| Musc Physicians Pcp | |
|
2060 Sam Rittenberg Blvd Charleston SC 29407-4616 | |
| (843) 876-3151 | |
| Not Available |
| Full Name | Musc Physicians Pcp |
|---|---|
| Speciality | Family Medicine |
| Location | 2060 Sam Rittenberg Blvd, Charleston, South Carolina |
| Authorized Official Name and Position | Karyn Rae (MANAGER) |
| Authorized Official Contact | 8438761344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Musc Physicians Pcp Po Box 602108 Charlotte NC 28260-2108 Ph: (843) 792-6200 | Musc Physicians Pcp 2060 Sam Rittenberg Blvd Charleston SC 29407-4616 Ph: (843) 876-3151 |
| NPI Number | 1184655722 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 01/03/2020 |
| Medicare PECOS PAC ID | 4587557731 |
|---|---|
| Medicare Enrollment ID | O20040203000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184655722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ginger Fay Thomason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902895204 PECOS PAC ID: 1355245218 Enrollment ID: I20031121000565 |
| Provider Name | Benjamin George Cameransi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275629933 PECOS PAC ID: 6002710803 Enrollment ID: I20031124000154 |
| Provider Name | Lynn D Barr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225034465 PECOS PAC ID: 1658276084 Enrollment ID: I20031126000691 |
| Provider Name | Dennis M Fraley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417954405 PECOS PAC ID: 0143126409 Enrollment ID: I20031209000428 |
| Provider Name | Chadwick V Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346289907 PECOS PAC ID: 2264330711 Enrollment ID: I20031222000730 |
| Provider Name | John Woodbury Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376848 PECOS PAC ID: 0244123404 Enrollment ID: I20040203000662 |
| Provider Name | Kathy S Bolus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114995669 PECOS PAC ID: 8426942541 Enrollment ID: I20040210000962 |
| Provider Name | Stuart Alva Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841299583 PECOS PAC ID: 2860387628 Enrollment ID: I20040219000680 |
| Provider Name | Mark William Carroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073510954 PECOS PAC ID: 6901702224 Enrollment ID: I20040220000071 |
| Provider Name | Christine Canivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427067818 PECOS PAC ID: 1658261300 Enrollment ID: I20040317000856 |
| Provider Name | Bradley Stokes Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528043759 PECOS PAC ID: 8123919727 Enrollment ID: I20040323000939 |
| Provider Name | George R Richardson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417932252 PECOS PAC ID: 2567455793 Enrollment ID: I20040405001139 |
| Provider Name | Samuel R Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063426955 PECOS PAC ID: 8325034382 Enrollment ID: I20040423000893 |
| Provider Name | Kristopher Robert Crawford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124024195 PECOS PAC ID: 3971590431 Enrollment ID: I20040427000971 |
| Provider Name | Ernest Singletary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215997010 PECOS PAC ID: 7012906159 Enrollment ID: I20040512000437 |
| Provider Name | Jonathan Christopher Neuman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376554477 PECOS PAC ID: 1052201415 Enrollment ID: I20040527000959 |
| Provider Name | Sollie Lewis Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275594806 PECOS PAC ID: 3870587033 Enrollment ID: I20040603000461 |
| Provider Name | Charlie Dorn Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003874892 PECOS PAC ID: 5395648117 Enrollment ID: I20040611000452 |
| Provider Name | Eduardo Al Bana Donato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629035878 PECOS PAC ID: 2860477601 Enrollment ID: I20040624000074 |
| Provider Name | Philip Costello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346287851 PECOS PAC ID: 4486633898 Enrollment ID: I20040719000949 |
| Provider Name | Meenakshi A Pande |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538198080 PECOS PAC ID: 9234109158 Enrollment ID: I20040728001162 |
| Provider Name | Jill H Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902002900 PECOS PAC ID: 4284608993 Enrollment ID: I20040819001124 |
| Provider Name | Kimberly Shelley Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558318527 PECOS PAC ID: 1759355357 Enrollment ID: I20040824000038 |
| Provider Name | Suzanne Balliett Storch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730115825 PECOS PAC ID: 2264406263 Enrollment ID: I20040825000324 |
| Provider Name | Sandy Tyrone Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851369698 PECOS PAC ID: 2365416187 Enrollment ID: I20040825001364 |
| Provider Name | Geoffrey S Coates-wynn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316928377 PECOS PAC ID: 5193792208 Enrollment ID: I20040916000568 |
| Provider Name | William Conway |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780627257 PECOS PAC ID: 8921076852 Enrollment ID: I20040920000324 |
| Provider Name | Uwe Schoepf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669410163 PECOS PAC ID: 7214996305 Enrollment ID: I20041005000721 |
| Provider Name | Richard K Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245336932 PECOS PAC ID: 2769449560 Enrollment ID: I20041214000182 |
| Provider Name | Julie W Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700884327 PECOS PAC ID: 6103876636 Enrollment ID: I20050124000170 |
| Provider Name | Cecil Floyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821056508 PECOS PAC ID: 1153380134 Enrollment ID: I20050202000647 |
| Provider Name | Robert E Bell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659345536 PECOS PAC ID: 2567413487 Enrollment ID: I20050208000419 |
| Provider Name | Lorrie R Mello-shropshire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306865373 PECOS PAC ID: 5698728327 Enrollment ID: I20050223000032 |
| Provider Name | Marion L Gibbons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003823931 PECOS PAC ID: 2961455696 Enrollment ID: I20050223000042 |
| Provider Name | James M Mann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275582405 PECOS PAC ID: 6800849100 Enrollment ID: I20050228000122 |
| Provider Name | Debra Lola Feller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871601815 PECOS PAC ID: 6204889108 Enrollment ID: I20050308000177 |
| Provider Name | Randy A Pate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285652693 PECOS PAC ID: 2567418585 Enrollment ID: I20050323000531 |
| Provider Name | John Kokenes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912925322 PECOS PAC ID: 7517913536 Enrollment ID: I20050323000564 |
| Provider Name | William J Grossman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023068897 PECOS PAC ID: 5597754101 Enrollment ID: I20050405001213 |
| Provider Name | Ellie Bryan Mozingo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316912066 PECOS PAC ID: 4486694007 Enrollment ID: I20050503001066 |
| Provider Name | Philip C Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699793075 PECOS PAC ID: 5496659211 Enrollment ID: I20050516000606 |
| Provider Name | Beth S Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912931007 PECOS PAC ID: 8820030927 Enrollment ID: I20050531000370 |
| Provider Name | John Paul Dexter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740208131 PECOS PAC ID: 2961444849 Enrollment ID: I20050601000905 |
| Provider Name | Daniel Ray Crow |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033141247 PECOS PAC ID: 1153367495 Enrollment ID: I20050708000011 |
| Provider Name | Isom Lowman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124082367 PECOS PAC ID: 0042256380 Enrollment ID: I20050708000024 |
| Provider Name | Trevor George Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194849877 PECOS PAC ID: 8527057173 Enrollment ID: I20050720000243 |
| Provider Name | Benjamin Lamb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003912775 PECOS PAC ID: 7315976537 Enrollment ID: I20050809000019 |
| Provider Name | Albert D Mims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609972314 PECOS PAC ID: 1951337401 Enrollment ID: I20050809000026 |
| Provider Name | Ernest M Atkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144314394 PECOS PAC ID: 5294764411 Enrollment ID: I20050809000042 |
| Provider Name | Jill Marie Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134203326 PECOS PAC ID: 5991734881 Enrollment ID: I20050811000044 |
| Provider Name | Jennifer R. Palo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215048764 PECOS PAC ID: 2163451998 Enrollment ID: I20050811000407 |
| Provider Name | Steven Mcdonell Halus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083610976 PECOS PAC ID: 2365473196 Enrollment ID: I20050822001104 |
| Provider Name | Susan Michelle Babb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366403016 PECOS PAC ID: 6709817471 Enrollment ID: I20050823000744 |
| Provider Name | Christopher Paul Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053316943 PECOS PAC ID: 3173554615 Enrollment ID: I20050825000027 |
| Provider Name | Dana Giarrizzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497784680 PECOS PAC ID: 5395770044 Enrollment ID: I20051019000345 |
| Provider Name | Bryan V May |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841308715 PECOS PAC ID: 7315965134 Enrollment ID: I20051109000967 |
| Provider Name | Bruce Ellis Burner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891779807 PECOS PAC ID: 2567481187 Enrollment ID: I20051114000306 |
| Provider Name | Maria Spampinato |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780627117 PECOS PAC ID: 6608895487 Enrollment ID: I20051122000448 |
| Provider Name | Ossama Abdul Rahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972517860 PECOS PAC ID: 5799709754 Enrollment ID: I20060118000342 |
| Provider Name | James Michael Zorgias |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760458996 PECOS PAC ID: 8921022724 Enrollment ID: I20060119000584 |
| Provider Name | Anil G Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083657514 PECOS PAC ID: 6305860719 Enrollment ID: I20060124000500 |
| Provider Name | Malik E Ashe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366477788 PECOS PAC ID: 7416963442 Enrollment ID: I20060301000222 |
| Provider Name | Manuel Antonio Fonseca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790769396 PECOS PAC ID: 8123036027 Enrollment ID: I20060404000631 |
| Provider Name | Kenneth Scott Burns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851375257 PECOS PAC ID: 1052329810 Enrollment ID: I20060405000349 |
| Provider Name | James M Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447218128 PECOS PAC ID: 9133138944 Enrollment ID: I20060406000052 |
| Provider Name | Deborah Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114946001 PECOS PAC ID: 7618986803 Enrollment ID: I20060417000592 |
| Provider Name | Iris Marie Floyd Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033138904 PECOS PAC ID: 5698788362 Enrollment ID: I20060725000068 |
| Provider Name | Lorrie Diane Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093745895 PECOS PAC ID: 5092796748 Enrollment ID: I20060831000383 |
| Provider Name | Charles E Stonerock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205860210 PECOS PAC ID: 8628072311 Enrollment ID: I20060912000276 |
| Provider Name | Manuel F Gonzalez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073596813 PECOS PAC ID: 1557264835 Enrollment ID: I20061024000537 |
| Provider Name | Donna R Roberts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023068558 PECOS PAC ID: 2466495593 Enrollment ID: I20061128000123 |
| Provider Name | Thomas V Bolling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316983745 PECOS PAC ID: 8921007865 Enrollment ID: I20061204000316 |
| Provider Name | Gregory H Jones |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790758258 PECOS PAC ID: 8325047616 Enrollment ID: I20061214000357 |
| Provider Name | James R Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730284712 PECOS PAC ID: 6901835263 Enrollment ID: I20070118000440 |
| Provider Name | Gregory Alan Rimmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558304113 PECOS PAC ID: 2769486380 Enrollment ID: I20070227000291 |
| Provider Name | Rhett Hagood Hasell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316044035 PECOS PAC ID: 9739284233 Enrollment ID: I20070411000327 |
| Provider Name | Gregory A May |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366436990 PECOS PAC ID: 9133225600 Enrollment ID: I20070430000098 |
| Provider Name | Frank Lee Jr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043260151 PECOS PAC ID: 0941306443 Enrollment ID: I20070430000388 |
| Provider Name | Abid Irshad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669410296 PECOS PAC ID: 6305943267 Enrollment ID: I20070530000020 |
| Provider Name | James G Ravenel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174561724 PECOS PAC ID: 3476651233 Enrollment ID: I20070604000048 |
| Provider Name | Delfin Valite |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295794428 PECOS PAC ID: 0749241990 Enrollment ID: I20070604000104 |
| Provider Name | Susan J Ackerman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356397095 PECOS PAC ID: 1052419710 Enrollment ID: I20070605000186 |
| Provider Name | Parakkat Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629004049 PECOS PAC ID: 4486752631 Enrollment ID: I20070612000186 |
| Provider Name | Michael H Hsia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487879151 PECOS PAC ID: 2860590858 Enrollment ID: I20070614000719 |
| Provider Name | Stephen I Schabel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093758526 PECOS PAC ID: 9537268446 Enrollment ID: I20070618000474 |
| Provider Name | Robbie D Buechler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801868153 PECOS PAC ID: 4587692264 Enrollment ID: I20070628000091 |
| Provider Name | Gangatharan Mathisuthan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982668745 PECOS PAC ID: 3779683842 Enrollment ID: I20070703000429 |
| Provider Name | Lorraine P Willcox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679661912 PECOS PAC ID: 5991805145 Enrollment ID: I20070717000474 |
| Provider Name | Dana L Houseknecht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215070248 PECOS PAC ID: 3274634712 Enrollment ID: I20070727000069 |
| Provider Name | Christopher C Ezeihuaku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275672099 PECOS PAC ID: 2567553894 Enrollment ID: I20070801000175 |
| Provider Name | Evan Heyward Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861484339 PECOS PAC ID: 0547270084 Enrollment ID: I20070822001132 |
| Provider Name | Emily Stonerock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134337173 PECOS PAC ID: 7810080769 Enrollment ID: I20070907000651 |
| Provider Name | Katherina Yannue Tillan-hsia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699721373 PECOS PAC ID: 7315958428 Enrollment ID: I20070920000314 |
| Provider Name | Christo K Courban |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215912548 PECOS PAC ID: 3173619814 Enrollment ID: I20071011000222 |
| Provider Name | Aran Marino Omalley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649386137 PECOS PAC ID: 6800991464 Enrollment ID: I20071018000298 |
| Provider Name | Robert J Malcolm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699883546 PECOS PAC ID: 3779664537 Enrollment ID: I20080117000570 |
| Provider Name | Marcelo S Guimaraes |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790963684 PECOS PAC ID: 1254414998 Enrollment ID: I20080219000085 |
| Provider Name | William Raymond Comeau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487652558 PECOS PAC ID: 0143213900 Enrollment ID: I20080327000825 |
| Provider Name | Otis D Speight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629151550 PECOS PAC ID: 5597653352 Enrollment ID: I20080329000047 |
| Provider Name | Dharmendra Bhaskaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023289121 PECOS PAC ID: 0042380305 Enrollment ID: I20080529000708 |
| Provider Name | Abraham E Rowson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366647901 PECOS PAC ID: 4284706748 Enrollment ID: I20080630000034 |
| Provider Name | Brandie A Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811191877 PECOS PAC ID: 9638242399 Enrollment ID: I20080715000095 |
| Provider Name | Abbie R Cluver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164591855 PECOS PAC ID: 2264505395 Enrollment ID: I20080722000504 |
| Provider Name | Mary J Ochieng |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497924427 PECOS PAC ID: 4587738208 Enrollment ID: I20080729000753 |
| Provider Name | Iris Diana Ignacio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265658264 PECOS PAC ID: 4183710619 Enrollment ID: I20080923000648 |
| Provider Name | Stephen A Dersch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699733238 PECOS PAC ID: 1658439393 Enrollment ID: I20081023000701 |
| Provider Name | Maria R Streck |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1114963188 PECOS PAC ID: 8123021128 Enrollment ID: I20081027000464 |
| Provider Name | Adediji Osinloye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316993462 PECOS PAC ID: 9335137207 Enrollment ID: I20081112000450 |
| Provider Name | Travis Shelton Ansley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942424122 PECOS PAC ID: 4284798406 Enrollment ID: I20090202000538 |
| Provider Name | Mark S Steadman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356309967 PECOS PAC ID: 9133286826 Enrollment ID: I20090325000134 |
| Provider Name | Nicole A Cagle-richardson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013065507 PECOS PAC ID: 4082771571 Enrollment ID: I20090327000420 |
| Provider Name | Shashank Mishra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386641728 PECOS PAC ID: 1254309941 Enrollment ID: I20090402000523 |
| Provider Name | Alvin C Abinsay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689608002 PECOS PAC ID: 6709933807 Enrollment ID: I20090407000205 |
| Provider Name | Joseph R West |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861503146 PECOS PAC ID: 4587723788 Enrollment ID: I20090423000555 |
| Provider Name | Tooba Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225112899 PECOS PAC ID: 6901806108 Enrollment ID: I20090427000112 |
| Provider Name | Frederick Hamilton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639136831 PECOS PAC ID: 7810948262 Enrollment ID: I20090528000594 |
| Provider Name | Alexander Bondoc Vinuya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225014137 PECOS PAC ID: 5991718769 Enrollment ID: I20090605000330 |
| Provider Name | William W Wegh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346444973 PECOS PAC ID: 0941375380 Enrollment ID: I20090812000224 |
| Provider Name | Suzann Weathers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013087493 PECOS PAC ID: 3678627262 Enrollment ID: I20090817000435 |
| Provider Name | Darniya Powe Belton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073521605 PECOS PAC ID: 2264449495 Enrollment ID: I20090917000475 |
| Provider Name | Cara S Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215950951 PECOS PAC ID: 6507904414 Enrollment ID: I20091113000392 |
| Provider Name | Daniel Ng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427082973 PECOS PAC ID: 2961500186 Enrollment ID: I20091118000195 |
| Provider Name | Lane Arne Wilner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306895354 PECOS PAC ID: 5294878450 Enrollment ID: I20100210000342 |
| Provider Name | Larry D Rabon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003844044 PECOS PAC ID: 7012052244 Enrollment ID: I20100226000532 |
| Provider Name | David B Blalock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477591865 PECOS PAC ID: 1658408042 Enrollment ID: I20100415000786 |
| Provider Name | Nathan Rutledge Dail |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730418799 PECOS PAC ID: 0244368546 Enrollment ID: I20100506000812 |
| Provider Name | Cynthia Lawrimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538119698 PECOS PAC ID: 8820128275 Enrollment ID: I20100610000680 |
| Provider Name | Coleman Lee Floyd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790703155 PECOS PAC ID: 1658495262 Enrollment ID: I20100903000449 |
| Provider Name | Carol C Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225084007 PECOS PAC ID: 1254457542 Enrollment ID: I20100923001013 |
| Provider Name | John F Johnson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114902954 PECOS PAC ID: 2961565981 Enrollment ID: I20100924000935 |
| Provider Name | Tammy P Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275551301 PECOS PAC ID: 7810189230 Enrollment ID: I20101004001178 |
| Provider Name | Harriet Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487811923 PECOS PAC ID: 6507059235 Enrollment ID: I20101026000567 |
| Provider Name | Sarah Stapleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760441554 PECOS PAC ID: 1052505609 Enrollment ID: I20101028000176 |
| Provider Name | Germina Suffrant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831319003 PECOS PAC ID: 5193910446 Enrollment ID: I20101111001101 |
| Provider Name | James Dedonis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073536744 PECOS PAC ID: 7810184710 Enrollment ID: I20101203000970 |
| Provider Name | Judith Estelle Rubano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184688608 PECOS PAC ID: 2961690730 Enrollment ID: I20101221000056 |
| Provider Name | Douglas L Tiedt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912951476 PECOS PAC ID: 5193913663 Enrollment ID: I20101228000326 |
| Provider Name | Ziad Georges Skaff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770601734 PECOS PAC ID: 4587853742 Enrollment ID: I20110104001092 |
| Provider Name | Jody K Eblen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578876553 PECOS PAC ID: 7911196019 Enrollment ID: I20110105000303 |
| Provider Name | Michael Mccall Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164639597 PECOS PAC ID: 5395839708 Enrollment ID: I20110121000176 |
| Provider Name | Hudnall Paschal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659338986 PECOS PAC ID: 7517146335 Enrollment ID: I20110126000472 |
| Provider Name | Michael R Book |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457326258 PECOS PAC ID: 2264328293 Enrollment ID: I20110202000568 |
| Provider Name | Bradlee A Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629304068 PECOS PAC ID: 8820278708 Enrollment ID: I20110209000902 |
| Provider Name | Christopher D Sepe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154363646 PECOS PAC ID: 3476592387 Enrollment ID: I20110210000974 |
| Provider Name | Edward M Gilbreth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982672358 PECOS PAC ID: 4880874445 Enrollment ID: I20110215000027 |
| Provider Name | William A Chinery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508170077 PECOS PAC ID: 0547441941 Enrollment ID: I20110217000653 |
| Provider Name | Jeffery Joseph Dorociak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407805328 PECOS PAC ID: 0345231973 Enrollment ID: I20110309000745 |
| Provider Name | Lee Easterwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366503534 PECOS PAC ID: 3779533393 Enrollment ID: I20110322000444 |
| Provider Name | Rica Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457509200 PECOS PAC ID: 3971640368 Enrollment ID: I20110330000760 |
| Provider Name | Candida Maria Loiselle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588981757 PECOS PAC ID: 1850575796 Enrollment ID: I20110418000581 |
| Provider Name | Robert Louis De Grood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841248085 PECOS PAC ID: 6305987231 Enrollment ID: I20110505000842 |
| Provider Name | Pal Suranyi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912104456 PECOS PAC ID: 8820266364 Enrollment ID: I20110727000466 |
| Provider Name | Temujin T Chavez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558323543 PECOS PAC ID: 0547431017 Enrollment ID: I20110914000589 |
| Provider Name | Michael B Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932282290 PECOS PAC ID: 4284805540 Enrollment ID: I20110916000080 |
| Provider Name | Melissa Mccutcheon Picard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790983351 PECOS PAC ID: 4082885736 Enrollment ID: I20110929000194 |
| Provider Name | Madelene C Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639267669 PECOS PAC ID: 9436322054 Enrollment ID: I20111027000012 |
| Provider Name | Steven S Creedman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437140100 PECOS PAC ID: 4880868439 Enrollment ID: I20111117000415 |
| Provider Name | Jarett R Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275836462 PECOS PAC ID: 0648445403 Enrollment ID: I20111207000374 |
| Provider Name | Samuel Mcnulty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922263888 PECOS PAC ID: 6002081106 Enrollment ID: I20111219000122 |
| Provider Name | Manver Razick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073561304 PECOS PAC ID: 8527077809 Enrollment ID: I20120110000592 |
| Provider Name | Russell William Chapin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043366636 PECOS PAC ID: 2062564883 Enrollment ID: I20120111000059 |
| Provider Name | James K Okelly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598736274 PECOS PAC ID: 1557266301 Enrollment ID: I20120126000547 |
| Provider Name | Vimal Amin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366464497 PECOS PAC ID: 5890771679 Enrollment ID: I20120308000845 |
| Provider Name | Victor Amato |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053325076 PECOS PAC ID: 0840459798 Enrollment ID: I20120312000901 |
| Provider Name | Evan F Ekman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467400119 PECOS PAC ID: 6103738539 Enrollment ID: I20120313000858 |
| Provider Name | Elijah D Owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417156886 PECOS PAC ID: 8820180417 Enrollment ID: I20120411000884 |
| Provider Name | Nada Tazi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801042346 PECOS PAC ID: 2062674245 Enrollment ID: I20120504000239 |
| Provider Name | Duncan Allen Holaday |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447392550 PECOS PAC ID: 0143416826 Enrollment ID: I20120504000407 |
| Provider Name | Gregory Perron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912985151 PECOS PAC ID: 7416026489 Enrollment ID: I20120622000003 |
| Provider Name | Megan D Page Herring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063787950 PECOS PAC ID: 4385890631 Enrollment ID: I20120802000191 |
| Provider Name | Rami Zebian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558635730 PECOS PAC ID: 2062668601 Enrollment ID: I20120814000204 |
| Provider Name | Anne Marie Samaha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447416581 PECOS PAC ID: 1153578109 Enrollment ID: I20120827000033 |
| Provider Name | Fadi Seif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174713879 PECOS PAC ID: 4688821523 Enrollment ID: I20120828000262 |
| Provider Name | Fernando Navarro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164479325 PECOS PAC ID: 9931107109 Enrollment ID: I20120907000505 |
| Provider Name | Jose Luis Plaza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922031319 PECOS PAC ID: 3971673914 Enrollment ID: I20120914000385 |
| Provider Name | Sheron Denise Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447548144 PECOS PAC ID: 6406004225 Enrollment ID: I20120919000419 |
| Provider Name | Jason T Snyder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235164724 PECOS PAC ID: 0143284521 Enrollment ID: I20121029000433 |
| Provider Name | Kimberly Habben Barringer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689947392 PECOS PAC ID: 7911157904 Enrollment ID: I20121029000579 |
| Provider Name | Donna M Granger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215982608 PECOS PAC ID: 2860399987 Enrollment ID: I20121120000254 |
| Provider Name | Toni C Pinckney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982958971 PECOS PAC ID: 1951553791 Enrollment ID: I20121130000393 |
| Provider Name | Louis J Leblanc |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679652457 PECOS PAC ID: 5597748293 Enrollment ID: I20130104000387 |
| Provider Name | James D Heckaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902860505 PECOS PAC ID: 3173423837 Enrollment ID: I20130122000179 |
| Provider Name | Denise A Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760449649 PECOS PAC ID: 2365421450 Enrollment ID: I20130128000099 |
| Provider Name | Nicole K Layfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639248537 PECOS PAC ID: 8921253147 Enrollment ID: I20130219000222 |
| Provider Name | Ramona Alicia Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992031769 PECOS PAC ID: 1759526692 Enrollment ID: I20130326000347 |
| Provider Name | Mark S Pack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952395709 PECOS PAC ID: 3173613676 Enrollment ID: I20130612000511 |
| Provider Name | Ramzy W Al Hourany |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851554257 PECOS PAC ID: 7810137395 Enrollment ID: I20130703000531 |
| Provider Name | Jon M Mcgough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639499254 PECOS PAC ID: 5799928966 Enrollment ID: I20130909000295 |
| Provider Name | Dag Pavic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295817922 PECOS PAC ID: 1153451448 Enrollment ID: I20130911000679 |
| Provider Name | Jon Kennon Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720320740 PECOS PAC ID: 2860626470 Enrollment ID: I20131015001627 |
| Provider Name | Veronica Jeanne Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114019247 PECOS PAC ID: 6305941998 Enrollment ID: I20131021001391 |
| Provider Name | Bradley S Amerson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356549570 PECOS PAC ID: 0941435911 Enrollment ID: I20131029000148 |
| Provider Name | Alexander P Dibona |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215017827 PECOS PAC ID: 0042302192 Enrollment ID: I20131106001157 |
| Provider Name | Alecia Rosemarie Anyim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912218066 PECOS PAC ID: 7012100795 Enrollment ID: I20131111001245 |
| Provider Name | Amy M Sved |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053409771 PECOS PAC ID: 7618984782 Enrollment ID: I20131202001447 |
| Provider Name | Swapna Paladugu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194037853 PECOS PAC ID: 2769618339 Enrollment ID: I20131204001226 |
| Provider Name | Ulyesse C Everall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952742942 PECOS PAC ID: 5698906436 Enrollment ID: I20140320001199 |
| Provider Name | Eyad Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891923025 PECOS PAC ID: 1557518917 Enrollment ID: I20140321001245 |
| Provider Name | Tracy L Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730502311 PECOS PAC ID: 2062645740 Enrollment ID: I20140505000002 |
| Provider Name | Ashley E Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730529009 PECOS PAC ID: 5991938581 Enrollment ID: I20140506001740 |
| Provider Name | Marc Raymond Deshaies |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255390373 PECOS PAC ID: 7214998772 Enrollment ID: I20140527000688 |
| Provider Name | Ashley Waynette Primus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548558000 PECOS PAC ID: 4587882113 Enrollment ID: I20140823000312 |
| Provider Name | Diana L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033534151 PECOS PAC ID: 1951529502 Enrollment ID: I20140825000450 |
| Provider Name | Meryle J Eklund |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720246382 PECOS PAC ID: 0345468799 Enrollment ID: I20140826001652 |
| Provider Name | Julianne Martins Parente Heck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053635482 PECOS PAC ID: 4789809690 Enrollment ID: I20140826002527 |
| Provider Name | John Marcel Burney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124356084 PECOS PAC ID: 6305016387 Enrollment ID: I20140911001276 |
| Provider Name | Naguib Farah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952364366 PECOS PAC ID: 9830155886 Enrollment ID: I20140923000211 |
| Provider Name | Laura K Lybarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649535626 PECOS PAC ID: 4385894989 Enrollment ID: I20140930002576 |
| Provider Name | Steven H Nathanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821040072 PECOS PAC ID: 6002719465 Enrollment ID: I20141006002165 |
| Provider Name | Prince M Anand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437310968 PECOS PAC ID: 0042495038 Enrollment ID: I20141021001065 |
| Provider Name | Patrick Britell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588980320 PECOS PAC ID: 3971725573 Enrollment ID: I20141115000361 |
| Provider Name | Carolyn A Gentles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588654792 PECOS PAC ID: 5294820841 Enrollment ID: I20141216002216 |
| Provider Name | Roberto Miranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134163892 PECOS PAC ID: 1658325402 Enrollment ID: I20141218002331 |
| Provider Name | William R Bigelow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821386145 PECOS PAC ID: 1052544715 Enrollment ID: I20141220000353 |
| Provider Name | Karim Nazer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174613004 PECOS PAC ID: 7719029800 Enrollment ID: I20150105000473 |
| Provider Name | Leon Buffaloe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366603391 PECOS PAC ID: 8820269277 Enrollment ID: I20150113000265 |
| Provider Name | Douglas Sheafor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669438610 PECOS PAC ID: 7517970148 Enrollment ID: I20150119000241 |
| Provider Name | Timothy Moses |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700846656 PECOS PAC ID: 1254327695 Enrollment ID: I20150120000301 |
| Provider Name | Mohamad Zein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346472867 PECOS PAC ID: 0648594796 Enrollment ID: I20150120000518 |
| Provider Name | Michael Todd Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225472251 PECOS PAC ID: 1759507056 Enrollment ID: I20150224001889 |
| Provider Name | Orlando R Valdez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912945239 PECOS PAC ID: 5496650038 Enrollment ID: I20150330000994 |
| Provider Name | Solomon A Jan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457538316 PECOS PAC ID: 0547344087 Enrollment ID: I20150428001984 |
| Provider Name | Katherine Pfeninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053669283 PECOS PAC ID: 8426206418 Enrollment ID: I20150508001563 |
| Provider Name | Andre St Christopher Dyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982022638 PECOS PAC ID: 6204147762 Enrollment ID: I20150624002313 |
| Provider Name | Anil Kumar Chhabra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417185125 PECOS PAC ID: 9133378656 Enrollment ID: I20150701000794 |
| Provider Name | Lori Marie Deblasi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144216508 PECOS PAC ID: 7719873249 Enrollment ID: I20150706000211 |
| Provider Name | Richard E Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629456983 PECOS PAC ID: 1052305059 Enrollment ID: I20150813010392 |
| Provider Name | Ivan Chernev |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992971790 PECOS PAC ID: 8325221617 Enrollment ID: I20150904001444 |
| Provider Name | Mark D Kovacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385507 PECOS PAC ID: 3072738285 Enrollment ID: I20150910001514 |
| Provider Name | Sarah E Kratzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063896975 PECOS PAC ID: 6103133681 Enrollment ID: I20150916000324 |
| Provider Name | Kelli Williams |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1902030042 PECOS PAC ID: 3274841291 Enrollment ID: I20150924001587 |
| Provider Name | Anemaria Lutas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437115870 PECOS PAC ID: 5890747455 Enrollment ID: I20151014001464 |
| Provider Name | Maegan Barrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215303680 PECOS PAC ID: 5496065336 Enrollment ID: I20151105001598 |
| Provider Name | Colleen J Mattocks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134387830 PECOS PAC ID: 9133398555 Enrollment ID: I20151109000351 |
| Provider Name | Tiffany Katease Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356567986 PECOS PAC ID: 8921143355 Enrollment ID: I20151110000967 |
| Provider Name | Abdallah Kamouh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942456132 PECOS PAC ID: 9537469895 Enrollment ID: I20151118002823 |
| Provider Name | William Eric Refvem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487652681 PECOS PAC ID: 1557463734 Enrollment ID: I20151209000665 |
| Provider Name | Lakeisha Shunte Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346613213 PECOS PAC ID: 7113228180 Enrollment ID: I20151216000934 |
| Provider Name | Donald Wayne Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336510668 PECOS PAC ID: 4688975410 Enrollment ID: I20151219000094 |
| Provider Name | Sergei Ivantchev |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366416356 PECOS PAC ID: 6800868134 Enrollment ID: I20160217002081 |
| Provider Name | Todd Robert Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235599283 PECOS PAC ID: 8224336706 Enrollment ID: I20160418000366 |
| Provider Name | Roger Polsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578922332 PECOS PAC ID: 0941508212 Enrollment ID: I20160420000452 |
| Provider Name | James William Greyard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588837173 PECOS PAC ID: 2860649589 Enrollment ID: I20160420000551 |
| Provider Name | Cameron Hewlett Wynn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700226602 PECOS PAC ID: 6002107059 Enrollment ID: I20160622000455 |
| Provider Name | Joseph J Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952362832 PECOS PAC ID: 6103713425 Enrollment ID: I20160707000384 |
| Provider Name | Edward Twase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922405554 PECOS PAC ID: 9032402383 Enrollment ID: I20160725000045 |
| Provider Name | Collier Branan Gladin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558657569 PECOS PAC ID: 1658670054 Enrollment ID: I20160803002873 |
| Provider Name | Robert A Mackey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235494170 PECOS PAC ID: 6901044619 Enrollment ID: I20160809002111 |
| Provider Name | Merritt Huber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043654700 PECOS PAC ID: 3779711080 Enrollment ID: I20160809002773 |
| Provider Name | John William Nance |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306166657 PECOS PAC ID: 0244489367 Enrollment ID: I20160810002268 |
| Provider Name | Michael P. Klodnicki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174844401 PECOS PAC ID: 3375837313 Enrollment ID: I20160812002205 |
| Provider Name | Cherika Stephanie Gadson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881077253 PECOS PAC ID: 8426363524 Enrollment ID: I20160816002256 |
| Provider Name | Charles E Wooten |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497045058 PECOS PAC ID: 4981923570 Enrollment ID: I20160913000445 |
| Provider Name | Christopher L Metts |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730532565 PECOS PAC ID: 3870881642 Enrollment ID: I20161011000996 |
| Provider Name | Gregg C Mason |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922063353 PECOS PAC ID: 4082685714 Enrollment ID: I20161012000196 |
| Provider Name | Adam M Gude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225482524 PECOS PAC ID: 7810285293 Enrollment ID: I20161018002132 |
| Provider Name | John Chomyn |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1982608725 PECOS PAC ID: 4183515943 Enrollment ID: I20161104001882 |
| Provider Name | Kimberly Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679926935 PECOS PAC ID: 9234418518 Enrollment ID: I20161108002561 |
| Provider Name | Lisa M Semple |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114997269 PECOS PAC ID: 0840234506 Enrollment ID: I20161115002505 |
| Provider Name | Todd Eric Gardner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770518813 PECOS PAC ID: 3274532866 Enrollment ID: I20161121001649 |
| Provider Name | Justin W Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013355114 PECOS PAC ID: 7911221247 Enrollment ID: I20161209002089 |
| Provider Name | Karinka Romanowska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740225846 PECOS PAC ID: 8426063496 Enrollment ID: I20161213001449 |
| Provider Name | Mary Daly England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871046383 PECOS PAC ID: 9335429141 Enrollment ID: I20161214000917 |
| Provider Name | Adrian L Strand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053502948 PECOS PAC ID: 4082744636 Enrollment ID: I20170117000006 |
| Provider Name | Maritza Manrique-kiniry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275557647 PECOS PAC ID: 3476551292 Enrollment ID: I20170303000468 |
| Provider Name | Tricia Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649721127 PECOS PAC ID: 3577847532 Enrollment ID: I20170313000187 |
| Provider Name | Brittany M Bostic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124497722 PECOS PAC ID: 8820383763 Enrollment ID: I20170424000323 |
| Provider Name | Nichole Marie Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992241145 PECOS PAC ID: 2466739750 Enrollment ID: I20170516001583 |
| Provider Name | John W Perry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275596470 PECOS PAC ID: 3375593304 Enrollment ID: I20170516002320 |
| Provider Name | Kristin Graham Dubose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154853794 PECOS PAC ID: 5890062244 Enrollment ID: I20170606002435 |
| Provider Name | Rose Basnyat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528478831 PECOS PAC ID: 2567731706 Enrollment ID: I20170703001677 |
| Provider Name | Brian P Flemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093000747 PECOS PAC ID: 7214226422 Enrollment ID: I20170718003690 |
| Provider Name | William Jefferson Rieter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871855890 PECOS PAC ID: 9537468921 Enrollment ID: I20170719003354 |
| Provider Name | Leslie E Hirsig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245525138 PECOS PAC ID: 8527294008 Enrollment ID: I20170726002528 |
| Provider Name | Karen Steifle Patrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710240908 PECOS PAC ID: 7810296209 Enrollment ID: I20170801000974 |
| Provider Name | Janet Rachel Terlouw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033478037 PECOS PAC ID: 5890094296 Enrollment ID: I20170801002198 |
| Provider Name | Tamara Kyle Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467973768 PECOS PAC ID: 7214209758 Enrollment ID: I20170818000713 |
| Provider Name | Jameela Goudarzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851840235 PECOS PAC ID: 3173697828 Enrollment ID: I20170829000331 |
| Provider Name | Mary C Lasater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760904114 PECOS PAC ID: 4789958927 Enrollment ID: I20170926004119 |
| Provider Name | Scott S Lloyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013355544 PECOS PAC ID: 9638493968 Enrollment ID: I20171010003365 |
| Provider Name | Tammy G Huckabee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366970741 PECOS PAC ID: 8123393410 Enrollment ID: I20171012002629 |
| Provider Name | Wassef Karrowni |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972713691 PECOS PAC ID: 0143375857 Enrollment ID: I20171024001739 |
| Provider Name | Jennifer C Patchett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255629275 PECOS PAC ID: 0446563746 Enrollment ID: I20171030000972 |
| Provider Name | Elizabeth R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033631015 PECOS PAC ID: 4789940503 Enrollment ID: I20171110002948 |
| Provider Name | Mark Robert Keaton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477530533 PECOS PAC ID: 4486685864 Enrollment ID: I20171130002362 |
| Provider Name | Siddharth Ved Malhotra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790004950 PECOS PAC ID: 6204011729 Enrollment ID: I20180104001073 |
| Provider Name | Shahzad Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811396039 PECOS PAC ID: 3779843321 Enrollment ID: I20180131000261 |
| Provider Name | Michael E Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427187673 PECOS PAC ID: 4385743517 Enrollment ID: I20180226002683 |
| Provider Name | Gary Allen Summerfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588967533 PECOS PAC ID: 8224399654 Enrollment ID: I20180228001113 |
| Provider Name | Lauren N Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659879401 PECOS PAC ID: 0547521411 Enrollment ID: I20180312000427 |
| Provider Name | Kim Ann James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295256337 PECOS PAC ID: 6103183033 Enrollment ID: I20180312002177 |
| Provider Name | Hanaa Benchekroun Belabbes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013324730 PECOS PAC ID: 1052673670 Enrollment ID: I20180320001049 |
| Provider Name | Shannon Williamson Cribb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285142216 PECOS PAC ID: 1254693757 Enrollment ID: I20180321001752 |
| Provider Name | Gregory Palutsis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295789238 PECOS PAC ID: 9537167937 Enrollment ID: I20180402001073 |
| Provider Name | Andrea R Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023520715 PECOS PAC ID: 0244593093 Enrollment ID: I20180410000777 |
| Provider Name | Segee Raquel Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225550700 PECOS PAC ID: 5092078436 Enrollment ID: I20180417000833 |
| Provider Name | Brooke L Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003337916 PECOS PAC ID: 1052676038 Enrollment ID: I20180522000608 |
| Provider Name | Rebekah Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770089823 PECOS PAC ID: 0143575696 Enrollment ID: I20180625001211 |
| Provider Name | Tony G Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184121451 PECOS PAC ID: 6800142746 Enrollment ID: I20180706000359 |
| Provider Name | Kathy Juanita Horne Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043698848 PECOS PAC ID: 7810290137 Enrollment ID: I20180709003386 |
| Provider Name | Hillary W George |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871821751 PECOS PAC ID: 1557617834 Enrollment ID: I20180713002013 |
| Provider Name | Paige O'bryan Kight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538661269 PECOS PAC ID: 3274880786 Enrollment ID: I20180716000138 |
| Provider Name | Catherine Leigh Loflin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649582602 PECOS PAC ID: 0446564611 Enrollment ID: I20180723001389 |
| Provider Name | Timothy Mark Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558700088 PECOS PAC ID: 6103050646 Enrollment ID: I20180726002249 |
| Provider Name | Thomas Brian Britt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679919260 PECOS PAC ID: 1254620461 Enrollment ID: I20180730003184 |
| Provider Name | Morgan P Mcbee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124385232 PECOS PAC ID: 4880836162 Enrollment ID: I20180813000482 |
| Provider Name | John M Mcgarity |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538591896 PECOS PAC ID: 4880983071 Enrollment ID: I20180814003889 |
| Provider Name | Chandrakanth Boddu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477936615 PECOS PAC ID: 4880943281 Enrollment ID: I20180817002302 |
| Provider Name | Aalap Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356760078 PECOS PAC ID: 8921228727 Enrollment ID: I20180829002289 |
| Provider Name | Shauna Elyse Hemingway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215341078 PECOS PAC ID: 4789973314 Enrollment ID: I20180926002164 |
| Provider Name | Sylvia L Clarkson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790166163 PECOS PAC ID: 3870882376 Enrollment ID: I20181001003130 |
| Provider Name | Devanand A Dominique |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477541456 PECOS PAC ID: 6406752468 Enrollment ID: I20181002000906 |
| Provider Name | Jessica Jordan Hund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225417769 PECOS PAC ID: 8820349814 Enrollment ID: I20181002001485 |
| Provider Name | Vera Zaraket |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386994226 PECOS PAC ID: 7911259775 Enrollment ID: I20181008000283 |
| Provider Name | Anita Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255836995 PECOS PAC ID: 7911250477 Enrollment ID: I20181030002422 |
| Provider Name | Anthony James Koehler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083622419 PECOS PAC ID: 5496718678 Enrollment ID: I20181112000399 |
| Provider Name | Richard H Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003172891 PECOS PAC ID: 3678878709 Enrollment ID: I20181115000231 |
| Provider Name | John W Perry |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1275596470 PECOS PAC ID: 3375593304 Enrollment ID: I20181204002621 |
| Provider Name | Erika S Blank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659361756 PECOS PAC ID: 9234211020 Enrollment ID: I20181210001252 |
| Provider Name | Jennise M Kelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437145166 PECOS PAC ID: 6305801457 Enrollment ID: I20181217002080 |
| Provider Name | Karen Artis-bacote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083156350 PECOS PAC ID: 2264778794 Enrollment ID: I20190104000001 |
| Provider Name | Charles Ayanleke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255573960 PECOS PAC ID: 0749336329 Enrollment ID: I20190107001060 |
| Provider Name | Mohamad Hussein Bourji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336300045 PECOS PAC ID: 7416263066 Enrollment ID: I20190116001811 |
| Provider Name | Brittany Leigh Hempton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770072688 PECOS PAC ID: 0648517631 Enrollment ID: I20190129002992 |
| Provider Name | Tammi Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568515757 PECOS PAC ID: 7517119878 Enrollment ID: I20190214001098 |
| Provider Name | Vincent S Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699740027 PECOS PAC ID: 3173555976 Enrollment ID: I20190305000733 |
| Provider Name | Anup Bhushan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598972721 PECOS PAC ID: 1153477823 Enrollment ID: I20190312001223 |
| Provider Name | Stephanie B Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326504127 PECOS PAC ID: 2668714213 Enrollment ID: I20190430002498 |
| Provider Name | Andre Becker Uflacker |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396970323 PECOS PAC ID: 5294963088 Enrollment ID: I20190501001801 |
| Provider Name | Kimberly Dawn Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205326477 PECOS PAC ID: 9335482447 Enrollment ID: I20190513001405 |
| Provider Name | Louise S Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790049658 PECOS PAC ID: 9739328279 Enrollment ID: I20190513002350 |
| Provider Name | Brittany L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497172779 PECOS PAC ID: 2264765981 Enrollment ID: I20190612002836 |
| Provider Name | Tonya Domingue Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023506250 PECOS PAC ID: 2264766898 Enrollment ID: I20190701002196 |
| Provider Name | Alice Marie Dalena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639637358 PECOS PAC ID: 8921332594 Enrollment ID: I20190702000904 |
| Provider Name | Sarah E Baker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134482706 PECOS PAC ID: 1355657057 Enrollment ID: I20190730001728 |
| Provider Name | Jalal Shoukri Kablan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689239394 PECOS PAC ID: 4385971803 Enrollment ID: I20190807000143 |
| Provider Name | Garrett C Kent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073962759 PECOS PAC ID: 1658664529 Enrollment ID: I20190812003585 |
| Provider Name | Johnlyn O Nettles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053875807 PECOS PAC ID: 2567799422 Enrollment ID: I20190815000188 |
| Provider Name | Michael Paul Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588225106 PECOS PAC ID: 5597093765 Enrollment ID: I20190826003254 |
| Provider Name | Katherine T Foote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790198109 PECOS PAC ID: 1355616665 Enrollment ID: I20190906003085 |
| Provider Name | Jacquelyn P French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639156540 PECOS PAC ID: 1557257532 Enrollment ID: I20190909000548 |
| Provider Name | Jennifer Lee Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447515796 PECOS PAC ID: 7618294018 Enrollment ID: I20191001001083 |
| Provider Name | Emanuel Rivera Rosado |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578901039 PECOS PAC ID: 8022364629 Enrollment ID: I20191014001672 |
| Provider Name | John Willaim Anthony Burk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205285327 PECOS PAC ID: 6406105428 Enrollment ID: I20191014002036 |
| Provider Name | John Alexander Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699764555 PECOS PAC ID: 5294919296 Enrollment ID: I20191018001550 |
| Provider Name | Sonia Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669835385 PECOS PAC ID: 8325337827 Enrollment ID: I20191021000136 |
| Provider Name | Kenneth Carl Staples |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265824809 PECOS PAC ID: 3971879370 Enrollment ID: I20191021000623 |
| Provider Name | David M Sherwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679924187 PECOS PAC ID: 4789979444 Enrollment ID: I20191022001701 |
| Provider Name | Ashley T Beckum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033560545 PECOS PAC ID: 7315232071 Enrollment ID: I20191204000352 |
| Provider Name | Gini G Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962988691 PECOS PAC ID: 2163856485 Enrollment ID: I20191219001645 |
| Provider Name | Cristy M Blackmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861043390 PECOS PAC ID: 2860826799 Enrollment ID: I20191230001928 |
| Provider Name | Carlon Darneil Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255983854 PECOS PAC ID: 8123453719 Enrollment ID: I20200108000790 |
| Provider Name | Seceal Ann Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336568427 PECOS PAC ID: 7517393911 Enrollment ID: I20200203002249 |
| Provider Name | Natasha Alicia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063989614 PECOS PAC ID: 1254768435 Enrollment ID: I20200227002777 |
| Provider Name | Benjamin Matthew Pugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477110476 PECOS PAC ID: 2961733639 Enrollment ID: I20200310001193 |
| Provider Name | Latosha Epps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346881034 PECOS PAC ID: 8527496744 Enrollment ID: I20200320001607 |
| Provider Name | Phillip A Blevins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457371015 PECOS PAC ID: 4183524069 Enrollment ID: I20200402000998 |
| Provider Name | William B Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346248879 PECOS PAC ID: 4385689033 Enrollment ID: I20200406002431 |
| Provider Name | Nancy L Burleson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528124336 PECOS PAC ID: 9234118423 Enrollment ID: I20200407000495 |
| Provider Name | Rebecca Widel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699317743 PECOS PAC ID: 4284063561 Enrollment ID: I20200408000711 |
| Provider Name | Cassandra N Calloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003446998 PECOS PAC ID: 1951731553 Enrollment ID: I20200422002680 |
| Provider Name | Miranda Driggers Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417594599 PECOS PAC ID: 9234560871 Enrollment ID: I20200514000656 |
| Provider Name | Claudia J Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912063223 PECOS PAC ID: 7719310986 Enrollment ID: I20200602003131 |
| Provider Name | Julie Rose Greene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952664377 PECOS PAC ID: 2466608120 Enrollment ID: I20200609002836 |
| Provider Name | Maria Eleonor M Rivera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083148654 PECOS PAC ID: 2961825468 Enrollment ID: I20200630002492 |
| Provider Name | Evan Allen Welker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558890665 PECOS PAC ID: 4880964865 Enrollment ID: I20200706001417 |
| Provider Name | Patricia O'dierno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447782727 PECOS PAC ID: 7012286016 Enrollment ID: I20200730000401 |
| Provider Name | Adam Hudepohl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790219970 PECOS PAC ID: 6305195330 Enrollment ID: I20200730000506 |
| Provider Name | Karthik Tanneru |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255817557 PECOS PAC ID: 8123443637 Enrollment ID: I20200730003716 |
| Provider Name | Evan Michael Verplancken |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659865574 PECOS PAC ID: 8628321445 Enrollment ID: I20200803001204 |
| Provider Name | Nicholas Robert Langan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245525542 PECOS PAC ID: 6002126976 Enrollment ID: I20200803002557 |
| Provider Name | Michael J Mccann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346776986 PECOS PAC ID: 9739452822 Enrollment ID: I20200803002657 |
| Provider Name | Adarsh Kumar Srivastava |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346486446 PECOS PAC ID: 6204001456 Enrollment ID: I20200807000318 |
| Provider Name | Edward Mccutcheon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932125283 PECOS PAC ID: 8426076076 Enrollment ID: I20200818004048 |
| Provider Name | Chapin Ensminger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073134888 PECOS PAC ID: 2769809656 Enrollment ID: I20200824001181 |
| Provider Name | Keia V Hewitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629095104 PECOS PAC ID: 0143324269 Enrollment ID: I20200824003238 |
| Provider Name | Pia Anishka Shivdasani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376926147 PECOS PAC ID: 4789910894 Enrollment ID: I20200909001752 |
| Provider Name | Hatem Abdallah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205276052 PECOS PAC ID: 2769815166 Enrollment ID: I20200911002757 |
| Provider Name | Sejal Dave |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124234901 PECOS PAC ID: 8325191927 Enrollment ID: I20200915002006 |
| Provider Name | John Taylor Autry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447679170 PECOS PAC ID: 1557659968 Enrollment ID: I20200929001990 |
| Provider Name | Ian R Welsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629284559 PECOS PAC ID: 0345306676 Enrollment ID: I20200930002547 |
| Provider Name | Jean M Marine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942226774 PECOS PAC ID: 8921903907 Enrollment ID: I20201001000192 |
| Provider Name | Devam Pareshkumar Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104164367 PECOS PAC ID: 1456659044 Enrollment ID: I20201001001811 |
| Provider Name | Amartha Nnegi Gore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457714685 PECOS PAC ID: 0648568295 Enrollment ID: I20201001002807 |
| Provider Name | Frederick Romano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912907775 PECOS PAC ID: 7810884301 Enrollment ID: I20201002000911 |
| Provider Name | Aisha Abeo Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730593419 PECOS PAC ID: 9133344252 Enrollment ID: I20201014001799 |
| Provider Name | Anna G Faidas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780779116 PECOS PAC ID: 2466604541 Enrollment ID: I20201019000709 |
| Provider Name | Manoj Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801895735 PECOS PAC ID: 9032013099 Enrollment ID: I20201019000861 |
| Provider Name | Christopher Scott Bewley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184683294 PECOS PAC ID: 3173792314 Enrollment ID: I20201020000503 |
| Provider Name | Marilyn A Malia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083146898 PECOS PAC ID: 8527488931 Enrollment ID: I20201022002847 |
| Provider Name | Hardikkumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831585744 PECOS PAC ID: 7214288554 Enrollment ID: I20201030001947 |
| Provider Name | Raunain Rahman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477083897 PECOS PAC ID: 4385054394 Enrollment ID: I20201103001294 |
| Provider Name | Rebecca A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629453949 PECOS PAC ID: 7618388620 Enrollment ID: I20201124000680 |
| Provider Name | Douglas Holt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144337049 PECOS PAC ID: 4183782949 Enrollment ID: I20201125002094 |
| Provider Name | Celia M Aguilar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508885211 PECOS PAC ID: 4183658099 Enrollment ID: I20201127000146 |
| Provider Name | Xenequia Monique Guidry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598121493 PECOS PAC ID: 3779889746 Enrollment ID: I20201201000969 |
| Provider Name | Stephanie Fnpc Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760932057 PECOS PAC ID: 0345520714 Enrollment ID: I20201204001184 |
| Provider Name | Martin Powers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992303069 PECOS PAC ID: 4688086689 Enrollment ID: I20201216001184 |
| Provider Name | Allyson Leigha Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952901977 PECOS PAC ID: 6608289152 Enrollment ID: I20201230002665 |
| Provider Name | Thesselon Warren Monderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689838286 PECOS PAC ID: 1850442310 Enrollment ID: I20201231001121 |
| Provider Name | Leah M Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437790490 PECOS PAC ID: 5395159792 Enrollment ID: I20210126002209 |
| Provider Name | Michelle Anne Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346688512 PECOS PAC ID: 3779808514 Enrollment ID: I20210128001033 |
| Provider Name | Bamidele Ayotunde Ajibola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669644589 PECOS PAC ID: 4082809009 Enrollment ID: I20210201001471 |
| Provider Name | Lindsay Blair Ostergaard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285102780 PECOS PAC ID: 7416361324 Enrollment ID: I20210203002103 |
| Provider Name | Ryan Michael Hickey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316302946 PECOS PAC ID: 8224321054 Enrollment ID: I20210217000790 |
| Provider Name | Michael Thomas Munson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881954758 PECOS PAC ID: 1456508068 Enrollment ID: I20210301001098 |
| Provider Name | Antonia Ashade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770829798 PECOS PAC ID: 8325331150 Enrollment ID: I20210322000251 |
| Provider Name | Cynthia Marie Wesley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316905391 PECOS PAC ID: 7214916162 Enrollment ID: I20210322001106 |
| Provider Name | Wael Ghalayini |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629360441 PECOS PAC ID: 4789966037 Enrollment ID: I20210322001240 |
| Provider Name | Jonathan K Millard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932119088 PECOS PAC ID: 8527158567 Enrollment ID: I20210322001384 |
| Provider Name | Jennifer Nicole Georgi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083723084 PECOS PAC ID: 9638178361 Enrollment ID: I20210330000505 |
| Provider Name | Cherian Verghese |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568548824 PECOS PAC ID: 1456303783 Enrollment ID: I20210427001899 |
| Provider Name | Janet Marie Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023676681 PECOS PAC ID: 2567792237 Enrollment ID: I20210427002098 |
| Provider Name | Sarah Elizabeth Ricci |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194152397 PECOS PAC ID: 0648405175 Enrollment ID: I20210506001118 |
| Provider Name | John David Hill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841244852 PECOS PAC ID: 8729091632 Enrollment ID: I20210604000248 |
| Provider Name | Paras Malhotra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275799694 PECOS PAC ID: 6901049576 Enrollment ID: I20210614002181 |
| Provider Name | Opeyemi O Komolafe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124505102 PECOS PAC ID: 1557761137 Enrollment ID: I20210618001310 |
| Provider Name | Pamela J Gizzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124130356 PECOS PAC ID: 0840297073 Enrollment ID: I20210618001891 |
| Provider Name | Uchechukwu Egbujo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497231211 PECOS PAC ID: 8628479789 Enrollment ID: I20210625002327 |
| Provider Name | Wenting Han |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265007710 PECOS PAC ID: 1951702794 Enrollment ID: I20210630001599 |
| Provider Name | Rozi Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528548047 PECOS PAC ID: 8527460526 Enrollment ID: I20210714000355 |
| Provider Name | Altaf Ahmed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073594230 PECOS PAC ID: 0941248488 Enrollment ID: I20210727000166 |
| Provider Name | Kristie W Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447797816 PECOS PAC ID: 3577966407 Enrollment ID: I20210729000972 |
| Provider Name | Monther Altiti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043737406 PECOS PAC ID: 3476956368 Enrollment ID: I20210729003236 |
| Provider Name | Aravind Viswanathan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982068250 PECOS PAC ID: 1355636192 Enrollment ID: I20210806001974 |
| Provider Name | Parinita A Dherange |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164863171 PECOS PAC ID: 5496041881 Enrollment ID: I20210810000436 |
| Provider Name | Maya Mathew Powers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316914823 PECOS PAC ID: 5193765527 Enrollment ID: I20210817001154 |
| Provider Name | Brittney Mcclannahan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255765368 PECOS PAC ID: 9638305675 Enrollment ID: I20210818000398 |
| Provider Name | Antoine N Finianos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184857229 PECOS PAC ID: 3476609595 Enrollment ID: I20210901004195 |
| Provider Name | Joshua Joel Visserman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588198782 PECOS PAC ID: 4789933870 Enrollment ID: I20210902000179 |
| Provider Name | Matthew J Geswell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972980092 PECOS PAC ID: 2961706072 Enrollment ID: I20210924000287 |
| Provider Name | Christa A Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336818509 PECOS PAC ID: 0042618043 Enrollment ID: I20211005003284 |
| Provider Name | Jaydevsinh Dolia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437562980 PECOS PAC ID: 4587988100 Enrollment ID: I20211012002507 |
| Provider Name | Amanda E White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134481377 PECOS PAC ID: 4880947969 Enrollment ID: I20211027003415 |
| Provider Name | Crystal K Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316609795 PECOS PAC ID: 4284023425 Enrollment ID: I20211110000668 |
| Provider Name | Justin Coats |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194213926 PECOS PAC ID: 1850641200 Enrollment ID: I20211110001031 |
| Provider Name | Stephanie M Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316490733 PECOS PAC ID: 0749569275 Enrollment ID: I20211115002419 |
| Provider Name | Whitney E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134890064 PECOS PAC ID: 3870982440 Enrollment ID: I20211120000038 |
| Provider Name | Sophia L Paige |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700865011 PECOS PAC ID: 1456321223 Enrollment ID: I20211122002719 |
| Provider Name | Brandy Billingsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740952381 PECOS PAC ID: 7911397922 Enrollment ID: I20211207000660 |
| Provider Name | Tiffany A Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427215268 PECOS PAC ID: 7113944752 Enrollment ID: I20211221000777 |
| Provider Name | Matthew R Meier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750815643 PECOS PAC ID: 2466799895 Enrollment ID: I20211222001065 |
| Provider Name | Karina Coats |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245728914 PECOS PAC ID: 3476802364 Enrollment ID: I20211223000082 |
| Provider Name | Allison L Hutcheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467070862 PECOS PAC ID: 2961893102 Enrollment ID: I20211227000434 |
| Provider Name | Dana Foster Mcafee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063180990 PECOS PAC ID: 8628469780 Enrollment ID: I20211228000133 |
| Provider Name | Christi I Stubbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679245880 PECOS PAC ID: 0648661728 Enrollment ID: I20211228000951 |
| Provider Name | Dawn M Smalls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164196689 PECOS PAC ID: 1850782947 Enrollment ID: I20211228001194 |
| Provider Name | Shahla Eslamzadeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487813184 PECOS PAC ID: 4486714953 Enrollment ID: I20220110002300 |
| Provider Name | Marcus Startsman Briones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346329216 PECOS PAC ID: 1759433832 Enrollment ID: I20220118002331 |
| Provider Name | Amanda R Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609538412 PECOS PAC ID: 9234522087 Enrollment ID: I20220131002164 |
| Provider Name | Edward Marc Salkind |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518942747 PECOS PAC ID: 9335112440 Enrollment ID: I20220225002038 |
| Provider Name | Joseph Edward Alagna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790270221 PECOS PAC ID: 3678821774 Enrollment ID: I20220623001823 |
| Provider Name | Ja'lessa Sw Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619607280 PECOS PAC ID: 2769866961 Enrollment ID: I20220907003968 |
| Provider Name | Kela M Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194440941 PECOS PAC ID: 4082082870 Enrollment ID: I20221129002122 |
| Provider Name | Soay M.c. Aggrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417681313 PECOS PAC ID: 8729456538 Enrollment ID: I20221129003098 |
| Provider Name | Allie M Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700517638 PECOS PAC ID: 9234504283 Enrollment ID: I20230405001916 |
| Provider Name | Michael W Kalsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962475459 PECOS PAC ID: 9335173285 Enrollment ID: I20230705003391 |
| Provider Name | Gillian Maro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225737646 PECOS PAC ID: 3476915562 Enrollment ID: I20230822002374 |
| Provider Name | Michael Joseph Geoffrion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437627320 PECOS PAC ID: 5092051821 Enrollment ID: I20231009002904 |
| Provider Name | Madison B Sheheane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114706777 PECOS PAC ID: 7012364607 Enrollment ID: I20231102003513 |
| Provider Name | Annika Tabassum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497372320 PECOS PAC ID: 4486070398 Enrollment ID: I20231128002356 |
| Provider Name | Manoraj Ratnaraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003379363 PECOS PAC ID: 9234506841 Enrollment ID: I20231201001627 |
| Provider Name | Sun Young Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144841867 PECOS PAC ID: 2961824925 Enrollment ID: I20231205000769 |
| Provider Name | Amanda L Muth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821865403 PECOS PAC ID: 6103277223 Enrollment ID: I20240112001635 |
| Provider Name | Daniel Alden Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043731193 PECOS PAC ID: 3274803945 Enrollment ID: I20240424002466 |
| Provider Name | Fatmata Boyie Bah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477115392 PECOS PAC ID: 4789913450 Enrollment ID: I20240603000457 |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Musc Physicians Pcp Peninsular Charleston Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Bee St, Suite 2100, Charleston, SC 29403 Phone: 843-792-6500 | |
Roper St. Francis Hospitalist Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2450 Fax: 843-724-2455 | |
Jeffrey Akhtar Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Ashley Crossing Dr Ste 155, Charleston, SC 29414 Phone: 843-990-5866 Fax: 843-868-8041 | |
Musc Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2060 Sam Rittenburg Blvd, Charleston, SC 29425 Phone: 843-792-6200 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 |