| Mngi Digestive Health, P.a. | |
|
3001 Broadway St Ne Ste 500 Minneapolis MN 55413 | |
| (612) 871-1145 | |
| (612) 870-5491 |
| Full Name | Mngi Digestive Health, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3001 Broadway St Ne Ste 500, Minneapolis, Minnesota |
| Authorized Official Name and Position | Scott Ketover (PRESIDENT) |
| Authorized Official Contact | 6128711145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mngi Digestive Health, P.a. Po Box 14909 Minneapolis MN 55414-0909 Ph: (612) 871-1145 | Mngi Digestive Health, P.a. 3001 Broadway St Ne Ste 500 Minneapolis MN 55413 Ph: (612) 871-1145 |
| NPI Number | 1609804541 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 05/19/2020 |
| Medicare PECOS PAC ID | 8123016557 |
|---|---|
| Medicare Enrollment ID | O20040504001467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609804541 | NPI | - | NPPES |
| 329508700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 593 (Minnesota) | Primary |
| Provider Name | Ruby Waga Moss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184688863 PECOS PAC ID: 8325952294 Enrollment ID: I20031114000445 |
| Provider Name | Kimberly A Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295794816 PECOS PAC ID: 2163329137 Enrollment ID: I20031217000686 |
| Provider Name | Neil Phelan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013990076 PECOS PAC ID: 6507768694 Enrollment ID: I20040121000001 |
| Provider Name | Gregory Simelgor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548372840 PECOS PAC ID: 9830091412 Enrollment ID: I20040123000502 |
| Provider Name | Lynell M Finstad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104892512 PECOS PAC ID: 1658273008 Enrollment ID: I20040126000036 |
| Provider Name | Ronald M Schwartz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407816473 PECOS PAC ID: 8729971080 Enrollment ID: I20040203000072 |
| Provider Name | Denise A Hunninghake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619949344 PECOS PAC ID: 8527951896 Enrollment ID: I20040203000149 |
| Provider Name | David G Perdue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346324506 PECOS PAC ID: 3375437312 Enrollment ID: I20040211000473 |
| Provider Name | Elizabeth Kroutil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871595546 PECOS PAC ID: 0547157406 Enrollment ID: I20040304000020 |
| Provider Name | Kathleen A Lamaie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275525800 PECOS PAC ID: 7618865106 Enrollment ID: I20040308000032 |
| Provider Name | Joseph M Weishaar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821077421 PECOS PAC ID: 2365332194 Enrollment ID: I20040317000082 |
| Provider Name | Danilo N Lovinaria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154384048 PECOS PAC ID: 4981691326 Enrollment ID: I20040428000606 |
| Provider Name | Karin M Rettig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366402679 PECOS PAC ID: 0042209801 Enrollment ID: I20040507001033 |
| Provider Name | Kathleen D Henke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316910938 PECOS PAC ID: 2163411570 Enrollment ID: I20040511000484 |
| Provider Name | Mohamed Abdirahman Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992739494 PECOS PAC ID: 9335122431 Enrollment ID: I20040610000256 |
| Provider Name | Jason M Erickson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992796676 PECOS PAC ID: 0840277224 Enrollment ID: I20040702000649 |
| Provider Name | Jody L Kleyman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972582823 PECOS PAC ID: 1759360092 Enrollment ID: I20040719001322 |
| Provider Name | April B Grudell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750361283 PECOS PAC ID: 4880667930 Enrollment ID: I20040817000366 |
| Provider Name | Nicholas Carl Boetticher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295706620 PECOS PAC ID: 3476512773 Enrollment ID: I20041004000342 |
| Provider Name | Stacie L Crawford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588763361 PECOS PAC ID: 0941266829 Enrollment ID: I20041202000370 |
| Provider Name | Stacey J Hanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609836949 PECOS PAC ID: 3274590682 Enrollment ID: I20041217000207 |
| Provider Name | Karin A Kenyon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821090564 PECOS PAC ID: 4587622154 Enrollment ID: I20041229000433 |
| Provider Name | Barbara A Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366402117 PECOS PAC ID: 9335197326 Enrollment ID: I20050106000354 |
| Provider Name | Pamela K Carlson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669431557 PECOS PAC ID: 9335197888 Enrollment ID: I20050111000627 |
| Provider Name | Sara E Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265530802 PECOS PAC ID: 4789631524 Enrollment ID: I20050405000228 |
| Provider Name | Michelle A Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457315897 PECOS PAC ID: 5395792634 Enrollment ID: I20050407001023 |
| Provider Name | Ramalingam Arumugam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265404057 PECOS PAC ID: 8325036635 Enrollment ID: I20050421000864 |
| Provider Name | Karrin L Stoehr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730121609 PECOS PAC ID: 4385683960 Enrollment ID: I20050503000650 |
| Provider Name | Sandeep Bahadur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932176831 PECOS PAC ID: 2365482148 Enrollment ID: I20050511000499 |
| Provider Name | Craig Alan Solem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801873377 PECOS PAC ID: 4789625104 Enrollment ID: I20050517000089 |
| Provider Name | Douglas Alan Dubbink |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831201581 PECOS PAC ID: 7315980745 Enrollment ID: I20050607000741 |
| Provider Name | Nadeem Chaudhary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649246018 PECOS PAC ID: 5193769586 Enrollment ID: I20050616000417 |
| Provider Name | Kathryn F Westby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336103720 PECOS PAC ID: 5395776082 Enrollment ID: I20050823000208 |
| Provider Name | Laurie Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346342540 PECOS PAC ID: 7113994286 Enrollment ID: I20050830000027 |
| Provider Name | Suzanne F Shearen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700846938 PECOS PAC ID: 3072545938 Enrollment ID: I20050831000698 |
| Provider Name | Julie A Otto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124083860 PECOS PAC ID: 4587680558 Enrollment ID: I20051019000299 |
| Provider Name | Margaret M Paulson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346202298 PECOS PAC ID: 0840216818 Enrollment ID: I20051019000317 |
| Provider Name | Jennifer S Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659347052 PECOS PAC ID: 8921026535 Enrollment ID: I20051102000764 |
| Provider Name | Bethany Marie Undis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801974878 PECOS PAC ID: 9830118249 Enrollment ID: I20051115000738 |
| Provider Name | Zongyu J Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013980440 PECOS PAC ID: 3476572637 Enrollment ID: I20051116000813 |
| Provider Name | Michelle S Kennedy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023080751 PECOS PAC ID: 4981692266 Enrollment ID: I20051116000974 |
| Provider Name | Roxanne R Mcmurray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073577904 PECOS PAC ID: 7719907815 Enrollment ID: I20051205000517 |
| Provider Name | Amanda M Boland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649249202 PECOS PAC ID: 9335153444 Enrollment ID: I20060127000497 |
| Provider Name | Christopher Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871551960 PECOS PAC ID: 4688689086 Enrollment ID: I20060207000086 |
| Provider Name | Glenn R Gourley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689606287 PECOS PAC ID: 2769498526 Enrollment ID: I20060302000612 |
| Provider Name | Angela M Wiski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235237371 PECOS PAC ID: 4981610771 Enrollment ID: I20060303000122 |
| Provider Name | Marlene M Kiester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659346930 PECOS PAC ID: 8224045638 Enrollment ID: I20060309000478 |
| Provider Name | Polly C Sipe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710934831 PECOS PAC ID: 1153339791 Enrollment ID: I20060323000636 |
| Provider Name | Diane L Deigmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811966864 PECOS PAC ID: 2961413471 Enrollment ID: I20060517000095 |
| Provider Name | Federico Rossi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801879242 PECOS PAC ID: 6103855689 Enrollment ID: I20060523000023 |
| Provider Name | John D Liveringhouse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902874829 PECOS PAC ID: 5890760037 Enrollment ID: I20060602000222 |
| Provider Name | Laura J Ludwig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548237035 PECOS PAC ID: 7012929433 Enrollment ID: I20060628000257 |
| Provider Name | Kirk D Wilson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508823543 PECOS PAC ID: 3779596796 Enrollment ID: I20060717000128 |
| Provider Name | Panagiotis Panagiotakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043241292 PECOS PAC ID: 6002829306 Enrollment ID: I20060802000375 |
| Provider Name | Joanne E Heerwald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457352650 PECOS PAC ID: 2668477852 Enrollment ID: I20060921000408 |
| Provider Name | Mark Gujer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740290717 PECOS PAC ID: 1052355989 Enrollment ID: I20061009000152 |
| Provider Name | Scott M Mensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659468577 PECOS PAC ID: 8729084785 Enrollment ID: I20061013000486 |
| Provider Name | Michelle M Bjork |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194752675 PECOS PAC ID: 9436156189 Enrollment ID: I20061023000378 |
| Provider Name | James A Gruenwald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528009131 PECOS PAC ID: 5890792287 Enrollment ID: I20061107000260 |
| Provider Name | Linh T Geist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023185709 PECOS PAC ID: 3577562057 Enrollment ID: I20061211000359 |
| Provider Name | Angela M Biebel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831248558 PECOS PAC ID: 9436150398 Enrollment ID: I20070122000062 |
| Provider Name | Stephen J Rudolph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205970258 PECOS PAC ID: 9931206588 Enrollment ID: I20070516000505 |
| Provider Name | Rebecca F King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013136977 PECOS PAC ID: 5193822260 Enrollment ID: I20070524000278 |
| Provider Name | Christy S Armstrong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861455396 PECOS PAC ID: 4789783242 Enrollment ID: I20070625000087 |
| Provider Name | Scott P Keeley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457405946 PECOS PAC ID: 7012018922 Enrollment ID: I20070723000309 |
| Provider Name | Robyn M Majestic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245299981 PECOS PAC ID: 5294826921 Enrollment ID: I20070809000159 |
| Provider Name | Erin M Pawlaski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801092846 PECOS PAC ID: 4082705686 Enrollment ID: I20070811000006 |
| Provider Name | Aaron A Link |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912080771 PECOS PAC ID: 0244323608 Enrollment ID: I20070830000812 |
| Provider Name | Paul Dambowy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144412503 PECOS PAC ID: 5294829602 Enrollment ID: I20070917000119 |
| Provider Name | Lennie D Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538121124 PECOS PAC ID: 9436243441 Enrollment ID: I20070921000359 |
| Provider Name | Sundeep Arora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770649626 PECOS PAC ID: 5890880397 Enrollment ID: I20070928000148 |
| Provider Name | Michael P Zirbes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174515688 PECOS PAC ID: 7416044979 Enrollment ID: I20071030000576 |
| Provider Name | Linda Marie Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518166982 PECOS PAC ID: 8426146010 Enrollment ID: I20071115000198 |
| Provider Name | Patrick M Oreilly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144281031 PECOS PAC ID: 1850389149 Enrollment ID: I20071213000638 |
| Provider Name | David Scott Hanson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922071356 PECOS PAC ID: 9133117427 Enrollment ID: I20071213000658 |
| Provider Name | Sean M Orourke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295924314 PECOS PAC ID: 0446340046 Enrollment ID: I20071219000819 |
| Provider Name | Ann E Keogan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306801048 PECOS PAC ID: 1557443389 Enrollment ID: I20080131000536 |
| Provider Name | Jennifer L Stotesbery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992993679 PECOS PAC ID: 4183707276 Enrollment ID: I20080213000135 |
| Provider Name | Philip H Stoltenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447210760 PECOS PAC ID: 4981692274 Enrollment ID: I20080213000154 |
| Provider Name | Jeffrey M Rank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790750271 PECOS PAC ID: 8729076013 Enrollment ID: I20080213000159 |
| Provider Name | Joshua B Colton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083686745 PECOS PAC ID: 9638167968 Enrollment ID: I20080213000173 |
| Provider Name | Paul M Vargo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902866122 PECOS PAC ID: 5799773081 Enrollment ID: I20080213000256 |
| Provider Name | Stanley Go |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588636286 PECOS PAC ID: 5698763936 Enrollment ID: I20080213000295 |
| Provider Name | Alana M Carnevale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659565505 PECOS PAC ID: 8022191873 Enrollment ID: I20080216000050 |
| Provider Name | Boris Sudel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336349778 PECOS PAC ID: 9032294251 Enrollment ID: I20080312000570 |
| Provider Name | Adam D Pardo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639363948 PECOS PAC ID: 4385720739 Enrollment ID: I20080325000613 |
| Provider Name | Annette J Combo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477554970 PECOS PAC ID: 2264503713 Enrollment ID: I20080611000532 |
| Provider Name | Amy M Shirilla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225292626 PECOS PAC ID: 2466526975 Enrollment ID: I20080801000036 |
| Provider Name | Kent R Pickrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053387290 PECOS PAC ID: 4183799042 Enrollment ID: I20080812000862 |
| Provider Name | Owen V Elzen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962674093 PECOS PAC ID: 0042385130 Enrollment ID: I20080825000549 |
| Provider Name | Douglas B Nelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124123732 PECOS PAC ID: 6103992607 Enrollment ID: I20080908000157 |
| Provider Name | Kristine E Knorp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942358197 PECOS PAC ID: 4789751520 Enrollment ID: I20080922000103 |
| Provider Name | Betsy S Ellingson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457479495 PECOS PAC ID: 6901973270 Enrollment ID: I20080929000415 |
| Provider Name | Mark A. Virtue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548315302 PECOS PAC ID: 3072681857 Enrollment ID: I20081007000153 |
| Provider Name | Christopher E Semeizer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487819587 PECOS PAC ID: 2466511696 Enrollment ID: I20081103000689 |
| Provider Name | Kirsten A Stapp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861657041 PECOS PAC ID: 7810056918 Enrollment ID: I20081104000563 |
| Provider Name | Melissa J Shepard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871756197 PECOS PAC ID: 9436218534 Enrollment ID: I20081104000581 |
| Provider Name | Teresa R Losch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578720843 PECOS PAC ID: 6507925609 Enrollment ID: I20081104000599 |
| Provider Name | Kirsten L Mcmanaman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568619641 PECOS PAC ID: 4587723523 Enrollment ID: I20081106000178 |
| Provider Name | Margaret M Gallus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205085594 PECOS PAC ID: 1456410133 Enrollment ID: I20081110000781 |
| Provider Name | Kim K Hanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609030923 PECOS PAC ID: 3072675511 Enrollment ID: I20081217000716 |
| Provider Name | Benjamin A Frost |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457501256 PECOS PAC ID: 3678639671 Enrollment ID: I20090226000504 |
| Provider Name | Krista L Ness |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467699728 PECOS PAC ID: 1052478096 Enrollment ID: I20090319000085 |
| Provider Name | Nissa I Erickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831140201 PECOS PAC ID: 8224041710 Enrollment ID: I20090422000549 |
| Provider Name | Kristen M Bainbridge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043461478 PECOS PAC ID: 8921158072 Enrollment ID: I20090610000619 |
| Provider Name | Curtis W Pascoe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700856002 PECOS PAC ID: 4486704251 Enrollment ID: I20090617000095 |
| Provider Name | Paul W Gray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245290576 PECOS PAC ID: 3375693146 Enrollment ID: I20090617000106 |
| Provider Name | Annie L Hoese |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487831293 PECOS PAC ID: 1557412301 Enrollment ID: I20090708000049 |
| Provider Name | Courtney E Barancin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336116920 PECOS PAC ID: 3173699121 Enrollment ID: I20090928000149 |
| Provider Name | Adam S Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952587099 PECOS PAC ID: 0840337556 Enrollment ID: I20091029000443 |
| Provider Name | Shannon L Minnehan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538493374 PECOS PAC ID: 5092852616 Enrollment ID: I20091029000600 |
| Provider Name | Donald L Zogg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093737686 PECOS PAC ID: 8820021587 Enrollment ID: I20100128000269 |
| Provider Name | Mara P Prusak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669604880 PECOS PAC ID: 1254479926 Enrollment ID: I20100208000759 |
| Provider Name | Richard Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942254784 PECOS PAC ID: 6800939927 Enrollment ID: I20100211000172 |
| Provider Name | David A Ferenci |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194797878 PECOS PAC ID: 4981692225 Enrollment ID: I20100512001085 |
| Provider Name | Caryn Fine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740252436 PECOS PAC ID: 8325036627 Enrollment ID: I20100512001095 |
| Provider Name | Cynthia A Sherman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891760393 PECOS PAC ID: 6002804358 Enrollment ID: I20100514000711 |
| Provider Name | Robert P Mccabe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710948617 PECOS PAC ID: 7719975010 Enrollment ID: I20100514000800 |
| Provider Name | Samuel H Leon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326010067 PECOS PAC ID: 1557359890 Enrollment ID: I20100515000026 |
| Provider Name | Robert D Mackie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194790667 PECOS PAC ID: 2365430667 Enrollment ID: I20100515000030 |
| Provider Name | Sandra L Denman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508838277 PECOS PAC ID: 6002804341 Enrollment ID: I20100515000034 |
| Provider Name | Robert A Ganz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982676672 PECOS PAC ID: 6002711413 Enrollment ID: I20100515000037 |
| Provider Name | Richard W Blomberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912950973 PECOS PAC ID: 2769511963 Enrollment ID: I20100526000871 |
| Provider Name | Neville Basman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275505018 PECOS PAC ID: 3375531650 Enrollment ID: I20100528000291 |
| Provider Name | Philip W Lowry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497720957 PECOS PAC ID: 4486642766 Enrollment ID: I20100601000819 |
| Provider Name | Thomas E Lyons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154377026 PECOS PAC ID: 2567592942 Enrollment ID: I20100610000941 |
| Provider Name | Samuel David Feldshon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861464547 PECOS PAC ID: 3375531619 Enrollment ID: I20100615000942 |
| Provider Name | Thomas L Maggs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467409474 PECOS PAC ID: 9830220615 Enrollment ID: I20100622000750 |
| Provider Name | Jimmy S Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467413278 PECOS PAC ID: 5193713444 Enrollment ID: I20100622000900 |
| Provider Name | Irfan Sandozi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841265337 PECOS PAC ID: 8123016409 Enrollment ID: I20100624000755 |
| Provider Name | David Weinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811957038 PECOS PAC ID: 6103814447 Enrollment ID: I20100624000869 |
| Provider Name | Gina Storrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699735910 PECOS PAC ID: 8426189184 Enrollment ID: I20100624000885 |
| Provider Name | Mark Boldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922070762 PECOS PAC ID: 1850422361 Enrollment ID: I20100628000519 |
| Provider Name | Scott Ketover |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730151473 PECOS PAC ID: 7416852835 Enrollment ID: I20100706000191 |
| Provider Name | Joshua A Martini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700833621 PECOS PAC ID: 4183756802 Enrollment ID: I20100715000870 |
| Provider Name | Catherine L Skagen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578528675 PECOS PAC ID: 1254463482 Enrollment ID: I20100722000941 |
| Provider Name | Stephen J Gilberstadt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972575678 PECOS PAC ID: 2668460940 Enrollment ID: I20100729000915 |
| Provider Name | Polly A Nesset |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205896511 PECOS PAC ID: 2062536659 Enrollment ID: I20100903000264 |
| Provider Name | Benjamin L Mitlyng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548434210 PECOS PAC ID: 3577687177 Enrollment ID: I20100903000322 |
| Provider Name | Thomas B Koenig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760419741 PECOS PAC ID: 9537256706 Enrollment ID: I20100910001090 |
| Provider Name | Morli J Gamm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164521159 PECOS PAC ID: 4789700014 Enrollment ID: I20100923001551 |
| Provider Name | Abby K Wiberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316256282 PECOS PAC ID: 8224224951 Enrollment ID: I20101120000046 |
| Provider Name | David Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447252069 PECOS PAC ID: 2567641525 Enrollment ID: I20110121000980 |
| Provider Name | Jennifer M Krajacic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871893032 PECOS PAC ID: 8628252327 Enrollment ID: I20110404000799 |
| Provider Name | Katherine A Dow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174827323 PECOS PAC ID: 1951585413 Enrollment ID: I20110406000921 |
| Provider Name | Bonnie B Schmitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750684908 PECOS PAC ID: 1850575358 Enrollment ID: I20110407000395 |
| Provider Name | Heather M Layton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538463989 PECOS PAC ID: 0143404665 Enrollment ID: I20110407000613 |
| Provider Name | Rajanshu Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699977926 PECOS PAC ID: 7113101338 Enrollment ID: I20110413000604 |
| Provider Name | Leah M Gordon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962704577 PECOS PAC ID: 7214111202 Enrollment ID: I20110415000693 |
| Provider Name | Kari A Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265737647 PECOS PAC ID: 7012192123 Enrollment ID: I20110504000418 |
| Provider Name | Nicole Marie Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851626725 PECOS PAC ID: 4587709035 Enrollment ID: I20110628000620 |
| Provider Name | Rebecca J Armbruster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205115136 PECOS PAC ID: 3274706122 Enrollment ID: I20111109000543 |
| Provider Name | Matthew J Lundy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427345735 PECOS PAC ID: 8224202114 Enrollment ID: I20111110000208 |
| Provider Name | Stephanie L Czech |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063660173 PECOS PAC ID: 7214096114 Enrollment ID: I20111201000059 |
| Provider Name | Tessa M Van Overbeke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457630436 PECOS PAC ID: 0749455301 Enrollment ID: I20111208000837 |
| Provider Name | Bertha E Toriz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962612390 PECOS PAC ID: 7517132798 Enrollment ID: I20111216000553 |
| Provider Name | Elizabeth L Larsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790725810 PECOS PAC ID: 6608042791 Enrollment ID: I20111220000196 |
| Provider Name | Peter Pico |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538300157 PECOS PAC ID: 5890961510 Enrollment ID: I20111230000410 |
| Provider Name | Tanya M Simpson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447535703 PECOS PAC ID: 6204002579 Enrollment ID: I20120109000427 |
| Provider Name | Thomas E Noble |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780646257 PECOS PAC ID: 4587830773 Enrollment ID: I20120111000026 |
| Provider Name | Tina M Kubat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659330389 PECOS PAC ID: 8426225699 Enrollment ID: I20120111000953 |
| Provider Name | Joseph J Gordon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104103027 PECOS PAC ID: 1759557903 Enrollment ID: I20120117000027 |
| Provider Name | Lori L Miranda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942261276 PECOS PAC ID: 6608033550 Enrollment ID: I20120203000207 |
| Provider Name | Heather R Ross-chalupnik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427327121 PECOS PAC ID: 0446417182 Enrollment ID: I20120207000671 |
| Provider Name | Stephen M Brzica |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407960164 PECOS PAC ID: 0143286807 Enrollment ID: I20120215000956 |
| Provider Name | Beth E Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427088418 PECOS PAC ID: 4385802503 Enrollment ID: I20120220000663 |
| Provider Name | Elaina S Moss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811223738 PECOS PAC ID: 9436294071 Enrollment ID: I20120614000239 |
| Provider Name | Brian T Moss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902132822 PECOS PAC ID: 8022153576 Enrollment ID: I20120614000330 |
| Provider Name | Mark G Bartlett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134162118 PECOS PAC ID: 0244217487 Enrollment ID: I20120821000777 |
| Provider Name | Cristy R Jensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194986075 PECOS PAC ID: 0840447033 Enrollment ID: I20120822000766 |
| Provider Name | Esther K Connor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205092103 PECOS PAC ID: 1052580370 Enrollment ID: I20120904000190 |
| Provider Name | Jose Antonio Vega Peralta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447427588 PECOS PAC ID: 7012164544 Enrollment ID: I20120905000638 |
| Provider Name | Yan G Bakman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164510889 PECOS PAC ID: 5890941314 Enrollment ID: I20120917000294 |
| Provider Name | Elizabeth J Fallon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609011949 PECOS PAC ID: 7719136647 Enrollment ID: I20121009000220 |
| Provider Name | Constance L Gilloon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316051626 PECOS PAC ID: 4486778362 Enrollment ID: I20121015000368 |
| Provider Name | Sara L Holsather |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386999084 PECOS PAC ID: 5698925980 Enrollment ID: I20121023000144 |
| Provider Name | Ahmed El-sayed Kandiel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700875457 PECOS PAC ID: 6709810716 Enrollment ID: I20121205000382 |
| Provider Name | Kathleen P Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407100357 PECOS PAC ID: 4486806619 Enrollment ID: I20121214000114 |
| Provider Name | Joseph S Henefield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114278876 PECOS PAC ID: 0648416925 Enrollment ID: I20130410000473 |
| Provider Name | Jade M Oberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154671279 PECOS PAC ID: 3274779566 Enrollment ID: I20130410000499 |
| Provider Name | Dahlia Awais |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154316750 PECOS PAC ID: 0244261105 Enrollment ID: I20130417000722 |
| Provider Name | Megan L Kakela |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518263797 PECOS PAC ID: 7810138500 Enrollment ID: I20130723000187 |
| Provider Name | Erica N Roberson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013975390 PECOS PAC ID: 6103912332 Enrollment ID: I20130724000660 |
| Provider Name | Raghuwansh P Sah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295020253 PECOS PAC ID: 0941446785 Enrollment ID: I20130807000285 |
| Provider Name | Khalil W Farah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639363286 PECOS PAC ID: 1658514609 Enrollment ID: I20130823000780 |
| Provider Name | Konnie S Luczak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114359205 PECOS PAC ID: 4082858782 Enrollment ID: I20130919000412 |
| Provider Name | Kevin Rank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104119551 PECOS PAC ID: 6002040334 Enrollment ID: I20130927000648 |
| Provider Name | Andrea L Overgaard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356783039 PECOS PAC ID: 7618103029 Enrollment ID: I20131113000728 |
| Provider Name | Daniel L Perron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447692595 PECOS PAC ID: 2860629565 Enrollment ID: I20131227001284 |
| Provider Name | Justine M Lindgren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154758126 PECOS PAC ID: 7517195027 Enrollment ID: I20140108000559 |
| Provider Name | Sasha M Tisdell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932539079 PECOS PAC ID: 4082842224 Enrollment ID: I20140114001102 |
| Provider Name | Michael A Erickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033540844 PECOS PAC ID: 2062643968 Enrollment ID: I20140318000365 |
| Provider Name | Brita E Romanowicz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528483799 PECOS PAC ID: 3870725278 Enrollment ID: I20140417001892 |
| Provider Name | Carolyn M Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356762033 PECOS PAC ID: 5799918470 Enrollment ID: I20140505000008 |
| Provider Name | Fernando Carballo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427010362 PECOS PAC ID: 5496742520 Enrollment ID: I20140506002180 |
| Provider Name | Stuart A Torgerson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750376596 PECOS PAC ID: 1557310919 Enrollment ID: I20140522000571 |
| Provider Name | Jeffrey B Sanders |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265609085 PECOS PAC ID: 5799908505 Enrollment ID: I20140523001896 |
| Provider Name | Nouredin Alebouyeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144454711 PECOS PAC ID: 9335388495 Enrollment ID: I20140612002263 |
| Provider Name | Justin R Howard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134360704 PECOS PAC ID: 9830314210 Enrollment ID: I20140626001516 |
| Provider Name | Michael Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437445970 PECOS PAC ID: 7214153931 Enrollment ID: I20140731002985 |
| Provider Name | Travis L Krumholz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669880266 PECOS PAC ID: 4688996622 Enrollment ID: I20141203000186 |
| Provider Name | Adam Crna Scudder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275863714 PECOS PAC ID: 7214063569 Enrollment ID: I20150116001201 |
| Provider Name | Erin L Fugleberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265834535 PECOS PAC ID: 7315262284 Enrollment ID: I20150217002126 |
| Provider Name | Kaycie R Lindeman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215325402 PECOS PAC ID: 8820313539 Enrollment ID: I20150220000620 |
| Provider Name | Michelle M Cunningham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003212176 PECOS PAC ID: 2163748658 Enrollment ID: I20150227000297 |
| Provider Name | Kaitlin J Huth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609277631 PECOS PAC ID: 4688990054 Enrollment ID: I20150302000878 |
| Provider Name | Sarah R Wisdom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649668633 PECOS PAC ID: 5395063614 Enrollment ID: I20150417000849 |
| Provider Name | Deepali Mude |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710122213 PECOS PAC ID: 2961658414 Enrollment ID: I20150424000260 |
| Provider Name | Grant T Brekken |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881084408 PECOS PAC ID: 4789904913 Enrollment ID: I20150528002935 |
| Provider Name | Krista Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275928368 PECOS PAC ID: 1759602857 Enrollment ID: I20150601002706 |
| Provider Name | Tory Lawrence Mcgrath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457579203 PECOS PAC ID: 0840397436 Enrollment ID: I20150608001715 |
| Provider Name | Katherine Ojalvo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871970103 PECOS PAC ID: 4082925599 Enrollment ID: I20150624000740 |
| Provider Name | Todd J Trigg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811176779 PECOS PAC ID: 2668562653 Enrollment ID: I20150819008076 |
| Provider Name | Kemo Marong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992174940 PECOS PAC ID: 7618285032 Enrollment ID: I20151006000018 |
| Provider Name | Jessica M Wittenberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750759973 PECOS PAC ID: 3678881901 Enrollment ID: I20151006001004 |
| Provider Name | Kapo L Lew |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487621934 PECOS PAC ID: 7618953050 Enrollment ID: I20151007000190 |
| Provider Name | Daniel M Van Handel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093832453 PECOS PAC ID: 1759475874 Enrollment ID: I20151019001990 |
| Provider Name | Ibrahim Hanouneh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356516777 PECOS PAC ID: 2769622075 Enrollment ID: I20151029000420 |
| Provider Name | Malene G Ford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952771883 PECOS PAC ID: 5698084861 Enrollment ID: I20151029000970 |
| Provider Name | Adam D Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447622758 PECOS PAC ID: 7113237546 Enrollment ID: I20151113001819 |
| Provider Name | Katrin A Pownell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154571214 PECOS PAC ID: 5991863151 Enrollment ID: I20151204000664 |
| Provider Name | Christian D Stevens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538124524 PECOS PAC ID: 2668597071 Enrollment ID: I20160205000993 |
| Provider Name | Heather J Finc |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104284876 PECOS PAC ID: 0547565095 Enrollment ID: I20160222002804 |
| Provider Name | Andrea Jane Silvola |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942633227 PECOS PAC ID: 6406084565 Enrollment ID: I20160304000716 |
| Provider Name | Caroline V Shea |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396077780 PECOS PAC ID: 4880722719 Enrollment ID: I20160315001786 |
| Provider Name | James P Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912326323 PECOS PAC ID: 9739480526 Enrollment ID: I20160318000028 |
| Provider Name | Lisa A Burkauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881053601 PECOS PAC ID: 2163729120 Enrollment ID: I20160318001573 |
| Provider Name | Sajan J Nagpal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073950911 PECOS PAC ID: 0749571800 Enrollment ID: I20160620002493 |
| Provider Name | Bethany L Fiebelkorn Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598917692 PECOS PAC ID: 4688966336 Enrollment ID: I20160718000163 |
| Provider Name | Dina S Khaled |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912360223 PECOS PAC ID: 7012200785 Enrollment ID: I20160719001475 |
| Provider Name | Emily Carver |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942520606 PECOS PAC ID: 3274774799 Enrollment ID: I20160810002859 |
| Provider Name | Brandon K Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346478799 PECOS PAC ID: 1658531256 Enrollment ID: I20160822000253 |
| Provider Name | Laticia Kondrasuk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326417155 PECOS PAC ID: 7214223262 Enrollment ID: I20160831000942 |
| Provider Name | Barry K Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568641298 PECOS PAC ID: 4688855067 Enrollment ID: I20160915002416 |
| Provider Name | Emily Nelson Kevan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760529036 PECOS PAC ID: 8527247964 Enrollment ID: I20160929000152 |
| Provider Name | Andrew Gwost |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063961365 PECOS PAC ID: 0244511020 Enrollment ID: I20170110002718 |
| Provider Name | David A Griver |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720083405 PECOS PAC ID: 9436119716 Enrollment ID: I20170130000764 |
| Provider Name | Lindsey A Dahm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629420070 PECOS PAC ID: 5496030496 Enrollment ID: I20170313002248 |
| Provider Name | Lydia Nyakonu Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013457381 PECOS PAC ID: 5698042711 Enrollment ID: I20170522000571 |
| Provider Name | Tracey Baehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316950686 PECOS PAC ID: 2668749292 Enrollment ID: I20170601001580 |
| Provider Name | Orina Machoka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497288021 PECOS PAC ID: 9436427994 Enrollment ID: I20170626000837 |
| Provider Name | Corbett E Shelton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922393347 PECOS PAC ID: 3779702881 Enrollment ID: I20170630000867 |
| Provider Name | Birtukan Cinnor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215226386 PECOS PAC ID: 0446405617 Enrollment ID: I20170726004299 |
| Provider Name | Jaime De La Fuente |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447614086 PECOS PAC ID: 9436441581 Enrollment ID: I20170810001639 |
| Provider Name | Justin Michael Bartos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669995148 PECOS PAC ID: 6305110693 Enrollment ID: I20170926001217 |
| Provider Name | John A Cambest |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114438488 PECOS PAC ID: 3678835345 Enrollment ID: I20180315002168 |
| Provider Name | Wendy Haller Nerheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285135681 PECOS PAC ID: 7618230475 Enrollment ID: I20180410001222 |
| Provider Name | Conrad F Engler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831480292 PECOS PAC ID: 8224254370 Enrollment ID: I20180727000158 |
| Provider Name | Zubin Arora |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366706723 PECOS PAC ID: 9133477102 Enrollment ID: I20180808000048 |
| Provider Name | Mark E Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740451525 PECOS PAC ID: 6002165222 Enrollment ID: I20180822000592 |
| Provider Name | Sean Teagarden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134411085 PECOS PAC ID: 7012158884 Enrollment ID: I20180823001840 |
| Provider Name | Emily Kern Stern |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649537366 PECOS PAC ID: 0648570499 Enrollment ID: I20180823002036 |
| Provider Name | Megan L Donnelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366973034 PECOS PAC ID: 6406108497 Enrollment ID: I20181002001751 |
| Provider Name | Sheila J Bharmal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922364082 PECOS PAC ID: 0648523936 Enrollment ID: I20181103000137 |
| Provider Name | Rita Marie Ous |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023524451 PECOS PAC ID: 4486998408 Enrollment ID: I20181203001305 |
| Provider Name | Aaron Jerome Topliff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699709931 PECOS PAC ID: 6002829645 Enrollment ID: I20181214001846 |
| Provider Name | Dana H Paugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275630634 PECOS PAC ID: 4880937242 Enrollment ID: I20190528002530 |
| Provider Name | Pamela Raja Puthoor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356504120 PECOS PAC ID: 5092932178 Enrollment ID: I20190715001558 |
| Provider Name | James Anton Vancura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841630506 PECOS PAC ID: 8921242892 Enrollment ID: I20190715002913 |
| Provider Name | Kelsey Therese Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932761020 PECOS PAC ID: 3971839218 Enrollment ID: I20190724003859 |
| Provider Name | Tyson John Sievers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457795775 PECOS PAC ID: 7012246168 Enrollment ID: I20190916000296 |
| Provider Name | Kelsey Middlestaedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821645342 PECOS PAC ID: 1153653985 Enrollment ID: I20191029001143 |
| Provider Name | Harsh R Parikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770870917 PECOS PAC ID: 6002119567 Enrollment ID: I20191216002332 |
| Provider Name | Marisa A Spencer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053637223 PECOS PAC ID: 3870893910 Enrollment ID: I20200327002500 |
| Provider Name | Kavitha Malango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285267922 PECOS PAC ID: 4688004302 Enrollment ID: I20200421001852 |
| Provider Name | Kirk Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760081293 PECOS PAC ID: 3971915398 Enrollment ID: I20201209000616 |
| Provider Name | Nitasha Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972136869 PECOS PAC ID: 9032522107 Enrollment ID: I20210108002445 |
| Provider Name | Nicole Marie Mccracken |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396333050 PECOS PAC ID: 9830504299 Enrollment ID: I20210216003192 |
| Provider Name | Andrea Onstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437741170 PECOS PAC ID: 0547675431 Enrollment ID: I20210301000520 |
| Provider Name | Phillip C Lindholm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932411147 PECOS PAC ID: 7214175496 Enrollment ID: I20210610001082 |
| Provider Name | Thomas Kaminsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033524608 PECOS PAC ID: 4981998598 Enrollment ID: I20210726000447 |
| Provider Name | Suhag Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053608687 PECOS PAC ID: 1658673587 Enrollment ID: I20210820002915 |
| Provider Name | Shelby Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184292153 PECOS PAC ID: 6800291188 Enrollment ID: I20210825000859 |
| Provider Name | Shaz Iqbal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043605108 PECOS PAC ID: 3173871407 Enrollment ID: I20210920000311 |
| Provider Name | Christiann Marie Propp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386313294 PECOS PAC ID: 1254739659 Enrollment ID: I20211015001821 |
| Provider Name | Qun Gao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538330964 PECOS PAC ID: 6709057094 Enrollment ID: I20220321000778 |
| Provider Name | Ashish Tiwari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104119171 PECOS PAC ID: 1052530425 Enrollment ID: I20220504002223 |
| Provider Name | Fadi Niyazi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942566112 PECOS PAC ID: 3476785429 Enrollment ID: I20220531000437 |
| Provider Name | Karin Gilkison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033435474 PECOS PAC ID: 3476859752 Enrollment ID: I20220805003029 |
| Provider Name | Brett Henderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639521289 PECOS PAC ID: 0749575025 Enrollment ID: I20220809003522 |
| Provider Name | Arunkumar Muthusamy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861745507 PECOS PAC ID: 0749583078 Enrollment ID: I20220811000296 |
| Provider Name | Kristin Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194177469 PECOS PAC ID: 2668766536 Enrollment ID: I20220829002637 |
| Provider Name | Kristin Frericks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487385860 PECOS PAC ID: 2466836853 Enrollment ID: I20220902001824 |
| Provider Name | Bethany Simons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760057038 PECOS PAC ID: 8224412564 Enrollment ID: I20220906000246 |
| Provider Name | Wenfei Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326578816 PECOS PAC ID: 0345519062 Enrollment ID: I20230516001513 |
| Provider Name | Kristin Ann Borovsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144761578 PECOS PAC ID: 0547628570 Enrollment ID: I20230622002464 |
| Provider Name | Sarath Krishnan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841596152 PECOS PAC ID: 9032374269 Enrollment ID: I20230721001512 |
| Provider Name | Anchal Sud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245397710 PECOS PAC ID: 2163664301 Enrollment ID: I20231010003166 |
| Provider Name | Olalekan Akanbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881096030 PECOS PAC ID: 9830498807 Enrollment ID: I20231025001061 |
| Provider Name | Awah Ditah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851982557 PECOS PAC ID: 1850799040 Enrollment ID: I20240401001757 |
Morningstar Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Ave N, Suite 202, Minneapolis, MN 55401 Phone: 612-455-2920 Fax: 612-455-2921 | |
Healthpartners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425 Phone: 952-883-7469 Fax: 952-883-5395 | |
Boynton Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-8400 Fax: 612-625-1434 | |
Corban Health Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 36th Ave S, Minneapolis, MN 55417 Phone: 612-644-9047 | |
M Health Fairview Masonic Institute For The Developing Brain Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-301-0115 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Washington Ave N Fl 2, Minneapolis, MN 55401 Phone: 773-292-4800 Fax: 312-564-4059 | |
Allina Health Home Hospital Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-262-7800 |