| Northwest Allied Physicians Llc | |
|
2055 W Hospital Dr Suite 205 Tucson AZ 85704-7892 | |
| (520) 229-2563 | |
| (520) 229-2561 |
| Full Name | Northwest Allied Physicians Llc |
|---|---|
| Speciality | General Practice |
| Location | 2055 W Hospital Dr, Tucson, Arizona |
| Authorized Official Name and Position | Debbie T Brewer (DIRECTOR) |
| Authorized Official Contact | 6154652676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Allied Physicians Llc 7100 Commerce Way Suite 180 Brentwood TN 37027-2829 Ph: (615) 465-7000 | Northwest Allied Physicians Llc 2055 W Hospital Dr Suite 205 Tucson AZ 85704-7892 Ph: (520) 229-2563 |
| NPI Number | 1003833179 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 10/21/2008 |
| Medicare PECOS PAC ID | 7618972514 |
|---|---|
| Medicare Enrollment ID | O20060928000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003833179 | NPI | - | NPPES |
| 154037 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Arizona) | Secondary |
| 208D00000X | General Practice | (Arizona) | Primary |
| 208M00000X | Hospitalist | (Arizona) | Secondary |
| Provider Name | Jerry H Hutchinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588635692 PECOS PAC ID: 3577460955 Enrollment ID: I20031215000437 |
| Provider Name | Anil K Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710947502 PECOS PAC ID: 3577462829 Enrollment ID: I20040109000074 |
| Provider Name | Becki D Shumaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225068562 PECOS PAC ID: 7416858113 Enrollment ID: I20040115001110 |
| Provider Name | Rizwan Safdar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982651857 PECOS PAC ID: 2769389832 Enrollment ID: I20040203000902 |
| Provider Name | Dina M Torres-millikin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457383531 PECOS PAC ID: 9739072836 Enrollment ID: I20040203000930 |
| Provider Name | Shanti R Martinez-aksamit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730118449 PECOS PAC ID: 8820984651 Enrollment ID: I20040226001015 |
| Provider Name | Nicola R Finley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003898180 PECOS PAC ID: 1850388380 Enrollment ID: I20040427001501 |
| Provider Name | Michael J Depaso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730163726 PECOS PAC ID: 2961499900 Enrollment ID: I20040429001373 |
| Provider Name | Deborah J Hanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780601542 PECOS PAC ID: 5193713782 Enrollment ID: I20040503001394 |
| Provider Name | Jeffrey T Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003803461 PECOS PAC ID: 8224026513 Enrollment ID: I20040505000175 |
| Provider Name | William H Straw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265485718 PECOS PAC ID: 1759371842 Enrollment ID: I20040512000920 |
| Provider Name | Gary P Gottlieb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366418071 PECOS PAC ID: 7719973502 Enrollment ID: I20040518000115 |
| Provider Name | Tedd M Goldfinger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164425252 PECOS PAC ID: 6507750536 Enrollment ID: I20040617001410 |
| Provider Name | Robert K Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659495950 PECOS PAC ID: 9638154487 Enrollment ID: I20040624000122 |
| Provider Name | Celia R Elias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932192747 PECOS PAC ID: 4183604390 Enrollment ID: I20040720000989 |
| Provider Name | Patrick J Marsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922109354 PECOS PAC ID: 3678553518 Enrollment ID: I20040722000105 |
| Provider Name | Peter R Catalano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245288877 PECOS PAC ID: 7416850672 Enrollment ID: I20040726000689 |
| Provider Name | Homeira Baghdadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215908397 PECOS PAC ID: 2163493255 Enrollment ID: I20040804000033 |
| Provider Name | Derek W Von Haag |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1073507026 PECOS PAC ID: 8224009980 Enrollment ID: I20040804001856 |
| Provider Name | Heidi E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962577403 PECOS PAC ID: 5294709325 Enrollment ID: I20040824000521 |
| Provider Name | Sandra M Dostert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619035888 PECOS PAC ID: 3274524947 Enrollment ID: I20041012000948 |
| Provider Name | Alex Westerband |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295849099 PECOS PAC ID: 1456316876 Enrollment ID: I20041124000908 |
| Provider Name | Roberta J Hindenlang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487746095 PECOS PAC ID: 1254399124 Enrollment ID: I20041222000746 |
| Provider Name | Helen L Fleischman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619953593 PECOS PAC ID: 6406814383 Enrollment ID: I20041222000858 |
| Provider Name | Stephen J Ruffenach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821054156 PECOS PAC ID: 9931158540 Enrollment ID: I20050120000472 |
| Provider Name | Sujatha Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386600625 PECOS PAC ID: 2961452578 Enrollment ID: I20050131000739 |
| Provider Name | Todd L Locher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942300124 PECOS PAC ID: 0648221036 Enrollment ID: I20050202000875 |
| Provider Name | Alicia M Costantino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992722748 PECOS PAC ID: 4981506128 Enrollment ID: I20050304000570 |
| Provider Name | Carol M Dehasse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205811205 PECOS PAC ID: 3971559048 Enrollment ID: I20050322001234 |
| Provider Name | Roxana Ursea |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629142336 PECOS PAC ID: 9931160660 Enrollment ID: I20050429000434 |
| Provider Name | Joseph A Alvarado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568456176 PECOS PAC ID: 1153361399 Enrollment ID: I20050506000717 |
| Provider Name | Donna C Stark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245260504 PECOS PAC ID: 9931149002 Enrollment ID: I20050509000231 |
| Provider Name | Michael Markowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033142922 PECOS PAC ID: 0840230934 Enrollment ID: I20050509000335 |
| Provider Name | Dynse G Crunkleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104856939 PECOS PAC ID: 1759321425 Enrollment ID: I20050512000183 |
| Provider Name | Christa R Whittard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023013224 PECOS PAC ID: 5890737712 Enrollment ID: I20050601000380 |
| Provider Name | John Powers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235120429 PECOS PAC ID: 1557306586 Enrollment ID: I20050621000737 |
| Provider Name | Steven E Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518923929 PECOS PAC ID: 8820033863 Enrollment ID: I20050621000826 |
| Provider Name | Paul G Koss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194701029 PECOS PAC ID: 9638114432 Enrollment ID: I20050622000854 |
| Provider Name | Carl R Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770582207 PECOS PAC ID: 3971548777 Enrollment ID: I20050622000867 |
| Provider Name | Kimberly S Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578546081 PECOS PAC ID: 7416992177 Enrollment ID: I20050622001403 |
| Provider Name | Hoang M Thai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811924640 PECOS PAC ID: 8123063500 Enrollment ID: I20050627000232 |
| Provider Name | Imran Ata |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366557563 PECOS PAC ID: 9133157605 Enrollment ID: I20050727000535 |
| Provider Name | Howard Michael Comstock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942254230 PECOS PAC ID: 5395779698 Enrollment ID: I20050926001025 |
| Provider Name | David Williams Buechel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124003041 PECOS PAC ID: 5193750032 Enrollment ID: I20050929000644 |
| Provider Name | Luis J Rosado Lopez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1235237298 PECOS PAC ID: 4880588649 Enrollment ID: I20051014000452 |
| Provider Name | Patrick M Chiasson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861458754 PECOS PAC ID: 1456336072 Enrollment ID: I20051025000313 |
| Provider Name | Stephen E Burpee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609831841 PECOS PAC ID: 5991722456 Enrollment ID: I20051025000365 |
| Provider Name | Abel Salazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396890414 PECOS PAC ID: 4284525973 Enrollment ID: I20051027000621 |
| Provider Name | Gloria J Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992848741 PECOS PAC ID: 6608893342 Enrollment ID: I20051101000456 |
| Provider Name | Jocelyn C Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831159730 PECOS PAC ID: 3779501093 Enrollment ID: I20051104000643 |
| Provider Name | William J Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811041320 PECOS PAC ID: 6901853944 Enrollment ID: I20051107000341 |
| Provider Name | Martha S Lizarraga De Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366420648 PECOS PAC ID: 1759300890 Enrollment ID: I20051117000340 |
| Provider Name | John M Wadleigh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922086206 PECOS PAC ID: 6901709484 Enrollment ID: I20051117000350 |
| Provider Name | Grace Hou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801908181 PECOS PAC ID: 9133149750 Enrollment ID: I20051129000089 |
| Provider Name | Ashini R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376521625 PECOS PAC ID: 1355362674 Enrollment ID: I20051214000946 |
| Provider Name | Diana C Rauckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902885262 PECOS PAC ID: 5890752232 Enrollment ID: I20060206000525 |
| Provider Name | Elyse Hammett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831103159 PECOS PAC ID: 2466457932 Enrollment ID: I20060918000068 |
| Provider Name | Sanjaya Hebbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366435455 PECOS PAC ID: 8224096193 Enrollment ID: I20061004000130 |
| Provider Name | Joseph B Leano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316961436 PECOS PAC ID: 3678570405 Enrollment ID: I20061108000510 |
| Provider Name | Brian S Chasin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952329328 PECOS PAC ID: 6103825062 Enrollment ID: I20061204000507 |
| Provider Name | Amir Akhter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285683466 PECOS PAC ID: 3274532130 Enrollment ID: I20061204000527 |
| Provider Name | David I Lapan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548248248 PECOS PAC ID: 7416956800 Enrollment ID: I20061213000039 |
| Provider Name | Cathryn Rose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992758569 PECOS PAC ID: 0547270258 Enrollment ID: I20070407000025 |
| Provider Name | Mehrnoosh Zarkoob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649343815 PECOS PAC ID: 8022116912 Enrollment ID: I20070530000414 |
| Provider Name | Sabrina J Shih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376760975 PECOS PAC ID: 5395844542 Enrollment ID: I20070628000381 |
| Provider Name | Firas Marayati |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316148653 PECOS PAC ID: 4385744499 Enrollment ID: I20070702000611 |
| Provider Name | Sarah J Lee-davisson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912934977 PECOS PAC ID: 1153425533 Enrollment ID: I20070730000023 |
| Provider Name | Devonna A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588736938 PECOS PAC ID: 7911009659 Enrollment ID: I20070809000758 |
| Provider Name | Rex D Cooley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891760500 PECOS PAC ID: 8325038672 Enrollment ID: I20071108000731 |
| Provider Name | John T Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154382596 PECOS PAC ID: 4880688472 Enrollment ID: I20071119000494 |
| Provider Name | John K Shekleton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649277666 PECOS PAC ID: 9931205127 Enrollment ID: I20080215000367 |
| Provider Name | Brent M Cutshall |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225079635 PECOS PAC ID: 8527090976 Enrollment ID: I20080324000376 |
| Provider Name | Cynthia G Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093972309 PECOS PAC ID: 3577637339 Enrollment ID: I20080729000161 |
| Provider Name | Rehan Iftikhar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861400749 PECOS PAC ID: 5991755704 Enrollment ID: I20080813000728 |
| Provider Name | David R Schoenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124088927 PECOS PAC ID: 9436100054 Enrollment ID: I20080820000347 |
| Provider Name | Ingrid H Steger Terslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932360146 PECOS PAC ID: 8527133941 Enrollment ID: I20080820000349 |
| Provider Name | Madhavi D Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750586848 PECOS PAC ID: 9931275781 Enrollment ID: I20080903000141 |
| Provider Name | Kathryn L Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902859903 PECOS PAC ID: 7618043043 Enrollment ID: I20081006000354 |
| Provider Name | Patricia A Hiebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003071325 PECOS PAC ID: 5597833178 Enrollment ID: I20081009000295 |
| Provider Name | Ibraheem M Mizyed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851592570 PECOS PAC ID: 9638247935 Enrollment ID: I20081013000591 |
| Provider Name | David J Mersy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588618870 PECOS PAC ID: 0143285130 Enrollment ID: I20081016000081 |
| Provider Name | Stacey L Yell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124124193 PECOS PAC ID: 1951469386 Enrollment ID: I20081029000100 |
| Provider Name | Patricia L Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447416847 PECOS PAC ID: 3678633765 Enrollment ID: I20081119000468 |
| Provider Name | Michael Yim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194732206 PECOS PAC ID: 7012918006 Enrollment ID: I20081211000531 |
| Provider Name | Christine Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164691366 PECOS PAC ID: 7113081761 Enrollment ID: I20090127000572 |
| Provider Name | Babette A Haas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033318274 PECOS PAC ID: 2365406527 Enrollment ID: I20090205000701 |
| Provider Name | Sam Alnajjar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972612158 PECOS PAC ID: 9537223524 Enrollment ID: I20090206000249 |
| Provider Name | Narong Kulvatunyou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740258094 PECOS PAC ID: 9133144249 Enrollment ID: I20090402000422 |
| Provider Name | Diane M Goedecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205940293 PECOS PAC ID: 8729137294 Enrollment ID: I20090513000322 |
| Provider Name | Christine M Kneisel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376711572 PECOS PAC ID: 5496807091 Enrollment ID: I20090713000309 |
| Provider Name | Mahesh Tipirneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285746230 PECOS PAC ID: 8628123643 Enrollment ID: I20090827000142 |
| Provider Name | Kimberly K Tucker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295906790 PECOS PAC ID: 6800961665 Enrollment ID: I20090908000521 |
| Provider Name | Gizelle A. Spurgeon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396831558 PECOS PAC ID: 9537206719 Enrollment ID: I20091020000533 |
| Provider Name | John P Seward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710086624 PECOS PAC ID: 9335193549 Enrollment ID: I20100112000849 |
| Provider Name | Henry E Bianchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376501148 PECOS PAC ID: 5890836860 Enrollment ID: I20100113000280 |
| Provider Name | David S Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518050624 PECOS PAC ID: 2567361553 Enrollment ID: I20100218000286 |
| Provider Name | Ronald E Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124263561 PECOS PAC ID: 5395870471 Enrollment ID: I20100315000404 |
| Provider Name | Teresa G Preciado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174655856 PECOS PAC ID: 8628012481 Enrollment ID: I20100324000788 |
| Provider Name | Linda K Nolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487977559 PECOS PAC ID: 4688704471 Enrollment ID: I20100604000330 |
| Provider Name | Mark T Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366594749 PECOS PAC ID: 0042317745 Enrollment ID: I20100802000995 |
| Provider Name | Tristan T Berry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366572356 PECOS PAC ID: 9931208162 Enrollment ID: I20100811000106 |
| Provider Name | Rachel E Deal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598935090 PECOS PAC ID: 8123152089 Enrollment ID: I20100813000266 |
| Provider Name | Eliza Panczyk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861699761 PECOS PAC ID: 9537283486 Enrollment ID: I20100828000067 |
| Provider Name | David L Musicant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831177112 PECOS PAC ID: 5092839951 Enrollment ID: I20100828000207 |
| Provider Name | Melissa D Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326022484 PECOS PAC ID: 6406832930 Enrollment ID: I20100901000134 |
| Provider Name | Kathryn A Bowen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124090709 PECOS PAC ID: 3577688787 Enrollment ID: I20100910001100 |
| Provider Name | Timothy J Carrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316043482 PECOS PAC ID: 5890988513 Enrollment ID: I20101026000396 |
| Provider Name | Valerie C Ebert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326238098 PECOS PAC ID: 7618016007 Enrollment ID: I20101029000493 |
| Provider Name | Elsi M Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487972477 PECOS PAC ID: 1254527310 Enrollment ID: I20101201000585 |
| Provider Name | Thomas S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275725426 PECOS PAC ID: 0446436414 Enrollment ID: I20110510000249 |
| Provider Name | Anthony J Galeo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083647630 PECOS PAC ID: 8123097177 Enrollment ID: I20110630000267 |
| Provider Name | Amy Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982650768 PECOS PAC ID: 2062511009 Enrollment ID: I20110630000280 |
| Provider Name | Stefanie G Walker Leu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699053041 PECOS PAC ID: 4688840010 Enrollment ID: I20120105000649 |
| Provider Name | Gerald Benjamin Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255490322 PECOS PAC ID: 9032379326 Enrollment ID: I20120323000231 |
| Provider Name | Charissa M Kamps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821361650 PECOS PAC ID: 6709047020 Enrollment ID: I20120413000318 |
| Provider Name | Zain I Khalpey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750441424 PECOS PAC ID: 5395907802 Enrollment ID: I20120430000322 |
| Provider Name | Jane M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770711178 PECOS PAC ID: 9739336967 Enrollment ID: I20120823000345 |
| Provider Name | Ahmad Nizam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427368885 PECOS PAC ID: 0749437754 Enrollment ID: I20120827000706 |
| Provider Name | Stephanie L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215264023 PECOS PAC ID: 1557401023 Enrollment ID: I20120827000762 |
| Provider Name | Paul R Butler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295784254 PECOS PAC ID: 8426049925 Enrollment ID: I20120905000158 |
| Provider Name | Vijay Arun Doraiswamy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851622112 PECOS PAC ID: 6002097862 Enrollment ID: I20120912000113 |
| Provider Name | Roberto Cervera |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1215174024 PECOS PAC ID: 8628228111 Enrollment ID: I20121018000062 |
| Provider Name | Svetlana Burtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154681260 PECOS PAC ID: 5698926806 Enrollment ID: I20121116000460 |
| Provider Name | Kent A Diehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194745133 PECOS PAC ID: 1052217411 Enrollment ID: I20121121000194 |
| Provider Name | Rebecca Milholland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063610376 PECOS PAC ID: 0244482057 Enrollment ID: I20121130000141 |
| Provider Name | Michael N Lokale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205147964 PECOS PAC ID: 7416109467 Enrollment ID: I20121220000365 |
| Provider Name | Veronica L Leano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154550440 PECOS PAC ID: 1456505023 Enrollment ID: I20130206000564 |
| Provider Name | Ejovi Ughwanogho |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518027481 PECOS PAC ID: 4587834759 Enrollment ID: I20130214000448 |
| Provider Name | April J Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710270848 PECOS PAC ID: 6204072127 Enrollment ID: I20130422000069 |
| Provider Name | John S. Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336137538 PECOS PAC ID: 3274432869 Enrollment ID: I20130514000579 |
| Provider Name | Alice A Whittington-gulba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972946606 PECOS PAC ID: 0749428654 Enrollment ID: I20130605000519 |
| Provider Name | Greggory R Mix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780614743 PECOS PAC ID: 8224017637 Enrollment ID: I20130611000715 |
| Provider Name | Jennifer A Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447484506 PECOS PAC ID: 6103066493 Enrollment ID: I20130710000263 |
| Provider Name | Lesley L Pyron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710230891 PECOS PAC ID: 3779728795 Enrollment ID: I20130829000721 |
| Provider Name | Chayene Albuquerque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285976803 PECOS PAC ID: 5991948341 Enrollment ID: I20130904000157 |
| Provider Name | Anna Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861834707 PECOS PAC ID: 9638312994 Enrollment ID: I20130905000615 |
| Provider Name | Jaskanwal Bisla |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003127457 PECOS PAC ID: 7214161769 Enrollment ID: I20131016001017 |
| Provider Name | Kevin T Ralls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386076958 PECOS PAC ID: 1951535442 Enrollment ID: I20131016001998 |
| Provider Name | John J Modrzejewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831439413 PECOS PAC ID: 2769617612 Enrollment ID: I20131030000955 |
| Provider Name | Jennifer Tartaglia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891014726 PECOS PAC ID: 9537394390 Enrollment ID: I20131101000998 |
| Provider Name | Lilah Morris-wiseman |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1073768057 PECOS PAC ID: 3971777038 Enrollment ID: I20131115000054 |
| Provider Name | Anjuman A Howlader |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467600833 PECOS PAC ID: 9032272182 Enrollment ID: I20131119000208 |
| Provider Name | Megan H Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366680720 PECOS PAC ID: 2769619758 Enrollment ID: I20131219000570 |
| Provider Name | Mateja De Leonni Stanonik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730344102 PECOS PAC ID: 5395903587 Enrollment ID: I20140225002339 |
| Provider Name | Elisa N Gumm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356653018 PECOS PAC ID: 4688806250 Enrollment ID: I20140414000835 |
| Provider Name | Lisa Tucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467870378 PECOS PAC ID: 5294968699 Enrollment ID: I20140509002013 |
| Provider Name | Daniel Allen Combs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235427345 PECOS PAC ID: 7214150267 Enrollment ID: I20140521000784 |
| Provider Name | Ma Jessica M Gonzaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740605526 PECOS PAC ID: 9739302498 Enrollment ID: I20140527001107 |
| Provider Name | Nathan L Holman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235440959 PECOS PAC ID: 8820213986 Enrollment ID: I20140702002734 |
| Provider Name | Rachael L Gates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417901968 PECOS PAC ID: 1951425172 Enrollment ID: I20140707000416 |
| Provider Name | Parisa P Javedani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073876751 PECOS PAC ID: 7618192444 Enrollment ID: I20140710000687 |
| Provider Name | Larissa M Allen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659536480 PECOS PAC ID: 4587880257 Enrollment ID: I20140801001527 |
| Provider Name | Garrett S Pacheco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417235599 PECOS PAC ID: 7719104314 Enrollment ID: I20140805001670 |
| Provider Name | Jacob T Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235424680 PECOS PAC ID: 1052538352 Enrollment ID: I20140811001112 |
| Provider Name | Mohammed Raheeb Mortazavi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871740241 PECOS PAC ID: 8820240203 Enrollment ID: I20140814001227 |
| Provider Name | Jessica A Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235557455 PECOS PAC ID: 6901027390 Enrollment ID: I20141029000224 |
| Provider Name | Jocelyn Ko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831478528 PECOS PAC ID: 7911129978 Enrollment ID: I20141107000912 |
| Provider Name | Sarah W Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841578986 PECOS PAC ID: 2365765153 Enrollment ID: I20141231001646 |
| Provider Name | James R Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215043062 PECOS PAC ID: 2961658810 Enrollment ID: I20150109001989 |
| Provider Name | Anthony P Gaddi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942449558 PECOS PAC ID: 2365627528 Enrollment ID: I20150116000085 |
| Provider Name | Diana C Olivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811284276 PECOS PAC ID: 6305160573 Enrollment ID: I20150116000351 |
| Provider Name | Cherie P Lhungay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194046649 PECOS PAC ID: 2466626585 Enrollment ID: I20150116001085 |
| Provider Name | Elias S Kakish |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346495892 PECOS PAC ID: 1052462140 Enrollment ID: I20150120001097 |
| Provider Name | Matthew T Malone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912952136 PECOS PAC ID: 8426036625 Enrollment ID: I20150129002307 |
| Provider Name | Kirsten Dominique Hart Rentfrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134523624 PECOS PAC ID: 8527383801 Enrollment ID: I20150207000455 |
| Provider Name | Astrid M Chabert Barreto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710107271 PECOS PAC ID: 2961728134 Enrollment ID: I20150305001264 |
| Provider Name | Lorena S Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851783336 PECOS PAC ID: 7719206127 Enrollment ID: I20150507000276 |
| Provider Name | Jason Bradley Stanhibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649668013 PECOS PAC ID: 0143540088 Enrollment ID: I20150518000775 |
| Provider Name | Amy Lynn Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841448453 PECOS PAC ID: 3476734906 Enrollment ID: I20150617002560 |
| Provider Name | Danelle M Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093192502 PECOS PAC ID: 6608188131 Enrollment ID: I20150710002548 |
| Provider Name | William D Ross |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1669783064 PECOS PAC ID: 2668787243 Enrollment ID: I20150811004681 |
| Provider Name | James O Abanishe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992053573 PECOS PAC ID: 1052627387 Enrollment ID: I20150902000156 |
| Provider Name | Jamie L Crede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619353026 PECOS PAC ID: 7012223068 Enrollment ID: I20150904001799 |
| Provider Name | Felicitas I Ebunoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598141517 PECOS PAC ID: 2961719521 Enrollment ID: I20150914002681 |
| Provider Name | Manjul Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528000973 PECOS PAC ID: 2163426347 Enrollment ID: I20151009000550 |
| Provider Name | Carrie K Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053691980 PECOS PAC ID: 9830358423 Enrollment ID: I20151118002667 |
| Provider Name | Ana Tanase |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790982312 PECOS PAC ID: 3072665421 Enrollment ID: I20151118002990 |
| Provider Name | Diana Honebrink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679587646 PECOS PAC ID: 8628378874 Enrollment ID: I20151120000182 |
| Provider Name | Nicole D Bencs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114334661 PECOS PAC ID: 2860792926 Enrollment ID: I20151123001318 |
| Provider Name | Clifford H Lyons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437137403 PECOS PAC ID: 4688654908 Enrollment ID: I20151214000496 |
| Provider Name | Jennifer E Cammarata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144277385 PECOS PAC ID: 6901109370 Enrollment ID: I20160119000622 |
| Provider Name | Janaka Sarathchandra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700148871 PECOS PAC ID: 0244533438 Enrollment ID: I20160121001876 |
| Provider Name | Michelle Kahn-john |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154497048 PECOS PAC ID: 3375671118 Enrollment ID: I20160225001919 |
| Provider Name | Diana Fernandez-schmidt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801831177 PECOS PAC ID: 1658261185 Enrollment ID: I20160302002128 |
| Provider Name | Jillian J Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215384169 PECOS PAC ID: 5597058248 Enrollment ID: I20160719000642 |
| Provider Name | Stephanie D Goshorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215370309 PECOS PAC ID: 2961645320 Enrollment ID: I20160725000244 |
| Provider Name | Dexter G De Leon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598965907 PECOS PAC ID: 7719038744 Enrollment ID: I20160802000519 |
| Provider Name | Jose R Rodarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699031534 PECOS PAC ID: 2860786050 Enrollment ID: I20160810002881 |
| Provider Name | Fadi Adra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366630683 PECOS PAC ID: 8921276080 Enrollment ID: I20160812000623 |
| Provider Name | Tomas Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821480666 PECOS PAC ID: 0345535167 Enrollment ID: I20160818000654 |
| Provider Name | Margaret Riesenberg-karges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235371725 PECOS PAC ID: 5799900874 Enrollment ID: I20160829001891 |
| Provider Name | Judy Krentzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316392954 PECOS PAC ID: 6507152295 Enrollment ID: I20160906002525 |
| Provider Name | Jeffrey Shije |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972894095 PECOS PAC ID: 0941596365 Enrollment ID: I20160912001852 |
| Provider Name | Joseph S Baker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912261850 PECOS PAC ID: 4082935325 Enrollment ID: I20161020001014 |
| Provider Name | Tejaskumar B Patel |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1902848096 PECOS PAC ID: 8628081205 Enrollment ID: I20161025001788 |
| Provider Name | Brittany L Pace |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417394594 PECOS PAC ID: 8921388364 Enrollment ID: I20161201000524 |
| Provider Name | Mariah C Blodgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063883064 PECOS PAC ID: 3173803152 Enrollment ID: I20161208001646 |
| Provider Name | John Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548369937 PECOS PAC ID: 2668555830 Enrollment ID: I20161221001912 |
| Provider Name | Sara Mccamman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467902007 PECOS PAC ID: 3971884354 Enrollment ID: I20161222000867 |
| Provider Name | David A Milbourne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992157044 PECOS PAC ID: 0143501346 Enrollment ID: I20161230000980 |
| Provider Name | Navjot Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952324170 PECOS PAC ID: 9436138567 Enrollment ID: I20170210000522 |
| Provider Name | Julie C Moreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407132665 PECOS PAC ID: 1052578440 Enrollment ID: I20170411000687 |
| Provider Name | Tricia M Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811431695 PECOS PAC ID: 9335426816 Enrollment ID: I20170510002453 |
| Provider Name | Aynur Okcay |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1922319607 PECOS PAC ID: 2961526025 Enrollment ID: I20171002002560 |
| Provider Name | Tara L Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942726955 PECOS PAC ID: 1153696091 Enrollment ID: I20171003007324 |
| Provider Name | Jamiese Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023421500 PECOS PAC ID: 0941591168 Enrollment ID: I20171024003679 |
| Provider Name | Mohammad K Dardari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467405357 PECOS PAC ID: 9436106572 Enrollment ID: I20180420000699 |
| Provider Name | Vera Rathje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376974865 PECOS PAC ID: 4385869767 Enrollment ID: I20180530002535 |
| Provider Name | Heidi Elizabeth Gifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285189100 PECOS PAC ID: 1850670373 Enrollment ID: I20180808003565 |
| Provider Name | Jason Wayne Nielsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730400649 PECOS PAC ID: 7214100452 Enrollment ID: I20180910000134 |
| Provider Name | Michele K Dodman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659364974 PECOS PAC ID: 0345216339 Enrollment ID: I20180921000962 |
| Provider Name | Rebecca Anne Franzi-osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801806294 PECOS PAC ID: 6507866100 Enrollment ID: I20181003001691 |
| Provider Name | Monica Sarawagi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689803686 PECOS PAC ID: 1456504091 Enrollment ID: I20181107003684 |
| Provider Name | Jessica M Serrano Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386059897 PECOS PAC ID: 8426302183 Enrollment ID: I20181115000625 |
| Provider Name | Norma T Walks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043410418 PECOS PAC ID: 6901076116 Enrollment ID: I20181121001690 |
| Provider Name | Mitul Vinodkumar Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801279617 PECOS PAC ID: 4587966577 Enrollment ID: I20190204001942 |
| Provider Name | Sandra Pullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053895706 PECOS PAC ID: 5597002287 Enrollment ID: I20190204002507 |
| Provider Name | Abraham Kuruvilla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881806255 PECOS PAC ID: 2163469263 Enrollment ID: I20190320000425 |
| Provider Name | Sulaiman Aziz Rathore |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154580504 PECOS PAC ID: 0749475176 Enrollment ID: I20190404002170 |
| Provider Name | Corbin Ballam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205282894 PECOS PAC ID: 6709119662 Enrollment ID: I20190607000395 |
| Provider Name | David R Dietrich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871522250 PECOS PAC ID: 3870625460 Enrollment ID: I20190716003388 |
| Provider Name | Melissa Dakkak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932543774 PECOS PAC ID: 1557676392 Enrollment ID: I20190717003002 |
| Provider Name | Sara Ocheltree |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871937151 PECOS PAC ID: 6305071945 Enrollment ID: I20190717003449 |
| Provider Name | Stephanie W Belokin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134481849 PECOS PAC ID: 5395977524 Enrollment ID: I20190730004515 |
| Provider Name | Niyatiben Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457829004 PECOS PAC ID: 2961739511 Enrollment ID: I20190806001160 |
| Provider Name | Kalyani Korabathina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518165539 PECOS PAC ID: 3577625227 Enrollment ID: I20190808002163 |
| Provider Name | Anthony Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942615182 PECOS PAC ID: 2567726565 Enrollment ID: I20190820002347 |
| Provider Name | Jeffrey David Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366734998 PECOS PAC ID: 5294044285 Enrollment ID: I20190820003481 |
| Provider Name | Andrew Chapman Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851730501 PECOS PAC ID: 8325331531 Enrollment ID: I20190821001276 |
| Provider Name | Karen A Reardon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013095827 PECOS PAC ID: 8921023706 Enrollment ID: I20190829000622 |
| Provider Name | Dafney Lubin Davare |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861771610 PECOS PAC ID: 8527292952 Enrollment ID: I20190916001472 |
| Provider Name | Manuel Romo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902458045 PECOS PAC ID: 0042304628 Enrollment ID: I20190917004250 |
| Provider Name | Rammohan Marla |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063583359 PECOS PAC ID: 6507930997 Enrollment ID: I20191120002558 |
| Provider Name | Alysa Patricia Held |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427516053 PECOS PAC ID: 2163856683 Enrollment ID: I20191216002391 |
| Provider Name | Narzahni J Crumbie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821554999 PECOS PAC ID: 9335577923 Enrollment ID: I20200313000647 |
| Provider Name | Helen Yuantsz Ho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407238348 PECOS PAC ID: 2860813516 Enrollment ID: I20200604000837 |
| Provider Name | Denei Karee Dolman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770125700 PECOS PAC ID: 5799107710 Enrollment ID: I20200622000921 |
| Provider Name | Marta Riniker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174934343 PECOS PAC ID: 4385942333 Enrollment ID: I20200709001215 |
| Provider Name | Alice Fay Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033733647 PECOS PAC ID: 0749606846 Enrollment ID: I20200820000160 |
| Provider Name | Chiamaka Geraldine Baba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811516834 PECOS PAC ID: 8224458799 Enrollment ID: I20201022000524 |
| Provider Name | Kenneth Murachanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003814823 PECOS PAC ID: 2668484643 Enrollment ID: I20210217002061 |
| Provider Name | Nicholas R Ahrendt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043744998 PECOS PAC ID: 7911252242 Enrollment ID: I20210415002333 |
| Provider Name | Carolina Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366907503 PECOS PAC ID: 0244648996 Enrollment ID: I20210416001319 |
| Provider Name | Kimberly C. Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811356405 PECOS PAC ID: 2264738988 Enrollment ID: I20210426002597 |
| Provider Name | Mark F Kowalski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104822790 PECOS PAC ID: 2860561909 Enrollment ID: I20210427000571 |
| Provider Name | Bhavananda T Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326130758 PECOS PAC ID: 4486600301 Enrollment ID: I20210618001018 |
| Provider Name | Chris S Luther |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285013169 PECOS PAC ID: 0648585448 Enrollment ID: I20210806002588 |
| Provider Name | Colin Russell Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891101317 PECOS PAC ID: 7911125224 Enrollment ID: I20210809003077 |
| Provider Name | Kinjan P Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013302306 PECOS PAC ID: 7416351358 Enrollment ID: I20210813002374 |
| Provider Name | Diana Xinyue Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952806853 PECOS PAC ID: 8921403825 Enrollment ID: I20210816001614 |
| Provider Name | Ryan Avey Nixon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356736441 PECOS PAC ID: 1850796780 Enrollment ID: I20210816002854 |
| Provider Name | Patrick Ouzts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528590163 PECOS PAC ID: 5991100588 Enrollment ID: I20210819002103 |
| Provider Name | Kelly Lara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083008940 PECOS PAC ID: 5890110530 Enrollment ID: I20210910002584 |
| Provider Name | Kevin S Fleming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912948167 PECOS PAC ID: 6608898440 Enrollment ID: I20210917000309 |
| Provider Name | Jaime Lynn O'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316611171 PECOS PAC ID: 4688062425 Enrollment ID: I20211027000760 |
| Provider Name | Steven Ward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306289764 PECOS PAC ID: 1759624661 Enrollment ID: I20220411002407 |
| Provider Name | Jessica L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720537913 PECOS PAC ID: 7315333713 Enrollment ID: I20220412002261 |
| Provider Name | Gina Cliett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164697876 PECOS PAC ID: 5193873362 Enrollment ID: I20220427001419 |
| Provider Name | Ashley Muse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104599554 PECOS PAC ID: 0345637997 Enrollment ID: I20220428001653 |
| Provider Name | Gordon W Dowds |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134115710 PECOS PAC ID: 4789747833 Enrollment ID: I20220526002525 |
| Provider Name | Osama M Mukhtar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851775753 PECOS PAC ID: 0143642363 Enrollment ID: I20220611000366 |
| Provider Name | Lyndsey Kramp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669798807 PECOS PAC ID: 8729213574 Enrollment ID: I20220613001666 |
| Provider Name | Felix M Reyes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801211149 PECOS PAC ID: 7416336946 Enrollment ID: I20220614000814 |
| Provider Name | Gregory Walker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801250659 PECOS PAC ID: 8426453044 Enrollment ID: I20220805000609 |
| Provider Name | Abhinav Mittal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538555388 PECOS PAC ID: 5395048912 Enrollment ID: I20220815003119 |
| Provider Name | Nazneen Shaikh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770073934 PECOS PAC ID: 7214311232 Enrollment ID: I20220825000380 |
| Provider Name | Seda Bourikian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447780093 PECOS PAC ID: 8022492966 Enrollment ID: I20220826001150 |
| Provider Name | Osama Abdel-hafez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811299159 PECOS PAC ID: 2163647249 Enrollment ID: I20220830002996 |
| Provider Name | Stephanie Sparkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003478728 PECOS PAC ID: 5496080400 Enrollment ID: I20220831000599 |
| Provider Name | Louisa Akosua Asare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184186736 PECOS PAC ID: 4183009061 Enrollment ID: I20220913001422 |
| Provider Name | Riham M Wahba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770043044 PECOS PAC ID: 4284019019 Enrollment ID: I20220915000887 |
| Provider Name | Rebecca Innes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356878953 PECOS PAC ID: 2567730773 Enrollment ID: I20220929001313 |
| Provider Name | Shane Svoboda |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083930275 PECOS PAC ID: 7618104696 Enrollment ID: I20221007000328 |
| Provider Name | Kristin B Whitewater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841830049 PECOS PAC ID: 5193199305 Enrollment ID: I20230329001750 |
| Provider Name | Neema John Mehramiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669722252 PECOS PAC ID: 3476888959 Enrollment ID: I20230608002957 |
| Provider Name | Holly Bowyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356671044 PECOS PAC ID: 1658547039 Enrollment ID: I20230712004017 |
| Provider Name | Vijit Chouhan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902260029 PECOS PAC ID: 1355701616 Enrollment ID: I20230718002317 |
| Provider Name | Marcus Adair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780027979 PECOS PAC ID: 6507169281 Enrollment ID: I20230726002845 |
| Provider Name | Anthony Demarco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639795099 PECOS PAC ID: 8224499942 Enrollment ID: I20230727003524 |
| Provider Name | Rebecca Taulbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144521063 PECOS PAC ID: 0345420675 Enrollment ID: I20230727003556 |
| Provider Name | Vrajesh Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023635711 PECOS PAC ID: 0840652012 Enrollment ID: I20230821000752 |
| Provider Name | Pooja Lal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972030492 PECOS PAC ID: 4082980867 Enrollment ID: I20230823001855 |
| Provider Name | Sandra Wijekularatne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407476054 PECOS PAC ID: 8224459680 Enrollment ID: I20230824003739 |
| Provider Name | Zachary Coon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528696218 PECOS PAC ID: 1355764648 Enrollment ID: I20230830003697 |
| Provider Name | Jon Neilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558983502 PECOS PAC ID: 6406274893 Enrollment ID: I20230908000642 |
| Provider Name | Bridget Wagner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285412916 PECOS PAC ID: 0547615007 Enrollment ID: I20231018003015 |
| Provider Name | Miguel Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043836638 PECOS PAC ID: 8022402510 Enrollment ID: I20240117001863 |
| Provider Name | Joeresty Abelida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053943217 PECOS PAC ID: 7517396039 Enrollment ID: I20240319004243 |
| Provider Name | Matthew J Mayuiers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033452644 PECOS PAC ID: 4385946672 Enrollment ID: I20240322003790 |
Ironwood Gastroenterology Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 N Silverbell Rd Ste 265, Tucson, AZ 85745 Phone: 520-724-0559 Fax: 520-220-5115 | |
Sparcc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5199 E Farness Dr, Ste 101, Tucson, AZ 85712 Phone: 520-548-4847 Fax: 520-300-7156 | |
One Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8616 E Broadway Blvd, Tucson, AZ 85710 Phone: 520-468-4809 Fax: 520-254-6016 | |
Total Care Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 N 11th Ave, Tucson, AZ 85705 Phone: 517-294-1835 | |
Omo Ije's'a Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7309 E 28th St, Tucson, AZ 85710 Phone: 510-345-8981 Fax: 520-253-7229 | |
James R Boyed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 E Carondelet Dr Bldg E, Tucson, AZ 85710 Phone: 520-298-2319 Fax: 520-298-7811 |