| Olmsted Medical Center | |
|
210 9th St Se Rochester MN 55904-6425 | |
| (507) 288-3443 | |
| Not Available |
| Full Name | Olmsted Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 9th St Se, Rochester, Minnesota |
| Authorized Official Name and Position | Kevin Higgins (CFO) |
| Authorized Official Contact | 5075296610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olmsted Medical Center 210 9th St Se Rochester MN 55904-6425 Ph: (507) 288-3443 | Olmsted Medical Center 210 9th St Se Rochester MN 55904-6425 Ph: (507) 288-3443 |
| NPI Number | 1952356297 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 03/18/2009 |
| Medicare PECOS PAC ID | 8527970060 |
|---|---|
| Medicare Enrollment ID | O20031119000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952356297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Norman Arslanlar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851350110 PECOS PAC ID: 3173427960 Enrollment ID: I20031124000110 |
| Provider Name | Patricia A Welsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417934233 PECOS PAC ID: 6103722111 Enrollment ID: I20031210000668 |
| Provider Name | Lee Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093747479 PECOS PAC ID: 0244131902 Enrollment ID: I20040115000868 |
| Provider Name | Kevin Edelman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558316620 PECOS PAC ID: 8224940481 Enrollment ID: I20040124000037 |
| Provider Name | Jon P Kane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528005535 PECOS PAC ID: 9931001443 Enrollment ID: I20040124000151 |
| Provider Name | John M Nobrega |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336188671 PECOS PAC ID: 2769394964 Enrollment ID: I20040124000216 |
| Provider Name | Paul R Rust |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700833720 PECOS PAC ID: 7719899913 Enrollment ID: I20040124000256 |
| Provider Name | Stephen Hite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619914645 PECOS PAC ID: 2365354537 Enrollment ID: I20040126000004 |
| Provider Name | John W Steely |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801837349 PECOS PAC ID: 1254243355 Enrollment ID: I20040127000626 |
| Provider Name | Douglas D Pflaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538145156 PECOS PAC ID: 0042104168 Enrollment ID: I20040210000911 |
| Provider Name | Jay D Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114970993 PECOS PAC ID: 4880581032 Enrollment ID: I20040302000770 |
| Provider Name | Thomas J Ibach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538116595 PECOS PAC ID: 6800708074 Enrollment ID: I20040315001476 |
| Provider Name | Subbarao Inampudi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225082829 PECOS PAC ID: 0941112106 Enrollment ID: I20040402001013 |
| Provider Name | Wendy M White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386697571 PECOS PAC ID: 0648264663 Enrollment ID: I20040413000598 |
| Provider Name | Scott S Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902824238 PECOS PAC ID: 0143217034 Enrollment ID: I20040430000939 |
| Provider Name | Matthew J Kirsch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316921117 PECOS PAC ID: 6305835299 Enrollment ID: I20040506001511 |
| Provider Name | Thomas C Matson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639117435 PECOS PAC ID: 9436148004 Enrollment ID: I20040510000112 |
| Provider Name | Vidhan Chandra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225089154 PECOS PAC ID: 6608852181 Enrollment ID: I20040625000439 |
| Provider Name | James A Hoffmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861439853 PECOS PAC ID: 3971582669 Enrollment ID: I20040716000078 |
| Provider Name | Lori Ann Blauwet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669459939 PECOS PAC ID: 7810960564 Enrollment ID: I20040819000607 |
| Provider Name | Rebecca K Kearns |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255313482 PECOS PAC ID: 7214902410 Enrollment ID: I20041109000282 |
| Provider Name | Guruprasad R Kaginele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003925652 PECOS PAC ID: 3274593785 Enrollment ID: I20041129000600 |
| Provider Name | Christopher Previn Peck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912959313 PECOS PAC ID: 2668438482 Enrollment ID: I20041203000376 |
| Provider Name | Stephen E Panetta |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336272517 PECOS PAC ID: 0042276750 Enrollment ID: I20041204000174 |
| Provider Name | Diana M Gillman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922119791 PECOS PAC ID: 2466401641 Enrollment ID: I20050114000055 |
| Provider Name | Benjamin F Wong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467425918 PECOS PAC ID: 9234188053 Enrollment ID: I20050119000812 |
| Provider Name | Peter M Arndt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306885686 PECOS PAC ID: 1153371604 Enrollment ID: I20050124000397 |
| Provider Name | Deepika Bansilal Bhargava |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215914551 PECOS PAC ID: 4183671415 Enrollment ID: I20050407000967 |
| Provider Name | Lori Kay Brundige |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013989359 PECOS PAC ID: 1759323546 Enrollment ID: I20050523000431 |
| Provider Name | Karin T Ross |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447292412 PECOS PAC ID: 9537103148 Enrollment ID: I20050615000064 |
| Provider Name | Todd W Walter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467428433 PECOS PAC ID: 3375519077 Enrollment ID: I20050615000324 |
| Provider Name | Timothy F Ahern |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114991908 PECOS PAC ID: 1759318777 Enrollment ID: I20050721000427 |
| Provider Name | Steven R Jacobson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1104899830 PECOS PAC ID: 9638106115 Enrollment ID: I20050726001148 |
| Provider Name | Karolyn Ivanovic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457337867 PECOS PAC ID: 2264460799 Enrollment ID: I20050727000261 |
| Provider Name | Peter Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881673374 PECOS PAC ID: 2860420239 Enrollment ID: I20050728000168 |
| Provider Name | Mark J Wilbur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003860081 PECOS PAC ID: 3375573371 Enrollment ID: I20050819000070 |
| Provider Name | Jennifer A Tessmer-tuck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124088737 PECOS PAC ID: 9739110610 Enrollment ID: I20050831000007 |
| Provider Name | Prasamsi Mikkilineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235181025 PECOS PAC ID: 0648205062 Enrollment ID: I20051004000768 |
| Provider Name | Amy E Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285689992 PECOS PAC ID: 8527087485 Enrollment ID: I20051121000466 |
| Provider Name | Gang K Zhang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447238373 PECOS PAC ID: 5092737288 Enrollment ID: I20060103000260 |
| Provider Name | Richard E Mayerchak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568417806 PECOS PAC ID: 6901813195 Enrollment ID: I20060313000656 |
| Provider Name | David Allen Gross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164478327 PECOS PAC ID: 0648182816 Enrollment ID: I20060417000068 |
| Provider Name | Christopher L Tillotson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295714954 PECOS PAC ID: 1658285366 Enrollment ID: I20060418000676 |
| Provider Name | Karl D Molenaar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083632970 PECOS PAC ID: 1254341183 Enrollment ID: I20060424000013 |
| Provider Name | Lisa Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538182894 PECOS PAC ID: 2769492743 Enrollment ID: I20060504000803 |
| Provider Name | Eric Poulin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053304576 PECOS PAC ID: 5890696256 Enrollment ID: I20060621000028 |
| Provider Name | Matthew Thompson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144236555 PECOS PAC ID: 0446254676 Enrollment ID: I20060831000129 |
| Provider Name | Tom Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598793226 PECOS PAC ID: 5294738407 Enrollment ID: I20060906000128 |
| Provider Name | Laura I Pelaez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134213606 PECOS PAC ID: 2062419393 Enrollment ID: I20061031000056 |
| Provider Name | Odette C El Helou |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154402105 PECOS PAC ID: 1951309251 Enrollment ID: I20061121000325 |
| Provider Name | Deborah G Longley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740269794 PECOS PAC ID: 2264346956 Enrollment ID: I20070108000468 |
| Provider Name | Patricia J Hinck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629140066 PECOS PAC ID: 5395745731 Enrollment ID: I20070108000538 |
| Provider Name | Nathan J Groebner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043310188 PECOS PAC ID: 5193727675 Enrollment ID: I20070213000329 |
| Provider Name | Donna M Mitchell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669420105 PECOS PAC ID: 5799764494 Enrollment ID: I20070307000599 |
| Provider Name | Deepika Kakani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710029483 PECOS PAC ID: 5395849913 Enrollment ID: I20070409000268 |
| Provider Name | Mary Ellen R Dreher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851518690 PECOS PAC ID: 6406953926 Enrollment ID: I20070517000573 |
| Provider Name | Douglass Hassell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760497150 PECOS PAC ID: 9638175458 Enrollment ID: I20070620000265 |
| Provider Name | Cory A Boyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437106242 PECOS PAC ID: 8426062456 Enrollment ID: I20070717000088 |
| Provider Name | Scott D Sidney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366490062 PECOS PAC ID: 3375556673 Enrollment ID: I20070814000627 |
| Provider Name | Michelle L Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205027687 PECOS PAC ID: 2062506173 Enrollment ID: I20070920000370 |
| Provider Name | Jeffrey R Bennett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316913718 PECOS PAC ID: 1951496462 Enrollment ID: I20070928000270 |
| Provider Name | Susanne D Pfeffer Kleeman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639361199 PECOS PAC ID: 4385730068 Enrollment ID: I20071010000581 |
| Provider Name | Mahsa Moghaddam Smoot |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1568503191 PECOS PAC ID: 0648367425 Enrollment ID: I20071025000360 |
| Provider Name | Sue E Babcock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700941713 PECOS PAC ID: 3870680598 Enrollment ID: I20071029000073 |
| Provider Name | David J Mills |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407915226 PECOS PAC ID: 2668566787 Enrollment ID: I20071114000055 |
| Provider Name | Pelagie Tara Suffrins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952469017 PECOS PAC ID: 8224030291 Enrollment ID: I20080103000640 |
| Provider Name | Robin Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235109703 PECOS PAC ID: 4587616784 Enrollment ID: I20080404000690 |
| Provider Name | Trudi Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851364210 PECOS PAC ID: 5395742068 Enrollment ID: I20080430000631 |
| Provider Name | Jeffrey E Magnuson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457330409 PECOS PAC ID: 7618881301 Enrollment ID: I20080531000073 |
| Provider Name | John P Knoedler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023097078 PECOS PAC ID: 7911811609 Enrollment ID: I20080603000224 |
| Provider Name | Tamara Alexandrov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700910130 PECOS PAC ID: 7618040403 Enrollment ID: I20080728000247 |
| Provider Name | Carole J Stiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407012651 PECOS PAC ID: 9436219755 Enrollment ID: I20081117000565 |
| Provider Name | Joylynn A Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487686747 PECOS PAC ID: 2769545516 Enrollment ID: I20090106000337 |
| Provider Name | Jared S Aelony |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932125697 PECOS PAC ID: 4880757632 Enrollment ID: I20090106000389 |
| Provider Name | Hayley I Sheldon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740206416 PECOS PAC ID: 2365437480 Enrollment ID: I20090223000603 |
| Provider Name | Jamie A Breuer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013004597 PECOS PAC ID: 4284790676 Enrollment ID: I20090310000551 |
| Provider Name | Jeannette Gasal Spilde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437182169 PECOS PAC ID: 4486557949 Enrollment ID: I20090325000583 |
| Provider Name | Sara L Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871781583 PECOS PAC ID: 6406904259 Enrollment ID: I20090505000044 |
| Provider Name | Brandee J Kroening |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275773624 PECOS PAC ID: 9335298496 Enrollment ID: I20090519000651 |
| Provider Name | Connie Meiners |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073753596 PECOS PAC ID: 3173672771 Enrollment ID: I20090529000422 |
| Provider Name | Hugh Scott Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275617607 PECOS PAC ID: 9931168234 Enrollment ID: I20090625000045 |
| Provider Name | Crystal M Boe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558596676 PECOS PAC ID: 7911051974 Enrollment ID: I20090811000324 |
| Provider Name | Lynette M Lamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245281039 PECOS PAC ID: 4587671227 Enrollment ID: I20090813000076 |
| Provider Name | James E Roth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720243520 PECOS PAC ID: 9335287614 Enrollment ID: I20091105000644 |
| Provider Name | Thomas M Ziebarth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851377923 PECOS PAC ID: 2769476738 Enrollment ID: I20100115000123 |
| Provider Name | Theresa Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487808119 PECOS PAC ID: 7618019241 Enrollment ID: I20100120000783 |
| Provider Name | Christopher J Klingele |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174593644 PECOS PAC ID: 7911040985 Enrollment ID: I20100130000282 |
| Provider Name | Jennifer A Lisowe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275593923 PECOS PAC ID: 6800931882 Enrollment ID: I20100302000274 |
| Provider Name | Randy P Hemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659324846 PECOS PAC ID: 8123153889 Enrollment ID: I20100319000288 |
| Provider Name | Lindy S Hankel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801847660 PECOS PAC ID: 6204962806 Enrollment ID: I20100408000230 |
| Provider Name | Srdan Babovic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932153954 PECOS PAC ID: 1153458336 Enrollment ID: I20100420000401 |
| Provider Name | Keith R Kleis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295710853 PECOS PAC ID: 4880721091 Enrollment ID: I20100420000768 |
| Provider Name | Kristin C Arndt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245284231 PECOS PAC ID: 1153458393 Enrollment ID: I20100420001023 |
| Provider Name | Joseph D Tricarico |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497709877 PECOS PAC ID: 0244367340 Enrollment ID: I20100421000795 |
| Provider Name | Jeffrey T Gursky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619920238 PECOS PAC ID: 1355478306 Enrollment ID: I20100422000476 |
| Provider Name | David W Lowe |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1770536062 PECOS PAC ID: 2466589478 Enrollment ID: I20100423000085 |
| Provider Name | Victoria L Dietz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245282920 PECOS PAC ID: 5193852119 Enrollment ID: I20100423000202 |
| Provider Name | Kathryn D Lombardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639121700 PECOS PAC ID: 6709822109 Enrollment ID: I20100510000230 |
| Provider Name | Roxie L Tienter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639123052 PECOS PAC ID: 7911038641 Enrollment ID: I20100624000600 |
| Provider Name | Judith A Devorak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760422927 PECOS PAC ID: 1557492105 Enrollment ID: I20100626000305 |
| Provider Name | Tracy E Napp |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1427058841 PECOS PAC ID: 8325121700 Enrollment ID: I20100717000200 |
| Provider Name | Natalia Gonzalez Paz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457521908 PECOS PAC ID: 1850423211 Enrollment ID: I20100720000939 |
| Provider Name | Diya A Odeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295787307 PECOS PAC ID: 8426180746 Enrollment ID: I20100721000570 |
| Provider Name | John Renelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861465478 PECOS PAC ID: 6103736145 Enrollment ID: I20100728000179 |
| Provider Name | Kevin J Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811935786 PECOS PAC ID: 5799818019 Enrollment ID: I20100805001147 |
| Provider Name | Tricia A Schilling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902129927 PECOS PAC ID: 4183758303 Enrollment ID: I20100810000532 |
| Provider Name | Melissa S Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073744439 PECOS PAC ID: 0840484671 Enrollment ID: I20101104001677 |
| Provider Name | Sarah E Blanshan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518273622 PECOS PAC ID: 2466648779 Enrollment ID: I20101129001076 |
| Provider Name | Matthew E Florek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609006089 PECOS PAC ID: 2365639481 Enrollment ID: I20101214001345 |
| Provider Name | Michael P Kycek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578870978 PECOS PAC ID: 3476733668 Enrollment ID: I20110204000515 |
| Provider Name | Rhonda L Schaffer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750435269 PECOS PAC ID: 0941482723 Enrollment ID: I20110315001089 |
| Provider Name | Anne M Beighley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306155817 PECOS PAC ID: 2264617182 Enrollment ID: I20110419000604 |
| Provider Name | Josser E Delgado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942257944 PECOS PAC ID: 2860679412 Enrollment ID: I20110607000681 |
| Provider Name | Jolene M Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982992350 PECOS PAC ID: 0143491233 Enrollment ID: I20110921000627 |
| Provider Name | Maral N Kenderian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255597696 PECOS PAC ID: 6608048897 Enrollment ID: I20111012000461 |
| Provider Name | Samar Said |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659500197 PECOS PAC ID: 3173795275 Enrollment ID: I20111014000369 |
| Provider Name | Jacob Juta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518112515 PECOS PAC ID: 3577737717 Enrollment ID: I20111128000147 |
| Provider Name | Volha Rudnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891838504 PECOS PAC ID: 7012181191 Enrollment ID: I20111130000157 |
| Provider Name | Yasha Kayan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306056130 PECOS PAC ID: 1254463854 Enrollment ID: I20120404000758 |
| Provider Name | Heidi J Ahle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699040105 PECOS PAC ID: 1355506759 Enrollment ID: I20120710000746 |
| Provider Name | Joshua P Froman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326201583 PECOS PAC ID: 0749436913 Enrollment ID: I20120804000058 |
| Provider Name | David A Mcalpine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114203114 PECOS PAC ID: 6204083371 Enrollment ID: I20120823000963 |
| Provider Name | Jorge A Brenes Salazar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477783033 PECOS PAC ID: 1759538515 Enrollment ID: I20120829000802 |
| Provider Name | Sneha R Kaggal Laxman Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427282300 PECOS PAC ID: 0042468993 Enrollment ID: I20120918000530 |
| Provider Name | Amanda L Thoendel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073740759 PECOS PAC ID: 1759578560 Enrollment ID: I20120919000414 |
| Provider Name | Adam J Krause |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821348848 PECOS PAC ID: 2062664295 Enrollment ID: I20121214000072 |
| Provider Name | Jarad L Sampson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114277506 PECOS PAC ID: 0143472324 Enrollment ID: I20121217000077 |
| Provider Name | Vanessa L Pfizenmaier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528302031 PECOS PAC ID: 9234382664 Enrollment ID: I20130114000319 |
| Provider Name | Carrie L Rochester |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932491982 PECOS PAC ID: 3971781956 Enrollment ID: I20130312000530 |
| Provider Name | Michael J Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801822853 PECOS PAC ID: 0143128660 Enrollment ID: I20130413000039 |
| Provider Name | Margaret L Dow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275601122 PECOS PAC ID: 2163584558 Enrollment ID: I20130423000171 |
| Provider Name | Bjorn Ingemar Engstrom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255599403 PECOS PAC ID: 0345480687 Enrollment ID: I20130709000490 |
| Provider Name | Starla J Ricter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144560517 PECOS PAC ID: 3678713856 Enrollment ID: I20130711000437 |
| Provider Name | Katie E Ranvek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801230164 PECOS PAC ID: 4082854971 Enrollment ID: I20130718000079 |
| Provider Name | Jana Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285974550 PECOS PAC ID: 8325289010 Enrollment ID: I20130723000218 |
| Provider Name | Andrea Abcejo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700143153 PECOS PAC ID: 3476794017 Enrollment ID: I20130724000953 |
| Provider Name | Majid Shafiei |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841236049 PECOS PAC ID: 9335319144 Enrollment ID: I20131113000579 |
| Provider Name | Cassandra L Narr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760817563 PECOS PAC ID: 5698901601 Enrollment ID: I20131121001917 |
| Provider Name | Muhammad Z Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780996215 PECOS PAC ID: 8729214614 Enrollment ID: I20131125000745 |
| Provider Name | Huy Tran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770571457 PECOS PAC ID: 4981797768 Enrollment ID: I20131126001830 |
| Provider Name | Yassaman Raissian |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114155397 PECOS PAC ID: 7214164821 Enrollment ID: I20131205000766 |
| Provider Name | Jason L Keszler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881831436 PECOS PAC ID: 7810033149 Enrollment ID: I20140107000098 |
| Provider Name | Kristina Elizabeth Foulke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467877647 PECOS PAC ID: 3779716956 Enrollment ID: I20140424001259 |
| Provider Name | Laura Kamugisha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598950743 PECOS PAC ID: 2264509397 Enrollment ID: I20140513000627 |
| Provider Name | Kathryn Nora Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669814901 PECOS PAC ID: 2961645908 Enrollment ID: I20140806000011 |
| Provider Name | Jennifer M Craft Favazza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235412594 PECOS PAC ID: 2365669819 Enrollment ID: I20140807001043 |
| Provider Name | Brenda Joy Sokotoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912347493 PECOS PAC ID: 3678790565 Enrollment ID: I20140818001025 |
| Provider Name | Kate W Hocquard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396184743 PECOS PAC ID: 9133347875 Enrollment ID: I20140821002136 |
| Provider Name | Amy Ntoburi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245200856 PECOS PAC ID: 5092770651 Enrollment ID: I20141223001535 |
| Provider Name | Klinton Stephens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366839177 PECOS PAC ID: 6608197082 Enrollment ID: I20150610002572 |
| Provider Name | Jessica Moertel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669888905 PECOS PAC ID: 1456577394 Enrollment ID: I20150818005705 |
| Provider Name | Matthew Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639555824 PECOS PAC ID: 1355658766 Enrollment ID: I20150917001661 |
| Provider Name | Elizabeth Vermilya |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770817686 PECOS PAC ID: 6608185707 Enrollment ID: I20151012000480 |
| Provider Name | Tuyet A Hak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518331719 PECOS PAC ID: 9739480757 Enrollment ID: I20151216002859 |
| Provider Name | Naomi Vivienne Odell Lundstrom |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639300221 PECOS PAC ID: 8729381397 Enrollment ID: I20160115000176 |
| Provider Name | Jamie J Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669886065 PECOS PAC ID: 6901027689 Enrollment ID: I20160209001956 |
| Provider Name | Laura Connett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710304340 PECOS PAC ID: 9739485913 Enrollment ID: I20160315000639 |
| Provider Name | Vinit B Amin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881919272 PECOS PAC ID: 3173813680 Enrollment ID: I20160610001400 |
| Provider Name | Kimberly D Mclaughlin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942292362 PECOS PAC ID: 7113954397 Enrollment ID: I20160707000092 |
| Provider Name | Samer Abdel-aziz |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1851682629 PECOS PAC ID: 1951693928 Enrollment ID: I20160712001816 |
| Provider Name | Lester Fahrner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295995900 PECOS PAC ID: 7618115981 Enrollment ID: I20160803001810 |
| Provider Name | Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754061 PECOS PAC ID: 8729372321 Enrollment ID: I20160804000867 |
| Provider Name | Amanda M Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427408095 PECOS PAC ID: 7315231297 Enrollment ID: I20160816001499 |
| Provider Name | Jonathan Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323128 PECOS PAC ID: 4183866353 Enrollment ID: I20160902001217 |
| Provider Name | Saul Kissin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023375227 PECOS PAC ID: 9335468966 Enrollment ID: I20160913001040 |
| Provider Name | Natalie N Braun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104185370 PECOS PAC ID: 5698926947 Enrollment ID: I20160919001851 |
| Provider Name | Rebecca Floyd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750543534 PECOS PAC ID: 7719128487 Enrollment ID: I20160930000412 |
| Provider Name | Tiyonnoh Monje Cash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114053550 PECOS PAC ID: 6608091723 Enrollment ID: I20161011000724 |
| Provider Name | Amy S Biondich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821226432 PECOS PAC ID: 1254577117 Enrollment ID: I20161018001418 |
| Provider Name | Lilia C Ponton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659699031 PECOS PAC ID: 5294966255 Enrollment ID: I20161102000002 |
| Provider Name | Laura M Buehler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346603701 PECOS PAC ID: 0840579892 Enrollment ID: I20161114002432 |
| Provider Name | Charlsie C Woodard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609198761 PECOS PAC ID: 2668500620 Enrollment ID: I20161209000237 |
| Provider Name | Sara B Moncrief |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669762209 PECOS PAC ID: 4981987500 Enrollment ID: I20170206001785 |
| Provider Name | Ashley Kiefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700237625 PECOS PAC ID: 3375826910 Enrollment ID: I20170206002619 |
| Provider Name | Paul Alexander Farris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154426997 PECOS PAC ID: 2062511983 Enrollment ID: I20170224001092 |
| Provider Name | Greggory Paul Mentele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750792966 PECOS PAC ID: 1850516501 Enrollment ID: I20170306002270 |
| Provider Name | Matthew Joseph Sondag |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427347004 PECOS PAC ID: 2769786615 Enrollment ID: I20170518001734 |
| Provider Name | David Durand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235418997 PECOS PAC ID: 3577842285 Enrollment ID: I20170526001282 |
| Provider Name | Samuel John Hauck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356609937 PECOS PAC ID: 8426355629 Enrollment ID: I20170619000246 |
| Provider Name | Mark J Herr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477532711 PECOS PAC ID: 9739160235 Enrollment ID: I20170714001522 |
| Provider Name | Elizabeth Marie Hillebrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780048371 PECOS PAC ID: 8224320494 Enrollment ID: I20170810002162 |
| Provider Name | Danielle M Zielkie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326557125 PECOS PAC ID: 0648537555 Enrollment ID: I20171201000727 |
| Provider Name | Lee W Schneider |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598114530 PECOS PAC ID: 6406115419 Enrollment ID: I20180122000358 |
| Provider Name | Joseph T Kuzma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134627060 PECOS PAC ID: 8527329861 Enrollment ID: I20180228001874 |
| Provider Name | Jonathon Michael Fields |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1255699278 PECOS PAC ID: 4981846037 Enrollment ID: I20180305001057 |
| Provider Name | Nina Malm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336562172 PECOS PAC ID: 5799916953 Enrollment ID: I20180307002220 |
| Provider Name | Jacquelyn M Proper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104327022 PECOS PAC ID: 9436411246 Enrollment ID: I20180314001784 |
| Provider Name | Elizabeth Judith Connelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235645904 PECOS PAC ID: 4486916293 Enrollment ID: I20180314002057 |
| Provider Name | Jillian Ann Karow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609131887 PECOS PAC ID: 9537479126 Enrollment ID: I20180606003036 |
| Provider Name | Wing Man Yip |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114373560 PECOS PAC ID: 3779873690 Enrollment ID: I20180608001118 |
| Provider Name | Michelle Devine |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1891113833 PECOS PAC ID: 4284980426 Enrollment ID: I20180702001472 |
| Provider Name | Thomas Gebhard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649444167 PECOS PAC ID: 5395984637 Enrollment ID: I20180712000403 |
| Provider Name | Willis Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659357804 PECOS PAC ID: 0244222727 Enrollment ID: I20180720002347 |
| Provider Name | Nathan J. Manthey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942732581 PECOS PAC ID: 4981976628 Enrollment ID: I20180731000253 |
| Provider Name | Sushma Kola |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790213403 PECOS PAC ID: 7911279674 Enrollment ID: I20180811000134 |
| Provider Name | Erica Behrens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295220994 PECOS PAC ID: 5395099519 Enrollment ID: I20181107000082 |
| Provider Name | Donald T Bodeau |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1396717567 PECOS PAC ID: 4486653540 Enrollment ID: I20181109001889 |
| Provider Name | Douglas Paul Caldwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982682209 PECOS PAC ID: 9537052659 Enrollment ID: I20181217000219 |
| Provider Name | Kersten Paul Stalnaker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164706008 PECOS PAC ID: 9638415359 Enrollment ID: I20190116002128 |
| Provider Name | Tanelle Nicole Franko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962906982 PECOS PAC ID: 9739429580 Enrollment ID: I20190314001353 |
| Provider Name | Erica Dawn Stalnaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285192641 PECOS PAC ID: 0749520898 Enrollment ID: I20190327001948 |
| Provider Name | Kayleen Jahangir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609214576 PECOS PAC ID: 8224330212 Enrollment ID: I20190508003245 |
| Provider Name | Bryan C Mcdowell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043715477 PECOS PAC ID: 4981959236 Enrollment ID: I20190712000634 |
| Provider Name | Leif E Jensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205053832 PECOS PAC ID: 3678602992 Enrollment ID: I20190722000668 |
| Provider Name | Danielle Lee Falde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225520372 PECOS PAC ID: 2466709357 Enrollment ID: I20190801000211 |
| Provider Name | Allison M Welle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760946925 PECOS PAC ID: 9133456635 Enrollment ID: I20190806003857 |
| Provider Name | Sarah Marie Adamson De Cicco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639564792 PECOS PAC ID: 1658600333 Enrollment ID: I20190905000810 |
| Provider Name | Katherine Ann Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417393661 PECOS PAC ID: 9931341831 Enrollment ID: I20190905002329 |
| Provider Name | Khamkeo Saesee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720636814 PECOS PAC ID: 5890024996 Enrollment ID: I20190916002201 |
| Provider Name | Gertrude Nnebundo Orakwue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316596562 PECOS PAC ID: 7113258476 Enrollment ID: I20191017001264 |
| Provider Name | Daniel Mark Golding |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528058070 PECOS PAC ID: 1951456888 Enrollment ID: I20191028001809 |
| Provider Name | Courtney Mae Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165146 PECOS PAC ID: 5395177554 Enrollment ID: I20191111000343 |
| Provider Name | Heather Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386129492 PECOS PAC ID: 6305275348 Enrollment ID: I20200326002261 |
| Provider Name | Elizabeth Draper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225669039 PECOS PAC ID: 9830520964 Enrollment ID: I20200505002577 |
| Provider Name | Alexander Copelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932469673 PECOS PAC ID: 8325279839 Enrollment ID: I20200507000020 |
| Provider Name | Carolina Patricia Larmeu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427582071 PECOS PAC ID: 7416378575 Enrollment ID: I20200528002295 |
| Provider Name | Dawn M Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093711566 PECOS PAC ID: 2860413101 Enrollment ID: I20200608000503 |
| Provider Name | Scott Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285955104 PECOS PAC ID: 7113340019 Enrollment ID: I20200710001961 |
| Provider Name | Jenna L Aird |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568027159 PECOS PAC ID: 4789919069 Enrollment ID: I20200805003116 |
| Provider Name | Mackenzie Leigh Haller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578977450 PECOS PAC ID: 4587080338 Enrollment ID: I20200811003397 |
| Provider Name | Samuel Isaias Garcia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265993000 PECOS PAC ID: 4587990288 Enrollment ID: I20200813001019 |
| Provider Name | Matthew Pappy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164783700 PECOS PAC ID: 9638485873 Enrollment ID: I20200824003545 |
| Provider Name | Charles M Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093247447 PECOS PAC ID: 0749559649 Enrollment ID: I20200910000087 |
| Provider Name | Ahmed Nadeem Ansari |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245791433 PECOS PAC ID: 9234462318 Enrollment ID: I20200916001226 |
| Provider Name | Lisa M Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851702112 PECOS PAC ID: 8022326164 Enrollment ID: I20200917001892 |
| Provider Name | Hamed Esfandiari |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740785849 PECOS PAC ID: 7113346925 Enrollment ID: I20200929000230 |
| Provider Name | Logan J Kolb |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801255245 PECOS PAC ID: 3678821089 Enrollment ID: I20201005000813 |
| Provider Name | Brandon J Massin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205060951 PECOS PAC ID: 8921241712 Enrollment ID: I20201125002258 |
| Provider Name | Cassandra Ann Petri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851953517 PECOS PAC ID: 8426383415 Enrollment ID: I20210107000560 |
| Provider Name | Anne M Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376151530 PECOS PAC ID: 7214342476 Enrollment ID: I20210220000150 |
| Provider Name | Sopo Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982961892 PECOS PAC ID: 1759664253 Enrollment ID: I20210412001452 |
| Provider Name | Phillip Lee Rathousky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558743393 PECOS PAC ID: 7810206091 Enrollment ID: I20210618001175 |
| Provider Name | Jessica M Sawinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548767700 PECOS PAC ID: 3779817945 Enrollment ID: I20210721002915 |
| Provider Name | Michael S Symanietz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063909174 PECOS PAC ID: 5092062786 Enrollment ID: I20210722002479 |
| Provider Name | Kathryn Jo Chamberlain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033606710 PECOS PAC ID: 9739412230 Enrollment ID: I20210809003773 |
| Provider Name | Jimmy Huynh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174977987 PECOS PAC ID: 3678850971 Enrollment ID: I20210922000481 |
| Provider Name | David Jacob Lerner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396061636 PECOS PAC ID: 5890014492 Enrollment ID: I20211122001379 |
| Provider Name | Luke A. Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891145983 PECOS PAC ID: 8527484203 Enrollment ID: I20211130001790 |
| Provider Name | Sumaya Ahmad Al Rawi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134487234 PECOS PAC ID: 8820392152 Enrollment ID: I20211206002731 |
| Provider Name | Ryan Kuhnlein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285081513 PECOS PAC ID: 1355634718 Enrollment ID: I20211221001008 |
| Provider Name | Gabrielle Boysen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649692682 PECOS PAC ID: 9032332523 Enrollment ID: I20220114002209 |
| Provider Name | Jamie Elizabeth Seaquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104588656 PECOS PAC ID: 2860884723 Enrollment ID: I20220126002742 |
| Provider Name | Kelsey M Jenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427682848 PECOS PAC ID: 1658766589 Enrollment ID: I20220311000798 |
| Provider Name | Joseph Michael Uricchio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083077275 PECOS PAC ID: 4880989094 Enrollment ID: I20220412002678 |
| Provider Name | Abigail Erin Hanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780102814 PECOS PAC ID: 5890182737 Enrollment ID: I20220425001473 |
| Provider Name | Daniel Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063405561 PECOS PAC ID: 8527969989 Enrollment ID: I20220426001181 |
| Provider Name | Michael James Annen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326275520 PECOS PAC ID: 0648604009 Enrollment ID: I20220503000048 |
| Provider Name | Kim Mckenna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427410661 PECOS PAC ID: 2163793498 Enrollment ID: I20220509001917 |
| Provider Name | Kathan Atul Amin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801139142 PECOS PAC ID: 1456586023 Enrollment ID: I20220607002152 |
| Provider Name | Suhail Alkilani |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1942514666 PECOS PAC ID: 0941428791 Enrollment ID: I20220607002865 |
| Provider Name | Taylor Marie Boland Rigby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629574728 PECOS PAC ID: 0840547089 Enrollment ID: I20220624001742 |
| Provider Name | Kelsey Jean Norton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477213981 PECOS PAC ID: 0446639165 Enrollment ID: I20220625000521 |
| Provider Name | Jennifer Lynn Nagele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366175259 PECOS PAC ID: 2163804535 Enrollment ID: I20220801003315 |
| Provider Name | Robert Mcdonald Wrenn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295783835 PECOS PAC ID: 4981702065 Enrollment ID: I20220812002927 |
| Provider Name | Desirae Ann Speelziek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558095612 PECOS PAC ID: 8729461025 Enrollment ID: I20220819000561 |
| Provider Name | Douglas Moss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174158216 PECOS PAC ID: 9436550662 Enrollment ID: I20220825000731 |
| Provider Name | Daria Hunter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871172197 PECOS PAC ID: 6800298027 Enrollment ID: I20220825002120 |
| Provider Name | Jeffrey David Okun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164823670 PECOS PAC ID: 0143605204 Enrollment ID: I20220910000365 |
| Provider Name | Russell Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124260138 PECOS PAC ID: 4082680400 Enrollment ID: I20221004003826 |
| Provider Name | Susana E. Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508503525 PECOS PAC ID: 8224405113 Enrollment ID: I20221107000777 |
| Provider Name | Jada Ciara Langer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396288296 PECOS PAC ID: 9830442672 Enrollment ID: I20221111000157 |
| Provider Name | Charles Pappas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932286523 PECOS PAC ID: 8729002514 Enrollment ID: I20221114001445 |
| Provider Name | Michael Shane Stephens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427638774 PECOS PAC ID: 8820499957 Enrollment ID: I20221118002229 |
| Provider Name | Peter Nicholas Brehmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063904407 PECOS PAC ID: 4587032610 Enrollment ID: I20221122000908 |
| Provider Name | Hanna Bishop Molinari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467007096 PECOS PAC ID: 7911238696 Enrollment ID: I20230120002348 |
| Provider Name | Jordan Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881301109 PECOS PAC ID: 7214308444 Enrollment ID: I20230125001982 |
| Provider Name | Alison Ann Newton Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750006102 PECOS PAC ID: 2961874888 Enrollment ID: I20230202000649 |
| Provider Name | Sarah Ann Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174238364 PECOS PAC ID: 0143694091 Enrollment ID: I20230316001528 |
| Provider Name | Tam Minh Vu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942543517 PECOS PAC ID: 4880912906 Enrollment ID: I20230321002841 |
| Provider Name | David Hom |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659351583 PECOS PAC ID: 9335103183 Enrollment ID: I20230331001745 |
| Provider Name | Kristine M Lynam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023151495 PECOS PAC ID: 8921473497 Enrollment ID: I20230414000971 |
| Provider Name | Bimal Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326331299 PECOS PAC ID: 9638475346 Enrollment ID: I20230419002866 |
| Provider Name | Tracey Jean Schlangen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477963684 PECOS PAC ID: 3274756010 Enrollment ID: I20230427001253 |
| Provider Name | Sarah Kathleen Monson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215392246 PECOS PAC ID: 9830492818 Enrollment ID: I20230428001924 |
| Provider Name | Irene Joy Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801595905 PECOS PAC ID: 9537524376 Enrollment ID: I20230428002319 |
| Provider Name | Janelle Weyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770576597 PECOS PAC ID: 8325023401 Enrollment ID: I20230501002587 |
| Provider Name | William Andrew Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710412556 PECOS PAC ID: 3476890054 Enrollment ID: I20230511001356 |
| Provider Name | Allison Robbins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487113296 PECOS PAC ID: 3072943125 Enrollment ID: I20230517002272 |
| Provider Name | Mini Bhaskar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366453847 PECOS PAC ID: 0042215543 Enrollment ID: I20230519002044 |
| Provider Name | Jesse Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134788375 PECOS PAC ID: 7315328317 Enrollment ID: I20230524003179 |
| Provider Name | Patrick Whitney Hanks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114911906 PECOS PAC ID: 2264423573 Enrollment ID: I20230526001185 |
| Provider Name | Cody Pepperday |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427542505 PECOS PAC ID: 9436405750 Enrollment ID: I20230530000468 |
| Provider Name | Stephen Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487281911 PECOS PAC ID: 8628490703 Enrollment ID: I20230530001354 |
| Provider Name | Brittany Kay Albers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841558210 PECOS PAC ID: 6406099720 Enrollment ID: I20230608000957 |
| Provider Name | Lindsay Stratchko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265876866 PECOS PAC ID: 0345463030 Enrollment ID: I20230706001146 |
| Provider Name | Anthony Raley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336596600 PECOS PAC ID: 8729378963 Enrollment ID: I20230706002250 |
| Provider Name | Jules Mark Geltzeiler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083693394 PECOS PAC ID: 8022051382 Enrollment ID: I20230713001813 |
| Provider Name | Gary Daniel Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831541812 PECOS PAC ID: 7214229517 Enrollment ID: I20230714000129 |
| Provider Name | Andrew Stephen Mason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760971709 PECOS PAC ID: 4880054998 Enrollment ID: I20230721000236 |
| Provider Name | Marion E Betancourt-albrecht |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497906432 PECOS PAC ID: 0941367965 Enrollment ID: I20230801003853 |
| Provider Name | Catherine Lee Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104802313 PECOS PAC ID: 8022276807 Enrollment ID: I20230802004444 |
| Provider Name | Reed Smith |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1255312286 PECOS PAC ID: 5698063782 Enrollment ID: I20230804000975 |
| Provider Name | Thomas David Biederman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639794803 PECOS PAC ID: 4284057928 Enrollment ID: I20230810001263 |
| Provider Name | Erin Nicole Dankert Eggum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396486825 PECOS PAC ID: 4486035003 Enrollment ID: I20230810003723 |
| Provider Name | Francisco Lazaro-paulina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841872827 PECOS PAC ID: 6103227418 Enrollment ID: I20230814000090 |
| Provider Name | Susan Aye Mya Oo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568099299 PECOS PAC ID: 4981028057 Enrollment ID: I20230822000206 |
| Provider Name | Joshua Teich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508387663 PECOS PAC ID: 4981954401 Enrollment ID: I20230822002453 |
| Provider Name | Wade Clark Vansice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467625756 PECOS PAC ID: 3678752565 Enrollment ID: I20230908002862 |
| Provider Name | Brent James King |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1336520931 PECOS PAC ID: 7416255419 Enrollment ID: I20230911000211 |
| Provider Name | Jennifer Diane Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205610201 PECOS PAC ID: 0840654786 Enrollment ID: I20230912001108 |
| Provider Name | Caroline Mae Adsmond |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912683335 PECOS PAC ID: 2567826001 Enrollment ID: I20230915002788 |
| Provider Name | Torbjorn Morkeberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659992816 PECOS PAC ID: 5799108288 Enrollment ID: I20231003000843 |
| Provider Name | Jay David Raisen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740305473 PECOS PAC ID: 0941244677 Enrollment ID: I20231005002901 |
| Provider Name | Alexander Yowei Sheu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083024830 PECOS PAC ID: 8921227554 Enrollment ID: I20231016001829 |
| Provider Name | Robin Mae Sand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275319097 PECOS PAC ID: 8224483938 Enrollment ID: I20231016003377 |
| Provider Name | Farnaz Almasganj |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568672160 PECOS PAC ID: 7517195209 Enrollment ID: I20231108003816 |
| Provider Name | John Kimball Ludlow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710927728 PECOS PAC ID: 4880608330 Enrollment ID: I20231116001508 |
| Provider Name | Ikaram Mahamed Hussien |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912785999 PECOS PAC ID: 6800244534 Enrollment ID: I20231118000585 |
| Provider Name | Nicholas Harold Chamberlain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114791977 PECOS PAC ID: 3375987423 Enrollment ID: I20240216003518 |
| Provider Name | Jake Thomas Elwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497516736 PECOS PAC ID: 8426492919 Enrollment ID: I20240223001447 |
| Provider Name | Alekhya Yechoor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285139287 PECOS PAC ID: 9739436296 Enrollment ID: I20240411001560 |
| Provider Name | Zalak Tulsibhai Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164926721 PECOS PAC ID: 7315290616 Enrollment ID: I20240417000695 |
| Provider Name | Molly E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336900687 PECOS PAC ID: 2769821958 Enrollment ID: I20240422000179 |
| Provider Name | Charles Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568959120 PECOS PAC ID: 5395071799 Enrollment ID: I20240506001466 |
| Provider Name | Alexandra Helena Besser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427584374 PECOS PAC ID: 3678931730 Enrollment ID: I20240506001675 |
| Provider Name | Thomas Chung Tong Hon Shum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306401708 PECOS PAC ID: 4981044054 Enrollment ID: I20240507000516 |
| Provider Name | David Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265895494 PECOS PAC ID: 0244522019 Enrollment ID: I20240507000547 |
| Provider Name | Justin Bauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538691373 PECOS PAC ID: 0648659862 Enrollment ID: I20240515002169 |
| Provider Name | Troy King Diego Daquioag |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730950684 PECOS PAC ID: 2769823947 Enrollment ID: I20240520000538 |
| Provider Name | Alexis K Vanderlinde |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477301430 PECOS PAC ID: 3779925912 Enrollment ID: I20240520003694 |
| Provider Name | Jeffrey H Landau |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891788022 PECOS PAC ID: 6204723810 Enrollment ID: I20240603001887 |
Omc Skyway Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 1st Ave Sw, Suite 203, Rochester, MN 55902 Phone: 507-529-6616 | |
Fastcare South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 14th St Sw Ste 200, Rochester, MN 55902 Phone: 507-280-1824 | |
Integrative Solutions Chiropractic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 14th St Nw Ste 101, Rochester, MN 55901 Phone: 507-323-9004 | |
Marcia Guertin, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 Highway 52 N, Suite C, Rochester, MN 55901 Phone: 507-990-2744 Fax: 507-282-9626 | |
Mayo Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Pirkl Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2711 Commerce Dr Nw, 300, Rochester, MN 55901 Phone: 507-206-4660 Fax: 507-206-4783 | |
Echometrics Cardiologists Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 S Broadway, Suite 310, Rochester, MN 55904 Phone: 507-252-9070 Fax: 507-252-9071 |