| Mount Carmel Health System Physicians | |
|
6001 E Broad St Columbus OH 43213-1502 | |
| (614) 234-6000 | |
| Not Available |
| Full Name | Mount Carmel Health System Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 6001 E Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Andrew R Priday (TREASURER & CFO) |
| Authorized Official Contact | 6145464620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Carmel Health System Physicians 3100 Easton Square Pl Ste 300 Columbus OH 43219-6290 Ph: (614) 546-4808 | Mount Carmel Health System Physicians 6001 E Broad St Columbus OH 43213-1502 Ph: (614) 234-6000 |
| NPI Number | 1457617235 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 08/29/2024 |
| Medicare PECOS PAC ID | 6709793367 |
|---|---|
| Medicare Enrollment ID | O20120727000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457617235 | NPI | - | NPPES |
| Provider Name | Harvey James Pierce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497742589 PECOS PAC ID: 6204740863 Enrollment ID: I20031118000224 |
| Provider Name | Frank Orth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912954041 PECOS PAC ID: 1052215480 Enrollment ID: I20031208000011 |
| Provider Name | Bradford Wendell Cotton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306803994 PECOS PAC ID: 9830091719 Enrollment ID: I20040122000045 |
| Provider Name | Mark Alan Lindsey |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1770583874 PECOS PAC ID: 5890698088 Enrollment ID: I20040127000603 |
| Provider Name | Michael S Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881633360 PECOS PAC ID: 1153225636 Enrollment ID: I20040128000974 |
| Provider Name | Theresa Catherine Hempleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144303843 PECOS PAC ID: 4880587732 Enrollment ID: I20040204000694 |
| Provider Name | Robert T Nowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093785792 PECOS PAC ID: 8628961588 Enrollment ID: I20040204000735 |
| Provider Name | David A Ruedrich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083725089 PECOS PAC ID: 9335036243 Enrollment ID: I20040303001084 |
| Provider Name | Tasos Manokas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558315382 PECOS PAC ID: 7911991591 Enrollment ID: I20040414001507 |
| Provider Name | Joseph Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750369062 PECOS PAC ID: 7315932415 Enrollment ID: I20040419000110 |
| Provider Name | Michael Buttimer Williard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184617268 PECOS PAC ID: 1557253010 Enrollment ID: I20040419001055 |
| Provider Name | Richard A Fankhauser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023091113 PECOS PAC ID: 6103718663 Enrollment ID: I20040518000402 |
| Provider Name | Marcus R Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518965474 PECOS PAC ID: 3779564174 Enrollment ID: I20040529000138 |
| Provider Name | Stephen N Kolodzik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629025598 PECOS PAC ID: 0840275913 Enrollment ID: I20040622001342 |
| Provider Name | Raymond K Wurapa |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1417940594 PECOS PAC ID: 0345225488 Enrollment ID: I20040622001445 |
| Provider Name | Robert Neil Steensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487647665 PECOS PAC ID: 7719962869 Enrollment ID: I20040622001703 |
| Provider Name | Philip D Berger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851339725 PECOS PAC ID: 1052396884 Enrollment ID: I20040623001683 |
| Provider Name | David Anthony Sestak |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124015219 PECOS PAC ID: 2961488168 Enrollment ID: I20040628001244 |
| Provider Name | Adam Michael Zochowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427056399 PECOS PAC ID: 0749266880 Enrollment ID: I20040628001658 |
| Provider Name | Laurie Mizer Chevalier |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841254372 PECOS PAC ID: 9032196837 Enrollment ID: I20040630000447 |
| Provider Name | Richard A Fischer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558354894 PECOS PAC ID: 0749265882 Enrollment ID: I20040701001680 |
| Provider Name | Steven Thomas Gaines |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235122573 PECOS PAC ID: 3678558715 Enrollment ID: I20040701001682 |
| Provider Name | Robert C Turner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134112238 PECOS PAC ID: 0345225173 Enrollment ID: I20040701001689 |
| Provider Name | Joel R Politi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013900307 PECOS PAC ID: 2062497928 Enrollment ID: I20040702000966 |
| Provider Name | Derek Lee Snook |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508859752 PECOS PAC ID: 0143205005 Enrollment ID: I20040706000407 |
| Provider Name | Jonathan B Feibel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578556817 PECOS PAC ID: 3072598119 Enrollment ID: I20040706001138 |
| Provider Name | James Edward Popp |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1639162753 PECOS PAC ID: 1355326497 Enrollment ID: I20040706001196 |
| Provider Name | Robert A Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174516371 PECOS PAC ID: 0648255778 Enrollment ID: I20040706001222 |
| Provider Name | Stuart Chow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922150713 PECOS PAC ID: 8022089069 Enrollment ID: I20040804000093 |
| Provider Name | John Michael Jonesco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255395505 PECOS PAC ID: 1951373687 Enrollment ID: I20040811001429 |
| Provider Name | Ryan Randall Ristow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134173701 PECOS PAC ID: 3577536135 Enrollment ID: I20040813000081 |
| Provider Name | Wanjiku Musindi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649234162 PECOS PAC ID: 5799758579 Enrollment ID: I20040819000039 |
| Provider Name | Cherie Alandra Richey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629017371 PECOS PAC ID: 2961478946 Enrollment ID: I20040909001435 |
| Provider Name | Mark A Easterday |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891773263 PECOS PAC ID: 5698742476 Enrollment ID: I20040911000321 |
| Provider Name | Victor Valdecanas Dizon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528110343 PECOS PAC ID: 2567439987 Enrollment ID: I20040915000384 |
| Provider Name | Debra Jean Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407862444 PECOS PAC ID: 1254393879 Enrollment ID: I20041027000276 |
| Provider Name | Deborah Woidtke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457339806 PECOS PAC ID: 7719949627 Enrollment ID: I20041102001294 |
| Provider Name | David Brian Fox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326037334 PECOS PAC ID: 9436107844 Enrollment ID: I20050111001142 |
| Provider Name | Peter B Yeldell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679551246 PECOS PAC ID: 5294789012 Enrollment ID: I20050304000161 |
| Provider Name | Ramon Barcelona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437157815 PECOS PAC ID: 6800843665 Enrollment ID: I20050404000688 |
| Provider Name | Marjorie Ann Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114968344 PECOS PAC ID: 4082661566 Enrollment ID: I20050406000919 |
| Provider Name | Brian Lynn Davison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891778304 PECOS PAC ID: 8022058288 Enrollment ID: I20050506000194 |
| Provider Name | Christine B Adamcak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376580191 PECOS PAC ID: 4284674193 Enrollment ID: I20050510001141 |
| Provider Name | Timothy P Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609863661 PECOS PAC ID: 4880622448 Enrollment ID: I20050803001091 |
| Provider Name | James A Betz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376533315 PECOS PAC ID: 8325077217 Enrollment ID: I20050810001288 |
| Provider Name | Dawn M Prall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508822487 PECOS PAC ID: 9638109069 Enrollment ID: I20050816000632 |
| Provider Name | Jennifer B Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780673087 PECOS PAC ID: 9335179324 Enrollment ID: I20050819000003 |
| Provider Name | Keith Ronald Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730128919 PECOS PAC ID: 2264336692 Enrollment ID: I20050824000852 |
| Provider Name | Lowell W Chambers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801835400 PECOS PAC ID: 2062444532 Enrollment ID: I20050906000501 |
| Provider Name | Anantha Padmanabhan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1689674780 PECOS PAC ID: 6406758143 Enrollment ID: I20050922000864 |
| Provider Name | Amy M Cohagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669471934 PECOS PAC ID: 2961429485 Enrollment ID: I20051025000001 |
| Provider Name | Meredith Nicole Mucha |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962449777 PECOS PAC ID: 6204854862 Enrollment ID: I20051102001102 |
| Provider Name | Jason C Keith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740208511 PECOS PAC ID: 4789603309 Enrollment ID: I20051114000347 |
| Provider Name | David R Ralston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164408472 PECOS PAC ID: 2365400926 Enrollment ID: I20060220000013 |
| Provider Name | Thomas Francis Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316980741 PECOS PAC ID: 7810904364 Enrollment ID: I20060308000800 |
| Provider Name | Mahmoud Qadoom |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336105113 PECOS PAC ID: 6103885678 Enrollment ID: I20060614000079 |
| Provider Name | Charles M Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164465001 PECOS PAC ID: 3870506447 Enrollment ID: I20060726000431 |
| Provider Name | Michael Blue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962441501 PECOS PAC ID: 6103807615 Enrollment ID: I20061018000074 |
| Provider Name | Bryan T Chambers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497798375 PECOS PAC ID: 0749288231 Enrollment ID: I20061116000332 |
| Provider Name | Craig W Forbes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336242403 PECOS PAC ID: 7719928183 Enrollment ID: I20061218000363 |
| Provider Name | Steven C Boysel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811981723 PECOS PAC ID: 5092715771 Enrollment ID: I20070102000436 |
| Provider Name | Stuart Alan Weprin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154327088 PECOS PAC ID: 4284692914 Enrollment ID: I20070116000132 |
| Provider Name | Britton D Rink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811034242 PECOS PAC ID: 6709989973 Enrollment ID: I20070307000646 |
| Provider Name | Terry T Fowler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447474705 PECOS PAC ID: 6608973847 Enrollment ID: I20070522000589 |
| Provider Name | Troy D Fate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174514269 PECOS PAC ID: 9931200136 Enrollment ID: I20070718000252 |
| Provider Name | Angela Rouse-scharschmidt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659577864 PECOS PAC ID: 3274634852 Enrollment ID: I20070726000392 |
| Provider Name | David Hannallah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225001183 PECOS PAC ID: 5799723912 Enrollment ID: I20070807000133 |
| Provider Name | James A Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235177007 PECOS PAC ID: 5799877353 Enrollment ID: I20070828000053 |
| Provider Name | David E. Lindsey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902820061 PECOS PAC ID: 6204721996 Enrollment ID: I20070829000611 |
| Provider Name | Nicole M Zochowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992908453 PECOS PAC ID: 4183711351 Enrollment ID: I20071105000296 |
| Provider Name | Ruth I Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740389709 PECOS PAC ID: 8729176664 Enrollment ID: I20071112000013 |
| Provider Name | Michael H Joseph |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073607909 PECOS PAC ID: 5597715698 Enrollment ID: I20071219000012 |
| Provider Name | Timothy J Wynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164461844 PECOS PAC ID: 2961580980 Enrollment ID: I20080416000356 |
| Provider Name | Kristine Plotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184895567 PECOS PAC ID: 3072692672 Enrollment ID: I20080508000003 |
| Provider Name | Michelle L Bisutti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265646376 PECOS PAC ID: 8527147123 Enrollment ID: I20080508000008 |
| Provider Name | Steven C Reitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417116880 PECOS PAC ID: 6901977065 Enrollment ID: I20080617000305 |
| Provider Name | Brent A Bickel |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1336203645 PECOS PAC ID: 5496828048 Enrollment ID: I20080716000034 |
| Provider Name | Alexis G Bachrach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295949337 PECOS PAC ID: 8022182534 Enrollment ID: I20080801000006 |
| Provider Name | Kristine D Slam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396917274 PECOS PAC ID: 2668546839 Enrollment ID: I20080806000209 |
| Provider Name | James M Sinard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548268675 PECOS PAC ID: 8022041136 Enrollment ID: I20081003000747 |
| Provider Name | Patrina V Yao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578719639 PECOS PAC ID: 9436218724 Enrollment ID: I20081031000003 |
| Provider Name | Robert T Gorsline |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003983743 PECOS PAC ID: 5193816858 Enrollment ID: I20081202000174 |
| Provider Name | Scott E Hockenberry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821079096 PECOS PAC ID: 5294756573 Enrollment ID: I20090126000608 |
| Provider Name | Michael L Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114988540 PECOS PAC ID: 5092749721 Enrollment ID: I20090224000633 |
| Provider Name | Debra L Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811144835 PECOS PAC ID: 5294892600 Enrollment ID: I20090330000045 |
| Provider Name | Kirk A Hummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285897561 PECOS PAC ID: 3476601220 Enrollment ID: I20090505000067 |
| Provider Name | Thomas Vara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457390130 PECOS PAC ID: 6204869316 Enrollment ID: I20090514000388 |
| Provider Name | Kellie Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275730566 PECOS PAC ID: 6406839943 Enrollment ID: I20090601000597 |
| Provider Name | Saad A Hagras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740460161 PECOS PAC ID: 4880744143 Enrollment ID: I20090608000147 |
| Provider Name | Anthony M Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538377197 PECOS PAC ID: 1254481310 Enrollment ID: I20090610000684 |
| Provider Name | Jeffrey S Ustin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558552679 PECOS PAC ID: 5092892893 Enrollment ID: I20090917000044 |
| Provider Name | Nancy H Earls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538381975 PECOS PAC ID: 6406902030 Enrollment ID: I20090922000781 |
| Provider Name | Corey Vanhoff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245455617 PECOS PAC ID: 3476608563 Enrollment ID: I20090925000124 |
| Provider Name | Monique C Ganucheau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881921674 PECOS PAC ID: 4981743952 Enrollment ID: I20091204000010 |
| Provider Name | Dana S Larochelle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902899180 PECOS PAC ID: 8426198706 Enrollment ID: I20091217000199 |
| Provider Name | Keyvan Ravakhah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346298569 PECOS PAC ID: 3577690015 Enrollment ID: I20100414001005 |
| Provider Name | Sumit Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306047154 PECOS PAC ID: 7911079595 Enrollment ID: I20100426000421 |
| Provider Name | Christopher R Gailliot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588657787 PECOS PAC ID: 7911039797 Enrollment ID: I20100714000254 |
| Provider Name | Beth G Lafont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073758421 PECOS PAC ID: 1951426980 Enrollment ID: I20100915000140 |
| Provider Name | Miranda M Rector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386963866 PECOS PAC ID: 5294927075 Enrollment ID: I20101012000740 |
| Provider Name | Xiaosong Zhao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386865111 PECOS PAC ID: 9335337138 Enrollment ID: I20101221000438 |
| Provider Name | John R Burns |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700825353 PECOS PAC ID: 4789873191 Enrollment ID: I20110114000639 |
| Provider Name | Fernando Aguila |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942499280 PECOS PAC ID: 7517149123 Enrollment ID: I20110302001079 |
| Provider Name | Craig N Dimitris |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1801045364 PECOS PAC ID: 6901088442 Enrollment ID: I20110307000676 |
| Provider Name | Jeffrey R Backes |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457689101 PECOS PAC ID: 6901088368 Enrollment ID: I20110308000087 |
| Provider Name | Lusine A Abrahamyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659683779 PECOS PAC ID: 4789866773 Enrollment ID: I20110312000000 |
| Provider Name | Maurice-pierre Page |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013177815 PECOS PAC ID: 3870775877 Enrollment ID: I20110312000010 |
| Provider Name | Karthik Mulkanoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720390859 PECOS PAC ID: 1456533462 Enrollment ID: I20110314000053 |
| Provider Name | Charles C Miller |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528371960 PECOS PAC ID: 0446432454 Enrollment ID: I20110314000061 |
| Provider Name | Philip H Santa Emma |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1104867464 PECOS PAC ID: 3577746676 Enrollment ID: I20110328000518 |
| Provider Name | Sherilyn M Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184922452 PECOS PAC ID: 9234314824 Enrollment ID: I20110426000008 |
| Provider Name | Krista S Silverman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497912471 PECOS PAC ID: 7719156140 Enrollment ID: I20110801000807 |
| Provider Name | Camille Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821236498 PECOS PAC ID: 0143371039 Enrollment ID: I20111108000772 |
| Provider Name | Jennifer L Hirsh |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1851518351 PECOS PAC ID: 9537333737 Enrollment ID: I20111128000845 |
| Provider Name | Grace O Ukairo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144532433 PECOS PAC ID: 9739340522 Enrollment ID: I20120423000690 |
| Provider Name | Sarah Andrea Russell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821255993 PECOS PAC ID: 8820245004 Enrollment ID: I20120822000677 |
| Provider Name | Marshall C Spalding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316261100 PECOS PAC ID: 4789831678 Enrollment ID: I20120828000885 |
| Provider Name | Erin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346503109 PECOS PAC ID: 8325296288 Enrollment ID: I20120918000623 |
| Provider Name | Jennifer L Morgenstern |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821342676 PECOS PAC ID: 5991957961 Enrollment ID: I20121221000088 |
| Provider Name | Derek Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124348842 PECOS PAC ID: 7911911342 Enrollment ID: I20130328000268 |
| Provider Name | Dylan J Wirtz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982895975 PECOS PAC ID: 9931345394 Enrollment ID: I20130410000115 |
| Provider Name | Kristen N Terranova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215165402 PECOS PAC ID: 9638311657 Enrollment ID: I20130803000217 |
| Provider Name | Michelle F Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700223740 PECOS PAC ID: 2769624659 Enrollment ID: I20130805000962 |
| Provider Name | Molly M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336581784 PECOS PAC ID: 8325280613 Enrollment ID: I20130815000929 |
| Provider Name | Jessica L Manly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740627033 PECOS PAC ID: 4082857065 Enrollment ID: I20130821001061 |
| Provider Name | Jason R Ferrel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063790657 PECOS PAC ID: 7214189299 Enrollment ID: I20130912000611 |
| Provider Name | Kellie M Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255776217 PECOS PAC ID: 3274777107 Enrollment ID: I20130916000656 |
| Provider Name | Gloria Endicott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598104218 PECOS PAC ID: 6608003827 Enrollment ID: I20131216000459 |
| Provider Name | Ishwarya Karra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013222553 PECOS PAC ID: 2163660390 Enrollment ID: I20131227001825 |
| Provider Name | Thai Q Trinh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770848327 PECOS PAC ID: 6507017969 Enrollment ID: I20140521000477 |
| Provider Name | Jennifer Brockmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073952446 PECOS PAC ID: 7517182454 Enrollment ID: I20140708002283 |
| Provider Name | Irina C Arp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558625780 PECOS PAC ID: 6507015302 Enrollment ID: I20140805000214 |
| Provider Name | Danielle Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528472669 PECOS PAC ID: 7012134414 Enrollment ID: I20140807002662 |
| Provider Name | Shilpa A Padia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760799175 PECOS PAC ID: 3678793163 Enrollment ID: I20141006000169 |
| Provider Name | Sarah J Sbita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972891844 PECOS PAC ID: 2668624115 Enrollment ID: I20141007002560 |
| Provider Name | Brandon J Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417290834 PECOS PAC ID: 0648491308 Enrollment ID: I20141021002601 |
| Provider Name | Jennifer Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609272467 PECOS PAC ID: 2365766839 Enrollment ID: I20150112001274 |
| Provider Name | Pooja Lahoti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750657524 PECOS PAC ID: 7214174135 Enrollment ID: I20150122002567 |
| Provider Name | Shavon Frankhouser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629395512 PECOS PAC ID: 5890932677 Enrollment ID: I20150312000753 |
| Provider Name | Ellen Hunter Bailey |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1184867756 PECOS PAC ID: 8224349709 Enrollment ID: I20150624002926 |
| Provider Name | Charles F Ware |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528355922 PECOS PAC ID: 0840441713 Enrollment ID: I20150708001837 |
| Provider Name | Erin K Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558636571 PECOS PAC ID: 0446566814 Enrollment ID: I20150831001326 |
| Provider Name | Maranda L Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417327206 PECOS PAC ID: 6406837251 Enrollment ID: I20151102002189 |
| Provider Name | Allan P Apostol |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104191121 PECOS PAC ID: 3072823558 Enrollment ID: I20151112002846 |
| Provider Name | Jeffrey E Otte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174967368 PECOS PAC ID: 8729389713 Enrollment ID: I20151216001590 |
| Provider Name | Lauren E Fukumoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952767832 PECOS PAC ID: 9436458502 Enrollment ID: I20160425001906 |
| Provider Name | Charles Hamilton Dabbs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992020598 PECOS PAC ID: 8921236084 Enrollment ID: I20160613002175 |
| Provider Name | Joshua Mark Bowers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235543653 PECOS PAC ID: 2163712720 Enrollment ID: I20161003001319 |
| Provider Name | Zachary L Hudson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114269420 PECOS PAC ID: 6103104930 Enrollment ID: I20161031000887 |
| Provider Name | Gina E Rossi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861733230 PECOS PAC ID: 2062794639 Enrollment ID: I20170117001607 |
| Provider Name | Rachel P Giller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235554353 PECOS PAC ID: 3072895069 Enrollment ID: I20170127000848 |
| Provider Name | Tyler J Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356769624 PECOS PAC ID: 4789966789 Enrollment ID: I20170127000965 |
| Provider Name | Daniel S Fosselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598147092 PECOS PAC ID: 4284935248 Enrollment ID: I20170206001011 |
| Provider Name | Nicole Ann Grant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811312739 PECOS PAC ID: 4880977917 Enrollment ID: I20170215000345 |
| Provider Name | Britta L Buchenroth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962744045 PECOS PAC ID: 4587808191 Enrollment ID: I20170703001662 |
| Provider Name | Scott Shemory |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770873598 PECOS PAC ID: 9335448901 Enrollment ID: I20170724003459 |
| Provider Name | Bo Na Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326467424 PECOS PAC ID: 4082833868 Enrollment ID: I20170724003661 |
| Provider Name | Amy K Whitson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790943652 PECOS PAC ID: 0345308870 Enrollment ID: I20170807001396 |
| Provider Name | Mark E Reardon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497733935 PECOS PAC ID: 4486927100 Enrollment ID: I20170831001415 |
| Provider Name | Samantha Hembree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215467105 PECOS PAC ID: 3971878653 Enrollment ID: I20171005001497 |
| Provider Name | Megan M Alt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467975433 PECOS PAC ID: 5193082519 Enrollment ID: I20171120001675 |
| Provider Name | Devin L Grappy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992214522 PECOS PAC ID: 8921365271 Enrollment ID: I20171122000810 |
| Provider Name | Krista L Thatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518495977 PECOS PAC ID: 1557629722 Enrollment ID: I20171215001496 |
| Provider Name | Shoba Belegundu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386053304 PECOS PAC ID: 4880955046 Enrollment ID: I20180302002043 |
| Provider Name | Sean N Jerig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437479896 PECOS PAC ID: 5890916050 Enrollment ID: I20180516001183 |
| Provider Name | Kelly M Rosborough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114344538 PECOS PAC ID: 0547536484 Enrollment ID: I20180613002588 |
| Provider Name | John S Hwang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275809303 PECOS PAC ID: 9133499148 Enrollment ID: I20180627001900 |
| Provider Name | Alyssa M Krebs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346730959 PECOS PAC ID: 8123374303 Enrollment ID: I20180629002045 |
| Provider Name | Joshua D Ozbolt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699161893 PECOS PAC ID: 1153630777 Enrollment ID: I20180706000646 |
| Provider Name | Brooklyn E Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992290365 PECOS PAC ID: 1658620372 Enrollment ID: I20180814000879 |
| Provider Name | Karen R Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942793039 PECOS PAC ID: 1456600626 Enrollment ID: I20180821002543 |
| Provider Name | Shaleen I Rathod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508252776 PECOS PAC ID: 5193034775 Enrollment ID: I20180831001407 |
| Provider Name | Caroline Nicole Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053897330 PECOS PAC ID: 2668722976 Enrollment ID: I20180907001037 |
| Provider Name | Lauren R Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629559778 PECOS PAC ID: 9335491653 Enrollment ID: I20181015000366 |
| Provider Name | Kylie Renee Merry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609348176 PECOS PAC ID: 0648517433 Enrollment ID: I20190201001238 |
| Provider Name | Carol Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952874943 PECOS PAC ID: 3072856178 Enrollment ID: I20190513000863 |
| Provider Name | William Floyd Galilei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316507619 PECOS PAC ID: 3577899749 Enrollment ID: I20190725001479 |
| Provider Name | Graham Pallante |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528474236 PECOS PAC ID: 1456577105 Enrollment ID: I20190807003878 |
| Provider Name | Kaitlyn M Sheppard |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770978603 PECOS PAC ID: 4981918331 Enrollment ID: I20190809000584 |
| Provider Name | Stefane Renee Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083279566 PECOS PAC ID: 9537497789 Enrollment ID: I20190826001984 |
| Provider Name | Jodi Bender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053707414 PECOS PAC ID: 6800107467 Enrollment ID: I20190830002136 |
| Provider Name | Areeb J Siddiqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699129312 PECOS PAC ID: 7416245840 Enrollment ID: I20190920000146 |
| Provider Name | Lyndsay J Crispin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164072963 PECOS PAC ID: 8628401965 Enrollment ID: I20191127001674 |
| Provider Name | Douglas A Valenta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851553879 PECOS PAC ID: 4688728181 Enrollment ID: I20191212003075 |
| Provider Name | Catherine A Taliani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992192322 PECOS PAC ID: 8729397906 Enrollment ID: I20200108002733 |
| Provider Name | Kara L Klinglesmith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376182253 PECOS PAC ID: 4486082872 Enrollment ID: I20200318001068 |
| Provider Name | Gary H Belt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699707422 PECOS PAC ID: 5890810550 Enrollment ID: I20200527003082 |
| Provider Name | Steve M Cordina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972777290 PECOS PAC ID: 6002084498 Enrollment ID: I20200527003141 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20200608001071 |
| Provider Name | Michael Katsnelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013170067 PECOS PAC ID: 6406989177 Enrollment ID: I20200611002653 |
| Provider Name | Roy A Poblete |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033400676 PECOS PAC ID: 1850602558 Enrollment ID: I20200616001192 |
| Provider Name | Srinath Kadimi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730144734 PECOS PAC ID: 9931394715 Enrollment ID: I20200618002151 |
| Provider Name | Sebina Bulic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831326750 PECOS PAC ID: 9931407848 Enrollment ID: I20200619002088 |
| Provider Name | Bryan Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104141662 PECOS PAC ID: 7517250947 Enrollment ID: I20200702001729 |
| Provider Name | Preet Varade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467780551 PECOS PAC ID: 3870801657 Enrollment ID: I20200702002354 |
| Provider Name | Rahim Z Mangalji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811420342 PECOS PAC ID: 8426328881 Enrollment ID: I20200709003663 |
| Provider Name | Amirhossein Zangiabadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326294562 PECOS PAC ID: 8628233517 Enrollment ID: I20200817002816 |
| Provider Name | Leonard Dasilva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902873185 PECOS PAC ID: 9830096718 Enrollment ID: I20200817003290 |
| Provider Name | Alexander Zubkov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992721658 PECOS PAC ID: 0244260081 Enrollment ID: I20200819001300 |
| Provider Name | Jonathan Marehbian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972875730 PECOS PAC ID: 9436430485 Enrollment ID: I20200911000953 |
| Provider Name | Ulises Nobo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487705141 PECOS PAC ID: 0345138749 Enrollment ID: I20201022001103 |
| Provider Name | Mark N Rubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104055169 PECOS PAC ID: 9931394491 Enrollment ID: I20201109000617 |
| Provider Name | Stephen C Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053919621 PECOS PAC ID: 2163832874 Enrollment ID: I20201109002950 |
| Provider Name | Kyle Beiter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902079858 PECOS PAC ID: 7911075080 Enrollment ID: I20201217002437 |
| Provider Name | Davida Y Goltz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053725044 PECOS PAC ID: 8729324082 Enrollment ID: I20210309002192 |
| Provider Name | David Dionisio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750589875 PECOS PAC ID: 3072783976 Enrollment ID: I20210618000428 |
| Provider Name | Benjamin M Benitez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699214213 PECOS PAC ID: 1254602816 Enrollment ID: I20210806002866 |
| Provider Name | Wafa K Khadraoui |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285160200 PECOS PAC ID: 8022352087 Enrollment ID: I20210823001645 |
| Provider Name | Kelly L Saltsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821694068 PECOS PAC ID: 8325444193 Enrollment ID: I20210901003315 |
| Provider Name | Michael R Deiters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619559952 PECOS PAC ID: 8325445752 Enrollment ID: I20210927003056 |
| Provider Name | Daniel Hall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992191142 PECOS PAC ID: 4082923594 Enrollment ID: I20210928002477 |
| Provider Name | John S Delong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841302353 PECOS PAC ID: 6305144742 Enrollment ID: I20220105003041 |
| Provider Name | Matthew C Chakan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629360516 PECOS PAC ID: 5092947911 Enrollment ID: I20220607001165 |
| Provider Name | Tori P Reitano |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134880222 PECOS PAC ID: 5799163556 Enrollment ID: I20220607001252 |
| Provider Name | Stephanie J Morin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134889421 PECOS PAC ID: 4284012899 Enrollment ID: I20220609000860 |
| Provider Name | Robert Wetzel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396108395 PECOS PAC ID: 1658772678 Enrollment ID: I20220621003358 |
| Provider Name | Jeffrey Richard Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902886120 PECOS PAC ID: 4385699461 Enrollment ID: I20220815002489 |
| Provider Name | Shiloh Leppert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417695420 PECOS PAC ID: 3173906401 Enrollment ID: I20220818001083 |
| Provider Name | Molly A Morton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427555465 PECOS PAC ID: 7214283621 Enrollment ID: I20220901002289 |
| Provider Name | Conner Blackwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578068102 PECOS PAC ID: 2860740636 Enrollment ID: I20221205002888 |
| Provider Name | Chris A Rhoades |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588672794 PECOS PAC ID: 0941274468 Enrollment ID: I20230103000153 |
| Provider Name | Michael K Haninger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720211337 PECOS PAC ID: 2365345345 Enrollment ID: I20230123000497 |
| Provider Name | Katherine Hanel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578007159 PECOS PAC ID: 5991180952 Enrollment ID: I20230124000635 |
| Provider Name | Jonathan Paul Newsom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104280379 PECOS PAC ID: 4789971292 Enrollment ID: I20230127000549 |
| Provider Name | Fernanda C Gonzales Beckford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881399111 PECOS PAC ID: 0941669352 Enrollment ID: I20230703001768 |
| Provider Name | Xiao-yu Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235622556 PECOS PAC ID: 5799144754 Enrollment ID: I20230708000430 |
| Provider Name | Maria E Kolojeski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952750952 PECOS PAC ID: 7618260415 Enrollment ID: I20230816002162 |
| Provider Name | Jacob Wright-piekarski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295146033 PECOS PAC ID: 7214286855 Enrollment ID: I20230818001282 |
| Provider Name | Amanda M Hawkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043606411 PECOS PAC ID: 9537474242 Enrollment ID: I20230922003526 |
| Provider Name | Aimee C Gish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780952275 PECOS PAC ID: 3072780477 Enrollment ID: I20231020001535 |
| Provider Name | Weijun Jin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861812083 PECOS PAC ID: 1557609310 Enrollment ID: I20231129002139 |
| Provider Name | Vinodh T Doss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336348085 PECOS PAC ID: 5698930683 Enrollment ID: I20231129002658 |
| Provider Name | Marissa Berry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528622792 PECOS PAC ID: 2466786207 Enrollment ID: I20240123002499 |
| Provider Name | Samuel K Wagner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891324125 PECOS PAC ID: 4183049976 Enrollment ID: I20240219002281 |
| Provider Name | Abdullah Ibish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154783397 PECOS PAC ID: 0749610582 Enrollment ID: I20240229003057 |
North Community Counseling Centers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6037 Cleveland Ave, Columbus, OH 43231 Phone: 614-267-7003 Fax: 614-267-7013 | |
Absolutecare Of Ohio, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4715 Hilton Corporate Drive, Columbus, OH 43232 Phone: 404-231-4431 | |
Integrated Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Olentangy River Rd, Suite 1, Columbus, OH 43214 Phone: 614-818-1477 Fax: 614-642-0807 | |
Charles Tweel Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Olentangy River Rd, Columbus, OH 43214 Phone: 614-459-1976 Fax: 614-442-8256 | |
Total Health Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1365 Bethel Rd, Columbus, OH 43220 Phone: 614-457-5477 | |
Cityblock Medical Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 E Main St Ste 110, Columbus, OH 43213 Phone: 833-904-0620 | |
Millhon Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7630 Rivers Edge Dr, Columbus, OH 43235 Phone: 614-540-3944 Fax: 614-540-3979 |