| Neighborcare Health | |
|
1200 12th Ave S Ste 901 Seattle WA 98144-2712 | |
| (206) 461-6935 | |
| (206) 461-8382 |
| Full Name | Neighborcare Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 12th Ave S Ste 901, Seattle, Washington |
| Authorized Official Name and Position | Michael Erikson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2064616935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborcare Health 1200 12th Ave South Suite 901 Seattle WA 98144 Ph: (206) 548-3114 | Neighborcare Health 1200 12th Ave S Ste 901 Seattle WA 98144-2712 Ph: (206) 461-6935 |
| NPI Number | 1578593562 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0143134205 |
|---|---|
| Medicare Enrollment ID | O20040128000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578593562 | NPI | - | NPPES |
| 7401953 | Medicaid | WA | |
| 7034176 | Medicaid | WA | |
| 32120 | Other | WA | L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Laura H Hudgings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457436263 PECOS PAC ID: 9830085414 Enrollment ID: I20040223000661 |
| Provider Name | John C Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679512487 PECOS PAC ID: 0042205106 Enrollment ID: I20040417000495 |
| Provider Name | Leah Ruth Lambert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417049008 PECOS PAC ID: 7214922335 Enrollment ID: I20040419000296 |
| Provider Name | Steven Scott Overman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437154309 PECOS PAC ID: 5991792103 Enrollment ID: I20040429000293 |
| Provider Name | Marcus T Rempel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821108275 PECOS PAC ID: 1456340538 Enrollment ID: I20040512000764 |
| Provider Name | Kathleen M Hargiss |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972654168 PECOS PAC ID: 0840281523 Enrollment ID: I20040520001440 |
| Provider Name | Jaqueline G Raetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881770535 PECOS PAC ID: 9537150164 Enrollment ID: I20040521000247 |
| Provider Name | Sarah R Marcus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881703718 PECOS PAC ID: 0143211789 Enrollment ID: I20040521000353 |
| Provider Name | Jeanne Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821033853 PECOS PAC ID: 0042291700 Enrollment ID: I20040527001026 |
| Provider Name | Domenica D Rice |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770520231 PECOS PAC ID: 3779564356 Enrollment ID: I20040528000511 |
| Provider Name | Michael P Kappelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912941907 PECOS PAC ID: 3173504628 Enrollment ID: I20040528001074 |
| Provider Name | Jinna D Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487764866 PECOS PAC ID: 8426035122 Enrollment ID: I20040701000094 |
| Provider Name | Rachel D Beda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073699872 PECOS PAC ID: 0840279691 Enrollment ID: I20040715001207 |
| Provider Name | Gail L Fulton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992748024 PECOS PAC ID: 7012996432 Enrollment ID: I20040719000345 |
| Provider Name | Piruz I Huda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538225172 PECOS PAC ID: 7012997521 Enrollment ID: I20040724000088 |
| Provider Name | Theodore M Zollman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003925785 PECOS PAC ID: 1759352123 Enrollment ID: I20040802000544 |
| Provider Name | Larry K Dipboye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235248105 PECOS PAC ID: 7315902038 Enrollment ID: I20041122001147 |
| Provider Name | Burdett M Rooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518907393 PECOS PAC ID: 5294789855 Enrollment ID: I20050307000249 |
| Provider Name | Sara A Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245224609 PECOS PAC ID: 9234179417 Enrollment ID: I20050506000318 |
| Provider Name | Thomas P Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366552655 PECOS PAC ID: 7719977818 Enrollment ID: I20050630000446 |
| Provider Name | Nancy E Lawton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942310172 PECOS PAC ID: 3870522113 Enrollment ID: I20050808000522 |
| Provider Name | Jennifer L Melsher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558473793 PECOS PAC ID: 8022033828 Enrollment ID: I20051011000605 |
| Provider Name | Megan A Debell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568524395 PECOS PAC ID: 8921024456 Enrollment ID: I20051024000314 |
| Provider Name | Sharon B Grayson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700806734 PECOS PAC ID: 9830119163 Enrollment ID: I20051201000759 |
| Provider Name | Timothy J Joos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740265735 PECOS PAC ID: 6507887817 Enrollment ID: I20051214000796 |
| Provider Name | Chau Duyen T Pham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225147978 PECOS PAC ID: 5294740460 Enrollment ID: I20060208000708 |
| Provider Name | Kumhee A Ro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093740565 PECOS PAC ID: 8325055544 Enrollment ID: I20060314000160 |
| Provider Name | Steven E Dresang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427169713 PECOS PAC ID: 7214946862 Enrollment ID: I20060411000212 |
| Provider Name | Elizabeth K Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679684161 PECOS PAC ID: 5294744629 Enrollment ID: I20060413000157 |
| Provider Name | Terra Bowles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164528238 PECOS PAC ID: 3779592605 Enrollment ID: I20060420000319 |
| Provider Name | Adriana Lungu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033141544 PECOS PAC ID: 4284637737 Enrollment ID: I20060823000067 |
| Provider Name | Lisa L Sferra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922038819 PECOS PAC ID: 2860497971 Enrollment ID: I20060925000122 |
| Provider Name | James M Roos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003994674 PECOS PAC ID: 3678572229 Enrollment ID: I20061209000105 |
| Provider Name | Patrick Gerard Squires |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114096146 PECOS PAC ID: 0547257123 Enrollment ID: I20070221000246 |
| Provider Name | Kevin A Zvilna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598846776 PECOS PAC ID: 9335241330 Enrollment ID: I20070222000079 |
| Provider Name | Sing T Hsie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730383241 PECOS PAC ID: 7517068448 Enrollment ID: I20070723000545 |
| Provider Name | Mary C Pew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922008721 PECOS PAC ID: 2567556582 Enrollment ID: I20070921000430 |
| Provider Name | Mary H Mittell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164512679 PECOS PAC ID: 1254387616 Enrollment ID: I20071002000598 |
| Provider Name | Kimberly Mcdermott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437159209 PECOS PAC ID: 1658467311 Enrollment ID: I20071011000413 |
| Provider Name | Sharon R Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245230051 PECOS PAC ID: 9032154513 Enrollment ID: I20071018000008 |
| Provider Name | Sky Young-shaw Rogers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578753398 PECOS PAC ID: 0648351809 Enrollment ID: I20080115000117 |
| Provider Name | Rebecca A Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447447743 PECOS PAC ID: 1052492840 Enrollment ID: I20080118000009 |
| Provider Name | Lynn C Noordam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598942682 PECOS PAC ID: 1557449964 Enrollment ID: I20080425000446 |
| Provider Name | David H Barr |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053397455 PECOS PAC ID: 2860561024 Enrollment ID: I20080709000105 |
| Provider Name | Sarah A Vanston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235358177 PECOS PAC ID: 3072686088 Enrollment ID: I20080724000409 |
| Provider Name | Pooja Tandon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427164938 PECOS PAC ID: 5597726893 Enrollment ID: I20080725000603 |
| Provider Name | Shay M Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568571362 PECOS PAC ID: 5991872483 Enrollment ID: I20080925000262 |
| Provider Name | Sheryl A Morelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568456523 PECOS PAC ID: 7517962988 Enrollment ID: I20080930000071 |
| Provider Name | Remony E B Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841364304 PECOS PAC ID: 4981762200 Enrollment ID: I20081015000192 |
| Provider Name | Phillip A Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629149828 PECOS PAC ID: 7214092899 Enrollment ID: I20090213000491 |
| Provider Name | Dian A Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720129232 PECOS PAC ID: 1254498454 Enrollment ID: I20090313000499 |
| Provider Name | Barbara Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588717748 PECOS PAC ID: 0547314189 Enrollment ID: I20090818000137 |
| Provider Name | Liann M Sundquist |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073624938 PECOS PAC ID: 0042364101 Enrollment ID: I20090825000053 |
| Provider Name | Nicola A Solvay |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205066354 PECOS PAC ID: 7315083136 Enrollment ID: I20091008000506 |
| Provider Name | Xandra E Rarden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447331780 PECOS PAC ID: 4385782416 Enrollment ID: I20091111000138 |
| Provider Name | Jeffrey T Hanspetersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437183928 PECOS PAC ID: 6800788076 Enrollment ID: I20100111000187 |
| Provider Name | Kristen Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417057407 PECOS PAC ID: 1254473085 Enrollment ID: I20100116000305 |
| Provider Name | Elizabeth R Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427047109 PECOS PAC ID: 7618010463 Enrollment ID: I20100202000980 |
| Provider Name | Mary C Oconnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700840691 PECOS PAC ID: 0244374114 Enrollment ID: I20100216000088 |
| Provider Name | Heather A Mcphillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780774679 PECOS PAC ID: 7113061672 Enrollment ID: I20100222000433 |
| Provider Name | Jennifer L Hoock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912054859 PECOS PAC ID: 7315082625 Enrollment ID: I20100310000795 |
| Provider Name | Jodie C Wohl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942373824 PECOS PAC ID: 9931094158 Enrollment ID: I20100316000101 |
| Provider Name | Jon S Huseby |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285601732 PECOS PAC ID: 4587790787 Enrollment ID: I20100326000679 |
| Provider Name | Crystal G Bensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285662999 PECOS PAC ID: 3577691963 Enrollment ID: I20100505000586 |
| Provider Name | Brian D Johnston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699865584 PECOS PAC ID: 2163551284 Enrollment ID: I20100528000325 |
| Provider Name | Maureen Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821179979 PECOS PAC ID: 7810028172 Enrollment ID: I20100630000295 |
| Provider Name | Amy E Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871791103 PECOS PAC ID: 1052444627 Enrollment ID: I20100803000556 |
| Provider Name | Keli C Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588698849 PECOS PAC ID: 4486788577 Enrollment ID: I20100811000352 |
| Provider Name | Susan A Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629399118 PECOS PAC ID: 6305962358 Enrollment ID: I20100927001298 |
| Provider Name | Raji Venkateswaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487750634 PECOS PAC ID: 4486846870 Enrollment ID: I20101004000828 |
| Provider Name | Valentina Warner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700989183 PECOS PAC ID: 5597957357 Enrollment ID: I20101012000566 |
| Provider Name | Christina E Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699851311 PECOS PAC ID: 6002000270 Enrollment ID: I20101101001507 |
| Provider Name | Barbara J Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841211547 PECOS PAC ID: 9133314586 Enrollment ID: I20101110001156 |
| Provider Name | Erin B Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770773954 PECOS PAC ID: 4183812803 Enrollment ID: I20101222000608 |
| Provider Name | Cheri D Gail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942239108 PECOS PAC ID: 6507054186 Enrollment ID: I20101227000020 |
| Provider Name | Christopher Dodd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417159575 PECOS PAC ID: 1456549047 Enrollment ID: I20101227000115 |
| Provider Name | Therese M Horan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629308887 PECOS PAC ID: 2163610403 Enrollment ID: I20101230000457 |
| Provider Name | Catherine E Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184934861 PECOS PAC ID: 6305035189 Enrollment ID: I20110110000434 |
| Provider Name | Johann M Gurnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659602175 PECOS PAC ID: 8426237298 Enrollment ID: I20110125001248 |
| Provider Name | Peter Pereira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699886853 PECOS PAC ID: 6507046695 Enrollment ID: I20110207000589 |
| Provider Name | Clinton L Bliss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033228655 PECOS PAC ID: 2062692890 Enrollment ID: I20110210000451 |
| Provider Name | Jeffrey P Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558471987 PECOS PAC ID: 0345420824 Enrollment ID: I20110216000293 |
| Provider Name | Gail C Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023112471 PECOS PAC ID: 2961683214 Enrollment ID: I20110221000480 |
| Provider Name | Uyenvy V Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902091879 PECOS PAC ID: 1951584077 Enrollment ID: I20110328000712 |
| Provider Name | Delaney C Ruston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871770420 PECOS PAC ID: 5597949297 Enrollment ID: I20110404000857 |
| Provider Name | Kristin J Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255501292 PECOS PAC ID: 9133303464 Enrollment ID: I20110412000461 |
| Provider Name | Sau Mui Chan Goh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447589916 PECOS PAC ID: 7214112218 Enrollment ID: I20110505000650 |
| Provider Name | Edith T Burpee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023202090 PECOS PAC ID: 6709056179 Enrollment ID: I20110823000721 |
| Provider Name | James G Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760683924 PECOS PAC ID: 1759559768 Enrollment ID: I20110922000386 |
| Provider Name | Jennifer Strobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972872265 PECOS PAC ID: 4981861788 Enrollment ID: I20120207000229 |
| Provider Name | Gil Mazurik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720252463 PECOS PAC ID: 6901064989 Enrollment ID: I20120222000273 |
| Provider Name | Catherine M Konrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144490012 PECOS PAC ID: 9234399353 Enrollment ID: I20120328000220 |
| Provider Name | Erika S Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841569969 PECOS PAC ID: 3779744420 Enrollment ID: I20120405000548 |
| Provider Name | Alson K Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497911093 PECOS PAC ID: 7618123324 Enrollment ID: I20120813000667 |
| Provider Name | Bradley S Roter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528045705 PECOS PAC ID: 9931356912 Enrollment ID: I20120827000416 |
| Provider Name | Danielle A Paster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962708800 PECOS PAC ID: 1658528153 Enrollment ID: I20120905000372 |
| Provider Name | Frances M Chester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831195676 PECOS PAC ID: 1355372343 Enrollment ID: I20120907000239 |
| Provider Name | Scott Jonathan Chaffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205891637 PECOS PAC ID: 8224047188 Enrollment ID: I20120921000531 |
| Provider Name | Elisabeth A Brennand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306865399 PECOS PAC ID: 0345428082 Enrollment ID: I20121023000833 |
| Provider Name | Roini Muraki Wadhwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487940094 PECOS PAC ID: 6002066172 Enrollment ID: I20121025000651 |
| Provider Name | Emily J Leaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952651960 PECOS PAC ID: 5193976611 Enrollment ID: I20121109000546 |
| Provider Name | Elizabeth A Kracen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588894679 PECOS PAC ID: 6608027669 Enrollment ID: I20121123000001 |
| Provider Name | Julie M Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598017063 PECOS PAC ID: 7113178096 Enrollment ID: I20121127000659 |
| Provider Name | Emily M Godfrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437260551 PECOS PAC ID: 7315999877 Enrollment ID: I20121219000532 |
| Provider Name | Kathleen E Tubridy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124258876 PECOS PAC ID: 6002061363 Enrollment ID: I20130313000101 |
| Provider Name | Maureen Elizabeth Chomko |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770847675 PECOS PAC ID: 7719122704 Enrollment ID: I20130321000596 |
| Provider Name | Diana L Schott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487691945 PECOS PAC ID: 6103840558 Enrollment ID: I20130403000012 |
| Provider Name | Jennifer C Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003096082 PECOS PAC ID: 7214173418 Enrollment ID: I20130412000513 |
| Provider Name | Megan Lohr Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659696854 PECOS PAC ID: 3678711959 Enrollment ID: I20130528000340 |
| Provider Name | Katharine M Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548607609 PECOS PAC ID: 8527209220 Enrollment ID: I20130723000307 |
| Provider Name | Anne W Egleston Gerich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316282411 PECOS PAC ID: 1456592179 Enrollment ID: I20130723000557 |
| Provider Name | Matthew J Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982915534 PECOS PAC ID: 9739320011 Enrollment ID: I20130729001026 |
| Provider Name | Kimberly L Vanderzee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518287705 PECOS PAC ID: 3971744079 Enrollment ID: I20130801000626 |
| Provider Name | Jessica Burke-lazarus |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558701532 PECOS PAC ID: 3476797424 Enrollment ID: I20130913000355 |
| Provider Name | Kathryn C Howland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609212539 PECOS PAC ID: 4981848504 Enrollment ID: I20130923000314 |
| Provider Name | Elizabeth E Dawson Hahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760611065 PECOS PAC ID: 1557513108 Enrollment ID: I20130923000666 |
| Provider Name | Lisa M Gillette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053743716 PECOS PAC ID: 3971737057 Enrollment ID: I20131002000631 |
| Provider Name | Colin Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902123896 PECOS PAC ID: 9234364860 Enrollment ID: I20131106001306 |
| Provider Name | Kurt G Velguth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467612077 PECOS PAC ID: 1355577123 Enrollment ID: I20131127000118 |
| Provider Name | Heather Henne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003131137 PECOS PAC ID: 0941437594 Enrollment ID: I20131205001792 |
| Provider Name | Angela Tiede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902232879 PECOS PAC ID: 8224265798 Enrollment ID: I20131209001659 |
| Provider Name | Kathleen A Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215358270 PECOS PAC ID: 9537398755 Enrollment ID: I20140211001935 |
| Provider Name | Laura Marie Macpherson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386989804 PECOS PAC ID: 2466684899 Enrollment ID: I20140416002373 |
| Provider Name | Daniel Joseph Buffington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801022389 PECOS PAC ID: 9931365335 Enrollment ID: I20140520002317 |
| Provider Name | Ying Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205126737 PECOS PAC ID: 5890918205 Enrollment ID: I20140603000540 |
| Provider Name | Ravyn B Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730417940 PECOS PAC ID: 6406070218 Enrollment ID: I20140618001192 |
| Provider Name | Richard C Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346539319 PECOS PAC ID: 2264657675 Enrollment ID: I20140626002506 |
| Provider Name | Jonathan F Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427342591 PECOS PAC ID: 2264657055 Enrollment ID: I20140711000761 |
| Provider Name | Paula B Sigafus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518014703 PECOS PAC ID: 5799901856 Enrollment ID: I20140725000390 |
| Provider Name | Aimee J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700171980 PECOS PAC ID: 5799902151 Enrollment ID: I20140807001469 |
| Provider Name | Lauren White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104054949 PECOS PAC ID: 3072733898 Enrollment ID: I20140930000754 |
| Provider Name | Alicia J Beecroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477967016 PECOS PAC ID: 3274754874 Enrollment ID: I20141023002697 |
| Provider Name | John Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316239015 PECOS PAC ID: 6305067760 Enrollment ID: I20141028002104 |
| Provider Name | Randy Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184918112 PECOS PAC ID: 3779706890 Enrollment ID: I20141125001136 |
| Provider Name | Nina A Maisterra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356497259 PECOS PAC ID: 5799886818 Enrollment ID: I20141212000060 |
| Provider Name | Molly Capron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639125016 PECOS PAC ID: 9133138522 Enrollment ID: I20150117000052 |
| Provider Name | Dennis J Haack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417052648 PECOS PAC ID: 1850358433 Enrollment ID: I20150119000046 |
| Provider Name | Jessica Howell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417240987 PECOS PAC ID: 8123343977 Enrollment ID: I20150219000691 |
| Provider Name | Jacqueline M Justus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336488915 PECOS PAC ID: 9234455718 Enrollment ID: I20150226002367 |
| Provider Name | Stephanie K Tarry Yoo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174855753 PECOS PAC ID: 0143493932 Enrollment ID: I20150310002381 |
| Provider Name | Patricia D Long Brohm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770527616 PECOS PAC ID: 2062607344 Enrollment ID: I20150326000207 |
| Provider Name | Alida Maria Gertz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851690234 PECOS PAC ID: 3779733431 Enrollment ID: I20150805006774 |
| Provider Name | Amy Ross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285025338 PECOS PAC ID: 3870806102 Enrollment ID: I20150825002785 |
| Provider Name | Annamarie Mackey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205193315 PECOS PAC ID: 9436470747 Enrollment ID: I20150902001904 |
| Provider Name | Miranda T Hastings |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265818561 PECOS PAC ID: 7517274475 Enrollment ID: I20150910000796 |
| Provider Name | Catherine V Sumerwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649674060 PECOS PAC ID: 1557678885 Enrollment ID: I20150917002734 |
| Provider Name | Anina Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124434527 PECOS PAC ID: 8729395090 Enrollment ID: I20150918000830 |
| Provider Name | Averi L Epps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184000416 PECOS PAC ID: 8729398656 Enrollment ID: I20151105001304 |
| Provider Name | Truc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154641868 PECOS PAC ID: 3072823855 Enrollment ID: I20151106000619 |
| Provider Name | Hannah Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588032346 PECOS PAC ID: 8628388972 Enrollment ID: I20151117001312 |
| Provider Name | Svetlana V Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386012441 PECOS PAC ID: 4688974165 Enrollment ID: I20151207000455 |
| Provider Name | Anna W Kaminski |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629119706 PECOS PAC ID: 9032411038 Enrollment ID: I20160107002535 |
| Provider Name | Tye N Powers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679838627 PECOS PAC ID: 7214257328 Enrollment ID: I20160119001493 |
| Provider Name | Janna K Cuneo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528451192 PECOS PAC ID: 9638473382 Enrollment ID: I20160201002121 |
| Provider Name | Therry Rose J Eparwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578702700 PECOS PAC ID: 5395895601 Enrollment ID: I20160203001697 |
| Provider Name | Emmy N Davison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124382676 PECOS PAC ID: 4284946872 Enrollment ID: I20160205000734 |
| Provider Name | Catherine V Bull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417242892 PECOS PAC ID: 6507160512 Enrollment ID: I20160211002855 |
| Provider Name | Shannon T Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659591980 PECOS PAC ID: 3173828977 Enrollment ID: I20160216001097 |
| Provider Name | Daniel F Kujawinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881980274 PECOS PAC ID: 6103121256 Enrollment ID: I20160226001280 |
| Provider Name | Jane C Dirkse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316043326 PECOS PAC ID: 4789981549 Enrollment ID: I20160323000561 |
| Provider Name | Robin K Debates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477797397 PECOS PAC ID: 3870890544 Enrollment ID: I20160323001165 |
| Provider Name | Ryan J Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972962611 PECOS PAC ID: 4183921828 Enrollment ID: I20160328001035 |
| Provider Name | Abigail Isquith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689825390 PECOS PAC ID: 1557669975 Enrollment ID: I20160418001665 |
| Provider Name | Mia Michalak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669838199 PECOS PAC ID: 3072803303 Enrollment ID: I20160602001507 |
| Provider Name | Esther Fuchs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255572723 PECOS PAC ID: 3375727779 Enrollment ID: I20160621002013 |
| Provider Name | Craig T Szela |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831456466 PECOS PAC ID: 2567764822 Enrollment ID: I20160621002113 |
| Provider Name | Khamphoucanh Southisombath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114316734 PECOS PAC ID: 9032417654 Enrollment ID: I20160621002324 |
| Provider Name | Jennifer C Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730531203 PECOS PAC ID: 4385930726 Enrollment ID: I20160909002531 |
| Provider Name | Rachel Bodansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043767767 PECOS PAC ID: 5597052001 Enrollment ID: I20160927003113 |
| Provider Name | Kim Quy T Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730635905 PECOS PAC ID: 0042508384 Enrollment ID: I20161019001593 |
| Provider Name | Nathaniel J Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831594639 PECOS PAC ID: 3072837053 Enrollment ID: I20161019002582 |
| Provider Name | Rebecca Y Mandell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952746893 PECOS PAC ID: 8022332311 Enrollment ID: I20161104000812 |
| Provider Name | Elizabeth A Roth |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750710471 PECOS PAC ID: 7012295421 Enrollment ID: I20161104001156 |
| Provider Name | Meghan Y Bergeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316496144 PECOS PAC ID: 8224317797 Enrollment ID: I20161128001929 |
| Provider Name | Elisa P Apostle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639628878 PECOS PAC ID: 2769762152 Enrollment ID: I20161130001572 |
| Provider Name | Kearstyn A Leu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235472333 PECOS PAC ID: 0244511228 Enrollment ID: I20170105001904 |
| Provider Name | Matthew B Mackwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740690080 PECOS PAC ID: 4486969383 Enrollment ID: I20170112002922 |
| Provider Name | Vanessa Cortes De Jorge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760794895 PECOS PAC ID: 6406178128 Enrollment ID: I20170120002208 |
| Provider Name | Lorena Barajas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073064077 PECOS PAC ID: 0244514818 Enrollment ID: I20170227000641 |
| Provider Name | Roger W Bush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760411623 PECOS PAC ID: 3870544679 Enrollment ID: I20170328001691 |
| Provider Name | Erin O Coghlan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568868651 PECOS PAC ID: 4587984364 Enrollment ID: I20170426002166 |
| Provider Name | Erik D Geissal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982895819 PECOS PAC ID: 1254491087 Enrollment ID: I20170728003164 |
| Provider Name | Brandi L Crawford-gallagher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093124794 PECOS PAC ID: 1759653587 Enrollment ID: I20170814003073 |
| Provider Name | Jemma C Nonog |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285155044 PECOS PAC ID: 6103198569 Enrollment ID: I20170818002230 |
| Provider Name | Jeffrey M Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669997284 PECOS PAC ID: 8729352679 Enrollment ID: I20170915003315 |
| Provider Name | Meaghan Np Mugleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922542067 PECOS PAC ID: 2264707330 Enrollment ID: I20170929001931 |
| Provider Name | Anna M Mcluen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174936082 PECOS PAC ID: 0941524235 Enrollment ID: I20171012002652 |
| Provider Name | Isabelle T Trepiccione |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376961193 PECOS PAC ID: 3173840022 Enrollment ID: I20171121000507 |
| Provider Name | Dominique E Waldau |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265943633 PECOS PAC ID: 1557629904 Enrollment ID: I20171213001439 |
| Provider Name | Rachel E Jacks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265941975 PECOS PAC ID: 0446518047 Enrollment ID: I20180102001468 |
| Provider Name | Ana Baker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861862518 PECOS PAC ID: 5496013039 Enrollment ID: I20180103001196 |
| Provider Name | Amy L Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801300538 PECOS PAC ID: 1658631130 Enrollment ID: I20180131002636 |
| Provider Name | Ashley J Strauss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922540814 PECOS PAC ID: 1951665751 Enrollment ID: I20180502002350 |
| Provider Name | Allison B Rhoades |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265873020 PECOS PAC ID: 9830343870 Enrollment ID: I20180607002817 |
| Provider Name | Lauren J Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134655160 PECOS PAC ID: 0749535003 Enrollment ID: I20180611001099 |
| Provider Name | Sarah A Raider |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740720689 PECOS PAC ID: 7517232077 Enrollment ID: I20180820002732 |
| Provider Name | Carla Ivonne Vazquez Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346653177 PECOS PAC ID: 1951673128 Enrollment ID: I20180918002320 |
| Provider Name | Elizabeth Mary Gabzdyl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497866008 PECOS PAC ID: 7012196017 Enrollment ID: I20181116001428 |
| Provider Name | Robert G Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164817938 PECOS PAC ID: 1456669928 Enrollment ID: I20181128003467 |
| Provider Name | Alicia D Ashby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215323696 PECOS PAC ID: 0648588079 Enrollment ID: I20190208002156 |
| Provider Name | Catherine M Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821567132 PECOS PAC ID: 4385982305 Enrollment ID: I20190215002003 |
| Provider Name | Katherine R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972013217 PECOS PAC ID: 0547508442 Enrollment ID: I20190220000439 |
| Provider Name | Katherine C Fate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124429428 PECOS PAC ID: 7517269400 Enrollment ID: I20190228001681 |
| Provider Name | Virginia Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609350453 PECOS PAC ID: 3577805241 Enrollment ID: I20190429001865 |
| Provider Name | Morgan L Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134479512 PECOS PAC ID: 4183850290 Enrollment ID: I20190507003003 |
| Provider Name | Mary A Arnold |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407223266 PECOS PAC ID: 5890002885 Enrollment ID: I20190510000154 |
| Provider Name | Julie K Hubble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154663003 PECOS PAC ID: 9537487939 Enrollment ID: I20190517000594 |
| Provider Name | Martha Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952879413 PECOS PAC ID: 2668715137 Enrollment ID: I20190524000647 |
| Provider Name | Elisabeth Poorman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720425259 PECOS PAC ID: 6002119724 Enrollment ID: I20190603002250 |
| Provider Name | Paige Lamb Gibbens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992291967 PECOS PAC ID: 3072847326 Enrollment ID: I20190620002348 |
| Provider Name | Megan E Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598320020 PECOS PAC ID: 5698000644 Enrollment ID: I20190712000558 |
| Provider Name | Anne Guion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689197246 PECOS PAC ID: 9335476233 Enrollment ID: I20190815001747 |
| Provider Name | Marit Sally Knutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922654797 PECOS PAC ID: 9234469172 Enrollment ID: I20190919001927 |
| Provider Name | Melissa Valero Frondozo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053967984 PECOS PAC ID: 7012247216 Enrollment ID: I20191002000886 |
| Provider Name | Noelle Ariel Tripp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184102543 PECOS PAC ID: 5799016226 Enrollment ID: I20191014002039 |
| Provider Name | Ann M Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932345717 PECOS PAC ID: 3971835398 Enrollment ID: I20191104001690 |
| Provider Name | Rituja M Kapoor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538638440 PECOS PAC ID: 3274965538 Enrollment ID: I20191107002318 |
| Provider Name | Taylor J Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841766748 PECOS PAC ID: 6305278466 Enrollment ID: I20191112002118 |
| Provider Name | Aneta Kucharczyk-swamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760818553 PECOS PAC ID: 1759713761 Enrollment ID: I20191113001129 |
| Provider Name | Idalia Montanez-miranda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942589296 PECOS PAC ID: 7911201074 Enrollment ID: I20191127002555 |
| Provider Name | Adrienne N Ton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477065266 PECOS PAC ID: 5799118873 Enrollment ID: I20191203002169 |
| Provider Name | Jonathan P Kilian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326523606 PECOS PAC ID: 2860826229 Enrollment ID: I20191218002117 |
| Provider Name | Erica B Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346694890 PECOS PAC ID: 1254697832 Enrollment ID: I20191226001108 |
| Provider Name | Elizabeth E Culliton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780109959 PECOS PAC ID: 7113290560 Enrollment ID: I20191227000113 |
| Provider Name | Heather M Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073960142 PECOS PAC ID: 7012341951 Enrollment ID: I20191230002513 |
| Provider Name | Mitzi L.g. Laney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871134387 PECOS PAC ID: 8628402492 Enrollment ID: I20200102002756 |
| Provider Name | Ana Molinero Silvia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912259870 PECOS PAC ID: 4385071828 Enrollment ID: I20200224001433 |
| Provider Name | Christina S Miles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104354125 PECOS PAC ID: 4183994767 Enrollment ID: I20200514000035 |
| Provider Name | Kathleen Shay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497850051 PECOS PAC ID: 4789669524 Enrollment ID: I20200516000069 |
| Provider Name | Noah J Weatherton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164067906 PECOS PAC ID: 6305267089 Enrollment ID: I20200604002002 |
| Provider Name | Clarissa B Foy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770755050 PECOS PAC ID: 0042398422 Enrollment ID: I20200806001404 |
| Provider Name | Lauren Davis Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518498468 PECOS PAC ID: 3173892205 Enrollment ID: I20200818004105 |
| Provider Name | Ayan Abdulkadir Sheikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376160283 PECOS PAC ID: 1456778109 Enrollment ID: I20200826003982 |
| Provider Name | Melinda Pearl Greensweig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194348151 PECOS PAC ID: 1759709280 Enrollment ID: I20200916000811 |
| Provider Name | Leonel Oliveros-rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528591625 PECOS PAC ID: 1658799051 Enrollment ID: I20200917000357 |
| Provider Name | Viet Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487186722 PECOS PAC ID: 8921376005 Enrollment ID: I20200922000700 |
| Provider Name | Bianca Maya Reis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205471059 PECOS PAC ID: 4385063452 Enrollment ID: I20200923002940 |
| Provider Name | Katharine M Won |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902337058 PECOS PAC ID: 9436421906 Enrollment ID: I20200930000187 |
| Provider Name | Kelsey Lorenz Sholund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992237002 PECOS PAC ID: 5890064877 Enrollment ID: I20201012002694 |
| Provider Name | Liya H Asghedom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689176299 PECOS PAC ID: 8820352271 Enrollment ID: I20201015002175 |
| Provider Name | Christopher Charles Borgia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063025476 PECOS PAC ID: 6103246889 Enrollment ID: I20201019001674 |
| Provider Name | Alexander Mar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720698061 PECOS PAC ID: 0547670440 Enrollment ID: I20201104001746 |
| Provider Name | Shannon Rae Haan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053964411 PECOS PAC ID: 7618388968 Enrollment ID: I20201118001222 |
| Provider Name | Emily L Kimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043525652 PECOS PAC ID: 8628262037 Enrollment ID: I20210127003498 |
| Provider Name | Stephanie Gove-yin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982014007 PECOS PAC ID: 9537388418 Enrollment ID: I20210312001387 |
| Provider Name | Kalyca Seabrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457997520 PECOS PAC ID: 5597191874 Enrollment ID: I20210325002729 |
| Provider Name | Chih-ming Sun |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336796218 PECOS PAC ID: 3779982772 Enrollment ID: I20210525000474 |
| Provider Name | Gina H Gutmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598939423 PECOS PAC ID: 7012317175 Enrollment ID: I20210610001525 |
| Provider Name | Amanda Rita Newell Heffernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154742609 PECOS PAC ID: 9830322254 Enrollment ID: I20210630003609 |
| Provider Name | Keely C Robinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104450048 PECOS PAC ID: 8022413111 Enrollment ID: I20210827001788 |
| Provider Name | Elizabeth S Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396209193 PECOS PAC ID: 3779971403 Enrollment ID: I20211028001576 |
| Provider Name | Alice Hui Fay Tin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417452335 PECOS PAC ID: 5092061960 Enrollment ID: I20211028001665 |
| Provider Name | Sarah Elizabeth Saldarriaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720754278 PECOS PAC ID: 1153710157 Enrollment ID: I20211112001563 |
| Provider Name | Kathy Cao Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134792617 PECOS PAC ID: 6305236324 Enrollment ID: I20211207001039 |
| Provider Name | Zoe Thembi Nzimande |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073276507 PECOS PAC ID: 9739579384 Enrollment ID: I20211214001362 |
| Provider Name | Jennifer Rebecca Casebeer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063957835 PECOS PAC ID: 0749671055 Enrollment ID: I20211221001965 |
| Provider Name | Jessica Laure Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205460656 PECOS PAC ID: 5496148629 Enrollment ID: I20220210000352 |
| Provider Name | Kirsten Elizabeth Wickstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821623257 PECOS PAC ID: 5890180483 Enrollment ID: I20220317001346 |
| Provider Name | Zion Shekinah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730729658 PECOS PAC ID: 8022499540 Enrollment ID: I20220714003551 |
| Provider Name | Madelyn D Pimentel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546544 PECOS PAC ID: 3274914676 Enrollment ID: I20220716000416 |
| Provider Name | Ivy Lin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982136289 PECOS PAC ID: 3375894116 Enrollment ID: I20220718000693 |
| Provider Name | Shavonne Latrice Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760095889 PECOS PAC ID: 8224495155 Enrollment ID: I20230607002106 |
| Provider Name | Katherine Bartoletta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851929285 PECOS PAC ID: 2163845025 Enrollment ID: I20230705002730 |
| Provider Name | Anna Zuckerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467814491 PECOS PAC ID: 8022303650 Enrollment ID: I20230720003051 |
| Provider Name | Alice Z Wei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467089961 PECOS PAC ID: 1658796537 Enrollment ID: I20230727001259 |
| Provider Name | Parisa Lynn Ghebleh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871118711 PECOS PAC ID: 9830515790 Enrollment ID: I20230818000147 |
| Provider Name | Katherine Margaret Dwyer Winters |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891320446 PECOS PAC ID: 7911360748 Enrollment ID: I20230828001615 |
| Provider Name | Emily Sarai Redfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992319263 PECOS PAC ID: 7416310495 Enrollment ID: I20230905002668 |
| Provider Name | Kristine Johanna Salters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164181251 PECOS PAC ID: 4082077219 Enrollment ID: I20230905003749 |
| Provider Name | Elizabeth Marie Winstanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194465831 PECOS PAC ID: 8921461179 Enrollment ID: I20230906000240 |
| Provider Name | Christina Youngmi Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487823928 PECOS PAC ID: 1254473101 Enrollment ID: I20230926002514 |
| Provider Name | Miwo Anne Lung Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306973219 PECOS PAC ID: 3375997273 Enrollment ID: I20230926003896 |
| Provider Name | Letitia Denise Salazar Monk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770118291 PECOS PAC ID: 3375997117 Enrollment ID: I20230927001513 |
| Provider Name | Judith A Lazarus |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578672200 PECOS PAC ID: 3476742156 Enrollment ID: I20231120001132 |
| Provider Name | Darin John Keuter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669794913 PECOS PAC ID: 4082062146 Enrollment ID: I20231129003412 |
| Provider Name | Amanda Rita Newell Heffernan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154742609 PECOS PAC ID: 9830322254 Enrollment ID: I20231212003076 |
| Provider Name | William Earl Maes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114488525 PECOS PAC ID: 3375911878 Enrollment ID: I20231218003486 |
| Provider Name | Abigail Madrigal Aparicio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366094690 PECOS PAC ID: 9335599034 Enrollment ID: I20231221000136 |
| Provider Name | Gwendolyn P Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255864583 PECOS PAC ID: 5991155103 Enrollment ID: I20240102000373 |
| Provider Name | Jennifer E. Chang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417007147 PECOS PAC ID: 1557712569 Enrollment ID: I20240103003929 |
| Provider Name | Brettyn Carole Gibson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629551189 PECOS PAC ID: 9335590116 Enrollment ID: I20240105000902 |
| Provider Name | Jessica Lynn Jelmberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326203746 PECOS PAC ID: 6608227822 Enrollment ID: I20240111002529 |
| Provider Name | Jillian Riley Muscatel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972939320 PECOS PAC ID: 6204287436 Enrollment ID: I20240111003179 |
| Provider Name | Margo Lee Reger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225464969 PECOS PAC ID: 1456703503 Enrollment ID: I20240115000638 |
| Provider Name | Lisa I. Thocher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396840419 PECOS PAC ID: 4183076177 Enrollment ID: I20240115001896 |
| Provider Name | Monique Lynn Tetzloff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568501815 PECOS PAC ID: 2769835743 Enrollment ID: I20240125003025 |
| Provider Name | Carissa Anne Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962510248 PECOS PAC ID: 1052388568 Enrollment ID: I20240208002430 |
| Provider Name | Jacquelyn Bernadine Baumann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942813761 PECOS PAC ID: 1658714159 Enrollment ID: I20240212004309 |
| Provider Name | Hamdi Mohamud Abdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306563739 PECOS PAC ID: 2668816810 Enrollment ID: I20240215003975 |
| Provider Name | Brandi Nicole Basket |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437478070 PECOS PAC ID: 9234354218 Enrollment ID: I20240320001978 |
| Provider Name | Delene R Rodenberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396008959 PECOS PAC ID: 4981042447 Enrollment ID: I20240402004243 |
| Provider Name | Rebecca Ellen Samelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528630951 PECOS PAC ID: 0244678605 Enrollment ID: I20240403003964 |
Vera Whole Health Wa Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 Sand Point Way Ne Ste 100, Seattle, WA 98105 Phone: 206-575-8880 Fax: 206-223-2334 | |
Washington Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Dexter Ave N Ste 179, Seattle, WA 98109 Phone: 206-866-0076 Fax: 866-279-4704 | |
Rainier Beach Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9245 Rainier Ave S, Seattle, WA 98118 Phone: 206-548-7600 Fax: 206-548-7601 | |
Every Body Moves, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5238 57th Ave S, Seattle, WA 98118 Phone: 206-618-5632 | |
Virginia Mason Medical Center-gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 | |
Neighborcare Health At Denny International Middle School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 Sw Kenyon St, Seattle, WA 98126 Phone: 206-923-2809 Fax: 206-923-2818 | |
Pacific Medical Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 12th Ave S, Seattle, WA 98124 Phone: 206-621-4316 |