| Northside Primary Care Professional Services,llc | |
|
1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 | |
| (855) 709-4535 | |
| Not Available |
| Full Name | Northside Primary Care Professional Services,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Johnson Ferry Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Jorge J Hernandez (VP OF ADMIN SERVCES AND CCO) |
| Authorized Official Contact | 4048516378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Primary Care Professional Services,llc 1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 Ph: (404) 851-8000 | Northside Primary Care Professional Services,llc 1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606 Ph: (855) 709-4535 |
| NPI Number | 1922397553 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 9638343924 |
|---|---|
| Medicare Enrollment ID | O20111123000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922397553 | NPI | - | NPPES |
| 193400000X | Other | TAXONOMY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Georgia) | Primary |
| Provider Name | Saraswathi Jampala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083615710 PECOS PAC ID: 9830098268 Enrollment ID: I20040106000062 |
| Provider Name | Robert C Waldrop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043372444 PECOS PAC ID: 7618861030 Enrollment ID: I20040209000386 |
| Provider Name | Mack Rachal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902856370 PECOS PAC ID: 1456241496 Enrollment ID: I20040316000247 |
| Provider Name | Michael S Baugh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295840577 PECOS PAC ID: 8527056829 Enrollment ID: I20040505000318 |
| Provider Name | James M Adkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508811373 PECOS PAC ID: 4284624990 Enrollment ID: I20040514000733 |
| Provider Name | Mario Eurico Ravry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922072321 PECOS PAC ID: 9931190881 Enrollment ID: I20040520000382 |
| Provider Name | Anjali C Dua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134182330 PECOS PAC ID: 1153302526 Enrollment ID: I20040601000574 |
| Provider Name | Amit Dua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639131691 PECOS PAC ID: 8921080169 Enrollment ID: I20040602001070 |
| Provider Name | Brian K Nadolne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407805872 PECOS PAC ID: 5395736797 Enrollment ID: I20040602001184 |
| Provider Name | Balwinder Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154364123 PECOS PAC ID: 9830176593 Enrollment ID: I20040701000534 |
| Provider Name | Larry W Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932157856 PECOS PAC ID: 4385621960 Enrollment ID: I20040701000745 |
| Provider Name | Nibedita Patro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992805006 PECOS PAC ID: 0840277109 Enrollment ID: I20040706000033 |
| Provider Name | Samantha B Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235286584 PECOS PAC ID: 2860471729 Enrollment ID: I20040715000520 |
| Provider Name | Russell C Maxa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699784785 PECOS PAC ID: 5991785594 Enrollment ID: I20040723000563 |
| Provider Name | Indra C Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639202120 PECOS PAC ID: 3274503958 Enrollment ID: I20040729000738 |
| Provider Name | Christopher Lee Parman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104807114 PECOS PAC ID: 3173596517 Enrollment ID: I20040816000032 |
| Provider Name | Charles D Cohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538168232 PECOS PAC ID: 7113990078 Enrollment ID: I20040818000532 |
| Provider Name | Usha G Nayak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548222474 PECOS PAC ID: 4385618792 Enrollment ID: I20040823000394 |
| Provider Name | Jeffrey M Reznik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538292040 PECOS PAC ID: 8224004551 Enrollment ID: I20040908000383 |
| Provider Name | Natacha Simon-christie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376598169 PECOS PAC ID: 7315915196 Enrollment ID: I20040920000755 |
| Provider Name | Shivani Bhatia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427003672 PECOS PAC ID: 9537069349 Enrollment ID: I20040928000780 |
| Provider Name | Hatem Asad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326095662 PECOS PAC ID: 4587654074 Enrollment ID: I20041013000819 |
| Provider Name | Hema Byrapuneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700886678 PECOS PAC ID: 7911967930 Enrollment ID: I20041014000347 |
| Provider Name | Steven I Marlowe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639278948 PECOS PAC ID: 2365406246 Enrollment ID: I20041119000365 |
| Provider Name | James Ian Mcmillen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659470946 PECOS PAC ID: 8022073915 Enrollment ID: I20041119000495 |
| Provider Name | Ciela E Lopez Armstrong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669545380 PECOS PAC ID: 6406811058 Enrollment ID: I20041123000810 |
| Provider Name | Adrine Sue Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649230970 PECOS PAC ID: 2769448539 Enrollment ID: I20041203000096 |
| Provider Name | Donna W Whitfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841271343 PECOS PAC ID: 4981660412 Enrollment ID: I20041207000524 |
| Provider Name | Marie E Garrity |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629066584 PECOS PAC ID: 2264498831 Enrollment ID: I20041208000619 |
| Provider Name | Najeeb I Siddique |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558313726 PECOS PAC ID: 2961307103 Enrollment ID: I20041215000975 |
| Provider Name | Dinee M Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063407377 PECOS PAC ID: 0941268460 Enrollment ID: I20041229000836 |
| Provider Name | Tessie Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053417949 PECOS PAC ID: 2365490463 Enrollment ID: I20050105000685 |
| Provider Name | Mary C Sams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053443275 PECOS PAC ID: 6800845280 Enrollment ID: I20050113000247 |
| Provider Name | Salpi Adrouny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851304356 PECOS PAC ID: 8729031729 Enrollment ID: I20050302000589 |
| Provider Name | Monica C Bertram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154317949 PECOS PAC ID: 1456305168 Enrollment ID: I20050307000018 |
| Provider Name | Allison Ventura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518011568 PECOS PAC ID: 7315985488 Enrollment ID: I20050419001364 |
| Provider Name | Sandra K Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235140286 PECOS PAC ID: 2769429836 Enrollment ID: I20050513000462 |
| Provider Name | Peter E Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669426425 PECOS PAC ID: 8123073814 Enrollment ID: I20050607000511 |
| Provider Name | Christine D Lallos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013092733 PECOS PAC ID: 0648213850 Enrollment ID: I20050608000957 |
| Provider Name | Syed Wasi Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285770347 PECOS PAC ID: 3173567526 Enrollment ID: I20050617000143 |
| Provider Name | Paul D Boyce |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912988445 PECOS PAC ID: 2466496633 Enrollment ID: I20050617000755 |
| Provider Name | Olumuyiwa Adeoye Rotimi Joshua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144322157 PECOS PAC ID: 5991748048 Enrollment ID: I20050708000705 |
| Provider Name | Scott J Small |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790784080 PECOS PAC ID: 0143252478 Enrollment ID: I20050912000174 |
| Provider Name | Deanna L Roy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437197761 PECOS PAC ID: 8123045754 Enrollment ID: I20051102000043 |
| Provider Name | Prem Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124003587 PECOS PAC ID: 2961421730 Enrollment ID: I20051122000366 |
| Provider Name | Lonnie Herzog |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154330249 PECOS PAC ID: 0749227817 Enrollment ID: I20051213000593 |
| Provider Name | James M Cobb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336134477 PECOS PAC ID: 5799707212 Enrollment ID: I20051228000128 |
| Provider Name | Mark K Koralewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992720841 PECOS PAC ID: 2769405828 Enrollment ID: I20060104000741 |
| Provider Name | Anitra Simone Graves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285669739 PECOS PAC ID: 5496769226 Enrollment ID: I20060201000375 |
| Provider Name | David A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508877556 PECOS PAC ID: 4385681451 Enrollment ID: I20060223000545 |
| Provider Name | Samuel F Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972512069 PECOS PAC ID: 2668419730 Enrollment ID: I20060223000567 |
| Provider Name | Mark I Harris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649262577 PECOS PAC ID: 8022024934 Enrollment ID: I20060302000153 |
| Provider Name | Otto C Goyco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013990431 PECOS PAC ID: 8325056575 Enrollment ID: I20060329000417 |
| Provider Name | Elizabeth M Littlefield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447208178 PECOS PAC ID: 4880606490 Enrollment ID: I20060626000031 |
| Provider Name | Lori B Schaen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326045915 PECOS PAC ID: 3476565961 Enrollment ID: I20060627000315 |
| Provider Name | Chuansheng Wu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275578361 PECOS PAC ID: 0749293009 Enrollment ID: I20060803000297 |
| Provider Name | Kirk -conrod P Hewling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740214220 PECOS PAC ID: 9638172604 Enrollment ID: I20060811000043 |
| Provider Name | Gordon M Wotton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952358012 PECOS PAC ID: 2668366030 Enrollment ID: I20060922000304 |
| Provider Name | Uy Q Vu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407876139 PECOS PAC ID: 9234137332 Enrollment ID: I20061128000511 |
| Provider Name | Ling Qin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790859536 PECOS PAC ID: 6901806850 Enrollment ID: I20061228000171 |
| Provider Name | Terri L Tenhoor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164491668 PECOS PAC ID: 4385645852 Enrollment ID: I20070125000419 |
| Provider Name | Olufunsho Bankole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487714911 PECOS PAC ID: 2668474164 Enrollment ID: I20070213000513 |
| Provider Name | Nilanee A Karikaran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114008927 PECOS PAC ID: 6800990839 Enrollment ID: I20070402000361 |
| Provider Name | Thomas L Weeks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679587257 PECOS PAC ID: 3678678315 Enrollment ID: I20070425000166 |
| Provider Name | Sonya Bellamy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780638627 PECOS PAC ID: 0446358139 Enrollment ID: I20070604000391 |
| Provider Name | Steven A Accarino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912903626 PECOS PAC ID: 2365339462 Enrollment ID: I20070625000194 |
| Provider Name | David Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265430797 PECOS PAC ID: 5395736862 Enrollment ID: I20070712000106 |
| Provider Name | George A Scharyj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033190186 PECOS PAC ID: 3375644164 Enrollment ID: I20070724000177 |
| Provider Name | Cecile M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326246158 PECOS PAC ID: 6305937202 Enrollment ID: I20070807000484 |
| Provider Name | Bhumiben S Purohit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154419141 PECOS PAC ID: 7214028984 Enrollment ID: I20070809000494 |
| Provider Name | Stephen A Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477533206 PECOS PAC ID: 2860580602 Enrollment ID: I20071113000260 |
| Provider Name | Geetha Soodini |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093872558 PECOS PAC ID: 2668468935 Enrollment ID: I20071120000389 |
| Provider Name | Cyrus Irani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700972155 PECOS PAC ID: 6406819036 Enrollment ID: I20080225000039 |
| Provider Name | Madhavi Devaraju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699969949 PECOS PAC ID: 6901983063 Enrollment ID: I20080414000520 |
| Provider Name | Ernest William Beasley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467562959 PECOS PAC ID: 6406851559 Enrollment ID: I20080505000069 |
| Provider Name | Mohammad A Kukaswadia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043394109 PECOS PAC ID: 0840369906 Enrollment ID: I20080515000703 |
| Provider Name | John E West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437257748 PECOS PAC ID: 6800967936 Enrollment ID: I20080618000202 |
| Provider Name | Uma Jamched |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265434252 PECOS PAC ID: 0244301950 Enrollment ID: I20080623000560 |
| Provider Name | Rachel L Derr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811033152 PECOS PAC ID: 6406927110 Enrollment ID: I20080623000577 |
| Provider Name | Christopher B Paul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114199932 PECOS PAC ID: 8426120304 Enrollment ID: I20080709000654 |
| Provider Name | Patrick Michael Mcgann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215107842 PECOS PAC ID: 8426124793 Enrollment ID: I20080910000507 |
| Provider Name | Deann Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083821888 PECOS PAC ID: 9537237474 Enrollment ID: I20081006000534 |
| Provider Name | Rani Kumaran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467616144 PECOS PAC ID: 1951479690 Enrollment ID: I20081007000719 |
| Provider Name | Sophia Saifee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851543086 PECOS PAC ID: 9638238645 Enrollment ID: I20081105000822 |
| Provider Name | Howard P Silverboard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285609453 PECOS PAC ID: 3173626249 Enrollment ID: I20081222000565 |
| Provider Name | Stephanie Eaton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376512897 PECOS PAC ID: 0446312540 Enrollment ID: I20081226000145 |
| Provider Name | Alexander S Voljavec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528033883 PECOS PAC ID: 4981695350 Enrollment ID: I20090206000340 |
| Provider Name | Beatrice A Nde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659529303 PECOS PAC ID: 7911063771 Enrollment ID: I20090303000077 |
| Provider Name | Priya Vamsi Bayyapureddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336184126 PECOS PAC ID: 1759448715 Enrollment ID: I20090319000317 |
| Provider Name | Lasonja S Reeves |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053557488 PECOS PAC ID: 1850448697 Enrollment ID: I20090413000364 |
| Provider Name | Michael S Sabom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699733386 PECOS PAC ID: 9133175136 Enrollment ID: I20090625000022 |
| Provider Name | Jamie H Rollins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649456609 PECOS PAC ID: 4688726318 Enrollment ID: I20090710000214 |
| Provider Name | Jose F Aristizabal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053385930 PECOS PAC ID: 7416998463 Enrollment ID: I20090720000440 |
| Provider Name | Brian A Bledsoe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710159710 PECOS PAC ID: 5890840631 Enrollment ID: I20090901000143 |
| Provider Name | Daniel Callahan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598761223 PECOS PAC ID: 7517875610 Enrollment ID: I20090921000330 |
| Provider Name | Emmanuel O Onasile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336313972 PECOS PAC ID: 3274671573 Enrollment ID: I20091106000096 |
| Provider Name | Agbor N Egbewatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063521979 PECOS PAC ID: 3173662558 Enrollment ID: I20091124000202 |
| Provider Name | Sheryl A Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528297736 PECOS PAC ID: 0446390215 Enrollment ID: I20091230000043 |
| Provider Name | Michelle L Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861656365 PECOS PAC ID: 3971645557 Enrollment ID: I20100120000225 |
| Provider Name | Alan H Kramer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144216656 PECOS PAC ID: 3072691518 Enrollment ID: I20100208000372 |
| Provider Name | Antonia R Bunce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700919404 PECOS PAC ID: 6507900842 Enrollment ID: I20100224000453 |
| Provider Name | Kelli N Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104070457 PECOS PAC ID: 2264567783 Enrollment ID: I20100322000815 |
| Provider Name | Hyacinth Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164402343 PECOS PAC ID: 5991713208 Enrollment ID: I20100413000124 |
| Provider Name | Joan B Keel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942531934 PECOS PAC ID: 8921135401 Enrollment ID: I20100415000503 |
| Provider Name | David Claude Snyder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053395145 PECOS PAC ID: 1557279288 Enrollment ID: I20100528000611 |
| Provider Name | Thomas Patrick Demarini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407831696 PECOS PAC ID: 5496885279 Enrollment ID: I20100607000016 |
| Provider Name | Harold Damon Jackson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164406252 PECOS PAC ID: 9830229616 Enrollment ID: I20100607000039 |
| Provider Name | Masood Ahmed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255489019 PECOS PAC ID: 1850326901 Enrollment ID: I20100712000065 |
| Provider Name | Long H. Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962493650 PECOS PAC ID: 2466586698 Enrollment ID: I20100810000646 |
| Provider Name | Nikki Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053490938 PECOS PAC ID: 3779608401 Enrollment ID: I20100917000315 |
| Provider Name | Ngoc Diem A Doan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235301003 PECOS PAC ID: 8022200823 Enrollment ID: I20101012001014 |
| Provider Name | Kevin D Brown |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073631735 PECOS PAC ID: 5395845754 Enrollment ID: I20101013000948 |
| Provider Name | Matthew James Mccall |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366648164 PECOS PAC ID: 2062503923 Enrollment ID: I20101026000448 |
| Provider Name | Maria T Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336467067 PECOS PAC ID: 0446445480 Enrollment ID: I20101116000489 |
| Provider Name | Jeevana K Krishna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528020575 PECOS PAC ID: 0840284584 Enrollment ID: I20101117000448 |
| Provider Name | Brandi H Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588993703 PECOS PAC ID: 9032306873 Enrollment ID: I20101207000071 |
| Provider Name | Sidharth Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568790848 PECOS PAC ID: 0749477958 Enrollment ID: I20101214000017 |
| Provider Name | Gordon J Peltier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508805573 PECOS PAC ID: 5496656522 Enrollment ID: I20101216000412 |
| Provider Name | Gorka Zurinaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306908249 PECOS PAC ID: 6608064845 Enrollment ID: I20110103000694 |
| Provider Name | Raxit R Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417118605 PECOS PAC ID: 9436338571 Enrollment ID: I20110121000627 |
| Provider Name | Abul F Matin |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1033115258 PECOS PAC ID: 9335328483 Enrollment ID: I20110121000642 |
| Provider Name | Peter R Futrell |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1912990391 PECOS PAC ID: 8921287707 Enrollment ID: I20110126000008 |
| Provider Name | Frank Puhalovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548253941 PECOS PAC ID: 4082893862 Enrollment ID: I20110126000039 |
| Provider Name | Arlene A Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750467650 PECOS PAC ID: 7911186556 Enrollment ID: I20110127000840 |
| Provider Name | Raegan M Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396065983 PECOS PAC ID: 7810177524 Enrollment ID: I20110214000373 |
| Provider Name | Brady Jf Banares |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134424948 PECOS PAC ID: 9436332772 Enrollment ID: I20110324000485 |
| Provider Name | Venu M. Madhipatla |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1578623278 PECOS PAC ID: 0941305452 Enrollment ID: I20110331000214 |
| Provider Name | Amber Lee Degryse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447307236 PECOS PAC ID: 2365620796 Enrollment ID: I20110706000483 |
| Provider Name | Vivekananda Pattabiraman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467649830 PECOS PAC ID: 1658402482 Enrollment ID: I20110726000739 |
| Provider Name | Kimberly N Carter |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043367840 PECOS PAC ID: 2567537731 Enrollment ID: I20110823000678 |
| Provider Name | Ngozika Orjioke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275754731 PECOS PAC ID: 7315117140 Enrollment ID: I20110902000206 |
| Provider Name | Mehwish Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174721385 PECOS PAC ID: 6406957620 Enrollment ID: I20111011000109 |
| Provider Name | Ayisha Gani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629050638 PECOS PAC ID: 0749349710 Enrollment ID: I20111024000704 |
| Provider Name | Tracey C Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265475206 PECOS PAC ID: 2769383892 Enrollment ID: I20111026000845 |
| Provider Name | Babatunde Edun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154624427 PECOS PAC ID: 7517130107 Enrollment ID: I20111027000905 |
| Provider Name | Sharon P Tinanoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902939606 PECOS PAC ID: 1951452200 Enrollment ID: I20111121000663 |
| Provider Name | Tracy M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073768545 PECOS PAC ID: 4284808585 Enrollment ID: I20111123000328 |
| Provider Name | Carolyn Harris Sigman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184762585 PECOS PAC ID: 9133394463 Enrollment ID: I20111214000643 |
| Provider Name | Tressie D Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730457565 PECOS PAC ID: 7416123799 Enrollment ID: I20120109000513 |
| Provider Name | Arun Lakhanpal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356367684 PECOS PAC ID: 3577722792 Enrollment ID: I20120307000848 |
| Provider Name | Latoya Leigh Wise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831456284 PECOS PAC ID: 3577727031 Enrollment ID: I20120613000166 |
| Provider Name | Okera S Hanshaw |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801093703 PECOS PAC ID: 0446415566 Enrollment ID: I20120622000230 |
| Provider Name | Juan C Cadavid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346455425 PECOS PAC ID: 2062540156 Enrollment ID: I20120815000413 |
| Provider Name | Alexis T Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093079477 PECOS PAC ID: 3375790645 Enrollment ID: I20120822000442 |
| Provider Name | Ashar Salman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619932290 PECOS PAC ID: 6002838273 Enrollment ID: I20120905000491 |
| Provider Name | Todd C Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639464936 PECOS PAC ID: 1951572049 Enrollment ID: I20120910000248 |
| Provider Name | Megan Elizabeth Bowles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790776524 PECOS PAC ID: 5890734818 Enrollment ID: I20121004000443 |
| Provider Name | Vinaya Gokki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821205360 PECOS PAC ID: 2769537752 Enrollment ID: I20121004000476 |
| Provider Name | Darbye Suzanne Mcclanahan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720118763 PECOS PAC ID: 9234173261 Enrollment ID: I20121009000613 |
| Provider Name | Santhi Adigopula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740431295 PECOS PAC ID: 5294985594 Enrollment ID: I20121023000199 |
| Provider Name | Emily Sayilgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508118217 PECOS PAC ID: 9931350790 Enrollment ID: I20121105000225 |
| Provider Name | Breanna L Sorace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871844431 PECOS PAC ID: 3678724267 Enrollment ID: I20121107000522 |
| Provider Name | Sonja Barnett Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811071756 PECOS PAC ID: 1153572649 Enrollment ID: I20121109000229 |
| Provider Name | Samantha M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619222494 PECOS PAC ID: 3971755802 Enrollment ID: I20121128000628 |
| Provider Name | Era S Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982790754 PECOS PAC ID: 8628258050 Enrollment ID: I20130405000350 |
| Provider Name | Christina Ann Beals |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881696615 PECOS PAC ID: 2163319294 Enrollment ID: I20130429000183 |
| Provider Name | Saima Khurram |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710149455 PECOS PAC ID: 4688812282 Enrollment ID: I20130521000067 |
| Provider Name | Bethany A Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639415623 PECOS PAC ID: 9830337393 Enrollment ID: I20130523000318 |
| Provider Name | Ann B Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689017832 PECOS PAC ID: 8628216637 Enrollment ID: I20130604000243 |
| Provider Name | Shalini M Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649409244 PECOS PAC ID: 0143460881 Enrollment ID: I20130701000582 |
| Provider Name | Shirish Shantilal Amrutia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659531747 PECOS PAC ID: 5092875203 Enrollment ID: I20130717000148 |
| Provider Name | Mellissa Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942459532 PECOS PAC ID: 1153488077 Enrollment ID: I20130717000593 |
| Provider Name | David S Grenda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336344928 PECOS PAC ID: 9234379264 Enrollment ID: I20130724000581 |
| Provider Name | Elrond Y Teo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124230750 PECOS PAC ID: 8325289556 Enrollment ID: I20130730000672 |
| Provider Name | Venkatesh Lakshminarayanan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568580744 PECOS PAC ID: 8224196662 Enrollment ID: I20130813000591 |
| Provider Name | Bryce S Cowgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770915191 PECOS PAC ID: 2365685765 Enrollment ID: I20130904000827 |
| Provider Name | Carole J Lovering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265783112 PECOS PAC ID: 8022251206 Enrollment ID: I20130909000352 |
| Provider Name | Rohit Panchal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932178688 PECOS PAC ID: 5193767465 Enrollment ID: I20130911000731 |
| Provider Name | Shivan Harish Amin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275857542 PECOS PAC ID: 4486898533 Enrollment ID: I20130911000826 |
| Provider Name | Roul R Sircar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336146174 PECOS PAC ID: 9234266362 Enrollment ID: I20130912000285 |
| Provider Name | Matthew Ryan Haack |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811186828 PECOS PAC ID: 6800066267 Enrollment ID: I20130925000784 |
| Provider Name | Thenmohzi Singaram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033305917 PECOS PAC ID: 2769619667 Enrollment ID: I20131223000689 |
| Provider Name | Travea Mcghie |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427377167 PECOS PAC ID: 1254597503 Enrollment ID: I20140211001891 |
| Provider Name | Sunil Vallurupalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811159239 PECOS PAC ID: 2365675568 Enrollment ID: I20140423001242 |
| Provider Name | Victor J Crespo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124442074 PECOS PAC ID: 2163655150 Enrollment ID: I20140428001008 |
| Provider Name | Julie B Banares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235554346 PECOS PAC ID: 5294968756 Enrollment ID: I20140507001732 |
| Provider Name | Naomi A Demeglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922438985 PECOS PAC ID: 3173746237 Enrollment ID: I20140519002271 |
| Provider Name | Richard B Frady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770903486 PECOS PAC ID: 7214151794 Enrollment ID: I20140624002299 |
| Provider Name | Rizwan Alam Bashir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467694216 PECOS PAC ID: 2163647561 Enrollment ID: I20140626002118 |
| Provider Name | Lauren H Randall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396039020 PECOS PAC ID: 4789801127 Enrollment ID: I20140808001126 |
| Provider Name | Keerthi Kiran Ponugoti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013228196 PECOS PAC ID: 4284852534 Enrollment ID: I20140827002574 |
| Provider Name | Cesar Cestero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780849216 PECOS PAC ID: 5698946176 Enrollment ID: I20140918001478 |
| Provider Name | Holly Clemons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528354560 PECOS PAC ID: 7911154794 Enrollment ID: I20140929001351 |
| Provider Name | Doreen F Lee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194956151 PECOS PAC ID: 0941334825 Enrollment ID: I20141006002015 |
| Provider Name | Susan White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811304546 PECOS PAC ID: 3375763709 Enrollment ID: I20141006002187 |
| Provider Name | Alexis J Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730589870 PECOS PAC ID: 2769604909 Enrollment ID: I20141104000541 |
| Provider Name | Sara A Kroening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881937670 PECOS PAC ID: 2769621911 Enrollment ID: I20141201001790 |
| Provider Name | Dominique F Bayard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518133354 PECOS PAC ID: 7618000647 Enrollment ID: I20150331001642 |
| Provider Name | Eduardo Egea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346567914 PECOS PAC ID: 3779801220 Enrollment ID: I20150413000895 |
| Provider Name | Dawn E Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912399726 PECOS PAC ID: 3072831130 Enrollment ID: I20150421002461 |
| Provider Name | Kristian K Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790179737 PECOS PAC ID: 0143540989 Enrollment ID: I20150519002263 |
| Provider Name | Jessica Ann Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174916407 PECOS PAC ID: 0244550978 Enrollment ID: I20150520002759 |
| Provider Name | Kannan M Narayana |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629220512 PECOS PAC ID: 1254643026 Enrollment ID: I20150708000391 |
| Provider Name | Melissa M Whitlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568849529 PECOS PAC ID: 3779895545 Enrollment ID: I20150708000512 |
| Provider Name | Anna Mirinda Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972946523 PECOS PAC ID: 2062724842 Enrollment ID: I20150708000730 |
| Provider Name | Melissa A Dubois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871988360 PECOS PAC ID: 7810202884 Enrollment ID: I20150819009380 |
| Provider Name | Melissa Pauline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770959660 PECOS PAC ID: 0244549277 Enrollment ID: I20151014001518 |
| Provider Name | Jennifer Schauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518363167 PECOS PAC ID: 0042529976 Enrollment ID: I20151015002118 |
| Provider Name | Jason Krahnke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144480963 PECOS PAC ID: 9537358387 Enrollment ID: I20151016001287 |
| Provider Name | Cheryl A Mcgowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558688093 PECOS PAC ID: 4688983364 Enrollment ID: I20151020001540 |
| Provider Name | Michael N Khoury |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093963365 PECOS PAC ID: 1759602485 Enrollment ID: I20151204000294 |
| Provider Name | Katy R Hanaford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104298371 PECOS PAC ID: 2365742749 Enrollment ID: I20151208001907 |
| Provider Name | Kim Schultheiss |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831227560 PECOS PAC ID: 4082792510 Enrollment ID: I20151208003253 |
| Provider Name | Michael Alexander Samotowka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437124021 PECOS PAC ID: 1759406382 Enrollment ID: I20151229001823 |
| Provider Name | William James Epps |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982765285 PECOS PAC ID: 1254642622 Enrollment ID: I20151230001590 |
| Provider Name | Whitney Quinlan Lipsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265897326 PECOS PAC ID: 3072815331 Enrollment ID: I20160105000460 |
| Provider Name | Meena D Wudali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609134071 PECOS PAC ID: 5890097018 Enrollment ID: I20160105002562 |
| Provider Name | Erine Olivia Raybon-rojas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265660310 PECOS PAC ID: 0648402347 Enrollment ID: I20160208000922 |
| Provider Name | Yianna Manolakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366800617 PECOS PAC ID: 3173828100 Enrollment ID: I20160229001541 |
| Provider Name | Tiffany Stivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093175754 PECOS PAC ID: 2365731973 Enrollment ID: I20160523000263 |
| Provider Name | Augustine Andoh-duku |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992010565 PECOS PAC ID: 9335451392 Enrollment ID: I20160523000818 |
| Provider Name | Martha R Marzetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487736534 PECOS PAC ID: 2567442478 Enrollment ID: I20160525002358 |
| Provider Name | Marie Alberte Altidor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043452444 PECOS PAC ID: 4981754314 Enrollment ID: I20160616001133 |
| Provider Name | Zachary Paul Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356630586 PECOS PAC ID: 5799093092 Enrollment ID: I20160707001476 |
| Provider Name | Angelica J Huff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770934978 PECOS PAC ID: 1658665021 Enrollment ID: I20160808001548 |
| Provider Name | Jamie Threatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255784617 PECOS PAC ID: 4284928193 Enrollment ID: I20160815002492 |
| Provider Name | Daniel J. Mcmahon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386089720 PECOS PAC ID: 5597050476 Enrollment ID: I20160817002361 |
| Provider Name | Akhil Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164600623 PECOS PAC ID: 7315118775 Enrollment ID: I20160825002713 |
| Provider Name | Vanesa Womack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063629061 PECOS PAC ID: 4183657943 Enrollment ID: I20160829001309 |
| Provider Name | Jacqueline Ann Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356633853 PECOS PAC ID: 2769629559 Enrollment ID: I20160830002675 |
| Provider Name | Letitia Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366812562 PECOS PAC ID: 4486964954 Enrollment ID: I20160916000538 |
| Provider Name | Melissa Sims Logan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164403887 PECOS PAC ID: 4880847110 Enrollment ID: I20161005003028 |
| Provider Name | Rebecca C Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285904052 PECOS PAC ID: 7416273297 Enrollment ID: I20161006001526 |
| Provider Name | Kelley Dawn Harrelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528428471 PECOS PAC ID: 3779871785 Enrollment ID: I20161006001891 |
| Provider Name | Daniel J. Musser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679912877 PECOS PAC ID: 8729212287 Enrollment ID: I20161101001402 |
| Provider Name | Shilpa Gadde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336450964 PECOS PAC ID: 7214179019 Enrollment ID: I20161214000077 |
| Provider Name | Mindy Amber Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104368117 PECOS PAC ID: 7214219690 Enrollment ID: I20170119001155 |
| Provider Name | Heather Ann Menees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831643113 PECOS PAC ID: 4082997143 Enrollment ID: I20170215001698 |
| Provider Name | Melissa L Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598207565 PECOS PAC ID: 2466736061 Enrollment ID: I20170227001819 |
| Provider Name | Stephanie Anne Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134661713 PECOS PAC ID: 5395029680 Enrollment ID: I20170306001282 |
| Provider Name | Fernando Abad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437160322 PECOS PAC ID: 8921132077 Enrollment ID: I20170316002323 |
| Provider Name | Amita S Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164561817 PECOS PAC ID: 9133224892 Enrollment ID: I20170424000464 |
| Provider Name | Briana Juskowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780129882 PECOS PAC ID: 2466739222 Enrollment ID: I20170503001833 |
| Provider Name | Simha Vivek Jagadeesh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639337272 PECOS PAC ID: 0749441566 Enrollment ID: I20170525000847 |
| Provider Name | Swachitha Kothapally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366850588 PECOS PAC ID: 9133425523 Enrollment ID: I20170613000606 |
| Provider Name | Spencer Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831415157 PECOS PAC ID: 4880837251 Enrollment ID: I20170619001433 |
| Provider Name | Michelle Soojung Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760922686 PECOS PAC ID: 4385913169 Enrollment ID: I20170711001095 |
| Provider Name | Abhishek Krishna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861725053 PECOS PAC ID: 8325296593 Enrollment ID: I20170717001148 |
| Provider Name | Soowhan Lah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003128760 PECOS PAC ID: 7517199201 Enrollment ID: I20170719003744 |
| Provider Name | Tiffany Quinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275994261 PECOS PAC ID: 3274803200 Enrollment ID: I20170724002347 |
| Provider Name | Tonya Angela Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154750545 PECOS PAC ID: 6002043320 Enrollment ID: I20170822002191 |
| Provider Name | Ji Yeon Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316235435 PECOS PAC ID: 9830492149 Enrollment ID: I20170830004026 |
| Provider Name | Rani Patil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861812117 PECOS PAC ID: 6406147461 Enrollment ID: I20170831003204 |
| Provider Name | Bitan Ghosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831456318 PECOS PAC ID: 2062726706 Enrollment ID: I20170919001592 |
| Provider Name | Dorothy A Amaka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588902282 PECOS PAC ID: 0345488326 Enrollment ID: I20171009003154 |
| Provider Name | Kristina D Harpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497295083 PECOS PAC ID: 1658646955 Enrollment ID: I20171012003253 |
| Provider Name | Daniel Robert Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396994026 PECOS PAC ID: 6103018957 Enrollment ID: I20171016003619 |
| Provider Name | Sridhar Rajamani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073576005 PECOS PAC ID: 8628047453 Enrollment ID: I20171017003637 |
| Provider Name | Lata Parvathaneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629396585 PECOS PAC ID: 3375782162 Enrollment ID: I20171102001677 |
| Provider Name | Khushboo L Chokshi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619269529 PECOS PAC ID: 3870859796 Enrollment ID: I20171113001890 |
| Provider Name | Grace E Acero-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528582061 PECOS PAC ID: 3971860784 Enrollment ID: I20171204002033 |
| Provider Name | Frederick Griffin Powell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649569591 PECOS PAC ID: 3476785395 Enrollment ID: I20171219001126 |
| Provider Name | Lorri A Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538330071 PECOS PAC ID: 9335219146 Enrollment ID: I20180104001006 |
| Provider Name | Kristina Stefanova James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912452061 PECOS PAC ID: 3476812439 Enrollment ID: I20180119000643 |
| Provider Name | Adam J. Dsouza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396008629 PECOS PAC ID: 8729348388 Enrollment ID: I20180131000902 |
| Provider Name | Surya Sreeram Palakuru |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801195318 PECOS PAC ID: 8921373705 Enrollment ID: I20180208000610 |
| Provider Name | Rachael Springer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457589186 PECOS PAC ID: 9133436900 Enrollment ID: I20180219002429 |
| Provider Name | Mark H Oltermann |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154353357 PECOS PAC ID: 3971504820 Enrollment ID: I20180604001840 |
| Provider Name | Jennifer Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205353422 PECOS PAC ID: 9830444017 Enrollment ID: I20180611002701 |
| Provider Name | Marcia Elesea Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518322841 PECOS PAC ID: 7719277128 Enrollment ID: I20180619002381 |
| Provider Name | Enyinnaya K. Uwaekwe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760938963 PECOS PAC ID: 4284921982 Enrollment ID: I20180711002669 |
| Provider Name | Sarah Nicole Loepker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851891063 PECOS PAC ID: 5799033361 Enrollment ID: I20180730003647 |
| Provider Name | Melody Nicole Resto-burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992204275 PECOS PAC ID: 5193074557 Enrollment ID: I20180817000656 |
| Provider Name | Aigul Guilmanova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659758175 PECOS PAC ID: 0042513855 Enrollment ID: I20180821001786 |
| Provider Name | Catherine Lynn Postema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992246557 PECOS PAC ID: 2163794934 Enrollment ID: I20180924001901 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841551165 PECOS PAC ID: 3779884739 Enrollment ID: I20180927001925 |
| Provider Name | Bridget Ogiemwanye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598260184 PECOS PAC ID: 2365794690 Enrollment ID: I20181015000712 |
| Provider Name | Sheila Y Srinivasan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881664852 PECOS PAC ID: 8224072731 Enrollment ID: I20181027000190 |
| Provider Name | Hannah Butler Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194219394 PECOS PAC ID: 6103160445 Enrollment ID: I20181127003394 |
| Provider Name | Shayle Means Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700366895 PECOS PAC ID: 0042554875 Enrollment ID: I20181205003375 |
| Provider Name | Tamika Lynette Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205324548 PECOS PAC ID: 0749525038 Enrollment ID: I20181213003235 |
| Provider Name | Joshua Charles Appelstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508029612 PECOS PAC ID: 8325356967 Enrollment ID: I20190116001406 |
| Provider Name | Elfriede A Agyemang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841511581 PECOS PAC ID: 6305018177 Enrollment ID: I20190116003405 |
| Provider Name | Staci Kaiser Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942779285 PECOS PAC ID: 7517204092 Enrollment ID: I20190122001517 |
| Provider Name | Jasmine A Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992912141 PECOS PAC ID: 8426101049 Enrollment ID: I20190128000350 |
| Provider Name | Adriana Virginia Acosta-prows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699161513 PECOS PAC ID: 0547579450 Enrollment ID: I20190327001557 |
| Provider Name | Salimah Chagani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437608684 PECOS PAC ID: 4587906243 Enrollment ID: I20190429001360 |
| Provider Name | Gail L Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073801825 PECOS PAC ID: 0749420420 Enrollment ID: I20190513001313 |
| Provider Name | Shakera Snelling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619464484 PECOS PAC ID: 4284999814 Enrollment ID: I20190514002181 |
| Provider Name | Crystal L Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700343795 PECOS PAC ID: 5799028247 Enrollment ID: I20190523002808 |
| Provider Name | Arturo Gilberto Torres |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871657221 PECOS PAC ID: 4587980057 Enrollment ID: I20190606000039 |
| Provider Name | Latasha Janett Williams-prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932633674 PECOS PAC ID: 6204160252 Enrollment ID: I20190625000976 |
| Provider Name | Abigail Charlotte Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710333174 PECOS PAC ID: 0840526901 Enrollment ID: I20190726001038 |
| Provider Name | Yalew Debella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700172947 PECOS PAC ID: 9830345768 Enrollment ID: I20190730000301 |
| Provider Name | Trisha V Sheth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447546296 PECOS PAC ID: 3971724709 Enrollment ID: I20190730004673 |
| Provider Name | Mary Kathleen Hesidence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336706316 PECOS PAC ID: 3971830688 Enrollment ID: I20190802002068 |
| Provider Name | Sibyl Monique Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912238023 PECOS PAC ID: 7113163411 Enrollment ID: I20190905003545 |
| Provider Name | Francisco Echevarria-santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326435009 PECOS PAC ID: 1052640414 Enrollment ID: I20190910001979 |
| Provider Name | Kavita Pal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205194347 PECOS PAC ID: 1759638042 Enrollment ID: I20190910004041 |
| Provider Name | Beatrix Ohienmhen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447646534 PECOS PAC ID: 4981905379 Enrollment ID: I20190925002136 |
| Provider Name | Nzinga Liza Robertson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740663319 PECOS PAC ID: 7719217249 Enrollment ID: I20190926002207 |
| Provider Name | Mirza Haider Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467878777 PECOS PAC ID: 6507165198 Enrollment ID: I20190930003341 |
| Provider Name | Laura Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306207261 PECOS PAC ID: 2860723392 Enrollment ID: I20191014002115 |
| Provider Name | Christina Powers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073932414 PECOS PAC ID: 4486975620 Enrollment ID: I20191021003489 |
| Provider Name | Matthew Honea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427699826 PECOS PAC ID: 5496188385 Enrollment ID: I20191206001687 |
| Provider Name | Ogemdi O Madu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477025112 PECOS PAC ID: 3274967245 Enrollment ID: I20191227001435 |
| Provider Name | John Gregory Zora |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518377654 PECOS PAC ID: 2668806670 Enrollment ID: I20191230000437 |
| Provider Name | Abiola Saibu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831543081 PECOS PAC ID: 8628361938 Enrollment ID: I20200217000255 |
| Provider Name | Mirnouve Domond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609296052 PECOS PAC ID: 1456780451 Enrollment ID: I20200326000397 |
| Provider Name | Matthew Byrnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063545317 PECOS PAC ID: 9739280603 Enrollment ID: I20200401002465 |
| Provider Name | Aimee Bolstein Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679106298 PECOS PAC ID: 5496184913 Enrollment ID: I20200405000217 |
| Provider Name | Maureen Burnham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487186441 PECOS PAC ID: 4486084449 Enrollment ID: I20200415003167 |
| Provider Name | Irwin M Reich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578551073 PECOS PAC ID: 8325023039 Enrollment ID: I20200416002347 |
| Provider Name | Asma Iftikhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427344761 PECOS PAC ID: 2163664715 Enrollment ID: I20200420002388 |
| Provider Name | Magdy N Falestiny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942421581 PECOS PAC ID: 8527954122 Enrollment ID: I20200421000965 |
| Provider Name | Aliza Lurie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386283588 PECOS PAC ID: 9133559628 Enrollment ID: I20200424000056 |
| Provider Name | Marcus Antonio Walton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295962603 PECOS PAC ID: 2668704040 Enrollment ID: I20200427002002 |
| Provider Name | Rudolph Byrd Rustin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679548614 PECOS PAC ID: 4981663440 Enrollment ID: I20200428002278 |
| Provider Name | Abdrahim N Aloud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699179556 PECOS PAC ID: 5991097602 Enrollment ID: I20200522001868 |
| Provider Name | Wesley L Quarles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639540768 PECOS PAC ID: 1557654571 Enrollment ID: I20200526003059 |
| Provider Name | Navneeth Rao Bongu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689811325 PECOS PAC ID: 5597801738 Enrollment ID: I20200619001499 |
| Provider Name | Adarsh Kumar Srivastava |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346486446 PECOS PAC ID: 6204001456 Enrollment ID: I20200622000907 |
| Provider Name | Olufisayo Otusanya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336552785 PECOS PAC ID: 7517212103 Enrollment ID: I20200723001116 |
| Provider Name | Alexander Herzog |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548799976 PECOS PAC ID: 7810262995 Enrollment ID: I20200817003274 |
| Provider Name | Kara Ashley De Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053936468 PECOS PAC ID: 9335567288 Enrollment ID: I20200910000034 |
| Provider Name | Gary Collins |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245286905 PECOS PAC ID: 4789610338 Enrollment ID: I20200915001314 |
| Provider Name | Jason D Kennedy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447391677 PECOS PAC ID: 2365488046 Enrollment ID: I20200924000335 |
| Provider Name | Christopher M Mallow |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326333279 PECOS PAC ID: 0042449613 Enrollment ID: I20200924000460 |
| Provider Name | Erin Marie Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639787708 PECOS PAC ID: 5991124612 Enrollment ID: I20200930001126 |
| Provider Name | Mekedim Million Bekele |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538541990 PECOS PAC ID: 9133477045 Enrollment ID: I20200930003696 |
| Provider Name | Leondra Hillery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396127379 PECOS PAC ID: 1153631098 Enrollment ID: I20201005000184 |
| Provider Name | Oluwaseun Davies |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164779179 PECOS PAC ID: 6002127990 Enrollment ID: I20201119002554 |
| Provider Name | Alejandro J Luis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700087251 PECOS PAC ID: 4385893338 Enrollment ID: I20201125000139 |
| Provider Name | Kaavya Chivukula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376070961 PECOS PAC ID: 9830461946 Enrollment ID: I20201130000023 |
| Provider Name | Meenakshi Iyer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982736674 PECOS PAC ID: 2163547183 Enrollment ID: I20201203001445 |
| Provider Name | Natalie Xiomara Leak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760089692 PECOS PAC ID: 6305258179 Enrollment ID: I20201219000178 |
| Provider Name | Philip J Wexler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932175700 PECOS PAC ID: 2264435775 Enrollment ID: I20201222000602 |
| Provider Name | John Sharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295113975 PECOS PAC ID: 1557662442 Enrollment ID: I20201222000828 |
| Provider Name | Talal Aboud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487018701 PECOS PAC ID: 2365873585 Enrollment ID: I20210125000392 |
| Provider Name | Rosa Maria Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467063610 PECOS PAC ID: 9335553577 Enrollment ID: I20210128001852 |
| Provider Name | Priscilla Agbenyefia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851786420 PECOS PAC ID: 6305159179 Enrollment ID: I20210217000369 |
| Provider Name | Eric Macdonald York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891384343 PECOS PAC ID: 0446665640 Enrollment ID: I20210222001659 |
| Provider Name | Anthony A Odubanjo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659786754 PECOS PAC ID: 2466704101 Enrollment ID: I20210225000745 |
| Provider Name | Alexander Evans |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407939754 PECOS PAC ID: 3274597919 Enrollment ID: I20210330001317 |
| Provider Name | Nicki Skordilis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700462611 PECOS PAC ID: 9335557321 Enrollment ID: I20210412001120 |
| Provider Name | Elijah Kim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003045097 PECOS PAC ID: 0840500906 Enrollment ID: I20210427002705 |
| Provider Name | Katy M Deljoui Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700012143 PECOS PAC ID: 0446497911 Enrollment ID: I20210504002744 |
| Provider Name | Ritesh Mehta |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1922493196 PECOS PAC ID: 9931416898 Enrollment ID: I20210506003115 |
| Provider Name | Vanita Gupta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316029515 PECOS PAC ID: 3577660273 Enrollment ID: I20210520002691 |
| Provider Name | Robert Todd Sautter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497172423 PECOS PAC ID: 1759654858 Enrollment ID: I20210520002940 |
| Provider Name | Melissa Ann Powell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053407809 PECOS PAC ID: 6002713450 Enrollment ID: I20210525000803 |
| Provider Name | Alfonso Claudio Hernandez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164818092 PECOS PAC ID: 2264835560 Enrollment ID: I20210723002576 |
| Provider Name | Yoojin Sohn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548624869 PECOS PAC ID: 7911301270 Enrollment ID: I20210809001345 |
| Provider Name | Heather Grafton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083299754 PECOS PAC ID: 4284039959 Enrollment ID: I20210818001150 |
| Provider Name | Emily Zachowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437561347 PECOS PAC ID: 9335437078 Enrollment ID: I20210826000647 |
| Provider Name | Abdulrahman Elabor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487051157 PECOS PAC ID: 4789930595 Enrollment ID: I20210909000308 |
| Provider Name | Mahlique Aujawan Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689244303 PECOS PAC ID: 7012313307 Enrollment ID: I20210913001229 |
| Provider Name | David Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578943833 PECOS PAC ID: 6800196072 Enrollment ID: I20210921000537 |
| Provider Name | Melody C Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780256255 PECOS PAC ID: 7911304688 Enrollment ID: I20210922002126 |
| Provider Name | Jirayos Chintanadilok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073516274 PECOS PAC ID: 8426046087 Enrollment ID: I20211025000842 |
| Provider Name | Hina Aslam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164871588 PECOS PAC ID: 7012305576 Enrollment ID: I20211102002664 |
| Provider Name | Whitney Addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548893050 PECOS PAC ID: 9436547908 Enrollment ID: I20211103000001 |
| Provider Name | Payal S Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245762822 PECOS PAC ID: 9133499486 Enrollment ID: I20211111000087 |
| Provider Name | Rishim Ketan Jayswal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629565353 PECOS PAC ID: 7719216530 Enrollment ID: I20211213002719 |
| Provider Name | Anahita Alvanpour |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023472537 PECOS PAC ID: 9830505627 Enrollment ID: I20220113001411 |
| Provider Name | Stephanie Marie Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083148324 PECOS PAC ID: 7810266996 Enrollment ID: I20220128000434 |
| Provider Name | Sahand Arfaie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336437946 PECOS PAC ID: 8729357223 Enrollment ID: I20220509001548 |
| Provider Name | Gregory Paul Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336602770 PECOS PAC ID: 5597093807 Enrollment ID: I20220511001303 |
| Provider Name | Sarah Beth Buscarino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801432307 PECOS PAC ID: 5092192856 Enrollment ID: I20220517000186 |
| Provider Name | Gowri Satyanarayana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942493291 PECOS PAC ID: 3375708944 Enrollment ID: I20220711000415 |
| Provider Name | Silu Lu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578050399 PECOS PAC ID: 4688923543 Enrollment ID: I20220714000535 |
| Provider Name | Venus Mercado Kell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265196562 PECOS PAC ID: 5597147025 Enrollment ID: I20220801001076 |
| Provider Name | Keerthi Yarlagadda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083272587 PECOS PAC ID: 2769710599 Enrollment ID: I20220830002403 |
| Provider Name | Rebecca Haeun Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194286054 PECOS PAC ID: 7810222569 Enrollment ID: I20220912002635 |
| Provider Name | Anna Babaie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669905568 PECOS PAC ID: 3577837210 Enrollment ID: I20220927003102 |
| Provider Name | Max Elliot Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780147710 PECOS PAC ID: 5395070908 Enrollment ID: I20221014000128 |
| Provider Name | Sarah Kathryn Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194345843 PECOS PAC ID: 0749658797 Enrollment ID: I20221122002160 |
| Provider Name | Melisa M Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770961039 PECOS PAC ID: 0749592483 Enrollment ID: I20221123000318 |
| Provider Name | Michael Cheriyampurathu Augustine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538886916 PECOS PAC ID: 2769850304 Enrollment ID: I20221201002329 |
| Provider Name | Lindsey Michelle Abreu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003576539 PECOS PAC ID: 1052789633 Enrollment ID: I20221202000163 |
| Provider Name | Priya Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568025443 PECOS PAC ID: 8820324940 Enrollment ID: I20221202002721 |
| Provider Name | Jacqueline Denise Richart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801403654 PECOS PAC ID: 7315317153 Enrollment ID: I20230112000467 |
| Provider Name | Katherine Fulco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922316405 PECOS PAC ID: 5294901781 Enrollment ID: I20230203002731 |
| Provider Name | Milan Johnson Johnson Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174024780 PECOS PAC ID: 5890169205 Enrollment ID: I20230327002191 |
| Provider Name | Austin Glen Rawlins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265132286 PECOS PAC ID: 5294190005 Enrollment ID: I20230501002116 |
| Provider Name | Nicholas Anthony Poponea |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538579776 PECOS PAC ID: 5092935163 Enrollment ID: I20230501002127 |
| Provider Name | Avery Suzanne Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902504582 PECOS PAC ID: 5597120311 Enrollment ID: I20230501002466 |
| Provider Name | Ismail Alan Gregory |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851897045 PECOS PAC ID: 5799142337 Enrollment ID: I20230613001431 |
| Provider Name | Diego Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528623535 PECOS PAC ID: 0345576567 Enrollment ID: I20230721000830 |
| Provider Name | Jose Antony Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629219936 PECOS PAC ID: 7517138373 Enrollment ID: I20230803003330 |
| Provider Name | Birmaji Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710419254 PECOS PAC ID: 6103199146 Enrollment ID: I20230803003486 |
| Provider Name | Syed Arif Mahmood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467809541 PECOS PAC ID: 8325332497 Enrollment ID: I20230808001909 |
| Provider Name | Ramya Jayaraman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174907968 PECOS PAC ID: 0345504569 Enrollment ID: I20230823001735 |
| Provider Name | Saba Haeringer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508427436 PECOS PAC ID: 0547623860 Enrollment ID: I20230901002475 |
| Provider Name | Cynthia Ijeoma Anunobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669902797 PECOS PAC ID: 7416222880 Enrollment ID: I20230921001625 |
| Provider Name | Josephine Sterling Sagoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871275537 PECOS PAC ID: 3577917665 Enrollment ID: I20230922002266 |
| Provider Name | Taneisha Joy-clare Warren-parkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720863202 PECOS PAC ID: 5597119651 Enrollment ID: I20230925000767 |
| Provider Name | Yassmin Shariff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740805951 PECOS PAC ID: 3274957865 Enrollment ID: I20231004000857 |
| Provider Name | Zhaozhi Jiang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558850065 PECOS PAC ID: 5991107914 Enrollment ID: I20231031001366 |
| Provider Name | Sharon George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447870951 PECOS PAC ID: 1557785920 Enrollment ID: I20231205003862 |
| Provider Name | Syed Kamran Nayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134870355 PECOS PAC ID: 8921453093 Enrollment ID: I20240116000425 |
| Provider Name | Alexandria Jade Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306596622 PECOS PAC ID: 3678917259 Enrollment ID: I20240222001623 |
| Provider Name | Kendall Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720846652 PECOS PAC ID: 7315386711 Enrollment ID: I20240418000859 |
| Provider Name | Maria Isabel Betancur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295507200 PECOS PAC ID: 8426497850 Enrollment ID: I20240418002169 |
| Provider Name | Dhara Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982284618 PECOS PAC ID: 1153762547 Enrollment ID: I20240516001677 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |