| Ohi West Medical Group Ii Llc | |
|
38135 Market Square Dr Zephyrhills FL 33542-7505 | |
| (813) 780-8774 | |
| Not Available |
| Full Name | Ohi West Medical Group Ii Llc |
|---|---|
| Speciality | General Practice |
| Location | 38135 Market Square Dr, Zephyrhills, Florida |
| Authorized Official Name and Position | Joe Delatorre (CEO) |
| Authorized Official Contact | 8137808440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohi West Medical Group Ii Llc 38135 Market Square Dr Zephyrhills FL 33542-7505 Ph: (321) 841-3468 | Ohi West Medical Group Ii Llc 38135 Market Square Dr Zephyrhills FL 33542-7505 Ph: (813) 780-8774 |
| NPI Number | 1982381299 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 05/15/2024 |
| Medicare PECOS PAC ID | 0648631192 |
|---|---|
| Medicare Enrollment ID | O20230731002130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982381299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Joel S Sokolik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720085939 PECOS PAC ID: 0547168254 Enrollment ID: I20031219000324 |
| Provider Name | Andrew Messina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285631689 PECOS PAC ID: 3476451196 Enrollment ID: I20031219000388 |
| Provider Name | Juan Cevallos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881705143 PECOS PAC ID: 6608778816 Enrollment ID: I20040207000441 |
| Provider Name | Paul Citrin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043325582 PECOS PAC ID: 1951294305 Enrollment ID: I20040207000445 |
| Provider Name | William A Capo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356316822 PECOS PAC ID: 9335035344 Enrollment ID: I20040226000193 |
| Provider Name | Brent C Sullivan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710098173 PECOS PAC ID: 3577451061 Enrollment ID: I20040308000053 |
| Provider Name | Reynaldo Mulingtapang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033114509 PECOS PAC ID: 1153210315 Enrollment ID: I20040315000473 |
| Provider Name | Deborah Collura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942217351 PECOS PAC ID: 2567352040 Enrollment ID: I20040318000206 |
| Provider Name | Arlene Lobo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184637498 PECOS PAC ID: 8022908540 Enrollment ID: I20040318000478 |
| Provider Name | James A Zaccari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528133550 PECOS PAC ID: 3678568284 Enrollment ID: I20040414001758 |
| Provider Name | Martha E Sheils |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619935798 PECOS PAC ID: 5395736680 Enrollment ID: I20040603001317 |
| Provider Name | Vijaykumar M Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821011867 PECOS PAC ID: 3779566393 Enrollment ID: I20040612000265 |
| Provider Name | Mayra M Rivera Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083646913 PECOS PAC ID: 3072598481 Enrollment ID: I20040621000993 |
| Provider Name | Naresh Menezes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306814694 PECOS PAC ID: 3476538521 Enrollment ID: I20040622001250 |
| Provider Name | James Arthur Sotrop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740248384 PECOS PAC ID: 7719963271 Enrollment ID: I20040625000275 |
| Provider Name | Kanchan N Kamath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588645733 PECOS PAC ID: 4183600422 Enrollment ID: I20040628000046 |
| Provider Name | Samina Reza |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457460479 PECOS PAC ID: 4284613241 Enrollment ID: I20040714001391 |
| Provider Name | Arnold Ramirez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740243567 PECOS PAC ID: 3971573643 Enrollment ID: I20040729000680 |
| Provider Name | Allauddin Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205882073 PECOS PAC ID: 8527055235 Enrollment ID: I20040921000691 |
| Provider Name | Lakshmi A Menezes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518983345 PECOS PAC ID: 2860451192 Enrollment ID: I20041004000546 |
| Provider Name | Hector L Fontanet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942219274 PECOS PAC ID: 8426043530 Enrollment ID: I20041012000998 |
| Provider Name | Daniel Reichmuth |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1598795817 PECOS PAC ID: 7618931247 Enrollment ID: I20041115000290 |
| Provider Name | Marianne B Diego Wright |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831206044 PECOS PAC ID: 6204893068 Enrollment ID: I20041213000988 |
| Provider Name | Ira Guttentag |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841301355 PECOS PAC ID: 5193782811 Enrollment ID: I20041214001162 |
| Provider Name | Stephen J Raterman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073628731 PECOS PAC ID: 8628035342 Enrollment ID: I20041214001175 |
| Provider Name | Richard Gray |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1851406755 PECOS PAC ID: 1254398977 Enrollment ID: I20041214001186 |
| Provider Name | Roland D Shepard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326034885 PECOS PAC ID: 2860442175 Enrollment ID: I20050126000758 |
| Provider Name | Roshan B Mahtani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619998861 PECOS PAC ID: 6204876659 Enrollment ID: I20050505000434 |
| Provider Name | Sohail H Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962594838 PECOS PAC ID: 5890735252 Enrollment ID: I20050505000473 |
| Provider Name | Sion W Carter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407821416 PECOS PAC ID: 1254373624 Enrollment ID: I20050525000928 |
| Provider Name | Richard A Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912085192 PECOS PAC ID: 6406899012 Enrollment ID: I20050606000262 |
| Provider Name | Frederick M Malibiran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215041769 PECOS PAC ID: 2769426303 Enrollment ID: I20050615000245 |
| Provider Name | Tawfik N Chami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730198052 PECOS PAC ID: 5890721559 Enrollment ID: I20050713000993 |
| Provider Name | Debra J Lastarria |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437241304 PECOS PAC ID: 4688601446 Enrollment ID: I20050722000715 |
| Provider Name | Theron A Ebel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801904347 PECOS PAC ID: 3678501350 Enrollment ID: I20050803000285 |
| Provider Name | Marian Menezes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154439602 PECOS PAC ID: 3779512348 Enrollment ID: I20050804000749 |
| Provider Name | Pankaj K Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558311316 PECOS PAC ID: 4385675859 Enrollment ID: I20050825000094 |
| Provider Name | Luis A Melendez Collazo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760455190 PECOS PAC ID: 0446284087 Enrollment ID: I20050922000601 |
| Provider Name | Antonio Luis Bunker-huertas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265546121 PECOS PAC ID: 8729012273 Enrollment ID: I20050923000193 |
| Provider Name | Robert James Theobald |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1396778239 PECOS PAC ID: 9537138144 Enrollment ID: I20050926000196 |
| Provider Name | Soloman R Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700981545 PECOS PAC ID: 8628003480 Enrollment ID: I20050929000841 |
| Provider Name | Tracy C Mckay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851323265 PECOS PAC ID: 2163447764 Enrollment ID: I20051012001194 |
| Provider Name | Carla M Lang Lewin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215940218 PECOS PAC ID: 4880613819 Enrollment ID: I20051118000066 |
| Provider Name | Shifa H Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417939497 PECOS PAC ID: 2365462926 Enrollment ID: I20051129000440 |
| Provider Name | Morayma Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962475384 PECOS PAC ID: 2163436718 Enrollment ID: I20060202000617 |
| Provider Name | Jessica M Valenti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548244338 PECOS PAC ID: 8224044029 Enrollment ID: I20060303000153 |
| Provider Name | Sailesh Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437191244 PECOS PAC ID: 0446263453 Enrollment ID: I20060717000042 |
| Provider Name | Mazen A Abboud |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669417143 PECOS PAC ID: 0840203444 Enrollment ID: I20060727000249 |
| Provider Name | Tomas Korensky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033100300 PECOS PAC ID: 7012910797 Enrollment ID: I20060818000200 |
| Provider Name | Yamira Soto Cebollero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417977034 PECOS PAC ID: 7618972282 Enrollment ID: I20061004000027 |
| Provider Name | Alyssa Zwarych |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740206366 PECOS PAC ID: 8123026143 Enrollment ID: I20061129000155 |
| Provider Name | Niraj V Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326087610 PECOS PAC ID: 6901805191 Enrollment ID: I20061218000118 |
| Provider Name | Rachel E Careccia |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194735688 PECOS PAC ID: 6901806561 Enrollment ID: I20070104000123 |
| Provider Name | Tomas Figueroa Nieves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417971607 PECOS PAC ID: 5496857922 Enrollment ID: I20070301000192 |
| Provider Name | Yuvraj Kumbkarni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720076177 PECOS PAC ID: 1355352915 Enrollment ID: I20070418000179 |
| Provider Name | Anthony Esposito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548375876 PECOS PAC ID: 1355447905 Enrollment ID: I20070428000077 |
| Provider Name | Rafael A Blasini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942239611 PECOS PAC ID: 1850497918 Enrollment ID: I20070507000195 |
| Provider Name | Daniel H Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356331995 PECOS PAC ID: 0143329102 Enrollment ID: I20070619000199 |
| Provider Name | Manuel C Sainz De La Pena |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194775817 PECOS PAC ID: 2860592615 Enrollment ID: I20070710000501 |
| Provider Name | Joseph S Cody |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376658039 PECOS PAC ID: 8527004126 Enrollment ID: I20070906000004 |
| Provider Name | Stephen M Swan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578654885 PECOS PAC ID: 9830149475 Enrollment ID: I20070910000203 |
| Provider Name | Imran Kayani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801998877 PECOS PAC ID: 7012001720 Enrollment ID: I20070925000484 |
| Provider Name | Neda Karimi Moghadasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659415115 PECOS PAC ID: 5193810570 Enrollment ID: I20070929000115 |
| Provider Name | Kimberly Apple |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801971007 PECOS PAC ID: 4385739721 Enrollment ID: I20071001000541 |
| Provider Name | Lance Meyerson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437143104 PECOS PAC ID: 1850487455 Enrollment ID: I20071012000101 |
| Provider Name | Geoffrey Cronen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124059332 PECOS PAC ID: 9638173594 Enrollment ID: I20071015000435 |
| Provider Name | George R Cheeseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912961269 PECOS PAC ID: 5890882237 Enrollment ID: I20071031000548 |
| Provider Name | Christopher G Spanich |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154432656 PECOS PAC ID: 2062509201 Enrollment ID: I20071105000045 |
| Provider Name | David R Heiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750385407 PECOS PAC ID: 8628025889 Enrollment ID: I20071210000158 |
| Provider Name | Veronica Mardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992927982 PECOS PAC ID: 6901986249 Enrollment ID: I20071228000058 |
| Provider Name | John T Sullebarger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679516728 PECOS PAC ID: 2264461367 Enrollment ID: I20080225000109 |
| Provider Name | Richard Ina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417967795 PECOS PAC ID: 3577649193 Enrollment ID: I20080324000524 |
| Provider Name | Kanchan Parasher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922184381 PECOS PAC ID: 0941389399 Enrollment ID: I20080509000405 |
| Provider Name | Maher M Ayoubi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215944939 PECOS PAC ID: 9931162518 Enrollment ID: I20080722000615 |
| Provider Name | Mark L Arey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801906664 PECOS PAC ID: 6305948456 Enrollment ID: I20080724000880 |
| Provider Name | Andrea L Burke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346409265 PECOS PAC ID: 3870668718 Enrollment ID: I20080812000689 |
| Provider Name | Anthony E Nungesser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912184375 PECOS PAC ID: 2264507045 Enrollment ID: I20080813000221 |
| Provider Name | Shana M Laflin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730277500 PECOS PAC ID: 9537235973 Enrollment ID: I20080908000561 |
| Provider Name | Natalie A Faith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114185808 PECOS PAC ID: 4981770351 Enrollment ID: I20080909000251 |
| Provider Name | Jonathan C Lohrbach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679670632 PECOS PAC ID: 0143397760 Enrollment ID: I20080924000315 |
| Provider Name | Shweta Ekka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720264575 PECOS PAC ID: 8022185248 Enrollment ID: I20080930000164 |
| Provider Name | Paul A Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548254717 PECOS PAC ID: 2062572217 Enrollment ID: I20081118000872 |
| Provider Name | Melissa Garrison Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053393066 PECOS PAC ID: 9436055498 Enrollment ID: I20081212000406 |
| Provider Name | Stanley E Watkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902802952 PECOS PAC ID: 4789765967 Enrollment ID: I20081230000185 |
| Provider Name | Sirisha Chalasani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508849068 PECOS PAC ID: 5597724146 Enrollment ID: I20090109000660 |
| Provider Name | Samridhi Narula Nallamshetty |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1437274701 PECOS PAC ID: 5092879114 Enrollment ID: I20090203000729 |
| Provider Name | Rene Santoscoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396910758 PECOS PAC ID: 3779647706 Enrollment ID: I20090205000398 |
| Provider Name | Carlos C Marinelli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023003746 PECOS PAC ID: 8224099114 Enrollment ID: I20090211000327 |
| Provider Name | Roy S Scheirer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639131337 PECOS PAC ID: 9133284433 Enrollment ID: I20090220000317 |
| Provider Name | Ana C Krakusin-baltazar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427028356 PECOS PAC ID: 6800953688 Enrollment ID: I20090323000242 |
| Provider Name | Gerald V Curley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417919754 PECOS PAC ID: 8820145196 Enrollment ID: I20090403000053 |
| Provider Name | Sierra Macdonald |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083805659 PECOS PAC ID: 8921156381 Enrollment ID: I20090423000533 |
| Provider Name | Allison Hull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871782896 PECOS PAC ID: 5799834610 Enrollment ID: I20090526000484 |
| Provider Name | Angel R Gonzalez-rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952593634 PECOS PAC ID: 7517011265 Enrollment ID: I20090815000027 |
| Provider Name | Nathan M Do |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649346230 PECOS PAC ID: 9032263181 Enrollment ID: I20090824000698 |
| Provider Name | Gilbert Postler |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154529378 PECOS PAC ID: 5991841330 Enrollment ID: I20091015000171 |
| Provider Name | Ambreen Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477502557 PECOS PAC ID: 6002954427 Enrollment ID: I20091105000058 |
| Provider Name | Mariann Loffredi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871564997 PECOS PAC ID: 8628110848 Enrollment ID: I20100126000221 |
| Provider Name | Danielle Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457689275 PECOS PAC ID: 2961545256 Enrollment ID: I20100209000425 |
| Provider Name | Christopher Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881607109 PECOS PAC ID: 7517001738 Enrollment ID: I20100225000322 |
| Provider Name | Todd Larue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912920950 PECOS PAC ID: 9830234855 Enrollment ID: I20100302000642 |
| Provider Name | Joseph Cozzolino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285655431 PECOS PAC ID: 8022153055 Enrollment ID: I20100302000757 |
| Provider Name | Parag V Pitroda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609897842 PECOS PAC ID: 2365587953 Enrollment ID: I20100308000243 |
| Provider Name | Lowella Esperanza |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295744514 PECOS PAC ID: 5698810281 Enrollment ID: I20100308000267 |
| Provider Name | Chandresh Saraiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710908967 PECOS PAC ID: 8527960731 Enrollment ID: I20100308000337 |
| Provider Name | Diana C Calderone |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275542474 PECOS PAC ID: 5294870572 Enrollment ID: I20100311000406 |
| Provider Name | Robert P Gilbert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821103573 PECOS PAC ID: 9638204241 Enrollment ID: I20100322000711 |
| Provider Name | Mark S Eisner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902815103 PECOS PAC ID: 0446154348 Enrollment ID: I20100322000769 |
| Provider Name | Petros E Tsambiras |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760593263 PECOS PAC ID: 2264568476 Enrollment ID: I20100326000743 |
| Provider Name | Joseph Hubaykah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841305836 PECOS PAC ID: 0042346124 Enrollment ID: I20100327000635 |
| Provider Name | Amarilis Torres |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003927500 PECOS PAC ID: 6901932037 Enrollment ID: I20100329000508 |
| Provider Name | David Sikes |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710098215 PECOS PAC ID: 9436051646 Enrollment ID: I20100329000564 |
| Provider Name | Nancy W Finnerty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275554412 PECOS PAC ID: 9032123088 Enrollment ID: I20100407000395 |
| Provider Name | Eduardo A Gonzalez-perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801800305 PECOS PAC ID: 8022144500 Enrollment ID: I20100414000220 |
| Provider Name | Anne Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609899871 PECOS PAC ID: 5092840306 Enrollment ID: I20100426000091 |
| Provider Name | Mary L Hanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558683888 PECOS PAC ID: 3274661764 Enrollment ID: I20100504000118 |
| Provider Name | Norman Joseph Castellano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841214020 PECOS PAC ID: 5395632798 Enrollment ID: I20100528000235 |
| Provider Name | Jon G Dipietro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356365530 PECOS PAC ID: 1850420910 Enrollment ID: I20100528000263 |
| Provider Name | Edmund Grant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992724736 PECOS PAC ID: 0941330849 Enrollment ID: I20100618000414 |
| Provider Name | Suresh Vemuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407865116 PECOS PAC ID: 6800894551 Enrollment ID: I20100709000698 |
| Provider Name | Allison R Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902004831 PECOS PAC ID: 5698899920 Enrollment ID: I20100824000406 |
| Provider Name | Somasekhara R Kaipu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710153481 PECOS PAC ID: 5395869127 Enrollment ID: I20100901000169 |
| Provider Name | Matthew T Hartlage |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912192592 PECOS PAC ID: 6002930781 Enrollment ID: I20100901000903 |
| Provider Name | Samir Kapoor |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730372467 PECOS PAC ID: 7810011350 Enrollment ID: I20100903000860 |
| Provider Name | Daniel E Murphy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497740336 PECOS PAC ID: 2163490657 Enrollment ID: I20100908000064 |
| Provider Name | Imran T Ismail |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962650028 PECOS PAC ID: 4688790173 Enrollment ID: I20100921001231 |
| Provider Name | Jacqui M Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962514745 PECOS PAC ID: 3779624465 Enrollment ID: I20100924001239 |
| Provider Name | Maulik Trivedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134115355 PECOS PAC ID: 0749472165 Enrollment ID: I20101004001180 |
| Provider Name | Douglas Mcfadden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689601981 PECOS PAC ID: 2466646856 Enrollment ID: I20101029000664 |
| Provider Name | Himanshu Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164432274 PECOS PAC ID: 7618162348 Enrollment ID: I20101108001213 |
| Provider Name | Nicole B Newmyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679880355 PECOS PAC ID: 7315133600 Enrollment ID: I20101129000772 |
| Provider Name | Miriam E Abreu- Ruiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740472695 PECOS PAC ID: 8921294075 Enrollment ID: I20101201000390 |
| Provider Name | Michael E Branch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649246984 PECOS PAC ID: 5890885859 Enrollment ID: I20110228000352 |
| Provider Name | Mitchell T Forman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639244486 PECOS PAC ID: 5597947200 Enrollment ID: I20110408000414 |
| Provider Name | Adrianna M Marrese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750457420 PECOS PAC ID: 9931383783 Enrollment ID: I20110527000485 |
| Provider Name | Ricardo J Prieto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962696088 PECOS PAC ID: 7012195092 Enrollment ID: I20110621000739 |
| Provider Name | Elvis Castillo Garcia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285829564 PECOS PAC ID: 4385812031 Enrollment ID: I20110722000652 |
| Provider Name | Colby W Clark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538351465 PECOS PAC ID: 3577732650 Enrollment ID: I20110805000456 |
| Provider Name | Ernesto Rodriguez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457546731 PECOS PAC ID: 5597935858 Enrollment ID: I20110824000902 |
| Provider Name | Sameer H Nagamia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528252772 PECOS PAC ID: 3678743879 Enrollment ID: I20110825000616 |
| Provider Name | Sunjani Akkineni |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1205099744 PECOS PAC ID: 7113198235 Enrollment ID: I20110922000025 |
| Provider Name | Camille Anise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790949113 PECOS PAC ID: 2961674379 Enrollment ID: I20111007000117 |
| Provider Name | Maria Hicks |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033376371 PECOS PAC ID: 9436321486 Enrollment ID: I20111017000481 |
| Provider Name | Jennifer E Matos-rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063795706 PECOS PAC ID: 0446423727 Enrollment ID: I20111102000079 |
| Provider Name | Lisa M Gavosto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174853923 PECOS PAC ID: 6406020064 Enrollment ID: I20111116000259 |
| Provider Name | Leonard E Cortelli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538177522 PECOS PAC ID: 3870667215 Enrollment ID: I20111123000242 |
| Provider Name | Thomas J Pusateri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194733188 PECOS PAC ID: 3577527068 Enrollment ID: I20120109000662 |
| Provider Name | Julie A Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235172941 PECOS PAC ID: 0840467072 Enrollment ID: I20120111000529 |
| Provider Name | Beverly Deliz-tirado |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134314719 PECOS PAC ID: 2668631094 Enrollment ID: I20120305000390 |
| Provider Name | Laura Szydlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083796148 PECOS PAC ID: 0345327714 Enrollment ID: I20120321000451 |
| Provider Name | Tuesday J Radd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205104098 PECOS PAC ID: 2961662929 Enrollment ID: I20120328000796 |
| Provider Name | Gabriel J Somori |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1003852625 PECOS PAC ID: 7911925920 Enrollment ID: I20120412000649 |
| Provider Name | David Franco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831460989 PECOS PAC ID: 6204099880 Enrollment ID: I20120517000475 |
| Provider Name | Heather L Leto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972865533 PECOS PAC ID: 0244496263 Enrollment ID: I20120719000252 |
| Provider Name | Sonia D V Trzmielina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821298423 PECOS PAC ID: 1153517099 Enrollment ID: I20120724001017 |
| Provider Name | Richard B Bymaster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689623696 PECOS PAC ID: 9830355403 Enrollment ID: I20120725001038 |
| Provider Name | Veronica C Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770743015 PECOS PAC ID: 2567628043 Enrollment ID: I20120727000438 |
| Provider Name | Julie Ganio Lewerenz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679832851 PECOS PAC ID: 3274799564 Enrollment ID: I20120801000485 |
| Provider Name | Idamir Calderon Jacobs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760720767 PECOS PAC ID: 9931344157 Enrollment ID: I20130318000125 |
| Provider Name | Natalie M Lincoln |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629317276 PECOS PAC ID: 5395981088 Enrollment ID: I20130425000285 |
| Provider Name | Melissa Nihiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033458831 PECOS PAC ID: 6709026867 Enrollment ID: I20130712000599 |
| Provider Name | Devin C Shaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093151052 PECOS PAC ID: 9234379223 Enrollment ID: I20130716000527 |
| Provider Name | Danish M Siddiq |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043456387 PECOS PAC ID: 8628219599 Enrollment ID: I20130719000300 |
| Provider Name | Megan V Spencer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750607305 PECOS PAC ID: 1850534090 Enrollment ID: I20130906000861 |
| Provider Name | Jennifer Miller Cejas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386078699 PECOS PAC ID: 5890929863 Enrollment ID: I20131004000378 |
| Provider Name | Phuong T Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811159262 PECOS PAC ID: 1759545825 Enrollment ID: I20131023002014 |
| Provider Name | Anne Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134557861 PECOS PAC ID: 3971738535 Enrollment ID: I20131107000226 |
| Provider Name | Anetha Moorthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720207285 PECOS PAC ID: 7719088707 Enrollment ID: I20140115001588 |
| Provider Name | Jesal V Popat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215256920 PECOS PAC ID: 9830321892 Enrollment ID: I20140407001380 |
| Provider Name | Tina Heinrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205253895 PECOS PAC ID: 2860625829 Enrollment ID: I20140429001267 |
| Provider Name | Manjul D Derasari |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1912969775 PECOS PAC ID: 7214965722 Enrollment ID: I20140701000552 |
| Provider Name | Timothy J Connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558421818 PECOS PAC ID: 1254354533 Enrollment ID: I20140808000564 |
| Provider Name | Nigel B Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790096964 PECOS PAC ID: 8325266158 Enrollment ID: I20140820001012 |
| Provider Name | Sivaram Rajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861783409 PECOS PAC ID: 8628297223 Enrollment ID: I20140912001820 |
| Provider Name | Brian C Domby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801056627 PECOS PAC ID: 9032351663 Enrollment ID: I20140924002315 |
| Provider Name | Gerald E Alexander |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720254048 PECOS PAC ID: 6204065741 Enrollment ID: I20141013001145 |
| Provider Name | Jeralyn A Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063669125 PECOS PAC ID: 9830365667 Enrollment ID: I20141016002673 |
| Provider Name | Sonal Jayant Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699936625 PECOS PAC ID: 3971768458 Enrollment ID: I20141121002051 |
| Provider Name | Cori Ann Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508280124 PECOS PAC ID: 7012232044 Enrollment ID: I20150213000725 |
| Provider Name | Selena H Crandall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043635675 PECOS PAC ID: 6709107352 Enrollment ID: I20150608001280 |
| Provider Name | Rebecca Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215331871 PECOS PAC ID: 8022339480 Enrollment ID: I20150610001741 |
| Provider Name | Brittany Villa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063808004 PECOS PAC ID: 3072824952 Enrollment ID: I20150618001553 |
| Provider Name | Victor Montanez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962745612 PECOS PAC ID: 7618281403 Enrollment ID: I20150807013518 |
| Provider Name | Paul Z Gerczuk |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619291994 PECOS PAC ID: 9739495417 Enrollment ID: I20150825005578 |
| Provider Name | Alicia M Fierro |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902121692 PECOS PAC ID: 7315253697 Enrollment ID: I20150901002114 |
| Provider Name | Meghan R Maritato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134509946 PECOS PAC ID: 3678880275 Enrollment ID: I20150915001205 |
| Provider Name | Sajid Mohsin Ismail |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629231360 PECOS PAC ID: 9739311291 Enrollment ID: I20150922001123 |
| Provider Name | Cameron C Esmkhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396922415 PECOS PAC ID: 1052629813 Enrollment ID: I20150929001505 |
| Provider Name | Ajay R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508110446 PECOS PAC ID: 8527377977 Enrollment ID: I20151026001010 |
| Provider Name | Luz O Figueroa-escalera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629483300 PECOS PAC ID: 6709187792 Enrollment ID: I20151216001702 |
| Provider Name | Edwin Lopez-chaves |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952596520 PECOS PAC ID: 9931342748 Enrollment ID: I20160115001119 |
| Provider Name | Michael G Roberts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316350200 PECOS PAC ID: 0648490565 Enrollment ID: I20160129000036 |
| Provider Name | Akosua O Agyemang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487010146 PECOS PAC ID: 4880998640 Enrollment ID: I20160215002614 |
| Provider Name | Susan J Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639572373 PECOS PAC ID: 2860799624 Enrollment ID: I20160323000583 |
| Provider Name | Patrick M Hawkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407169725 PECOS PAC ID: 9335469956 Enrollment ID: I20160620002082 |
| Provider Name | Jennifer L White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992094510 PECOS PAC ID: 0749400430 Enrollment ID: I20160815002899 |
| Provider Name | Alberto R Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386014652 PECOS PAC ID: 7618262031 Enrollment ID: I20160824002855 |
| Provider Name | David Rivera |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417246356 PECOS PAC ID: 6709172679 Enrollment ID: I20160901002343 |
| Provider Name | Danesis Socorro Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770036873 PECOS PAC ID: 5496041113 Enrollment ID: I20160907000640 |
| Provider Name | Nicole A Madalon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982029864 PECOS PAC ID: 0143442368 Enrollment ID: I20160915000133 |
| Provider Name | Allen Pusateri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619267663 PECOS PAC ID: 0244545929 Enrollment ID: I20160924000202 |
| Provider Name | Carlos Cardenas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174508592 PECOS PAC ID: 2961301627 Enrollment ID: I20161101002500 |
| Provider Name | Erin L Godlewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427501402 PECOS PAC ID: 5991083503 Enrollment ID: I20161102002645 |
| Provider Name | Stephanie L Delvaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871923201 PECOS PAC ID: 9931425360 Enrollment ID: I20161119000435 |
| Provider Name | Laura Lynn Mccord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346201738 PECOS PAC ID: 5890886808 Enrollment ID: I20170110001128 |
| Provider Name | Ajay Mathew |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346528296 PECOS PAC ID: 8729362637 Enrollment ID: I20170221000693 |
| Provider Name | Cindy Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013466333 PECOS PAC ID: 5193001329 Enrollment ID: I20170424001221 |
| Provider Name | Cheryl L Rumph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730627829 PECOS PAC ID: 0143507327 Enrollment ID: I20170426002182 |
| Provider Name | Heather M Schryver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841722832 PECOS PAC ID: 8921376344 Enrollment ID: I20170607002175 |
| Provider Name | Vanessa Sarquis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851700967 PECOS PAC ID: 4789955584 Enrollment ID: I20170811000977 |
| Provider Name | Anand Parekh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669890687 PECOS PAC ID: 6608148093 Enrollment ID: I20170819000120 |
| Provider Name | Seth A Cooper |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609165547 PECOS PAC ID: 8325331903 Enrollment ID: I20170829001988 |
| Provider Name | Gina Brazylle Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407101611 PECOS PAC ID: 5395039267 Enrollment ID: I20170914000424 |
| Provider Name | Yasmine Mohamed Ibrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487069506 PECOS PAC ID: 8820213796 Enrollment ID: I20171023000284 |
| Provider Name | Boris Borissov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972020527 PECOS PAC ID: 1456617133 Enrollment ID: I20171113003453 |
| Provider Name | Kyle D Eury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689124554 PECOS PAC ID: 4385900729 Enrollment ID: I20171117000903 |
| Provider Name | Melissa Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235648882 PECOS PAC ID: 9638436454 Enrollment ID: I20171204002884 |
| Provider Name | Albert C Flowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558656264 PECOS PAC ID: 6204073711 Enrollment ID: I20171209000302 |
| Provider Name | Stefanie Caggiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104337815 PECOS PAC ID: 8628336831 Enrollment ID: I20171218000312 |
| Provider Name | Anna Christina Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023527959 PECOS PAC ID: 5193083111 Enrollment ID: I20171221001236 |
| Provider Name | Sabrina Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740709880 PECOS PAC ID: 0345508263 Enrollment ID: I20171226001990 |
| Provider Name | Diana C Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144731571 PECOS PAC ID: 3173882586 Enrollment ID: I20180110002159 |
| Provider Name | Jessica L Kokich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306351929 PECOS PAC ID: 9830459577 Enrollment ID: I20180129000820 |
| Provider Name | Nauman A Siddiqi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427187020 PECOS PAC ID: 2961466610 Enrollment ID: I20180430000821 |
| Provider Name | Andrea Fae Tordini |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508185612 PECOS PAC ID: 5294976411 Enrollment ID: I20180604000770 |
| Provider Name | Florence Nappi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306265939 PECOS PAC ID: 7517184005 Enrollment ID: I20180605000173 |
| Provider Name | Roger Gaskins |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1598022717 PECOS PAC ID: 2062785132 Enrollment ID: I20180607001608 |
| Provider Name | Raven S Ali-muhammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376085084 PECOS PAC ID: 9436404001 Enrollment ID: I20180622000690 |
| Provider Name | Nadia L Etienne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619408341 PECOS PAC ID: 2769739994 Enrollment ID: I20180719001399 |
| Provider Name | Lisa Marie Diaz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225424740 PECOS PAC ID: 0244583250 Enrollment ID: I20181022000615 |
| Provider Name | Sarah M Mcguire |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528499811 PECOS PAC ID: 8921352899 Enrollment ID: I20181112002025 |
| Provider Name | Jonanne Jameson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902380512 PECOS PAC ID: 1759635634 Enrollment ID: I20181112002450 |
| Provider Name | Sasha Marie Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851792576 PECOS PAC ID: 2466799531 Enrollment ID: I20190128001519 |
| Provider Name | Barbara Muniz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093163040 PECOS PAC ID: 9436497625 Enrollment ID: I20190213002598 |
| Provider Name | Cadat O Broderick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871866251 PECOS PAC ID: 2567778137 Enrollment ID: I20190405000101 |
| Provider Name | Joyce L Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962400481 PECOS PAC ID: 8628019874 Enrollment ID: I20190521001344 |
| Provider Name | Jessica Hahn Hutchins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952863102 PECOS PAC ID: 3072846096 Enrollment ID: I20190606001614 |
| Provider Name | Sameer Waqar Ahmed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962766758 PECOS PAC ID: 1052539004 Enrollment ID: I20190617001599 |
| Provider Name | Michael Montuno |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164841797 PECOS PAC ID: 1052539889 Enrollment ID: I20190624000909 |
| Provider Name | Stephanie Harberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386107621 PECOS PAC ID: 3779817804 Enrollment ID: I20190624003123 |
| Provider Name | Lillian J Vargas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215216460 PECOS PAC ID: 9931433984 Enrollment ID: I20190625000954 |
| Provider Name | Rita Gaye Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043547748 PECOS PAC ID: 5496884777 Enrollment ID: I20190729001434 |
| Provider Name | April Lynn Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356828503 PECOS PAC ID: 7416285432 Enrollment ID: I20190828002215 |
| Provider Name | Laura A Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417501222 PECOS PAC ID: 7810227212 Enrollment ID: I20190927001673 |
| Provider Name | Ashley Rose Gruber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972159697 PECOS PAC ID: 6305177940 Enrollment ID: I20191011000819 |
| Provider Name | Khristel A Fonseca-miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093364481 PECOS PAC ID: 5890127047 Enrollment ID: I20191111000124 |
| Provider Name | Darlene Montani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619518503 PECOS PAC ID: 2466885439 Enrollment ID: I20191204002879 |
| Provider Name | Sajedah Taher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548819584 PECOS PAC ID: 2163850074 Enrollment ID: I20200306001378 |
| Provider Name | Shannon Mary Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538617576 PECOS PAC ID: 7618305863 Enrollment ID: I20200321000405 |
| Provider Name | Jason E Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154853315 PECOS PAC ID: 7012289879 Enrollment ID: I20200528001196 |
| Provider Name | Chelsey Lyn Shepos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467005041 PECOS PAC ID: 3173944006 Enrollment ID: I20200602001515 |
| Provider Name | Cicily E Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952833113 PECOS PAC ID: 3971877200 Enrollment ID: I20200617000423 |
| Provider Name | I-chi Liang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588104806 PECOS PAC ID: 3476824798 Enrollment ID: I20200715001075 |
| Provider Name | Aarika Glawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538785654 PECOS PAC ID: 5991121154 Enrollment ID: I20200818003122 |
| Provider Name | Amy Katherine Donahey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144832346 PECOS PAC ID: 9335569011 Enrollment ID: I20201019001896 |
| Provider Name | Angelique Mariah Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245878024 PECOS PAC ID: 8820408032 Enrollment ID: I20201029000241 |
| Provider Name | Carly Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033580550 PECOS PAC ID: 8224348834 Enrollment ID: I20210216000608 |
| Provider Name | Olga Maria Lyew Kong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326664699 PECOS PAC ID: 2769882711 Enrollment ID: I20210611001678 |
| Provider Name | Kristen Elizabeth Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467029157 PECOS PAC ID: 6406256429 Enrollment ID: I20210614001419 |
| Provider Name | Anthony Joseph Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770159394 PECOS PAC ID: 6608277173 Enrollment ID: I20210622003039 |
| Provider Name | Kalli Ann Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336717081 PECOS PAC ID: 7113328725 Enrollment ID: I20210701003772 |
| Provider Name | Catherine A Czaja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073183364 PECOS PAC ID: 3779986377 Enrollment ID: I20210720002149 |
| Provider Name | Sunnye Deidre Lee Macca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629699509 PECOS PAC ID: 1153725353 Enrollment ID: I20210810003916 |
| Provider Name | Melanie C Hankins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356914782 PECOS PAC ID: 1658775697 Enrollment ID: I20210812001308 |
| Provider Name | Libia M Pava |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548794282 PECOS PAC ID: 1153674510 Enrollment ID: I20210820001157 |
| Provider Name | Brianna Hope Caceres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588235170 PECOS PAC ID: 6002212818 Enrollment ID: I20210902000933 |
| Provider Name | Alyce K Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710549084 PECOS PAC ID: 2264839109 Enrollment ID: I20210921000497 |
| Provider Name | Natasha M Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629667670 PECOS PAC ID: 5496153215 Enrollment ID: I20211008001747 |
| Provider Name | Michelle M Ayazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881190064 PECOS PAC ID: 2466850995 Enrollment ID: I20211013001731 |
| Provider Name | Rachel S Marks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841642048 PECOS PAC ID: 6204120272 Enrollment ID: I20211019002714 |
| Provider Name | Beth A Cabral-rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508529322 PECOS PAC ID: 7416345475 Enrollment ID: I20211022002426 |
| Provider Name | Dilip Kamath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023549714 PECOS PAC ID: 8527450170 Enrollment ID: I20220112000582 |
| Provider Name | Brenda E Moriarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417610908 PECOS PAC ID: 4688067283 Enrollment ID: I20220203000142 |
| Provider Name | Adam Raymond Lillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265187462 PECOS PAC ID: 0446645105 Enrollment ID: I20220315001808 |
| Provider Name | Edwin Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821755257 PECOS PAC ID: 2163817578 Enrollment ID: I20220322002530 |
| Provider Name | Lynn Esmie Hector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154075463 PECOS PAC ID: 2365838380 Enrollment ID: I20220331000069 |
| Provider Name | Zainab Savard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003565003 PECOS PAC ID: 4789070269 Enrollment ID: I20220410000062 |
| Provider Name | Megan Klaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497163281 PECOS PAC ID: 4880080233 Enrollment ID: I20220412000271 |
| Provider Name | Gloria Teresa Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639788870 PECOS PAC ID: 2466839063 Enrollment ID: I20220520001373 |
| Provider Name | Leonie Kelly Ann James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023788817 PECOS PAC ID: 4082092341 Enrollment ID: I20220528000131 |
| Provider Name | Humberto Andres Rovira Alvarado |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548799554 PECOS PAC ID: 5597143313 Enrollment ID: I20220607003403 |
| Provider Name | Khussbu D Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205423373 PECOS PAC ID: 4688080815 Enrollment ID: I20220615000238 |
| Provider Name | William Andrew Sprouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588151450 PECOS PAC ID: 8628476173 Enrollment ID: I20220616001036 |
| Provider Name | Julie Marie Asbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609512268 PECOS PAC ID: 7012398530 Enrollment ID: I20220714003575 |
| Provider Name | Shannon L Salicco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174256325 PECOS PAC ID: 6002297249 Enrollment ID: I20220719001382 |
| Provider Name | Jenny A Freyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831838036 PECOS PAC ID: 2466833454 Enrollment ID: I20220722000020 |
| Provider Name | Diane Theresa Alceste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598370538 PECOS PAC ID: 1759762594 Enrollment ID: I20220725002996 |
| Provider Name | Andrew J Duren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295152163 PECOS PAC ID: 0345586053 Enrollment ID: I20220726000644 |
| Provider Name | Amber Leigh Rutkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164027272 PECOS PAC ID: 5193123354 Enrollment ID: I20220727003286 |
| Provider Name | Lacey M Bahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578294708 PECOS PAC ID: 6204218951 Enrollment ID: I20220728000529 |
| Provider Name | Kayla Ann Lorenzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538785647 PECOS PAC ID: 6800279571 Enrollment ID: I20220812000150 |
| Provider Name | Kelly Duncan Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851062822 PECOS PAC ID: 5991189896 Enrollment ID: I20220825003968 |
| Provider Name | James F Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225758022 PECOS PAC ID: 1557745825 Enrollment ID: I20220906001281 |
| Provider Name | Adam M Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831827542 PECOS PAC ID: 2062897176 Enrollment ID: I20220909001592 |
| Provider Name | Melissa Maxine Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477117877 PECOS PAC ID: 2668857780 Enrollment ID: I20220909002305 |
| Provider Name | Komal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912634551 PECOS PAC ID: 3375929706 Enrollment ID: I20221007001095 |
| Provider Name | Nancy Nieves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104397512 PECOS PAC ID: 2365785300 Enrollment ID: I20221116003181 |
| Provider Name | Luis V Amat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235741141 PECOS PAC ID: 1951779107 Enrollment ID: I20221121000698 |
| Provider Name | Timothy C Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124665971 PECOS PAC ID: 8527489293 Enrollment ID: I20221129002103 |
| Provider Name | Amy Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851009575 PECOS PAC ID: 2961872486 Enrollment ID: I20221228000399 |
| Provider Name | Paige Molly Mcnash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083323752 PECOS PAC ID: 8325418338 Enrollment ID: I20230109002934 |
| Provider Name | Sarah A Juskowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841997921 PECOS PAC ID: 9133594278 Enrollment ID: I20230403002903 |
| Provider Name | Ashlyn N Schellentrager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710685847 PECOS PAC ID: 7214302694 Enrollment ID: I20230418000023 |
| Provider Name | Cassandra Alayne Gandle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669908703 PECOS PAC ID: 6800253311 Enrollment ID: I20230526001379 |
| Provider Name | Sumna Mishra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083326771 PECOS PAC ID: 1759748809 Enrollment ID: I20230605001342 |
| Provider Name | Amy Maureen Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760161459 PECOS PAC ID: 9436510203 Enrollment ID: I20230727000467 |
| Provider Name | Linzi Jiang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225666241 PECOS PAC ID: 5597163642 Enrollment ID: I20230727002452 |
| Provider Name | Derek Michael Gonzalez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1235661158 PECOS PAC ID: 8921342585 Enrollment ID: I20230822003238 |
| Provider Name | Jordan P Johanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487439212 PECOS PAC ID: 7012361090 Enrollment ID: I20230925002349 |
| Provider Name | Ariana Powell-lindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700662749 PECOS PAC ID: 5092169821 Enrollment ID: I20230928000911 |
| Provider Name | Corey S Cagwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093410284 PECOS PAC ID: 0840654984 Enrollment ID: I20230928001039 |
| Provider Name | Rebecca Ann Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427733500 PECOS PAC ID: 1759735467 Enrollment ID: I20230929000465 |
| Provider Name | Enmanuel Castro-fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225814080 PECOS PAC ID: 5890149413 Enrollment ID: I20230929001189 |
| Provider Name | Julia Christine Woodroffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043097926 PECOS PAC ID: 3375997976 Enrollment ID: I20231002000741 |
| Provider Name | Brooke Ashley Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760168975 PECOS PAC ID: 3072969492 Enrollment ID: I20231020002638 |
| Provider Name | Mo Mai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306333646 PECOS PAC ID: 6800131889 Enrollment ID: I20231207000109 |
| Provider Name | Christina Ann Schulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467228163 PECOS PAC ID: 4789036864 Enrollment ID: I20240115001464 |
| Provider Name | Cinthia Sandoval-white |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558135137 PECOS PAC ID: 1052763315 Enrollment ID: I20240123000989 |
| Provider Name | Mariah A Bortolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710752639 PECOS PAC ID: 4486007408 Enrollment ID: I20240125004283 |
| Provider Name | Luis M Calvo Fragachan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578925558 PECOS PAC ID: 0143567594 Enrollment ID: I20240215004318 |
| Provider Name | Autumn H Stucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760253173 PECOS PAC ID: 5496190258 Enrollment ID: I20240302000202 |
| Provider Name | Kirsten T Rhoden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023888716 PECOS PAC ID: 2062858210 Enrollment ID: I20240309000732 |
| Provider Name | William Reed Shimberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790147940 PECOS PAC ID: 9638446040 Enrollment ID: I20240313000097 |
| Provider Name | Lindsey R Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255199600 PECOS PAC ID: 1355788845 Enrollment ID: I20240319004203 |
| Provider Name | Hayley Louise Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710744552 PECOS PAC ID: 8325486889 Enrollment ID: I20240402004308 |
| Provider Name | Emily Lane Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568213726 PECOS PAC ID: 8325488000 Enrollment ID: I20240429000880 |
| Provider Name | Larissa N Sabatose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336692987 PECOS PAC ID: 4284929571 Enrollment ID: I20240523003141 |
| Provider Name | Athena Failla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285262162 PECOS PAC ID: 8123459989 Enrollment ID: I20240528002881 |
Florida Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38107 Market Sq, Zephyrhills, FL 33542 Phone: 813-780-1555 | |
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Florida Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36763 Eiland Blvd Ste 103, Zephyrhills, FL 33542 Phone: 813-782-3727 | |
Florida Medical Clinic Orlando Health Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38021 Market Sq, Zephyrhills, FL 33542 Phone: 813-715-0374 Fax: 813-355-5090 | |
Zephyrhills Family Practice And Geriatric Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7213 Green Slope Dr, Zephyrhills, FL 33541 Phone: 813-355-4917 Fax: 855-547-5415 | |
Elizabeth A John Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6340 Fort King Road, Zephyrhills, FL 33542 Phone: 813-782-6116 Fax: 813-780-1051 | |
Mc Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7745 Gall Blvd, Zephyrhills, FL 33541 Phone: 813-364-5945 |