| Mt Auburn Professional Services | |
|
330 Mount Auburn St Cambridge MA 02138-5502 | |
| (617) 499-5654 | |
| Not Available |
| Full Name | Mt Auburn Professional Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 Mount Auburn St, Cambridge, Massachusetts |
| Authorized Official Name and Position | Brian Smith (CFO) |
| Authorized Official Contact | 4052456238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Auburn Professional Services 330 Mount Auburn St Cambridge MA 02138-5502 Ph: (617) 499-5654 | Mt Auburn Professional Services 330 Mount Auburn St Cambridge MA 02138-5502 Ph: (617) 499-5654 |
| NPI Number | 1992750996 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 6103725031 |
|---|---|
| Medicare Enrollment ID | O20040527001374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992750996 | NPI | - | NPPES |
| M14923 | Other | MA | BLUE SHIELD |
| 110078204C | Medicaid | MA | |
| 603255 | Other | MA | TUFTS |
| 604027 | Other | MA | TUFTS |
| Provider Name | Toni H Golen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235161753 PECOS PAC ID: 0244144178 Enrollment ID: I20031115000045 |
| Provider Name | Alice Sheridan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023056397 PECOS PAC ID: 0446151450 Enrollment ID: I20040114000114 |
| Provider Name | David L Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336167857 PECOS PAC ID: 7214830736 Enrollment ID: I20040130000677 |
| Provider Name | Kathlyn M Beaudry-nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558319632 PECOS PAC ID: 1355244724 Enrollment ID: I20040202000199 |
| Provider Name | Margaret Love Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013960822 PECOS PAC ID: 5890688675 Enrollment ID: I20040205000374 |
| Provider Name | Shirley Gillies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801854849 PECOS PAC ID: 4880581974 Enrollment ID: I20040303000295 |
| Provider Name | Megan E Macinnes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548235831 PECOS PAC ID: 9830087808 Enrollment ID: I20040310000456 |
| Provider Name | Deirdre M Woods |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306848528 PECOS PAC ID: 4981595113 Enrollment ID: I20040324001264 |
| Provider Name | Simon S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508872946 PECOS PAC ID: 1254325608 Enrollment ID: I20040409000359 |
| Provider Name | Annie Liau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366423717 PECOS PAC ID: 4981698800 Enrollment ID: I20040413001354 |
| Provider Name | Michael H Cho |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750363990 PECOS PAC ID: 3577558055 Enrollment ID: I20040415000284 |
| Provider Name | Fadi Badlissi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134118714 PECOS PAC ID: 0749275618 Enrollment ID: I20040419001477 |
| Provider Name | Gloria L Ciccone |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790767440 PECOS PAC ID: 1052308145 Enrollment ID: I20040429000906 |
| Provider Name | Robert M Jellinger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124011234 PECOS PAC ID: 7719974732 Enrollment ID: I20040429001176 |
| Provider Name | Karen E Victor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669505269 PECOS PAC ID: 8921096405 Enrollment ID: I20040504000300 |
| Provider Name | Ricardo L Wellisch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952364861 PECOS PAC ID: 3779573787 Enrollment ID: I20040513000153 |
| Provider Name | Jason C Imperato |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154315539 PECOS PAC ID: 1254322928 Enrollment ID: I20040520001402 |
| Provider Name | Tamara Jessiman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326011875 PECOS PAC ID: 6709877301 Enrollment ID: I20040521000854 |
| Provider Name | Tamara Jo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962415158 PECOS PAC ID: 7012908312 Enrollment ID: I20040524000823 |
| Provider Name | Barbara Spivak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952301251 PECOS PAC ID: 7719968874 Enrollment ID: I20040526000263 |
| Provider Name | Andrew J Cutler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437159720 PECOS PAC ID: 6709867575 Enrollment ID: I20040527000222 |
| Provider Name | Rachel F Haft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720079536 PECOS PAC ID: 1355324567 Enrollment ID: I20040609000966 |
| Provider Name | Donna Wren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376533539 PECOS PAC ID: 3779567037 Enrollment ID: I20040615000560 |
| Provider Name | Chana Wasserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336112291 PECOS PAC ID: 1759365661 Enrollment ID: I20040617000582 |
| Provider Name | Colleen A Maloney Hesser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881652741 PECOS PAC ID: 5991783334 Enrollment ID: I20040712000605 |
| Provider Name | Mary F Culliton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083687487 PECOS PAC ID: 8628056066 Enrollment ID: I20040712000607 |
| Provider Name | Edwin C Huang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457334963 PECOS PAC ID: 4688652035 Enrollment ID: I20040712000718 |
| Provider Name | William R Brugge |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104895994 PECOS PAC ID: 5193704047 Enrollment ID: I20040715000465 |
| Provider Name | Jill A Melendez Young |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184628158 PECOS PAC ID: 0042290140 Enrollment ID: I20040721000071 |
| Provider Name | Marion P Hogan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326005349 PECOS PAC ID: 3173593548 Enrollment ID: I20040731000201 |
| Provider Name | Renee Aversano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962402255 PECOS PAC ID: 5395716401 Enrollment ID: I20040803000800 |
| Provider Name | Nicole L Sczekan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558462655 PECOS PAC ID: 0840262390 Enrollment ID: I20040806000408 |
| Provider Name | Carey C Thomson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992779623 PECOS PAC ID: 0042282493 Enrollment ID: I20040806001163 |
| Provider Name | Peter L Rosenblatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629048665 PECOS PAC ID: 4385616671 Enrollment ID: I20040809000025 |
| Provider Name | Ann Margaret Sandin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386694453 PECOS PAC ID: 5799757332 Enrollment ID: I20040812000761 |
| Provider Name | Robert C Colgrove |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144222522 PECOS PAC ID: 0042283483 Enrollment ID: I20040814000264 |
| Provider Name | Pablo Ivan Guevara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811967748 PECOS PAC ID: 3971577677 Enrollment ID: I20040819001075 |
| Provider Name | Meenakshi Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417982513 PECOS PAC ID: 7810962172 Enrollment ID: I20040831000032 |
| Provider Name | James C Ku |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730188038 PECOS PAC ID: 9739154600 Enrollment ID: I20040902000108 |
| Provider Name | David M Shein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548218712 PECOS PAC ID: 8729053608 Enrollment ID: I20040902000212 |
| Provider Name | Vladimir Birjiniuk |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1952376626 PECOS PAC ID: 3779550116 Enrollment ID: I20040914001183 |
| Provider Name | Arianna P Stein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699840132 PECOS PAC ID: 6901873256 Enrollment ID: I20040915000602 |
| Provider Name | Stephanie L Koontz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225108160 PECOS PAC ID: 6800865940 Enrollment ID: I20040927000514 |
| Provider Name | Irmgard Behlau |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942313531 PECOS PAC ID: 4789644048 Enrollment ID: I20041012001124 |
| Provider Name | Katherine K Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912988486 PECOS PAC ID: 1153381710 Enrollment ID: I20041018000778 |
| Provider Name | Arshad A Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306830781 PECOS PAC ID: 6507827912 Enrollment ID: I20041020000027 |
| Provider Name | Edward P Curcio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003800475 PECOS PAC ID: 3779544184 Enrollment ID: I20041020000034 |
| Provider Name | Jeffrey A Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326032707 PECOS PAC ID: 1951362367 Enrollment ID: I20041020000041 |
| Provider Name | Stephanie C Page |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649236100 PECOS PAC ID: 9335104199 Enrollment ID: I20041122000538 |
| Provider Name | Eric S Silverman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538275490 PECOS PAC ID: 6507822103 Enrollment ID: I20041206000686 |
| Provider Name | Anthony L Abner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487629127 PECOS PAC ID: 2961460985 Enrollment ID: I20041222000376 |
| Provider Name | Hong Qian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093715336 PECOS PAC ID: 1557329943 Enrollment ID: I20050103000226 |
| Provider Name | Elena Papovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629035811 PECOS PAC ID: 6305894593 Enrollment ID: I20050104000929 |
| Provider Name | Catherine Buettner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487692604 PECOS PAC ID: 0547219941 Enrollment ID: I20050112000736 |
| Provider Name | Jonathon H Schwartz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689644932 PECOS PAC ID: 0749239564 Enrollment ID: I20050119000841 |
| Provider Name | Carolyn Lamb |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033184783 PECOS PAC ID: 9931151404 Enrollment ID: I20050211000796 |
| Provider Name | Tamara E Bloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437251907 PECOS PAC ID: 1456305093 Enrollment ID: I20050308000289 |
| Provider Name | David J Cancian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962496539 PECOS PAC ID: 2961458914 Enrollment ID: I20050323000754 |
| Provider Name | Lisa M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1881691160 PECOS PAC ID: 7618923095 Enrollment ID: I20050329000799 |
| Provider Name | Melanie J Brunt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295873073 PECOS PAC ID: 1557318672 Enrollment ID: I20050331001039 |
| Provider Name | Christine D Mclaughlin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780684092 PECOS PAC ID: 4183671191 Enrollment ID: I20050401000459 |
| Provider Name | Roderick H Crocker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053310367 PECOS PAC ID: 4981651668 Enrollment ID: I20050405000631 |
| Provider Name | Paul F Kasuba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851389969 PECOS PAC ID: 5294782736 Enrollment ID: I20050406000639 |
| Provider Name | Lisa B Weissmann |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750372306 PECOS PAC ID: 1951358415 Enrollment ID: I20050406000788 |
| Provider Name | Didier Cros |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477575413 PECOS PAC ID: 4284671264 Enrollment ID: I20050412000058 |
| Provider Name | John D Feldman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194715110 PECOS PAC ID: 0143267633 Enrollment ID: I20050415000542 |
| Provider Name | Virginia H Palazzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053309682 PECOS PAC ID: 4880632694 Enrollment ID: I20050421001200 |
| Provider Name | Cherie A Noe |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659373033 PECOS PAC ID: 3274572623 Enrollment ID: I20050426000945 |
| Provider Name | Cheryl L Hamlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477522886 PECOS PAC ID: 7810936275 Enrollment ID: I20050426001041 |
| Provider Name | Andrew O Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598762858 PECOS PAC ID: 1355380643 Enrollment ID: I20050426001344 |
| Provider Name | Brien P Daly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174519599 PECOS PAC ID: 9133168180 Enrollment ID: I20050428000687 |
| Provider Name | Susan Elaine Pories |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922055623 PECOS PAC ID: 0648210146 Enrollment ID: I20050504000373 |
| Provider Name | Anthony Disciullo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972573913 PECOS PAC ID: 8224937156 Enrollment ID: I20050509000824 |
| Provider Name | Julie L Mann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134194442 PECOS PAC ID: 8224079736 Enrollment ID: I20050516000227 |
| Provider Name | Abdallah G Maalouf |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558426759 PECOS PAC ID: 4183665623 Enrollment ID: I20050516000453 |
| Provider Name | Janet L Antonioni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477506855 PECOS PAC ID: 7113968983 Enrollment ID: I20050523000145 |
| Provider Name | Melissa C Bartick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841213824 PECOS PAC ID: 7719920651 Enrollment ID: I20050602000339 |
| Provider Name | William A Porcaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952384976 PECOS PAC ID: 0345283552 Enrollment ID: I20050608000904 |
| Provider Name | Donna H Katcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780681031 PECOS PAC ID: 6800839010 Enrollment ID: I20050608000974 |
| Provider Name | Patricia E Moyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619974979 PECOS PAC ID: 0648213629 Enrollment ID: I20050610000079 |
| Provider Name | David L Hudacek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992707269 PECOS PAC ID: 8628012929 Enrollment ID: I20050617000161 |
| Provider Name | Leslie E Schwab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386602357 PECOS PAC ID: 9537104641 Enrollment ID: I20050620000940 |
| Provider Name | Edwin M Trayner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356322382 PECOS PAC ID: 0446296685 Enrollment ID: I20050628001237 |
| Provider Name | Emma K O'keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972561355 PECOS PAC ID: 9830135938 Enrollment ID: I20050629000382 |
| Provider Name | Christopher Slaton Awtrey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790792349 PECOS PAC ID: 1557307600 Enrollment ID: I20050629000751 |
| Provider Name | Marcine Logue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174581029 PECOS PAC ID: 2062458045 Enrollment ID: I20050629001016 |
| Provider Name | Carol A Tallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316905714 PECOS PAC ID: 7416993902 Enrollment ID: I20050706000892 |
| Provider Name | Karen E Newbold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548268360 PECOS PAC ID: 8921044363 Enrollment ID: I20050707000237 |
| Provider Name | Emily S Wan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265423701 PECOS PAC ID: 3678519030 Enrollment ID: I20050707000375 |
| Provider Name | Colin B Devonshire |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245220623 PECOS PAC ID: 9234175605 Enrollment ID: I20050707000556 |
| Provider Name | Richard Zuflacht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558377663 PECOS PAC ID: 4880620004 Enrollment ID: I20050711000482 |
| Provider Name | Deneen E Pelletier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770571671 PECOS PAC ID: 0547298457 Enrollment ID: I20050802000296 |
| Provider Name | Thomas D Caughey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063419398 PECOS PAC ID: 9032147640 Enrollment ID: I20050803000609 |
| Provider Name | Torre Morgan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851382360 PECOS PAC ID: 5193754364 Enrollment ID: I20050808000843 |
| Provider Name | Edward M Kowaloff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437147071 PECOS PAC ID: 9830129840 Enrollment ID: I20050819000144 |
| Provider Name | Trevor H Kaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861480766 PECOS PAC ID: 9638100043 Enrollment ID: I20050825000625 |
| Provider Name | Maureen M Lynch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033211222 PECOS PAC ID: 4284665241 Enrollment ID: I20050830000148 |
| Provider Name | Mitchell Cahan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306827043 PECOS PAC ID: 7416940622 Enrollment ID: I20050906000664 |
| Provider Name | Margi L Coggins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255401469 PECOS PAC ID: 4981637865 Enrollment ID: I20050912000849 |
| Provider Name | Lisa B Golding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588612055 PECOS PAC ID: 4385677756 Enrollment ID: I20050915000727 |
| Provider Name | Leonid Kotkin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326035825 PECOS PAC ID: 5294750998 Enrollment ID: I20051012000131 |
| Provider Name | John V Chobanian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518040526 PECOS PAC ID: 0244256808 Enrollment ID: I20051022000034 |
| Provider Name | Robert L Schiffman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225010176 PECOS PAC ID: 3476570326 Enrollment ID: I20051029000259 |
| Provider Name | Teresa Schraeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336119049 PECOS PAC ID: 6406874999 Enrollment ID: I20051103000206 |
| Provider Name | Paul Bertozzi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346312733 PECOS PAC ID: 3779501929 Enrollment ID: I20051105000238 |
| Provider Name | Alison E Morgan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003875196 PECOS PAC ID: 6709864770 Enrollment ID: I20051202000441 |
| Provider Name | Judith A Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558329755 PECOS PAC ID: 5799708087 Enrollment ID: I20060112000756 |
| Provider Name | Nancy K Akbari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184623126 PECOS PAC ID: 1355355371 Enrollment ID: I20060130000456 |
| Provider Name | Lin H Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285636654 PECOS PAC ID: 1951315514 Enrollment ID: I20060202000726 |
| Provider Name | Kristen M Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013975424 PECOS PAC ID: 4082629332 Enrollment ID: I20060208000444 |
| Provider Name | Betsy J Sherry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649251281 PECOS PAC ID: 3577572957 Enrollment ID: I20060412000535 |
| Provider Name | Robert P Kelleher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891761714 PECOS PAC ID: 5193734218 Enrollment ID: I20060418000176 |
| Provider Name | Lise J Tardif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316959166 PECOS PAC ID: 8325059173 Enrollment ID: I20060509000234 |
| Provider Name | Andrew Wagner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699722082 PECOS PAC ID: 9335126408 Enrollment ID: I20060803000053 |
| Provider Name | Irene Y Tien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649220955 PECOS PAC ID: 2769485697 Enrollment ID: I20060816000023 |
| Provider Name | Christopher S Dennis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255362505 PECOS PAC ID: 2365445970 Enrollment ID: I20060822000308 |
| Provider Name | Prudence B Lam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942202320 PECOS PAC ID: 7214930700 Enrollment ID: I20060823000437 |
| Provider Name | Asma Tahir |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316949712 PECOS PAC ID: 2264437490 Enrollment ID: I20060922000052 |
| Provider Name | Katherine J Hanaway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457375727 PECOS PAC ID: 1850396771 Enrollment ID: I20060928000263 |
| Provider Name | Dipakkumar M Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669460184 PECOS PAC ID: 9133122013 Enrollment ID: I20061115000254 |
| Provider Name | Steven M Vandor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942217260 PECOS PAC ID: 0840298121 Enrollment ID: I20061121000135 |
| Provider Name | Jocelyn Winzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255424008 PECOS PAC ID: 2062410350 Enrollment ID: I20061121000305 |
| Provider Name | Sudha Bolla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1861507915 PECOS PAC ID: 6901805894 Enrollment ID: I20061202000167 |
| Provider Name | Jeremy B Richards |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831123595 PECOS PAC ID: 0941209159 Enrollment ID: I20061218000254 |
| Provider Name | Gabriel Szentpaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942233119 PECOS PAC ID: 7416054234 Enrollment ID: I20070512000028 |
| Provider Name | Terri D Silver |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629168042 PECOS PAC ID: 5294832218 Enrollment ID: I20070525000133 |
| Provider Name | Linda K Shipton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720026032 PECOS PAC ID: 3971601998 Enrollment ID: I20070614000145 |
| Provider Name | Richa Md Tandon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285755348 PECOS PAC ID: 2769582444 Enrollment ID: I20070710000856 |
| Provider Name | Susan M Cowley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164554945 PECOS PAC ID: 0749373116 Enrollment ID: I20070831000102 |
| Provider Name | Hemant Hora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245351493 PECOS PAC ID: 4082708334 Enrollment ID: I20070918000609 |
| Provider Name | Christopher Fischer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871793331 PECOS PAC ID: 0941394977 Enrollment ID: I20070920000634 |
| Provider Name | Charlene M Weigel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912115387 PECOS PAC ID: 9133213044 Enrollment ID: I20070924000199 |
| Provider Name | Elinor L Baron |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366537581 PECOS PAC ID: 8325133655 Enrollment ID: I20071002000546 |
| Provider Name | Lisa M Barna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730379835 PECOS PAC ID: 6204922891 Enrollment ID: I20071011000726 |
| Provider Name | Germaine Earle Cruickshanks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013126432 PECOS PAC ID: 8729174206 Enrollment ID: I20071013000097 |
| Provider Name | Nicoleta Coconcea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285729624 PECOS PAC ID: 8123091774 Enrollment ID: I20071103000058 |
| Provider Name | Tomas Lichauco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134102601 PECOS PAC ID: 4486741758 Enrollment ID: I20071106000443 |
| Provider Name | William S Beckett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841220985 PECOS PAC ID: 6800986555 Enrollment ID: I20071218000246 |
| Provider Name | Alexandra V Chabrerie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033260930 PECOS PAC ID: 4981784857 Enrollment ID: I20080104000094 |
| Provider Name | Monica C Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750560090 PECOS PAC ID: 7315028966 Enrollment ID: I20080122000024 |
| Provider Name | Carrie A Thomas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588853808 PECOS PAC ID: 7416039706 Enrollment ID: I20080125000051 |
| Provider Name | Marcia C.t Chatfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316048739 PECOS PAC ID: 1254315385 Enrollment ID: I20080229000381 |
| Provider Name | Mary A Butterfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962690800 PECOS PAC ID: 3375628639 Enrollment ID: I20080311000252 |
| Provider Name | Kathleen M Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770701666 PECOS PAC ID: 0244317592 Enrollment ID: I20080410000400 |
| Provider Name | Larry A Nathanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740220276 PECOS PAC ID: 6103904073 Enrollment ID: I20080417000055 |
| Provider Name | Isaac Greenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558366690 PECOS PAC ID: 3476622937 Enrollment ID: I20080523000216 |
| Provider Name | Kay S Kane |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790773828 PECOS PAC ID: 3173694502 Enrollment ID: I20080612000476 |
| Provider Name | Gautam P Chhajed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326233727 PECOS PAC ID: 8022182542 Enrollment ID: I20080801000110 |
| Provider Name | Juan G Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982686325 PECOS PAC ID: 9335034354 Enrollment ID: I20080806000136 |
| Provider Name | John J Danchik |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386748960 PECOS PAC ID: 4688748866 Enrollment ID: I20080806000368 |
| Provider Name | Michael C Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730214784 PECOS PAC ID: 7719073592 Enrollment ID: I20080807000136 |
| Provider Name | Olga V Minkoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467420190 PECOS PAC ID: 5698795987 Enrollment ID: I20080807000149 |
| Provider Name | Yuhong Gong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619076833 PECOS PAC ID: 7315012234 Enrollment ID: I20080812000490 |
| Provider Name | Mark J Simone-skdimore |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568681609 PECOS PAC ID: 5395812564 Enrollment ID: I20080930000530 |
| Provider Name | Jill M Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982757548 PECOS PAC ID: 8123186913 Enrollment ID: I20081023000110 |
| Provider Name | Julia N Dickinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790933810 PECOS PAC ID: 6103985528 Enrollment ID: I20081030000081 |
| Provider Name | Harriet Kasozi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770777963 PECOS PAC ID: 7315009990 Enrollment ID: I20081216000028 |
| Provider Name | Stephen R Sullivan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1154412906 PECOS PAC ID: 1759443203 Enrollment ID: I20081218000031 |
| Provider Name | Alice Zacarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871580597 PECOS PAC ID: 7810051778 Enrollment ID: I20090122000092 |
| Provider Name | Nila Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780670562 PECOS PAC ID: 3274697149 Enrollment ID: I20090122000188 |
| Provider Name | Brett D Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073780839 PECOS PAC ID: 1850456641 Enrollment ID: I20090211000178 |
| Provider Name | Sharon R Redfearn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902883655 PECOS PAC ID: 8628060357 Enrollment ID: I20090211000451 |
| Provider Name | Jennifer J Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245448166 PECOS PAC ID: 3870658586 Enrollment ID: I20090212000530 |
| Provider Name | Leila Forman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952547085 PECOS PAC ID: 3678638079 Enrollment ID: I20090219000065 |
| Provider Name | Diane P Mcmullin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1548455942 PECOS PAC ID: 3072678473 Enrollment ID: I20090219000115 |
| Provider Name | Lisa M Arcikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235374836 PECOS PAC ID: 9335204486 Enrollment ID: I20090224000599 |
| Provider Name | Omar Siddiqi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356538417 PECOS PAC ID: 4284782194 Enrollment ID: I20090504000310 |
| Provider Name | Dae Hyun Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013123504 PECOS PAC ID: 3274681762 Enrollment ID: I20090512000196 |
| Provider Name | Malcolm W Mackenzie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578650610 PECOS PAC ID: 2062430895 Enrollment ID: I20090623000618 |
| Provider Name | Amanda H Berling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225173115 PECOS PAC ID: 9931252533 Enrollment ID: I20090729000670 |
| Provider Name | Elena Volozhanina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053329854 PECOS PAC ID: 8729089602 Enrollment ID: I20090917000470 |
| Provider Name | Khashayar Vakili |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972771947 PECOS PAC ID: 4183770845 Enrollment ID: I20090922000082 |
| Provider Name | Josef Simon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366638710 PECOS PAC ID: 8921154451 Enrollment ID: I20090924000110 |
| Provider Name | Kristin E Remus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063619617 PECOS PAC ID: 3173669470 Enrollment ID: I20090929000598 |
| Provider Name | Debra L Shrier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447486055 PECOS PAC ID: 8224174206 Enrollment ID: I20091005000601 |
| Provider Name | Nathaniel O Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760500367 PECOS PAC ID: 1355487281 Enrollment ID: I20091007000538 |
| Provider Name | Martha Martents |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700964848 PECOS PAC ID: 7416094370 Enrollment ID: I20091026000282 |
| Provider Name | Nancy H Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780879189 PECOS PAC ID: 1850439118 Enrollment ID: I20091107000051 |
| Provider Name | Sarah Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528184835 PECOS PAC ID: 1153469747 Enrollment ID: I20091119000415 |
| Provider Name | Eman A Elkadry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033189089 PECOS PAC ID: 0345389854 Enrollment ID: I20091123000209 |
| Provider Name | Michael L Stanchina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518989367 PECOS PAC ID: 1557345188 Enrollment ID: I20091123000299 |
| Provider Name | Kimberly Goc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518916519 PECOS PAC ID: 1658410378 Enrollment ID: I20091209000202 |
| Provider Name | David Y Dominguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518923259 PECOS PAC ID: 6103968649 Enrollment ID: I20100122000142 |
| Provider Name | Lori Balestrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750384046 PECOS PAC ID: 9830233287 Enrollment ID: I20100223000352 |
| Provider Name | Deborah R Wong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417941089 PECOS PAC ID: 5092842054 Enrollment ID: I20100422000609 |
| Provider Name | Daniel C Metrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558363770 PECOS PAC ID: 1759418353 Enrollment ID: I20100429000582 |
| Provider Name | Leslie K Macdonald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376514562 PECOS PAC ID: 5294863825 Enrollment ID: I20100503000193 |
| Provider Name | Eva M Gassiraro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598762833 PECOS PAC ID: 0143358101 Enrollment ID: I20100512000478 |
| Provider Name | Todd W Thomsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114911013 PECOS PAC ID: 1254469075 Enrollment ID: I20100514000192 |
| Provider Name | Linda R Powers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518967785 PECOS PAC ID: 8022146760 Enrollment ID: I20100517000587 |
| Provider Name | Julie J Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851305049 PECOS PAC ID: 0840329595 Enrollment ID: I20100519000106 |
| Provider Name | Sharon A Mullen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346215654 PECOS PAC ID: 4284763624 Enrollment ID: I20100524000867 |
| Provider Name | Lauren Curtis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326239187 PECOS PAC ID: 9133251879 Enrollment ID: I20100716000014 |
| Provider Name | Kyaw M Lwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972767671 PECOS PAC ID: 8921131939 Enrollment ID: I20100728000157 |
| Provider Name | Heather R Studley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730209263 PECOS PAC ID: 7315070224 Enrollment ID: I20100729000203 |
| Provider Name | Steven Horng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821281437 PECOS PAC ID: 1254464050 Enrollment ID: I20100730000383 |
| Provider Name | Daniel L Bourque |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427254846 PECOS PAC ID: 3072637503 Enrollment ID: I20100903000752 |
| Provider Name | Matthew A Carmody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184624488 PECOS PAC ID: 4082738430 Enrollment ID: I20100908000093 |
| Provider Name | Louis Chu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326288473 PECOS PAC ID: 7113042359 Enrollment ID: I20100913000205 |
| Provider Name | Chuanyun Gao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609070267 PECOS PAC ID: 4183749153 Enrollment ID: I20100914000747 |
| Provider Name | Sarah Reich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912129768 PECOS PAC ID: 5991821449 Enrollment ID: I20100922000411 |
| Provider Name | Marianne V Delach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831385483 PECOS PAC ID: 7618093873 Enrollment ID: I20100924000326 |
| Provider Name | Dominic Amirtharaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528234507 PECOS PAC ID: 0143412106 Enrollment ID: I20101008000305 |
| Provider Name | Gretchen K Heid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124229885 PECOS PAC ID: 3072614544 Enrollment ID: I20101014000295 |
| Provider Name | Marvin Lei Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497745046 PECOS PAC ID: 3274728514 Enrollment ID: I20101111000968 |
| Provider Name | Miguel A Antelo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720069545 PECOS PAC ID: 3870781719 Enrollment ID: I20101220000755 |
| Provider Name | Rafael A Meller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881884500 PECOS PAC ID: 4688762040 Enrollment ID: I20110125000332 |
| Provider Name | Amanda B Mcsweeney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043410590 PECOS PAC ID: 8022103910 Enrollment ID: I20110211000753 |
| Provider Name | Jean Fechheimer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225001670 PECOS PAC ID: 4486834900 Enrollment ID: I20110215000790 |
| Provider Name | Douglas J Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174795132 PECOS PAC ID: 0244411940 Enrollment ID: I20110301000703 |
| Provider Name | Bhargavi Yalamarti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285875088 PECOS PAC ID: 7113105685 Enrollment ID: I20110705000159 |
| Provider Name | Jeena Sandeep |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407034242 PECOS PAC ID: 6901074293 Enrollment ID: I20110712000196 |
| Provider Name | Michael Fogel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023255189 PECOS PAC ID: 0345418489 Enrollment ID: I20110718000039 |
| Provider Name | Krishna P Reddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194984732 PECOS PAC ID: 0244409670 Enrollment ID: I20110801000838 |
| Provider Name | Erin R Derose |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013191790 PECOS PAC ID: 0840469441 Enrollment ID: I20110817000253 |
| Provider Name | Clare M Storck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750688586 PECOS PAC ID: 9436320645 Enrollment ID: I20110920000570 |
| Provider Name | Leslie K Mosley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457444861 PECOS PAC ID: 1052582277 Enrollment ID: I20110920000607 |
| Provider Name | Ruma Rajbhandari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003008244 PECOS PAC ID: 1658544457 Enrollment ID: I20111021000490 |
| Provider Name | Tanya G Weinstock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417114182 PECOS PAC ID: 0840464608 Enrollment ID: I20111114000610 |
| Provider Name | Steven I Master |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255564837 PECOS PAC ID: 5496929549 Enrollment ID: I20111129000706 |
| Provider Name | Edy Y Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689874513 PECOS PAC ID: 7113184904 Enrollment ID: I20120207000057 |
| Provider Name | Gene Francis Dungo Del Rosario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023074986 PECOS PAC ID: 0749448306 Enrollment ID: I20120404000935 |
| Provider Name | Tali Averbuch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932407053 PECOS PAC ID: 2062673056 Enrollment ID: I20120419000048 |
| Provider Name | Anjali Iyengar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558527820 PECOS PAC ID: 6002078680 Enrollment ID: I20120426000433 |
| Provider Name | Ayse N Sahin-efe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194912519 PECOS PAC ID: 4082877972 Enrollment ID: I20120511000109 |
| Provider Name | Aparna Mani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1104086602 PECOS PAC ID: 4486816899 Enrollment ID: I20120706000352 |
| Provider Name | Ekaterina G Kehl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073634416 PECOS PAC ID: 0244499069 Enrollment ID: I20120706000600 |
| Provider Name | Amanda L Livingston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043448210 PECOS PAC ID: 4789840083 Enrollment ID: I20120731000285 |
| Provider Name | Christopher G Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467680884 PECOS PAC ID: 4880850197 Enrollment ID: I20120731000404 |
| Provider Name | Carolyn Fruci |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952341653 PECOS PAC ID: 0749257939 Enrollment ID: I20120801000543 |
| Provider Name | Robert Scaffidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538397823 PECOS PAC ID: 0941456347 Enrollment ID: I20120816000750 |
| Provider Name | Jennifer R Benjamin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396877825 PECOS PAC ID: 9830246412 Enrollment ID: I20120911000078 |
| Provider Name | Sarah E Slater |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952587362 PECOS PAC ID: 3173771342 Enrollment ID: I20120912000654 |
| Provider Name | Jason G Lieberthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518192947 PECOS PAC ID: 1153570718 Enrollment ID: I20120926000258 |
| Provider Name | Nicole E Grady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548498595 PECOS PAC ID: 2668621962 Enrollment ID: I20121002000193 |
| Provider Name | Carol M Ilzarbe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124253828 PECOS PAC ID: 4183873367 Enrollment ID: I20121003000377 |
| Provider Name | Vera Marie Sichko-seltzer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265441141 PECOS PAC ID: 2961498241 Enrollment ID: I20121018000013 |
| Provider Name | Sarah Catherine Larocque |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326394289 PECOS PAC ID: 3779733225 Enrollment ID: I20121018000765 |
| Provider Name | Donna M Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912262379 PECOS PAC ID: 7416107388 Enrollment ID: I20121031000127 |
| Provider Name | Amanda L Breneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801145149 PECOS PAC ID: 0446400238 Enrollment ID: I20121102000181 |
| Provider Name | Kathryn Rowan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821353194 PECOS PAC ID: 9335390822 Enrollment ID: I20121109000227 |
| Provider Name | Julie Mallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982969440 PECOS PAC ID: 7416108683 Enrollment ID: I20121116000051 |
| Provider Name | Karen L Ahlert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083819502 PECOS PAC ID: 4688826126 Enrollment ID: I20121210000307 |
| Provider Name | Taylor L Hotchkiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023150695 PECOS PAC ID: 2567517386 Enrollment ID: I20121219000126 |
| Provider Name | Hiromichi Miyashita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629228945 PECOS PAC ID: 0840452652 Enrollment ID: I20130204000558 |
| Provider Name | Amanda W Abbott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821358284 PECOS PAC ID: 4587809744 Enrollment ID: I20130319000068 |
| Provider Name | Cristine Seitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700121969 PECOS PAC ID: 4183869878 Enrollment ID: I20130329000163 |
| Provider Name | Chantel N Hile |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164561650 PECOS PAC ID: 2466552872 Enrollment ID: I20130430000192 |
| Provider Name | Adrienne E Oconnell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285936286 PECOS PAC ID: 7911145099 Enrollment ID: I20130531000122 |
| Provider Name | Meghan Shea |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063733236 PECOS PAC ID: 8820259955 Enrollment ID: I20130628000666 |
| Provider Name | Justin T Pitman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013158922 PECOS PAC ID: 8921265844 Enrollment ID: I20130701000046 |
| Provider Name | Brett C Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821257494 PECOS PAC ID: 9830356740 Enrollment ID: I20130702000052 |
| Provider Name | Vasileios Arsenios Lioutas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831332535 PECOS PAC ID: 0749420966 Enrollment ID: I20130712000030 |
| Provider Name | Daniel Zandman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780842955 PECOS PAC ID: 0749422277 Enrollment ID: I20130813000948 |
| Provider Name | Azadeh Assarpour |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841430030 PECOS PAC ID: 8426290578 Enrollment ID: I20130820000484 |
| Provider Name | Edward Woll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992054746 PECOS PAC ID: 2163665217 Enrollment ID: I20130821000715 |
| Provider Name | Jaisa S Olasky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134385800 PECOS PAC ID: 4183770860 Enrollment ID: I20130826000257 |
| Provider Name | Elizabeth K Stevenson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841492253 PECOS PAC ID: 8820112329 Enrollment ID: I20130828000415 |
| Provider Name | Elissa S Stecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295056000 PECOS PAC ID: 9739323700 Enrollment ID: I20130912000316 |
| Provider Name | Elizabeth S. Taglauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003127119 PECOS PAC ID: 9234373036 Enrollment ID: I20130918000048 |
| Provider Name | Ann L Mckinley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972821262 PECOS PAC ID: 9032353487 Enrollment ID: I20130925000234 |
| Provider Name | Xiaohui L Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982862967 PECOS PAC ID: 6507000817 Enrollment ID: I20130926000044 |
| Provider Name | Michele L Finkle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447484530 PECOS PAC ID: 8729214820 Enrollment ID: I20131120000382 |
| Provider Name | Bryna J Mcconarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609078849 PECOS PAC ID: 3173647435 Enrollment ID: I20131202001112 |
| Provider Name | Heikki E Nikkanen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558376129 PECOS PAC ID: 0446448583 Enrollment ID: I20131206001302 |
| Provider Name | Sarah M Elgart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609200187 PECOS PAC ID: 5991932014 Enrollment ID: I20131218000017 |
| Provider Name | Matthew C Wylie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609053552 PECOS PAC ID: 3476629759 Enrollment ID: I20140129000223 |
| Provider Name | Neeti Jha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184843559 PECOS PAC ID: 4880778406 Enrollment ID: I20140328001262 |
| Provider Name | Erin C Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912337247 PECOS PAC ID: 0446482053 Enrollment ID: I20140415000029 |
| Provider Name | Cynthia B Waite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609206739 PECOS PAC ID: 0345472536 Enrollment ID: I20140423000592 |
| Provider Name | Katherine L Damon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205252939 PECOS PAC ID: 3577786870 Enrollment ID: I20140513001814 |
| Provider Name | Margaret F Everett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902820855 PECOS PAC ID: 1456574003 Enrollment ID: I20140529000092 |
| Provider Name | Anjali Anne Verghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720370554 PECOS PAC ID: 4082845185 Enrollment ID: I20140603001270 |
| Provider Name | Shiv T Sehra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609101732 PECOS PAC ID: 0345464004 Enrollment ID: I20140619001051 |
| Provider Name | Alexandra Stillman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710206248 PECOS PAC ID: 8820212400 Enrollment ID: I20140623000991 |
| Provider Name | Wendy Timpson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760642888 PECOS PAC ID: 4082838503 Enrollment ID: I20140624000056 |
| Provider Name | Robert F Oconnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669768164 PECOS PAC ID: 1557586781 Enrollment ID: I20140702001203 |
| Provider Name | Muhammad Janisar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972883197 PECOS PAC ID: 6103041827 Enrollment ID: I20140711002313 |
| Provider Name | Gulam S Parihar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275812919 PECOS PAC ID: 9638396260 Enrollment ID: I20140805002727 |
| Provider Name | Kristen M Haddon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659570380 PECOS PAC ID: 3476734781 Enrollment ID: I20140818001623 |
| Provider Name | Zhiheng H He |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831427640 PECOS PAC ID: 1153542576 Enrollment ID: I20141028000187 |
| Provider Name | Taha Bali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093967283 PECOS PAC ID: 8729200852 Enrollment ID: I20141105001298 |
| Provider Name | Shaheen Emmanuel Lakhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649585944 PECOS PAC ID: 4082937255 Enrollment ID: I20141218001436 |
| Provider Name | Sylvia Massmanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942618483 PECOS PAC ID: 5991028763 Enrollment ID: I20141231000757 |
| Provider Name | Maureen P Whalen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730154139 PECOS PAC ID: 0749476612 Enrollment ID: I20150213001152 |
| Provider Name | Elizabeth Monaco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417083254 PECOS PAC ID: 9335465442 Enrollment ID: I20150309001711 |
| Provider Name | Erika E Line-nitu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376808766 PECOS PAC ID: 5597987941 Enrollment ID: I20150311001760 |
| Provider Name | Maureen Gehlenborg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871990796 PECOS PAC ID: 5294051025 Enrollment ID: I20150313000148 |
| Provider Name | Cameron T Stock |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588821219 PECOS PAC ID: 0345494407 Enrollment ID: I20150313001225 |
| Provider Name | Jennifer I Frias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033514401 PECOS PAC ID: 6406174093 Enrollment ID: I20150410001180 |
| Provider Name | Diane Coste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063805851 PECOS PAC ID: 4789904301 Enrollment ID: I20150522000190 |
| Provider Name | Mary E Rhinehart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134193857 PECOS PAC ID: 5991770588 Enrollment ID: I20150522002357 |
| Provider Name | Naomi Anne Priver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477540656 PECOS PAC ID: 3072834605 Enrollment ID: I20150608000673 |
| Provider Name | Ralph Vosburg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184927774 PECOS PAC ID: 0446571798 Enrollment ID: I20150611001958 |
| Provider Name | Laura E Boldyrev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235528696 PECOS PAC ID: 7810208030 Enrollment ID: I20150615001636 |
| Provider Name | Laura Ebbeling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083971592 PECOS PAC ID: 3375854409 Enrollment ID: I20150616002435 |
| Provider Name | Stephen H Zinner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629043245 PECOS PAC ID: 8820067788 Enrollment ID: I20150623001044 |
| Provider Name | Jesse Michael Schafer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396037800 PECOS PAC ID: 7214169317 Enrollment ID: I20150625001166 |
| Provider Name | Elliot L. Servais |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194982421 PECOS PAC ID: 9537386479 Enrollment ID: I20150708002202 |
| Provider Name | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20150728003914 |
| Provider Name | Katherine A Dudley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245497619 PECOS PAC ID: 7810153715 Enrollment ID: I20150817001714 |
| Provider Name | Fong Liu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841459948 PECOS PAC ID: 9931387255 Enrollment ID: I20150916002132 |
| Provider Name | Katharine Esselen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518129014 PECOS PAC ID: 3678730009 Enrollment ID: I20150924000352 |
| Provider Name | B. Minsuk Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518222751 PECOS PAC ID: 2365750411 Enrollment ID: I20151009000488 |
| Provider Name | Teri Irene Linardos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104202290 PECOS PAC ID: 5294044962 Enrollment ID: I20151020001204 |
| Provider Name | Maryanne Meadows Sherburne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235516287 PECOS PAC ID: 5294045746 Enrollment ID: I20151112001376 |
| Provider Name | Helena O Taylor |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144309006 PECOS PAC ID: 8527107382 Enrollment ID: I20151121000107 |
| Provider Name | Xiuning Le |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1720399074 PECOS PAC ID: 9032419155 Enrollment ID: I20151121000287 |
| Provider Name | Peter I Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972884336 PECOS PAC ID: 5799916193 Enrollment ID: I20151204000352 |
| Provider Name | Nicole M Chaitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134590458 PECOS PAC ID: 6103127774 Enrollment ID: I20151228000321 |
| Provider Name | Elizabeth B Shortsleeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700169711 PECOS PAC ID: 3173755402 Enrollment ID: I20160304001643 |
| Provider Name | Shannon A Reynolds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598947228 PECOS PAC ID: 0244520138 Enrollment ID: I20160606001314 |
| Provider Name | Nasim Gorji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619298361 PECOS PAC ID: 1850699067 Enrollment ID: I20160621001244 |
| Provider Name | Sherman Chu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952649691 PECOS PAC ID: 6800192535 Enrollment ID: I20160802000870 |
| Provider Name | Zoe B Mckee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467714105 PECOS PAC ID: 8628394160 Enrollment ID: I20160812001607 |
| Provider Name | Christopher Damsgaard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932493228 PECOS PAC ID: 9436379484 Enrollment ID: I20160815001634 |
| Provider Name | Benjamin F Stump |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679862643 PECOS PAC ID: 3577514892 Enrollment ID: I20160822002079 |
| Provider Name | Alden P Doerner Rinaldi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477845857 PECOS PAC ID: 4284943341 Enrollment ID: I20160930001388 |
| Provider Name | Nissa J Ali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740523448 PECOS PAC ID: 3274821855 Enrollment ID: I20161014000039 |
| Provider Name | Muhammad U Qadir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417128596 PECOS PAC ID: 4385808450 Enrollment ID: I20161014001220 |
| Provider Name | Lakshmi Gowda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508202771 PECOS PAC ID: 3678705530 Enrollment ID: I20161026002078 |
| Provider Name | Noah Schoenberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346535259 PECOS PAC ID: 2466680459 Enrollment ID: I20161027001043 |
| Provider Name | Luke T Chatburn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477813517 PECOS PAC ID: 6406135177 Enrollment ID: I20161121001480 |
| Provider Name | Andrew D Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578017497 PECOS PAC ID: 0345529863 Enrollment ID: I20161128000113 |
| Provider Name | Fonda Chan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831446665 PECOS PAC ID: 6204123854 Enrollment ID: I20161130000626 |
| Provider Name | Sarah D Kaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992259741 PECOS PAC ID: 6709167760 Enrollment ID: I20170105001078 |
| Provider Name | Xiao Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801181854 PECOS PAC ID: 1557589025 Enrollment ID: I20170109001919 |
| Provider Name | Hamna Umar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497195465 PECOS PAC ID: 1759665789 Enrollment ID: I20170310001554 |
| Provider Name | Michael A Brendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528508249 PECOS PAC ID: 9739463704 Enrollment ID: I20170313000696 |
| Provider Name | Nagma Kc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346783669 PECOS PAC ID: 6305121153 Enrollment ID: I20170320000160 |
| Provider Name | Rachael Phelan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619360369 PECOS PAC ID: 7416232962 Enrollment ID: I20170323001196 |
| Provider Name | Aram N Demirjian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164661906 PECOS PAC ID: 9335290428 Enrollment ID: I20170419001032 |
| Provider Name | Tracy J Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619386562 PECOS PAC ID: 6507142791 Enrollment ID: I20170425001233 |
| Provider Name | Tafadzwa Muguwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811284177 PECOS PAC ID: 4183901028 Enrollment ID: I20170503000543 |
| Provider Name | Katherine H Walker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528353463 PECOS PAC ID: 2567749369 Enrollment ID: I20170504000384 |
| Provider Name | William D Winkelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316289440 PECOS PAC ID: 9032497904 Enrollment ID: I20170511001700 |
| Provider Name | Hannah M Haigler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407290414 PECOS PAC ID: 8527280429 Enrollment ID: I20170530000144 |
| Provider Name | Erin K George |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558609792 PECOS PAC ID: 6709159106 Enrollment ID: I20170907000213 |
| Provider Name | Andrew J Bouley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831539519 PECOS PAC ID: 8628295359 Enrollment ID: I20170915001428 |
| Provider Name | Anna Np Ost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649689878 PECOS PAC ID: 2668746041 Enrollment ID: I20170923000085 |
| Provider Name | Ashley Farrington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336587021 PECOS PAC ID: 4284923400 Enrollment ID: I20171003003940 |
| Provider Name | Eisha M Azhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568865483 PECOS PAC ID: 3971878471 Enrollment ID: I20171010001460 |
| Provider Name | Emily Higgins Holmes Lore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508389636 PECOS PAC ID: 0446518427 Enrollment ID: I20171220002755 |
| Provider Name | Joseph G Omlor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124432869 PECOS PAC ID: 2466732540 Enrollment ID: I20180103002412 |
| Provider Name | Shi-jing Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972013357 PECOS PAC ID: 8224398193 Enrollment ID: I20180214001763 |
| Provider Name | Jessica J Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982142519 PECOS PAC ID: 4183985609 Enrollment ID: I20180226001504 |
| Provider Name | Lawrence Francis Borges |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043447519 PECOS PAC ID: 3678712346 Enrollment ID: I20180226001697 |
| Provider Name | Kelly H Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073060653 PECOS PAC ID: 8224391362 Enrollment ID: I20180424001499 |
| Provider Name | Laura J Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659751584 PECOS PAC ID: 8820387053 Enrollment ID: I20180517001922 |
| Provider Name | Krystal E Mershon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700288388 PECOS PAC ID: 5597011460 Enrollment ID: I20180706001656 |
| Provider Name | Sandra Shi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023421088 PECOS PAC ID: 7517183197 Enrollment ID: I20180726002509 |
| Provider Name | Temitope P Awosogba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003235326 PECOS PAC ID: 0143448001 Enrollment ID: I20180827000368 |
| Provider Name | Stephanie J Mascia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922413582 PECOS PAC ID: 5294014791 Enrollment ID: I20180830001065 |
| Provider Name | Theodoros Kapetanakis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174846372 PECOS PAC ID: 8224252275 Enrollment ID: I20180911000306 |
| Provider Name | Arun Kumar Chandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700269610 PECOS PAC ID: 8729339882 Enrollment ID: I20180928001665 |
| Provider Name | Lydia L Barlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972986388 PECOS PAC ID: 5193005957 Enrollment ID: I20181004003016 |
| Provider Name | Anne L Antonellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619389053 PECOS PAC ID: 6406072313 Enrollment ID: I20181005002746 |
| Provider Name | Matthew R Moll |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528301942 PECOS PAC ID: 1456583491 Enrollment ID: I20181016000162 |
| Provider Name | Bryan H Swaim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568845444 PECOS PAC ID: 1850683129 Enrollment ID: I20181101002261 |
| Provider Name | Rebecca M Sternschein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689012726 PECOS PAC ID: 3274828132 Enrollment ID: I20181211002592 |
| Provider Name | Amy W Fan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922493774 PECOS PAC ID: 6305181645 Enrollment ID: I20181214001474 |
| Provider Name | Eric B Samuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013941939 PECOS PAC ID: 6709818024 Enrollment ID: I20181220002466 |
| Provider Name | Elizabeth A. Phipps |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851777874 PECOS PAC ID: 1850644675 Enrollment ID: I20181224000453 |
| Provider Name | Anuradha Ramaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023113644 PECOS PAC ID: 0345273066 Enrollment ID: I20190103002626 |
| Provider Name | Jared James Eddy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275710857 PECOS PAC ID: 1557593944 Enrollment ID: I20190108001619 |
| Provider Name | Linda M Solferino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538500293 PECOS PAC ID: 3577809656 Enrollment ID: I20190110001078 |
| Provider Name | Amanda A Sandford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285820332 PECOS PAC ID: 3072650415 Enrollment ID: I20190111002161 |
| Provider Name | Francesca M Marangell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609250406 PECOS PAC ID: 1658662507 Enrollment ID: I20190122003167 |
| Provider Name | Jennifer R Nelson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245708973 PECOS PAC ID: 0143568840 Enrollment ID: I20190205000348 |
| Provider Name | Benjamin J Apgar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053786889 PECOS PAC ID: 7214276765 Enrollment ID: I20190228001700 |
| Provider Name | Ariana M. Witkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831583368 PECOS PAC ID: 3375854573 Enrollment ID: I20190305002855 |
| Provider Name | Jade C Doolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659890820 PECOS PAC ID: 1658611421 Enrollment ID: I20190314002195 |
| Provider Name | Samer Abujaber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497137558 PECOS PAC ID: 7719267806 Enrollment ID: I20190320001589 |
| Provider Name | Mackenzie K Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679037204 PECOS PAC ID: 2466792643 Enrollment ID: I20190326001595 |
| Provider Name | Mahmoud A Abdelrazek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700144938 PECOS PAC ID: 6305134024 Enrollment ID: I20190501002646 |
| Provider Name | Seung J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588015317 PECOS PAC ID: 2365730777 Enrollment ID: I20190509000889 |
| Provider Name | Andrew J Goldsmith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447644984 PECOS PAC ID: 5193032142 Enrollment ID: I20190520000030 |
| Provider Name | Tyler S Brown |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689945081 PECOS PAC ID: 2365716354 Enrollment ID: I20190614002571 |
| Provider Name | Majid Shafiq |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649429515 PECOS PAC ID: 6800069212 Enrollment ID: I20190618001273 |
| Provider Name | Danbi Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407315112 PECOS PAC ID: 5092049403 Enrollment ID: I20190618003070 |
| Provider Name | Bryan A Stenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801244066 PECOS PAC ID: 5991093007 Enrollment ID: I20190626000863 |
| Provider Name | Kady S Goldlist |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1235512146 PECOS PAC ID: 1456667567 Enrollment ID: I20190627001509 |
| Provider Name | Kristen M Hysell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669884672 PECOS PAC ID: 7618280140 Enrollment ID: I20190628001407 |
| Provider Name | Songprod Lorgunpai |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225423015 PECOS PAC ID: 7012224421 Enrollment ID: I20190703001696 |
| Provider Name | Amir M Mohareb |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376812065 PECOS PAC ID: 7416268180 Enrollment ID: I20190709002712 |
| Provider Name | Theodore W Schafer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609851591 PECOS PAC ID: 2466621495 Enrollment ID: I20190729001769 |
| Provider Name | Alessandra Mele |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366754921 PECOS PAC ID: 8123354933 Enrollment ID: I20190731001083 |
| Provider Name | Veena H Dronamraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861856783 PECOS PAC ID: 8123354909 Enrollment ID: I20190731003885 |
| Provider Name | Lama Mulki |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124259106 PECOS PAC ID: 1355699158 Enrollment ID: I20190805001494 |
| Provider Name | Lydia A Flier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104273911 PECOS PAC ID: 2567757743 Enrollment ID: I20190806002175 |
| Provider Name | Erin L Stefely |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952745119 PECOS PAC ID: 9739320953 Enrollment ID: I20190807000559 |
| Provider Name | Nathan A Wass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790135606 PECOS PAC ID: 1254629173 Enrollment ID: I20190821004686 |
| Provider Name | Kolawole Olugbade |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831519024 PECOS PAC ID: 1658618699 Enrollment ID: I20190905002122 |
| Provider Name | Manasa Mullapudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366893604 PECOS PAC ID: 3173853967 Enrollment ID: I20190920001055 |
| Provider Name | Michael S Spertus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255775003 PECOS PAC ID: 5294022844 Enrollment ID: I20191016002082 |
| Provider Name | Sophia Montissol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821596149 PECOS PAC ID: 8820320955 Enrollment ID: I20191023000188 |
| Provider Name | Ariela M Borkan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114450459 PECOS PAC ID: 6608108238 Enrollment ID: I20191030002734 |
| Provider Name | Narine Avetisyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770941627 PECOS PAC ID: 6204168693 Enrollment ID: I20191105000975 |
| Provider Name | Megan A Koster |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891108734 PECOS PAC ID: 7012134315 Enrollment ID: I20191113000559 |
| Provider Name | Seth R Crockford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609262567 PECOS PAC ID: 8224383377 Enrollment ID: I20191120001840 |
| Provider Name | Michael D Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861843609 PECOS PAC ID: 2365875689 Enrollment ID: I20191127000743 |
| Provider Name | Dinah R Gorelik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649702820 PECOS PAC ID: 7719251727 Enrollment ID: I20191218002820 |
| Provider Name | Beatrice Kamya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124683545 PECOS PAC ID: 2264866086 Enrollment ID: I20200102000663 |
| Provider Name | Alan M Shotkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619915717 PECOS PAC ID: 4284718644 Enrollment ID: I20200102001193 |
| Provider Name | Sheena Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598206229 PECOS PAC ID: 9032546338 Enrollment ID: I20200226002107 |
| Provider Name | Rebecca A Raphaely |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497166128 PECOS PAC ID: 1557681186 Enrollment ID: I20200226002930 |
| Provider Name | Lars Stangenberg |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003077090 PECOS PAC ID: 9032372511 Enrollment ID: I20200309002602 |
| Provider Name | Kelly Fanty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528527033 PECOS PAC ID: 4385073386 Enrollment ID: I20200326000804 |
| Provider Name | Jama Bernard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538608948 PECOS PAC ID: 0244516359 Enrollment ID: I20200327002676 |
| Provider Name | Gabrielle Marie Kovarie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164991907 PECOS PAC ID: 5991044612 Enrollment ID: I20200507000745 |
| Provider Name | Becky Mckeirnan - Seefeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346410305 PECOS PAC ID: 3375780638 Enrollment ID: I20200514001876 |
| Provider Name | Katharine K Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962064626 PECOS PAC ID: 7012330111 Enrollment ID: I20200708001521 |
| Provider Name | Emmett A Kistler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457700742 PECOS PAC ID: 8325334527 Enrollment ID: I20200813002549 |
| Provider Name | Ahmed Anwer Ali Rattani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225437247 PECOS PAC ID: 7517247620 Enrollment ID: I20200902001852 |
| Provider Name | Ruchi Hamal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447670823 PECOS PAC ID: 1355640269 Enrollment ID: I20200911001012 |
| Provider Name | Devin Elizabeth Prior |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548657000 PECOS PAC ID: 6406154525 Enrollment ID: I20200917003043 |
| Provider Name | Charlotte N Grinberg |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1750811204 PECOS PAC ID: 1153695770 Enrollment ID: I20200921000458 |
| Provider Name | Naris T Ghazarians |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568993434 PECOS PAC ID: 5294009213 Enrollment ID: I20201109002381 |
| Provider Name | Alison Trainor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912356007 PECOS PAC ID: 2264728690 Enrollment ID: I20201112003007 |
| Provider Name | Mariama Njie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427414846 PECOS PAC ID: 7113225343 Enrollment ID: I20201124001602 |
| Provider Name | Eliza J Rao |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528310158 PECOS PAC ID: 0648570614 Enrollment ID: I20201130002479 |
| Provider Name | Reema D Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972820603 PECOS PAC ID: 3072894831 Enrollment ID: I20201207000385 |
| Provider Name | Joseph Dottino |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1457618118 PECOS PAC ID: 8820353006 Enrollment ID: I20201215001410 |
| Provider Name | Sanam Lathief |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295082477 PECOS PAC ID: 4183921836 Enrollment ID: I20210105002410 |
| Provider Name | Rene S Bermea |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407205115 PECOS PAC ID: 7113219395 Enrollment ID: I20210106001235 |
| Provider Name | Glenn S Schlundt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205915964 PECOS PAC ID: 0244579795 Enrollment ID: I20210106002105 |
| Provider Name | Eric H Grover |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508170820 PECOS PAC ID: 1456590702 Enrollment ID: I20210125000250 |
| Provider Name | Louis J Kishfy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710417217 PECOS PAC ID: 7315219912 Enrollment ID: I20210201002533 |
| Provider Name | Courtney E Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942399241 PECOS PAC ID: 0143289306 Enrollment ID: I20210204001393 |
| Provider Name | Alice M Miele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053804294 PECOS PAC ID: 9234544370 Enrollment ID: I20210223000762 |
| Provider Name | Lorenzo W Klein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659489680 PECOS PAC ID: 0446341416 Enrollment ID: I20210227000067 |
| Provider Name | Naira Aleksanyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558968461 PECOS PAC ID: 0547676819 Enrollment ID: I20210311000186 |
| Provider Name | Cara Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962018069 PECOS PAC ID: 9537576988 Enrollment ID: I20210331000672 |
| Provider Name | David Scott Shottland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972965259 PECOS PAC ID: 7719272061 Enrollment ID: I20210408001821 |
| Provider Name | Ruth Schulman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689037087 PECOS PAC ID: 5193010239 Enrollment ID: I20210416000749 |
| Provider Name | Caroline M Regelous |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245822352 PECOS PAC ID: 1759799059 Enrollment ID: I20210427001558 |
| Provider Name | Joshua S Kolikof |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548753858 PECOS PAC ID: 3577972280 Enrollment ID: I20210511000090 |
| Provider Name | Samantha Baum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366036063 PECOS PAC ID: 6406265966 Enrollment ID: I20210513000499 |
| Provider Name | Joseph M Keating |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356738348 PECOS PAC ID: 8729396270 Enrollment ID: I20210517002304 |
| Provider Name | Scott Morin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497243893 PECOS PAC ID: 7113274788 Enrollment ID: I20210518000788 |
| Provider Name | David Furfaro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336568393 PECOS PAC ID: 1759504970 Enrollment ID: I20210615000672 |
| Provider Name | Kathryn Bowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780002923 PECOS PAC ID: 9032427547 Enrollment ID: I20210625001114 |
| Provider Name | Danielle N Carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285162396 PECOS PAC ID: 7719257682 Enrollment ID: I20210707000338 |
| Provider Name | Mehmet S Marangoz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912339995 PECOS PAC ID: 3274812698 Enrollment ID: I20210715001992 |
| Provider Name | Elena Fradkov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326438953 PECOS PAC ID: 1658774781 Enrollment ID: I20210727000741 |
| Provider Name | Sneha T Kannan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770011546 PECOS PAC ID: 6406129675 Enrollment ID: I20210728004164 |
| Provider Name | Molly P Keady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013483221 PECOS PAC ID: 4789929852 Enrollment ID: I20210729001883 |
| Provider Name | Kelly M Nichols |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629462627 PECOS PAC ID: 4385957976 Enrollment ID: I20210730000006 |
| Provider Name | Nicholas J Nassikas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598143273 PECOS PAC ID: 8022324607 Enrollment ID: I20210811000055 |
| Provider Name | Ammara Watkins |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790071546 PECOS PAC ID: 6800137597 Enrollment ID: I20210812001156 |
| Provider Name | Nicole M Duggan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366962540 PECOS PAC ID: 5890069629 Enrollment ID: I20210812001358 |
| Provider Name | Patric Liang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578973293 PECOS PAC ID: 9931503893 Enrollment ID: I20210813002995 |
| Provider Name | Iris Yeong- Fung Sheng |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578942058 PECOS PAC ID: 1254649247 Enrollment ID: I20210917002834 |
| Provider Name | Ayesha Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851877609 PECOS PAC ID: 0143563833 Enrollment ID: I20210920002496 |
| Provider Name | Alisha Lakhani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033521802 PECOS PAC ID: 5294951984 Enrollment ID: I20211008001215 |
| Provider Name | Alexandra A Filippi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033597174 PECOS PAC ID: 6002245123 Enrollment ID: I20211025002145 |
| Provider Name | Sean M Morris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699265413 PECOS PAC ID: 9436404423 Enrollment ID: I20211026002744 |
| Provider Name | Norma C Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114416492 PECOS PAC ID: 6901153691 Enrollment ID: I20211108001357 |
| Provider Name | Sivan S Vainer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134658487 PECOS PAC ID: 2466725551 Enrollment ID: I20211112002150 |
| Provider Name | Madeline J Macaluso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619644176 PECOS PAC ID: 4183017395 Enrollment ID: I20220211000777 |
| Provider Name | Nicole M Anim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619227667 PECOS PAC ID: 9335370972 Enrollment ID: I20220221002089 |
| Provider Name | Carly M Wisnowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447926399 PECOS PAC ID: 4486048857 Enrollment ID: I20220301000577 |
| Provider Name | Katherine Maria Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861152480 PECOS PAC ID: 8426443524 Enrollment ID: I20220325001856 |
| Provider Name | Eric R Gottlieb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477900454 PECOS PAC ID: 6406141514 Enrollment ID: I20220330002259 |
| Provider Name | Taryn Digiacomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568127835 PECOS PAC ID: 3375939176 Enrollment ID: I20220404001829 |
| Provider Name | Linda C Wendell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215154430 PECOS PAC ID: 0749306843 Enrollment ID: I20220513000881 |
| Provider Name | Alexander Preston Bruscke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104316777 PECOS PAC ID: 9436401593 Enrollment ID: I20220518001901 |
| Provider Name | Jillian B Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346888237 PECOS PAC ID: 1153732607 Enrollment ID: I20220524000765 |
| Provider Name | Alana M Dimaso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588229264 PECOS PAC ID: 4284030602 Enrollment ID: I20220524002816 |
| Provider Name | Lily R Shaffer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538802046 PECOS PAC ID: 9830577154 Enrollment ID: I20220527000601 |
| Provider Name | Samson Ferm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255785713 PECOS PAC ID: 3274871694 Enrollment ID: I20220608002045 |
| Provider Name | Naomi S Shin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619352713 PECOS PAC ID: 9830470970 Enrollment ID: I20220615000848 |
| Provider Name | Sheng Si |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396126215 PECOS PAC ID: 3779897657 Enrollment ID: I20220622000422 |
| Provider Name | Ian J Milligan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265938682 PECOS PAC ID: 8426446808 Enrollment ID: I20220720001384 |
| Provider Name | Michael Dombek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366837536 PECOS PAC ID: 0749555977 Enrollment ID: I20220721003167 |
| Provider Name | Bingqing Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871257113 PECOS PAC ID: 5496138679 Enrollment ID: I20220822000597 |
| Provider Name | Amanda Jing Lu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902369176 PECOS PAC ID: 0547643520 Enrollment ID: I20220824002182 |
| Provider Name | Chelsea N. Wong |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1699269332 PECOS PAC ID: 1153679444 Enrollment ID: I20220906001212 |
| Provider Name | Gottfried Raffael Von Keudell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235368168 PECOS PAC ID: 5597066183 Enrollment ID: I20220909002293 |
| Provider Name | Muhammad Zain-ul-abideen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336594662 PECOS PAC ID: 9830479153 Enrollment ID: I20220913000431 |
| Provider Name | Todd M Pollack |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720026081 PECOS PAC ID: 3779969829 Enrollment ID: I20220927003847 |
| Provider Name | Christopher P Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437325412 PECOS PAC ID: 4082864202 Enrollment ID: I20221021000710 |
| Provider Name | Joseph A Khoory |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902368962 PECOS PAC ID: 7113323049 Enrollment ID: I20221021001825 |
| Provider Name | Fiona S Koshy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952020547 PECOS PAC ID: 5092182550 Enrollment ID: I20221114000844 |
| Provider Name | Emma B Kravet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194456160 PECOS PAC ID: 6608244215 Enrollment ID: I20221201000810 |
| Provider Name | Daniel W Kahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699494294 PECOS PAC ID: 5496124661 Enrollment ID: I20221209001265 |
| Provider Name | Megan Cheslock |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255824769 PECOS PAC ID: 7214273002 Enrollment ID: I20221213001736 |
| Provider Name | Jessica S Gaulton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083906317 PECOS PAC ID: 7315162906 Enrollment ID: I20221215000328 |
| Provider Name | Ashley Wiseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518691419 PECOS PAC ID: 7214307941 Enrollment ID: I20221221001723 |
| Provider Name | Olivia M Ford |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699491787 PECOS PAC ID: 3072983360 Enrollment ID: I20230103000251 |
| Provider Name | Helen Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053047738 PECOS PAC ID: 1153791124 Enrollment ID: I20230109001321 |
| Provider Name | Evelyn M Lamuraglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639803133 PECOS PAC ID: 6305217118 Enrollment ID: I20230113000826 |
| Provider Name | Margaret Layo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184225401 PECOS PAC ID: 5890166573 Enrollment ID: I20230116000748 |
| Provider Name | Jessika Loboda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306579263 PECOS PAC ID: 9335510015 Enrollment ID: I20230116000754 |
| Provider Name | Daniel P Katzman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609138130 PECOS PAC ID: 3577718261 Enrollment ID: I20230120000928 |
| Provider Name | Niravkumar Barot |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1154697589 PECOS PAC ID: 7012205495 Enrollment ID: I20230124001235 |
| Provider Name | Katherine D Mcnulty |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831816115 PECOS PAC ID: 3173994407 Enrollment ID: I20230125001706 |
| Provider Name | Justin D Salciccioli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407386659 PECOS PAC ID: 3173896362 Enrollment ID: I20230711003519 |
| Provider Name | Amanda Rae O'donnell |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356839328 PECOS PAC ID: 7214339738 Enrollment ID: I20230719001241 |
| Provider Name | Dennis Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255903696 PECOS PAC ID: 1456712124 Enrollment ID: I20230727001260 |
| Provider Name | Amy N Bebergal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417648767 PECOS PAC ID: 4284096124 Enrollment ID: I20230809003394 |
| Provider Name | Doriann Amadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649976903 PECOS PAC ID: 8820450406 Enrollment ID: I20230814002585 |
| Provider Name | Roelof Bekendam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336643709 PECOS PAC ID: 6709137391 Enrollment ID: I20230814002878 |
| Provider Name | Janki Chandarana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922489871 PECOS PAC ID: 4880999549 Enrollment ID: I20230817001926 |
| Provider Name | Joanne Bruny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063944890 PECOS PAC ID: 1153783428 Enrollment ID: I20230817003905 |
| Provider Name | Armand Gottlieb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821452822 PECOS PAC ID: 4486980414 Enrollment ID: I20230823002187 |
| Provider Name | Sean Christopher Mcsweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306556899 PECOS PAC ID: 4981067832 Enrollment ID: I20230825001452 |
| Provider Name | Theodore Robertson Pak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013476100 PECOS PAC ID: 0042549099 Enrollment ID: I20230825002019 |
| Provider Name | Anastasios Roumeliotis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578192084 PECOS PAC ID: 8022414341 Enrollment ID: I20230830002877 |
| Provider Name | Karen Tanona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790423176 PECOS PAC ID: 7517320039 Enrollment ID: I20230831002018 |
| Provider Name | Jennifer N Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992377345 PECOS PAC ID: 4981067303 Enrollment ID: I20230831002617 |
| Provider Name | Michelle Fakler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1932593597 PECOS PAC ID: 9133502990 Enrollment ID: I20230907002943 |
| Provider Name | Jennifer Lauren Petrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023714524 PECOS PAC ID: 6002260189 Enrollment ID: I20230922001915 |
| Provider Name | Carrie Ann Macleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013684471 PECOS PAC ID: 9739535246 Enrollment ID: I20231019001074 |
| Provider Name | Angel Nashae Street |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326796327 PECOS PAC ID: 5991151417 Enrollment ID: I20231019001702 |
| Provider Name | Julie Pfeffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083243943 PECOS PAC ID: 6901222967 Enrollment ID: I20231020002484 |
| Provider Name | Tzann T Fang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275609349 PECOS PAC ID: 8022101906 Enrollment ID: I20231113002610 |
| Provider Name | Amanda Rae O'donnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356839328 PECOS PAC ID: 7214339738 Enrollment ID: I20231204002999 |
| Provider Name | Whitney Hang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275039109 PECOS PAC ID: 0749639698 Enrollment ID: I20231218001722 |
| Provider Name | Jason Shenqing Fang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487114120 PECOS PAC ID: 3173991577 Enrollment ID: I20240122002357 |
| Provider Name | Ravi Dipak Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174083414 PECOS PAC ID: 5597090159 Enrollment ID: I20240201001913 |
| Provider Name | Jacqueline Ann Vittum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427710417 PECOS PAC ID: 8628414133 Enrollment ID: I20240306003978 |
| Provider Name | Catherine Cary Schaeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720795826 PECOS PAC ID: 4183060809 Enrollment ID: I20240315001525 |
| Provider Name | Tamar Babayan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407632631 PECOS PAC ID: 8628510252 Enrollment ID: I20240611000150 |
Google Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Main St, 2nd Floor, Cambridge, MA 02142 Phone: 617-453-3005 Fax: 617-649-8535 | |
Premise Health Of Massachusetts Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 2nd St, Cambridge, MA 02141 Phone: 617-245-3278 Fax: 617-649-3844 | |
Mount Auburn Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Mount Auburn St, Cambridge, MA 02138 Phone: 617-492-3500 | |
Cambridge Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 | |
Mount Auburn Gastroenterology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Mount Auburn St, Suite 404, Cambridge, MA 02138 Phone: 617-876-4733 Fax: 617-876-5017 | |
Youville Hospital And Rehabilitation Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 Cambridge St, Cambridge, MA 02138 Phone: 617-876-4344 Fax: 617-234-7913 | |
Cambridge Family Health North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2067 Massachusetts Ave, Cambridge, MA 02140 Phone: 617-575-5570 |