOS PAC ID: 0345385720 Enrollment ID: I20100310000395 |
| Provider Name | Daniel L Axelrod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194723569 PECOS PAC ID: 5294810750 Enrollment ID: I20100311000283 |
| Provider Name | Jorge M Mestas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467450494 PECOS PAC ID: 5193800654 Enrollment ID: I20100311000594 |
| Provider Name | Donald R Mcalpine |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154329183 PECOS PAC ID: 7911082474 Enrollment ID: I20100311000742 |
| Provider Name | Richard M Roland |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396808671 PECOS PAC ID: 6305744954 Enrollment ID: I20100315000678 |
| Provider Name | Christopher Berchelmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780757963 PECOS PAC ID: 7911032941 Enrollment ID: I20100319000374 |
| Provider Name | Douglas L Boynton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437212610 PECOS PAC ID: 9537294079 Enrollment ID: I20100323000097 |
| Provider Name | Jeffrey A Dash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922189224 PECOS PAC ID: 8820163520 Enrollment ID: I20100323000829 |
| Provider Name | Joseph R Califano |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467404749 PECOS PAC ID: 4486739927 Enrollment ID: I20100324000778 |
| Provider Name | Hollace D Leppert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912905902 PECOS PAC ID: 1759466212 Enrollment ID: I20100324000974 |
| Provider Name | Kathryn J Udell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619190105 PECOS PAC ID: 5395816607 Enrollment ID: I20100325000953 |
| Provider Name | Farhad S Irani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982767265 PECOS PAC ID: 7618003799 Enrollment ID: I20100327000598 |
| Provider Name | Michael D Stens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326097114 PECOS PAC ID: 2567547029 Enrollment ID: I20100329000619 |
| Provider Name | Kim D Schurman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881884419 PECOS PAC ID: 6608902564 Enrollment ID: I20100330000737 |
| Provider Name | Michael E Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164420394 PECOS PAC ID: 9537244009 Enrollment ID: I20100331000793 |
| Provider Name | Manuel Delsol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649278946 PECOS PAC ID: 4183709652 Enrollment ID: I20100405000048 |
| Provider Name | Jack W Clark |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073563847 PECOS PAC ID: 8729163290 Enrollment ID: I20100405000101 |
| Provider Name | David N Depree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538167838 PECOS PAC ID: 3476638933 Enrollment ID: I20100405000435 |
| Provider Name | Phyllis Wolford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396074464 PECOS PAC ID: 8527195049 Enrollment ID: I20100414000820 |
| Provider Name | Jad F Naser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831282961 PECOS PAC ID: 3274565601 Enrollment ID: I20100415000080 |
| Provider Name | Bruce J Lipschutz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225038706 PECOS PAC ID: 2567599764 Enrollment ID: I20100420000586 |
| Provider Name | Paul J Shields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689737967 PECOS PAC ID: 3072640127 Enrollment ID: I20100421000187 |
| Provider Name | Rick M Waks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194726091 PECOS PAC ID: 0143357871 Enrollment ID: I20100428000611 |
| Provider Name | Tammara L Bezanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598752586 PECOS PAC ID: 8820125586 Enrollment ID: I20100428000912 |
| Provider Name | Manuel A Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346241031 PECOS PAC ID: 0840327482 Enrollment ID: I20100429001014 |
| Provider Name | Melchor Barros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013900893 PECOS PAC ID: 5294863783 Enrollment ID: I20100504000338 |
| Provider Name | Jeffrey Lyall Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528063369 PECOS PAC ID: 9830227032 Enrollment ID: I20100510000082 |
| Provider Name | Julie E Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558469148 PECOS PAC ID: 2466580444 Enrollment ID: I20100512000666 |
| Provider Name | Ann B Biddison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700837713 PECOS PAC ID: 2062540073 Enrollment ID: I20100512000932 |
| Provider Name | Sarada Penukonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992887061 PECOS PAC ID: 4981733607 Enrollment ID: I20100518000740 |
| Provider Name | David R Baldinger |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144228362 PECOS PAC ID: 7810072386 Enrollment ID: I20100524000052 |
| Provider Name | Fariba Ghazizadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942308077 PECOS PAC ID: 1557393980 Enrollment ID: I20100528000092 |
| Provider Name | Stephanie A Kalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750609848 PECOS PAC ID: 8426189051 Enrollment ID: I20100626000068 |
| Provider Name | Christen F Mahoney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912229113 PECOS PAC ID: 3577695584 Enrollment ID: I20100709000288 |
| Provider Name | Euclides Manelik Marmolejos Baez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891989232 PECOS PAC ID: 3173655693 Enrollment ID: I20100720000346 |
| Provider Name | Santosh Kamath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891933800 PECOS PAC ID: 1052443413 Enrollment ID: I20100720000919 |
| Provider Name | Julius A Gorospe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215999842 PECOS PAC ID: 1759370752 Enrollment ID: I20100723000528 |
| Provider Name | Blas E Reinoso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043354509 PECOS PAC ID: 7012040090 Enrollment ID: I20100727001005 |
| Provider Name | Raul Holguin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295733178 PECOS PAC ID: 6608769047 Enrollment ID: I20100809000662 |
| Provider Name | Kae L Ferber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255384749 PECOS PAC ID: 0840375382 Enrollment ID: I20100809000946 |
| Provider Name | Karen Wunderlich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265595615 PECOS PAC ID: 5496889669 Enrollment ID: I20100810001120 |
| Provider Name | Gina D Lombardo Paz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558681627 PECOS PAC ID: 2860526985 Enrollment ID: I20100811000712 |
| Provider Name | John R Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588616072 PECOS PAC ID: 5395820831 Enrollment ID: I20100811000751 |
| Provider Name | Gerald Bowden Burford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992796254 PECOS PAC ID: 7810021946 Enrollment ID: I20100811000776 |
| Provider Name | Philip Todd Devane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538150891 PECOS PAC ID: 3870627904 Enrollment ID: I20100811000827 |
| Provider Name | Allen T Jacobs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467410464 PECOS PAC ID: 5799819314 Enrollment ID: I20100818000951 |
| Provider Name | Brian G Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235197211 PECOS PAC ID: 8224044599 Enrollment ID: I20100818001021 |
| Provider Name | Irit Hemed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255398665 PECOS PAC ID: 5799819207 Enrollment ID: I20100819000767 |
| Provider Name | John Robert Kuhns |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841271657 PECOS PAC ID: 3173594033 Enrollment ID: I20100820001080 |
| Provider Name | Karen Bassetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063454015 PECOS PAC ID: 1254455579 Enrollment ID: I20100824000198 |
| Provider Name | Joseph G Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932131042 PECOS PAC ID: 5395703524 Enrollment ID: I20100824000997 |
| Provider Name | Todd R Chace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750428660 PECOS PAC ID: 3779557582 Enrollment ID: I20100824001143 |
| Provider Name | Hassan Alkhatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952630105 PECOS PAC ID: 4789708827 Enrollment ID: I20100826000653 |
| Provider Name | Gina M Mele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467772780 PECOS PAC ID: 6406970557 Enrollment ID: I20100826000791 |
| Provider Name | Charles J Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245282797 PECOS PAC ID: 8123103660 Enrollment ID: I20100828000177 |
| Provider Name | Jeffrey L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588696553 PECOS PAC ID: 3072637982 Enrollment ID: I20100830000745 |
| Provider Name | Tejvir S Chadha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457311342 PECOS PAC ID: 2961398524 Enrollment ID: I20100901000336 |
| Provider Name | Brent Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710927835 PECOS PAC ID: 9537284963 Enrollment ID: I20100908001140 |
| Provider Name | John Andrew Rog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073604518 PECOS PAC ID: 7517082647 Enrollment ID: I20100914000235 |
| Provider Name | Harris A Sachs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679533038 PECOS PAC ID: 7214052307 Enrollment ID: I20100914000346 |
| Provider Name | Fred Bearison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174614853 PECOS PAC ID: 7810962693 Enrollment ID: I20100914001000 |
| Provider Name | Victor C Micolucci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568487478 PECOS PAC ID: 1355325986 Enrollment ID: I20100914001128 |
| Provider Name | Robert G Ashley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275649766 PECOS PAC ID: 3779608567 Enrollment ID: I20100916001019 |
| Provider Name | Zhi J Yu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861506644 PECOS PAC ID: 1153447461 Enrollment ID: I20100923001249 |
| Provider Name | Lynette Marie Llerena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649266115 PECOS PAC ID: 4981720091 Enrollment ID: I20100927000720 |
| Provider Name | Frank A Sirchia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467564252 PECOS PAC ID: 5597806281 Enrollment ID: I20101004001135 |
| Provider Name | Charles Bernard Barniv |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932309937 PECOS PAC ID: 0446442065 Enrollment ID: I20101014000022 |
| Provider Name | William Laskowski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841353026 PECOS PAC ID: 2961695523 Enrollment ID: I20101015000357 |
| Provider Name | Julia Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750315107 PECOS PAC ID: 9335224880 Enrollment ID: I20101019001350 |
| Provider Name | Arun Kumar Penukonda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215018627 PECOS PAC ID: 0244423010 Enrollment ID: I20101025001175 |
| Provider Name | James P Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952377129 PECOS PAC ID: 5597893768 Enrollment ID: I20101103001376 |
| Provider Name | Samuel Walters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336119817 PECOS PAC ID: 1355535204 Enrollment ID: I20101104000497 |
| Provider Name | Leon A Yasay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295719250 PECOS PAC ID: 5294819348 Enrollment ID: I20101109000248 |
| Provider Name | Deqing Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811048622 PECOS PAC ID: 4486849049 Enrollment ID: I20101109001431 |
| Provider Name | Milena M Loukanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114927696 PECOS PAC ID: 8921294398 Enrollment ID: I20101124000341 |
| Provider Name | Myron Leung Kwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164427381 PECOS PAC ID: 1355475088 Enrollment ID: I20101124000347 |
| Provider Name | Amie N Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760791107 PECOS PAC ID: 7911194949 Enrollment ID: I20101202001341 |
| Provider Name | Wayne J Garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639188618 PECOS PAC ID: 7315134293 Enrollment ID: I20101203000900 |
| Provider Name | Alex Llarena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326060203 PECOS PAC ID: 8921295783 Enrollment ID: I20101207000391 |
| Provider Name | Vikti A Gosalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952537680 PECOS PAC ID: 2567518962 Enrollment ID: I20101213000282 |
| Provider Name | Dawn E Yonkee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912217464 PECOS PAC ID: 7810184082 Enrollment ID: I20101214000714 |
| Provider Name | Diana Corpstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265434625 PECOS PAC ID: 5092879221 Enrollment ID: I20101215000922 |
| Provider Name | Joseph F Avey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396732970 PECOS PAC ID: 8123216728 Enrollment ID: I20101227000201 |
| Provider Name | Hosie K Riley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194848424 PECOS PAC ID: 3870694409 Enrollment ID: I20110103000035 |
| Provider Name | Ricardo E Novoa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720094691 PECOS PAC ID: 8820287634 Enrollment ID: I20110110000769 |
| Provider Name | Debra T Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659393494 PECOS PAC ID: 1850570144 Enrollment ID: I20110119000675 |
| Provider Name | Lynn M Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689805236 PECOS PAC ID: 5496935587 Enrollment ID: I20110207000610 |
| Provider Name | Tammy Sadighi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972733277 PECOS PAC ID: 6103006200 Enrollment ID: I20110207000641 |
| Provider Name | Diane D St Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427382761 PECOS PAC ID: 9032399662 Enrollment ID: I20110214000670 |
| Provider Name | Linda Munroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902111768 PECOS PAC ID: 7416130901 Enrollment ID: I20110321000832 |
| Provider Name | Riccardo Gigante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184895443 PECOS PAC ID: 4082752357 Enrollment ID: I20110411000765 |
| Provider Name | Estuardo E Aroca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134133192 PECOS PAC ID: 4486629821 Enrollment ID: I20110519000618 |
| Provider Name | Angela M Tapia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225267222 PECOS PAC ID: 3779769187 Enrollment ID: I20110519000692 |
| Provider Name | Momina Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669667226 PECOS PAC ID: 5496840787 Enrollment ID: I20110520000308 |
| Provider Name | Charles J Haddad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366402935 PECOS PAC ID: 7315123502 Enrollment ID: I20110524000627 |
| Provider Name | James M Pineno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578862447 PECOS PAC ID: 4486832656 Enrollment ID: I20110617000505 |
| Provider Name | Murshid A Al-awady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992719702 PECOS PAC ID: 2365471059 Enrollment ID: I20110623000345 |
| Provider Name | James S Amontree |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235117730 PECOS PAC ID: 0840333183 Enrollment ID: I20110627000217 |
| Provider Name | Oscar H Rodriguez Siguenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275723991 PECOS PAC ID: 7810084274 Enrollment ID: I20110627000639 |
| Provider Name | William A Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710937537 PECOS PAC ID: 8527246966 Enrollment ID: I20110707000093 |
| Provider Name | Brenda K Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629279278 PECOS PAC ID: 7416125323 Enrollment ID: I20110720000590 |
| Provider Name | Luis A Cardentey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457640666 PECOS PAC ID: 5991604365 Enrollment ID: I20110721000598 |
| Provider Name | Beverley Anne Wyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346548872 PECOS PAC ID: 9537337324 Enrollment ID: I20110721000691 |
| Provider Name | Dora Ancaya-lujan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821069030 PECOS PAC ID: 3678666211 Enrollment ID: I20110802000767 |
| Provider Name | Marcia H Stoughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811909229 PECOS PAC ID: 4789853862 Enrollment ID: I20110805000415 |
| Provider Name | Scott Dunavant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639115801 PECOS PAC ID: 6901719202 Enrollment ID: I20110805000719 |
| Provider Name | Sanjeev Zutshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912013236 PECOS PAC ID: 3173792546 Enrollment ID: I20110823000776 |
| Provider Name | Elizabeth Q Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689960288 PECOS PAC ID: 6002086915 Enrollment ID: I20110901000677 |
| Provider Name | Kimberly D Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952407553 PECOS PAC ID: 4789855263 Enrollment ID: I20110913000417 |
| Provider Name | Daniel Cueto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023300126 PECOS PAC ID: 3173794435 Enrollment ID: I20110915000889 |
| Provider Name | Tessa E Wigger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497919344 PECOS PAC ID: 9436347945 Enrollment ID: I20110930000321 |
| Provider Name | Chitra Rajpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376723205 PECOS PAC ID: 2769551126 Enrollment ID: I20111003000641 |
| Provider Name | William J Ford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013910702 PECOS PAC ID: 1850203027 Enrollment ID: I20111003000673 |
| Provider Name | Kristen M Percent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114180940 PECOS PAC ID: 8921270083 Enrollment ID: I20111013000474 |
| Provider Name | David K Taing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184824187 PECOS PAC ID: 8123116506 Enrollment ID: I20111013000582 |
| Provider Name | Shawn King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871741116 PECOS PAC ID: 7911067905 Enrollment ID: I20111013000650 |
| Provider Name | Ann Marie Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942534102 PECOS PAC ID: 3173795127 Enrollment ID: I20111017000472 |
| Provider Name | Sadiq J Al-nakeeb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073562450 PECOS PAC ID: 9638102601 Enrollment ID: I20111028000530 |
| Provider Name | Athanassios C Drimoussis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346241254 PECOS PAC ID: 7113190208 Enrollment ID: I20111107000168 |
| Provider Name | Julie Anne Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134403488 PECOS PAC ID: 7911170949 Enrollment ID: I20111107000713 |
| Provider Name | Ronald Earle Howard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316940976 PECOS PAC ID: 0446424352 Enrollment ID: I20111110000421 |
| Provider Name | Albert A Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730130857 PECOS PAC ID: 3678747334 Enrollment ID: I20111116000167 |
| Provider Name | David Alan Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891750790 PECOS PAC ID: 8224196944 Enrollment ID: I20111121000500 |
| Provider Name | David J Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295756682 PECOS PAC ID: 3870767999 Enrollment ID: I20111129000294 |
| Provider Name | Michelle Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154370385 PECOS PAC ID: 7214991736 Enrollment ID: I20111129000358 |
| Provider Name | Francisco Marasigan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922064781 PECOS PAC ID: 9830240324 Enrollment ID: I20111209000580 |
| Provider Name | Jason L Breece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518244375 PECOS PAC ID: 9537334164 Enrollment ID: I20111209000749 |
| Provider Name | Edward D Tribuzio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174501571 PECOS PAC ID: 2163698093 Enrollment ID: I20111227000559 |
| Provider Name | Doris Hayes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083690952 PECOS PAC ID: 5698713949 Enrollment ID: I20111229000650 |
| Provider Name | Jennifer M Schaeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255608493 PECOS PAC ID: 9234305863 Enrollment ID: I20120104000167 |
| Provider Name | Elizabeth C Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811926363 PECOS PAC ID: 0345396636 Enrollment ID: I20120126000411 |
| Provider Name | Ovidiu Grigoras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437313970 PECOS PAC ID: 7113184326 Enrollment ID: I20120131000201 |
| Provider Name | Pooja S Pothiwala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316071830 PECOS PAC ID: 2769587682 Enrollment ID: I20120207000102 |
| Provider Name | Ricky Mccoy Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528010055 PECOS PAC ID: 4789842709 Enrollment ID: I20120222000672 |
| Provider Name | Karen L. Dager |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558588665 PECOS PAC ID: 5496914806 Enrollment ID: I20120305000253 |
| Provider Name | Lakshmi Bushan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558395681 PECOS PAC ID: 9931369816 Enrollment ID: I20120330000164 |
| Provider Name | Joseph R Pattison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275529414 PECOS PAC ID: 9739341181 Enrollment ID: I20120501000121 |
| Provider Name | Alejandro J Miranda-sousa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639283534 PECOS PAC ID: 8921190208 Enrollment ID: I20120514000735 |
| Provider Name | Lisette Delgado Sanchez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558523050 PECOS PAC ID: 7012171747 Enrollment ID: I20120611000043 |
| Provider Name | Dana M Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134421399 PECOS PAC ID: 8224293238 Enrollment ID: I20120625000663 |
| Provider Name | Bradley Forrest Hupp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629003876 PECOS PAC ID: 4486621679 Enrollment ID: I20120720000198 |
| Provider Name | Kristin L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942565155 PECOS PAC ID: 7113173063 Enrollment ID: I20120808000341 |
| Provider Name | Lydia J Lowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275889099 PECOS PAC ID: 9133375876 Enrollment ID: I20120810000671 |
| Provider Name | Juan Pablo Loor-tuarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184854069 PECOS PAC ID: 4981850633 Enrollment ID: I20120810000772 |
| Provider Name | Garrison F Christian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700082211 PECOS PAC ID: 4385730126 Enrollment ID: I20120820000442 |
| Provider Name | Gregory Arov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699003764 PECOS PAC ID: 6406033463 Enrollment ID: I20120824000580 |
| Provider Name | Erin E Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447506092 PECOS PAC ID: 3779730445 Enrollment ID: I20120831000293 |
| Provider Name | Casey L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245587393 PECOS PAC ID: 6406005669 Enrollment ID: I20121003000202 |
| Provider Name | Vicky Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336447838 PECOS PAC ID: 7416106299 Enrollment ID: I20121011000534 |
| Provider Name | Francisco Pino Hernadez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427285592 PECOS PAC ID: 9436308186 Enrollment ID: I20121012000576 |
| Provider Name | Consuelo Ranninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053660415 PECOS PAC ID: 2264682806 Enrollment ID: I20121017000440 |
| Provider Name | Kelly A Legge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679820633 PECOS PAC ID: 5092965103 Enrollment ID: I20121026000316 |
| Provider Name | Nicole Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104179449 PECOS PAC ID: 3870744410 Enrollment ID: I20121108000186 |
| Provider Name | Elyse M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891046561 PECOS PAC ID: 8729239389 Enrollment ID: I20121108000530 |
| Provider Name | Barton Hershfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700836723 PECOS PAC ID: 2365544426 Enrollment ID: I20121129000159 |
| Provider Name | Andres Laufer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316061641 PECOS PAC ID: 3678666849 Enrollment ID: I20121205000144 |
| Provider Name | Angelique M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518201300 PECOS PAC ID: 8123270329 Enrollment ID: I20121217000236 |
| Provider Name | Javier E Sosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194816041 PECOS PAC ID: 1557529088 Enrollment ID: I20121227000226 |
| Provider Name | Donald T Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780695098 PECOS PAC ID: 4486555968 Enrollment ID: I20130111000367 |
| Provider Name | Petra D Debolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144570862 PECOS PAC ID: 5991958100 Enrollment ID: I20130118000232 |
| Provider Name | Robert M Stanfill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962606228 PECOS PAC ID: 4284887464 Enrollment ID: I20130122000321 |
| Provider Name | Virginia M Bihari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992040943 PECOS PAC ID: 3971756081 Enrollment ID: I20130123000112 |
| Provider Name | Ronald G. Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780746545 PECOS PAC ID: 2769636836 Enrollment ID: I20130128000115 |
| Provider Name | Yael D Low |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124386990 PECOS PAC ID: 1759535552 Enrollment ID: I20130201000332 |
| Provider Name | Hetal M Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851645626 PECOS PAC ID: 5799939476 Enrollment ID: I20130205000165 |
| Provider Name | Munish Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851328363 PECOS PAC ID: 3971509464 Enrollment ID: I20130218000171 |
| Provider Name | Shari J Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760729990 PECOS PAC ID: 6507011483 Enrollment ID: I20130226000185 |
| Provider Name | Jennifer L Caluori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639415789 PECOS PAC ID: 6507002243 Enrollment ID: I20130424000913 |
| Provider Name | Constantine Georgiadis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689659708 PECOS PAC ID: 5890685507 Enrollment ID: I20130424001049 |
| Provider Name | Melinda A Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770885337 PECOS PAC ID: 6406037084 Enrollment ID: I20130522000501 |
| Provider Name | Michelle Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912067489 PECOS PAC ID: 9436397601 Enrollment ID: I20130529000628 |
| Provider Name | Sheryl L Stratton Brogdon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306281175 PECOS PAC ID: 8820236706 Enrollment ID: I20130605000154 |
| Provider Name | Cathleen E Bergin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225200553 PECOS PAC ID: 0446498141 Enrollment ID: I20130606000793 |
| Provider Name | Jacqueline Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609131978 PECOS PAC ID: 3870732589 Enrollment ID: I20130610000318 |
| Provider Name | Leonel Edwards |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265453963 PECOS PAC ID: 0446433833 Enrollment ID: I20130612000450 |
| Provider Name | Linda K Burkart |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255588620 PECOS PAC ID: 1456590645 Enrollment ID: I20130619000397 |
| Provider Name | Ryan L Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164650974 PECOS PAC ID: 9638318702 Enrollment ID: I20130620000647 |
| Provider Name | Priscilla Ndiangui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073855615 PECOS PAC ID: 4587803416 Enrollment ID: I20130625000422 |
| Provider Name | Jimmy C Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699092627 PECOS PAC ID: 5799925350 Enrollment ID: I20130703000188 |
| Provider Name | Joseph Edward Chan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235384017 PECOS PAC ID: 0244471944 Enrollment ID: I20130723000322 |
| Provider Name | Rachel Steinke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679912596 PECOS PAC ID: 3072754407 Enrollment ID: I20130729000308 |
| Provider Name | Christopher R Durando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376598276 PECOS PAC ID: 0840349064 Enrollment ID: I20130729000867 |
| Provider Name | Jason Triana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871711911 PECOS PAC ID: 8325287048 Enrollment ID: I20130801000324 |
| Provider Name | Denise M Schoonover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215283783 PECOS PAC ID: 0345481339 Enrollment ID: I20130802000719 |
| Provider Name | Alberto R Concepcion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497922298 PECOS PAC ID: 1850533555 Enrollment ID: I20130808000740 |
| Provider Name | Ericka Lashawn Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891137584 PECOS PAC ID: 7113169293 Enrollment ID: I20130820000821 |
| Provider Name | Sharon Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447691456 PECOS PAC ID: 5193968873 Enrollment ID: I20130828000207 |
| Provider Name | Jorge Luis Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174669246 PECOS PAC ID: 9133316409 Enrollment ID: I20130906000653 |
| Provider Name | Tamara Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124395918 PECOS PAC ID: 0648414136 Enrollment ID: I20130924000381 |
| Provider Name | Angela M Keon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891906368 PECOS PAC ID: 1759515893 Enrollment ID: I20131003000563 |
| Provider Name | Mary Ann Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194159301 PECOS PAC ID: 3779717830 Enrollment ID: I20131004000161 |
| Provider Name | Pamela Jean Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912970542 PECOS PAC ID: 0446279996 Enrollment ID: I20131018001339 |
| Provider Name | Mark D Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295048296 PECOS PAC ID: 4880887876 Enrollment ID: I20131113001922 |
| Provider Name | Weichi Liao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811141583 PECOS PAC ID: 6901072479 Enrollment ID: I20131121001492 |
| Provider Name | Olga Kuchmak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720288509 PECOS PAC ID: 0446374128 Enrollment ID: I20131121001680 |
| Provider Name | Cynthia D Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578998019 PECOS PAC ID: 6002043619 Enrollment ID: I20131205000601 |
| Provider Name | Julita E Lathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881023679 PECOS PAC ID: 2961301106 Enrollment ID: I20140115000840 |
| Provider Name | Jennifer C Walcott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477891620 PECOS PAC ID: 0648409250 Enrollment ID: I20140130001730 |
| Provider Name | Helene M Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548684889 PECOS PAC ID: 5597995217 Enrollment ID: I20140225001822 |
| Provider Name | Deborah L Piccaluga Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962829564 PECOS PAC ID: 8325270820 Enrollment ID: I20140416000743 |
| Provider Name | Khalil M Afsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255326328 PECOS PAC ID: 7517924608 Enrollment ID: I20140505000362 |
| Provider Name | Kimberly J Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912310509 PECOS PAC ID: 8921223546 Enrollment ID: I20140715001285 |
| Provider Name | Sharon Lee L Witt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093956039 PECOS PAC ID: 8527222678 Enrollment ID: I20140722002625 |
| Provider Name | Tracy M Dzugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427474410 PECOS PAC ID: 0840417861 Enrollment ID: I20140814000741 |
| Provider Name | Aschanti Abarca Selva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891082467 PECOS PAC ID: 1951528967 Enrollment ID: I20140815000751 |
| Provider Name | Anjana M Chaudhari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407921885 PECOS PAC ID: 4880785864 Enrollment ID: I20140816000160 |
| Provider Name | Dana Borgeson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295706950 PECOS PAC ID: 0143259820 Enrollment ID: I20140910000203 |
| Provider Name | Lori Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306252408 PECOS PAC ID: 8224947262 Enrollment ID: I20140912000589 |
| Provider Name | Simon Grinshteyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841589173 PECOS PAC ID: 0749412575 Enrollment ID: I20140912001339 |
| Provider Name | Valerie Ruth Anne Dorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861511750 PECOS PAC ID: 2668691908 Enrollment ID: I20140918000277 |
| Provider Name | Jonathan Brisson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265712160 PECOS PAC ID: 9335368463 Enrollment ID: I20140922002073 |
| Provider Name | Amanda Lee West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063706026 PECOS PAC ID: 5193996122 Enrollment ID: I20140924001873 |
| Provider Name | Jose M Vazquez-cimadevilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366600496 PECOS PAC ID: 4082864996 Enrollment ID: I20140925002429 |
| Provider Name | Maritere Rochet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487738688 PECOS PAC ID: 4789720269 Enrollment ID: I20140930000474 |
| Provider Name | Lauren Elizabeth Baptista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205243151 PECOS PAC ID: 5991925620 Enrollment ID: I20141001001632 |
| Provider Name | Nesreen Kurtom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093861072 PECOS PAC ID: 9335172147 Enrollment ID: I20141001002613 |
| Provider Name | Jamin Switzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326393075 PECOS PAC ID: 2567616436 Enrollment ID: I20141006001679 |
| Provider Name | Cindy Zughbi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033400353 PECOS PAC ID: 5698995801 Enrollment ID: I20141009001275 |
| Provider Name | Krista G Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194132068 PECOS PAC ID: 9739309949 Enrollment ID: I20141009001414 |
| Provider Name | Michelle D Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154674125 PECOS PAC ID: 8729225230 Enrollment ID: I20141010001571 |
| Provider Name | Susan Williams Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306246723 PECOS PAC ID: 3476773524 Enrollment ID: I20141013001490 |
| Provider Name | Deirdre M Weirzbicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427472117 PECOS PAC ID: 7618194770 Enrollment ID: I20141014000621 |
| Provider Name | Neil O Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558779942 PECOS PAC ID: 0446471098 Enrollment ID: I20141023000417 |
| Provider Name | Deetta Debault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477960888 PECOS PAC ID: 4981826138 Enrollment ID: I20141104001176 |
| Provider Name | Phuong Flanagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356620157 PECOS PAC ID: 8729230438 Enrollment ID: I20141111001592 |
| Provider Name | Stacie Griffis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881980092 PECOS PAC ID: 3678790144 Enrollment ID: I20141125001390 |
| Provider Name | Dheeraj Anand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831453935 PECOS PAC ID: 0547404592 Enrollment ID: I20141125001692 |
| Provider Name | Elie Jose Checo Heinsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467764381 PECOS PAC ID: 9739322884 Enrollment ID: I20141205000745 |
| Provider Name | Carmen Maria Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093121089 PECOS PAC ID: 8426275066 Enrollment ID: I20141211000904 |
| Provider Name | Francis A Engel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295804607 PECOS PAC ID: 7911978754 Enrollment ID: I20141212001623 |
| Provider Name | Maureen Solliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215227046 PECOS PAC ID: 7719905751 Enrollment ID: I20141215001783 |
| Provider Name | Adam W Pennell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609930619 PECOS PAC ID: 0244553527 Enrollment ID: I20141217000744 |
| Provider Name | Arlene E Scarano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487058459 PECOS PAC ID: 6103149661 Enrollment ID: I20150108001514 |
| Provider Name | Whitney Nimmo-olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659770121 PECOS PAC ID: 6204150162 Enrollment ID: I20150123001889 |
| Provider Name | Raymundo Caparros |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265413801 PECOS PAC ID: 3779563143 Enrollment ID: I20150123002040 |
| Provider Name | Eilene Weibley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740509215 PECOS PAC ID: 1153645908 Enrollment ID: I20150127000350 |
| Provider Name | Jelisse M Marrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659763670 PECOS PAC ID: 8729305842 Enrollment ID: I20150327002482 |
| Provider Name | Shantal E Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891191821 PECOS PAC ID: 9133442213 Enrollment ID: I20150420001896 |
| Provider Name | Julian T Sison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831524339 PECOS PAC ID: 3577882208 Enrollment ID: I20150501000206 |
| Provider Name | John Fernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992198709 PECOS PAC ID: 0941529473 Enrollment ID: I20150506000016 |
| Provider Name | Keisha R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902291263 PECOS PAC ID: 5991026346 Enrollment ID: I20150610001568 |
| Provider Name | Muhammad Asim Syed |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255594701 PECOS PAC ID: 2961621420 Enrollment ID: I20150610001728 |
| Provider Name | Ramses Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194082859 PECOS PAC ID: 2062724024 Enrollment ID: I20150702002496 |
| Provider Name | Todd D Lindquist |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235181553 PECOS PAC ID: 1153338488 Enrollment ID: I20150706001707 |
| Provider Name | Rakesh Choubey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811159015 PECOS PAC ID: 7416269055 Enrollment ID: I20150709002697 |
| Provider Name | Cassandra L Greenwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689926701 PECOS PAC ID: 1052563137 Enrollment ID: I20150715001301 |
| Provider Name | Michelle Gonsalves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164857587 PECOS PAC ID: 8426361650 Enrollment ID: I20150717000480 |
| Provider Name | Tareq N Khader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871848531 PECOS PAC ID: 1658684899 Enrollment ID: I20150717000643 |
| Provider Name | Natalia Capote |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518293661 PECOS PAC ID: 8022267806 Enrollment ID: I20150720001532 |
| Provider Name | John Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396009122 PECOS PAC ID: 7113165085 Enrollment ID: I20150722005117 |
| Provider Name | Jean Evins Remy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902201874 PECOS PAC ID: 7315260502 Enrollment ID: I20150727001601 |
| Provider Name | Aimee E Bermudez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003201468 PECOS PAC ID: 9931413572 Enrollment ID: I20150727002540 |
| Provider Name | Kevin Somai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568782662 PECOS PAC ID: 8628382934 Enrollment ID: I20150730013054 |
| Provider Name | Jeri W Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861875445 PECOS PAC ID: 1557675600 Enrollment ID: I20150803000993 |
| Provider Name | Jay S Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639167877 PECOS PAC ID: 1951552652 Enrollment ID: I20150810003000 |
| Provider Name | Wissam Shaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003010349 PECOS PAC ID: 1557388584 Enrollment ID: I20150822015059 |
| Provider Name | Wendy Straitwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588041495 PECOS PAC ID: 9335455732 Enrollment ID: I20150831002380 |
| Provider Name | Jake Richard Hager |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588892053 PECOS PAC ID: 3971752486 Enrollment ID: I20150903001729 |
| Provider Name | Dennis J Ruditser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831454214 PECOS PAC ID: 9537477476 Enrollment ID: I20150926000348 |
| Provider Name | Timothy L Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154705051 PECOS PAC ID: 3870480445 Enrollment ID: I20151012001884 |
| Provider Name | Deena Krishna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891139911 PECOS PAC ID: 1759690548 Enrollment ID: I20151019000223 |
| Provider Name | Yvonne Jeanette Braver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407810971 PECOS PAC ID: 6901818210 Enrollment ID: I20151022000429 |
| Provider Name | Christina Lee Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427337328 PECOS PAC ID: 5496993818 Enrollment ID: I20151022001008 |
| Provider Name | Daniel A Ostler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376784421 PECOS PAC ID: 1052461738 Enrollment ID: I20151027000539 |
| Provider Name | Jill M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538463971 PECOS PAC ID: 4880903103 Enrollment ID: I20151027001219 |
| Provider Name | Juslain Jonathas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538538459 PECOS PAC ID: 0840500617 Enrollment ID: I20151106000391 |
| Provider Name | Jennifer Bigelow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942613054 PECOS PAC ID: 7416177118 Enrollment ID: I20151118003041 |
| Provider Name | Heather Lee Close |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104297621 PECOS PAC ID: 1759681455 Enrollment ID: I20151202001866 |
| Provider Name | Joseph L Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215310735 PECOS PAC ID: 5496055964 Enrollment ID: I20151207000000 |
| Provider Name | Jennifer Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912211491 PECOS PAC ID: 8325263346 Enrollment ID: I20160108002575 |
| Provider Name | Alice L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922035906 PECOS PAC ID: 2466544127 Enrollment ID: I20160115001235 |
| Provider Name | Glenn E Groat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538363080 PECOS PAC ID: 4688822687 Enrollment ID: I20160119002052 |
| Provider Name | Nasser Mohammed Kazmouz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508882135 PECOS PAC ID: 7618970583 Enrollment ID: I20160120001287 |
| Provider Name | Wendy L Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641457 PECOS PAC ID: 9133422009 Enrollment ID: I20160127000913 |
| Provider Name | Rebecca Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063882264 PECOS PAC ID: 8426352915 Enrollment ID: I20160203001255 |
| Provider Name | Elena C Aleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841410545 PECOS PAC ID: 9537463393 Enrollment ID: I20160215002535 |
| Provider Name | Frank Marcos Vina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336497130 PECOS PAC ID: 5890090500 Enrollment ID: I20160217002126 |
| Provider Name | Matthew J Bauerle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154790384 PECOS PAC ID: 4880999432 Enrollment ID: I20160219001357 |
| Provider Name | Ruben Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447429451 PECOS PAC ID: 5294881330 Enrollment ID: I20160301002189 |
| Provider Name | Ashley N Harrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316345283 PECOS PAC ID: 5092011460 Enrollment ID: I20160310001282 |
| Provider Name | Michele I Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821453044 PECOS PAC ID: 4183920309 Enrollment ID: I20160314001495 |
| Provider Name | Maria Victoria De Jesus Cadsawan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629447289 PECOS PAC ID: 5597065862 Enrollment ID: I20160315000105 |
| Provider Name | Talonda Yvonne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467812768 PECOS PAC ID: 0547567489 Enrollment ID: I20160321001967 |
| Provider Name | Susan Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497758833 PECOS PAC ID: 9335275056 Enrollment ID: I20160411000243 |
| Provider Name | Neil E Maldonado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326003732 PECOS PAC ID: 2567491285 Enrollment ID: I20160412001182 |
| Provider Name | Susan Ann Hilty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043527153 PECOS PAC ID: 0648455519 Enrollment ID: I20160412001933 |
| Provider Name | Ernesto A Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871954339 PECOS PAC ID: 1456659838 Enrollment ID: I20160419000751 |
| Provider Name | Megan D Spiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104284454 PECOS PAC ID: 4284933755 Enrollment ID: I20160504002318 |
| Provider Name | Hany Elmahdy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134524721 PECOS PAC ID: 2860781713 Enrollment ID: I20160516001398 |
| Provider Name | Melissa A Facey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023478278 PECOS PAC ID: 8921397787 Enrollment ID: I20160518000016 |
| Provider Name | James L Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295196863 PECOS PAC ID: 9537458146 Enrollment ID: I20160523000287 |
| Provider Name | Amir Torshizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982825196 PECOS PAC ID: 5193819985 Enrollment ID: I20160621000932 |
| Provider Name | Karen L De Souza Ferreira Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194151589 PECOS PAC ID: 4183915192 Enrollment ID: I20160622002157 |
| Provider Name | Marcos A Aziz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154480481 PECOS PAC ID: 3779667399 Enrollment ID: I20160705001091 |
| Provider Name | Sherry Farag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982045316 PECOS PAC ID: 9234422833 Enrollment ID: I20160719002707 |
| Provider Name | Felipe Lugo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942658174 PECOS PAC ID: 8921391491 Enrollment ID: I20160720002255 |
| Provider Name | Thomas J Feneran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316907603 PECOS PAC ID: 9436191707 Enrollment ID: I20160727001906 |
| Provider Name | Dawn Marie Russi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831549765 PECOS PAC ID: 6901190396 Enrollment ID: I20160808001987 |
| Provider Name | Monette Audath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255787370 PECOS PAC ID: 3577857788 Enrollment ID: I20160811000609 |
| Provider Name | Lori Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639421332 PECOS PAC ID: 3870744378 Enrollment ID: I20160811000887 |
| Provider Name | Kimberly R Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659721645 PECOS PAC ID: 3274828777 Enrollment ID: I20160823001931 |
| Provider Name | Nicoleta Kakaes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619315892 PECOS PAC ID: 6507168549 Enrollment ID: I20160906000162 |
| Provider Name | Olumide Abegboyega Oyeyipo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922031608 PECOS PAC ID: 8527953033 Enrollment ID: I20160914001901 |
| Provider Name | Gary Trewick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336482850 PECOS PAC ID: 6608179858 Enrollment ID: I20160916001686 |
| Provider Name | Terri S Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265884530 PECOS PAC ID: 6608163381 Enrollment ID: I20160923000211 |
| Provider Name | Elizabeth Ann Hartlaub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518310598 PECOS PAC ID: 3678860160 Enrollment ID: I20160927002366 |
| Provider Name | Venda J Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841294709 PECOS PAC ID: 0446381727 Enrollment ID: I20160928002626 |
| Provider Name | Daniela Anahita Kloos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427491414 PECOS PAC ID: 6406144617 Enrollment ID: I20161004000584 |
| Provider Name | Mark Genco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285980110 PECOS PAC ID: 1557666294 Enrollment ID: I20161010001559 |
| Provider Name | Stacey A Stinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619374451 PECOS PAC ID: 7012231046 Enrollment ID: I20161020000235 |
| Provider Name | Natalie R Iverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699139295 PECOS PAC ID: 4880972918 Enrollment ID: I20161025001444 |
| Provider Name | Stephanie Vlahovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912454877 PECOS PAC ID: 8729366711 Enrollment ID: I20161026000581 |
| Provider Name | Chandrasekhar Reddy Motkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730374489 PECOS PAC ID: 2860587250 Enrollment ID: I20161026000656 |
| Provider Name | Lorena Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477000743 PECOS PAC ID: 8921386889 Enrollment ID: I20161027000464 |
| Provider Name | Neelie B Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225489131 PECOS PAC ID: 6406134170 Enrollment ID: I20161101000020 |
| Provider Name | Michael L Clark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457662280 PECOS PAC ID: 0143536847 Enrollment ID: I20161102001846 |
| Provider Name | Judy Humphreys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003960295 PECOS PAC ID: 9234299926 Enrollment ID: I20161105000103 |
| Provider Name | Carolyn F Finney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942664131 PECOS PAC ID: 6709165236 Enrollment ID: I20161128000607 |
| Provider Name | Barbara Jean Kropacek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548712821 PECOS PAC ID: 5991084436 Enrollment ID: I20161128000976 |
| Provider Name | Adolfo Romero Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376857904 PECOS PAC ID: 4486934841 Enrollment ID: I20161201001313 |
| Provider Name | Melissa Ann Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528517562 PECOS PAC ID: 0143500439 Enrollment ID: I20161202000139 |
| Provider Name | Mina Masry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902235963 PECOS PAC ID: 7416237664 Enrollment ID: I20161206001415 |
| Provider Name | Jennifer L Strom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528347911 PECOS PAC ID: 4486826153 Enrollment ID: I20161217000018 |
| Provider Name | Nadine M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467680991 PECOS PAC ID: 0749333920 Enrollment ID: I20161219001918 |
| Provider Name | Raminder Dhillon-acosta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790749984 PECOS PAC ID: 9133019409 Enrollment ID: I20161227000452 |
| Provider Name | Victoria A Mccreadie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871037960 PECOS PAC ID: 9335421866 Enrollment ID: I20170118001902 |
| Provider Name | Elisa Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255375689 PECOS PAC ID: 1557336849 Enrollment ID: I20170124000267 |
| Provider Name | Maureen A Wertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013312495 PECOS PAC ID: 7315229275 Enrollment ID: I20170130000927 |
| Provider Name | Ivan M Dankanich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295182269 PECOS PAC ID: 3870876592 Enrollment ID: I20170203000402 |
| Provider Name | Jennifer Lin Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689111304 PECOS PAC ID: 9335423201 Enrollment ID: I20170222000222 |
| Provider Name | Aldene Ann Marie Mckenzie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598105231 PECOS PAC ID: 4789810169 Enrollment ID: I20170308001937 |
| Provider Name | Fabiola Anglade-pascal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326587908 PECOS PAC ID: 4789969981 Enrollment ID: I20170331000146 |
| Provider Name | Raquel Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790223386 PECOS PAC ID: 9931485711 Enrollment ID: I20170410001556 |
| Provider Name | Christina M Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225578008 PECOS PAC ID: 4385920925 Enrollment ID: I20170413000797 |
| Provider Name | Yogesh Koradiya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871928911 PECOS PAC ID: 7416253059 Enrollment ID: I20170426001379 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578003661 PECOS PAC ID: 0042597213 Enrollment ID: I20170426001760 |
| Provider Name | Nicole Marie Wishon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346780558 PECOS PAC ID: 8224315338 Enrollment ID: I20170427000912 |
| Provider Name | Wilfred Victorina |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083660351 PECOS PAC ID: 6800784588 Enrollment ID: I20170501002020 |
| Provider Name | Leonardo Ricardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619411345 PECOS PAC ID: 5092092825 Enrollment ID: I20170504001794 |
| Provider Name | Darren Blakeslee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649210899 PECOS PAC ID: 9931486248 Enrollment ID: I20170515000445 |
| Provider Name | Kaitlin Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457884231 PECOS PAC ID: 3173890910 Enrollment ID: I20170525001719 |
| Provider Name | Rita M Malpedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336674043 PECOS PAC ID: 8820365596 Enrollment ID: I20170531000445 |
| Provider Name | Kelly Bahnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275067043 PECOS PAC ID: 3375810922 Enrollment ID: I20170601002261 |
| Provider Name | Lisa Ann Jaycox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053685362 PECOS PAC ID: 5991073850 Enrollment ID: I20170616001816 |
| Provider Name | Melissa Cordovi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316482565 PECOS PAC ID: 7315215282 Enrollment ID: I20170616002417 |
| Provider Name | Irena Gesheva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326122508 PECOS PAC ID: 8628124583 Enrollment ID: I20170624000129 |
| Provider Name | Kristen Neagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336671486 PECOS PAC ID: 8729357256 Enrollment ID: I20170627000820 |
| Provider Name | Warlyn Sosa Popoteur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043628050 PECOS PAC ID: 7012287303 Enrollment ID: I20170719001756 |
| Provider Name | Linette Perry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639527427 PECOS PAC ID: 0547549156 Enrollment ID: I20170725000286 |
| Provider Name | Angela Dawn Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083935753 PECOS PAC ID: 7810028842 Enrollment ID: I20170805000257 |
| Provider Name | Tameca E Bakker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942615612 PECOS PAC ID: 1254559461 Enrollment ID: I20170807002686 |
| Provider Name | Stacey Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609284983 PECOS PAC ID: 5294007456 Enrollment ID: I20170823000341 |
| Provider Name | Hazem Matta |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1184916736 PECOS PAC ID: 6204108327 Enrollment ID: I20170823003458 |
| Provider Name | Abigail Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376084947 PECOS PAC ID: 1658643762 Enrollment ID: I20170824002344 |
| Provider Name | Ashley Renee Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699204966 PECOS PAC ID: 8224301213 Enrollment ID: I20170913003938 |
| Provider Name | Kristin Lynn Hostetler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609156470 PECOS PAC ID: 8123276508 Enrollment ID: I20170921000715 |
| Provider Name | Marc Laufe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891780490 PECOS PAC ID: 1254487564 Enrollment ID: I20170921000779 |
| Provider Name | Cynthia G Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346401353 PECOS PAC ID: 4981891033 Enrollment ID: I20171009003582 |
| Provider Name | Saba F Irshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750682985 PECOS PAC ID: 9537339304 Enrollment ID: I20171017003720 |
| Provider Name | Raymond E De La Rosa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083667984 PECOS PAC ID: 9537134861 Enrollment ID: I20171019000755 |
| Provider Name | Marc Colton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427021732 PECOS PAC ID: 8325006737 Enrollment ID: I20171027002417 |
| Provider Name | Sorcha A Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932636552 PECOS PAC ID: 5496011660 Enrollment ID: I20171106000627 |
| Provider Name | Cecilia House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891108171 PECOS PAC ID: 9739309089 Enrollment ID: I20171107000578 |
| Provider Name | Ruth Milien Jonathas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073039087 PECOS PAC ID: 8224395504 Enrollment ID: I20171121001412 |
| Provider Name | Aelle Jules Janvier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164947669 PECOS PAC ID: 4486911377 Enrollment ID: I20171130003206 |
| Provider Name | Sheri L Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255844809 PECOS PAC ID: 4789942913 Enrollment ID: I20171218001035 |
| Provider Name | Denise Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225548282 PECOS PAC ID: 7012275266 Enrollment ID: I20171218002396 |
| Provider Name | Jarrett J Gillette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417362740 PECOS PAC ID: 1355566118 Enrollment ID: I20171220003366 |
| Provider Name | Lauren Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245740158 PECOS PAC ID: 2264790260 Enrollment ID: I20171221000315 |
| Provider Name | Robert Weir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154618916 PECOS PAC ID: 7719209063 Enrollment ID: I20180122000436 |
| Provider Name | Caroline N Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619311396 PECOS PAC ID: 7911213772 Enrollment ID: I20180124000477 |
| Provider Name | Susan Farrenkopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982127544 PECOS PAC ID: 4486914025 Enrollment ID: I20180130003073 |
| Provider Name | Joseph Piccolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538219589 PECOS PAC ID: 4082636790 Enrollment ID: I20180205000518 |
| Provider Name | Leonard Herbert Otworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841678109 PECOS PAC ID: 8820301203 Enrollment ID: I20180205000634 |
| Provider Name | Cheri Lynn Martir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710493986 PECOS PAC ID: 2769742113 Enrollment ID: I20180205001464 |
| Provider Name | Philip Amatulle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144227331 PECOS PAC ID: 6901806728 Enrollment ID: I20180213001900 |
| Provider Name | Sampath Manickam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770845711 PECOS PAC ID: 8729374301 Enrollment ID: I20180316001508 |
| Provider Name | Beverly H Ciampa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780189654 PECOS PAC ID: 0345503579 Enrollment ID: I20180420001326 |
| Provider Name | Olena V Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982110847 PECOS PAC ID: 2365706751 Enrollment ID: I20180511001080 |
| Provider Name | Kellen Haywood Gower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356796601 PECOS PAC ID: 6406149871 Enrollment ID: I20180524001766 |
| Provider Name | Roberto A Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124306436 PECOS PAC ID: 0941470181 Enrollment ID: I20180604001383 |
| Provider Name | Ana Cecilia Ciszek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083979942 PECOS PAC ID: 0547411084 Enrollment ID: I20180605003523 |
| Provider Name | Rachel Ablavi Noameshie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225548589 PECOS PAC ID: 1557616026 Enrollment ID: I20180625002157 |
| Provider Name | Laura Ann Sieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316443732 PECOS PAC ID: 8628324894 Enrollment ID: I20180629001320 |
| Provider Name | Nicole Marie Mischler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780193276 PECOS PAC ID: 2264796523 Enrollment ID: I20180705002168 |
| Provider Name | Sheryl L O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639685944 PECOS PAC ID: 8123374014 Enrollment ID: I20180706002152 |
| Provider Name | Evie L Breedlove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194132233 PECOS PAC ID: 2062639719 Enrollment ID: I20180711000721 |
| Provider Name | Maria Jose Benincasa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427399849 PECOS PAC ID: 1153614854 Enrollment ID: I20180717004160 |
| Provider Name | Andrew Jervey Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750761094 PECOS PAC ID: 5799032702 Enrollment ID: I20180723002014 |
| Provider Name | Jason Nazar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730521873 PECOS PAC ID: 4183918485 Enrollment ID: I20180724003882 |
| Provider Name | Michelle Marie Evans |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952743023 PECOS PAC ID: 2961796180 Enrollment ID: I20180725002352 |
| Provider Name | Samantha J Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023515418 PECOS PAC ID: 2062760846 Enrollment ID: I20180810001095 |
| Provider Name | Cynthia Denisse Cortes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629450093 PECOS PAC ID: 8820347453 Enrollment ID: I20180815001941 |
| Provider Name | Jacquiline N Greenwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083008494 PECOS PAC ID: 1153632807 Enrollment ID: I20180816000477 |
| Provider Name | Srinivas Raju Dantuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881089472 PECOS PAC ID: 2668789900 Enrollment ID: I20180831001152 |
| Provider Name | Elena Herschdorfer Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548772650 PECOS PAC ID: 5092065615 Enrollment ID: I20180831001654 |
| Provider Name | Kosisochukwu Nkenna Anago |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639564263 PECOS PAC ID: 4880985720 Enrollment ID: I20180914002529 |
| Provider Name | Nalinbhai G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104822584 PECOS PAC ID: 0446209266 Enrollment ID: I20180919003502 |
| Provider Name | Vivianne Kiggundu Kateregga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669959425 PECOS PAC ID: 3678824224 Enrollment ID: I20180921000347 |
| Provider Name | Trevor E Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265842231 PECOS PAC ID: 6709174899 Enrollment ID: I20180921002498 |
| Provider Name | Lee N Anton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942202478 PECOS PAC ID: 7618955873 Enrollment ID: I20181002003210 |
| Provider Name | Elizabeth Ann Breza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184081465 PECOS PAC ID: 7012269459 Enrollment ID: I20181011002727 |
| Provider Name | Gretta Elaine Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194214148 PECOS PAC ID: 1153673504 Enrollment ID: I20181011002959 |
| Provider Name | Flavio Jamur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831698372 PECOS PAC ID: 6204189129 Enrollment ID: I20181023002098 |
| Provider Name | Alda Marie Guerrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962985259 PECOS PAC ID: 2567715063 Enrollment ID: I20181031000773 |
| Provider Name | Megan Marie Haggard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962992388 PECOS PAC ID: 8022361377 Enrollment ID: I20181102000914 |
| Provider Name | Arlette Martell Muniz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508207853 PECOS PAC ID: 6305148909 Enrollment ID: I20181106002730 |
| Provider Name | Gnanambal Manivel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053799536 PECOS PAC ID: 0042518144 Enrollment ID: I20181109000372 |
| Provider Name | Stephen J Muehlenbein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417941980 PECOS PAC ID: 9739110834 Enrollment ID: I20181114002911 |
| Provider Name | Lisa Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811476211 PECOS PAC ID: 9133463235 Enrollment ID: I20181130000206 |
| Provider Name | Margaret Desear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265917579 PECOS PAC ID: 1052655065 Enrollment ID: I20181203001123 |
| Provider Name | Felipe B Collares |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1629212055 PECOS PAC ID: 5496801904 Enrollment ID: I20181206001438 |
| Provider Name | Kindred Marie Corsame Eluna Roszell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861967887 PECOS PAC ID: 7517201213 Enrollment ID: I20181206003219 |
| Provider Name | Sheldon L Brownstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174520464 PECOS PAC ID: 2365430832 Enrollment ID: I20181206003509 |
| Provider Name | Paul Francis Hemrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801281589 PECOS PAC ID: 3173825890 Enrollment ID: I20181219000682 |
| Provider Name | Nicholas Anton Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215410220 PECOS PAC ID: 2860737681 Enrollment ID: I20181226001991 |
| Provider Name | Daren Spinelle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346635315 PECOS PAC ID: 8022312214 Enrollment ID: I20181231000384 |
| Provider Name | Todd Marlowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669942173 PECOS PAC ID: 9436494960 Enrollment ID: I20190102002022 |
| Provider Name | Gilberto Machado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326523341 PECOS PAC ID: 0345586806 Enrollment ID: I20190104001294 |
| Provider Name | Roxanne Denise Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184190357 PECOS PAC ID: 7719223122 Enrollment ID: I20190107000386 |
| Provider Name | Josmine Bernadin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427560127 PECOS PAC ID: 9133465347 Enrollment ID: I20190109001418 |
| Provider Name | Nicole Cutaia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497253967 PECOS PAC ID: 6800023045 Enrollment ID: I20190114002482 |
| Provider Name | Farhan F Majeed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770624777 PECOS PAC ID: 7012068745 Enrollment ID: I20190118000634 |
| Provider Name | Pouria Haghighi Tajvar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245771815 PECOS PAC ID: 5799022273 Enrollment ID: I20190122001550 |
| Provider Name | Lauren Blair Arcilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376013912 PECOS PAC ID: 7012254550 Enrollment ID: I20190123000077 |
| Provider Name | Timothy Pinetree Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770926032 PECOS PAC ID: 9739327875 Enrollment ID: I20190208001178 |
| Provider Name | Mustafa Akbiek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679989115 PECOS PAC ID: 6608148887 Enrollment ID: I20190212000750 |
| Provider Name | Caroline F Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821336694 PECOS PAC ID: 1254552466 Enrollment ID: I20190214000884 |
| Provider Name | Cassady Lozzi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750764346 PECOS PAC ID: 7315285467 Enrollment ID: I20190214001941 |
| Provider Name | Kristin A Gustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982168969 PECOS PAC ID: 3476891474 Enrollment ID: I20190218001896 |
| Provider Name | Melissa Marie Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578045407 PECOS PAC ID: 4486814605 Enrollment ID: I20190221000205 |
| Provider Name | Rachel E Reichert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699246173 PECOS PAC ID: 4183963986 Enrollment ID: I20190221001989 |
| Provider Name | Marcanthony H Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427475722 PECOS PAC ID: 8921325044 Enrollment ID: I20190307000153 |
| Provider Name | Luis J Barata Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811473226 PECOS PAC ID: 6002156692 Enrollment ID: I20190318002216 |
| Provider Name | Kristin Marie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295291979 PECOS PAC ID: 9335489533 Enrollment ID: I20190326002213 |
| Provider Name | Ashley M Warmoth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801154794 PECOS PAC ID: 1052625878 Enrollment ID: I20190401001663 |
| Provider Name | Edward L Salerno |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912970344 PECOS PAC ID: 0840258596 Enrollment ID: I20190510001216 |
| Provider Name | Jafet Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851886915 PECOS PAC ID: 6709119787 Enrollment ID: I20190605003283 |
| Provider Name | Jorge Quinones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568927648 PECOS PAC ID: 9133452071 Enrollment ID: I20190610000998 |
| Provider Name | Jennifer Dawn Clyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073179602 PECOS PAC ID: 8527356526 Enrollment ID: I20190611000805 |
| Provider Name | Chris E Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598231185 PECOS PAC ID: 7416280227 Enrollment ID: I20190611000989 |
| Provider Name | Michael Ianniello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821444951 PECOS PAC ID: 8325330491 Enrollment ID: I20190613000917 |
| Provider Name | Tameerah Yisrael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417435884 PECOS PAC ID: 6002140308 Enrollment ID: I20190619003639 |
| Provider Name | Matthew P Connor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831412295 PECOS PAC ID: 2860719598 Enrollment ID: I20190621000339 |
| Provider Name | Christopher Mcneill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952756827 PECOS PAC ID: 6406149046 Enrollment ID: I20190624002152 |
| Provider Name | Gabrielly Nathara Meurer Coatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639520083 PECOS PAC ID: 3476887936 Enrollment ID: I20190703000698 |
| Provider Name | Victor Manuel Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609230119 PECOS PAC ID: 2163784414 Enrollment ID: I20190715001502 |
| Provider Name | Richard Do Houston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407207004 PECOS PAC ID: 5597090282 Enrollment ID: I20190717003587 |
| Provider Name | Fides B Delart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568935724 PECOS PAC ID: 8628304011 Enrollment ID: I20190723001958 |
| Provider Name | Joseph Lee Randolph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134435704 PECOS PAC ID: 1355677410 Enrollment ID: I20190726000844 |
| Provider Name | Price Sonkarley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396159661 PECOS PAC ID: 6204126279 Enrollment ID: I20190729000376 |
| Provider Name | Kalyani Regeti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639613300 PECOS PAC ID: 0547529737 Enrollment ID: I20190801002497 |
| Provider Name | David Frankel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033560941 PECOS PAC ID: 8527395243 Enrollment ID: I20190802002455 |
| Provider Name | Allison Krebs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306368469 PECOS PAC ID: 6204163637 Enrollment ID: I20190808000825 |
| Provider Name | Nicholas Dalton Heathscott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104351626 PECOS PAC ID: 7810263605 Enrollment ID: I20190823000135 |
| Provider Name | Estevan James Del Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902268725 PECOS PAC ID: 2466780416 Enrollment ID: I20190828003701 |
| Provider Name | Thomas A Elkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033552880 PECOS PAC ID: 8527314905 Enrollment ID: I20190829001433 |
| Provider Name | Hannah James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407219454 PECOS PAC ID: 6406185339 Enrollment ID: I20190903000462 |
| Provider Name | Bhisnauth Churaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083042618 PECOS PAC ID: 4385973742 Enrollment ID: I20190910002149 |
| Provider Name | Brittany Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679035844 PECOS PAC ID: 6103155221 Enrollment ID: I20190913002602 |
| Provider Name | Ramon Suarez Carmona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851778062 PECOS PAC ID: 8729317854 Enrollment ID: I20190913002711 |
| Provider Name | Alla Batikov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144360611 PECOS PAC ID: 4183671357 Enrollment ID: I20190916002364 |
| Provider Name | Darian Yera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528535507 PECOS PAC ID: 6507195518 Enrollment ID: I20190916003243 |
| Provider Name | Michele Lucille Coward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841760832 PECOS PAC ID: 5890025878 Enrollment ID: I20190918002395 |
| Provider Name | Kristine Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255825782 PECOS PAC ID: 9830429810 Enrollment ID: I20190918002645 |
| Provider Name | Molly Elizabeth Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730736976 PECOS PAC ID: 2365772860 Enrollment ID: I20190926000688 |
| Provider Name | Darin James Hildoer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750413506 PECOS PAC ID: 9234308438 Enrollment ID: I20190927000094 |
| Provider Name | Candace Anne Woolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972903383 PECOS PAC ID: 9032440870 Enrollment ID: I20191009002752 |
| Provider Name | Josie Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942852918 PECOS PAC ID: 8325379852 Enrollment ID: I20191014002049 |
| Provider Name | Fariha Abbasi-feinberg |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1295721868 PECOS PAC ID: 8224033592 Enrollment ID: I20191022003795 |
| Provider Name | Shannon J O Brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245614114 PECOS PAC ID: 6305147976 Enrollment ID: I20191111000363 |
| Provider Name | Thomas R Adderley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487075370 PECOS PAC ID: 2961720347 Enrollment ID: I20191115001188 |
| Provider Name | Mariel Cairo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710537857 PECOS PAC ID: 3678905361 Enrollment ID: I20191119000531 |
| Provider Name | Sarminder Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033768304 PECOS PAC ID: 5496187031 Enrollment ID: I20191119003231 |
| Provider Name | Rafael Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700347838 PECOS PAC ID: 4981036563 Enrollment ID: I20191120001480 |
| Provider Name | Carol L Gruber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861673733 PECOS PAC ID: 5991935900 Enrollment ID: I20191121003083 |
| Provider Name | James Fiumefreddo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720142748 PECOS PAC ID: 8224460670 Enrollment ID: I20191122002707 |
| Provider Name | Alana Hope Adler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457906794 PECOS PAC ID: 9830522218 Enrollment ID: I20191126002126 |
| Provider Name | Marie Zambelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508419656 PECOS PAC ID: 3375976756 Enrollment ID: I20191126002177 |
| Provider Name | Diana C Perez-charton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962051805 PECOS PAC ID: 2567895659 Enrollment ID: I20191203002374 |
| Provider Name | Natalia Spinelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932468469 PECOS PAC ID: 5395010920 Enrollment ID: I20191210000487 |
| Provider Name | Brieanna M Blumenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609424654 PECOS PAC ID: 9436583820 Enrollment ID: I20191217002515 |
| Provider Name | Cortlon Hartz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265076988 PECOS PAC ID: 0941634356 Enrollment ID: I20191218000127 |
| Provider Name | Matthew A Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659898021 PECOS PAC ID: 1254765670 Enrollment ID: I20191218000482 |
| Provider Name | Joan Helen Mccaulie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467718007 PECOS PAC ID: 3971828112 Enrollment ID: I20191227000426 |
| Provider Name | Kristy K Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619936945 PECOS PAC ID: 4981683190 Enrollment ID: I20191231002412 |
| Provider Name | Mark D Hilborn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750380457 PECOS PAC ID: 3173428315 Enrollment ID: I20200108000112 |
| Provider Name | Holly Michelle Maxfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598310062 PECOS PAC ID: 9537594429 Enrollment ID: I20200123001005 |
| Provider Name | Suprithi Ravi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962798256 PECOS PAC ID: 1456573021 Enrollment ID: I20200124001200 |
| Provider Name | Hassan Albassam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801230248 PECOS PAC ID: 3870808355 Enrollment ID: I20200210000985 |
| Provider Name | Devon Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043850266 PECOS PAC ID: 4981031770 Enrollment ID: I20200217000201 |
| Provider Name | Jenny Vest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346898947 PECOS PAC ID: 8224465604 Enrollment ID: I20200225000311 |
| Provider Name | Carmen Marie Ursitti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851931398 PECOS PAC ID: 1254768583 Enrollment ID: I20200227000315 |
| Provider Name | Jacqueline Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881239572 PECOS PAC ID: 3971931858 Enrollment ID: I20200309001340 |
| Provider Name | Raja C Maddipoti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215019328 PECOS PAC ID: 3072552116 Enrollment ID: I20200310001424 |
| Provider Name | Fernando Jesus Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639534100 PECOS PAC ID: 9335482181 Enrollment ID: I20200319002428 |
| Provider Name | Marie Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952932832 PECOS PAC ID: 8325476542 Enrollment ID: I20200320001726 |
| Provider Name | Lisa Libonati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487171740 PECOS PAC ID: 8426486432 Enrollment ID: I20200324003805 |
| Provider Name | Jacqueline Dimalanta Poletes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699308874 PECOS PAC ID: 3274961222 Enrollment ID: I20200325001665 |
| Provider Name | Tara L Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194175554 PECOS PAC ID: 7810288560 Enrollment ID: I20200328000014 |
| Provider Name | Zuleima Lozada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194350348 PECOS PAC ID: 2769811603 Enrollment ID: I20200329000217 |
| Provider Name | Tayler Brianne Madison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588299135 PECOS PAC ID: 2961831821 Enrollment ID: I20200330000322 |
| Provider Name | Natalia Terreros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699255653 PECOS PAC ID: 1557609765 Enrollment ID: I20200401001450 |
| Provider Name | Eduardo D Ramirez De Arellano Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326408477 PECOS PAC ID: 8921437484 Enrollment ID: I20200403001500 |
| Provider Name | Robert Hayes Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063410579 PECOS PAC ID: 6305935909 Enrollment ID: I20200413002937 |
| Provider Name | Lory Taraborelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457986879 PECOS PAC ID: 1557791365 Enrollment ID: I20200420000071 |
| Provider Name | Carol Christine Sickels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356977888 PECOS PAC ID: 2365872850 Enrollment ID: I20200424000256 |
| Provider Name | Andres E Santayana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346775848 PECOS PAC ID: 0446526248 Enrollment ID: I20200512001738 |
| Provider Name | Mathieu Sabbagh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1598170664 PECOS PAC ID: 6608176920 Enrollment ID: I20200521002959 |
| Provider Name | Anuradha James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336671262 PECOS PAC ID: 7517388796 Enrollment ID: I20200526000146 |
| Provider Name | Amy Louise Ladehoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225192339 PECOS PAC ID: 0446671549 Enrollment ID: I20200527002959 |
| Provider Name | Menno Bernardus Hack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295368629 PECOS PAC ID: 6608297536 Enrollment ID: I20200602001161 |
| Provider Name | Ryan D Harlacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174054688 PECOS PAC ID: 8921371873 Enrollment ID: I20200625000353 |
| Provider Name | Jared Schprechman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205365749 PECOS PAC ID: 8123390085 Enrollment ID: I20200625001376 |
| Provider Name | Md S Hossain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306385042 PECOS PAC ID: 4880939131 Enrollment ID: I20200626001863 |
| Provider Name | Phillip Wendinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508490475 PECOS PAC ID: 1456774934 Enrollment ID: I20200701001615 |
| Provider Name | Leah M Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336769934 PECOS PAC ID: 6002239209 Enrollment ID: I20200707000923 |
| Provider Name | Daniel Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013448596 PECOS PAC ID: 5597030676 Enrollment ID: I20200707002272 |
| Provider Name | Lindsay Gail Frenkel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417375288 PECOS PAC ID: 1153635867 Enrollment ID: I20200707002758 |
| Provider Name | Mallory Whitley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861913592 PECOS PAC ID: 0345509618 Enrollment ID: I20200717001389 |
| Provider Name | Alisha Grewal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154856409 PECOS PAC ID: 6507280419 Enrollment ID: I20200724002150 |
| Provider Name | Sophia Ciaravino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457883381 PECOS PAC ID: 6709152580 Enrollment ID: I20200731000449 |
| Provider Name | Harold Plancher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760002778 PECOS PAC ID: 8921424607 Enrollment ID: I20200812000645 |
| Provider Name | Amanda Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710489182 PECOS PAC ID: 9436576782 Enrollment ID: I20200901001151 |
| Provider Name | Maria Alexandra Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376051482 PECOS PAC ID: 8224455514 Enrollment ID: I20200901002258 |
| Provider Name | Andrew Timothy Ingram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164499216 PECOS PAC ID: 2769519560 Enrollment ID: I20200903003087 |
| Provider Name | Renee Floresta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871119719 PECOS PAC ID: 6901223940 Enrollment ID: I20200904000894 |
| Provider Name | Hannah Schrubbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487180469 PECOS PAC ID: 6800214172 Enrollment ID: I20200918000303 |
| Provider Name | Elliot K Blau |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396150140 PECOS PAC ID: 5890912745 Enrollment ID: I20200924001771 |
| Provider Name | Shauna Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134734429 PECOS PAC ID: 9335568203 Enrollment ID: I20200925000556 |
| Provider Name | Grygori Gerasymchuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598974933 PECOS PAC ID: 2769550680 Enrollment ID: I20200928002183 |
| Provider Name | Matthew Shanon Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659711455 PECOS PAC ID: 3072817824 Enrollment ID: I20200929002428 |
| Provider Name | Andreea Nagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376171496 PECOS PAC ID: 2466871165 Enrollment ID: I20200930000295 |
| Provider Name | Daily Suarez Roque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619476306 PECOS PAC ID: 3870912363 Enrollment ID: I20201002000503 |
| Provider Name | Rafael Andres Mirabal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134755663 PECOS PAC ID: 5991124372 Enrollment ID: I20201005001159 |
| Provider Name | Tia Evenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972100766 PECOS PAC ID: 6002235280 Enrollment ID: I20201008000472 |
| Provider Name | Barbara Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790306637 PECOS PAC ID: 3779903422 Enrollment ID: I20201019000625 |
| Provider Name | Carol Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295341170 PECOS PAC ID: 8820418593 Enrollment ID: I20201019001245 |
| Provider Name | Rohan N Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003278169 PECOS PAC ID: 5698069789 Enrollment ID: I20201023000638 |
| Provider Name | Ceasar Teano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780283788 PECOS PAC ID: 7618387853 Enrollment ID: I20201029001749 |
| Provider Name | Brian D Zelis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891894929 PECOS PAC ID: 2769565837 Enrollment ID: I20201118000871 |
| Provider Name | Gabriela Elena Fratila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033737598 PECOS PAC ID: 0648682112 Enrollment ID: I20201208001197 |
| Provider Name | Stephanie Esposito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225632185 PECOS PAC ID: 4183036478 Enrollment ID: I20201210000539 |
| Provider Name | Nicole Marie Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437765179 PECOS PAC ID: 2860805231 Enrollment ID: I20201231000916 |
| Provider Name | Kristine S Strumpfler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114436771 PECOS PAC ID: 9436418787 Enrollment ID: I20210104001524 |
| Provider Name | Jane Paino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497837363 PECOS PAC ID: 4688578610 Enrollment ID: I20210104001554 |
| Provider Name | Robert Abbate |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356552202 PECOS PAC ID: 4587795919 Enrollment ID: I20210112001320 |
| Provider Name | Sonya Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992338636 PECOS PAC ID: 8628482064 Enrollment ID: I20210127000682 |
| Provider Name | Gabriela Sincuir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336730001 PECOS PAC ID: 9436563400 Enrollment ID: I20210203000172 |
| Provider Name | Ashley Morgan Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417568791 PECOS PAC ID: 2961816806 Enrollment ID: I20210204000396 |
| Provider Name | Shelby Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689263246 PECOS PAC ID: 9537574058 Enrollment ID: I20210216001067 |
| Provider Name | Melissa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821460700 PECOS PAC ID: 0941502843 Enrollment ID: I20210222000257 |
| Provider Name | Stephanie Poitras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437768835 PECOS PAC ID: 7214342153 Enrollment ID: I20210226001230 |
| Provider Name | Sona P Dolsenhe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104434901 PECOS PAC ID: 1456767342 Enrollment ID: I20210301000922 |
| Provider Name | Adelaida D Alfonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275121790 PECOS PAC ID: 2365858545 Enrollment ID: I20210312001979 |
| Provider Name | Angelique Polidoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396945317 PECOS PAC ID: 3577657436 Enrollment ID: I20210322000460 |
| Provider Name | Sharon J Danforth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700288859 PECOS PAC ID: 1658593587 Enrollment ID: I20210323000653 |
| Provider Name | Thomas Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881687291 PECOS PAC ID: 9436126885 Enrollment ID: I20210324001636 |
| Provider Name | Lemay Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780277160 PECOS PAC ID: 6103233762 Enrollment ID: I20210326000020 |
| Provider Name | Jenny Jauregui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437741998 PECOS PAC ID: 3678980240 Enrollment ID: I20210326000421 |
| Provider Name | Osmani Rico Valdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356977391 PECOS PAC ID: 7012324197 Enrollment ID: I20210408000851 |
| Provider Name | Danielle Lee Sabatini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144549163 PECOS PAC ID: 7911021761 Enrollment ID: I20210409000031 |
| Provider Name | Paul D Ratcliff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275759565 PECOS PAC ID: 7517010523 Enrollment ID: I20210412001737 |
| Provider Name | Carrie Anne Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255910485 PECOS PAC ID: 7113335738 Enrollment ID: I20210421000322 |
| Provider Name | Ivana Paz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346474632 PECOS PAC ID: 8729235346 Enrollment ID: I20210427001172 |
| Provider Name | Melissa B Blom |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518288406 PECOS PAC ID: 4284953258 Enrollment ID: I20210428001638 |
| Provider Name | Bhavikaben Babaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912227414 PECOS PAC ID: 1355529363 Enrollment ID: I20210512000493 |
| Provider Name | Jose Raul Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770977647 PECOS PAC ID: 0143639732 Enrollment ID: I20210512000555 |
| Provider Name | Erica Maria Garcia Tovar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750935524 PECOS PAC ID: 5991114449 Enrollment ID: I20210512003355 |
| Provider Name | Thien Thanh Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356838858 PECOS PAC ID: 0446509863 Enrollment ID: I20210514000469 |
| Provider Name | Chaplin Dixon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952807307 PECOS PAC ID: 4789938853 Enrollment ID: I20210518000163 |
| Provider Name | Molly Grant Kallins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366948879 PECOS PAC ID: 2062741630 Enrollment ID: I20210527002578 |
| Provider Name | Arpeta Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760624688 PECOS PAC ID: 3577788173 Enrollment ID: I20210527003119 |
| Provider Name | Francisco De Jesus Paulino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801183934 PECOS PAC ID: 8729203104 Enrollment ID: I20210604001601 |
| Provider Name | Heidi C Pinder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114451325 PECOS PAC ID: 7315219367 Enrollment ID: I20210607000478 |
| Provider Name | Jomil Villasmil Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710327952 PECOS PAC ID: 5092013664 Enrollment ID: I20210607000932 |
| Provider Name | Reginald Pinder |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1578097788 PECOS PAC ID: 8325310378 Enrollment ID: I20210608000040 |
| Provider Name | David Knudtson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558420323 PECOS PAC ID: 8224082888 Enrollment ID: I20210610001259 |
| Provider Name | Shayhira Suazo Herrera |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750678520 PECOS PAC ID: 4981991247 Enrollment ID: I20210614001601 |
| Provider Name | Jose Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598233116 PECOS PAC ID: 2769882703 Enrollment ID: I20210614002227 |
| Provider Name | Drew Huffman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083728901 PECOS PAC ID: 0345246286 Enrollment ID: I20210616002017 |
| Provider Name | John Schloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124026992 PECOS PAC ID: 2567467855 Enrollment ID: I20210616002714 |
| Provider Name | Rita Lusinete Rabitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437648391 PECOS PAC ID: 2365842887 Enrollment ID: I20210621000694 |
| Provider Name | Jerry Matthew Lanza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710483920 PECOS PAC ID: 7517367030 Enrollment ID: I20210621000783 |
| Provider Name | Charissa Elizabeth Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699381483 PECOS PAC ID: 8426459975 Enrollment ID: I20210622002531 |
| Provider Name | Zoila Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750959011 PECOS PAC ID: 4688075831 Enrollment ID: I20210625001752 |
| Provider Name | Jacqueline Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255905048 PECOS PAC ID: 0547661647 Enrollment ID: I20210628000675 |
| Provider Name | Christie Lynn Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811563398 PECOS PAC ID: 6608277744 Enrollment ID: I20210628001709 |
| Provider Name | Kimberly A Smarsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669050076 PECOS PAC ID: 5294136214 Enrollment ID: I20210629001038 |
| Provider Name | Amanda Shively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982202412 PECOS PAC ID: 5991106536 Enrollment ID: I20210702000564 |
| Provider Name | Viralkumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003310095 PECOS PAC ID: 3375874704 Enrollment ID: I20210702001163 |
| Provider Name | Yorlenis Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043743297 PECOS PAC ID: 9032546262 Enrollment ID: I20210707003764 |
| Provider Name | Kandi O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609036276 PECOS PAC ID: 8921175266 Enrollment ID: I20210708000457 |
| Provider Name | Kelli A Moreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194738104 PECOS PAC ID: 9032392378 Enrollment ID: I20210713001950 |
| Provider Name | Tracy Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457830440 PECOS PAC ID: 4284970260 Enrollment ID: I20210714002234 |
| Provider Name | Thomas J Neidenbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053514182 PECOS PAC ID: 0446404719 Enrollment ID: I20210715001542 |
| Provider Name | Mark P Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053378646 PECOS PAC ID: 7315849056 Enrollment ID: I20210723000045 |
| Provider Name | Kayla Fornal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710555123 PECOS PAC ID: 4284037581 Enrollment ID: I20210723002525 |
| Provider Name | Stacy A Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265705743 PECOS PAC ID: 6103081971 Enrollment ID: I20210729002732 |
| Provider Name | Kathryn Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154956977 PECOS PAC ID: 7416379367 Enrollment ID: I20210730002180 |
| Provider Name | Juliana Llano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063831311 PECOS PAC ID: 1355561069 Enrollment ID: I20210802002682 |
| Provider Name | Sara Kamrani Torkestani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619465010 PECOS PAC ID: 3476957648 Enrollment ID: I20210810002364 |
| Provider Name | Domonique Yolanda Hammock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841763596 PECOS PAC ID: 2567866759 Enrollment ID: I20210810003235 |
| Provider Name | Ashok Dahal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013407212 PECOS PAC ID: 5395080659 Enrollment ID: I20210810003281 |
| Provider Name | Vicky Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770257743 PECOS PAC ID: 5890199988 Enrollment ID: I20210811003713 |
| Provider Name | Juan M Bermudez Barandica |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639606874 PECOS PAC ID: 3870863277 Enrollment ID: I20210811004136 |
| Provider Name | Donald J Maddack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013911031 PECOS PAC ID: 5092855908 Enrollment ID: I20210814000197 |
| Provider Name | Caroline Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568035053 PECOS PAC ID: 4385049899 Enrollment ID: I20210823000075 |
| Provider Name | Sanche Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326644659 PECOS PAC ID: 4880099175 Enrollment ID: I20210825001273 |
| Provider Name | Xaunna Krehn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720508401 PECOS PAC ID: 0244584407 Enrollment ID: I20210825001548 |
| Provider Name | Ashley Mcguffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679158216 PECOS PAC ID: 8527475722 Enrollment ID: I20210826001961 |
| Provider Name | Francesca M Gesiotto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255836649 PECOS PAC ID: 8224373782 Enrollment ID: I20210826002604 |
| Provider Name | Abigail Belizaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841964434 PECOS PAC ID: 7416352554 Enrollment ID: I20210826003705 |
| Provider Name | Sarah D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538732706 PECOS PAC ID: 9234534256 Enrollment ID: I20210828000317 |
| Provider Name | Bethany Lynn Loppnow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538770235 PECOS PAC ID: 5890190888 Enrollment ID: I20210830002180 |
| Provider Name | Barbara Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265076608 PECOS PAC ID: 1052717006 Enrollment ID: I20210831001830 |
| Provider Name | Laura Bohatch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942681226 PECOS PAC ID: 2668727827 Enrollment ID: I20210903000490 |
| Provider Name | Brittany Vanraaphorst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871980680 PECOS PAC ID: 3173872645 Enrollment ID: I20210914001402 |
| Provider Name | Senait Tafere |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710482641 PECOS PAC ID: 9638322381 Enrollment ID: I20210914002831 |
| Provider Name | Carina S Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376210393 PECOS PAC ID: 5496152175 Enrollment ID: I20210922002974 |
| Provider Name | Alexander Paul Franko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548252315 PECOS PAC ID: 6608804208 Enrollment ID: I20210923003762 |
| Provider Name | Brandi A Epperson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154757151 PECOS PAC ID: 5799078432 Enrollment ID: I20210924003002 |
| Provider Name | Joshua Brycen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932870524 PECOS PAC ID: 9436556818 Enrollment ID: I20210928001651 |
| Provider Name | Hunter L Higdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619647021 PECOS PAC ID: 1254738537 Enrollment ID: I20210929002418 |
| Provider Name | Audrey Franks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689093239 PECOS PAC ID: 0345567657 Enrollment ID: I20211008000100 |
| Provider Name | Norissa Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497423230 PECOS PAC ID: 8628476033 Enrollment ID: I20211014001398 |
| Provider Name | Rico K Sabulao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013031467 PECOS PAC ID: 9739264300 Enrollment ID: I20211026002548 |
| Provider Name | James Duncan Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114421195 PECOS PAC ID: 5395133102 Enrollment ID: I20211028000344 |
| Provider Name | Michael R Seitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760037287 PECOS PAC ID: 4880028760 Enrollment ID: I20211103002916 |
| Provider Name | Diana Marion Sitar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174020085 PECOS PAC ID: 1355739798 Enrollment ID: I20211103003205 |
| Provider Name | Olexander Barchan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659361798 PECOS PAC ID: 9537110531 Enrollment ID: I20211104001918 |
| Provider Name | Neil Smerling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154367522 PECOS PAC ID: 1153379748 Enrollment ID: I20211110002741 |
| Provider Name | Marion Lee Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912594391 PECOS PAC ID: 9436548161 Enrollment ID: I20211117002660 |
| Provider Name | Sherri A Clayton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619942406 PECOS PAC ID: 7315006863 Enrollment ID: I20211129002076 |
| Provider Name | Maggie Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487316030 PECOS PAC ID: 5193115418 Enrollment ID: I20211201000048 |
| Provider Name | Timothy J Eichenlaub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487680419 PECOS PAC ID: 1850388554 Enrollment ID: I20211203001507 |
| Provider Name | Bernard Baroudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053808618 PECOS PAC ID: 5799175600 Enrollment ID: I20211208003073 |
| Provider Name | Jason Ritenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770167850 PECOS PAC ID: 1951707751 Enrollment ID: I20211228002468 |
| Provider Name | Christine Rosabella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700312709 PECOS PAC ID: 7517382807 Enrollment ID: I20211230000057 |
| Provider Name | Jenifer Taylor Mchale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881351922 PECOS PAC ID: 3476944497 Enrollment ID: I20211230002122 |
| Provider Name | Ali Jaber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285975250 PECOS PAC ID: 3072834811 Enrollment ID: I20220106001055 |
| Provider Name | Edilberto Minoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215322037 PECOS PAC ID: 4385036508 Enrollment ID: I20220120002894 |
| Provider Name | Jennifer Dinovo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127377 PECOS PAC ID: 1951630581 Enrollment ID: I20220121001027 |
| Provider Name | Orjena Fisheku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851927461 PECOS PAC ID: 7618369760 Enrollment ID: I20220121001240 |
| Provider Name | Emily A Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467951160 PECOS PAC ID: 8426482043 Enrollment ID: I20220126002327 |
| Provider Name | Joceline Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548921406 PECOS PAC ID: 4385037126 Enrollment ID: I20220131001589 |
| Provider Name | Volha Dundas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720730096 PECOS PAC ID: 2668865015 Enrollment ID: I20220207001306 |
| Provider Name | Adina Benitez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609205954 PECOS PAC ID: 8921238445 Enrollment ID: I20220210000116 |
| Provider Name | Brianna Bieber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962166397 PECOS PAC ID: 8224421318 Enrollment ID: I20220214001430 |
| Provider Name | Laura Ann Demello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336892785 PECOS PAC ID: 0648663567 Enrollment ID: I20220216002140 |
| Provider Name | David Joseph Hunnius |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982637682 PECOS PAC ID: 3971566415 Enrollment ID: I20220218002222 |
| Provider Name | Steffani Citak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023769452 PECOS PAC ID: 7416341227 Enrollment ID: I20220221001854 |
| Provider Name | Janet Ann Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457003113 PECOS PAC ID: 3173917887 Enrollment ID: I20220223000776 |
| Provider Name | Ramon Caballero |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851480453 PECOS PAC ID: 6901798263 Enrollment ID: I20220303001093 |
| Provider Name | Elizabeth Lauren Mackenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841841558 PECOS PAC ID: 3678993516 Enrollment ID: I20220309003295 |
| Provider Name | Alexis Mcafee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538812318 PECOS PAC ID: 1850786492 Enrollment ID: I20220318000352 |
| Provider Name | Yamilee Cabrol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407514672 PECOS PAC ID: 1456747583 Enrollment ID: I20220329002652 |
| Provider Name | Elizabeth Cieslak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902403058 PECOS PAC ID: 8022425719 Enrollment ID: I20220331001771 |
| Provider Name | Tracy D Brady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528210838 PECOS PAC ID: 9830243369 Enrollment ID: I20220401002283 |
| Provider Name | Carolina Pavon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053951996 PECOS PAC ID: 1850787318 Enrollment ID: I20220408001975 |
| Provider Name | Carlos Eduardo Ramos Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205583093 PECOS PAC ID: 0840687034 Enrollment ID: I20220418000646 |
| Provider Name | John Razook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669458659 PECOS PAC ID: 7911924592 Enrollment ID: I20220418002376 |
| Provider Name | Michael Kuhn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184843781 PECOS PAC ID: 7214121201 Enrollment ID: I20220419000313 |
| Provider Name | Micaela Rae Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023654647 PECOS PAC ID: 9335536457 Enrollment ID: I20220420000632 |
| Provider Name | Tiffany Marie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871235457 PECOS PAC ID: 2466849369 Enrollment ID: I20220422002504 |
| Provider Name | Sarah Jessica Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558021675 PECOS PAC ID: 1557758497 Enrollment ID: I20220425001307 |
| Provider Name | Dorota E Zaborek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639317415 PECOS PAC ID: 2961663687 Enrollment ID: I20220426000409 |
| Provider Name | Jessica P Treise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437892072 PECOS PAC ID: 3173910510 Enrollment ID: I20220503001986 |
| Provider Name | Brianna Henyecz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679227482 PECOS PAC ID: 3274920673 Enrollment ID: I20220504001638 |
| Provider Name | Justine Nesset |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669067377 PECOS PAC ID: 7911313226 Enrollment ID: I20220505001735 |
| Provider Name | Irina Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396494415 PECOS PAC ID: 7719364009 Enrollment ID: I20220505001873 |
| Provider Name | Steven Scott Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912034984 PECOS PAC ID: 8820261142 Enrollment ID: I20220506002273 |
| Provider Name | Tameka Denise Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114685161 PECOS PAC ID: 0446637516 Enrollment ID: I20220510001996 |
| Provider Name | Carmelo Javier Virgala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194261446 PECOS PAC ID: 6103203120 Enrollment ID: I20220512002888 |
| Provider Name | Christina Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518604701 PECOS PAC ID: 4789062183 Enrollment ID: I20220525001547 |
| Provider Name | Raul Enad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659342079 PECOS PAC ID: 9032131479 Enrollment ID: I20220609001505 |
| Provider Name | Heather Schweizer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578656831 PECOS PAC ID: 5092747634 Enrollment ID: I20220617001430 |
| Provider Name | Yanin Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558004747 PECOS PAC ID: 3678952660 Enrollment ID: I20220622001114 |
| Provider Name | Edward Shmukler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528333861 PECOS PAC ID: 8628215274 Enrollment ID: I20220623003420 |
| Provider Name | Joshua Barbir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841759784 PECOS PAC ID: 3072992676 Enrollment ID: I20220627003634 |
| Provider Name | Jean-paul Alishahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124686118 PECOS PAC ID: 4183950793 Enrollment ID: I20220709000689 |
| Provider Name | Nicholas J Byers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386104784 PECOS PAC ID: 5890024921 Enrollment ID: I20220711002680 |
| Provider Name | Krist Quinones Lara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679130850 PECOS PAC ID: 4385971316 Enrollment ID: I20220712004114 |
| Provider Name | Binna Chokshi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558771667 PECOS PAC ID: 0244589679 Enrollment ID: I20220713002968 |
| Provider Name | Jacob W Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265929319 PECOS PAC ID: 4183974561 Enrollment ID: I20220713004275 |
| Provider Name | Andrew Gobrial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285196972 PECOS PAC ID: 1355676032 Enrollment ID: I20220714001104 |
| Provider Name | Adriana Gonzalez-canal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962060475 PECOS PAC ID: 3577944099 Enrollment ID: I20220714003560 |
| Provider Name | Yan Wolfson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760404529 PECOS PAC ID: 0941484307 Enrollment ID: I20220718003016 |
| Provider Name | Makenzie Rae Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093209645 PECOS PAC ID: 0749530079 Enrollment ID: I20220718003982 |
| Provider Name | Sharon Ann Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063035467 PECOS PAC ID: 5890176127 Enrollment ID: I20220719000607 |
| Provider Name | Mary M Leslie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588123343 PECOS PAC ID: 5890119739 Enrollment ID: I20220721001187 |
| Provider Name | Mark Leo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730117730 PECOS PAC ID: 5890834725 Enrollment ID: I20220721003287 |
| Provider Name | Erin Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780794412 PECOS PAC ID: 1153390075 Enrollment ID: I20220721003639 |
| Provider Name | Jennifer Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295349397 PECOS PAC ID: 8123438728 Enrollment ID: I20220726001402 |
| Provider Name | Laura Catherine Nall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306308770 PECOS PAC ID: 5890129183 Enrollment ID: I20220804000815 |
| Provider Name | Julie Beard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700375631 PECOS PAC ID: 8123366945 Enrollment ID: I20220805002227 |
| Provider Name | Kristin Elizabeth Thiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154828994 PECOS PAC ID: 7416205463 Enrollment ID: I20220811002423 |
| Provider Name | Marlenis Ginarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336677459 PECOS PAC ID: 4688938814 Enrollment ID: I20220816000441 |
| Provider Name | Ashley Pezzi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457884066 PECOS PAC ID: 4385913474 Enrollment ID: I20220816000875 |
| Provider Name | Latoya Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659010486 PECOS PAC ID: 5193108512 Enrollment ID: I20220818000577 |
| Provider Name | Tina Marie Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023273232 PECOS PAC ID: 5799848206 Enrollment ID: I20220823000045 |
| Provider Name | Samantha Ann Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598491409 PECOS PAC ID: 8820471972 Enrollment ID: I20220823000342 |
| Provider Name | Nicole Martha Fornal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821727439 PECOS PAC ID: 0244614873 Enrollment ID: I20220831002453 |
| Provider Name | Raquel Lee Beauchamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538887146 PECOS PAC ID: 0547644643 Enrollment ID: I20220908000598 |
| Provider Name | Jessica Lynn Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518695816 PECOS PAC ID: 0840675872 Enrollment ID: I20220912002848 |
| Provider Name | Richard Evers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457981177 PECOS PAC ID: 7810372455 Enrollment ID: I20220916002548 |
| Provider Name | Arnovis Baluja Echevarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235882168 PECOS PAC ID: 9638554231 Enrollment ID: I20220919000845 |
| Provider Name | Leah Anna Kuruvilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194453290 PECOS PAC ID: 4981089471 Enrollment ID: I20220920001696 |
| Provider Name | Kemeelyt Cobie Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912636366 PECOS PAC ID: 0941685374 Enrollment ID: I20220921000075 |
| Provider Name | John Rosanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366420986 PECOS PAC ID: 2769586064 Enrollment ID: I20220926002701 |
| Provider Name | Livia B Lozano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467940940 PECOS PAC ID: 9638574460 Enrollment ID: I20221013001635 |
| Provider Name | Lynz Judith Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992420053 PECOS PAC ID: 6002282936 Enrollment ID: I20221018003170 |
| Provider Name | Oliver U. Pioquinto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740570001 PECOS PAC ID: 2264808104 Enrollment ID: I20221019000004 |
| Provider Name | Marcel A Ionita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871715524 PECOS PAC ID: 3173690633 Enrollment ID: I20221019002202 |
| Provider Name | Nichole Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215652276 PECOS PAC ID: 4082080429 Enrollment ID: I20221026001266 |
| Provider Name | Maria Del Mar Felix Morales |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265984975 PECOS PAC ID: 7416355565 Enrollment ID: I20221103000994 |
| Provider Name | Ann Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023733490 PECOS PAC ID: 4082082565 Enrollment ID: I20221115002727 |
| Provider Name | David Kupkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467470211 PECOS PAC ID: 7719969880 Enrollment ID: I20221116000006 |
| Provider Name | Richard A Santa-cruz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861423758 PECOS PAC ID: 3173536976 Enrollment ID: I20221116002864 |
| Provider Name | Kara Lomski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609583962 PECOS PAC ID: 1759759020 Enrollment ID: I20221116003335 |
| Provider Name | Valentine R Tarrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902521933 PECOS PAC ID: 1052789799 Enrollment ID: I20221130001117 |
| Provider Name | Lydia Mcilroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841800083 PECOS PAC ID: 5991174161 Enrollment ID: I20221209001051 |
| Provider Name | Amanda Barbara Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346958493 PECOS PAC ID: 6901277649 Enrollment ID: I20230117002383 |
| Provider Name | Joshua R Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508578790 PECOS PAC ID: 3375914674 Enrollment ID: I20230125000089 |
| Provider Name | Mayank S Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699162099 PECOS PAC ID: 8325390446 Enrollment ID: I20230128000493 |
| Provider Name | Sadia Khanani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740572049 PECOS PAC ID: 3476844655 Enrollment ID: I20230207000676 |
| Provider Name | Aileen R. Alviar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205562246 PECOS PAC ID: 8426420555 Enrollment ID: I20230217001361 |
| Provider Name | Omar Blas Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699008896 PECOS PAC ID: 4789057761 Enrollment ID: I20230223000170 |
| Provider Name | Angela Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235836396 PECOS PAC ID: 7911370994 Enrollment ID: I20230223000292 |
| Provider Name | Jacob Witt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609306737 PECOS PAC ID: 6709158595 Enrollment ID: I20230224001746 |
| Provider Name | Mary E Storm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235840836 PECOS PAC ID: 0042684565 Enrollment ID: I20230324001114 |
| Provider Name | Shannon Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982308482 PECOS PAC ID: 0345605341 Enrollment ID: I20230426002112 |
| Provider Name | Maria L Laquian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003514225 PECOS PAC ID: 8426413998 Enrollment ID: I20230505001515 |
| Provider Name | Michael C Roesel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386139814 PECOS PAC ID: 1052749629 Enrollment ID: I20230506000004 |
| Provider Name | Sarah M Courtney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225725914 PECOS PAC ID: 9032575261 Enrollment ID: I20230515000495 |
| Provider Name | Anisleidys Munoz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194210187 PECOS PAC ID: 0648519256 Enrollment ID: I20230524001461 |
| Provider Name | Alina Popa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518909555 PECOS PAC ID: 8921012857 Enrollment ID: I20230524001551 |
| Provider Name | Marcy L Jackovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699744888 PECOS PAC ID: 8022912849 Enrollment ID: I20230524002212 |
| Provider Name | Erik Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306461678 PECOS PAC ID: 7719345313 Enrollment ID: I20230613003795 |
| Provider Name | Alison Beth Trimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497474126 PECOS PAC ID: 4789042763 Enrollment ID: I20230623000550 |
| Provider Name | Kiersta Borrego |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033679220 PECOS PAC ID: 6406187525 Enrollment ID: I20230630003035 |
| Provider Name | Amanda Mariah Munden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063197341 PECOS PAC ID: 0042670259 Enrollment ID: I20230720000039 |
| Provider Name | Jacqueline Payne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245308048 PECOS PAC ID: 9234281916 Enrollment ID: I20230724001167 |
| Provider Name | Nickiesh Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023773900 PECOS PAC ID: 9537520424 Enrollment ID: I20230725000612 |
| Provider Name | Mark Prebonich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912094442 PECOS PAC ID: 7416961503 Enrollment ID: I20230814001822 |
| Provider Name | Cesar Sanchez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649807447 PECOS PAC ID: 8921421041 Enrollment ID: I20230815000841 |
| Provider Name | Nichole Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154976595 PECOS PAC ID: 7911339627 Enrollment ID: I20230821000991 |
| Provider Name | Stephanie Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053093765 PECOS PAC ID: 9335502087 Enrollment ID: I20230828002937 |
| Provider Name | Fernando Carballo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427010362 PECOS PAC ID: 5496742520 Enrollment ID: I20230905000846 |
| Provider Name | Emily Camille Birkhead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144934282 PECOS PAC ID: 1254795412 Enrollment ID: I20230907000788 |
| Provider Name | Casey Ray Langford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093495459 PECOS PAC ID: 8022472299 Enrollment ID: I20230907001072 |
| Provider Name | Kimberly Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760053201 PECOS PAC ID: 7618331521 Enrollment ID: I20230912000044 |
| Provider Name | Maria E Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679258842 PECOS PAC ID: 0648634238 Enrollment ID: I20230914004292 |
| Provider Name | Erica Cromwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932547056 PECOS PAC ID: 6608134374 Enrollment ID: I20231009001986 |
| Provider Name | Teresa Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295517506 PECOS PAC ID: 1355797143 Enrollment ID: I20231031001742 |
| Provider Name | Sydney Krantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023890019 PECOS PAC ID: 6406202217 Enrollment ID: I20231031002387 |
| Provider Name | Francesca Blazekovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659900355 PECOS PAC ID: 2062868722 Enrollment ID: I20231101000975 |
| Provider Name | Daineris Crespo Velazco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487330429 PECOS PAC ID: 1951758598 Enrollment ID: I20231103001868 |
| Provider Name | Lis Betty Crespo Cuellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235835513 PECOS PAC ID: 4183071616 Enrollment ID: I20231106001538 |
| Provider Name | Julie Ann Dinicola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245515303 PECOS PAC ID: 0648438705 Enrollment ID: I20231126000055 |
| Provider Name | Ileana Halley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407338221 PECOS PAC ID: 0941658793 Enrollment ID: I20231205000130 |
| Provider Name | Roxana Maria Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013781806 PECOS PAC ID: 0941659759 Enrollment ID: I20231205003043 |
| Provider Name | Jennifer Tchadjeu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437807955 PECOS PAC ID: 5294121976 Enrollment ID: I20231211003744 |
| Provider Name | Jason Ensor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639854805 PECOS PAC ID: 5092165084 Enrollment ID: I20240103003218 |
| Provider Name | William W Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801358163 PECOS PAC ID: 8123355542 Enrollment ID: I20240109000124 |
| Provider Name | Juanita Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720851140 PECOS PAC ID: 3971753823 Enrollment ID: I20240109001837 |
| Provider Name | Maniram Rampersaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356118855 PECOS PAC ID: 2860844230 Enrollment ID: I20240122002299 |
| Provider Name | Lorena Brito Aragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679340558 PECOS PAC ID: 6103279369 Enrollment ID: I20240124003205 |
| Provider Name | Alberta Majuste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154002798 PECOS PAC ID: 7315390226 Enrollment ID: I20240126003367 |
| Provider Name | Kelly Marie Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417645680 PECOS PAC ID: 2163866203 Enrollment ID: I20240216003166 |
| Provider Name | Jennifer Lee Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730942970 PECOS PAC ID: 0941644967 Enrollment ID: I20240219000657 |
| Provider Name | Brian Wayne Mohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609630698 PECOS PAC ID: 5890130884 Enrollment ID: I20240229002029 |
| Provider Name | Wendy Phelps-byam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396466728 PECOS PAC ID: 0143697508 Enrollment ID: I20240314000966 |
| Provider Name | Chrissy Jo Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760011605 PECOS PAC ID: 5193181816 Enrollment ID: I20240314004275 |
| Provider Name | Bethany Choo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669047676 PECOS PAC ID: 0244678068 Enrollment ID: I20240329000478 |
| Provider Name | Lloyd Javier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558503680 PECOS PAC ID: 6204092166 Enrollment ID: I20240410000872 |
| Provider Name | Karen Bapst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487418406 PECOS PAC ID: 5799124210 Enrollment ID: I20240417001657 |
| Provider Name | Theresa Marie Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386418150 PECOS PAC ID: 1355781352 Enrollment ID: I20240424001524 |
| Provider Name | Tammy Jennifer Fiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134904410 PECOS PAC ID: 6103266168 Enrollment ID: I20240424004088 |
| Provider Name | Valentina Balogh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083228548 PECOS PAC ID: 7810337565 Enrollment ID: I20240429003654 |
| Provider Name | Kailey Christenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952891343 PECOS PAC ID: 3971943044 Enrollment ID: I20240507000567 |
| Provider Name | Stephanie Whipple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225475239 PECOS PAC ID: 8921398389 Enrollment ID: I20240520003075 |
| Provider Name | Lashaun Mcdowell-esaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548041031 PECOS PAC ID: 4082056197 Enrollment ID: I20240521002445 |
| Provider Name | Reshma Rappai Arakkal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205698990 PECOS PAC ID: 4082056031 Enrollment ID: I20240522003980 |
| Provider Name | Jason Spring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114011459 PECOS PAC ID: 5991842023 Enrollment ID: I20240530000299 |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |