| Orlando Physicians Network Inc | |
|
21 W Columbia St Orlando FL 32806-1133 | |
| (407) 481-7174 | |
| (407) 481-7190 |
| Full Name | Orlando Physicians Network Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 W Columbia St, Orlando, Florida |
| Authorized Official Name and Position | Keith Eggert (VP REVENUE MANAGEMENT) |
| Authorized Official Contact | 4072376393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Physicians Network Inc 21 W Columbia St Orlando FL 32806-1133 Ph: (407) 481-7174 | Orlando Physicians Network Inc 21 W Columbia St Orlando FL 32806-1133 Ph: (407) 481-7174 |
| NPI Number | 1568693554 |
|---|---|
| Provider Enumeration Date | 08/07/2009 |
| Last Update Date | 03/05/2013 |
| Medicare PECOS PAC ID | 7719026251 |
|---|---|
| Medicare Enrollment ID | O20091123000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568693554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Deanna Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023007721 PECOS PAC ID: 0143125989 Enrollment ID: I20031204000451 |
| Provider Name | John K Bickerton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588648067 PECOS PAC ID: 1052210309 Enrollment ID: I20040108000778 |
| Provider Name | Joan Martich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396728952 PECOS PAC ID: 2860391117 Enrollment ID: I20040109000619 |
| Provider Name | Michael J Meares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215910955 PECOS PAC ID: 4587563838 Enrollment ID: I20040109000734 |
| Provider Name | Calvin L Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134102874 PECOS PAC ID: 3678472925 Enrollment ID: I20040109000799 |
| Provider Name | Scott S Posgai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548243280 PECOS PAC ID: 2668371915 Enrollment ID: I20040112000460 |
| Provider Name | Christopher J Brouillette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891779013 PECOS PAC ID: 7416857735 Enrollment ID: I20040112000488 |
| Provider Name | Thomas H Wentzell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225011885 PECOS PAC ID: 6305745654 Enrollment ID: I20040112000526 |
| Provider Name | Jane Raitano Zivalich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902889561 PECOS PAC ID: 9032018387 Enrollment ID: I20040114000672 |
| Provider Name | Sandra Rene Stine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790768356 PECOS PAC ID: 4385545201 Enrollment ID: I20040115000041 |
| Provider Name | Arsenio A Mestre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700869369 PECOS PAC ID: 1254232176 Enrollment ID: I20040115000069 |
| Provider Name | Catherine A Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245213800 PECOS PAC ID: 0941101869 Enrollment ID: I20040115000092 |
| Provider Name | Anthony L Cabreira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619978095 PECOS PAC ID: 1355335720 Enrollment ID: I20040409000495 |
| Provider Name | Rosa Pacheco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306836234 PECOS PAC ID: 6507856671 Enrollment ID: I20040512001454 |
| Provider Name | Michael Timmel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760472096 PECOS PAC ID: 8921089889 Enrollment ID: I20040526001122 |
| Provider Name | Lori A White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447268370 PECOS PAC ID: 4981687019 Enrollment ID: I20040610000510 |
| Provider Name | John Mark Cappleman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790783389 PECOS PAC ID: 3072598838 Enrollment ID: I20040624000227 |
| Provider Name | Carlos M Dieguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679661722 PECOS PAC ID: 0749244036 Enrollment ID: I20041117000205 |
| Provider Name | Thomas Reynolds Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306833082 PECOS PAC ID: 2365407368 Enrollment ID: I20041201000192 |
| Provider Name | Mohammed Merchant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639130230 PECOS PAC ID: 1355309766 Enrollment ID: I20041230000413 |
| Provider Name | Tanya Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467445080 PECOS PAC ID: 1759339922 Enrollment ID: I20050105000408 |
| Provider Name | Theron Mark Pettit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245214279 PECOS PAC ID: 2365481165 Enrollment ID: I20050502000341 |
| Provider Name | Rachel M Eyma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720030653 PECOS PAC ID: 6103861760 Enrollment ID: I20050623000622 |
| Provider Name | Martin Soto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184615056 PECOS PAC ID: 5698749950 Enrollment ID: I20050714000137 |
| Provider Name | Boris E Coronado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285687632 PECOS PAC ID: 8527085893 Enrollment ID: I20051027000227 |
| Provider Name | Mandel B Miller |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740370048 PECOS PAC ID: 5395764476 Enrollment ID: I20051117000599 |
| Provider Name | Pearl S Huang Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720096647 PECOS PAC ID: 8628098175 Enrollment ID: I20051130000092 |
| Provider Name | John R Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104834027 PECOS PAC ID: 3678556701 Enrollment ID: I20051130000130 |
| Provider Name | Connie K Mercer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730128034 PECOS PAC ID: 7618990102 Enrollment ID: I20060111000235 |
| Provider Name | Truc T Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497721385 PECOS PAC ID: 6204849003 Enrollment ID: I20060721000067 |
| Provider Name | Deborah I Lauridsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851338321 PECOS PAC ID: 9931102696 Enrollment ID: I20060818000089 |
| Provider Name | Ray A Lebeda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619933397 PECOS PAC ID: 8426054735 Enrollment ID: I20061010000587 |
| Provider Name | Melia A Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700842481 PECOS PAC ID: 1254337561 Enrollment ID: I20061010000603 |
| Provider Name | Paramita Ghosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285699777 PECOS PAC ID: 5395745251 Enrollment ID: I20061228000225 |
| Provider Name | Larry D Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477559060 PECOS PAC ID: 6406759539 Enrollment ID: I20070120000072 |
| Provider Name | Jeffrey Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790781391 PECOS PAC ID: 8426951559 Enrollment ID: I20070122000237 |
| Provider Name | Amy M Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033155106 PECOS PAC ID: 8325040694 Enrollment ID: I20070215000569 |
| Provider Name | Maria B Bello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821081563 PECOS PAC ID: 6002918828 Enrollment ID: I20070226000557 |
| Provider Name | Christina M Gillmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700811247 PECOS PAC ID: 4587766019 Enrollment ID: I20070301000190 |
| Provider Name | Pawel Zelenski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609846633 PECOS PAC ID: 7810090412 Enrollment ID: I20070320000653 |
| Provider Name | Peter T Morrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861462665 PECOS PAC ID: 5991808594 Enrollment ID: I20070320000662 |
| Provider Name | Martin Omalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083684013 PECOS PAC ID: 8527161025 Enrollment ID: I20070320000679 |
| Provider Name | Michelle Mendez Sanes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962424101 PECOS PAC ID: 6305940321 Enrollment ID: I20070402000223 |
| Provider Name | Daniel Mora Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275578726 PECOS PAC ID: 5890890057 Enrollment ID: I20070417000154 |
| Provider Name | Rachel J Bonnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639207921 PECOS PAC ID: 2163527979 Enrollment ID: I20070423000309 |
| Provider Name | Asim J Khattak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578520730 PECOS PAC ID: 2264537034 Enrollment ID: I20070424000227 |
| Provider Name | Lisa M Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265491898 PECOS PAC ID: 7911007695 Enrollment ID: I20070710000831 |
| Provider Name | David Smuckler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104828318 PECOS PAC ID: 1951340405 Enrollment ID: I20070821000300 |
| Provider Name | Michael Bougoulias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174514178 PECOS PAC ID: 4880599679 Enrollment ID: I20071119000107 |
| Provider Name | Todd J Sontag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306032289 PECOS PAC ID: 3072694355 Enrollment ID: I20080111000552 |
| Provider Name | Daniel G Goddard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942391289 PECOS PAC ID: 4082796362 Enrollment ID: I20080124000666 |
| Provider Name | Javier Lopez-de-arco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295729986 PECOS PAC ID: 4880685106 Enrollment ID: I20080508000825 |
| Provider Name | Christine Jablonski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902006950 PECOS PAC ID: 2769556109 Enrollment ID: I20080804000435 |
| Provider Name | Christine L Echols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205907672 PECOS PAC ID: 6406923507 Enrollment ID: I20080915000587 |
| Provider Name | Dawn W Leggon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770650152 PECOS PAC ID: 2769544279 Enrollment ID: I20081217000481 |
| Provider Name | Maricca G Niemiec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538269469 PECOS PAC ID: 6305907122 Enrollment ID: I20090204000694 |
| Provider Name | Fernando I Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003886953 PECOS PAC ID: 4688723422 Enrollment ID: I20090527000271 |
| Provider Name | Dorothy J Odom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366693061 PECOS PAC ID: 8325191778 Enrollment ID: I20090801000006 |
| Provider Name | Annette R Cabiac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093907560 PECOS PAC ID: 3678619160 Enrollment ID: I20091014000498 |
| Provider Name | Elly Benzaquen Parkes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053562751 PECOS PAC ID: 4587701933 Enrollment ID: I20091016000524 |
| Provider Name | Luis E Baltodano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013989250 PECOS PAC ID: 0244205482 Enrollment ID: I20100111000645 |
| Provider Name | Robert Michael Faber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518980317 PECOS PAC ID: 3678502812 Enrollment ID: I20100114000521 |
| Provider Name | Gary H Rothwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205825916 PECOS PAC ID: 5092858019 Enrollment ID: I20100129000512 |
| Provider Name | James Voirin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295725422 PECOS PAC ID: 6305989880 Enrollment ID: I20100205000340 |
| Provider Name | Julie K Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730170556 PECOS PAC ID: 3173667409 Enrollment ID: I20100224000327 |
| Provider Name | Robert J Clement Jr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487645396 PECOS PAC ID: 8123162468 Enrollment ID: I20100224000474 |
| Provider Name | Joseph Ragno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952390767 PECOS PAC ID: 8123162328 Enrollment ID: I20100225000128 |
| Provider Name | Erik C Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710977954 PECOS PAC ID: 2668516865 Enrollment ID: I20100225000150 |
| Provider Name | Martin Derrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144219528 PECOS PAC ID: 0941345037 Enrollment ID: I20100301000277 |
| Provider Name | Guy E Nicolas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275523383 PECOS PAC ID: 9739224841 Enrollment ID: I20100301000437 |
| Provider Name | Jeffrey A Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114916814 PECOS PAC ID: 1456496397 Enrollment ID: I20100303000962 |
| Provider Name | Hazel-ann M David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356332340 PECOS PAC ID: 0749325694 Enrollment ID: I20100303001041 |
| Provider Name | Christopher Caggiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447241443 PECOS PAC ID: 6800922014 Enrollment ID: I20100326000734 |
| Provider Name | Huy Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578553392 PECOS PAC ID: 4183750284 Enrollment ID: I20100329000173 |
| Provider Name | Ravindra Tak |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124017827 PECOS PAC ID: 6507992427 Enrollment ID: I20100330001246 |
| Provider Name | David S Boyer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851381180 PECOS PAC ID: 6002942927 Enrollment ID: I20100330001303 |
| Provider Name | Andrew B Nye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639365893 PECOS PAC ID: 1850420449 Enrollment ID: I20100519000742 |
| Provider Name | Christian Ap Kovats |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063400117 PECOS PAC ID: 0345255097 Enrollment ID: I20100602000397 |
| Provider Name | Diane C Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215151493 PECOS PAC ID: 5294865143 Enrollment ID: I20100619000078 |
| Provider Name | Benjamin M Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013234715 PECOS PAC ID: 5395869937 Enrollment ID: I20100902000829 |
| Provider Name | Rodolfo A Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649261496 PECOS PAC ID: 8022134162 Enrollment ID: I20100927001026 |
| Provider Name | Christina Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225196090 PECOS PAC ID: 6507959251 Enrollment ID: I20101004000426 |
| Provider Name | Maria Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619058583 PECOS PAC ID: 8729270574 Enrollment ID: I20101012000360 |
| Provider Name | Annamaria Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477869451 PECOS PAC ID: 2466645387 Enrollment ID: I20101022000991 |
| Provider Name | Michael A Glick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275572893 PECOS PAC ID: 0547227761 Enrollment ID: I20101124000545 |
| Provider Name | James B Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992747034 PECOS PAC ID: 3779658448 Enrollment ID: I20101214000875 |
| Provider Name | Aisha S Idrees |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316198039 PECOS PAC ID: 5395921159 Enrollment ID: I20110512000746 |
| Provider Name | Kenneth C Obiaja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639342363 PECOS PAC ID: 4082883335 Enrollment ID: I20110803000461 |
| Provider Name | Anjali Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811151384 PECOS PAC ID: 3072782531 Enrollment ID: I20110818000135 |
| Provider Name | Edgar M Ong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578553582 PECOS PAC ID: 1951571934 Enrollment ID: I20110830000682 |
| Provider Name | Milan Janmeja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649206020 PECOS PAC ID: 1850563321 Enrollment ID: I20111005000059 |
| Provider Name | Farah J Bess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417237421 PECOS PAC ID: 3072786714 Enrollment ID: I20111025000842 |
| Provider Name | Scott Marsel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811942048 PECOS PAC ID: 3577571694 Enrollment ID: I20111031000013 |
| Provider Name | Jennifer Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124144993 PECOS PAC ID: 6305010919 Enrollment ID: I20111116000834 |
| Provider Name | Cherie Jarolimek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700162765 PECOS PAC ID: 5991970360 Enrollment ID: I20111213000811 |
| Provider Name | Suvy Kuriakose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689893885 PECOS PAC ID: 8729138847 Enrollment ID: I20120418000779 |
| Provider Name | Vera O Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134143860 PECOS PAC ID: 2567554868 Enrollment ID: I20120424000178 |
| Provider Name | Miguel E Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750333480 PECOS PAC ID: 3375707417 Enrollment ID: I20120703000079 |
| Provider Name | Edgar I Cardenas Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508050048 PECOS PAC ID: 3274658182 Enrollment ID: I20120809000304 |
| Provider Name | Robert H Swietarski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790763332 PECOS PAC ID: 3274503115 Enrollment ID: I20121010000042 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578714135 PECOS PAC ID: 9931350709 Enrollment ID: I20121105000353 |
| Provider Name | Melodie J Mope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861636649 PECOS PAC ID: 4880845262 Enrollment ID: I20121112000512 |
| Provider Name | Deborah Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942552997 PECOS PAC ID: 1759534126 Enrollment ID: I20130115000153 |
| Provider Name | Lauren E Popeck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285982777 PECOS PAC ID: 0648419408 Enrollment ID: I20130627000075 |
| Provider Name | Mary Hilal Quarterman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487974762 PECOS PAC ID: 0042455057 Enrollment ID: I20130718000281 |
| Provider Name | Robert Aisenstat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497798318 PECOS PAC ID: 4082633326 Enrollment ID: I20130801000033 |
| Provider Name | Teresa T Bockian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780767756 PECOS PAC ID: 0244474237 Enrollment ID: I20130912000461 |
| Provider Name | Janinna M Torres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083615785 PECOS PAC ID: 6204060205 Enrollment ID: I20131008000443 |
| Provider Name | Julie A Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487093142 PECOS PAC ID: 0042445637 Enrollment ID: I20131107000964 |
| Provider Name | Cynthia Peschong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164709366 PECOS PAC ID: 7618100116 Enrollment ID: I20140508000695 |
| Provider Name | Caroline Nu Nguyen-min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588950265 PECOS PAC ID: 3173768009 Enrollment ID: I20140714001757 |
| Provider Name | April L Oxford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003108325 PECOS PAC ID: 0749405306 Enrollment ID: I20140715002488 |
| Provider Name | Marianna L Sisk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306107636 PECOS PAC ID: 8921224783 Enrollment ID: I20140731000425 |
| Provider Name | Martha C Aragon Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891083192 PECOS PAC ID: 6901022680 Enrollment ID: I20140801002066 |
| Provider Name | Lorna Stobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548674856 PECOS PAC ID: 3072730514 Enrollment ID: I20140807000740 |
| Provider Name | Ryan Kendall Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568758167 PECOS PAC ID: 6901041987 Enrollment ID: I20140821002447 |
| Provider Name | Charmain C John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598196925 PECOS PAC ID: 4981837804 Enrollment ID: I20140918001246 |
| Provider Name | Kristin Danielle Steffes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417242629 PECOS PAC ID: 8325277254 Enrollment ID: I20140929002050 |
| Provider Name | Katharine B Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316349954 PECOS PAC ID: 2365664497 Enrollment ID: I20141105001309 |
| Provider Name | Robert Paul Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245203058 PECOS PAC ID: 3870509235 Enrollment ID: I20141126000465 |
| Provider Name | Alexandra A. Benitez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760888150 PECOS PAC ID: 0042532400 Enrollment ID: I20141215000556 |
| Provider Name | Natalie Roye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730587817 PECOS PAC ID: 3072838150 Enrollment ID: I20150212000685 |
| Provider Name | Kerlie Estimable |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912294497 PECOS PAC ID: 6204151103 Enrollment ID: I20150218000715 |
| Provider Name | Margaly Valcourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275939589 PECOS PAC ID: 8820316979 Enrollment ID: I20150421001848 |
| Provider Name | Judith A Moss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013942317 PECOS PAC ID: 4284698861 Enrollment ID: I20150530000098 |
| Provider Name | William B Schurr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104051770 PECOS PAC ID: 7810042058 Enrollment ID: I20150727001538 |
| Provider Name | Malisa Ann Agard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366708323 PECOS PAC ID: 7012152952 Enrollment ID: I20150730012170 |
| Provider Name | Paula Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194106005 PECOS PAC ID: 0547574501 Enrollment ID: I20150804004929 |
| Provider Name | Fior Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114304508 PECOS PAC ID: 3971819749 Enrollment ID: I20150825004578 |
| Provider Name | Ashlee Wright |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275812042 PECOS PAC ID: 4587836085 Enrollment ID: I20151022002257 |
| Provider Name | Marilyn Chavannes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972970374 PECOS PAC ID: 6507175700 Enrollment ID: I20151028001651 |
| Provider Name | Musaddeque Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093738742 PECOS PAC ID: 5092799130 Enrollment ID: I20151105002211 |
| Provider Name | Kelly N Lambrigger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336545672 PECOS PAC ID: 2668776832 Enrollment ID: I20160209000586 |
| Provider Name | Hilary Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720034309 PECOS PAC ID: 4284636853 Enrollment ID: I20160711001651 |
| Provider Name | Ebony Monique Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053869529 PECOS PAC ID: 8022396175 Enrollment ID: I20161025002049 |
| Provider Name | Tristan Nicole Reddick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588004063 PECOS PAC ID: 9133352271 Enrollment ID: I20161026001364 |
| Provider Name | Lukasz Gierut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770929010 PECOS PAC ID: 2668605395 Enrollment ID: I20161111000840 |
| Provider Name | Karen Esther Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619182722 PECOS PAC ID: 5991938086 Enrollment ID: I20161115000220 |
| Provider Name | Michael A Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841742244 PECOS PAC ID: 1153603089 Enrollment ID: I20170128000162 |
| Provider Name | Cammy Danell Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093254252 PECOS PAC ID: 7618253550 Enrollment ID: I20170407001907 |
| Provider Name | Alison Luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952538357 PECOS PAC ID: 3678850302 Enrollment ID: I20170508000973 |
| Provider Name | Kimberly Ayala-vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164953527 PECOS PAC ID: 5193002731 Enrollment ID: I20170508002061 |
| Provider Name | Kari Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447702717 PECOS PAC ID: 7214214774 Enrollment ID: I20170510001721 |
| Provider Name | Elizabeth Mulling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801203716 PECOS PAC ID: 5890072185 Enrollment ID: I20170516001222 |
| Provider Name | Chelsea Ontkos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083163208 PECOS PAC ID: 4587931399 Enrollment ID: I20170529000041 |
| Provider Name | Lacie A Uppole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083152466 PECOS PAC ID: 8921376930 Enrollment ID: I20170615002324 |
| Provider Name | M E Shami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386173649 PECOS PAC ID: 9638448426 Enrollment ID: I20170711001541 |
| Provider Name | Pojchawan Yampikulsakul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912287137 PECOS PAC ID: 5294950911 Enrollment ID: I20170713001845 |
| Provider Name | Kenneth John Stroub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447279674 PECOS PAC ID: 7719937481 Enrollment ID: I20170815000808 |
| Provider Name | Justin P Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487188637 PECOS PAC ID: 2961774278 Enrollment ID: I20170822001534 |
| Provider Name | Trisha A Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821409988 PECOS PAC ID: 4688981814 Enrollment ID: I20170919002737 |
| Provider Name | Kirk J Hutjens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376650895 PECOS PAC ID: 7517003528 Enrollment ID: I20171128003385 |
| Provider Name | Anita Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013337898 PECOS PAC ID: 6406152453 Enrollment ID: I20171130001101 |
| Provider Name | Janine E Pino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831603174 PECOS PAC ID: 6709145808 Enrollment ID: I20180118000857 |
| Provider Name | Chanel Keari Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932610722 PECOS PAC ID: 2860752557 Enrollment ID: I20180126001226 |
| Provider Name | Courtney A Lemming Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932574787 PECOS PAC ID: 3375804065 Enrollment ID: I20180220002036 |
| Provider Name | Anyeli Burdier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053848945 PECOS PAC ID: 9931461431 Enrollment ID: I20180321001541 |
| Provider Name | Maria S Echavez-arroyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952506925 PECOS PAC ID: 7517050420 Enrollment ID: I20180328000776 |
| Provider Name | Sabrina Misty Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780106831 PECOS PAC ID: 7618231473 Enrollment ID: I20180502000169 |
| Provider Name | Lee S Kosstrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447632740 PECOS PAC ID: 9133431067 Enrollment ID: I20180730003490 |
| Provider Name | Randal Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649684952 PECOS PAC ID: 6204197296 Enrollment ID: I20180817003084 |
| Provider Name | Rica M Jester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841684958 PECOS PAC ID: 1759696594 Enrollment ID: I20181009000621 |
| Provider Name | Christine M Bryden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508343740 PECOS PAC ID: 7618229287 Enrollment ID: I20181009002391 |
| Provider Name | Hichinaca Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255827044 PECOS PAC ID: 8123370483 Enrollment ID: I20181015002228 |
| Provider Name | Mariaah Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881074763 PECOS PAC ID: 3072825157 Enrollment ID: I20181023002261 |
| Provider Name | Alicia J Coonce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720461320 PECOS PAC ID: 6901112275 Enrollment ID: I20181108001251 |
| Provider Name | Henrice Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770954679 PECOS PAC ID: 8426353814 Enrollment ID: I20181120000754 |
| Provider Name | Lavone Glema Bradfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871821447 PECOS PAC ID: 8224372479 Enrollment ID: I20181129001167 |
| Provider Name | Roberto Lucero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144607193 PECOS PAC ID: 0547508632 Enrollment ID: I20190215000270 |
| Provider Name | Angela L Tatro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821553827 PECOS PAC ID: 9133468838 Enrollment ID: I20190225000703 |
| Provider Name | Yolene Dorga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093293987 PECOS PAC ID: 5395086243 Enrollment ID: I20190403001006 |
| Provider Name | Kathleen Np Palyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982662011 PECOS PAC ID: 5193918340 Enrollment ID: I20190409002914 |
| Provider Name | Neasha Merritt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184814816 PECOS PAC ID: 3678767910 Enrollment ID: I20190411000219 |
| Provider Name | Renee Gabriel Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104127059 PECOS PAC ID: 5890036933 Enrollment ID: I20190418000051 |
| Provider Name | Dianne Kyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770934655 PECOS PAC ID: 4082976949 Enrollment ID: I20190510001174 |
| Provider Name | Cora T Yoose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285065615 PECOS PAC ID: 9537485057 Enrollment ID: I20190516000802 |
| Provider Name | Kenneth John G Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679705974 PECOS PAC ID: 0042475857 Enrollment ID: I20190520000543 |
| Provider Name | Patrick M Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801232103 PECOS PAC ID: 5799073482 Enrollment ID: I20190711002401 |
| Provider Name | Amy G Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316306756 PECOS PAC ID: 5092074179 Enrollment ID: I20190726000183 |
| Provider Name | Aura Melissa Urquia-robles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477849784 PECOS PAC ID: 5193043628 Enrollment ID: I20190809000345 |
| Provider Name | Christina M Bolton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952764334 PECOS PAC ID: 7517251929 Enrollment ID: I20190813002369 |
| Provider Name | Tasha Michelle Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972055218 PECOS PAC ID: 2567790512 Enrollment ID: I20190828003640 |
| Provider Name | Christine Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003475831 PECOS PAC ID: 1456680172 Enrollment ID: I20190905002337 |
| Provider Name | Chavel Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902450018 PECOS PAC ID: 5294064622 Enrollment ID: I20190911000821 |
| Provider Name | Chad Ervin Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811017999 PECOS PAC ID: 3476685041 Enrollment ID: I20190913000673 |
| Provider Name | Diorca Angelina Aquino De La Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689913543 PECOS PAC ID: 3779883947 Enrollment ID: I20190917004293 |
| Provider Name | Danielle Alhemovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831552611 PECOS PAC ID: 3476847385 Enrollment ID: I20190925002536 |
| Provider Name | Ryan J. Kissane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265824999 PECOS PAC ID: 5597030288 Enrollment ID: I20190926002264 |
| Provider Name | Jennifer L Sams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295395135 PECOS PAC ID: 3072843259 Enrollment ID: I20191002000158 |
| Provider Name | Tiana Arroyo-torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821648437 PECOS PAC ID: 8527399179 Enrollment ID: I20191011001077 |
| Provider Name | Kelly A Wesolowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346635901 PECOS PAC ID: 0244534303 Enrollment ID: I20191023000354 |
| Provider Name | William L Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104853183 PECOS PAC ID: 5193803104 Enrollment ID: I20191205002045 |
| Provider Name | Leslie Nicole Clemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942843149 PECOS PAC ID: 5597199539 Enrollment ID: I20191227000117 |
| Provider Name | Patrice M Cates-lonberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457510695 PECOS PAC ID: 2961695093 Enrollment ID: I20200210000744 |
| Provider Name | Melissa A Jewell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659865723 PECOS PAC ID: 1052748506 Enrollment ID: I20200224001620 |
| Provider Name | Lesley A Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942202684 PECOS PAC ID: 6709800568 Enrollment ID: I20200317000272 |
| Provider Name | Natalie Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811523103 PECOS PAC ID: 3476983032 Enrollment ID: I20200422001195 |
| Provider Name | Wendy Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720627300 PECOS PAC ID: 5193155505 Enrollment ID: I20200428000124 |
| Provider Name | Kimberly Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427583046 PECOS PAC ID: 3072880871 Enrollment ID: I20200429000858 |
| Provider Name | Daniel Jagarnauth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235638644 PECOS PAC ID: 6608138466 Enrollment ID: I20200507003208 |
| Provider Name | Christopher M Ciccarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215385067 PECOS PAC ID: 9537452263 Enrollment ID: I20200603001036 |
| Provider Name | Sapna Rama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316327737 PECOS PAC ID: 8022361245 Enrollment ID: I20200618002157 |
| Provider Name | Grace B Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750907077 PECOS PAC ID: 8426471624 Enrollment ID: I20200707001110 |
| Provider Name | Mayuri J Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477084333 PECOS PAC ID: 6709158579 Enrollment ID: I20200710000392 |
| Provider Name | Jeffrey D Laman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871020297 PECOS PAC ID: 3870861685 Enrollment ID: I20200715003351 |
| Provider Name | Rosalia Cuozzo-taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932638947 PECOS PAC ID: 1456622216 Enrollment ID: I20200812002604 |
| Provider Name | Mina Gerges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639600802 PECOS PAC ID: 8123390135 Enrollment ID: I20200826000998 |
| Provider Name | Kelly C Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790156164 PECOS PAC ID: 4486946969 Enrollment ID: I20201021000139 |
| Provider Name | Marie-anne S Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952935314 PECOS PAC ID: 0042624330 Enrollment ID: I20210127003461 |
| Provider Name | Chioma Echeazu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790189207 PECOS PAC ID: 0244646164 Enrollment ID: I20210301001802 |
| Provider Name | Lucy L Ortiz Alvarado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295938041 PECOS PAC ID: 2668668237 Enrollment ID: I20210310000926 |
| Provider Name | Kelley Shackelford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083118459 PECOS PAC ID: 6709135999 Enrollment ID: I20210528001302 |
| Provider Name | Julia A Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346834488 PECOS PAC ID: 6103228010 Enrollment ID: I20210715001001 |
| Provider Name | Reem A Abdalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982100863 PECOS PAC ID: 4082963178 Enrollment ID: I20210803003814 |
| Provider Name | Tracy P Nogle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831625805 PECOS PAC ID: 2769743327 Enrollment ID: I20210805001489 |
| Provider Name | Tameka Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588200679 PECOS PAC ID: 4880092451 Enrollment ID: I20211012002411 |
| Provider Name | Lynn Demeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376180851 PECOS PAC ID: 4981002300 Enrollment ID: I20211014001973 |
| Provider Name | Christian Rodriguez Cartagena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912556283 PECOS PAC ID: 0749607414 Enrollment ID: I20211028002557 |
| Provider Name | Tiffany S Cross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114424827 PECOS PAC ID: 7416208251 Enrollment ID: I20211122000022 |
| Provider Name | Kelvin Ong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275038283 PECOS PAC ID: 7315338001 Enrollment ID: I20220107001047 |
| Provider Name | Vivian Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760999858 PECOS PAC ID: 9537415211 Enrollment ID: I20220124000990 |
| Provider Name | Carleigh Nicole Eldayrie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932586310 PECOS PAC ID: 6507172608 Enrollment ID: I20220201001832 |
| Provider Name | Blair Heinke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366609604 PECOS PAC ID: 0042480717 Enrollment ID: I20220207002573 |
| Provider Name | Melissa Marie Carrion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780338863 PECOS PAC ID: 0446644298 Enrollment ID: I20220222000960 |
| Provider Name | Naman D Dalal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942732375 PECOS PAC ID: 5890032874 Enrollment ID: I20220325001876 |
| Provider Name | Tanisha Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568987873 PECOS PAC ID: 4183981418 Enrollment ID: I20220405002005 |
| Provider Name | Daniel Kitner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619430790 PECOS PAC ID: 2062755572 Enrollment ID: I20220418001491 |
| Provider Name | Shayna Renee Rabess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992374458 PECOS PAC ID: 9032596697 Enrollment ID: I20220519002793 |
| Provider Name | Andreea C Vascan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962598003 PECOS PAC ID: 0042208712 Enrollment ID: I20220528000014 |
| Provider Name | Tracy Lynn Hinote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285825646 PECOS PAC ID: 9931421211 Enrollment ID: I20220531002164 |
| Provider Name | Briana Nashae Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538822473 PECOS PAC ID: 1951789106 Enrollment ID: I20220601000201 |
| Provider Name | Loris Z Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922565860 PECOS PAC ID: 3173958899 Enrollment ID: I20220602001806 |
| Provider Name | Joshua S Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922560994 PECOS PAC ID: 2567796923 Enrollment ID: I20220623002351 |
| Provider Name | Raymond M Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295106755 PECOS PAC ID: 3375846702 Enrollment ID: I20220629003730 |
| Provider Name | Neysa M. Perez Crespo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831750009 PECOS PAC ID: 8123409752 Enrollment ID: I20220713004035 |
| Provider Name | Stephanie Rolon Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124580675 PECOS PAC ID: 7810315561 Enrollment ID: I20220719000567 |
| Provider Name | Lourdes Maggi De La Guardia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245790989 PECOS PAC ID: 7517291131 Enrollment ID: I20220720003960 |
| Provider Name | Carley Katlyn Beauge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831689116 PECOS PAC ID: 2365826146 Enrollment ID: I20220827000169 |
| Provider Name | Cherie R Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346653359 PECOS PAC ID: 2466678123 Enrollment ID: I20220920002552 |
| Provider Name | Amber L Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447673264 PECOS PAC ID: 9537399712 Enrollment ID: I20221017000576 |
| Provider Name | Menaka Kaur Dhand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740695196 PECOS PAC ID: 3779854039 Enrollment ID: I20221102000010 |
| Provider Name | Shawn Gregory Mccullough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467015529 PECOS PAC ID: 3274900352 Enrollment ID: I20221102000848 |
| Provider Name | Mark W Gilchrist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679659882 PECOS PAC ID: 6608243571 Enrollment ID: I20221105000102 |
| Provider Name | Luke Suvunrungsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134500309 PECOS PAC ID: 1759635956 Enrollment ID: I20221107002694 |
| Provider Name | Yaritza Miguelina Rodriguez Ogando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720703192 PECOS PAC ID: 9739557943 Enrollment ID: I20221118002581 |
| Provider Name | Andress L Burney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194259903 PECOS PAC ID: 9638547714 Enrollment ID: I20221121002058 |
| Provider Name | Christina M Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679001762 PECOS PAC ID: 4789953266 Enrollment ID: I20230111000071 |
| Provider Name | Brendan Kelley Suhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932819638 PECOS PAC ID: 5698146355 Enrollment ID: I20230117003151 |
| Provider Name | Nicole B. Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992419345 PECOS PAC ID: 4082087440 Enrollment ID: I20230306001005 |
| Provider Name | Christopher M Minello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538422738 PECOS PAC ID: 5193042828 Enrollment ID: I20230306002263 |
| Provider Name | Siloe Alvarado Chittenden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477972693 PECOS PAC ID: 7416174156 Enrollment ID: I20230524000900 |
| Provider Name | Shelby Rebecca Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407579006 PECOS PAC ID: 4385001676 Enrollment ID: I20230531003664 |
| Provider Name | Erynne L Bowers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003439456 PECOS PAC ID: 2466810767 Enrollment ID: I20230619001302 |
| Provider Name | Maria Virginia Martinez Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528681616 PECOS PAC ID: 8426473943 Enrollment ID: I20230626000369 |
| Provider Name | Ameena Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851958870 PECOS PAC ID: 7113255829 Enrollment ID: I20230627002591 |
| Provider Name | Candace Kuzma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477010650 PECOS PAC ID: 3072972207 Enrollment ID: I20230706003217 |
| Provider Name | Katelyn P Tribble |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639863939 PECOS PAC ID: 5496114399 Enrollment ID: I20230711000980 |
| Provider Name | Katie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982115242 PECOS PAC ID: 1951668631 Enrollment ID: I20230711001488 |
| Provider Name | Ramana Reddy Kankanala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679756381 PECOS PAC ID: 2062604960 Enrollment ID: I20230711002647 |
| Provider Name | Ali Al Rubaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760001192 PECOS PAC ID: 9638596299 Enrollment ID: I20230718004309 |
| Provider Name | Chirag Panchal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437654407 PECOS PAC ID: 1951651868 Enrollment ID: I20230721003482 |
| Provider Name | Kevin Benjamin Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710514591 PECOS PAC ID: 6305207051 Enrollment ID: I20230728000381 |
| Provider Name | Gilly S Arthurs Moulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275603441 PECOS PAC ID: 4880770445 Enrollment ID: I20230822003045 |
| Provider Name | Tiffany Hamm Yanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730710955 PECOS PAC ID: 6507286796 Enrollment ID: I20230822004411 |
| Provider Name | Alina Jeane Glatkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336778216 PECOS PAC ID: 5799148607 Enrollment ID: I20230824004123 |
| Provider Name | Shawn A Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053949941 PECOS PAC ID: 0547683120 Enrollment ID: I20230825001508 |
| Provider Name | Mary Beth Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851331821 PECOS PAC ID: 2264595834 Enrollment ID: I20230909000224 |
| Provider Name | Sridhar Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023110780 PECOS PAC ID: 0244316594 Enrollment ID: I20230918001722 |
| Provider Name | Melissa E. Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356025548 PECOS PAC ID: 5890159164 Enrollment ID: I20230920000157 |
| Provider Name | Karl Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689203564 PECOS PAC ID: 1052765054 Enrollment ID: I20230925003101 |
| Provider Name | Chhavi Rai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154550663 PECOS PAC ID: 7810141694 Enrollment ID: I20231128000546 |
| Provider Name | Shauna Jere Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306152558 PECOS PAC ID: 3779778980 Enrollment ID: I20231228001153 |
| Provider Name | Janel Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770282493 PECOS PAC ID: 1557712890 Enrollment ID: I20240110004446 |
| Provider Name | Mary Catherine Lucy Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023407251 PECOS PAC ID: 1557688397 Enrollment ID: I20240113000139 |
| Provider Name | Kimberly A Mangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437913712 PECOS PAC ID: 4688019649 Enrollment ID: I20240229001024 |
| Provider Name | Ileana Trautwein |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891562609 PECOS PAC ID: 7810335403 Enrollment ID: I20240402000828 |
| Provider Name | Anna J Bartz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023433570 PECOS PAC ID: 4981043304 Enrollment ID: I20240418002119 |
| Provider Name | Emanuel Nazario-irizarry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851703219 PECOS PAC ID: 9436422862 Enrollment ID: I20240605000414 |
Instant Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 Sandlake Commons Blvd Ste 227, Orlando, FL 32819 Phone: 407-426-4099 Fax: 407-809-5243 | |
Orlando Family Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 N Nowell St, Orlando, FL 32808 Phone: 407-290-9556 Fax: 407-290-9509 | |
The Concierge Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8976 Conroy Windermere Rd, Orlando, FL 32835 Phone: 321-848-4986 | |
Spartan Medical Men's Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9145 Narcoossee Rd Ste A102, Orlando, FL 32827 Phone: 407-703-6020 | |
Abid Rasool, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 S Semoran Blvd, Orlando, FL 32822 Phone: 407-380-1428 | |
The Medical Concierge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Turkey Lake Rd Ste 208, Orlando, FL 32819 Phone: 407-648-5252 Fax: 407-370-4126 | |
Physician Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7350 Sandlake Commons Blvd, Suite 1102, Orlando, FL 32819 Phone: 407-355-7478 Fax: 407-354-2431 |