| Osf Multi-specialty Group | |
|
8600 N State Route 91 Peoria IL 61615-9541 | |
| (309) 683-5050 | |
| (309) 683-4739 |
| Full Name | Osf Multi-specialty Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 8600 N State Route 91, Peoria, Illinois |
| Authorized Official Name and Position | Robert C Sehring (CEO) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osf Multi-specialty Group 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | Osf Multi-specialty Group 8600 N State Route 91 Peoria IL 61615-9541 Ph: (309) 683-5050 |
| NPI Number | 1922445527 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 03/07/2024 |
| Medicare PECOS PAC ID | 3678889789 |
|---|---|
| Medicare Enrollment ID | O20150904000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922445527 | NPI | - | NPPES |
| 000 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John W Rinker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255449393 PECOS PAC ID: 0749193555 Enrollment ID: I20031107000498 |
| Provider Name | Nichole Butler Mooyoung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245222108 PECOS PAC ID: 1557275096 Enrollment ID: I20031118000608 |
| Provider Name | Tiffani C Dillard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871695684 PECOS PAC ID: 3779487996 Enrollment ID: I20031120000443 |
| Provider Name | Ashraf S Hasan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033220678 PECOS PAC ID: 5496650806 Enrollment ID: I20031126000622 |
| Provider Name | John C Elser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154366839 PECOS PAC ID: 6901701259 Enrollment ID: I20031201000513 |
| Provider Name | David C Hulsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316992969 PECOS PAC ID: 8426955667 Enrollment ID: I20031216000809 |
| Provider Name | Stathis J Poulakidas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508833344 PECOS PAC ID: 9537067608 Enrollment ID: I20031229000098 |
| Provider Name | Craig Risser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437285475 PECOS PAC ID: 3971402744 Enrollment ID: I20031231000435 |
| Provider Name | Jeffrey Akeson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356342257 PECOS PAC ID: 4284533985 Enrollment ID: I20040106000340 |
| Provider Name | Syed M Ala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235233792 PECOS PAC ID: 7214836469 Enrollment ID: I20040107000216 |
| Provider Name | Jerry M Antonini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386736023 PECOS PAC ID: 8325948060 Enrollment ID: I20040109000968 |
| Provider Name | Andrew Z Zasada |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679590269 PECOS PAC ID: 4880508449 Enrollment ID: I20040120001019 |
| Provider Name | Melinda B Cooling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619057031 PECOS PAC ID: 9638071731 Enrollment ID: I20040121000041 |
| Provider Name | Matthew J Gorman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427130392 PECOS PAC ID: 0143122242 Enrollment ID: I20040121000187 |
| Provider Name | Rick S Cernovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508824723 PECOS PAC ID: 4587566245 Enrollment ID: I20040122001134 |
| Provider Name | Ketan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114910528 PECOS PAC ID: 4082525696 Enrollment ID: I20040126000068 |
| Provider Name | Aamir Banday |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467477810 PECOS PAC ID: 0648163337 Enrollment ID: I20040205001056 |
| Provider Name | Michael A Ahearn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184687717 PECOS PAC ID: 8224921648 Enrollment ID: I20040207000230 |
| Provider Name | Marcia A Zukosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104972249 PECOS PAC ID: 6901791136 Enrollment ID: I20040217000957 |
| Provider Name | Mark G Vaselakos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295754257 PECOS PAC ID: 1254227234 Enrollment ID: I20040226000047 |
| Provider Name | George Z Hevesy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881654937 PECOS PAC ID: 4183511850 Enrollment ID: I20040228000242 |
| Provider Name | Nicole E Mourillon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669456018 PECOS PAC ID: 5496642621 Enrollment ID: I20040302001338 |
| Provider Name | Kimberly Keenan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093816522 PECOS PAC ID: 9830086883 Enrollment ID: I20040303000678 |
| Provider Name | Robert Christopher Lawler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386758506 PECOS PAC ID: 4789584814 Enrollment ID: I20040305000054 |
| Provider Name | William P Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902911027 PECOS PAC ID: 7810885035 Enrollment ID: I20040309000923 |
| Provider Name | John S Shallat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942381306 PECOS PAC ID: 7911895065 Enrollment ID: I20040309001109 |
| Provider Name | Michael J Schifano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679507818 PECOS PAC ID: 8820987738 Enrollment ID: I20040310001415 |
| Provider Name | Adel Samy Raheb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265418982 PECOS PAC ID: 7012805211 Enrollment ID: I20040312000058 |
| Provider Name | Serge Golber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861464992 PECOS PAC ID: 5294637740 Enrollment ID: I20040313000408 |
| Provider Name | Dana C Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265434658 PECOS PAC ID: 3870484629 Enrollment ID: I20040322001834 |
| Provider Name | Robert Bruha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043340367 PECOS PAC ID: 3577454776 Enrollment ID: I20040324001091 |
| Provider Name | James T Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407863210 PECOS PAC ID: 5991697971 Enrollment ID: I20040325001025 |
| Provider Name | Abraham R Frenkel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861584542 PECOS PAC ID: 7315839099 Enrollment ID: I20040326001238 |
| Provider Name | Earl J Wipfler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639284995 PECOS PAC ID: 3971595661 Enrollment ID: I20040401001081 |
| Provider Name | Rajnikant K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770570095 PECOS PAC ID: 1456343987 Enrollment ID: I20040402000256 |
| Provider Name | Joseph R Peters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639108129 PECOS PAC ID: 1557354255 Enrollment ID: I20040407001064 |
| Provider Name | Calvin E Atwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972574028 PECOS PAC ID: 7214824143 Enrollment ID: I20040407001326 |
| Provider Name | Mark C Baylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740256700 PECOS PAC ID: 8224021753 Enrollment ID: I20040408000392 |
| Provider Name | Sharon R Wissler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700823556 PECOS PAC ID: 4880688134 Enrollment ID: I20040412000282 |
| Provider Name | Tami L Harker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346299849 PECOS PAC ID: 5193719318 Enrollment ID: I20040412000820 |
| Provider Name | Eldon Samuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427149210 PECOS PAC ID: 6002800166 Enrollment ID: I20040412001208 |
| Provider Name | Jean M Kriz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1215029582 PECOS PAC ID: 8527053040 Enrollment ID: I20040415000569 |
| Provider Name | Troy S Cutler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639108020 PECOS PAC ID: 7012902232 Enrollment ID: I20040417000140 |
| Provider Name | Linda M Auer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114038072 PECOS PAC ID: 8729073150 Enrollment ID: I20040421000077 |
| Provider Name | Mark W Hiser |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538184924 PECOS PAC ID: 4981516390 Enrollment ID: I20040421000089 |
| Provider Name | Francois J Geoffroy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1871593434 PECOS PAC ID: 3274529854 Enrollment ID: I20040421000108 |
| Provider Name | Jeffrey D Hershkowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922101104 PECOS PAC ID: 4880689462 Enrollment ID: I20040421000214 |
| Provider Name | Thomas J Whittle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154422988 PECOS PAC ID: 3971598459 Enrollment ID: I20040421000495 |
| Provider Name | Mark A Meeker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225139058 PECOS PAC ID: 8123013604 Enrollment ID: I20040421000528 |
| Provider Name | Kishorbhai K Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396846853 PECOS PAC ID: 6507851086 Enrollment ID: I20040421000639 |
| Provider Name | Elizabeth J Puthenveetil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417058256 PECOS PAC ID: 6507852977 Enrollment ID: I20040421001455 |
| Provider Name | Amy S Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356442172 PECOS PAC ID: 5193711570 Enrollment ID: I20040421001503 |
| Provider Name | Nancy L Dehaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447267919 PECOS PAC ID: 0749276137 Enrollment ID: I20040421001566 |
| Provider Name | Issac G Plamoottil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942293469 PECOS PAC ID: 7517954365 Enrollment ID: I20040426001305 |
| Provider Name | Susan J Carmody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841390481 PECOS PAC ID: 1456348952 Enrollment ID: I20040427001268 |
| Provider Name | Marianne Mikatstevens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598735904 PECOS PAC ID: 5193712610 Enrollment ID: I20040427001445 |
| Provider Name | Kraig Alan Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760467773 PECOS PAC ID: 9931196235 Enrollment ID: I20040428001148 |
| Provider Name | Damian W Grivetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518970847 PECOS PAC ID: 4789672114 Enrollment ID: I20040504001455 |
| Provider Name | Mark Wasserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225130933 PECOS PAC ID: 2163411133 Enrollment ID: I20040506001315 |
| Provider Name | Jason Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982639621 PECOS PAC ID: 6204721251 Enrollment ID: I20040510000277 |
| Provider Name | Brian L Bostwick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891768636 PECOS PAC ID: 2668461195 Enrollment ID: I20040510001387 |
| Provider Name | Robert J Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467491092 PECOS PAC ID: 8022007350 Enrollment ID: I20040511000649 |
| Provider Name | Patricia A Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043303399 PECOS PAC ID: 7719976026 Enrollment ID: I20040511001221 |
| Provider Name | David Rzepczynski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497862817 PECOS PAC ID: 1850380007 Enrollment ID: I20040511001561 |
| Provider Name | Gueorgui S Gueorguiev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356336952 PECOS PAC ID: 4981694064 Enrollment ID: I20040512001483 |
| Provider Name | Hady E Sfeir |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952491243 PECOS PAC ID: 8527058361 Enrollment ID: I20040514000257 |
| Provider Name | Anju Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952335671 PECOS PAC ID: 4789674458 Enrollment ID: I20040514000475 |
| Provider Name | Mazen Kawji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518915842 PECOS PAC ID: 7810988664 Enrollment ID: I20040520000474 |
| Provider Name | Maureen L Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457451957 PECOS PAC ID: 6709867658 Enrollment ID: I20040526000983 |
| Provider Name | Joyce Turley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871609677 PECOS PAC ID: 2466433180 Enrollment ID: I20040528000061 |
| Provider Name | Robert G Vottero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902832025 PECOS PAC ID: 1153303201 Enrollment ID: I20040603000187 |
| Provider Name | James A Meserow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609818657 PECOS PAC ID: 4789666736 Enrollment ID: I20040603000289 |
| Provider Name | Kamal Kishore |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215059977 PECOS PAC ID: 1153305552 Enrollment ID: I20040615000089 |
| Provider Name | George Brodsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417928714 PECOS PAC ID: 4284619784 Enrollment ID: I20040621000071 |
| Provider Name | John J Farrell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043284649 PECOS PAC ID: 8123004504 Enrollment ID: I20040626000052 |
| Provider Name | Jami J Riggenbach-hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942429055 PECOS PAC ID: 5698751824 Enrollment ID: I20040628000759 |
| Provider Name | Usman A Cheema |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518071760 PECOS PAC ID: 1456338284 Enrollment ID: I20040630000616 |
| Provider Name | Edward A Telfer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1700805249 PECOS PAC ID: 9133106552 Enrollment ID: I20040702000956 |
| Provider Name | Lori A Teverbaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427037209 PECOS PAC ID: 1254318090 Enrollment ID: I20040706000253 |
| Provider Name | Timothy A Stead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346340973 PECOS PAC ID: 4981683885 Enrollment ID: I20040715000100 |
| Provider Name | Sherry D Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316141849 PECOS PAC ID: 8426037227 Enrollment ID: I20040715000868 |
| Provider Name | Cyrus D Solhkhah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174710347 PECOS PAC ID: 0547249088 Enrollment ID: I20040717000052 |
| Provider Name | Marcus Weeks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518903798 PECOS PAC ID: 4587643986 Enrollment ID: I20040719000876 |
| Provider Name | Pasupathy Padmanabhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952331993 PECOS PAC ID: 1456331628 Enrollment ID: I20040720001475 |
| Provider Name | Ajeet D Gordhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306892369 PECOS PAC ID: 9436139409 Enrollment ID: I20040721000579 |
| Provider Name | Ian K Kang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699856450 PECOS PAC ID: 2466422688 Enrollment ID: I20040727000559 |
| Provider Name | John N Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053421248 PECOS PAC ID: 6901876424 Enrollment ID: I20040730000277 |
| Provider Name | Adriana P Dumitrescu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376591933 PECOS PAC ID: 5890767230 Enrollment ID: I20040806001135 |
| Provider Name | Ronald James Wiechert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811939234 PECOS PAC ID: 5193797546 Enrollment ID: I20040806001186 |
| Provider Name | Aseem Saklecha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730131889 PECOS PAC ID: 8628041100 Enrollment ID: I20040813000292 |
| Provider Name | Isabel A Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225148414 PECOS PAC ID: 8921071325 Enrollment ID: I20040813001210 |
| Provider Name | Anthony F Molinari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043290158 PECOS PAC ID: 2567435795 Enrollment ID: I20040818000181 |
| Provider Name | Wade D Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275557498 PECOS PAC ID: 2365416419 Enrollment ID: I20040824000640 |
| Provider Name | Jon C Michel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437244555 PECOS PAC ID: 1951375013 Enrollment ID: I20040824000722 |
| Provider Name | Frank J Zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174673123 PECOS PAC ID: 6406820406 Enrollment ID: I20040825000256 |
| Provider Name | Thomas P Carmody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275534406 PECOS PAC ID: 9032107727 Enrollment ID: I20040825000310 |
| Provider Name | Jacqueline M Deffenbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174535306 PECOS PAC ID: 3072587997 Enrollment ID: I20040825000494 |
| Provider Name | Michael G Saad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831191261 PECOS PAC ID: 3577537349 Enrollment ID: I20040826000023 |
| Provider Name | Jason A Castator |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972693059 PECOS PAC ID: 8820063563 Enrollment ID: I20040827000024 |
| Provider Name | Richard D Harvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740259068 PECOS PAC ID: 5092780163 Enrollment ID: I20040901000177 |
| Provider Name | Daniel Katz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013919737 PECOS PAC ID: 0840265930 Enrollment ID: I20040901000298 |
| Provider Name | Scott M Guth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568422962 PECOS PAC ID: 1850367434 Enrollment ID: I20040903001161 |
| Provider Name | Tinoy J Kizhakekuttu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558336214 PECOS PAC ID: 0648246231 Enrollment ID: I20040903001195 |
| Provider Name | Christine C Perks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033383070 PECOS PAC ID: 0042286635 Enrollment ID: I20040903001233 |
| Provider Name | Anna M Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447437702 PECOS PAC ID: 8123094174 Enrollment ID: I20040909001190 |
| Provider Name | Abraham G Kocheril |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639194541 PECOS PAC ID: 5092782938 Enrollment ID: I20040910001264 |
| Provider Name | Daniel P Lange |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972522720 PECOS PAC ID: 7618944513 Enrollment ID: I20040913000259 |
| Provider Name | Kathryn C Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568471241 PECOS PAC ID: 8325015506 Enrollment ID: I20040916000234 |
| Provider Name | Frank J Peppers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821097395 PECOS PAC ID: 6305814427 Enrollment ID: I20040917000039 |
| Provider Name | Keith E Peachey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184623746 PECOS PAC ID: 5294635504 Enrollment ID: I20040921000457 |
| Provider Name | Robert H Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588663017 PECOS PAC ID: 7719955426 Enrollment ID: I20040921000503 |
| Provider Name | Ramaprasad Konanur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336172121 PECOS PAC ID: 9739158932 Enrollment ID: I20040924000788 |
| Provider Name | Sifatur R Sayeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659394476 PECOS PAC ID: 8527037795 Enrollment ID: I20040927000080 |
| Provider Name | Kevin D Egly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710092655 PECOS PAC ID: 0042289118 Enrollment ID: I20040927000836 |
| Provider Name | Xavier F Pombar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346224797 PECOS PAC ID: 4880663822 Enrollment ID: I20040928000113 |
| Provider Name | Bamidele Ayodeeji Ogunleye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831209584 PECOS PAC ID: 5395714067 Enrollment ID: I20040929000584 |
| Provider Name | Brett L Keller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407870876 PECOS PAC ID: 2668441098 Enrollment ID: I20041001000143 |
| Provider Name | Teressa L Alexander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851387328 PECOS PAC ID: 6901865260 Enrollment ID: I20041004000783 |
| Provider Name | Jonas V Sidrys |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124068275 PECOS PAC ID: 1557320959 Enrollment ID: I20041008001426 |
| Provider Name | Chariece Lasalle Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124150370 PECOS PAC ID: 7012977242 Enrollment ID: I20041013000097 |
| Provider Name | Jasmine N Bhurgri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821046186 PECOS PAC ID: 1254306723 Enrollment ID: I20041015000070 |
| Provider Name | Esther A Sy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659358703 PECOS PAC ID: 3577523273 Enrollment ID: I20041018000232 |
| Provider Name | Therese M Lucietto-sieradzki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699708636 PECOS PAC ID: 5395706774 Enrollment ID: I20041019001296 |
| Provider Name | Teresa J Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104894906 PECOS PAC ID: 1153382387 Enrollment ID: I20041021000514 |
| Provider Name | Paul V Byskosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699850768 PECOS PAC ID: 0042108359 Enrollment ID: I20041022000678 |
| Provider Name | Won H Jhee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861411027 PECOS PAC ID: 6305808965 Enrollment ID: I20041027000583 |
| Provider Name | Sylvia J Moscoso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689649105 PECOS PAC ID: 5698737898 Enrollment ID: I20041030000195 |
| Provider Name | John Alexander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144256017 PECOS PAC ID: 9335101054 Enrollment ID: I20041103000939 |
| Provider Name | Jan Pawel Skowronski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790710283 PECOS PAC ID: 8022071497 Enrollment ID: I20041105001093 |
| Provider Name | Glenett M Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770663346 PECOS PAC ID: 8527021930 Enrollment ID: I20041108000088 |
| Provider Name | Allan L Ong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760411367 PECOS PAC ID: 0244293546 Enrollment ID: I20041108000944 |
| Provider Name | William G Ward |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033187620 PECOS PAC ID: 5092776187 Enrollment ID: I20041109000211 |
| Provider Name | Aristides Delahera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134177447 PECOS PAC ID: 6507778792 Enrollment ID: I20041111000390 |
| Provider Name | Randall Fortuna |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285607986 PECOS PAC ID: 6406810076 Enrollment ID: I20041113000079 |
| Provider Name | Kenneth J Korcek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396850657 PECOS PAC ID: 7719941210 Enrollment ID: I20041115000942 |
| Provider Name | Syed M Mohiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144216243 PECOS PAC ID: 6305801747 Enrollment ID: I20041124000336 |
| Provider Name | Melisa S Mundwiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700836509 PECOS PAC ID: 6608831052 Enrollment ID: I20041124000412 |
| Provider Name | William V Novak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740367895 PECOS PAC ID: 6800852427 Enrollment ID: I20041206000855 |
| Provider Name | Joseph H Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669564738 PECOS PAC ID: 4981660230 Enrollment ID: I20041208000333 |
| Provider Name | Sidney P Rohrscheib |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073580122 PECOS PAC ID: 7810954245 Enrollment ID: I20041216000657 |
| Provider Name | Tondalaya L Gamble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154334209 PECOS PAC ID: 0143288167 Enrollment ID: I20041222000375 |
| Provider Name | Anna Mullens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437165966 PECOS PAC ID: 7012975972 Enrollment ID: I20041222000701 |
| Provider Name | Deirdre E Casagrande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063448082 PECOS PAC ID: 7416915236 Enrollment ID: I20041228000039 |
| Provider Name | Heberto Z Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366419194 PECOS PAC ID: 0840258588 Enrollment ID: I20041229000134 |
| Provider Name | Vuong A Dang-duc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588630719 PECOS PAC ID: 7113985854 Enrollment ID: I20041229000150 |
| Provider Name | Carla P Watson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356418446 PECOS PAC ID: 3072561844 Enrollment ID: I20050107000718 |
| Provider Name | Leela L Narra |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225001571 PECOS PAC ID: 2567410343 Enrollment ID: I20050107000790 |
| Provider Name | Kristin A Mock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255380762 PECOS PAC ID: 3971552217 Enrollment ID: I20050113000769 |
| Provider Name | Kara Oprian Fess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700843950 PECOS PAC ID: 7113976283 Enrollment ID: I20050117000129 |
| Provider Name | James Vernon Piephoff |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225144827 PECOS PAC ID: 5991754475 Enrollment ID: I20050121000834 |
| Provider Name | Henry Martin Del Campo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457441743 PECOS PAC ID: 5799735528 Enrollment ID: I20050128000402 |
| Provider Name | Lindsay D Barth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437142635 PECOS PAC ID: 7517937345 Enrollment ID: I20050131000016 |
| Provider Name | Sherine F Hanna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003886417 PECOS PAC ID: 6002867512 Enrollment ID: I20050202000250 |
| Provider Name | Pushpa K Mamtani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376527168 PECOS PAC ID: 9032160395 Enrollment ID: I20050203000349 |
| Provider Name | Matthew Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538199187 PECOS PAC ID: 1052362340 Enrollment ID: I20050203000569 |
| Provider Name | Daniel Knight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932124997 PECOS PAC ID: 9739178005 Enrollment ID: I20050207000775 |
| Provider Name | Berry E Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669456729 PECOS PAC ID: 3476504424 Enrollment ID: I20050207000816 |
| Provider Name | Pamela R Doloszycki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861563397 PECOS PAC ID: 0648221648 Enrollment ID: I20050208000176 |
| Provider Name | William P Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659355972 PECOS PAC ID: 6406808716 Enrollment ID: I20050215000678 |
| Provider Name | Greg Mendrek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144227406 PECOS PAC ID: 5395797203 Enrollment ID: I20050218000123 |
| Provider Name | John F Rashid |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386674349 PECOS PAC ID: 0345293825 Enrollment ID: I20050224000331 |
| Provider Name | Mark J Hsu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376573428 PECOS PAC ID: 0648223131 Enrollment ID: I20050224000405 |
| Provider Name | Darrel C Gumm |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669406054 PECOS PAC ID: 8527970987 Enrollment ID: I20050224000526 |
| Provider Name | Leela S Dhanekula |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801826938 PECOS PAC ID: 2163475674 Enrollment ID: I20050224000606 |
| Provider Name | Barry S Clemson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942234323 PECOS PAC ID: 4789596123 Enrollment ID: I20050224000712 |
| Provider Name | Joseph J Sarmiento |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588691877 PECOS PAC ID: 6002728441 Enrollment ID: I20050224000985 |
| Provider Name | Ronald R Rabjohns |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972533925 PECOS PAC ID: 9638081086 Enrollment ID: I20050301000140 |
| Provider Name | Maria G Bayas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972740660 PECOS PAC ID: 9638123227 Enrollment ID: I20050307000453 |
| Provider Name | Cristin M Rassi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316930001 PECOS PAC ID: 6709831597 Enrollment ID: I20050315000217 |
| Provider Name | Feiteng Su |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477572733 PECOS PAC ID: 7012962574 Enrollment ID: I20050317000261 |
| Provider Name | Parker K Jain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902882764 PECOS PAC ID: 5294639100 Enrollment ID: I20050322000248 |
| Provider Name | Robert S Hamilton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164431904 PECOS PAC ID: 6002853306 Enrollment ID: I20050408000224 |
| Provider Name | John C Gaskill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316058043 PECOS PAC ID: 7113964859 Enrollment ID: I20050413001072 |
| Provider Name | Levi S Kirkland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720082233 PECOS PAC ID: 4385681741 Enrollment ID: I20050418000055 |
| Provider Name | Shelly S Shallat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184706988 PECOS PAC ID: 6507805801 Enrollment ID: I20050426001463 |
| Provider Name | Roger C Joy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922183128 PECOS PAC ID: 4880633940 Enrollment ID: I20050427001359 |
| Provider Name | Teresa A Hubka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659354140 PECOS PAC ID: 7416996483 Enrollment ID: I20050428000825 |
| Provider Name | Christopher Leonard Vulin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801870126 PECOS PAC ID: 2668411356 Enrollment ID: I20050502001229 |
| Provider Name | James G Szudera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518072867 PECOS PAC ID: 4981644812 Enrollment ID: I20050510000452 |
| Provider Name | Raul V Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053307660 PECOS PAC ID: 3274573951 Enrollment ID: I20050512000275 |
| Provider Name | Soliman M Soliman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164591947 PECOS PAC ID: 3779524095 Enrollment ID: I20050517000932 |
| Provider Name | Ramkrishna G Mehendale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003929126 PECOS PAC ID: 6406898006 Enrollment ID: I20050524000932 |
| Provider Name | Anil J Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780604900 PECOS PAC ID: 0840233508 Enrollment ID: I20050603000956 |
| Provider Name | Catherine Wikoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770576613 PECOS PAC ID: 0648213637 Enrollment ID: I20050610000176 |
| Provider Name | Richard Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699703892 PECOS PAC ID: 5294625745 Enrollment ID: I20050610000201 |
| Provider Name | Edward Koo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326028507 PECOS PAC ID: 3173567971 Enrollment ID: I20050613001077 |
| Provider Name | Robert J Paresi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891902359 PECOS PAC ID: 3173503141 Enrollment ID: I20050614000187 |
| Provider Name | Othman A Jibril |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801871967 PECOS PAC ID: 3072557651 Enrollment ID: I20050614001315 |
| Provider Name | Estrellita Velez Jo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427012004 PECOS PAC ID: 0345200424 Enrollment ID: I20050615000054 |
| Provider Name | George A Zaverdas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295798742 PECOS PAC ID: 1557306149 Enrollment ID: I20050623000806 |
| Provider Name | Yogesh K Agarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336142017 PECOS PAC ID: 0547206393 Enrollment ID: I20050701000026 |
| Provider Name | Joanna C Gardner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104852631 PECOS PAC ID: 6406892934 Enrollment ID: I20050706000418 |
| Provider Name | Brian S Curtis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730272964 PECOS PAC ID: 2365478609 Enrollment ID: I20050708000808 |
| Provider Name | Savitha S Reddy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841208568 PECOS PAC ID: 0143257220 Enrollment ID: I20050720000542 |
| Provider Name | William E Hauter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902895048 PECOS PAC ID: 2961439997 Enrollment ID: I20050721000497 |
| Provider Name | Gene G Couri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932122595 PECOS PAC ID: 5193752905 Enrollment ID: I20050725000075 |
| Provider Name | John W Hafner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255360715 PECOS PAC ID: 8325075146 Enrollment ID: I20050725000129 |
| Provider Name | Scott D Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386726255 PECOS PAC ID: 7214964949 Enrollment ID: I20050725000328 |
| Provider Name | James R Hubler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861428492 PECOS PAC ID: 8527095264 Enrollment ID: I20050725000372 |
| Provider Name | Travis William Swink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619060977 PECOS PAC ID: 2769420231 Enrollment ID: I20050725000505 |
| Provider Name | Marc D Squillante |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477599272 PECOS PAC ID: 8426085184 Enrollment ID: I20050725000531 |
| Provider Name | Paul M Matthews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619906146 PECOS PAC ID: 7214964998 Enrollment ID: I20050725000664 |
| Provider Name | James T Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699704122 PECOS PAC ID: 2668409368 Enrollment ID: I20050725000835 |
| Provider Name | Gregory J Tudor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356377626 PECOS PAC ID: 6800823410 Enrollment ID: I20050725000986 |
| Provider Name | Kavitha Raman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699797555 PECOS PAC ID: 0648207266 Enrollment ID: I20050725001142 |
| Provider Name | Fouad Al-qawasmi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093709438 PECOS PAC ID: 2062449598 Enrollment ID: I20050726000774 |
| Provider Name | Sonu Dhillon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225017593 PECOS PAC ID: 9133158751 Enrollment ID: I20050804000396 |
| Provider Name | John D Baer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255331773 PECOS PAC ID: 0244138071 Enrollment ID: I20050805000421 |
| Provider Name | Frank I Russo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669537155 PECOS PAC ID: 7911936075 Enrollment ID: I20050809000448 |
| Provider Name | Lucille A Fendrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982633202 PECOS PAC ID: 3678503356 Enrollment ID: I20050813000051 |
| Provider Name | Guy J Petruzzelli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528045481 PECOS PAC ID: 9234169814 Enrollment ID: I20050813000130 |
| Provider Name | Diane C Krall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144215708 PECOS PAC ID: 7214967538 Enrollment ID: I20050816001274 |
| Provider Name | Vanessa L Pitts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588691687 PECOS PAC ID: 4183654346 Enrollment ID: I20050817000328 |
| Provider Name | Rick A Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396772976 PECOS PAC ID: 1456381656 Enrollment ID: I20050817000682 |
| Provider Name | Shanta D Mattai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609974096 PECOS PAC ID: 7113907585 Enrollment ID: I20050819000193 |
| Provider Name | Joshua A Croland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215916093 PECOS PAC ID: 1153351937 Enrollment ID: I20050822000519 |
| Provider Name | Anthony R. Horinek |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609907195 PECOS PAC ID: 3678504339 Enrollment ID: I20050823000688 |
| Provider Name | Christopher J Rink |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1063521169 PECOS PAC ID: 3375574999 Enrollment ID: I20050824000038 |
| Provider Name | Brian R Pope |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275533820 PECOS PAC ID: 1355372889 Enrollment ID: I20050824001135 |
| Provider Name | Trina D Croland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205936879 PECOS PAC ID: 3274564620 Enrollment ID: I20050825000208 |
| Provider Name | Lisa T Barker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477580116 PECOS PAC ID: 7719918994 Enrollment ID: I20050826000870 |
| Provider Name | Samer B. Sader |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831220318 PECOS PAC ID: 4183656051 Enrollment ID: I20050831000760 |
| Provider Name | Kimberly S Nord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396789210 PECOS PAC ID: 2264464478 Enrollment ID: I20050908000952 |
| Provider Name | John A Vozenilek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760412910 PECOS PAC ID: 3870526700 Enrollment ID: I20050913000026 |
| Provider Name | Marco A Barzallo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316971823 PECOS PAC ID: 3577544881 Enrollment ID: I20050920001103 |
| Provider Name | Steven J Lichtenstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093702649 PECOS PAC ID: 0941234843 Enrollment ID: I20050920001325 |
| Provider Name | James N Hawkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558421875 PECOS PAC ID: 1658306394 Enrollment ID: I20051003000354 |
| Provider Name | Luke Y Xie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346257128 PECOS PAC ID: 8527084912 Enrollment ID: I20051014000377 |
| Provider Name | Jomel S Labayog |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326053299 PECOS PAC ID: 0042236424 Enrollment ID: I20051017000061 |
| Provider Name | Lynessa A Alonso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679665020 PECOS PAC ID: 1658397302 Enrollment ID: I20051021000219 |
| Provider Name | Mohammed Asif Mahkri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659351278 PECOS PAC ID: 9436175262 Enrollment ID: I20051021000765 |
| Provider Name | Michelle Delgado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851349831 PECOS PAC ID: 5597781005 Enrollment ID: I20051024000200 |
| Provider Name | Scott M Hough |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821102781 PECOS PAC ID: 3678590072 Enrollment ID: I20051025000800 |
| Provider Name | Sarah N Zallek |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1467543942 PECOS PAC ID: 8022035781 Enrollment ID: I20051101000600 |
| Provider Name | Zeeshan Ahmad |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134126451 PECOS PAC ID: 5496723553 Enrollment ID: I20051102000939 |
| Provider Name | Wilbert M Leonard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710098652 PECOS PAC ID: 7517985997 Enrollment ID: I20051103000887 |
| Provider Name | Sanjay Sutaria |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407913684 PECOS PAC ID: 0941229595 Enrollment ID: I20051114000543 |
| Provider Name | Nancy A Machens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942308291 PECOS PAC ID: 0446279988 Enrollment ID: I20051115000130 |
| Provider Name | Ramon Garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710928700 PECOS PAC ID: 7911926357 Enrollment ID: I20051115000996 |
| Provider Name | Mary E Keller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275567703 PECOS PAC ID: 5799704938 Enrollment ID: I20051116000657 |
| Provider Name | Gerri Ann Hellhake Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164439659 PECOS PAC ID: 5890715478 Enrollment ID: I20051128000594 |
| Provider Name | Deidra Lewandowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750466710 PECOS PAC ID: 4789604364 Enrollment ID: I20051128000609 |
| Provider Name | Patricia A Deters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972539575 PECOS PAC ID: 2365463031 Enrollment ID: I20051208000910 |
| Provider Name | Nicole R Mott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093732034 PECOS PAC ID: 4587685854 Enrollment ID: I20051214000553 |
| Provider Name | Virendra D Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689627010 PECOS PAC ID: 6709802200 Enrollment ID: I20051222000232 |
| Provider Name | Emily C Crebo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003821448 PECOS PAC ID: 3173545654 Enrollment ID: I20051227000517 |
| Provider Name | Steven S Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316988934 PECOS PAC ID: 0547169765 Enrollment ID: I20051228000544 |
| Provider Name | Dean W Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063429868 PECOS PAC ID: 9032131156 Enrollment ID: I20060103000545 |
| Provider Name | Jill D Whiteside |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093882227 PECOS PAC ID: 0941222061 Enrollment ID: I20060103000546 |
| Provider Name | Shawn M Fry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659467793 PECOS PAC ID: 1052334703 Enrollment ID: I20060109000314 |
| Provider Name | Donna J Sweetland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740374909 PECOS PAC ID: 2860412392 Enrollment ID: I20060109000810 |
| Provider Name | Nancy G Dagefoerde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073532511 PECOS PAC ID: 1355365206 Enrollment ID: I20060119000149 |
| Provider Name | Rajyalaxmi V Mullapudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013953546 PECOS PAC ID: 1052335643 Enrollment ID: I20060123000457 |
| Provider Name | Roger D Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932207859 PECOS PAC ID: 6709800071 Enrollment ID: I20060125000777 |
| Provider Name | Shaista A Malik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407965585 PECOS PAC ID: 8820002405 Enrollment ID: I20060202000855 |
| Provider Name | Tricia Lynn Zuercher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629094123 PECOS PAC ID: 4688689003 Enrollment ID: I20060207000260 |
| Provider Name | Sarah Ann Whelan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477598241 PECOS PAC ID: 1951316231 Enrollment ID: I20060207000877 |
| Provider Name | Matthew W Wols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427020544 PECOS PAC ID: 1456366053 Enrollment ID: I20060220000174 |
| Provider Name | Gail E Donley-urita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699810390 PECOS PAC ID: 5991734576 Enrollment ID: I20060301000314 |
| Provider Name | Andrew Todd Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447222146 PECOS PAC ID: 3375559248 Enrollment ID: I20060301000640 |
| Provider Name | Yolanda R Renfroe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518043280 PECOS PAC ID: 9830106871 Enrollment ID: I20060315000582 |
| Provider Name | Edward Doran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285622340 PECOS PAC ID: 3678580735 Enrollment ID: I20060316000078 |
| Provider Name | Farhad Farokhi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1639153216 PECOS PAC ID: 4385675115 Enrollment ID: I20060316000200 |
| Provider Name | Hosam N Khayal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144271206 PECOS PAC ID: 0042285298 Enrollment ID: I20060317000040 |
| Provider Name | Linda A Derum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760551865 PECOS PAC ID: 7911914874 Enrollment ID: I20060320000012 |
| Provider Name | Jeremy D Marks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962552901 PECOS PAC ID: 6305853151 Enrollment ID: I20060320000385 |
| Provider Name | Vanessa R Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033101753 PECOS PAC ID: 8325056914 Enrollment ID: I20060323000237 |
| Provider Name | Binoy Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295805174 PECOS PAC ID: 5799793212 Enrollment ID: I20060324000569 |
| Provider Name | Edward W Pegg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043392160 PECOS PAC ID: 8527076389 Enrollment ID: I20060405000344 |
| Provider Name | Priscilla M Babler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639100324 PECOS PAC ID: 7517976087 Enrollment ID: I20060411000413 |
| Provider Name | William E Maloney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609810548 PECOS PAC ID: 9739126368 Enrollment ID: I20060421000381 |
| Provider Name | Glenn Milos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285602516 PECOS PAC ID: 0143237511 Enrollment ID: I20060425000676 |
| Provider Name | Leon Yeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487649596 PECOS PAC ID: 1850334012 Enrollment ID: I20060505000794 |
| Provider Name | Christopher Adam Westphal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750334306 PECOS PAC ID: 8224085030 Enrollment ID: I20060519000004 |
| Provider Name | Jaidev Chand Soni |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811978752 PECOS PAC ID: 9032120324 Enrollment ID: I20060530000132 |
| Provider Name | Krystyna D Kiel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679549349 PECOS PAC ID: 9638181795 Enrollment ID: I20060608000256 |
| Provider Name | Carl Backer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760477608 PECOS PAC ID: 7618989567 Enrollment ID: I20060615000223 |
| Provider Name | Jeffrey David Klopfenstein |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578508354 PECOS PAC ID: 4981616711 Enrollment ID: I20060619000222 |
| Provider Name | Arun V Talkad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629015532 PECOS PAC ID: 2961414602 Enrollment ID: I20060622000015 |
| Provider Name | Kashif M Zaheer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417996729 PECOS PAC ID: 2163435629 Enrollment ID: I20060728000389 |
| Provider Name | Karen N Whitehorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972535102 PECOS PAC ID: 8426061870 Enrollment ID: I20060801000286 |
| Provider Name | Rebecca A Ala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154353498 PECOS PAC ID: 2567465404 Enrollment ID: I20060816000121 |
| Provider Name | Jeremiah S Anders |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194757831 PECOS PAC ID: 7719980531 Enrollment ID: I20060817000288 |
| Provider Name | Diane J Santorineos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518991066 PECOS PAC ID: 9335142041 Enrollment ID: I20060818000433 |
| Provider Name | Azra M Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700804028 PECOS PAC ID: 3678577020 Enrollment ID: I20060828000160 |
| Provider Name | Pamela S Pecenka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669418380 PECOS PAC ID: 0345244794 Enrollment ID: I20060828000204 |
| Provider Name | Jesse L Vanle |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366435224 PECOS PAC ID: 7214931583 Enrollment ID: I20060830000118 |
| Provider Name | Glen B Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326031105 PECOS PAC ID: 0941271415 Enrollment ID: I20060830000130 |
| Provider Name | Amy M Matheis Soliman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376566539 PECOS PAC ID: 8325042500 Enrollment ID: I20060830000290 |
| Provider Name | Daren J Rauch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174544407 PECOS PAC ID: 2769486950 Enrollment ID: I20060830000403 |
| Provider Name | Brad A Stoecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508887860 PECOS PAC ID: 1153325352 Enrollment ID: I20060830000470 |
| Provider Name | Steven S J Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538189261 PECOS PAC ID: 4385648542 Enrollment ID: I20060831000367 |
| Provider Name | Mark N Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205829801 PECOS PAC ID: 3072517192 Enrollment ID: I20060905000006 |
| Provider Name | Mukesh V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780602946 PECOS PAC ID: 3476557521 Enrollment ID: I20060905000235 |
| Provider Name | Michael H Berkson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427057728 PECOS PAC ID: 3577545615 Enrollment ID: I20060906000091 |
| Provider Name | Lisa R Emm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386665966 PECOS PAC ID: 3173527066 Enrollment ID: I20060907000354 |
| Provider Name | Karen Lynette Sedgwick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881619963 PECOS PAC ID: 8628072402 Enrollment ID: I20060911000018 |
| Provider Name | Ty E Hasselman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861438434 PECOS PAC ID: 3274537071 Enrollment ID: I20060911000214 |
| Provider Name | Genene P Radden |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710917422 PECOS PAC ID: 9335143064 Enrollment ID: I20060911000501 |
| Provider Name | Amy L Christison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720029267 PECOS PAC ID: 6800890468 Enrollment ID: I20060913000197 |
| Provider Name | Elisabeth G Beyer Nolen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306853684 PECOS PAC ID: 7618971284 Enrollment ID: I20060913000293 |
| Provider Name | Antoine G Daccache |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336255611 PECOS PAC ID: 0345244919 Enrollment ID: I20060913000295 |
| Provider Name | Pia A Ong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831207174 PECOS PAC ID: 4486658986 Enrollment ID: I20060913000570 |
| Provider Name | James S Lindbom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740205954 PECOS PAC ID: 2567467525 Enrollment ID: I20060926000035 |
| Provider Name | Roby A Lal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811983489 PECOS PAC ID: 9335102888 Enrollment ID: I20060926000212 |
| Provider Name | Jack P Spaniol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356379184 PECOS PAC ID: 9739185810 Enrollment ID: I20061012000384 |
| Provider Name | Syed Muhammad Irfan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508895897 PECOS PAC ID: 0143227868 Enrollment ID: I20061023000111 |
| Provider Name | Denise M Johnson Dechow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477562866 PECOS PAC ID: 0042217622 Enrollment ID: I20061024000131 |
| Provider Name | David Czukerberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578515839 PECOS PAC ID: 7012915846 Enrollment ID: I20061110000016 |
| Provider Name | Ruth E Moncayo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619902020 PECOS PAC ID: 3274531868 Enrollment ID: I20061114000458 |
| Provider Name | Bethany N Toth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053421701 PECOS PAC ID: 6507865235 Enrollment ID: I20061207000111 |
| Provider Name | Christopher M Herman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588734842 PECOS PAC ID: 1658370119 Enrollment ID: I20061211000187 |
| Provider Name | Robert T Woodburn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407848849 PECOS PAC ID: 4284667221 Enrollment ID: I20061214000151 |
| Provider Name | Anwar Ahmad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770591893 PECOS PAC ID: 5092739979 Enrollment ID: I20061215000310 |
| Provider Name | Niko I Keys |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881783793 PECOS PAC ID: 9436159266 Enrollment ID: I20070102000027 |
| Provider Name | Sudhir Mungee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023113743 PECOS PAC ID: 2264432855 Enrollment ID: I20070104000382 |
| Provider Name | Rushdi H Alul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649365529 PECOS PAC ID: 6608876917 Enrollment ID: I20070111000140 |
| Provider Name | Durre S Raja |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689689093 PECOS PAC ID: 1951301019 Enrollment ID: I20070116000211 |
| Provider Name | Susan M Punke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376625194 PECOS PAC ID: 6608877477 Enrollment ID: I20070122000254 |
| Provider Name | Kenneth E Carpenter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689723918 PECOS PAC ID: 9739180043 Enrollment ID: I20070129000406 |
| Provider Name | Charles W Lagoski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164479424 PECOS PAC ID: 6002719481 Enrollment ID: I20070201000452 |
| Provider Name | Martha Anne Kelley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942279252 PECOS PAC ID: 1658384599 Enrollment ID: I20070205000167 |
| Provider Name | Tina V White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851333819 PECOS PAC ID: 6901808864 Enrollment ID: I20070206000048 |
| Provider Name | Pamela Bloomfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326105024 PECOS PAC ID: 9133121957 Enrollment ID: I20070207000679 |
| Provider Name | Emuata Bassey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487745915 PECOS PAC ID: 8224030747 Enrollment ID: I20070212000494 |
| Provider Name | Alina Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225182702 PECOS PAC ID: 6002918208 Enrollment ID: I20070219000247 |
| Provider Name | Virginia Luisa Velazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609952670 PECOS PAC ID: 1759483340 Enrollment ID: I20070228000533 |
| Provider Name | Gianluca Lazzaro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235288416 PECOS PAC ID: 7517069065 Enrollment ID: I20070301000314 |
| Provider Name | Denise M Mammolito |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972604221 PECOS PAC ID: 2062515166 Enrollment ID: I20070309000471 |
| Provider Name | Christine Diane Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528114956 PECOS PAC ID: 2466555453 Enrollment ID: I20070312000591 |
| Provider Name | Erica N Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700860707 PECOS PAC ID: 5395849616 Enrollment ID: I20070327000141 |
| Provider Name | Daryl D Chenoweth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902871312 PECOS PAC ID: 8729183207 Enrollment ID: I20070411000212 |
| Provider Name | Tarek S Harb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598701088 PECOS PAC ID: 1254436074 Enrollment ID: I20070423000392 |
| Provider Name | Elena Guiao Gozum |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1275534471 PECOS PAC ID: 7214032945 Enrollment ID: I20070425000100 |
| Provider Name | Janet L Collopy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699855007 PECOS PAC ID: 9032215793 Enrollment ID: I20070426000446 |
| Provider Name | Manisha Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114048493 PECOS PAC ID: 1557467123 Enrollment ID: I20070430000044 |
| Provider Name | Miles T Salsman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679662514 PECOS PAC ID: 5092811349 Enrollment ID: I20070502000349 |
| Provider Name | Pamela J Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275625865 PECOS PAC ID: 4880790153 Enrollment ID: I20070502000492 |
| Provider Name | Dana J Deshon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578645537 PECOS PAC ID: 9032215173 Enrollment ID: I20070507000006 |
| Provider Name | Muhammad A Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467571497 PECOS PAC ID: 8820195100 Enrollment ID: I20070522000027 |
| Provider Name | Subbiah Rajaguru |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366450678 PECOS PAC ID: 9739286857 Enrollment ID: I20070523000657 |
| Provider Name | Lisa M Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982797254 PECOS PAC ID: 8022116961 Enrollment ID: I20070531000206 |
| Provider Name | Cheri L Sprietler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942236658 PECOS PAC ID: 1658479431 Enrollment ID: I20070601000058 |
| Provider Name | Robert S Bevill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700886280 PECOS PAC ID: 1557352101 Enrollment ID: I20070605000488 |
| Provider Name | Julie L Obrien |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457485328 PECOS PAC ID: 9931207446 Enrollment ID: I20070607000097 |
| Provider Name | James R Battenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851387443 PECOS PAC ID: 8123034584 Enrollment ID: I20070613000770 |
| Provider Name | Fredric C Kullberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912010273 PECOS PAC ID: 4486753373 Enrollment ID: I20070618000326 |
| Provider Name | Theodore S Ingrassia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437263662 PECOS PAC ID: 6002915998 Enrollment ID: I20070618000337 |
| Provider Name | Kavitha Subramanian |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891817441 PECOS PAC ID: 7214036607 Enrollment ID: I20070626000467 |
| Provider Name | Nadeem Hanif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972617181 PECOS PAC ID: 5597864793 Enrollment ID: I20070629000174 |
| Provider Name | Pier C Giulianotti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992906218 PECOS PAC ID: 5193824290 Enrollment ID: I20070629000306 |
| Provider Name | Kathleen M Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447223789 PECOS PAC ID: 2163521253 Enrollment ID: I20070702000265 |
| Provider Name | Charles K Boley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912126640 PECOS PAC ID: 2860592359 Enrollment ID: I20070712000725 |
| Provider Name | Christy A Oliphant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184836561 PECOS PAC ID: 8921108374 Enrollment ID: I20070713000426 |
| Provider Name | Matthew Zopel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609090208 PECOS PAC ID: 9335249713 Enrollment ID: I20070713000755 |
| Provider Name | Robert Brewer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457355315 PECOS PAC ID: 2264532662 Enrollment ID: I20070714000085 |
| Provider Name | Shawn E Piers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720160500 PECOS PAC ID: 7618077876 Enrollment ID: I20070717000571 |
| Provider Name | Alexander J Alonso |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124152707 PECOS PAC ID: 7911008149 Enrollment ID: I20070718000462 |
| Provider Name | Michael S Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790834737 PECOS PAC ID: 6608977657 Enrollment ID: I20070720000704 |
| Provider Name | Jason E Becker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922215920 PECOS PAC ID: 4688775489 Enrollment ID: I20070724000308 |
| Provider Name | Rajesh Alla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154462224 PECOS PAC ID: 9537052915 Enrollment ID: I20070727000744 |
| Provider Name | Marko A Lekovic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689739781 PECOS PAC ID: 6002907391 Enrollment ID: I20070731000630 |
| Provider Name | Ushasri Koganti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992917009 PECOS PAC ID: 5991896102 Enrollment ID: I20070802000117 |
| Provider Name | Stuart G Hickerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073629374 PECOS PAC ID: 3476645607 Enrollment ID: I20070817000373 |
| Provider Name | Bradley H Gleason |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659428464 PECOS PAC ID: 0547352031 Enrollment ID: I20070829000235 |
| Provider Name | Robert R Riech |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437225935 PECOS PAC ID: 1355433848 Enrollment ID: I20070829000246 |
| Provider Name | Yusuf A Mohyuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851516306 PECOS PAC ID: 7315030160 Enrollment ID: I20070910000750 |
| Provider Name | James J Klemens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508065558 PECOS PAC ID: 3274627146 Enrollment ID: I20070922000133 |
| Provider Name | V Aravind Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588858815 PECOS PAC ID: 9638264021 Enrollment ID: I20071001000061 |
| Provider Name | Michael B Maloney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164452611 PECOS PAC ID: 3577658855 Enrollment ID: I20071002000148 |
| Provider Name | Parthasarathy Srinivasan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134199359 PECOS PAC ID: 1759476732 Enrollment ID: I20071005000276 |
| Provider Name | Christopher S Workman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619957412 PECOS PAC ID: 5799871737 Enrollment ID: I20071022000556 |
| Provider Name | Jonathan L Ferguson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669452934 PECOS PAC ID: 0840184982 Enrollment ID: I20071022000590 |
| Provider Name | Michele K Jones Fassett |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235119538 PECOS PAC ID: 9830285881 Enrollment ID: I20071022000610 |
| Provider Name | Preethi Donakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376559161 PECOS PAC ID: 2163519703 Enrollment ID: I20071030000384 |
| Provider Name | Kidanu Birhanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710073952 PECOS PAC ID: 0143317685 Enrollment ID: I20071031000477 |
| Provider Name | Lisa A Flier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093902744 PECOS PAC ID: 4587751920 Enrollment ID: I20071031000573 |
| Provider Name | David H Naour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174552228 PECOS PAC ID: 8224125505 Enrollment ID: I20071102000481 |
| Provider Name | Bhuvaneswari Subramanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174712673 PECOS PAC ID: 0042308728 Enrollment ID: I20071113000671 |
| Provider Name | Sterlon A Matheny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508045626 PECOS PAC ID: 0042308314 Enrollment ID: I20071120000471 |
| Provider Name | Kelly L Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518182906 PECOS PAC ID: 3779471768 Enrollment ID: I20071126000332 |
| Provider Name | Brett J Cassidy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649256975 PECOS PAC ID: 0042309197 Enrollment ID: I20071128000050 |
| Provider Name | Lashunda D Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629194089 PECOS PAC ID: 2365532603 Enrollment ID: I20071226000309 |
| Provider Name | Robin Maniurski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508977133 PECOS PAC ID: 6406817253 Enrollment ID: I20071227000375 |
| Provider Name | M Teresa C Fraser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093928566 PECOS PAC ID: 5395825574 Enrollment ID: I20071228000378 |
| Provider Name | Alpa Mehendra Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356543375 PECOS PAC ID: 6901986082 Enrollment ID: I20080102000012 |
| Provider Name | Thomas Chweh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073702361 PECOS PAC ID: 1557442852 Enrollment ID: I20080111000696 |
| Provider Name | Travis L Bullock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699810507 PECOS PAC ID: 8325144272 Enrollment ID: I20080115000058 |
| Provider Name | Deofil L Orteza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699790287 PECOS PAC ID: 2365537404 Enrollment ID: I20080119000027 |
| Provider Name | John M Mccarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033327069 PECOS PAC ID: 6709968001 Enrollment ID: I20080125000141 |
| Provider Name | Marjorie G Michel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407038367 PECOS PAC ID: 4587746821 Enrollment ID: I20080125000412 |
| Provider Name | Megha Mungee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760670913 PECOS PAC ID: 2668554809 Enrollment ID: I20080128000450 |
| Provider Name | Marc S Katchen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447266564 PECOS PAC ID: 6608958368 Enrollment ID: I20080204000104 |
| Provider Name | Jessica M Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174739205 PECOS PAC ID: 6800978586 Enrollment ID: I20080204000259 |
| Provider Name | Richard A Ginnetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336231836 PECOS PAC ID: 9032291646 Enrollment ID: I20080204000556 |
| Provider Name | Michele D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407039167 PECOS PAC ID: 8224111547 Enrollment ID: I20080211000178 |
| Provider Name | Peter Fecht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144224429 PECOS PAC ID: 7911080114 Enrollment ID: I20080212000038 |
| Provider Name | Paul E Pedersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053403675 PECOS PAC ID: 5799868907 Enrollment ID: I20080212000154 |
| Provider Name | Meenalochani Narayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639213242 PECOS PAC ID: 9537243993 Enrollment ID: I20080222000487 |
| Provider Name | Ryan E Parnham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003015447 PECOS PAC ID: 2163506544 Enrollment ID: I20080223000060 |
| Provider Name | Summer L Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114196904 PECOS PAC ID: 7012093974 Enrollment ID: I20080318000787 |
| Provider Name | Gustavo A Galue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295903359 PECOS PAC ID: 4486730561 Enrollment ID: I20080331000020 |
| Provider Name | Fariha Y Chaudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770778607 PECOS PAC ID: 8123105954 Enrollment ID: I20080403000437 |
| Provider Name | Maureen L Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457416752 PECOS PAC ID: 0547362055 Enrollment ID: I20080404000414 |
| Provider Name | Daniel Magdziarz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689674079 PECOS PAC ID: 1052498276 Enrollment ID: I20080411000204 |
| Provider Name | Joan Marie Luckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881767762 PECOS PAC ID: 7113004391 Enrollment ID: I20080411000656 |
| Provider Name | Rebecca A Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306899182 PECOS PAC ID: 5092893339 Enrollment ID: I20080428000005 |
| Provider Name | Benali G Deshpande |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841489929 PECOS PAC ID: 4587743349 Enrollment ID: I20080505000529 |
| Provider Name | Obaid Shafiq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144418401 PECOS PAC ID: 8022197532 Enrollment ID: I20080509000062 |
| Provider Name | Tim J Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508956897 PECOS PAC ID: 5496824435 Enrollment ID: I20080516000694 |
| Provider Name | Jack W Lenox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508979345 PECOS PAC ID: 7113097429 Enrollment ID: I20080529000366 |
| Provider Name | Kimberly J Duttlinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548439623 PECOS PAC ID: 5395815534 Enrollment ID: I20080530000605 |
| Provider Name | Craig Louis-albert Higgs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649488925 PECOS PAC ID: 1557453032 Enrollment ID: I20080602000559 |
| Provider Name | Erin E Ruud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801053830 PECOS PAC ID: 3476623075 Enrollment ID: I20080609000813 |
| Provider Name | Michelle M Sandine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457540379 PECOS PAC ID: 2668544818 Enrollment ID: I20080702000506 |
| Provider Name | Vasantha L Gona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114983798 PECOS PAC ID: 7214939834 Enrollment ID: I20080710000728 |
| Provider Name | Mark J Wolfmeyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427266279 PECOS PAC ID: 4880766583 Enrollment ID: I20080711000133 |
| Provider Name | Karen Cadet Saintilus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003936766 PECOS PAC ID: 5193707339 Enrollment ID: I20080711000284 |
| Provider Name | Sajjad A. Rattansi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821202524 PECOS PAC ID: 5193898393 Enrollment ID: I20080722000166 |
| Provider Name | Todd D Mccall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508054297 PECOS PAC ID: 7012081268 Enrollment ID: I20080806000099 |
| Provider Name | Matthew J Mischler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174747885 PECOS PAC ID: 3971699760 Enrollment ID: I20080815000545 |
| Provider Name | Matthew C Valente |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942469598 PECOS PAC ID: 1557436284 Enrollment ID: I20080815000648 |
| Provider Name | Troy E Pequette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184714487 PECOS PAC ID: 7618042235 Enrollment ID: I20080818000066 |
| Provider Name | Ramesh C Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649458712 PECOS PAC ID: 9335214709 Enrollment ID: I20080819000829 |
| Provider Name | Anna M Taravella |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467543181 PECOS PAC ID: 8426123829 Enrollment ID: I20080820000143 |
| Provider Name | Travis Figanbaum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881603165 PECOS PAC ID: 8921002932 Enrollment ID: I20080820000656 |
| Provider Name | Ryan J Tremb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568638989 PECOS PAC ID: 8729154778 Enrollment ID: I20080827000728 |
| Provider Name | Andrew J Blint |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619181120 PECOS PAC ID: 4880760206 Enrollment ID: I20080909000668 |
| Provider Name | Kari N Bruening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063675445 PECOS PAC ID: 3375619570 Enrollment ID: I20080912000343 |
| Provider Name | Michael D Kouimelis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033373907 PECOS PAC ID: 9032286570 Enrollment ID: I20080924000594 |
| Provider Name | Virginia A Hinegardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215944459 PECOS PAC ID: 4688740004 Enrollment ID: I20080925000708 |
| Provider Name | Samuel A Grampsas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386618833 PECOS PAC ID: 7911075007 Enrollment ID: I20081002000215 |
| Provider Name | Erik J Iversen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851452312 PECOS PAC ID: 0749193571 Enrollment ID: I20081006000684 |
| Provider Name | Priya Pullukat Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821289315 PECOS PAC ID: 5698843290 Enrollment ID: I20081009000404 |
| Provider Name | Mary Yee Chow |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1609896380 PECOS PAC ID: 9739257262 Enrollment ID: I20081009000819 |
| Provider Name | Edward Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083792873 PECOS PAC ID: 6204994296 Enrollment ID: I20081020000548 |
| Provider Name | Muhammad J Javed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699807685 PECOS PAC ID: 6103984844 Enrollment ID: I20081023000694 |
| Provider Name | Sunita Rembarsu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497878128 PECOS PAC ID: 0547329955 Enrollment ID: I20081029000938 |
| Provider Name | Amir Hossein Vafa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881818326 PECOS PAC ID: 2365501350 Enrollment ID: I20081105000617 |
| Provider Name | Julian J Lin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437104593 PECOS PAC ID: 7416016274 Enrollment ID: I20081107000492 |
| Provider Name | Ruth E Towns |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639328495 PECOS PAC ID: 8628138021 Enrollment ID: I20081114000424 |
| Provider Name | Sharon A Benivegna |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164674701 PECOS PAC ID: 9537229299 Enrollment ID: I20081125000616 |
| Provider Name | Bhavana Thota Kandikattu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447452180 PECOS PAC ID: 6901967199 Enrollment ID: I20081205000617 |
| Provider Name | Rita M Zafra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003080847 PECOS PAC ID: 7911068713 Enrollment ID: I20081212000043 |
| Provider Name | Elsa L Vazquez Melendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356542864 PECOS PAC ID: 4082775770 Enrollment ID: I20081213000187 |
| Provider Name | Amanda K Hillebrand |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558514398 PECOS PAC ID: 9739241928 Enrollment ID: I20081223000067 |
| Provider Name | Connie S Haase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033366968 PECOS PAC ID: 9638231764 Enrollment ID: I20081223000544 |
| Provider Name | Dzung H Dinh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679513642 PECOS PAC ID: 3971665951 Enrollment ID: I20081230000079 |
| Provider Name | Sathish Kumar Cullath Harikrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861421869 PECOS PAC ID: 1355348087 Enrollment ID: I20090110000210 |
| Provider Name | Marie B Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124210448 PECOS PAC ID: 2567526304 Enrollment ID: I20090123000039 |
| Provider Name | Margaret M Kipta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356587117 PECOS PAC ID: 2668536392 Enrollment ID: I20090126000165 |
| Provider Name | Jessica R Hanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952525222 PECOS PAC ID: 0042374530 Enrollment ID: I20090128000265 |
| Provider Name | Edison U Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215966858 PECOS PAC ID: 4082779913 Enrollment ID: I20090210000305 |
| Provider Name | Jeffry M Tillery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689602211 PECOS PAC ID: 0042382582 Enrollment ID: I20090210000522 |
| Provider Name | Jocelyn R Go-lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255376471 PECOS PAC ID: 3072678820 Enrollment ID: I20090211000744 |
| Provider Name | Meghann Schwartz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154567733 PECOS PAC ID: 2466517222 Enrollment ID: I20090211000801 |
| Provider Name | Jill A Colontuono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619161916 PECOS PAC ID: 4587729215 Enrollment ID: I20090212000650 |
| Provider Name | Karen J Englund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407872591 PECOS PAC ID: 9032274287 Enrollment ID: I20090223000311 |
| Provider Name | Mary Elizabeth Ross |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841287588 PECOS PAC ID: 5799736559 Enrollment ID: I20090223000588 |
| Provider Name | Deana M Giacalone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598918583 PECOS PAC ID: 4789749854 Enrollment ID: I20090224000702 |
| Provider Name | Carolyn P Seng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225250723 PECOS PAC ID: 7416013727 Enrollment ID: I20090311000197 |
| Provider Name | Mark P Gaudio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053514414 PECOS PAC ID: 6103982483 Enrollment ID: I20090312000034 |
| Provider Name | Susan A Korf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427295807 PECOS PAC ID: 0749346922 Enrollment ID: I20090313000274 |
| Provider Name | Aarti J Raut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902813546 PECOS PAC ID: 2769488501 Enrollment ID: I20090325000507 |
| Provider Name | Lizabeth J Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417019084 PECOS PAC ID: 8123121480 Enrollment ID: I20090504000561 |
| Provider Name | Jennifer K Horinek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861658668 PECOS PAC ID: 1557424066 Enrollment ID: I20090506000128 |
| Provider Name | Jennifer L Sangston |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851301683 PECOS PAC ID: 8426107954 Enrollment ID: I20090512000616 |
| Provider Name | Sherri A Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396939492 PECOS PAC ID: 9931258258 Enrollment ID: I20090515000458 |
| Provider Name | David P Chan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427057595 PECOS PAC ID: 1153471701 Enrollment ID: I20090603000079 |
| Provider Name | Rajbir K Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871615096 PECOS PAC ID: 2163572066 Enrollment ID: I20090616000302 |
| Provider Name | Chenglu Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437334208 PECOS PAC ID: 0749353647 Enrollment ID: I20090618000339 |
| Provider Name | Terry A Ho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104027572 PECOS PAC ID: 4688725377 Enrollment ID: I20090618000679 |
| Provider Name | Marvin Derrick |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1497855886 PECOS PAC ID: 2062421399 Enrollment ID: I20090622000020 |
| Provider Name | Norah W Toraason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619082948 PECOS PAC ID: 6103977541 Enrollment ID: I20090625000349 |
| Provider Name | Hrachya Nersesyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497957468 PECOS PAC ID: 3678624855 Enrollment ID: I20090629000452 |
| Provider Name | Dustin W Kern |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750517488 PECOS PAC ID: 0547311615 Enrollment ID: I20090701000052 |
| Provider Name | Troy M Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588890214 PECOS PAC ID: 4981755055 Enrollment ID: I20090701000064 |
| Provider Name | Jessica A Welsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346330339 PECOS PAC ID: 4880745983 Enrollment ID: I20090701000351 |
| Provider Name | Jennifer L Maschmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023021433 PECOS PAC ID: 6800948605 Enrollment ID: I20090708000524 |
| Provider Name | Todd O Kettering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972619526 PECOS PAC ID: 3678626280 Enrollment ID: I20090729000743 |
| Provider Name | Ioannis Karkatzounis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639335235 PECOS PAC ID: 9032263835 Enrollment ID: I20090813000167 |
| Provider Name | Kimberly L Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053549873 PECOS PAC ID: 5294889853 Enrollment ID: I20090817000130 |
| Provider Name | Julie A Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013068667 PECOS PAC ID: 2860546207 Enrollment ID: I20090819000319 |
| Provider Name | Saroosh Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639335078 PECOS PAC ID: 1759435100 Enrollment ID: I20090819000439 |
| Provider Name | Scott Ferry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417178385 PECOS PAC ID: 1153475496 Enrollment ID: I20090820000401 |
| Provider Name | Agnieszka Kulikowska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518132968 PECOS PAC ID: 1951456722 Enrollment ID: I20090831000220 |
| Provider Name | Sergio Eli Morales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902096142 PECOS PAC ID: 2860540382 Enrollment ID: I20090916000390 |
| Provider Name | Eric Kivisto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447257316 PECOS PAC ID: 8820155963 Enrollment ID: I20090917000544 |
| Provider Name | Rajeev S Kalsi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447464292 PECOS PAC ID: 8820144736 Enrollment ID: I20090917000635 |
| Provider Name | Priti M Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740483627 PECOS PAC ID: 1951447267 Enrollment ID: I20090930000022 |
| Provider Name | Lata G Santa Ines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871621136 PECOS PAC ID: 6305940586 Enrollment ID: I20091001000699 |
| Provider Name | Michael Joseph Bommarito |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235150939 PECOS PAC ID: 5799785283 Enrollment ID: I20091021000351 |
| Provider Name | Jeffrey E Stedwill |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497775373 PECOS PAC ID: 4587701560 Enrollment ID: I20091023000246 |
| Provider Name | Thomas C Kelly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891997110 PECOS PAC ID: 3274670989 Enrollment ID: I20091029000472 |
| Provider Name | Mark Chwajol |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356575690 PECOS PAC ID: 9032257407 Enrollment ID: I20091105000484 |
| Provider Name | Chad S Osborne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235249921 PECOS PAC ID: 1153469382 Enrollment ID: I20091110000082 |
| Provider Name | Todd C Snoeyink |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811097033 PECOS PAC ID: 4284772427 Enrollment ID: I20091110000118 |
| Provider Name | Stephen P Trainor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144331828 PECOS PAC ID: 4082752225 Enrollment ID: I20091110000136 |
| Provider Name | Micheal S Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033214994 PECOS PAC ID: 8325186570 Enrollment ID: I20091110000164 |
| Provider Name | Kristen Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972681245 PECOS PAC ID: 9436297272 Enrollment ID: I20091116000124 |
| Provider Name | Alan R Glatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417187659 PECOS PAC ID: 8820136542 Enrollment ID: I20091117000319 |
| Provider Name | Adarsh Bairsetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285856278 PECOS PAC ID: 4183762867 Enrollment ID: I20091118000165 |
| Provider Name | John E Podzamsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225013840 PECOS PAC ID: 6204975360 Enrollment ID: I20091202000501 |
| Provider Name | Patricia A Duffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134104755 PECOS PAC ID: 6800935974 Enrollment ID: I20091202000557 |
| Provider Name | Sharon R Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780669309 PECOS PAC ID: 2062551138 Enrollment ID: I20091202000586 |
| Provider Name | William Jon Bowen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225019508 PECOS PAC ID: 2466464706 Enrollment ID: I20091211000231 |
| Provider Name | Dennis R Caffery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295825594 PECOS PAC ID: 6103966452 Enrollment ID: I20091216000562 |
| Provider Name | Rebecca J Byler-dann |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1114126364 PECOS PAC ID: 9537245063 Enrollment ID: I20091231000398 |
| Provider Name | Jeremiah E Crabb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073509824 PECOS PAC ID: 8426033283 Enrollment ID: I20100111000065 |
| Provider Name | Randolph L Mccrea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891885182 PECOS PAC ID: 1850203936 Enrollment ID: I20100114000711 |
| Provider Name | Patrick E Whitten |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366438087 PECOS PAC ID: 1456311539 Enrollment ID: I20100115000110 |
| Provider Name | Fazal A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669430567 PECOS PAC ID: 2163564980 Enrollment ID: I20100116000161 |
| Provider Name | Kenneth H Inoue |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053403626 PECOS PAC ID: 2860534609 Enrollment ID: I20100116000351 |
| Provider Name | Thomas Kevin Brattain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285613463 PECOS PAC ID: 1658334313 Enrollment ID: I20100120000738 |
| Provider Name | James M Nesselroad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164521928 PECOS PAC ID: 2264574672 Enrollment ID: I20100123000116 |
| Provider Name | Robert B Maguire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174571673 PECOS PAC ID: 8820060155 Enrollment ID: I20100126000619 |
| Provider Name | Gavish N Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821080078 PECOS PAC ID: 8123004553 Enrollment ID: I20100127000327 |
| Provider Name | Jennifer S Mundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265675490 PECOS PAC ID: 0446392468 Enrollment ID: I20100128000464 |
| Provider Name | Steven K Below |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649270711 PECOS PAC ID: 5799826210 Enrollment ID: I20100129000250 |
| Provider Name | Subramanyam Chittivelu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932195880 PECOS PAC ID: 6709846884 Enrollment ID: I20100129000479 |
| Provider Name | Stephen Charles Doughty |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255327631 PECOS PAC ID: 0042353096 Enrollment ID: I20100130000008 |
| Provider Name | James Murphy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336183854 PECOS PAC ID: 2365471240 Enrollment ID: I20100130000037 |
| Provider Name | Alissa Rachel Gorelick-wisniewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417167354 PECOS PAC ID: 9436292406 Enrollment ID: I20100130000319 |
| Provider Name | Valerie A Flacco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255430120 PECOS PAC ID: 7810096781 Enrollment ID: I20100201000370 |
| Provider Name | Shai J Nyi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073606323 PECOS PAC ID: 5496898991 Enrollment ID: I20100205000423 |
| Provider Name | Venkat Sekar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114974441 PECOS PAC ID: 5799843975 Enrollment ID: I20100205000689 |
| Provider Name | Bhaskar Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588607014 PECOS PAC ID: 1254499437 Enrollment ID: I20100205000710 |
| Provider Name | Jorge C Kattah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750489050 PECOS PAC ID: 8426192139 Enrollment ID: I20100218000784 |
| Provider Name | Ira L Halperin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548352107 PECOS PAC ID: 2567506116 Enrollment ID: I20100219000421 |
| Provider Name | James K Adams |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1275613689 PECOS PAC ID: 7911041116 Enrollment ID: I20100225000167 |
| Provider Name | Stephen R Orlevitch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841290913 PECOS PAC ID: 1456411693 Enrollment ID: I20100225000504 |
| Provider Name | Robert Sawicki |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184638009 PECOS PAC ID: 0345385142 Enrollment ID: I20100304000463 |
| Provider Name | Rhett L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871675645 PECOS PAC ID: 8729123534 Enrollment ID: I20100304000557 |
| Provider Name | Andrew M Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104895788 PECOS PAC ID: 7113062878 Enrollment ID: I20100305000090 |
| Provider Name | Brian Maurer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225038532 PECOS PAC ID: 1557260445 Enrollment ID: I20100310000770 |
| Provider Name | Gregory M Blume |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326146994 PECOS PAC ID: 5698810976 Enrollment ID: I20100311000370 |
| Provider Name | Lawrence Pradeep Prabhaker |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467482828 PECOS PAC ID: 9436284619 Enrollment ID: I20100312000372 |
| Provider Name | Kenneth L Arnett |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1437249760 PECOS PAC ID: 5597890715 Enrollment ID: I20100312000819 |
| Provider Name | Samir Saxena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902883648 PECOS PAC ID: 0446203251 Enrollment ID: I20100316000885 |
| Provider Name | Brian S Rosborough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881643948 PECOS PAC ID: 2466424791 Enrollment ID: I20100317000353 |
| Provider Name | Cynthia Asuncion Cabalfin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497708382 PECOS PAC ID: 4284646290 Enrollment ID: I20100318000102 |
| Provider Name | Timothy D Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407956758 PECOS PAC ID: 3173658945 Enrollment ID: I20100318000254 |
| Provider Name | Michael R Leonardi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033295738 PECOS PAC ID: 2466587134 Enrollment ID: I20100319000337 |
| Provider Name | David M Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578645347 PECOS PAC ID: 7719012343 Enrollment ID: I20100320000169 |
| Provider Name | Mark A Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093885378 PECOS PAC ID: 5294798955 Enrollment ID: I20100326000968 |
| Provider Name | Bhagat Aulakh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750420758 PECOS PAC ID: 5991875072 Enrollment ID: I20100327000073 |
| Provider Name | James W Maxey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740280478 PECOS PAC ID: 4486553377 Enrollment ID: I20100327000575 |
| Provider Name | Gerald J Mcshane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669553012 PECOS PAC ID: 2264344332 Enrollment ID: I20100414000963 |
| Provider Name | Vijaya Somaraju |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033187216 PECOS PAC ID: 1850428392 Enrollment ID: I20100414000990 |
| Provider Name | Sameer Ansar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942485735 PECOS PAC ID: 9739256298 Enrollment ID: I20100423000450 |
| Provider Name | Terry E Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861582165 PECOS PAC ID: 4880722362 Enrollment ID: I20100504000050 |
| Provider Name | Christopher M Zallek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548368822 PECOS PAC ID: 4486782208 Enrollment ID: I20100514000247 |
| Provider Name | Clyde M Grady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851484075 PECOS PAC ID: 9335278886 Enrollment ID: I20100521000651 |
| Provider Name | Barry L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891885190 PECOS PAC ID: 5597894766 Enrollment ID: I20100526000574 |
| Provider Name | Casey L Sepich |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255663225 PECOS PAC ID: 9739215682 Enrollment ID: I20100527000781 |
| Provider Name | Betty L Hsia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871588137 PECOS PAC ID: 7618943119 Enrollment ID: I20100604000824 |
| Provider Name | Alain W Vilatte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417039736 PECOS PAC ID: 3274663042 Enrollment ID: I20100605000166 |
| Provider Name | Julie M Flanagan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1700113958 PECOS PAC ID: 8628108099 Enrollment ID: I20100610000850 |
| Provider Name | Colin M Butterfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952417578 PECOS PAC ID: 3870660111 Enrollment ID: I20100612000197 |
| Provider Name | Steven R Daube |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427144310 PECOS PAC ID: 8426188657 Enrollment ID: I20100614000613 |
| Provider Name | Malini Chavali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245311778 PECOS PAC ID: 4284764119 Enrollment ID: I20100618000690 |
| Provider Name | Robert M Bonaminio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427001486 PECOS PAC ID: 2860523776 Enrollment ID: I20100621000761 |
| Provider Name | Joseph W Chuprevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942313804 PECOS PAC ID: 1850422478 Enrollment ID: I20100625000768 |
| Provider Name | Florie Ann Gonsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831144476 PECOS PAC ID: 7618008236 Enrollment ID: I20100625000817 |
| Provider Name | Ayman Rawda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902911050 PECOS PAC ID: 0941205611 Enrollment ID: I20100626000095 |
| Provider Name | Jeffrey A Parres |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619951027 PECOS PAC ID: 3678460169 Enrollment ID: I20100629000801 |
| Provider Name | Demetrios A Katsikas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457335762 PECOS PAC ID: 1153229612 Enrollment ID: I20100629000829 |
| Provider Name | Michael J Gootee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720050982 PECOS PAC ID: 4486661212 Enrollment ID: I20100702000377 |
| Provider Name | Sumuk Sundaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275542912 PECOS PAC ID: 3577695352 Enrollment ID: I20100714000227 |
| Provider Name | Maria M Karbowskia Jankowska |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184722647 PECOS PAC ID: 7911039193 Enrollment ID: I20100723000460 |
| Provider Name | Lisa E Snyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790715092 PECOS PAC ID: 4880727890 Enrollment ID: I20100728000220 |
| Provider Name | Benjamin O Kemp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699095067 PECOS PAC ID: 9234262270 Enrollment ID: I20100728000641 |
| Provider Name | Jill M Egizio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508902941 PECOS PAC ID: 6709919558 Enrollment ID: I20100730000915 |
| Provider Name | Jean B Vahey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407843055 PECOS PAC ID: 1456484831 Enrollment ID: I20100805000571 |
| Provider Name | Samuel J Feinberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952318222 PECOS PAC ID: 7012099724 Enrollment ID: I20100805000646 |
| Provider Name | Timothy Allen Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073719357 PECOS PAC ID: 0547341455 Enrollment ID: I20100811000414 |
| Provider Name | Yan Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366540684 PECOS PAC ID: 1759436496 Enrollment ID: I20100813000983 |
| Provider Name | Harry Karydes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659582146 PECOS PAC ID: 9335273275 Enrollment ID: I20100814000121 |
| Provider Name | Elizabeth G Bockewitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811190556 PECOS PAC ID: 2466587530 Enrollment ID: I20100817000584 |
| Provider Name | Michael P Meaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073840799 PECOS PAC ID: 8820122203 Enrollment ID: I20100820000536 |
| Provider Name | Mark A Wargo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457304156 PECOS PAC ID: 2264599687 Enrollment ID: I20100824000234 |
| Provider Name | Amir J Heydari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417945437 PECOS PAC ID: 9537254495 Enrollment ID: I20100825000646 |
| Provider Name | Dean A Gravlin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1053315861 PECOS PAC ID: 1254425390 Enrollment ID: I20100827000601 |
| Provider Name | Colleen Heniff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972509594 PECOS PAC ID: 5092839977 Enrollment ID: I20100830000295 |
| Provider Name | Michael W Wingo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568471118 PECOS PAC ID: 3375667090 Enrollment ID: I20100902000416 |
| Provider Name | Jennifer Tillberg-mccoy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982919122 PECOS PAC ID: 7315061801 Enrollment ID: I20100907000339 |
| Provider Name | Dawn R Lemmert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891888145 PECOS PAC ID: 1153446232 Enrollment ID: I20100913000821 |
| Provider Name | Rachel N Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013149889 PECOS PAC ID: 5698890523 Enrollment ID: I20100916000173 |
| Provider Name | Shujauddin N Valika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417908724 PECOS PAC ID: 8022029495 Enrollment ID: I20100917000696 |
| Provider Name | Michele K Beekman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962660076 PECOS PAC ID: 3274658976 Enrollment ID: I20100918000085 |
| Provider Name | Jennifer L Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982933974 PECOS PAC ID: 6800911454 Enrollment ID: I20100920000410 |
| Provider Name | Joseph Anthony Novotny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881601144 PECOS PAC ID: 9032107313 Enrollment ID: I20100923001394 |
| Provider Name | Mark John Hanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548276256 PECOS PAC ID: 0042336364 Enrollment ID: I20100923001422 |
| Provider Name | Sonya Nichole Ephraim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396992400 PECOS PAC ID: 4284750415 Enrollment ID: I20100924001304 |
| Provider Name | Catherine A Ruetten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891744439 PECOS PAC ID: 4183761430 Enrollment ID: I20100929000027 |
| Provider Name | Richard M Flacco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407955362 PECOS PAC ID: 8022134865 Enrollment ID: I20100929000641 |
| Provider Name | Karen D Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386636090 PECOS PAC ID: 4284826231 Enrollment ID: I20101008000241 |
| Provider Name | R Michael Gulley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316028855 PECOS PAC ID: 5597957316 Enrollment ID: I20101011001207 |
| Provider Name | Elizabeth R Williams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790802429 PECOS PAC ID: 8325199888 Enrollment ID: I20101014001466 |
| Provider Name | Steven K Schell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578553251 PECOS PAC ID: 0840483301 Enrollment ID: I20101018000503 |
| Provider Name | Srinivas R Puli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326069824 PECOS PAC ID: 7416928593 Enrollment ID: I20101019001417 |
| Provider Name | Cynthia M Waickus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639127459 PECOS PAC ID: 8022201367 Enrollment ID: I20101019001607 |
| Provider Name | Joseph M Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932204484 PECOS PAC ID: 4284737271 Enrollment ID: I20101027001485 |
| Provider Name | Rachel M George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639109002 PECOS PAC ID: 7315006376 Enrollment ID: I20101028000079 |
| Provider Name | Diana Goodwine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780840397 PECOS PAC ID: 3173717519 Enrollment ID: I20101029001343 |
| Provider Name | Timothy J Ruetten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194773499 PECOS PAC ID: 5890755029 Enrollment ID: I20101030000260 |
| Provider Name | Nikhil R Kalva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255524419 PECOS PAC ID: 9739373093 Enrollment ID: I20101101000036 |
| Provider Name | William A Schwer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811945389 PECOS PAC ID: 5395842140 Enrollment ID: I20101104000912 |
| Provider Name | Elaine Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194793711 PECOS PAC ID: 7012102304 Enrollment ID: I20101111001540 |
| Provider Name | Dionna M Pendleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063668994 PECOS PAC ID: 4183817752 Enrollment ID: I20101112000683 |
| Provider Name | Geetha Dodda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528056181 PECOS PAC ID: 5496762551 Enrollment ID: I20101112000877 |
| Provider Name | Bryan P Tully |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134442213 PECOS PAC ID: 3375738594 Enrollment ID: I20101115000109 |
| Provider Name | Kathryn R Carlovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306030119 PECOS PAC ID: 9638364714 Enrollment ID: I20101115000959 |
| Provider Name | Andrew J Tsung |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760685390 PECOS PAC ID: 2567657414 Enrollment ID: I20101117000672 |
| Provider Name | Matthew T Carpenter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043298334 PECOS PAC ID: 7618983479 Enrollment ID: I20101117000845 |
| Provider Name | Robert K Seidl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215046313 PECOS PAC ID: 7810082138 Enrollment ID: I20101117000961 |
| Provider Name | Ketan Morker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275652240 PECOS PAC ID: 7315133022 Enrollment ID: I20101119001144 |
| Provider Name | David W Kelton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821296237 PECOS PAC ID: 2961697917 Enrollment ID: I20101129000345 |
| Provider Name | Teresa J Morrell Riech |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336104884 PECOS PAC ID: 0345437158 Enrollment ID: I20101206001052 |
| Provider Name | Gordon W. James |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124158431 PECOS PAC ID: 5991607640 Enrollment ID: I20101208000934 |
| Provider Name | Timothy A Pflederer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154451573 PECOS PAC ID: 9234030586 Enrollment ID: I20101208001035 |
| Provider Name | Andreas J Fischer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235139452 PECOS PAC ID: 1355334525 Enrollment ID: I20101210000513 |
| Provider Name | Brad C White |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205810512 PECOS PAC ID: 8325935810 Enrollment ID: I20101214000940 |
| Provider Name | Kirk Michael Bott |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376655019 PECOS PAC ID: 3072700129 Enrollment ID: I20101215000385 |
| Provider Name | Kyle W Boerke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225340805 PECOS PAC ID: 0840488862 Enrollment ID: I20101217000099 |
| Provider Name | David L Crawford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306874128 PECOS PAC ID: 0941190490 Enrollment ID: I20101221000112 |
| Provider Name | Harleena K Kendhari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265629760 PECOS PAC ID: 4981892619 Enrollment ID: I20101222000769 |
| Provider Name | Shawna Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508198706 PECOS PAC ID: 4880882398 Enrollment ID: I20101228000799 |
| Provider Name | David Ulaszek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215912316 PECOS PAC ID: 1254520471 Enrollment ID: I20110104000645 |
| Provider Name | Tom J Kenney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710070057 PECOS PAC ID: 1557550787 Enrollment ID: I20110104000744 |
| Provider Name | Courtney Shands |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902880362 PECOS PAC ID: 1850288341 Enrollment ID: I20110104000799 |
| Provider Name | Kimberli J Guelde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497726707 PECOS PAC ID: 9133318363 Enrollment ID: I20110104000810 |
| Provider Name | Michael J Mcdonnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467436972 PECOS PAC ID: 9931398179 Enrollment ID: I20110104000843 |
| Provider Name | Matthew Spellman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205810520 PECOS PAC ID: 3274545843 Enrollment ID: I20110105000708 |
| Provider Name | Albert C England |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699782953 PECOS PAC ID: 8921297805 Enrollment ID: I20110107000189 |
| Provider Name | Jay M Brooker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235180894 PECOS PAC ID: 5991984999 Enrollment ID: I20110124000297 |
| Provider Name | Michael L Glavin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376629741 PECOS PAC ID: 0648459156 Enrollment ID: I20110128000633 |
| Provider Name | Carey L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013226794 PECOS PAC ID: 5193904563 Enrollment ID: I20110201000471 |
| Provider Name | Carole J Eatock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588964712 PECOS PAC ID: 5597945923 Enrollment ID: I20110202000365 |
| Provider Name | Omar Khokhar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386865244 PECOS PAC ID: 9133276728 Enrollment ID: I20110209001099 |
| Provider Name | Nadeem Ahmed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376546804 PECOS PAC ID: 9032029848 Enrollment ID: I20110210000486 |
| Provider Name | Victor O Mensah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366657702 PECOS PAC ID: 5496824120 Enrollment ID: I20110211000977 |
| Provider Name | Brenda K Dillow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336441047 PECOS PAC ID: 0244410868 Enrollment ID: I20110214000536 |
| Provider Name | Heather L Finnegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417267832 PECOS PAC ID: 1254511793 Enrollment ID: I20110215000992 |
| Provider Name | Ossama I Ikladios |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316991193 PECOS PAC ID: 7214913573 Enrollment ID: I20110217000083 |
| Provider Name | Fritz Henry Volmar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447351077 PECOS PAC ID: 2668404567 Enrollment ID: I20110217000331 |
| Provider Name | Jaycie N Liebendorfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124329206 PECOS PAC ID: 5890976294 Enrollment ID: I20110217000678 |
| Provider Name | Terrence R Loughlin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124141825 PECOS PAC ID: 5991986234 Enrollment ID: I20110221000439 |
| Provider Name | Keattiyoat Wattanakit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407821077 PECOS PAC ID: 9234163544 Enrollment ID: I20110222000539 |
| Provider Name | Imad Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841468394 PECOS PAC ID: 8820140585 Enrollment ID: I20110224000915 |
| Provider Name | Faran Bokhari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508987868 PECOS PAC ID: 1254512056 Enrollment ID: I20110228000531 |
| Provider Name | Susan K Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700877032 PECOS PAC ID: 5698757896 Enrollment ID: I20110307000477 |
| Provider Name | Christina M Pica |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750580718 PECOS PAC ID: 8426230830 Enrollment ID: I20110307000518 |
| Provider Name | Jeremy T Winget |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295060150 PECOS PAC ID: 7214119288 Enrollment ID: I20110311000619 |
| Provider Name | Saif U Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396914065 PECOS PAC ID: 0345422333 Enrollment ID: I20110311000803 |
| Provider Name | Vladimir Strunin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104002690 PECOS PAC ID: 4688856446 Enrollment ID: I20110315000955 |
| Provider Name | Mark A Wiechert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063513893 PECOS PAC ID: 6002099744 Enrollment ID: I20110317000864 |
| Provider Name | Lisa E Hosea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871560060 PECOS PAC ID: 6507800414 Enrollment ID: I20110322001030 |
| Provider Name | Vijay Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992858617 PECOS PAC ID: 8123123353 Enrollment ID: I20110325000625 |
| Provider Name | William G Nulty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639148356 PECOS PAC ID: 8628252939 Enrollment ID: I20110412000263 |
| Provider Name | Jodi Renee Stoner |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518260199 PECOS PAC ID: 6709061955 Enrollment ID: I20110503000469 |
| Provider Name | Anne M Lauterjung |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881614857 PECOS PAC ID: 2668657826 Enrollment ID: I20110503000526 |
| Provider Name | Kristi K Williams |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1528351962 PECOS PAC ID: 8123203338 Enrollment ID: I20110504000274 |
| Provider Name | Stephanie C Meuser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598062689 PECOS PAC ID: 5092990119 Enrollment ID: I20110504000453 |
| Provider Name | Marcella A Lindstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730175712 PECOS PAC ID: 1052596186 Enrollment ID: I20110504000627 |
| Provider Name | Mohammad Matarbazi Almonajed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164634531 PECOS PAC ID: 6305930744 Enrollment ID: I20110504000732 |
| Provider Name | Joseph William Hauter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366673436 PECOS PAC ID: 1456538107 Enrollment ID: I20110606000340 |
| Provider Name | Rachel B Wayne |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124311345 PECOS PAC ID: 3971780438 Enrollment ID: I20110609000286 |
| Provider Name | Thythy T Pham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285880757 PECOS PAC ID: 8527245992 Enrollment ID: I20110613000205 |
| Provider Name | Camille D Dicostanzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306884952 PECOS PAC ID: 5092993022 Enrollment ID: I20110622000471 |
| Provider Name | Teresa A Lane |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417247776 PECOS PAC ID: 7517145436 Enrollment ID: I20110624000097 |
| Provider Name | Randall S Sutter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518165406 PECOS PAC ID: 3971781238 Enrollment ID: I20110711000323 |
| Provider Name | Marissa D Weaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700110996 PECOS PAC ID: 0941478267 Enrollment ID: I20110712000529 |
| Provider Name | Mary Eileen Twardowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376847707 PECOS PAC ID: 5496923690 Enrollment ID: I20110713000784 |
| Provider Name | Timir Sudhaker Baman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831230812 PECOS PAC ID: 2062591530 Enrollment ID: I20110718000499 |
| Provider Name | Deepu Sudhakaran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528269214 PECOS PAC ID: 9133397086 Enrollment ID: I20110719000719 |
| Provider Name | Raj Haribhai Ughreja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982857926 PECOS PAC ID: 9830367788 Enrollment ID: I20110719000749 |
| Provider Name | Steven S Tsoraides |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760689764 PECOS PAC ID: 5991973851 Enrollment ID: I20110719000805 |
| Provider Name | Samer M Bashiti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770744831 PECOS PAC ID: 4385812023 Enrollment ID: I20110722000520 |
| Provider Name | Victoria L Steinkoenig |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1982997904 PECOS PAC ID: 7214105915 Enrollment ID: I20110725000427 |
| Provider Name | Terrance M Brady |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124030705 PECOS PAC ID: 2466364724 Enrollment ID: I20110801000556 |
| Provider Name | Thomas C Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104087394 PECOS PAC ID: 1658540828 Enrollment ID: I20110803000811 |
| Provider Name | Joseph K Newcomer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285633420 PECOS PAC ID: 5991772626 Enrollment ID: I20110804000408 |
| Provider Name | Shaun Kurien |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285608976 PECOS PAC ID: 2567496581 Enrollment ID: I20110804000452 |
| Provider Name | David W Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477717247 PECOS PAC ID: 4789853573 Enrollment ID: I20110812000067 |
| Provider Name | Kenneth W Fraser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194826115 PECOS PAC ID: 6406768795 Enrollment ID: I20110812000672 |
| Provider Name | James L Swischuk |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265501035 PECOS PAC ID: 6103738489 Enrollment ID: I20110812000682 |
| Provider Name | David Gerald Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063673515 PECOS PAC ID: 3870762537 Enrollment ID: I20110815000278 |
| Provider Name | Debra L Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578858718 PECOS PAC ID: 0941470017 Enrollment ID: I20110826000741 |
| Provider Name | Jamie L Plett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033412531 PECOS PAC ID: 0840460655 Enrollment ID: I20110906000513 |
| Provider Name | Valeria C Benavides Lopez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043487192 PECOS PAC ID: 2860662442 Enrollment ID: I20110909002645 |
| Provider Name | Thomas J Shula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760486245 PECOS PAC ID: 4183792567 Enrollment ID: I20110912000709 |
| Provider Name | Nimisha S Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265698914 PECOS PAC ID: 3870765522 Enrollment ID: I20111003000110 |
| Provider Name | Scott Allen Gonia |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1982985339 PECOS PAC ID: 3779755327 Enrollment ID: I20111004000573 |
| Provider Name | Priya Kumaraguru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902062862 PECOS PAC ID: 4385816834 Enrollment ID: I20111006000076 |
| Provider Name | Deepak S Nair |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003019209 PECOS PAC ID: 9032381249 Enrollment ID: I20111012000625 |
| Provider Name | Jeffrey C Benson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851342208 PECOS PAC ID: 1355424060 Enrollment ID: I20111024000320 |
| Provider Name | Maryelizabeth Taylor Rashid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689817371 PECOS PAC ID: 8224154323 Enrollment ID: I20111026000881 |
| Provider Name | Sarah A Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881974541 PECOS PAC ID: 6305019936 Enrollment ID: I20111027000078 |
| Provider Name | Sunil Arora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609018217 PECOS PAC ID: 8527231091 Enrollment ID: I20111027000722 |
| Provider Name | Michael W Armstrong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578855953 PECOS PAC ID: 2365615556 Enrollment ID: I20111103000596 |
| Provider Name | Rebecca J Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932497922 PECOS PAC ID: 5496929622 Enrollment ID: I20111128000015 |
| Provider Name | Jeremy R Carrier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871753921 PECOS PAC ID: 5496929473 Enrollment ID: I20111201000472 |
| Provider Name | Alyse C Ringenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578848925 PECOS PAC ID: 4486829306 Enrollment ID: I20111205000462 |
| Provider Name | Edward D Fausel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790745289 PECOS PAC ID: 9234304106 Enrollment ID: I20111206000059 |
| Provider Name | Megan M Kesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558641662 PECOS PAC ID: 9133394646 Enrollment ID: I20111212000883 |
| Provider Name | Malinda M Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124303730 PECOS PAC ID: 3173798410 Enrollment ID: I20111214000722 |
| Provider Name | Meropi I Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457634693 PECOS PAC ID: 6709051055 Enrollment ID: I20111214000874 |
| Provider Name | Eric M Cox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821275074 PECOS PAC ID: 4284800749 Enrollment ID: I20120104000605 |
| Provider Name | Sarah B Beam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194006635 PECOS PAC ID: 9739355900 Enrollment ID: I20120110000703 |
| Provider Name | Timothy N Koritz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396855581 PECOS PAC ID: 8325215361 Enrollment ID: I20120116000179 |
| Provider Name | Chittaranjan V Reddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992737084 PECOS PAC ID: 4688841232 Enrollment ID: I20120123000186 |
| Provider Name | Abbi D Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437434982 PECOS PAC ID: 3375710874 Enrollment ID: I20120125000062 |
| Provider Name | Lisa Bhagan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952579328 PECOS PAC ID: 5991962177 Enrollment ID: I20120130000732 |
| Provider Name | Roland Williby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235439514 PECOS PAC ID: 9234396656 Enrollment ID: I20120213000469 |
| Provider Name | Robert W Wolford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043230709 PECOS PAC ID: 6103810940 Enrollment ID: I20120214000343 |
| Provider Name | Christopher W Nau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104023092 PECOS PAC ID: 6103084926 Enrollment ID: I20120225000084 |
| Provider Name | Amit B Jamnadas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104072305 PECOS PAC ID: 4880852508 Enrollment ID: I20120225000138 |
| Provider Name | Cecilia Siberon Sone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073644035 PECOS PAC ID: 2264690866 Enrollment ID: I20120229000377 |
| Provider Name | Christine L Kage-willis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013289354 PECOS PAC ID: 7719146810 Enrollment ID: I20120308000848 |
| Provider Name | Christine L Fredrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417967993 PECOS PAC ID: 7810156437 Enrollment ID: I20120316000373 |
| Provider Name | Cheryl A Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427353598 PECOS PAC ID: 5092975102 Enrollment ID: I20120328000151 |
| Provider Name | Christopher B Beach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649245564 PECOS PAC ID: 7113187170 Enrollment ID: I20120328000823 |
| Provider Name | Kaninika Verma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265503429 PECOS PAC ID: 1052313889 Enrollment ID: I20120402000619 |
| Provider Name | Michelle Yvonne Yates |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063499358 PECOS PAC ID: 3577553841 Enrollment ID: I20120416000421 |
| Provider Name | Tayyaba Irshad |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1629035829 PECOS PAC ID: 5890790430 Enrollment ID: I20120418000675 |
| Provider Name | Jennifer L Dinges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720148281 PECOS PAC ID: 8123289014 Enrollment ID: I20120420000224 |
| Provider Name | Laura K Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023346582 PECOS PAC ID: 0244492981 Enrollment ID: I20120425000815 |
| Provider Name | Allan R Kornfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134278831 PECOS PAC ID: 3971696907 Enrollment ID: I20120427000435 |
| Provider Name | Mark Kellen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023178647 PECOS PAC ID: 3577725134 Enrollment ID: I20120427000472 |
| Provider Name | Ernest W Waintraub |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740454552 PECOS PAC ID: 2860673449 Enrollment ID: I20120514000660 |
| Provider Name | Neelofer Shafi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316104813 PECOS PAC ID: 3971782194 Enrollment ID: I20120517000155 |
| Provider Name | Tarak R Chokshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235190216 PECOS PAC ID: 4183659105 Enrollment ID: I20120522001208 |
| Provider Name | Diane P Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932473824 PECOS PAC ID: 7012170053 Enrollment ID: I20120531000372 |
| Provider Name | Susie M White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851661862 PECOS PAC ID: 1355505371 Enrollment ID: I20120604000072 |
| Provider Name | Kathleen F Schlack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821369596 PECOS PAC ID: 0547424509 Enrollment ID: I20120604000515 |
| Provider Name | Kristin A Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174772552 PECOS PAC ID: 5496823148 Enrollment ID: I20120613000363 |
| Provider Name | Amy K Ulrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639492655 PECOS PAC ID: 1456481571 Enrollment ID: I20120613000548 |
| Provider Name | Neal D Rushforth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811121361 PECOS PAC ID: 3577727874 Enrollment ID: I20120618000694 |
| Provider Name | Tamara D Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811274756 PECOS PAC ID: 9133383342 Enrollment ID: I20120619000183 |
| Provider Name | Carrie N Stalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982914834 PECOS PAC ID: 7012171101 Enrollment ID: I20120621000597 |
| Provider Name | Audra J Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760630420 PECOS PAC ID: 2062579113 Enrollment ID: I20120622000492 |
| Provider Name | Nastane Le Bec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518123843 PECOS PAC ID: 0042475915 Enrollment ID: I20120626000642 |
| Provider Name | Tammy S Neys |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720353691 PECOS PAC ID: 6507022761 Enrollment ID: I20120717000134 |
| Provider Name | Joanne Rousseau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891936969 PECOS PAC ID: 2961677026 Enrollment ID: I20120718000365 |
| Provider Name | Emmanuel A Amulraj |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407005176 PECOS PAC ID: 9335305820 Enrollment ID: I20120727000611 |
| Provider Name | Kristen A Chambers Damm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447485693 PECOS PAC ID: 7113183534 Enrollment ID: I20120730000184 |
| Provider Name | Henry A San German |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205928397 PECOS PAC ID: 6507020336 Enrollment ID: I20120731000578 |
| Provider Name | Regina N Wan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306117213 PECOS PAC ID: 4688820673 Enrollment ID: I20120807000549 |
| Provider Name | Suresh Alla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134339203 PECOS PAC ID: 3274426655 Enrollment ID: I20120808000514 |
| Provider Name | Naser M Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437270253 PECOS PAC ID: 0244338317 Enrollment ID: I20120808000544 |
| Provider Name | Xu Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558577460 PECOS PAC ID: 7012058209 Enrollment ID: I20120820000649 |
| Provider Name | Gillian M Brennan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174782437 PECOS PAC ID: 2961659057 Enrollment ID: I20120824000186 |
| Provider Name | Kimberly L French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962757799 PECOS PAC ID: 4385891357 Enrollment ID: I20120827000335 |
| Provider Name | Marc D Knepp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568686277 PECOS PAC ID: 0446421960 Enrollment ID: I20120828000835 |
| Provider Name | Allison R Tanck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144425174 PECOS PAC ID: 2961659552 Enrollment ID: I20120905000067 |
| Provider Name | Chrissa Summers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881952646 PECOS PAC ID: 6103074547 Enrollment ID: I20120910000774 |
| Provider Name | Erika D Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932340247 PECOS PAC ID: 8123164746 Enrollment ID: I20120917000680 |
| Provider Name | Kumarpal C Shrishrimal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023217551 PECOS PAC ID: 7416049853 Enrollment ID: I20120919000832 |
| Provider Name | Ami M Dose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548429509 PECOS PAC ID: 1759539406 Enrollment ID: I20120921000155 |
| Provider Name | John M Rinker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316173636 PECOS PAC ID: 4082862750 Enrollment ID: I20120921000436 |
| Provider Name | Peter Mauricio Arrazola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245473057 PECOS PAC ID: 5092964304 Enrollment ID: I20121002000337 |
| Provider Name | Rebecca A Sierra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417186420 PECOS PAC ID: 8123277340 Enrollment ID: I20121003000836 |
| Provider Name | Annevay D Conlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053540237 PECOS PAC ID: 9537318753 Enrollment ID: I20121003000887 |
| Provider Name | Catherine Beratio Nullmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629200753 PECOS PAC ID: 2163671090 Enrollment ID: I20121009000247 |
| Provider Name | Jennifer L Runyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972732246 PECOS PAC ID: 7012166861 Enrollment ID: I20121011000203 |
| Provider Name | Henry Lawrence A Dumbab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841495785 PECOS PAC ID: 5294984969 Enrollment ID: I20121012000754 |
| Provider Name | Mary C Baldauf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447271911 PECOS PAC ID: 3779569165 Enrollment ID: I20121015000710 |
| Provider Name | Molly M Kelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114187705 PECOS PAC ID: 3173773603 Enrollment ID: I20121018000576 |
| Provider Name | Lindsay A Jin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598096190 PECOS PAC ID: 5092965558 Enrollment ID: I20121019000133 |
| Provider Name | Kavitha Kalvakuri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780811513 PECOS PAC ID: 9931359312 Enrollment ID: I20121019000458 |
| Provider Name | Patricia A Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104171529 PECOS PAC ID: 5597915595 Enrollment ID: I20121029000660 |
| Provider Name | Charles J Aprahamian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033323902 PECOS PAC ID: 0244481059 Enrollment ID: I20121102000435 |
| Provider Name | Mohammed M Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679703797 PECOS PAC ID: 4789835331 Enrollment ID: I20121108000332 |
| Provider Name | Julie E Ashbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114051455 PECOS PAC ID: 7517118060 Enrollment ID: I20121110000207 |
| Provider Name | Guoxiang Chu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295946580 PECOS PAC ID: 6204087638 Enrollment ID: I20121113000378 |
| Provider Name | Anne Catherine Risk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871754309 PECOS PAC ID: 8022269364 Enrollment ID: I20121113000624 |
| Provider Name | Fiona Aronberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396903506 PECOS PAC ID: 4587711734 Enrollment ID: I20121116000335 |
| Provider Name | Jessica L White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902048986 PECOS PAC ID: 8224280862 Enrollment ID: I20121206000299 |
| Provider Name | Deepak Taneja |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841492394 PECOS PAC ID: 3779679766 Enrollment ID: I20121206000544 |
| Provider Name | Jessica L Johann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083962500 PECOS PAC ID: 6002068558 Enrollment ID: I20121206000583 |
| Provider Name | Mussarat J Bukhari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225266422 PECOS PAC ID: 6901058460 Enrollment ID: I20121206000602 |
| Provider Name | Vanessa Leblanc |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750523320 PECOS PAC ID: 8921250432 Enrollment ID: I20121208000014 |
| Provider Name | Cheryl A Carmack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851640825 PECOS PAC ID: 2163674466 Enrollment ID: I20121213000313 |
| Provider Name | Sidney A Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447411509 PECOS PAC ID: 8022261023 Enrollment ID: I20121226000049 |
| Provider Name | Lylla Shahab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114214145 PECOS PAC ID: 4486826518 Enrollment ID: I20121228000199 |
| Provider Name | Katherine R Riva Foster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073869475 PECOS PAC ID: 1951554856 Enrollment ID: I20121228000336 |
| Provider Name | Holly Swisher |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316294648 PECOS PAC ID: 3779736277 Enrollment ID: I20130111000481 |
| Provider Name | Jenny L Gaworski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942551312 PECOS PAC ID: 6901059419 Enrollment ID: I20130114000076 |
| Provider Name | John Millichap |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225211600 PECOS PAC ID: 4688827009 Enrollment ID: I20130116000187 |
| Provider Name | Ravishankar Hasanadka |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699858068 PECOS PAC ID: 7618148289 Enrollment ID: I20130116000264 |
| Provider Name | Andrea C Sheley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063768513 PECOS PAC ID: 7315190550 Enrollment ID: I20130121000084 |
| Provider Name | Qamar U Saleheen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194700567 PECOS PAC ID: 4082620190 Enrollment ID: I20130121000205 |
| Provider Name | Megan M Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598019010 PECOS PAC ID: 2769636547 Enrollment ID: I20130201000214 |
| Provider Name | Rebecca Wigant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528318128 PECOS PAC ID: 9234383621 Enrollment ID: I20130212000535 |
| Provider Name | Denise M Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699002709 PECOS PAC ID: 6103070370 Enrollment ID: I20130218000238 |
| Provider Name | Colleen R Schaidle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154674380 PECOS PAC ID: 8325293970 Enrollment ID: I20130305000123 |
| Provider Name | William G Sanders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871723445 PECOS PAC ID: 5991969016 Enrollment ID: I20130318000123 |
| Provider Name | Elizabeth Whelan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629320445 PECOS PAC ID: 8820233893 Enrollment ID: I20130321000437 |
| Provider Name | Susan C Pavlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679550420 PECOS PAC ID: 3678594413 Enrollment ID: I20130322000029 |
| Provider Name | Michelle M Prince |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841264454 PECOS PAC ID: 0244287332 Enrollment ID: I20130326000084 |
| Provider Name | Jessica L Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518202373 PECOS PAC ID: 6103061635 Enrollment ID: I20130403000550 |
| Provider Name | Kayla A Simons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659620342 PECOS PAC ID: 3678718145 Enrollment ID: I20130404000232 |
| Provider Name | Mohammed Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639456122 PECOS PAC ID: 8729224720 Enrollment ID: I20130417000630 |
| Provider Name | David F Saldanha |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750557138 PECOS PAC ID: 8022255405 Enrollment ID: I20130501000532 |
| Provider Name | Rehan Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356511901 PECOS PAC ID: 9739357179 Enrollment ID: I20130502000308 |
| Provider Name | Diana L Lowe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144347717 PECOS PAC ID: 7012015332 Enrollment ID: I20130503000134 |
| Provider Name | Kaleena D Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679919542 PECOS PAC ID: 9133366735 Enrollment ID: I20130517000345 |
| Provider Name | Diana L France |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720326069 PECOS PAC ID: 0749427326 Enrollment ID: I20130520000510 |
| Provider Name | Carole L Vilchis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568703593 PECOS PAC ID: 2668610916 Enrollment ID: I20130529000330 |
| Provider Name | Ginny L Hendricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487883831 PECOS PAC ID: 3779721808 Enrollment ID: I20130601000088 |
| Provider Name | Syed Rafe Zaidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285949800 PECOS PAC ID: 2961641659 Enrollment ID: I20130610000109 |
| Provider Name | Sudha Cherukuri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629126222 PECOS PAC ID: 8527126051 Enrollment ID: I20130621000453 |
| Provider Name | Venkata R Dodda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013194042 PECOS PAC ID: 9638319429 Enrollment ID: I20130627000578 |
| Provider Name | Trisha C Stetzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932449345 PECOS PAC ID: 8921248741 Enrollment ID: I20130627000811 |
| Provider Name | Leticia Lemus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699011189 PECOS PAC ID: 4880834621 Enrollment ID: I20130628000182 |
| Provider Name | Jessica E Garceau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194161992 PECOS PAC ID: 5092955781 Enrollment ID: I20130628000760 |
| Provider Name | Ashvarya Mangla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457580680 PECOS PAC ID: 6305086059 Enrollment ID: I20130701000621 |
| Provider Name | Lisa A Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861462616 PECOS PAC ID: 1355358318 Enrollment ID: I20130702000148 |
| Provider Name | Mary E Stapel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891922571 PECOS PAC ID: 8426298977 Enrollment ID: I20130708000049 |
| Provider Name | Jeffrey Earhart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124284898 PECOS PAC ID: 6800051004 Enrollment ID: I20130715000059 |
| Provider Name | Samuel A Sears |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689994162 PECOS PAC ID: 1557501665 Enrollment ID: I20130715000374 |
| Provider Name | Imran L Balouch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467783290 PECOS PAC ID: 2668503442 Enrollment ID: I20130717000424 |
| Provider Name | Sarah E Winborn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548508187 PECOS PAC ID: 3173764024 Enrollment ID: I20130719000051 |
| Provider Name | Sarojini Kamaraju Ratnakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679524672 PECOS PAC ID: 2466410279 Enrollment ID: I20130723000398 |
| Provider Name | Sharon M Damron |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841638855 PECOS PAC ID: 2567603160 Enrollment ID: I20130724000479 |
| Provider Name | Justin J Holschbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053623330 PECOS PAC ID: 7315188943 Enrollment ID: I20130724000786 |
| Provider Name | Mauro Vido Montevecchi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871770537 PECOS PAC ID: 4082877154 Enrollment ID: I20130725000945 |
| Provider Name | Dawn K Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881901536 PECOS PAC ID: 1951542281 Enrollment ID: I20130729000449 |
| Provider Name | Daniel K Martin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578874293 PECOS PAC ID: 1254572480 Enrollment ID: I20130730000654 |
| Provider Name | Eyad Karzoun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649470196 PECOS PAC ID: 2466693403 Enrollment ID: I20130802000270 |
| Provider Name | Diana L Warnecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396183687 PECOS PAC ID: 8921240821 Enrollment ID: I20130806000090 |
| Provider Name | Don C Arnold |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457501926 PECOS PAC ID: 7517137995 Enrollment ID: I20130807000388 |
| Provider Name | Cecilia A Albaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497879290 PECOS PAC ID: 4284876004 Enrollment ID: I20130807000662 |
| Provider Name | Rhonda C Schiestel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386947026 PECOS PAC ID: 3870735426 Enrollment ID: I20130809000419 |
| Provider Name | James B Mikeworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790927309 PECOS PAC ID: 2567604135 Enrollment ID: I20130809000734 |
| Provider Name | M Bassel Atassi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689876328 PECOS PAC ID: 3577705011 Enrollment ID: I20130812000766 |
| Provider Name | Kevin Gilbert Koth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972798049 PECOS PAC ID: 8123274917 Enrollment ID: I20130813000526 |
| Provider Name | James Rybak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801042700 PECOS PAC ID: 6103068564 Enrollment ID: I20130814000394 |
| Provider Name | Ashley E Darin-messmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669818415 PECOS PAC ID: 8820230097 Enrollment ID: I20130819000215 |
| Provider Name | Manpreet Kaur Sandhu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316233265 PECOS PAC ID: 8820230915 Enrollment ID: I20130820000987 |
| Provider Name | Douglas J Kasper |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447414008 PECOS PAC ID: 8820231855 Enrollment ID: I20130823000528 |
| Provider Name | Kimberly L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346407319 PECOS PAC ID: 9537303318 Enrollment ID: I20130917000559 |
| Provider Name | Sharjeel Ahmad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568672426 PECOS PAC ID: 7315072014 Enrollment ID: I20130918000440 |
| Provider Name | Laura E Flinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477985547 PECOS PAC ID: 8729212089 Enrollment ID: I20130930000278 |
| Provider Name | Mark E Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023237476 PECOS PAC ID: 2769616853 Enrollment ID: I20131003000046 |
| Provider Name | Kristin M Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437499803 PECOS PAC ID: 6901030931 Enrollment ID: I20131007001292 |
| Provider Name | Hamid R Sagha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265644371 PECOS PAC ID: 2860568904 Enrollment ID: I20131008000379 |
| Provider Name | Karna D Sherwood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619105293 PECOS PAC ID: 9638303472 Enrollment ID: I20131009001426 |
| Provider Name | Robin A Alley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659689461 PECOS PAC ID: 8325272834 Enrollment ID: I20131015001924 |
| Provider Name | Brian Sellers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518288547 PECOS PAC ID: 8729213194 Enrollment ID: I20131022000000 |
| Provider Name | Anders Mellgren |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1053320671 PECOS PAC ID: 1052447059 Enrollment ID: I20131025000304 |
| Provider Name | Sidra M Bhutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326358748 PECOS PAC ID: 8921233073 Enrollment ID: I20131028001271 |
| Provider Name | Rachael M Davis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902110265 PECOS PAC ID: 9436384443 Enrollment ID: I20131029001402 |
| Provider Name | Amy K Hill |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609213628 PECOS PAC ID: 3577798453 Enrollment ID: I20131030001739 |
| Provider Name | Udit Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750619672 PECOS PAC ID: 0143415836 Enrollment ID: I20131105000646 |
| Provider Name | Julie A Gifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750716734 PECOS PAC ID: 8123253812 Enrollment ID: I20131105001750 |
| Provider Name | Etai Goldenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669663605 PECOS PAC ID: 6901055854 Enrollment ID: I20131108000881 |
| Provider Name | Jeffrey A Loeb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200025 PECOS PAC ID: 0446263677 Enrollment ID: I20131111000205 |
| Provider Name | Diane M Glick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184979544 PECOS PAC ID: 0648406025 Enrollment ID: I20131113000007 |
| Provider Name | Sushmita N Prathipati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740581776 PECOS PAC ID: 7113153537 Enrollment ID: I20131113000919 |
| Provider Name | Diana Lorraine Bahena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124460498 PECOS PAC ID: 7618103987 Enrollment ID: I20131114000525 |
| Provider Name | Karechia N Chagoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699112508 PECOS PAC ID: 6406082635 Enrollment ID: I20131118001868 |
| Provider Name | Frank W Hsu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104069277 PECOS PAC ID: 6204062854 Enrollment ID: I20131204000514 |
| Provider Name | Divyesh N Morker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629399399 PECOS PAC ID: 6800023219 Enrollment ID: I20131210001508 |
| Provider Name | Shital R Ughreja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467766253 PECOS PAC ID: 4880821172 Enrollment ID: I20131211001935 |
| Provider Name | Jennifer Durst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902236623 PECOS PAC ID: 4284861394 Enrollment ID: I20131217001642 |
| Provider Name | Christine E Hermosillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962838862 PECOS PAC ID: 7911134770 Enrollment ID: I20131226001054 |
| Provider Name | Jailson S Nascimento |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881912392 PECOS PAC ID: 8426285131 Enrollment ID: I20131227001605 |
| Provider Name | Angella M Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437586096 PECOS PAC ID: 4385872670 Enrollment ID: I20140113001047 |
| Provider Name | Taariq A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437445202 PECOS PAC ID: 6709014012 Enrollment ID: I20140114000000 |
| Provider Name | Sheila R Feaster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972739548 PECOS PAC ID: 2264660125 Enrollment ID: I20140122001953 |
| Provider Name | Ruth A Arms |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609211101 PECOS PAC ID: 1153550983 Enrollment ID: I20140127001379 |
| Provider Name | Jacqueline R Kaufman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679872477 PECOS PAC ID: 3779712500 Enrollment ID: I20140127001416 |
| Provider Name | Kirsten D Clerkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730515578 PECOS PAC ID: 4789813478 Enrollment ID: I20140128001895 |
| Provider Name | Jennifer A Berkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295088391 PECOS PAC ID: 2062641723 Enrollment ID: I20140129001866 |
| Provider Name | Stephan W Shane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447332424 PECOS PAC ID: 4183787336 Enrollment ID: I20140131001139 |
| Provider Name | Sarah E. Dominique |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114348620 PECOS PAC ID: 4385873710 Enrollment ID: I20140206000694 |
| Provider Name | Melanie A Reeves |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144564188 PECOS PAC ID: 0042449332 Enrollment ID: I20140207001208 |
| Provider Name | Cherise L Cokley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285835025 PECOS PAC ID: 7517196843 Enrollment ID: I20140210000082 |
| Provider Name | Victor W Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942596192 PECOS PAC ID: 1951530963 Enrollment ID: I20140213001455 |
| Provider Name | Raji Jacob |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538325477 PECOS PAC ID: 3678606258 Enrollment ID: I20140318000805 |
| Provider Name | Linda M Cooper |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902152077 PECOS PAC ID: 6709017890 Enrollment ID: I20140403000578 |
| Provider Name | Nicole Emily Nyberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841615770 PECOS PAC ID: 9436381514 Enrollment ID: I20140404000759 |
| Provider Name | Kelsey A Newman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609205806 PECOS PAC ID: 2163653874 Enrollment ID: I20140409000933 |
| Provider Name | Kristine M Papis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669897930 PECOS PAC ID: 2769614023 Enrollment ID: I20140421000710 |
| Provider Name | Sarah Dutta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083648240 PECOS PAC ID: 5193621811 Enrollment ID: I20140421001972 |
| Provider Name | Melissa J Joos |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821234238 PECOS PAC ID: 4789816992 Enrollment ID: I20140422000537 |
| Provider Name | Daniel P Montemayor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922394121 PECOS PAC ID: 3274766175 Enrollment ID: I20140430000498 |
| Provider Name | Heather M Mclauchlan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356319479 PECOS PAC ID: 1850524281 Enrollment ID: I20140508002095 |
| Provider Name | Linda S Jennette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891110532 PECOS PAC ID: 0244463685 Enrollment ID: I20140509000123 |
| Provider Name | Nikki Lynn L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528400850 PECOS PAC ID: 6709019151 Enrollment ID: I20140509000436 |
| Provider Name | Matthew T Wilson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1295045425 PECOS PAC ID: 6204069693 Enrollment ID: I20140509001614 |
| Provider Name | Austin J Lamb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013202530 PECOS PAC ID: 2062645468 Enrollment ID: I20140509001809 |
| Provider Name | Vivian C Lau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437443777 PECOS PAC ID: 1456584788 Enrollment ID: I20140512001079 |
| Provider Name | Stephanie J Kok |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740575976 PECOS PAC ID: 7911120282 Enrollment ID: I20140514001924 |
| Provider Name | Melissa G Kulp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003232489 PECOS PAC ID: 4587887716 Enrollment ID: I20140515001549 |
| Provider Name | Zlatina G Manov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477701639 PECOS PAC ID: 3072762251 Enrollment ID: I20140515001820 |
| Provider Name | Rachel S Janesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144646183 PECOS PAC ID: 0042433138 Enrollment ID: I20140517000031 |
| Provider Name | Noaman F Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124294749 PECOS PAC ID: 7618157470 Enrollment ID: I20140523002142 |
| Provider Name | David E Lieberman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922046747 PECOS PAC ID: 2264445451 Enrollment ID: I20140524000147 |
| Provider Name | Renee Kohlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073933388 PECOS PAC ID: 5597988220 Enrollment ID: I20140527000195 |
| Provider Name | Larry V Najera |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962638494 PECOS PAC ID: 0143443812 Enrollment ID: I20140527001619 |
| Provider Name | Peter S Cenek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245526250 PECOS PAC ID: 3476776915 Enrollment ID: I20140602000441 |
| Provider Name | Audra L Rushforth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467877407 PECOS PAC ID: 4385867845 Enrollment ID: I20140602001234 |
| Provider Name | Khawaja Rahman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508865239 PECOS PAC ID: 7214980218 Enrollment ID: I20140602002095 |
| Provider Name | Mary A Harvey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215037890 PECOS PAC ID: 9830312271 Enrollment ID: I20140603001552 |
| Provider Name | Matthew J Weidman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134226145 PECOS PAC ID: 1850515230 Enrollment ID: I20140605001533 |
| Provider Name | Stephanie A Woodfall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609294297 PECOS PAC ID: 0244454189 Enrollment ID: I20140614000000 |
| Provider Name | Fahad M Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285848291 PECOS PAC ID: 1759438963 Enrollment ID: I20140616001505 |
| Provider Name | John E Player |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285965905 PECOS PAC ID: 9931235801 Enrollment ID: I20140616001777 |
| Provider Name | Heather Lynn Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306273685 PECOS PAC ID: 9234353780 Enrollment ID: I20140624001381 |
| Provider Name | Ashraf Al-dadah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457526576 PECOS PAC ID: 0143445650 Enrollment ID: I20140625001201 |
| Provider Name | James P Maletich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235426826 PECOS PAC ID: 5496984627 Enrollment ID: I20140702000408 |
| Provider Name | Alejandro Marchini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740326719 PECOS PAC ID: 1052536091 Enrollment ID: I20140707000606 |
| Provider Name | Kathleen J Hagenauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053649574 PECOS PAC ID: 5991920860 Enrollment ID: I20140709000740 |
| Provider Name | Anna L Cicciarelli |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942557285 PECOS PAC ID: 3375778905 Enrollment ID: I20140710001526 |
| Provider Name | Robert Arthur Kinzinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225287428 PECOS PAC ID: 7517100845 Enrollment ID: I20140714000731 |
| Provider Name | Jilma L Patrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497980452 PECOS PAC ID: 0446475032 Enrollment ID: I20140716001161 |
| Provider Name | Brittany M Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275958373 PECOS PAC ID: 9436375755 Enrollment ID: I20140723000655 |
| Provider Name | Venkat R Kakollu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447681044 PECOS PAC ID: 7315163565 Enrollment ID: I20140723001822 |
| Provider Name | Michelle F Keutzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295841310 PECOS PAC ID: 9032102850 Enrollment ID: I20140725000000 |
| Provider Name | William C Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679904858 PECOS PAC ID: 9133345127 Enrollment ID: I20140728002663 |
| Provider Name | Wendy O Olson Padilla |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871752501 PECOS PAC ID: 6507082476 Enrollment ID: I20140730000195 |
| Provider Name | Jessica A Tonozzi Kinzinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447424791 PECOS PAC ID: 1951570480 Enrollment ID: I20140806001381 |
| Provider Name | Michael T Broman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538354600 PECOS PAC ID: 8628295144 Enrollment ID: I20140807000077 |
| Provider Name | Karen T Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821411208 PECOS PAC ID: 4880811066 Enrollment ID: I20140812001288 |
| Provider Name | Jay T Rohde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457671745 PECOS PAC ID: 3274750237 Enrollment ID: I20140814001881 |
| Provider Name | Angela C Onion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447586052 PECOS PAC ID: 5698992659 Enrollment ID: I20140814002026 |
| Provider Name | Ashok K Maini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184910325 PECOS PAC ID: 6901023779 Enrollment ID: I20140819001476 |
| Provider Name | Josia N Henry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063709236 PECOS PAC ID: 9537388343 Enrollment ID: I20140909002563 |
| Provider Name | Jennifer M Mool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396150280 PECOS PAC ID: 3779702212 Enrollment ID: I20140916002122 |
| Provider Name | Melissa R House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396158812 PECOS PAC ID: 8729207964 Enrollment ID: I20140919001398 |
| Provider Name | Casey M Kimler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710396395 PECOS PAC ID: 4082833157 Enrollment ID: I20140923000649 |
| Provider Name | Colette A Lehn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336589514 PECOS PAC ID: 1355560327 Enrollment ID: I20140924001566 |
| Provider Name | Danielle Pagano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760891766 PECOS PAC ID: 5395965016 Enrollment ID: I20141001001041 |
| Provider Name | Justine E Mucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659771863 PECOS PAC ID: 6305066754 Enrollment ID: I20141007000325 |
| Provider Name | Susan Marie Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396144663 PECOS PAC ID: 3870713233 Enrollment ID: I20141007000613 |
| Provider Name | Martine A Schultheis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275829178 PECOS PAC ID: 4587804612 Enrollment ID: I20141009000437 |
| Provider Name | Lynnette A Davis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225260920 PECOS PAC ID: 0749400844 Enrollment ID: I20141010002295 |
| Provider Name | Ehab El-khabiry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023306230 PECOS PAC ID: 7113148131 Enrollment ID: I20141016000609 |
| Provider Name | Adam C Sturdavant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720375520 PECOS PAC ID: 8729209762 Enrollment ID: I20141016001454 |
| Provider Name | Farhana A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215184353 PECOS PAC ID: 5193871655 Enrollment ID: I20141016001795 |
| Provider Name | Michele L Britvec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699174060 PECOS PAC ID: 4880815836 Enrollment ID: I20141016001971 |
| Provider Name | Stephanie Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710380258 PECOS PAC ID: 9830310473 Enrollment ID: I20141023000220 |
| Provider Name | Kristin N Wilkins |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578964987 PECOS PAC ID: 9032330683 Enrollment ID: I20141023000599 |
| Provider Name | Anthony J Buecker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043504368 PECOS PAC ID: 0648491118 Enrollment ID: I20141027000586 |
| Provider Name | Ashley R Frerichs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982024394 PECOS PAC ID: 0547481921 Enrollment ID: I20141028002789 |
| Provider Name | April K Phillips Nohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427451624 PECOS PAC ID: 2567683725 Enrollment ID: I20141031002070 |
| Provider Name | Emily K Mckenna |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184026940 PECOS PAC ID: 9032331095 Enrollment ID: I20141107000835 |
| Provider Name | Stephen A Cambalik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407146103 PECOS PAC ID: 7315169158 Enrollment ID: I20141112000957 |
| Provider Name | Tiereny N Minassian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497150221 PECOS PAC ID: 0143442715 Enrollment ID: I20141114001469 |
| Provider Name | Marissa C Myres |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073917258 PECOS PAC ID: 4789806308 Enrollment ID: I20141117000467 |
| Provider Name | Keli Elayne Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639571458 PECOS PAC ID: 5395967863 Enrollment ID: I20141118000790 |
| Provider Name | Mohamed M Abou Rayan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639356447 PECOS PAC ID: 9830361559 Enrollment ID: I20141119001073 |
| Provider Name | Kathleen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992109755 PECOS PAC ID: 7719209956 Enrollment ID: I20141125001735 |
| Provider Name | Jennifer A Vissering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770983181 PECOS PAC ID: 0648592642 Enrollment ID: I20141202001421 |
| Provider Name | Linda M Schmidgall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003219932 PECOS PAC ID: 1254653207 Enrollment ID: I20141203000446 |
| Provider Name | Courtney Lockhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952689259 PECOS PAC ID: 0547582017 Enrollment ID: I20141211001972 |
| Provider Name | Amy L Mefford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164416012 PECOS PAC ID: 5092037499 Enrollment ID: I20141212001508 |
| Provider Name | Carissa R Gorham |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1407259559 PECOS PAC ID: 8628391901 Enrollment ID: I20141217000703 |
| Provider Name | Mark D Plunkett |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518991074 PECOS PAC ID: 2163591603 Enrollment ID: I20141218002207 |
| Provider Name | Nausheen Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235322215 PECOS PAC ID: 5991861312 Enrollment ID: I20141224000668 |
| Provider Name | Jennifer A Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336546969 PECOS PAC ID: 5890018824 Enrollment ID: I20141226000551 |
| Provider Name | Sharie M Harden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104821446 PECOS PAC ID: 3274856026 Enrollment ID: I20141230002584 |
| Provider Name | Kristi N Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508181702 PECOS PAC ID: 9234453713 Enrollment ID: I20150112001454 |
| Provider Name | Mara K Arakelian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437594314 PECOS PAC ID: 4082939699 Enrollment ID: I20150202001095 |
| Provider Name | Tamra J Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588066427 PECOS PAC ID: 4284959800 Enrollment ID: I20150202001470 |
| Provider Name | Yousef Al-shraideh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184989915 PECOS PAC ID: 8325296874 Enrollment ID: I20150219002433 |
| Provider Name | Mario Masrur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811254568 PECOS PAC ID: 4284950221 Enrollment ID: I20150310000512 |
| Provider Name | Shahaab Uddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669784872 PECOS PAC ID: 1850526336 Enrollment ID: I20150316001253 |
| Provider Name | Ronald S Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558476291 PECOS PAC ID: 1759386444 Enrollment ID: I20150317001761 |
| Provider Name | William F Bond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245268127 PECOS PAC ID: 4587608435 Enrollment ID: I20150318002703 |
| Provider Name | Anne M Orzechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588052369 PECOS PAC ID: 4688991847 Enrollment ID: I20150326002275 |
| Provider Name | Connie E Zurski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164813515 PECOS PAC ID: 5991022006 Enrollment ID: I20150331001007 |
| Provider Name | Samantha A Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093113854 PECOS PAC ID: 1153649900 Enrollment ID: I20150408000648 |
| Provider Name | Daniel R Mueller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225343171 PECOS PAC ID: 9335380245 Enrollment ID: I20150409001391 |
| Provider Name | Emily M Horvath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528324795 PECOS PAC ID: 0244559953 Enrollment ID: I20150430002378 |
| Provider Name | Maysa H Abdul Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245417070 PECOS PAC ID: 7517003775 Enrollment ID: I20150512000402 |
| Provider Name | Nicole M Lovin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063806412 PECOS PAC ID: 5890015960 Enrollment ID: I20150514000235 |
| Provider Name | Amber Hemminger |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497141758 PECOS PAC ID: 0042530651 Enrollment ID: I20150521002676 |
| Provider Name | Jacqueline D Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891184412 PECOS PAC ID: 9931429248 Enrollment ID: I20150527001819 |
| Provider Name | Bryan L Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780948786 PECOS PAC ID: 9436479789 Enrollment ID: I20150528000043 |
| Provider Name | Serageldin Raslan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053675827 PECOS PAC ID: 7315267663 Enrollment ID: I20150528000137 |
| Provider Name | Julie A Deibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548651490 PECOS PAC ID: 5092036053 Enrollment ID: I20150603001650 |
| Provider Name | Matthew J Ranzer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1083939987 PECOS PAC ID: 7214258896 Enrollment ID: I20150608002004 |
| Provider Name | Jacob R Hopping |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538471099 PECOS PAC ID: 0244551539 Enrollment ID: I20150611003158 |
| Provider Name | Caleb W Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689061251 PECOS PAC ID: 1254642556 Enrollment ID: I20150612000295 |
| Provider Name | Maria A Kronlage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326364316 PECOS PAC ID: 6608187786 Enrollment ID: I20150616001043 |
| Provider Name | Allen L Neese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841261872 PECOS PAC ID: 9234393075 Enrollment ID: I20150616002349 |
| Provider Name | Jill M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033500327 PECOS PAC ID: 8921319542 Enrollment ID: I20150623001062 |
| Provider Name | Viviane M Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952702474 PECOS PAC ID: 8123339751 Enrollment ID: I20150623001336 |
| Provider Name | Cara A Turnbull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316349830 PECOS PAC ID: 8820309461 Enrollment ID: I20150623001468 |
| Provider Name | Kristina L Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538424098 PECOS PAC ID: 9436470358 Enrollment ID: I20150623001525 |
| Provider Name | Khalid Naseer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851341366 PECOS PAC ID: 9335177047 Enrollment ID: I20150630001727 |
| Provider Name | Vishal D Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104189661 PECOS PAC ID: 6305158585 Enrollment ID: I20150630002337 |
| Provider Name | Imad Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346538345 PECOS PAC ID: 5193037216 Enrollment ID: I20150702000838 |
| Provider Name | Dilini C Reyhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508149816 PECOS PAC ID: 7517288319 Enrollment ID: I20150702001385 |
| Provider Name | Adeeb Zaer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073870739 PECOS PAC ID: 6305158205 Enrollment ID: I20150707001294 |
| Provider Name | Pallavi Murari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245585322 PECOS PAC ID: 8628212529 Enrollment ID: I20150707002751 |
| Provider Name | Anthony A Acosta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457615957 PECOS PAC ID: 9830401629 Enrollment ID: I20150708000878 |
| Provider Name | Elizabeth A Schrumpf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194106393 PECOS PAC ID: 3173836657 Enrollment ID: I20150714000927 |
| Provider Name | Christopher J Howse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942562889 PECOS PAC ID: 8325282734 Enrollment ID: I20150716001084 |
| Provider Name | Olufenwa Milhouse |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225353717 PECOS PAC ID: 1850515958 Enrollment ID: I20150716002243 |
| Provider Name | Leonor Delgadillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841679966 PECOS PAC ID: 3971816786 Enrollment ID: I20150723006988 |
| Provider Name | Tiffani S Franada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871810291 PECOS PAC ID: 5395058986 Enrollment ID: I20150727000667 |
| Provider Name | Jennifer L Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942569959 PECOS PAC ID: 0840504908 Enrollment ID: I20150803001238 |
| Provider Name | Patrick M Elangwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114226958 PECOS PAC ID: 8325273055 Enrollment ID: I20150804004026 |
| Provider Name | Amanda L Weed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578942686 PECOS PAC ID: 0446564330 Enrollment ID: I20150805009608 |
| Provider Name | Anand K Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326302910 PECOS PAC ID: 6103130810 Enrollment ID: I20150807014480 |
| Provider Name | Miguel Angel Ramirez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982867388 PECOS PAC ID: 8022323559 Enrollment ID: I20150813009401 |
| Provider Name | Joshua Oramel David Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093076036 PECOS PAC ID: 0749431591 Enrollment ID: I20150814012907 |
| Provider Name | Robin Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558746701 PECOS PAC ID: 5991010258 Enrollment ID: I20150814013714 |
| Provider Name | Laura M Roe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073809695 PECOS PAC ID: 7113239740 Enrollment ID: I20150820009983 |
| Provider Name | Wynetta D Harris-castillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548520018 PECOS PAC ID: 9830325539 Enrollment ID: I20150820011504 |
| Provider Name | Jamie L Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346616372 PECOS PAC ID: 0749596559 Enrollment ID: I20150825002728 |
| Provider Name | Amit K Mehrotra |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1639364474 PECOS PAC ID: 1456667286 Enrollment ID: I20150825003215 |
| Provider Name | Catherine E Bachtold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376926832 PECOS PAC ID: 9234445735 Enrollment ID: I20150828001477 |
| Provider Name | Alexander Chi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366604217 PECOS PAC ID: 6002957826 Enrollment ID: I20150902000206 |
| Provider Name | Michele L Krieger-johnsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205219607 PECOS PAC ID: 1355657685 Enrollment ID: I20150902000410 |
| Provider Name | Andrew P Tharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285013029 PECOS PAC ID: 5395051502 Enrollment ID: I20150902003258 |
| Provider Name | Alicia L Meinert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245606276 PECOS PAC ID: 0648586859 Enrollment ID: I20150902003304 |
| Provider Name | Abhista Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306102314 PECOS PAC ID: 6800102930 Enrollment ID: I20150903000706 |
| Provider Name | Melanie R Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497122378 PECOS PAC ID: 5395051296 Enrollment ID: I20150908001377 |
| Provider Name | Candace D Couri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447627773 PECOS PAC ID: 3072829951 Enrollment ID: I20150909001043 |
| Provider Name | Tracie M Markey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760859292 PECOS PAC ID: 0840507737 Enrollment ID: I20150909001571 |
| Provider Name | Tejas Sheth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083901375 PECOS PAC ID: 3476860362 Enrollment ID: I20150909001627 |
| Provider Name | Bharat N Raju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720217581 PECOS PAC ID: 9830346477 Enrollment ID: I20150910000175 |
| Provider Name | Branden J Briggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700160959 PECOS PAC ID: 3173765591 Enrollment ID: I20150910001499 |
| Provider Name | Renae Milhoan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477920353 PECOS PAC ID: 5799092466 Enrollment ID: I20150911001713 |
| Provider Name | Andrea N Sapron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205218823 PECOS PAC ID: 5991012635 Enrollment ID: I20150914001685 |
| Provider Name | Dexter Resurreccion Angeles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629335781 PECOS PAC ID: 5092022640 Enrollment ID: I20150915002850 |
| Provider Name | Andrew J Farraher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316314446 PECOS PAC ID: 7911214028 Enrollment ID: I20150922000269 |
| Provider Name | Amy M Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457731127 PECOS PAC ID: 5294043196 Enrollment ID: I20150925001637 |
| Provider Name | Javeria Shaheen Qureshi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255532784 PECOS PAC ID: 1052536331 Enrollment ID: I20150925001832 |
| Provider Name | Kaylee M Rosenbaum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417210519 PECOS PAC ID: 8426379207 Enrollment ID: I20150930001997 |
| Provider Name | Shabirhusain S Abadin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467712596 PECOS PAC ID: 5496910531 Enrollment ID: I20151001002471 |
| Provider Name | Mary Kluever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598154247 PECOS PAC ID: 9335458256 Enrollment ID: I20151015002004 |
| Provider Name | Rone Chun Lin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245473701 PECOS PAC ID: 5496993867 Enrollment ID: I20151021000806 |
| Provider Name | Laura Darko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639443245 PECOS PAC ID: 3678882164 Enrollment ID: I20151023000953 |
| Provider Name | Noel N Kamal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912300369 PECOS PAC ID: 1759691686 Enrollment ID: I20151105001188 |
| Provider Name | Deena R Raithel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508237744 PECOS PAC ID: 8527378389 Enrollment ID: I20151105002678 |
| Provider Name | Luda Mila Sorin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982870317 PECOS PAC ID: 3870803554 Enrollment ID: I20151109002038 |
| Provider Name | Lori Cornelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275906828 PECOS PAC ID: 8921318569 Enrollment ID: I20151110002410 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750541892 PECOS PAC ID: 9032365713 Enrollment ID: I20151112000127 |
| Provider Name | Jennifer M Kelsey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861860058 PECOS PAC ID: 6507166766 Enrollment ID: I20151120000349 |
| Provider Name | Jigar B Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619267242 PECOS PAC ID: 5597901736 Enrollment ID: I20151123002261 |
| Provider Name | Bhavin C Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306078910 PECOS PAC ID: 1658671516 Enrollment ID: I20151125000176 |
| Provider Name | Robert Kocur |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1689773541 PECOS PAC ID: 8224161013 Enrollment ID: I20151125001876 |
| Provider Name | Jenny M Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063885556 PECOS PAC ID: 2163723263 Enrollment ID: I20151215000741 |
| Provider Name | Jeremiah F Bushmaker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114133014 PECOS PAC ID: 2466524293 Enrollment ID: I20151215001169 |
| Provider Name | Gregory Ryan Garmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215301221 PECOS PAC ID: 9133420268 Enrollment ID: I20151215001728 |
| Provider Name | Omar Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104171149 PECOS PAC ID: 9931416427 Enrollment ID: I20151224000111 |
| Provider Name | Maria Khattak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740545441 PECOS PAC ID: 9335388172 Enrollment ID: I20151228000405 |
| Provider Name | Michele Lynn Mounce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366819971 PECOS PAC ID: 4981905577 Enrollment ID: I20151228001141 |
| Provider Name | Arkady Melikyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518255264 PECOS PAC ID: 0648596809 Enrollment ID: I20151231001706 |
| Provider Name | Morgan Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013385079 PECOS PAC ID: 4981906922 Enrollment ID: I20160107000534 |
| Provider Name | Joy R Preciado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306216098 PECOS PAC ID: 1850595992 Enrollment ID: I20160108002309 |
| Provider Name | Muhammad Waqar Khattak |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669648309 PECOS PAC ID: 9739254418 Enrollment ID: I20160115000133 |
| Provider Name | Courtney L Rodich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649657024 PECOS PAC ID: 5193028520 Enrollment ID: I20160119002273 |
| Provider Name | Sheri L West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942666169 PECOS PAC ID: 6901109198 Enrollment ID: I20160121001810 |
| Provider Name | Wajid Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316297948 PECOS PAC ID: 4789987801 Enrollment ID: I20160125000821 |
| Provider Name | David D Beal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811337702 PECOS PAC ID: 2264735075 Enrollment ID: I20160127002125 |
| Provider Name | Kyle F Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891134151 PECOS PAC ID: 4486975315 Enrollment ID: I20160127002740 |
| Provider Name | William S Mattox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720492507 PECOS PAC ID: 1254657562 Enrollment ID: I20160203001436 |
| Provider Name | Lindsay R Otero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093189615 PECOS PAC ID: 8224332572 Enrollment ID: I20160205001411 |
| Provider Name | Kelly A. A. Karr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467827592 PECOS PAC ID: 3678877883 Enrollment ID: I20160209001723 |
| Provider Name | Shawna C Waterstradt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790157014 PECOS PAC ID: 7416251582 Enrollment ID: I20160210001164 |
| Provider Name | Amy L Kroos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053785790 PECOS PAC ID: 8921302928 Enrollment ID: I20160211002570 |
| Provider Name | Darlene G Esken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710346309 PECOS PAC ID: 6901101492 Enrollment ID: I20160222000669 |
| Provider Name | Samina F Yousuf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487012860 PECOS PAC ID: 1951606060 Enrollment ID: I20160229000625 |
| Provider Name | David Thorpe |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720315021 PECOS PAC ID: 0749585727 Enrollment ID: I20160301000041 |
| Provider Name | Morgan R Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962861187 PECOS PAC ID: 2567768278 Enrollment ID: I20160307001188 |
| Provider Name | Shamaila B Gorsi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427338409 PECOS PAC ID: 7214233618 Enrollment ID: I20160310002216 |
| Provider Name | Jennifer L Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023478047 PECOS PAC ID: 2668778895 Enrollment ID: I20160314001726 |
| Provider Name | Brittany N King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427441815 PECOS PAC ID: 4183942196 Enrollment ID: I20160318002224 |
| Provider Name | Moni Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255773198 PECOS PAC ID: 0648591313 Enrollment ID: I20160321002115 |
| Provider Name | Victoria Z Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326408436 PECOS PAC ID: 0042517898 Enrollment ID: I20160323000287 |
| Provider Name | Meghan Justine Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598124109 PECOS PAC ID: 5092012658 Enrollment ID: I20160324001616 |
| Provider Name | Muhammad Adnan Habib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144362773 PECOS PAC ID: 9537244579 Enrollment ID: I20160324002032 |
| Provider Name | Timothy J Belden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891974481 PECOS PAC ID: 8325111438 Enrollment ID: I20160330000523 |
| Provider Name | Ryan Bonham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225414667 PECOS PAC ID: 2567769854 Enrollment ID: I20160331002081 |
| Provider Name | Chetan Bhardwaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891950713 PECOS PAC ID: 2860790607 Enrollment ID: I20160412001967 |
| Provider Name | Kristin M King |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538537444 PECOS PAC ID: 7214235969 Enrollment ID: I20160412002662 |
| Provider Name | Chandra Hassan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508031824 PECOS PAC ID: 8820144223 Enrollment ID: I20160414001591 |
| Provider Name | Shenell E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316304637 PECOS PAC ID: 8921306119 Enrollment ID: I20160421001531 |
| Provider Name | Lydia J Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871954636 PECOS PAC ID: 2567761737 Enrollment ID: I20160422001346 |
| Provider Name | Celeste D Staley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518320993 PECOS PAC ID: 5496054900 Enrollment ID: I20160505000793 |
| Provider Name | Jenna N Ford |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790139384 PECOS PAC ID: 0547559593 Enrollment ID: I20160516001237 |
| Provider Name | Oussama Itani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083640361 PECOS PAC ID: 8426064767 Enrollment ID: I20160517002528 |
| Provider Name | Wonil Tae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336301779 PECOS PAC ID: 7416002035 Enrollment ID: I20160520001695 |
| Provider Name | Clifford G Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457314056 PECOS PAC ID: 2668366790 Enrollment ID: I20160524000976 |
| Provider Name | Keith A Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609211952 PECOS PAC ID: 6103041546 Enrollment ID: I20160525001107 |
| Provider Name | Brandon B Bleess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306284161 PECOS PAC ID: 3779804612 Enrollment ID: I20160527000120 |
| Provider Name | Harshavardhan R Ghadiam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437583077 PECOS PAC ID: 0446571343 Enrollment ID: I20160602000709 |
| Provider Name | Jennifer P Plue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639523921 PECOS PAC ID: 9931499555 Enrollment ID: I20160609000947 |
| Provider Name | Andrea E Henrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750736039 PECOS PAC ID: 3274823778 Enrollment ID: I20160610001309 |
| Provider Name | Rena Zimmerman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851350318 PECOS PAC ID: 9537058417 Enrollment ID: I20160614001731 |
| Provider Name | Mubashir S Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518221654 PECOS PAC ID: 7214228600 Enrollment ID: I20160615000172 |
| Provider Name | Kevin Carlile |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942511076 PECOS PAC ID: 4587979463 Enrollment ID: I20160615000916 |
| Provider Name | Tyler W Fitch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992068936 PECOS PAC ID: 6204157050 Enrollment ID: I20160616001366 |
| Provider Name | Ravinder Pal S Bhatti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659669240 PECOS PAC ID: 2163713538 Enrollment ID: I20160616001493 |
| Provider Name | Charalambos K Rammos |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821298555 PECOS PAC ID: 1658528948 Enrollment ID: I20160616002083 |
| Provider Name | Tanmay Patwa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790071199 PECOS PAC ID: 1557652708 Enrollment ID: I20160620001813 |
| Provider Name | Ryan S Deushane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124482252 PECOS PAC ID: 0345531497 Enrollment ID: I20160620001938 |
| Provider Name | Ahmad Zabad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780021774 PECOS PAC ID: 9638460306 Enrollment ID: I20160628000951 |
| Provider Name | Alicia M Szafranski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912361361 PECOS PAC ID: 2769773449 Enrollment ID: I20160628001172 |
| Provider Name | Amira Am Alfil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285045120 PECOS PAC ID: 8325339955 Enrollment ID: I20160629000097 |
| Provider Name | Riddhi Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538401849 PECOS PAC ID: 1254636442 Enrollment ID: I20160706000636 |
| Provider Name | Traci L Keyster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255684072 PECOS PAC ID: 2567754716 Enrollment ID: I20160707002099 |
| Provider Name | Rujuta Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497891683 PECOS PAC ID: 4789736273 Enrollment ID: I20160707002224 |
| Provider Name | Nadia Shaikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275967721 PECOS PAC ID: 6204128309 Enrollment ID: I20160711001668 |
| Provider Name | Ananda V Pandurangadu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891963641 PECOS PAC ID: 2466578455 Enrollment ID: I20160712000347 |
| Provider Name | Joseph R Mackey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457615577 PECOS PAC ID: 2163743956 Enrollment ID: I20160713000448 |
| Provider Name | Rachael H Hudgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619331311 PECOS PAC ID: 0840582748 Enrollment ID: I20160713002624 |
| Provider Name | Rebecca L Baumann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275797078 PECOS PAC ID: 5698906766 Enrollment ID: I20160719000750 |
| Provider Name | Maulin G Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902149982 PECOS PAC ID: 5193018851 Enrollment ID: I20160719001154 |
| Provider Name | Ashley Jo Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447696125 PECOS PAC ID: 1052551561 Enrollment ID: I20160719002712 |
| Provider Name | Heather M Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609227081 PECOS PAC ID: 6901199520 Enrollment ID: I20160720000343 |
| Provider Name | Paul S Moots |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083047401 PECOS PAC ID: 3971824731 Enrollment ID: I20160720002972 |
| Provider Name | Chadrick R Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588956635 PECOS PAC ID: 6305166364 Enrollment ID: I20160722002250 |
| Provider Name | Christine A Carlos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184986861 PECOS PAC ID: 6901104785 Enrollment ID: I20160728001351 |
| Provider Name | Amin O Sharieff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700176450 PECOS PAC ID: 1355588062 Enrollment ID: I20160729002080 |
| Provider Name | Brittany N Hemmele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013369149 PECOS PAC ID: 0648564443 Enrollment ID: I20160802001120 |
| Provider Name | Soujanya Bogarapu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992970271 PECOS PAC ID: 0648402107 Enrollment ID: I20160802002035 |
| Provider Name | Jane E Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831549443 PECOS PAC ID: 0547554313 Enrollment ID: I20160802003215 |
| Provider Name | Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619328614 PECOS PAC ID: 0840584306 Enrollment ID: I20160805000421 |
| Provider Name | Elise M Joos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558714154 PECOS PAC ID: 6103110556 Enrollment ID: I20160808000747 |
| Provider Name | Lindsay J Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245688209 PECOS PAC ID: 9739473109 Enrollment ID: I20160808001195 |
| Provider Name | Heather L Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699128892 PECOS PAC ID: 4082908454 Enrollment ID: I20160808001269 |
| Provider Name | Lori K Verkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750737243 PECOS PAC ID: 8325332703 Enrollment ID: I20160808001748 |
| Provider Name | Mara L Bessine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508219361 PECOS PAC ID: 9335433721 Enrollment ID: I20160808002069 |
| Provider Name | Michelle M Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053764365 PECOS PAC ID: 7214221613 Enrollment ID: I20160808002191 |
| Provider Name | Pooja R Clary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063865400 PECOS PAC ID: 4486948544 Enrollment ID: I20160811002309 |
| Provider Name | Jessica L Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033562558 PECOS PAC ID: 8729372701 Enrollment ID: I20160815001116 |
| Provider Name | Stephanie L Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073952396 PECOS PAC ID: 6507187358 Enrollment ID: I20160815002757 |
| Provider Name | Michelle Warning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871046516 PECOS PAC ID: 1658666565 Enrollment ID: I20160817000143 |
| Provider Name | Jennifer M Speirer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437502192 PECOS PAC ID: 7416242391 Enrollment ID: I20160817002283 |
| Provider Name | Hadi Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639361413 PECOS PAC ID: 3274796560 Enrollment ID: I20160817002730 |
| Provider Name | Venu Chennamaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376859884 PECOS PAC ID: 1355572462 Enrollment ID: I20160818000579 |
| Provider Name | Preeti Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336580273 PECOS PAC ID: 4385950484 Enrollment ID: I20160824002482 |
| Provider Name | Eric L Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945667 PECOS PAC ID: 4082909056 Enrollment ID: I20160830001540 |
| Provider Name | Gregory B Jasinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164735403 PECOS PAC ID: 0345495693 Enrollment ID: I20160831001772 |
| Provider Name | Lindsey Swischuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477903797 PECOS PAC ID: 8325334246 Enrollment ID: I20160901000791 |
| Provider Name | Heidi L Gendron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295280303 PECOS PAC ID: 3870889710 Enrollment ID: I20160901001631 |
| Provider Name | Steven John Vander Naalt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245521442 PECOS PAC ID: 2961715214 Enrollment ID: I20160902000262 |
| Provider Name | Kerri J Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417401985 PECOS PAC ID: 7012203847 Enrollment ID: I20160902002072 |
| Provider Name | Lindsay Bustle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750836300 PECOS PAC ID: 8325334170 Enrollment ID: I20160906000525 |
| Provider Name | Aretha D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457798332 PECOS PAC ID: 0547490583 Enrollment ID: I20160906001167 |
| Provider Name | Alexander Knijnikov |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780992578 PECOS PAC ID: 4082915251 Enrollment ID: I20160906001197 |
| Provider Name | Anusha R Akepati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245671783 PECOS PAC ID: 6002120722 Enrollment ID: I20160907000322 |
| Provider Name | Justin J Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922451681 PECOS PAC ID: 0446546196 Enrollment ID: I20160907001680 |
| Provider Name | Tressa L Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477009249 PECOS PAC ID: 8921394412 Enrollment ID: I20160909000480 |
| Provider Name | Natasha Denise Noel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740597111 PECOS PAC ID: 4981990496 Enrollment ID: I20160909001286 |
| Provider Name | Rachel E Fehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831542760 PECOS PAC ID: 9638465933 Enrollment ID: I20160913002265 |
| Provider Name | Katherine L Merila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083168447 PECOS PAC ID: 5294021408 Enrollment ID: I20160914000011 |
| Provider Name | Travis E Towne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275986051 PECOS PAC ID: 0446547368 Enrollment ID: I20160921000429 |
| Provider Name | Nicole M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295188803 PECOS PAC ID: 0547557480 Enrollment ID: I20160921001166 |
| Provider Name | Michelle D Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871040923 PECOS PAC ID: 9032406863 Enrollment ID: I20160922001127 |
| Provider Name | Ashley P Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255885570 PECOS PAC ID: 7113214776 Enrollment ID: I20160926000451 |
| Provider Name | Nicolas A Yemm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376091595 PECOS PAC ID: 6608163910 Enrollment ID: I20160929000808 |
| Provider Name | Rayan A Elkattah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003128372 PECOS PAC ID: 0648498469 Enrollment ID: I20160930001189 |
| Provider Name | Stacy A Piller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508319914 PECOS PAC ID: 8527355783 Enrollment ID: I20161003001309 |
| Provider Name | Lynn Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629521109 PECOS PAC ID: 7315235538 Enrollment ID: I20161004000956 |
| Provider Name | Merrick J. Donenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457647133 PECOS PAC ID: 5597055749 Enrollment ID: I20161004002310 |
| Provider Name | Suraj Bopanna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740433291 PECOS PAC ID: 9436390325 Enrollment ID: I20161005000384 |
| Provider Name | Ashley Getz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982159901 PECOS PAC ID: 7719275809 Enrollment ID: I20161005000386 |
| Provider Name | Michelle Heal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215389531 PECOS PAC ID: 8628366606 Enrollment ID: I20161006000670 |
| Provider Name | Jennifer Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316492432 PECOS PAC ID: 5799073748 Enrollment ID: I20161007000416 |
| Provider Name | Uwais B Zaid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366777856 PECOS PAC ID: 8426280546 Enrollment ID: I20161007000746 |
| Provider Name | Shabaz Mohammad Begum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508291790 PECOS PAC ID: 9739477662 Enrollment ID: I20161010001536 |
| Provider Name | Edward Francis Miles |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336311349 PECOS PAC ID: 3577700673 Enrollment ID: I20161012000639 |
| Provider Name | Anna Serafini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245633742 PECOS PAC ID: 8123316841 Enrollment ID: I20161013000310 |
| Provider Name | Michael J Wawrzyniak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942543178 PECOS PAC ID: 2466753256 Enrollment ID: I20161014000330 |
| Provider Name | Christopher T Blanford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306286950 PECOS PAC ID: 4587898101 Enrollment ID: I20161017000523 |
| Provider Name | Mohammad Sheraz Waris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427373638 PECOS PAC ID: 2860629243 Enrollment ID: I20161018002538 |
| Provider Name | Bethani J Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003278581 PECOS PAC ID: 6002104403 Enrollment ID: I20161018002927 |
| Provider Name | Dragica Durman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275930299 PECOS PAC ID: 1951699271 Enrollment ID: I20161019000809 |
| Provider Name | Usman A Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437227543 PECOS PAC ID: 8921033713 Enrollment ID: I20161019001050 |
| Provider Name | Dennis Alex Richrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528514411 PECOS PAC ID: 8820376130 Enrollment ID: I20161020000937 |
| Provider Name | Lori A Defreese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407304199 PECOS PAC ID: 9335427608 Enrollment ID: I20161021000480 |
| Provider Name | Hitanshu Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942645692 PECOS PAC ID: 6901108323 Enrollment ID: I20161024000470 |
| Provider Name | Lindsey A Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114475597 PECOS PAC ID: 7315225547 Enrollment ID: I20161024000598 |
| Provider Name | Mary L Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770030801 PECOS PAC ID: 3476831579 Enrollment ID: I20161025000117 |
| Provider Name | Brandon Paul Wisinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548689284 PECOS PAC ID: 3375821382 Enrollment ID: I20161101001625 |
| Provider Name | Diana D Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033669817 PECOS PAC ID: 5597043182 Enrollment ID: I20161102001671 |
| Provider Name | Dennis E Sands |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972585677 PECOS PAC ID: 4486687076 Enrollment ID: I20161102002419 |
| Provider Name | Jo A Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689126799 PECOS PAC ID: 5193004562 Enrollment ID: I20161108001888 |
| Provider Name | M'kenzee B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073064952 PECOS PAC ID: 1052690369 Enrollment ID: I20161109000884 |
| Provider Name | Edward W Pegg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215273131 PECOS PAC ID: 8325369978 Enrollment ID: I20161122000564 |
| Provider Name | Zachary A Miksanek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316351315 PECOS PAC ID: 1153642889 Enrollment ID: I20161123000021 |
| Provider Name | Swetha Vennavaram |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194064279 PECOS PAC ID: 6103139308 Enrollment ID: I20161202002016 |
| Provider Name | Annelise Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700337474 PECOS PAC ID: 8022398270 Enrollment ID: I20161206001573 |
| Provider Name | Carrie Cullick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770036584 PECOS PAC ID: 8325328420 Enrollment ID: I20161207001116 |
| Provider Name | Megan M Thibodeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851834196 PECOS PAC ID: 5092095034 Enrollment ID: I20161208000345 |
| Provider Name | Kimberly A Shrode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902349202 PECOS PAC ID: 7810277860 Enrollment ID: I20161208000353 |
| Provider Name | Ayman Gheith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235355496 PECOS PAC ID: 5698906857 Enrollment ID: I20161208001911 |
| Provider Name | Kimberly T Wicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710381181 PECOS PAC ID: 6608156492 Enrollment ID: I20161214000488 |
| Provider Name | Sonal M Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033652243 PECOS PAC ID: 1052691763 Enrollment ID: I20161214001374 |
| Provider Name | Maggie E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407304397 PECOS PAC ID: 2567742240 Enrollment ID: I20161215001332 |
| Provider Name | Betsy Ellen Wesley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760565477 PECOS PAC ID: 0749209393 Enrollment ID: I20161227000804 |
| Provider Name | Julie A Bredlau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033666920 PECOS PAC ID: 2264713163 Enrollment ID: I20170109002227 |
| Provider Name | Angela Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740725837 PECOS PAC ID: 3870874589 Enrollment ID: I20170111000712 |
| Provider Name | Akram Shhadeh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366513467 PECOS PAC ID: 3476604778 Enrollment ID: I20170118002753 |
| Provider Name | John C Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770025603 PECOS PAC ID: 5395027726 Enrollment ID: I20170120000002 |
| Provider Name | Mark Richard Stivers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417943523 PECOS PAC ID: 1951386184 Enrollment ID: I20170120002395 |
| Provider Name | Randall D Grant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528370624 PECOS PAC ID: 0840451902 Enrollment ID: I20170124001945 |
| Provider Name | Kevin M Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356898951 PECOS PAC ID: 4981986114 Enrollment ID: I20170124002130 |
| Provider Name | Srinivas Gullapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932356763 PECOS PAC ID: 4385813468 Enrollment ID: I20170126001728 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20170130000865 |
| Provider Name | Jennifer Ingold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215479654 PECOS PAC ID: 9032491816 Enrollment ID: I20170201000022 |
| Provider Name | Nina N Trisilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215388137 PECOS PAC ID: 1456634237 Enrollment ID: I20170202001329 |
| Provider Name | Ahmad Al Moujahed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194813824 PECOS PAC ID: 9537113220 Enrollment ID: I20170208000146 |
| Provider Name | Wendy S Slick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144766817 PECOS PAC ID: 6507149820 Enrollment ID: I20170213000783 |
| Provider Name | Raquel Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427591726 PECOS PAC ID: 1052694247 Enrollment ID: I20170214001404 |
| Provider Name | David J Kawior |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326453093 PECOS PAC ID: 3476857715 Enrollment ID: I20170227001657 |
| Provider Name | Matthew J Kaminsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316292386 PECOS PAC ID: 4688958945 Enrollment ID: I20170306000244 |
| Provider Name | Stephanie Mcwhirter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376085365 PECOS PAC ID: 2466737333 Enrollment ID: I20170316001956 |
| Provider Name | Thomas S Magerl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518407204 PECOS PAC ID: 5092090670 Enrollment ID: I20170322000608 |
| Provider Name | Aamir I Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396757928 PECOS PAC ID: 7911916762 Enrollment ID: I20170322002143 |
| Provider Name | Judi K Forner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194123679 PECOS PAC ID: 3577848035 Enrollment ID: I20170323001908 |
| Provider Name | Natalie J Ince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114467636 PECOS PAC ID: 2860777075 Enrollment ID: I20170329002524 |
| Provider Name | Bartholomew C Henderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588016067 PECOS PAC ID: 6204123722 Enrollment ID: I20170406000033 |
| Provider Name | Maria Agnes A Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639523129 PECOS PAC ID: 5698062552 Enrollment ID: I20170412002100 |
| Provider Name | Shari S Mulvey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871026450 PECOS PAC ID: 9436426616 Enrollment ID: I20170517002989 |
| Provider Name | Jennifer E Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083147763 PECOS PAC ID: 8325315575 Enrollment ID: I20170518002437 |
| Provider Name | Ruben Cardoso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063831477 PECOS PAC ID: 0547570913 Enrollment ID: I20170519000800 |
| Provider Name | Anthony J Munaco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760688428 PECOS PAC ID: 3870725336 Enrollment ID: I20170526000633 |
| Provider Name | Christopher R Wakid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093120453 PECOS PAC ID: 6406160175 Enrollment ID: I20170607000109 |
| Provider Name | Ashish K Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194133850 PECOS PAC ID: 9830410596 Enrollment ID: I20170607000262 |
| Provider Name | Jamil R Yasin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528404407 PECOS PAC ID: 6406071372 Enrollment ID: I20170607002751 |
| Provider Name | Deana M Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558897421 PECOS PAC ID: 7416225651 Enrollment ID: I20170613000478 |
| Provider Name | Aftab A Qazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922414036 PECOS PAC ID: 5890006878 Enrollment ID: I20170619001786 |
| Provider Name | Rishi Chaudhuri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376891028 PECOS PAC ID: 1759659287 Enrollment ID: I20170623002563 |
| Provider Name | Stosh T Eichenauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932514106 PECOS PAC ID: 7719208685 Enrollment ID: I20170628002312 |
| Provider Name | Katherine E Maggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336676303 PECOS PAC ID: 8325317142 Enrollment ID: I20170710001969 |
| Provider Name | Ilona A Kichko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730448481 PECOS PAC ID: 9234429028 Enrollment ID: I20170711000873 |
| Provider Name | Shyamal Madhavani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346657558 PECOS PAC ID: 2163792441 Enrollment ID: I20170719001433 |
| Provider Name | Elizabeth E Houser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366860876 PECOS PAC ID: 3072892488 Enrollment ID: I20170726003730 |
| Provider Name | Summer Mustafa Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154736452 PECOS PAC ID: 3476857335 Enrollment ID: I20170727002901 |
| Provider Name | Ruth A Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568689511 PECOS PAC ID: 2365712098 Enrollment ID: I20170727003247 |
| Provider Name | Shaun Anthony Kink |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801181920 PECOS PAC ID: 1153550579 Enrollment ID: I20170801003171 |
| Provider Name | Justin Lee Fischer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1730456914 PECOS PAC ID: 0143514331 Enrollment ID: I20170801003819 |
| Provider Name | Matthew K Fischer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497169338 PECOS PAC ID: 0648591586 Enrollment ID: I20170808002795 |
| Provider Name | Brandon A Hoffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548674476 PECOS PAC ID: 7810218690 Enrollment ID: I20170808003029 |
| Provider Name | Kelli A Daugherty |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619400447 PECOS PAC ID: 4082985965 Enrollment ID: I20170810003655 |
| Provider Name | Ameera Farhat Nauman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679992531 PECOS PAC ID: 6709157688 Enrollment ID: I20170810003718 |
| Provider Name | Manasa Kandula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942616578 PECOS PAC ID: 5597077503 Enrollment ID: I20170814001596 |
| Provider Name | David E Houser |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629344064 PECOS PAC ID: 2365714169 Enrollment ID: I20170814001823 |
| Provider Name | Nathalie Dieudonne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235413972 PECOS PAC ID: 9739478231 Enrollment ID: I20170816003246 |
| Provider Name | Melissa Beally |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306281480 PECOS PAC ID: 9234410911 Enrollment ID: I20170829004078 |
| Provider Name | Kelley Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366874471 PECOS PAC ID: 4284946773 Enrollment ID: I20170829004296 |
| Provider Name | Anwaruddin K Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952700973 PECOS PAC ID: 1355614082 Enrollment ID: I20170831002046 |
| Provider Name | Paul M Jeziorczak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942472915 PECOS PAC ID: 8325311061 Enrollment ID: I20170831002225 |
| Provider Name | Syed Imam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235455619 PECOS PAC ID: 5991952947 Enrollment ID: I20170831003359 |
| Provider Name | Christine C Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992227052 PECOS PAC ID: 9133492523 Enrollment ID: I20170906004062 |
| Provider Name | Elizabeth A Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467974196 PECOS PAC ID: 2264705508 Enrollment ID: I20170907001870 |
| Provider Name | Mark D Miller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528359106 PECOS PAC ID: 1658644828 Enrollment ID: I20170911000525 |
| Provider Name | Craig D Koch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083020218 PECOS PAC ID: 8325369044 Enrollment ID: I20170919002869 |
| Provider Name | Anastasia Figura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023455680 PECOS PAC ID: 7416251814 Enrollment ID: I20170921000464 |
| Provider Name | Kaitlin Ann Madison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376075663 PECOS PAC ID: 8426322967 Enrollment ID: I20170921000962 |
| Provider Name | Kelly Nelson Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780979302 PECOS PAC ID: 7618275066 Enrollment ID: I20170921001806 |
| Provider Name | Deprince L Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346762101 PECOS PAC ID: 5496029852 Enrollment ID: I20170922002988 |
| Provider Name | Melinda Weiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073952172 PECOS PAC ID: 7618271875 Enrollment ID: I20170926003298 |
| Provider Name | Shana Elisha Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982022851 PECOS PAC ID: 7719296995 Enrollment ID: I20170927000036 |
| Provider Name | Laine K Thies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295259901 PECOS PAC ID: 5597039750 Enrollment ID: I20170927000658 |
| Provider Name | Brandi L Alvord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659893527 PECOS PAC ID: 9133493224 Enrollment ID: I20170928001978 |
| Provider Name | Amber Marian Breitzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275057408 PECOS PAC ID: 0749555852 Enrollment ID: I20170928003774 |
| Provider Name | Emily Schieler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245752237 PECOS PAC ID: 4981979879 Enrollment ID: I20171003004807 |
| Provider Name | Matthew R Deniger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134650096 PECOS PAC ID: 1759656366 Enrollment ID: I20171009000446 |
| Provider Name | Ashley N Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497271035 PECOS PAC ID: 9537434089 Enrollment ID: I20171009002671 |
| Provider Name | Charles R Miller |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1164861308 PECOS PAC ID: 1850685405 Enrollment ID: I20171012000053 |
| Provider Name | Hannah K Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760909626 PECOS PAC ID: 9032484381 Enrollment ID: I20171012001200 |
| Provider Name | Grant Michael Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215354246 PECOS PAC ID: 2365750973 Enrollment ID: I20171012001968 |
| Provider Name | Amrita Shreeniwas Pandit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780905463 PECOS PAC ID: 7012230121 Enrollment ID: I20171013002006 |
| Provider Name | Casey Eichenauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083131973 PECOS PAC ID: 4486920527 Enrollment ID: I20171018000313 |
| Provider Name | Aftab Awan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316971880 PECOS PAC ID: 2860473998 Enrollment ID: I20171018003682 |
| Provider Name | Amy Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659890804 PECOS PAC ID: 3577839505 Enrollment ID: I20171019000497 |
| Provider Name | Jenna Lynn Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679944219 PECOS PAC ID: 6507166725 Enrollment ID: I20171020001192 |
| Provider Name | Laszlo Marco Hoesel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447452057 PECOS PAC ID: 4385816735 Enrollment ID: I20171020002647 |
| Provider Name | Laura Rachel Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081790 PECOS PAC ID: 8921374455 Enrollment ID: I20171027000106 |
| Provider Name | Shannon R Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316477326 PECOS PAC ID: 3072879253 Enrollment ID: I20171102003531 |
| Provider Name | Nikita Tihonov |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215128194 PECOS PAC ID: 6002087129 Enrollment ID: I20171103001060 |
| Provider Name | Pamela J Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477070456 PECOS PAC ID: 0345506341 Enrollment ID: I20171108000001 |
| Provider Name | Laurel K Fifield |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831608991 PECOS PAC ID: 6507122538 Enrollment ID: I20171108000980 |
| Provider Name | Brandon N Nierhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093233173 PECOS PAC ID: 1759647605 Enrollment ID: I20171108002462 |
| Provider Name | Christie Jo Gesin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740709336 PECOS PAC ID: 7416213384 Enrollment ID: I20171108003389 |
| Provider Name | Manas Upadhyaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518212216 PECOS PAC ID: 9537480389 Enrollment ID: I20171115001004 |
| Provider Name | Uzma Yousaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376982082 PECOS PAC ID: 6204192800 Enrollment ID: I20171115001553 |
| Provider Name | Karen C Knaak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396254728 PECOS PAC ID: 7618233222 Enrollment ID: I20171115001779 |
| Provider Name | Corydon Siffring |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891728887 PECOS PAC ID: 7517964398 Enrollment ID: I20171116001992 |
| Provider Name | Shelby Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083154033 PECOS PAC ID: 3274890637 Enrollment ID: I20171121000080 |
| Provider Name | Morgan Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104298314 PECOS PAC ID: 2365747201 Enrollment ID: I20171127003089 |
| Provider Name | Faheemuddin A Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366619595 PECOS PAC ID: 3274756135 Enrollment ID: I20171128000678 |
| Provider Name | Briana R Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992214712 PECOS PAC ID: 4284991381 Enrollment ID: I20171128001292 |
| Provider Name | Lindsey M Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104335546 PECOS PAC ID: 6507123601 Enrollment ID: I20171128001553 |
| Provider Name | Shanta T Hopson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184134462 PECOS PAC ID: 9830456953 Enrollment ID: I20171128002258 |
| Provider Name | Brittani Ann Seagren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467961326 PECOS PAC ID: 0244597102 Enrollment ID: I20171130001921 |
| Provider Name | Andrea A Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164934972 PECOS PAC ID: 1759649957 Enrollment ID: I20171215002545 |
| Provider Name | Jonathan Bean |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356583413 PECOS PAC ID: 9133439177 Enrollment ID: I20171218000224 |
| Provider Name | Syeda A Quadri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790070746 PECOS PAC ID: 0244459584 Enrollment ID: I20171220000206 |
| Provider Name | Radha Vanukuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316131196 PECOS PAC ID: 8729260203 Enrollment ID: I20171220000383 |
| Provider Name | Andrea P Rossow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659632917 PECOS PAC ID: 9234431123 Enrollment ID: I20171227000726 |
| Provider Name | Michele D Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417461260 PECOS PAC ID: 7416215256 Enrollment ID: I20171227001529 |
| Provider Name | Bethany E Huelskoetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548775109 PECOS PAC ID: 2365701968 Enrollment ID: I20180104000899 |
| Provider Name | Gregory Podolej |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407296270 PECOS PAC ID: 9931428521 Enrollment ID: I20180109000578 |
| Provider Name | Sarah Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750802674 PECOS PAC ID: 7911266184 Enrollment ID: I20180116000030 |
| Provider Name | Niraj K Mavani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669813762 PECOS PAC ID: 0446543599 Enrollment ID: I20180116001214 |
| Provider Name | Taletha K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689181372 PECOS PAC ID: 0749549665 Enrollment ID: I20180122001367 |
| Provider Name | Jake G Ruff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760897334 PECOS PAC ID: 7012277643 Enrollment ID: I20180130002379 |
| Provider Name | Chase A Holtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912418799 PECOS PAC ID: 6608136007 Enrollment ID: I20180202001873 |
| Provider Name | Theresa M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447758107 PECOS PAC ID: 9032479928 Enrollment ID: I20180214002939 |
| Provider Name | Daniel J Robertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578501573 PECOS PAC ID: 0042118762 Enrollment ID: I20180228000324 |
| Provider Name | Sara K Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447766050 PECOS PAC ID: 3072875228 Enrollment ID: I20180328000058 |
| Provider Name | Sara K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073015319 PECOS PAC ID: 2567725716 Enrollment ID: I20180420002164 |
| Provider Name | Elias Samaha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134535693 PECOS PAC ID: 2365763208 Enrollment ID: I20180420002368 |
| Provider Name | Angela B Klapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508360066 PECOS PAC ID: 3678836848 Enrollment ID: I20180423000585 |
| Provider Name | Alissa M Bartel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770025496 PECOS PAC ID: 2668735838 Enrollment ID: I20180423000612 |
| Provider Name | Kristine L Ray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104142777 PECOS PAC ID: 2567725690 Enrollment ID: I20180424000679 |
| Provider Name | Kayla A Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730686015 PECOS PAC ID: 4284999475 Enrollment ID: I20180517000010 |
| Provider Name | Kayla M Hnilicka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366949224 PECOS PAC ID: 1658636766 Enrollment ID: I20180521000004 |
| Provider Name | Sara J Keiler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578618286 PECOS PAC ID: 9133342496 Enrollment ID: I20180522001559 |
| Provider Name | Lorrie R Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154828440 PECOS PAC ID: 8729343769 Enrollment ID: I20180523000404 |
| Provider Name | Sravani Kamatam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962885095 PECOS PAC ID: 7810252228 Enrollment ID: I20180605001729 |
| Provider Name | John M Ruggero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932474848 PECOS PAC ID: 6901038264 Enrollment ID: I20180613001097 |
| Provider Name | Andrea Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730670936 PECOS PAC ID: 5193070068 Enrollment ID: I20180618000565 |
| Provider Name | Rasha Atallah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750768685 PECOS PAC ID: 6204135270 Enrollment ID: I20180618001618 |
| Provider Name | Samer Mowakeaa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821223520 PECOS PAC ID: 2466750906 Enrollment ID: I20180626000583 |
| Provider Name | Joshua A Janek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457852683 PECOS PAC ID: 0547515975 Enrollment ID: I20180626001144 |
| Provider Name | Mohammed Muqeet Adnan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922369248 PECOS PAC ID: 5294958005 Enrollment ID: I20180626001671 |
| Provider Name | Abraham J Testa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528375078 PECOS PAC ID: 3870899230 Enrollment ID: I20180626001830 |
| Provider Name | Austin D Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730560822 PECOS PAC ID: 2163739541 Enrollment ID: I20180629001614 |
| Provider Name | Joy L Meachum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053801191 PECOS PAC ID: 4688920804 Enrollment ID: I20180702000787 |
| Provider Name | Douglas Robert Juvinall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023436995 PECOS PAC ID: 8921305046 Enrollment ID: I20180705003006 |
| Provider Name | Sterling Scott Reese |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1952307886 PECOS PAC ID: 7315926359 Enrollment ID: I20180710002884 |
| Provider Name | Hannah E High |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497252811 PECOS PAC ID: 6103173653 Enrollment ID: I20180716001897 |
| Provider Name | Gregory B Auffenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396977328 PECOS PAC ID: 0941513402 Enrollment ID: I20180717000433 |
| Provider Name | Lori Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699262550 PECOS PAC ID: 8022365477 Enrollment ID: I20180717002653 |
| Provider Name | Amir Hossein Dorafshar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942415823 PECOS PAC ID: 6608063318 Enrollment ID: I20180724001072 |
| Provider Name | Andrew Joseph Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952783698 PECOS PAC ID: 4981916509 Enrollment ID: I20180726000254 |
| Provider Name | Richard D Scuderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376988162 PECOS PAC ID: 8426281213 Enrollment ID: I20180726000454 |
| Provider Name | Adeel Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033502554 PECOS PAC ID: 7810244571 Enrollment ID: I20180726000758 |
| Provider Name | Sarah A Stewart De Ramirez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144493487 PECOS PAC ID: 5991956310 Enrollment ID: I20180726001234 |
| Provider Name | Sunanda R Kale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548755366 PECOS PAC ID: 7315294980 Enrollment ID: I20180727002163 |
| Provider Name | Nicole M Gowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750875340 PECOS PAC ID: 9133476724 Enrollment ID: I20180730000126 |
| Provider Name | Asma S Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568877678 PECOS PAC ID: 9931420841 Enrollment ID: I20180803000694 |
| Provider Name | Melinda Bahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033608872 PECOS PAC ID: 1355699521 Enrollment ID: I20180803000884 |
| Provider Name | Jacob Ark |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891053716 PECOS PAC ID: 3870896715 Enrollment ID: I20180806001223 |
| Provider Name | Bryan R Sweeney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396162756 PECOS PAC ID: 2264737048 Enrollment ID: I20180807000097 |
| Provider Name | Jubilee C Phan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023308483 PECOS PAC ID: 8921245762 Enrollment ID: I20180807001143 |
| Provider Name | Raksha P Indorkar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225355167 PECOS PAC ID: 5193966067 Enrollment ID: I20180807001355 |
| Provider Name | Christopher T Sparrow |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1457647810 PECOS PAC ID: 8022247733 Enrollment ID: I20180808000004 |
| Provider Name | Atif Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114244993 PECOS PAC ID: 9931414414 Enrollment ID: I20180808003828 |
| Provider Name | David Butler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598789489 PECOS PAC ID: 7113082447 Enrollment ID: I20180809000340 |
| Provider Name | Amith George Jacob |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649534926 PECOS PAC ID: 0345554473 Enrollment ID: I20180809004754 |
| Provider Name | Diana M Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952897001 PECOS PAC ID: 4688922388 Enrollment ID: I20180810002313 |
| Provider Name | Noah J Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427426931 PECOS PAC ID: 8426306143 Enrollment ID: I20180811000297 |
| Provider Name | Tariq Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710970587 PECOS PAC ID: 2567414691 Enrollment ID: I20180813002841 |
| Provider Name | Carrie M. Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760972715 PECOS PAC ID: 6507115201 Enrollment ID: I20180814000318 |
| Provider Name | Barbara L Weis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689150948 PECOS PAC ID: 4385993898 Enrollment ID: I20180816001507 |
| Provider Name | Kavitha S Jacob |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770964736 PECOS PAC ID: 3971819954 Enrollment ID: I20180816003388 |
| Provider Name | Saila Moni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972899789 PECOS PAC ID: 6204185440 Enrollment ID: I20180821001365 |
| Provider Name | Ayesha Waqar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205216876 PECOS PAC ID: 5496060196 Enrollment ID: I20180822000010 |
| Provider Name | Lindsay N Satterlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861917643 PECOS PAC ID: 6507115722 Enrollment ID: I20180822000447 |
| Provider Name | Ugonna T.a. Nwankwo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356661433 PECOS PAC ID: 2466701545 Enrollment ID: I20180822003181 |
| Provider Name | Chandler D Wilfong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194017384 PECOS PAC ID: 5890044986 Enrollment ID: I20180822003809 |
| Provider Name | Uche Frances Allanah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356750830 PECOS PAC ID: 7810246675 Enrollment ID: I20180828001411 |
| Provider Name | Brian C Bamberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427462324 PECOS PAC ID: 6507187432 Enrollment ID: I20180829000671 |
| Provider Name | Brandon J Strawn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609294701 PECOS PAC ID: 7214287903 Enrollment ID: I20180829004056 |
| Provider Name | Tariq A Gheith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609213909 PECOS PAC ID: 3173894417 Enrollment ID: I20180904000576 |
| Provider Name | Omobolawa Yeside Kukoyi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518349133 PECOS PAC ID: 1254634322 Enrollment ID: I20180905001681 |
| Provider Name | Elizabeth K Plocher |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1063655629 PECOS PAC ID: 5092935981 Enrollment ID: I20180911003072 |
| Provider Name | Alexandra V Lasky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285028118 PECOS PAC ID: 9133439938 Enrollment ID: I20180912001336 |
| Provider Name | Matthew R Sehring |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629458526 PECOS PAC ID: 0345554085 Enrollment ID: I20180913001568 |
| Provider Name | Teona C Cozianu Cotan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932514023 PECOS PAC ID: 0345590295 Enrollment ID: I20180913002884 |
| Provider Name | Jay L Mathur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891182515 PECOS PAC ID: 6901104017 Enrollment ID: I20180918000037 |
| Provider Name | Naeem Iqbal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902287956 PECOS PAC ID: 8921311465 Enrollment ID: I20180920000467 |
| Provider Name | Shawn C Joseph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891172888 PECOS PAC ID: 1254646771 Enrollment ID: I20180920001152 |
| Provider Name | Karen J Dyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003854530 PECOS PAC ID: 9234208059 Enrollment ID: I20180921002607 |
| Provider Name | Alberto Nava Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669963765 PECOS PAC ID: 3971854324 Enrollment ID: I20180924001890 |
| Provider Name | Sheikh Faheem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104251321 PECOS PAC ID: 0840556882 Enrollment ID: I20180927001646 |
| Provider Name | Eric E Simpson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134381650 PECOS PAC ID: 7719286988 Enrollment ID: I20181001003310 |
| Provider Name | Alexis Bouteneff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316982515 PECOS PAC ID: 1153461876 Enrollment ID: I20181002000022 |
| Provider Name | Jodi E Morse |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477047272 PECOS PAC ID: 7618229667 Enrollment ID: I20181003000329 |
| Provider Name | Heidi L Colton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841645066 PECOS PAC ID: 0840542635 Enrollment ID: I20181005000405 |
| Provider Name | Umair Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831579945 PECOS PAC ID: 7618229477 Enrollment ID: I20181008000090 |
| Provider Name | Daniel B Gans |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508122029 PECOS PAC ID: 5597017053 Enrollment ID: I20181010002967 |
| Provider Name | Gerald A Gantt |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1386962207 PECOS PAC ID: 5890923411 Enrollment ID: I20181010003862 |
| Provider Name | Laine E Galardini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265915474 PECOS PAC ID: 6305198722 Enrollment ID: I20181015000098 |
| Provider Name | Alaina M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851881908 PECOS PAC ID: 9234481565 Enrollment ID: I20181015000856 |
| Provider Name | Sarah Smock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710460944 PECOS PAC ID: 4587916820 Enrollment ID: I20181015001349 |
| Provider Name | Carrie B Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427531615 PECOS PAC ID: 8628320975 Enrollment ID: I20181015001561 |
| Provider Name | Colin M Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861975849 PECOS PAC ID: 9234481581 Enrollment ID: I20181015001682 |
| Provider Name | Roxanne Strohbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992289979 PECOS PAC ID: 9133471204 Enrollment ID: I20181018000231 |
| Provider Name | Jessica Knoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144704172 PECOS PAC ID: 7113270224 Enrollment ID: I20181018002762 |
| Provider Name | Samuel S Mortoti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154588762 PECOS PAC ID: 2264674076 Enrollment ID: I20181022002185 |
| Provider Name | Alisha N Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487197745 PECOS PAC ID: 2567715519 Enrollment ID: I20181022002454 |
| Provider Name | Vijay K Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053795765 PECOS PAC ID: 0446564686 Enrollment ID: I20181026000437 |
| Provider Name | Nicole Marie Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326524075 PECOS PAC ID: 4385997097 Enrollment ID: I20181026000766 |
| Provider Name | Amanda L Lahood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356826309 PECOS PAC ID: 2466705074 Enrollment ID: I20181030000057 |
| Provider Name | Gabriela A Ciofoaia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386027076 PECOS PAC ID: 1658624077 Enrollment ID: I20181031002231 |
| Provider Name | Sara A Sychra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205311644 PECOS PAC ID: 5597018986 Enrollment ID: I20181101001441 |
| Provider Name | Kathleen M Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205312790 PECOS PAC ID: 8022361237 Enrollment ID: I20181105001339 |
| Provider Name | Kevin Dean Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659790350 PECOS PAC ID: 9739404591 Enrollment ID: I20181106000245 |
| Provider Name | Irfan Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124369855 PECOS PAC ID: 3577860295 Enrollment ID: I20181107001154 |
| Provider Name | Ying Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225356033 PECOS PAC ID: 5799927893 Enrollment ID: I20181109000073 |
| Provider Name | Kate E Jaegle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487129318 PECOS PAC ID: 1850311218 Enrollment ID: I20181110000384 |
| Provider Name | Anushi A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922413871 PECOS PAC ID: 7012261068 Enrollment ID: I20181112000547 |
| Provider Name | Elizabeth A Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003308347 PECOS PAC ID: 4880948645 Enrollment ID: I20181114000001 |
| Provider Name | Tien T Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912473273 PECOS PAC ID: 3476807264 Enrollment ID: I20181114001102 |
| Provider Name | Adriana U Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821571811 PECOS PAC ID: 0345594164 Enrollment ID: I20181114002603 |
| Provider Name | Rebecca J Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235631763 PECOS PAC ID: 9436403102 Enrollment ID: I20181115001108 |
| Provider Name | Retta C Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649780446 PECOS PAC ID: 4880948421 Enrollment ID: I20181116001305 |
| Provider Name | Katy W Tinsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942783386 PECOS PAC ID: 1456605971 Enrollment ID: I20181119002200 |
| Provider Name | Seth Strope |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427109248 PECOS PAC ID: 9638271794 Enrollment ID: I20181120002351 |
| Provider Name | Lauren Ashleigh Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396231767 PECOS PAC ID: 6002160512 Enrollment ID: I20181120002431 |
| Provider Name | Nicholas Anthony Kusnezov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396185161 PECOS PAC ID: 3476803248 Enrollment ID: I20181130001792 |
| Provider Name | Mary Beth Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851433700 PECOS PAC ID: 3375855489 Enrollment ID: I20181203000234 |
| Provider Name | Lee D Raube |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861848871 PECOS PAC ID: 3971895046 Enrollment ID: I20181203000518 |
| Provider Name | Katelyn L Reinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841767977 PECOS PAC ID: 2769726785 Enrollment ID: I20181203001273 |
| Provider Name | Tomas Munoz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710225263 PECOS PAC ID: 9032499314 Enrollment ID: I20181211002307 |
| Provider Name | Courtney M Montel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720557341 PECOS PAC ID: 0648515049 Enrollment ID: I20181212002917 |
| Provider Name | Andrea M Shewalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083180228 PECOS PAC ID: 7113262338 Enrollment ID: I20181217001667 |
| Provider Name | Caroline J Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073082384 PECOS PAC ID: 7618212705 Enrollment ID: I20181218001690 |
| Provider Name | Le Ann R Galbraith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841770534 PECOS PAC ID: 0749525475 Enrollment ID: I20181227000525 |
| Provider Name | Courtney Dawn Edsall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558830851 PECOS PAC ID: 6103161898 Enrollment ID: I20181228000479 |
| Provider Name | Heather Marie Godsil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780159046 PECOS PAC ID: 5294070801 Enrollment ID: I20181228001677 |
| Provider Name | James Mathew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245278852 PECOS PAC ID: 8022912500 Enrollment ID: I20181231000166 |
| Provider Name | Katelyn M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174093009 PECOS PAC ID: 1951646454 Enrollment ID: I20190102000957 |
| Provider Name | John H Greinwald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275547457 PECOS PAC ID: 9537215330 Enrollment ID: I20190103000621 |
| Provider Name | Rachel A Amsbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983500 PECOS PAC ID: 8325383813 Enrollment ID: I20190103001111 |
| Provider Name | Donna M Paver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376031625 PECOS PAC ID: 5890031074 Enrollment ID: I20190109000116 |
| Provider Name | Chelsea Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346716693 PECOS PAC ID: 2062758246 Enrollment ID: I20190109000165 |
| Provider Name | Justin R Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255818258 PECOS PAC ID: 8820334014 Enrollment ID: I20190109000378 |
| Provider Name | Rawan M Musaitif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811379597 PECOS PAC ID: 7517279862 Enrollment ID: I20190109000581 |
| Provider Name | Charles L Rosen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417057290 PECOS PAC ID: 0547292013 Enrollment ID: I20190115000761 |
| Provider Name | Michael J Grecula |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952480550 PECOS PAC ID: 2365505401 Enrollment ID: I20190128000793 |
| Provider Name | Sandra E Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083183677 PECOS PAC ID: 1254678345 Enrollment ID: I20190128002470 |
| Provider Name | Vinny Prem Kumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194165613 PECOS PAC ID: 6305077728 Enrollment ID: I20190129002628 |
| Provider Name | Shamila Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184663742 PECOS PAC ID: 9931160017 Enrollment ID: I20190131002398 |
| Provider Name | Kayla Brugger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851875470 PECOS PAC ID: 2567700735 Enrollment ID: I20190213001541 |
| Provider Name | Stephanie S Beckstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487127734 PECOS PAC ID: 1951649722 Enrollment ID: I20190221000314 |
| Provider Name | Tara L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538665609 PECOS PAC ID: 9931447729 Enrollment ID: I20190221001305 |
| Provider Name | Genevieve E Wessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396736 PECOS PAC ID: 4183963705 Enrollment ID: I20190226002519 |
| Provider Name | Amy M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457815532 PECOS PAC ID: 4183963648 Enrollment ID: I20190227001379 |
| Provider Name | Katelyn J Stites |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013480763 PECOS PAC ID: 4880933159 Enrollment ID: I20190304001981 |
| Provider Name | Stephanie L Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871862888 PECOS PAC ID: 7911135603 Enrollment ID: I20190304002419 |
| Provider Name | Susette J Litwiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508334582 PECOS PAC ID: 5193064491 Enrollment ID: I20190305000140 |
| Provider Name | Andrea J Hoerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609330596 PECOS PAC ID: 5597004804 Enrollment ID: I20190305000406 |
| Provider Name | Brittany N Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255895108 PECOS PAC ID: 5193064400 Enrollment ID: I20190305000563 |
| Provider Name | Randi M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003370990 PECOS PAC ID: 2163761487 Enrollment ID: I20190305001148 |
| Provider Name | Stephanie M Piquard-capranica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861956286 PECOS PAC ID: 2769721828 Enrollment ID: I20190307000749 |
| Provider Name | Jakeyla Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215492491 PECOS PAC ID: 1052650066 Enrollment ID: I20190307003200 |
| Provider Name | Katie E Mcgill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598239246 PECOS PAC ID: 0547500902 Enrollment ID: I20190321000200 |
| Provider Name | Rachel B Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275099160 PECOS PAC ID: 4183965916 Enrollment ID: I20190404001623 |
| Provider Name | Zlatka K Jeliazkova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346403060 PECOS PAC ID: 2365681251 Enrollment ID: I20190409000028 |
| Provider Name | Jennifer Pieper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477010874 PECOS PAC ID: 5294076873 Enrollment ID: I20190409000094 |
| Provider Name | Jessica L Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962960393 PECOS PAC ID: 2769723295 Enrollment ID: I20190411000105 |
| Provider Name | Carrie Anne Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285193441 PECOS PAC ID: 1153662333 Enrollment ID: I20190417000435 |
| Provider Name | Melinda Marie Feely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134449119 PECOS PAC ID: 7416198304 Enrollment ID: I20190417000755 |
| Provider Name | Rizan A Hajal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932150968 PECOS PAC ID: 1254359912 Enrollment ID: I20190418000718 |
| Provider Name | Drake R Steed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942748967 PECOS PAC ID: 6800166778 Enrollment ID: I20190425000012 |
| Provider Name | Lauren M Sladek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982164471 PECOS PAC ID: 6406198340 Enrollment ID: I20190425001072 |
| Provider Name | Julie A Maner Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164984225 PECOS PAC ID: 5496097073 Enrollment ID: I20190501000694 |
| Provider Name | Michelle C Kronmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871052522 PECOS PAC ID: 4981946423 Enrollment ID: I20190502000012 |
| Provider Name | Mohammad Daaif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720271331 PECOS PAC ID: 1850565714 Enrollment ID: I20190502000997 |
| Provider Name | Alaa A Ujayli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982603098 PECOS PAC ID: 7618937129 Enrollment ID: I20190502002679 |
| Provider Name | Ashley M Seyfert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154881142 PECOS PAC ID: 1658613070 Enrollment ID: I20190503000766 |
| Provider Name | Lacey Youhas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669934865 PECOS PAC ID: 2567704943 Enrollment ID: I20190506000600 |
| Provider Name | Tasha R Besser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295297737 PECOS PAC ID: 7810239167 Enrollment ID: I20190507000955 |
| Provider Name | Garrett J Emery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306807300 PECOS PAC ID: 4789610007 Enrollment ID: I20190508002170 |
| Provider Name | Emily L Barnewolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508325457 PECOS PAC ID: 4880937986 Enrollment ID: I20190513000900 |
| Provider Name | Emily L Dechow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770147738 PECOS PAC ID: 8921341025 Enrollment ID: I20190513001157 |
| Provider Name | Bradley R Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598170730 PECOS PAC ID: 9436470234 Enrollment ID: I20190516002533 |
| Provider Name | Mitchell Louis Judge Li |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932442464 PECOS PAC ID: 0749579233 Enrollment ID: I20190517000940 |
| Provider Name | Raman Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386866853 PECOS PAC ID: 9638336225 Enrollment ID: I20190521000119 |
| Provider Name | Brandi L Vandivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073687653 PECOS PAC ID: 4082768676 Enrollment ID: I20190522001797 |
| Provider Name | Yannick A Kadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962857185 PECOS PAC ID: 0749577617 Enrollment ID: I20190529001197 |
| Provider Name | Nathan L Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417512328 PECOS PAC ID: 4082957394 Enrollment ID: I20190529002087 |
| Provider Name | Deepak Reddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518087568 PECOS PAC ID: 0840356028 Enrollment ID: I20190530002724 |
| Provider Name | Anthonia Ngozi Ijeli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437502390 PECOS PAC ID: 9739472796 Enrollment ID: I20190603002549 |
| Provider Name | Priyanka Gait |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679801856 PECOS PAC ID: 2668613548 Enrollment ID: I20190604000777 |
| Provider Name | Angela M Longeville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548735988 PECOS PAC ID: 8527391697 Enrollment ID: I20190604001693 |
| Provider Name | Padmaraj D Duvvuri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285869099 PECOS PAC ID: 6800066036 Enrollment ID: I20190613001183 |
| Provider Name | Anita V Goyal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578911756 PECOS PAC ID: 3274829346 Enrollment ID: I20190613001551 |
| Provider Name | Annabelle Bedenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639630965 PECOS PAC ID: 9830422344 Enrollment ID: I20190614000181 |
| Provider Name | Christopher Kenneth Johnson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407086283 PECOS PAC ID: 1456588763 Enrollment ID: I20190626001135 |
| Provider Name | Tracy A Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578129987 PECOS PAC ID: 3779817648 Enrollment ID: I20190626002273 |
| Provider Name | Amy L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619435252 PECOS PAC ID: 8224362017 Enrollment ID: I20190627002711 |
| Provider Name | Jaclyn Keller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982066494 PECOS PAC ID: 7810281433 Enrollment ID: I20190701001824 |
| Provider Name | Chelsea M Krejci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043779861 PECOS PAC ID: 5698009165 Enrollment ID: I20190703000969 |
| Provider Name | Falgun Jagdishgiri Gosai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407302607 PECOS PAC ID: 4688962426 Enrollment ID: I20190709000378 |
| Provider Name | Amar Rawal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538591268 PECOS PAC ID: 6901131168 Enrollment ID: I20190710001256 |
| Provider Name | Aimee R Sarchet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508055401 PECOS PAC ID: 0749516367 Enrollment ID: I20190719000744 |
| Provider Name | Elizabeth C Zook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215496914 PECOS PAC ID: 6709112147 Enrollment ID: I20190724000058 |
| Provider Name | Haleigh D Wadsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497312672 PECOS PAC ID: 8123354446 Enrollment ID: I20190724003114 |
| Provider Name | Jason Gary Bill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285920017 PECOS PAC ID: 6103066782 Enrollment ID: I20190724003923 |
| Provider Name | Michael N Daley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992159206 PECOS PAC ID: 4981997707 Enrollment ID: I20190729000241 |
| Provider Name | Divsheen K Sethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053864082 PECOS PAC ID: 7416283338 Enrollment ID: I20190730001302 |
| Provider Name | Deepak Narayana Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285047977 PECOS PAC ID: 2769703685 Enrollment ID: I20190730001416 |
| Provider Name | Kathryn C Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679920250 PECOS PAC ID: 9739415662 Enrollment ID: I20190730001954 |
| Provider Name | Isaac C Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710336631 PECOS PAC ID: 4789976853 Enrollment ID: I20190730002108 |
| Provider Name | Louis A Aliperti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861810350 PECOS PAC ID: 5193022614 Enrollment ID: I20190730003012 |
| Provider Name | Michael J Endris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235588070 PECOS PAC ID: 5496047342 Enrollment ID: I20190730003367 |
| Provider Name | Keith Thomas Corpus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043552227 PECOS PAC ID: 9234421652 Enrollment ID: I20190730003656 |
| Provider Name | Jayme S Kwak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750776233 PECOS PAC ID: 5890095269 Enrollment ID: I20190731000085 |
| Provider Name | Alexandra L Mathern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598149171 PECOS PAC ID: 5991011652 Enrollment ID: I20190731000240 |
| Provider Name | Connor Kasik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851631592 PECOS PAC ID: 1153615679 Enrollment ID: I20190731002988 |
| Provider Name | Jeanette T Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407408149 PECOS PAC ID: 7719213503 Enrollment ID: I20190801000213 |
| Provider Name | Lindsey A Pastorik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396397220 PECOS PAC ID: 6507192309 Enrollment ID: I20190801000410 |
| Provider Name | Andrew R Wherley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316300593 PECOS PAC ID: 8527359140 Enrollment ID: I20190802000090 |
| Provider Name | William A Critchlow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700296621 PECOS PAC ID: 5698994119 Enrollment ID: I20190802000297 |
| Provider Name | Amanda K Krutke |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861702532 PECOS PAC ID: 5193906550 Enrollment ID: I20190803000029 |
| Provider Name | John Michael Irish |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619318235 PECOS PAC ID: 9133474034 Enrollment ID: I20190806004139 |
| Provider Name | Bretton J Ahrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356901227 PECOS PAC ID: 7012244262 Enrollment ID: I20190809001916 |
| Provider Name | Angela D Kitts-faron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609242049 PECOS PAC ID: 7113234030 Enrollment ID: I20190813002058 |
| Provider Name | Aida A Chicon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750842522 PECOS PAC ID: 3779811534 Enrollment ID: I20190819001463 |
| Provider Name | Prameeta Jha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033563820 PECOS PAC ID: 5496099319 Enrollment ID: I20190820000679 |
| Provider Name | Benjamin Getz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285016923 PECOS PAC ID: 4486919594 Enrollment ID: I20190822003638 |
| Provider Name | Michael R Mandrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528537388 PECOS PAC ID: 6901134246 Enrollment ID: I20190823001351 |
| Provider Name | Jordan M Meiss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972947703 PECOS PAC ID: 2062740368 Enrollment ID: I20190824000234 |
| Provider Name | Alejandro F Sanz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659664753 PECOS PAC ID: 3173700424 Enrollment ID: I20190826000344 |
| Provider Name | Lorena M Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992102404 PECOS PAC ID: 4183942592 Enrollment ID: I20190826002109 |
| Provider Name | Katherine E Ellingson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881259943 PECOS PAC ID: 4082942180 Enrollment ID: I20190828001065 |
| Provider Name | Ram Narayan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376954693 PECOS PAC ID: 7113216326 Enrollment ID: I20190828003586 |
| Provider Name | Andres L Maldonado |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467765040 PECOS PAC ID: 9436442464 Enrollment ID: I20190829000562 |
| Provider Name | Carrie Roe-fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265084842 PECOS PAC ID: 7012245012 Enrollment ID: I20190829001693 |
| Provider Name | Angel L Bermudez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346781572 PECOS PAC ID: 3476823725 Enrollment ID: I20190830000883 |
| Provider Name | Kylie A Cavanah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598310492 PECOS PAC ID: 8820326705 Enrollment ID: I20190830000995 |
| Provider Name | Bilal Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669822318 PECOS PAC ID: 8325330509 Enrollment ID: I20190830001717 |
| Provider Name | Kimberley B Herzog |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134585441 PECOS PAC ID: 4082917125 Enrollment ID: I20190903000137 |
| Provider Name | Numan Jahangir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174985634 PECOS PAC ID: 8022303999 Enrollment ID: I20190905000022 |
| Provider Name | Abby R Vladika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184194813 PECOS PAC ID: 7416286117 Enrollment ID: I20190905001588 |
| Provider Name | Ryan J Gluth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609307305 PECOS PAC ID: 2365714425 Enrollment ID: I20190909000052 |
| Provider Name | Tara Behrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457904831 PECOS PAC ID: 3072842525 Enrollment ID: I20190909000860 |
| Provider Name | Mohammad Amir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386036085 PECOS PAC ID: 6204146848 Enrollment ID: I20190910002079 |
| Provider Name | Melissa A Hardesty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518513605 PECOS PAC ID: 4789913161 Enrollment ID: I20190910002904 |
| Provider Name | Mhd Hashem Rajabbik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528422631 PECOS PAC ID: 3375888431 Enrollment ID: I20190911001479 |
| Provider Name | Nikhia C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316593445 PECOS PAC ID: 6406185750 Enrollment ID: I20190911002053 |
| Provider Name | Shitaldas J Pamnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750739900 PECOS PAC ID: 9234416009 Enrollment ID: I20190911002838 |
| Provider Name | Melissa Larson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467571547 PECOS PAC ID: 6406185701 Enrollment ID: I20190911003957 |
| Provider Name | Stephen T Bartlett |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164445268 PECOS PAC ID: 5294725891 Enrollment ID: I20190912002551 |
| Provider Name | Matthew J Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942857545 PECOS PAC ID: 2264761428 Enrollment ID: I20190912002991 |
| Provider Name | Elizabeth A Saunches |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104472984 PECOS PAC ID: 1850620832 Enrollment ID: I20190917002540 |
| Provider Name | Emily E Cooper |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578110680 PECOS PAC ID: 2668701657 Enrollment ID: I20190917003008 |
| Provider Name | Joseph D Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053976712 PECOS PAC ID: 8820328883 Enrollment ID: I20190918001768 |
| Provider Name | Gabriela Szatko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639528136 PECOS PAC ID: 1355629452 Enrollment ID: I20190920000627 |
| Provider Name | Deirdre Knobeloch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982947149 PECOS PAC ID: 6608175674 Enrollment ID: I20191001001203 |
| Provider Name | Brendan D Minardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083097695 PECOS PAC ID: 6103132717 Enrollment ID: I20191002001041 |
| Provider Name | Alex Ireland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881083640 PECOS PAC ID: 0345522488 Enrollment ID: I20191002001605 |
| Provider Name | Brenda Beilfuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275185142 PECOS PAC ID: 0446581433 Enrollment ID: I20191004001810 |
| Provider Name | Tonya R Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205482254 PECOS PAC ID: 6406187228 Enrollment ID: I20191009001783 |
| Provider Name | Robert J Lucia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558727636 PECOS PAC ID: 7911238365 Enrollment ID: I20191016000358 |
| Provider Name | Bailey J Bucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902455140 PECOS PAC ID: 8022349414 Enrollment ID: I20191016002211 |
| Provider Name | Janae L Hohbein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255727129 PECOS PAC ID: 5991005563 Enrollment ID: I20191017000066 |
| Provider Name | Juilo R Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841840352 PECOS PAC ID: 9436481553 Enrollment ID: I20191022003860 |
| Provider Name | Angela M Bickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669022752 PECOS PAC ID: 4183956113 Enrollment ID: I20191024001585 |
| Provider Name | Crystal D Reed |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588626576 PECOS PAC ID: 0244240794 Enrollment ID: I20191025000758 |
| Provider Name | Peter Psihos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225392368 PECOS PAC ID: 0446558332 Enrollment ID: I20191028001474 |
| Provider Name | Ahmed U Sharif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780034926 PECOS PAC ID: 3173816550 Enrollment ID: I20191030000349 |
| Provider Name | Amanda L Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851932040 PECOS PAC ID: 9436481025 Enrollment ID: I20191031001741 |
| Provider Name | Amy A Homerin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569175 PECOS PAC ID: 4880026194 Enrollment ID: I20191107000085 |
| Provider Name | Kyle May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679075022 PECOS PAC ID: 1658703970 Enrollment ID: I20191107000277 |
| Provider Name | Alexis Diaz-ramos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669836706 PECOS PAC ID: 0345537361 Enrollment ID: I20191112000273 |
| Provider Name | Steven Fineberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760708895 PECOS PAC ID: 4082963731 Enrollment ID: I20191112002839 |
| Provider Name | Tracy Packer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942857222 PECOS PAC ID: 8022440015 Enrollment ID: I20191113000527 |
| Provider Name | Tamarra L Subyantoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942842018 PECOS PAC ID: 4385076397 Enrollment ID: I20191113001192 |
| Provider Name | Holly E Vannitamby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053831214 PECOS PAC ID: 4688006604 Enrollment ID: I20191113001637 |
| Provider Name | Rebecca A Mireles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972144715 PECOS PAC ID: 4284066960 Enrollment ID: I20191119000225 |
| Provider Name | Yaw Opoku-agyemang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578107090 PECOS PAC ID: 0749612463 Enrollment ID: I20191119001959 |
| Provider Name | Jared Messina Davis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487095659 PECOS PAC ID: 5395049134 Enrollment ID: I20191122002246 |
| Provider Name | Marwan M Dib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225346414 PECOS PAC ID: 7810147899 Enrollment ID: I20191203001243 |
| Provider Name | Gabriela Trifan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023403565 PECOS PAC ID: 4587974696 Enrollment ID: I20191203003143 |
| Provider Name | Adeleke A Oyemade |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427103399 PECOS PAC ID: 2567538374 Enrollment ID: I20191209001594 |
| Provider Name | Indira Kedlaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891771382 PECOS PAC ID: 8729086418 Enrollment ID: I20191212002413 |
| Provider Name | Anthony J Lahood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851825863 PECOS PAC ID: 8628342219 Enrollment ID: I20191213000801 |
| Provider Name | Maddison P Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023653342 PECOS PAC ID: 3577996099 Enrollment ID: I20191213000945 |
| Provider Name | Dustin Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568017333 PECOS PAC ID: 6901230093 Enrollment ID: I20191226001027 |
| Provider Name | Taylor L Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356987135 PECOS PAC ID: 9931533767 Enrollment ID: I20200102001225 |
| Provider Name | Irene M Mcaleer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053313213 PECOS PAC ID: 2365342136 Enrollment ID: I20200106002550 |
| Provider Name | Cory J Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770002677 PECOS PAC ID: 6204261514 Enrollment ID: I20200115000013 |
| Provider Name | Leslie N Bowser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356989917 PECOS PAC ID: 3577998442 Enrollment ID: I20200123000080 |
| Provider Name | Katherine A Schlesinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821635566 PECOS PAC ID: 4981039484 Enrollment ID: I20200129000970 |
| Provider Name | Joanna L Vannarath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093069015 PECOS PAC ID: 9436382801 Enrollment ID: I20200129002162 |
| Provider Name | Bhaskara Rao Yelamanchili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043325335 PECOS PAC ID: 6608014840 Enrollment ID: I20200203000798 |
| Provider Name | Ellen Michelle Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538708086 PECOS PAC ID: 1759717176 Enrollment ID: I20200204000265 |
| Provider Name | Noel Marie Chelsea Fischre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710333000 PECOS PAC ID: 9830480623 Enrollment ID: I20200204000617 |
| Provider Name | Sandra B Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629592258 PECOS PAC ID: 2961399456 Enrollment ID: I20200205000146 |
| Provider Name | Laura Anne Recob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609414119 PECOS PAC ID: 3870920622 Enrollment ID: I20200218000188 |
| Provider Name | Jessica L Baugher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699313981 PECOS PAC ID: 9931536638 Enrollment ID: I20200218002889 |
| Provider Name | Chris A Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760022180 PECOS PAC ID: 8224465943 Enrollment ID: I20200219000471 |
| Provider Name | Punam Trivede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790258473 PECOS PAC ID: 0547697732 Enrollment ID: I20200228000326 |
| Provider Name | Valerie L Behrends |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700348349 PECOS PAC ID: 5698102622 Enrollment ID: I20200303001950 |
| Provider Name | Jennifer M Courts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073013629 PECOS PAC ID: 8426485475 Enrollment ID: I20200304000001 |
| Provider Name | Daniel C Leman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285264523 PECOS PAC ID: 6103253091 Enrollment ID: I20200306000295 |
| Provider Name | Cheryl A Leman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649819178 PECOS PAC ID: 3779911656 Enrollment ID: I20200309001415 |
| Provider Name | Sarah Beth Jarman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679105308 PECOS PAC ID: 9537597398 Enrollment ID: I20200310002736 |
| Provider Name | Philip L Mar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982999462 PECOS PAC ID: 6507141306 Enrollment ID: I20200318000149 |
| Provider Name | Ann K Church |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295700912 PECOS PAC ID: 2264465830 Enrollment ID: I20200320002016 |
| Provider Name | Taelor Stuedemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043856867 PECOS PAC ID: 1254769458 Enrollment ID: I20200323001786 |
| Provider Name | Joshua M Felts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477187946 PECOS PAC ID: 9638507759 Enrollment ID: I20200323002847 |
| Provider Name | Judy Emil D Dela Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104171347 PECOS PAC ID: 3870805831 Enrollment ID: I20200324000648 |
| Provider Name | Shannon C Trosper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326688870 PECOS PAC ID: 8123456274 Enrollment ID: I20200324000815 |
| Provider Name | Moriah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750920039 PECOS PAC ID: 8224466305 Enrollment ID: I20200324001733 |
| Provider Name | Joice Illimoottil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215447735 PECOS PAC ID: 7416386438 Enrollment ID: I20200326001563 |
| Provider Name | Luke Knapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790218527 PECOS PAC ID: 2668800913 Enrollment ID: I20200326001837 |
| Provider Name | Robert E Leysaht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265064612 PECOS PAC ID: 4183053986 Enrollment ID: I20200330002927 |
| Provider Name | Paul Noh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811089691 PECOS PAC ID: 9032140520 Enrollment ID: I20200401000425 |
| Provider Name | Rebekka J Root |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366077695 PECOS PAC ID: 0840629390 Enrollment ID: I20200403000878 |
| Provider Name | Paula L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336777515 PECOS PAC ID: 1951731801 Enrollment ID: I20200417000511 |
| Provider Name | Jill L Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891327797 PECOS PAC ID: 5092145524 Enrollment ID: I20200423001315 |
| Provider Name | Michael D Marcus |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588622773 PECOS PAC ID: 8628027596 Enrollment ID: I20200424001088 |
| Provider Name | Emaad Basith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689025108 PECOS PAC ID: 7618269341 Enrollment ID: I20200427001630 |
| Provider Name | Usman K Qadeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467728378 PECOS PAC ID: 7214229491 Enrollment ID: I20200428001422 |
| Provider Name | Ramzyeh A Kaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811215718 PECOS PAC ID: 2860630365 Enrollment ID: I20200430000209 |
| Provider Name | Stacey M Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760012637 PECOS PAC ID: 4183055155 Enrollment ID: I20200506001970 |
| Provider Name | Susana Meschede |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932553294 PECOS PAC ID: 5698068823 Enrollment ID: I20200519001436 |
| Provider Name | Lavneet K Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720531718 PECOS PAC ID: 0648505487 Enrollment ID: I20200611000738 |
| Provider Name | Mohamed A Said |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699201160 PECOS PAC ID: 0941574594 Enrollment ID: I20200611000895 |
| Provider Name | Tracie R Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578197513 PECOS PAC ID: 6103247580 Enrollment ID: I20200611001029 |
| Provider Name | Ismail M Abbasi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427035989 PECOS PAC ID: 4789860065 Enrollment ID: I20200612002378 |
| Provider Name | Kinda Muslemani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669746988 PECOS PAC ID: 9931358116 Enrollment ID: I20200616000381 |
| Provider Name | Greg M Hermann |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912392564 PECOS PAC ID: 9830405406 Enrollment ID: I20200619001293 |
| Provider Name | Margaret L Tate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215467154 PECOS PAC ID: 2163788043 Enrollment ID: I20200622002940 |
| Provider Name | James B Seipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255861647 PECOS PAC ID: 4587086194 Enrollment ID: I20200626000469 |
| Provider Name | Amber S Kowalsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164053484 PECOS PAC ID: 3870915457 Enrollment ID: I20200629000746 |
| Provider Name | David R Vandersteen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235190786 PECOS PAC ID: 8123922010 Enrollment ID: I20200707001038 |
| Provider Name | Charles Clayton Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265831192 PECOS PAC ID: 3779906912 Enrollment ID: I20200707002554 |
| Provider Name | Bindu Bathina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427573518 PECOS PAC ID: 2365716552 Enrollment ID: I20200708001332 |
| Provider Name | Clayton Shick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689298036 PECOS PAC ID: 2062835168 Enrollment ID: I20200708001751 |
| Provider Name | Chandra Kanth Chaturvedula |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215311683 PECOS PAC ID: 8729379193 Enrollment ID: I20200708001819 |
| Provider Name | Jared Meeker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801202114 PECOS PAC ID: 0244542256 Enrollment ID: I20200714003098 |
| Provider Name | Jennifer Elise Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649534009 PECOS PAC ID: 3678885837 Enrollment ID: I20200714003853 |
| Provider Name | Jennifer L Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205469988 PECOS PAC ID: 5193149235 Enrollment ID: I20200722000255 |
| Provider Name | Christopher D Powers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992702096 PECOS PAC ID: 2264345198 Enrollment ID: I20200723000106 |
| Provider Name | Craig J Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457733438 PECOS PAC ID: 9133423874 Enrollment ID: I20200723000440 |
| Provider Name | Frank Y Han |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801153952 PECOS PAC ID: 7517278948 Enrollment ID: I20200723003453 |
| Provider Name | Cathy Hinton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043227689 PECOS PAC ID: 2264484898 Enrollment ID: I20200724001189 |
| Provider Name | Tyler J Surma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568878965 PECOS PAC ID: 2062638893 Enrollment ID: I20200727002161 |
| Provider Name | Janos Antal Uzonyi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912357070 PECOS PAC ID: 0446675870 Enrollment ID: I20200803001191 |
| Provider Name | Alvin Joseph Gonzales Dandan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174835706 PECOS PAC ID: 3274836721 Enrollment ID: I20200805000204 |
| Provider Name | Abeer Almajali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396127718 PECOS PAC ID: 1153673306 Enrollment ID: I20200805001437 |
| Provider Name | Matthew E Negem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760892343 PECOS PAC ID: 0749525822 Enrollment ID: I20200806002959 |
| Provider Name | Becky D Largent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013076702 PECOS PAC ID: 3870803364 Enrollment ID: I20200812002933 |
| Provider Name | Matthew T Winterton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740675552 PECOS PAC ID: 0749606291 Enrollment ID: I20200814001788 |
| Provider Name | Lena Khaled Alia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578926143 PECOS PAC ID: 6002232311 Enrollment ID: I20200818001045 |
| Provider Name | Tyson R Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790300515 PECOS PAC ID: 1052737285 Enrollment ID: I20200818002094 |
| Provider Name | Donald L Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386164739 PECOS PAC ID: 8921372426 Enrollment ID: I20200824003579 |
| Provider Name | Jacob P Holton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821527201 PECOS PAC ID: 6507137148 Enrollment ID: I20200826001331 |
| Provider Name | Josiah Z Han |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043744964 PECOS PAC ID: 0244504231 Enrollment ID: I20200827001638 |
| Provider Name | Anup Sud |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316972631 PECOS PAC ID: 4486752649 Enrollment ID: I20200827002541 |
| Provider Name | Eileen Anne Ohalloran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447549571 PECOS PAC ID: 8426359217 Enrollment ID: I20200910000118 |
| Provider Name | Leigh Ann Kowalski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427402494 PECOS PAC ID: 0547556417 Enrollment ID: I20200910000281 |
| Provider Name | Mirza Uddin Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538697248 PECOS PAC ID: 3375811334 Enrollment ID: I20200910002194 |
| Provider Name | Daniel L Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285260414 PECOS PAC ID: 9234557752 Enrollment ID: I20200916000293 |
| Provider Name | Taylor M Miles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043665987 PECOS PAC ID: 5890032353 Enrollment ID: I20200917001357 |
| Provider Name | Nicholas G Viyuoh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952410219 PECOS PAC ID: 2466348263 Enrollment ID: I20200917001531 |
| Provider Name | Salman Waheed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417131772 PECOS PAC ID: 1052487527 Enrollment ID: I20200923000873 |
| Provider Name | Jennifer Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053798264 PECOS PAC ID: 2860798915 Enrollment ID: I20200929000213 |
| Provider Name | Oscar Dean Norton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285606590 PECOS PAC ID: 5395705297 Enrollment ID: I20200930001384 |
| Provider Name | Tyler J Neal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336555994 PECOS PAC ID: 3274832589 Enrollment ID: I20200930002526 |
| Provider Name | Tianna Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154930436 PECOS PAC ID: 4789003336 Enrollment ID: I20200930002657 |
| Provider Name | Christina M Spurgeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700403516 PECOS PAC ID: 9537588983 Enrollment ID: I20201002002911 |
| Provider Name | David Christian Kelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124446687 PECOS PAC ID: 3678875267 Enrollment ID: I20201006000339 |
| Provider Name | Michelle M Lovsey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1689283723 PECOS PAC ID: 4587083837 Enrollment ID: I20201006001525 |
| Provider Name | Jessica Lindsey Kass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265960959 PECOS PAC ID: 8426327172 Enrollment ID: I20201006001865 |
| Provider Name | Divya Jarugula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952824294 PECOS PAC ID: 0941571525 Enrollment ID: I20201006002280 |
| Provider Name | Kent L Snowden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558444646 PECOS PAC ID: 3476449562 Enrollment ID: I20201007000811 |
| Provider Name | Sravantika Koneru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669886818 PECOS PAC ID: 9335464411 Enrollment ID: I20201007001982 |
| Provider Name | Hematheja Lanka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750801619 PECOS PAC ID: 2365862562 Enrollment ID: I20201008001687 |
| Provider Name | George Chiang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093773954 PECOS PAC ID: 7517048192 Enrollment ID: I20201013002095 |
| Provider Name | Eric Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588808034 PECOS PAC ID: 1557504826 Enrollment ID: I20201013002230 |
| Provider Name | Ryan Whitney Dobbs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669815593 PECOS PAC ID: 8820308414 Enrollment ID: I20201014000324 |
| Provider Name | Christopher K. Cheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700175312 PECOS PAC ID: 8426320755 Enrollment ID: I20201014001907 |
| Provider Name | Mohsin Haseeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235496936 PECOS PAC ID: 6204154446 Enrollment ID: I20201015000564 |
| Provider Name | Lori Trilikis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932713435 PECOS PAC ID: 3971923822 Enrollment ID: I20201015001275 |
| Provider Name | Kurtis Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306004676 PECOS PAC ID: 9739305699 Enrollment ID: I20201019000372 |
| Provider Name | Alethea C Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518501824 PECOS PAC ID: 8224458971 Enrollment ID: I20201019000597 |
| Provider Name | Andrew J Michalowitz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902212327 PECOS PAC ID: 4385963073 Enrollment ID: I20201022000417 |
| Provider Name | Courtney L Button |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447877121 PECOS PAC ID: 1456771930 Enrollment ID: I20201022000734 |
| Provider Name | Jacob Bradley Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487815148 PECOS PAC ID: 1153473939 Enrollment ID: I20201027000743 |
| Provider Name | Kavya Moravineni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073993358 PECOS PAC ID: 6406160191 Enrollment ID: I20201027000809 |
| Provider Name | Katelynn M Madden |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720694094 PECOS PAC ID: 7416367776 Enrollment ID: I20201028000792 |
| Provider Name | Andrea Alyson Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265030019 PECOS PAC ID: 2365852480 Enrollment ID: I20201030002455 |
| Provider Name | Angela Lynn Neese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215544754 PECOS PAC ID: 1557771466 Enrollment ID: I20201104002250 |
| Provider Name | Alejandra Mercedes Perez-tamayo |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1821416165 PECOS PAC ID: 0941610869 Enrollment ID: I20201104002623 |
| Provider Name | Muhammad Rehan Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265819601 PECOS PAC ID: 3375810997 Enrollment ID: I20201111001132 |
| Provider Name | Julius L Teague |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245277987 PECOS PAC ID: 0941308944 Enrollment ID: I20201111002752 |
| Provider Name | Carol A Amfahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245305051 PECOS PAC ID: 6406805027 Enrollment ID: I20201113000453 |
| Provider Name | Stephanie M. Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063915882 PECOS PAC ID: 3375954761 Enrollment ID: I20201116000467 |
| Provider Name | Courtney Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598362980 PECOS PAC ID: 0042621492 Enrollment ID: I20201116002730 |
| Provider Name | Christine R Stehman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063485746 PECOS PAC ID: 0143493635 Enrollment ID: I20201118002301 |
| Provider Name | Sulaiman Sultan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730521014 PECOS PAC ID: 4880816677 Enrollment ID: I20201130000865 |
| Provider Name | Vijay P Roy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841372877 PECOS PAC ID: 2860442886 Enrollment ID: I20201202003035 |
| Provider Name | Anne C Kirchgessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215561089 PECOS PAC ID: 3779995212 Enrollment ID: I20201208000037 |
| Provider Name | Maryann Chinyelu Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578094090 PECOS PAC ID: 4486926748 Enrollment ID: I20201210002462 |
| Provider Name | Charles R Heinzmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376040477 PECOS PAC ID: 2668725193 Enrollment ID: I20201214000871 |
| Provider Name | Ramakrishna Nalluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396279725 PECOS PAC ID: 0143593442 Enrollment ID: I20201218000883 |
| Provider Name | Megan Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211478 PECOS PAC ID: 8022420801 Enrollment ID: I20201221000286 |
| Provider Name | Leah Marie Knabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164020491 PECOS PAC ID: 7214349885 Enrollment ID: I20201224000234 |
| Provider Name | Christina Lynn David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265030548 PECOS PAC ID: 1557774197 Enrollment ID: I20201229000145 |
| Provider Name | Natalie Ann Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619577657 PECOS PAC ID: 5698188977 Enrollment ID: I20210105002039 |
| Provider Name | Edward William Mitzelfelt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790399343 PECOS PAC ID: 5890108120 Enrollment ID: I20210106001145 |
| Provider Name | Mohammad Zubair Malik |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174701411 PECOS PAC ID: 0840374310 Enrollment ID: I20210109000100 |
| Provider Name | Cynthia Mangubat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750505442 PECOS PAC ID: 2062587637 Enrollment ID: I20210110000013 |
| Provider Name | Abigail Leigh Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578161865 PECOS PAC ID: 9133532229 Enrollment ID: I20210111000569 |
| Provider Name | Janie Clary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053912188 PECOS PAC ID: 7416360458 Enrollment ID: I20210111003071 |
| Provider Name | Florence Regina Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851994263 PECOS PAC ID: 9638582695 Enrollment ID: I20210112000804 |
| Provider Name | Jason Bowie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184987794 PECOS PAC ID: 2365855376 Enrollment ID: I20210113000340 |
| Provider Name | Yuriy Moklyak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588084339 PECOS PAC ID: 4880999598 Enrollment ID: I20210121002763 |
| Provider Name | Lisa Marie Weybright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831793850 PECOS PAC ID: 4880008499 Enrollment ID: I20210121003074 |
| Provider Name | Britney Julia Durst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881295541 PECOS PAC ID: 1456765072 Enrollment ID: I20210122000163 |
| Provider Name | Christina Dorris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922603232 PECOS PAC ID: 9931513504 Enrollment ID: I20210122002347 |
| Provider Name | Joseph Parkhurst |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205879772 PECOS PAC ID: 5890779292 Enrollment ID: I20210125000557 |
| Provider Name | Susan J Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508491663 PECOS PAC ID: 8527472661 Enrollment ID: I20210201000392 |
| Provider Name | Junaid Sa Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598859852 PECOS PAC ID: 9032156922 Enrollment ID: I20210204002011 |
| Provider Name | Michelle Lynn Crouch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588251318 PECOS PAC ID: 9436563244 Enrollment ID: I20210205000486 |
| Provider Name | Jacek Wesolowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770197758 PECOS PAC ID: 6800201500 Enrollment ID: I20210210001055 |
| Provider Name | Charles Prybylowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790381168 PECOS PAC ID: 1355756917 Enrollment ID: I20210213000067 |
| Provider Name | Jonathan B Worley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154819712 PECOS PAC ID: 2668721853 Enrollment ID: I20210217001153 |
| Provider Name | Vijayasree Paleru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043417819 PECOS PAC ID: 2567486178 Enrollment ID: I20210218002046 |
| Provider Name | Katarzyna R Koscielniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598373714 PECOS PAC ID: 7810302148 Enrollment ID: I20210219000973 |
| Provider Name | Annie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780271247 PECOS PAC ID: 8628483880 Enrollment ID: I20210219002598 |
| Provider Name | Lisa Ann Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588251144 PECOS PAC ID: 3870908957 Enrollment ID: I20210223002539 |
| Provider Name | Catherine V. Espinosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699386607 PECOS PAC ID: 9739595547 Enrollment ID: I20210302002566 |
| Provider Name | Julian Paul Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841889037 PECOS PAC ID: 0042626665 Enrollment ID: I20210305001775 |
| Provider Name | Hollie Amber Balazs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659965804 PECOS PAC ID: 6608282058 Enrollment ID: I20210309002144 |
| Provider Name | Brianna Marie Schlupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427648807 PECOS PAC ID: 1355757733 Enrollment ID: I20210309003242 |
| Provider Name | Mary B Vojta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912590001 PECOS PAC ID: 8729494018 Enrollment ID: I20210311001012 |
| Provider Name | Harma Turbendian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811157993 PECOS PAC ID: 2466761242 Enrollment ID: I20210315002541 |
| Provider Name | Melissa C Jarboe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053674762 PECOS PAC ID: 6103110564 Enrollment ID: I20210316000619 |
| Provider Name | Katie L. Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215521513 PECOS PAC ID: 3375959372 Enrollment ID: I20210316002164 |
| Provider Name | Chelsea M Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376131003 PECOS PAC ID: 8022424076 Enrollment ID: I20210317000738 |
| Provider Name | Brandon James Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609462514 PECOS PAC ID: 5092122093 Enrollment ID: I20210317002975 |
| Provider Name | Amanda Michelle Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205420809 PECOS PAC ID: 5799192464 Enrollment ID: I20210324001852 |
| Provider Name | Mohammad Asim Mustafa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639265259 PECOS PAC ID: 5395152003 Enrollment ID: I20210325000162 |
| Provider Name | James P Lovinggood |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558328633 PECOS PAC ID: 5698761138 Enrollment ID: I20210331000830 |
| Provider Name | Haleigh Ranae Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205429503 PECOS PAC ID: 0345657706 Enrollment ID: I20210331001140 |
| Provider Name | Steven W Bigg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932166162 PECOS PAC ID: 5092766626 Enrollment ID: I20210408001450 |
| Provider Name | Leaanna Jean Cauthon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639764277 PECOS PAC ID: 4789092768 Enrollment ID: I20210412000711 |
| Provider Name | Jay Martin Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629447 PECOS PAC ID: 7810305646 Enrollment ID: I20210416000215 |
| Provider Name | Victoria O'hanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427644210 PECOS PAC ID: 7618997388 Enrollment ID: I20210419000387 |
| Provider Name | Herbert Stern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306857784 PECOS PAC ID: 6305890682 Enrollment ID: I20210419001547 |
| Provider Name | Elora L Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477130599 PECOS PAC ID: 7911315338 Enrollment ID: I20210422002447 |
| Provider Name | Kavish R Thakkar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124516794 PECOS PAC ID: 8123371358 Enrollment ID: I20210423000968 |
| Provider Name | Samantha Kay Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821679564 PECOS PAC ID: 3779991039 Enrollment ID: I20210427000075 |
| Provider Name | Anthony M Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063091825 PECOS PAC ID: 6204245137 Enrollment ID: I20210506000076 |
| Provider Name | Lewis T Mann |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730530148 PECOS PAC ID: 7315230026 Enrollment ID: I20210506001236 |
| Provider Name | Joshua L Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427646496 PECOS PAC ID: 6406265198 Enrollment ID: I20210510002396 |
| Provider Name | Editha Krueger |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093759185 PECOS PAC ID: 5799867651 Enrollment ID: I20210511001709 |
| Provider Name | Abbi M Sorrells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902408172 PECOS PAC ID: 6901215557 Enrollment ID: I20210511001840 |
| Provider Name | Sean Corbett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740318682 PECOS PAC ID: 1850464967 Enrollment ID: I20210511002440 |
| Provider Name | Dara Josiah-howze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063407278 PECOS PAC ID: 3577597699 Enrollment ID: I20210514000270 |
| Provider Name | Michelle Rowland |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1386960359 PECOS PAC ID: 3072804533 Enrollment ID: I20210517001035 |
| Provider Name | Angela N Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922687938 PECOS PAC ID: 0648679951 Enrollment ID: I20210518002413 |
| Provider Name | Parinitha Bathina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811481260 PECOS PAC ID: 8224437553 Enrollment ID: I20210519000218 |
| Provider Name | Rachel Caudle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649877416 PECOS PAC ID: 8921407172 Enrollment ID: I20210520002132 |
| Provider Name | Wentao Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619463189 PECOS PAC ID: 6507265691 Enrollment ID: I20210521001095 |
| Provider Name | Usha Sree Janapala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932559697 PECOS PAC ID: 5890087985 Enrollment ID: I20210526000599 |
| Provider Name | Bernadette M Grogan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891917019 PECOS PAC ID: 5597164491 Enrollment ID: I20210526001295 |
| Provider Name | Matthew Brewer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528562972 PECOS PAC ID: 0143629683 Enrollment ID: I20210603000369 |
| Provider Name | Martin Musuruana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760975569 PECOS PAC ID: 9234539602 Enrollment ID: I20210608000096 |
| Provider Name | Joseph Gregory Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477148443 PECOS PAC ID: 0648670968 Enrollment ID: I20210608002349 |
| Provider Name | Christopher W Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922475482 PECOS PAC ID: 9830448042 Enrollment ID: I20210608003540 |
| Provider Name | Manharkumar Mukesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558865162 PECOS PAC ID: 1355741604 Enrollment ID: I20210609000049 |
| Provider Name | Connor Joseph Kristof |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912495383 PECOS PAC ID: 7113277815 Enrollment ID: I20210611002460 |
| Provider Name | Vaishali Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164786497 PECOS PAC ID: 4688955495 Enrollment ID: I20210616001738 |
| Provider Name | Jared Sinclair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750874749 PECOS PAC ID: 1153677281 Enrollment ID: I20210617001658 |
| Provider Name | Alejandro Aquino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669628012 PECOS PAC ID: 0446542344 Enrollment ID: I20210621000284 |
| Provider Name | Joshua Sean Chisholm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477903219 PECOS PAC ID: 1153617790 Enrollment ID: I20210621003318 |
| Provider Name | Rachael Nambusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255985 PECOS PAC ID: 8729394267 Enrollment ID: I20210624000221 |
| Provider Name | Kimberly D Arthur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700966629 PECOS PAC ID: 3971565698 Enrollment ID: I20210628000203 |
| Provider Name | Antonio Granda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780624023 PECOS PAC ID: 9739262346 Enrollment ID: I20210707002315 |
| Provider Name | Jihad Alharash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598119216 PECOS PAC ID: 4587077060 Enrollment ID: I20210708002635 |
| Provider Name | Debra Ann Warndahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063465532 PECOS PAC ID: 4981006061 Enrollment ID: I20210712003776 |
| Provider Name | Ninah P Clegg-johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568992873 PECOS PAC ID: 9133493927 Enrollment ID: I20210714003141 |
| Provider Name | Subhrajit Lahiri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346658358 PECOS PAC ID: 9436551314 Enrollment ID: I20210714003757 |
| Provider Name | Wyatt Andrew Verplaetse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629508965 PECOS PAC ID: 5799059473 Enrollment ID: I20210715000207 |
| Provider Name | Huan Huynh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801280268 PECOS PAC ID: 0446554695 Enrollment ID: I20210719002233 |
| Provider Name | Molly Conroy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942705553 PECOS PAC ID: 1850649666 Enrollment ID: I20210720004094 |
| Provider Name | Denise Ma Francisco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235516030 PECOS PAC ID: 0244545747 Enrollment ID: I20210721000618 |
| Provider Name | Vinay Bajaj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619325446 PECOS PAC ID: 5597052738 Enrollment ID: I20210721000658 |
| Provider Name | Michael J Harvey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760878748 PECOS PAC ID: 2163724329 Enrollment ID: I20210721000914 |
| Provider Name | Stephanie Dejong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538575626 PECOS PAC ID: 7315163540 Enrollment ID: I20210721001409 |
| Provider Name | Amjad Abualsuod |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427346444 PECOS PAC ID: 0648499541 Enrollment ID: I20210721001500 |
| Provider Name | Kevin Andre Regis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861884520 PECOS PAC ID: 1254734767 Enrollment ID: I20210721002622 |
| Provider Name | William Matthew Brigode |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356726699 PECOS PAC ID: 9335497429 Enrollment ID: I20210721003942 |
| Provider Name | Hillary Jean Wagner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437579570 PECOS PAC ID: 1052733524 Enrollment ID: I20210722002226 |
| Provider Name | Jesse Lee Henneberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316299456 PECOS PAC ID: 7719380898 Enrollment ID: I20210727002656 |
| Provider Name | Daniel Koon Chan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902224074 PECOS PAC ID: 1254734262 Enrollment ID: I20210728003666 |
| Provider Name | Stephanie Ann Ober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972041770 PECOS PAC ID: 3274936281 Enrollment ID: I20210728004110 |
| Provider Name | Asma Hamid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437507308 PECOS PAC ID: 6800127838 Enrollment ID: I20210729000630 |
| Provider Name | Taylor Szpara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366974578 PECOS PAC ID: 6608128723 Enrollment ID: I20210729000912 |
| Provider Name | Whitney Renee Andal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255934378 PECOS PAC ID: 9032512983 Enrollment ID: I20210729001780 |
| Provider Name | Samantha Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396314308 PECOS PAC ID: 8123421096 Enrollment ID: I20210729002256 |
| Provider Name | Ameer Ziad Musa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861876518 PECOS PAC ID: 7416204417 Enrollment ID: I20210730001774 |
| Provider Name | Michelle Dawn Howland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366979437 PECOS PAC ID: 7618371402 Enrollment ID: I20210731000298 |
| Provider Name | Stephanie Mickley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063026581 PECOS PAC ID: 6204230691 Enrollment ID: I20210806001580 |
| Provider Name | Jose Ramirez Gomez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588076285 PECOS PAC ID: 0446477111 Enrollment ID: I20210807000040 |
| Provider Name | Ian Behr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740695980 PECOS PAC ID: 3274953815 Enrollment ID: I20210812000319 |
| Provider Name | Janet Mary Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700559085 PECOS PAC ID: 4587069364 Enrollment ID: I20210817001009 |
| Provider Name | Casey D White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487247821 PECOS PAC ID: 9234534918 Enrollment ID: I20210818001411 |
| Provider Name | Ernerio Alboliras |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851376883 PECOS PAC ID: 5597700104 Enrollment ID: I20210818002598 |
| Provider Name | Kelli Dohman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568791234 PECOS PAC ID: 5597160259 Enrollment ID: I20210819000480 |
| Provider Name | Youssef Hedroug |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144710385 PECOS PAC ID: 9436554946 Enrollment ID: I20210823000165 |
| Provider Name | Kimberly Rochelle Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144715194 PECOS PAC ID: 1355699109 Enrollment ID: I20210825003035 |
| Provider Name | Sahrish Ekram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952835787 PECOS PAC ID: 6204247380 Enrollment ID: I20210830000922 |
| Provider Name | Samia Qadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497248199 PECOS PAC ID: 5890030407 Enrollment ID: I20210830001347 |
| Provider Name | Burhan Hassan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972839041 PECOS PAC ID: 7315230075 Enrollment ID: I20210831000744 |
| Provider Name | Gabriel Stahl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497246953 PECOS PAC ID: 8527464502 Enrollment ID: I20210831002638 |
| Provider Name | Kelly Kratschmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962073213 PECOS PAC ID: 4688070592 Enrollment ID: I20210901000645 |
| Provider Name | Amber Kingery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467023713 PECOS PAC ID: 1153727003 Enrollment ID: I20210901002370 |
| Provider Name | Isha L Mcconkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952693707 PECOS PAC ID: 0547408783 Enrollment ID: I20210902000526 |
| Provider Name | Marcela R Lemus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962175562 PECOS PAC ID: 5294131041 Enrollment ID: I20210902002559 |
| Provider Name | Nathaniel John Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205509437 PECOS PAC ID: 8123424579 Enrollment ID: I20210909002506 |
| Provider Name | Abigail E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861165367 PECOS PAC ID: 8022414499 Enrollment ID: I20210909003027 |
| Provider Name | Siddharth Sarangi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104106608 PECOS PAC ID: 5890931638 Enrollment ID: I20210910001110 |
| Provider Name | Osvaldo Luis Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851882385 PECOS PAC ID: 3274939699 Enrollment ID: I20210910001452 |
| Provider Name | Britta N Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699359240 PECOS PAC ID: 9638575772 Enrollment ID: I20210915000469 |
| Provider Name | Emily Ann Walton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275037665 PECOS PAC ID: 1254689227 Enrollment ID: I20210916002536 |
| Provider Name | Christine Yaeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750055570 PECOS PAC ID: 4385041466 Enrollment ID: I20210916003228 |
| Provider Name | Joyce Ann Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871812982 PECOS PAC ID: 4183811979 Enrollment ID: I20210916003276 |
| Provider Name | Ashley M Stroot |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700450947 PECOS PAC ID: 1254738131 Enrollment ID: I20210920001473 |
| Provider Name | George Cotseones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467728709 PECOS PAC ID: 8527342021 Enrollment ID: I20210921000404 |
| Provider Name | Kathleen Marie Wiese |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790987923 PECOS PAC ID: 7214020809 Enrollment ID: I20210921000713 |
| Provider Name | Alison Jeanne Kibilka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003437799 PECOS PAC ID: 0345647145 Enrollment ID: I20210921003065 |
| Provider Name | Nitin Das Kunnathu Puthanveedu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770933921 PECOS PAC ID: 7618262585 Enrollment ID: I20210923000563 |
| Provider Name | Grace Elizabeth Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871164418 PECOS PAC ID: 1456758069 Enrollment ID: I20210924000830 |
| Provider Name | Jan Marie Galbreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679801187 PECOS PAC ID: 4183021629 Enrollment ID: I20210924002587 |
| Provider Name | Amanda Stovall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043605447 PECOS PAC ID: 9234441288 Enrollment ID: I20210924003066 |
| Provider Name | Christopher Alan Funk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659040467 PECOS PAC ID: 8224435433 Enrollment ID: I20210930000029 |
| Provider Name | Steven Anthony Schneider |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598997439 PECOS PAC ID: 2264624204 Enrollment ID: I20210930002191 |
| Provider Name | Christopher E Benejam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801393178 PECOS PAC ID: 5496005134 Enrollment ID: I20211004000307 |
| Provider Name | Jaime Lynn Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932763851 PECOS PAC ID: 9234537390 Enrollment ID: I20211005000827 |
| Provider Name | Lawrence Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669884896 PECOS PAC ID: 3476897711 Enrollment ID: I20211005001419 |
| Provider Name | Justyna Anna Koscielniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902571235 PECOS PAC ID: 4082012067 Enrollment ID: I20211005002149 |
| Provider Name | Leah Embree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124406145 PECOS PAC ID: 5092008102 Enrollment ID: I20211005002400 |
| Provider Name | David E Bryan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578671418 PECOS PAC ID: 1052387685 Enrollment ID: I20211005003543 |
| Provider Name | Jennifer Brooke Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447923172 PECOS PAC ID: 8426456484 Enrollment ID: I20211006001695 |
| Provider Name | Sergiy Georgiyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821324831 PECOS PAC ID: 2163670241 Enrollment ID: I20211007002171 |
| Provider Name | Candace R Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053087767 PECOS PAC ID: 9537567391 Enrollment ID: I20211007003068 |
| Provider Name | Benjamin D Riegle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679889026 PECOS PAC ID: 4284822636 Enrollment ID: I20211007003541 |
| Provider Name | Lea L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255910386 PECOS PAC ID: 6204234982 Enrollment ID: I20211011001242 |
| Provider Name | Christopher D Jaeger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457672446 PECOS PAC ID: 4587837166 Enrollment ID: I20211011001680 |
| Provider Name | Vanessa L Nienhouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225561335 PECOS PAC ID: 9436428802 Enrollment ID: I20211011002145 |
| Provider Name | Andrew T Blackburne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437412582 PECOS PAC ID: 5496991358 Enrollment ID: I20211012002345 |
| Provider Name | Emmaleen Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396127866 PECOS PAC ID: 1254610074 Enrollment ID: I20211013000065 |
| Provider Name | Andrew Bifulk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780356089 PECOS PAC ID: 5799183281 Enrollment ID: I20211014000547 |
| Provider Name | Melanie Dilger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710658919 PECOS PAC ID: 7416355896 Enrollment ID: I20211015000799 |
| Provider Name | Safiat Amuwo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659803039 PECOS PAC ID: 8123394582 Enrollment ID: I20211018002567 |
| Provider Name | Julia Bodnya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770937658 PECOS PAC ID: 0648560672 Enrollment ID: I20211019001440 |
| Provider Name | Tariq Enezate |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154600492 PECOS PAC ID: 6709010937 Enrollment ID: I20211020001229 |
| Provider Name | Alyssa Marie Smolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699343400 PECOS PAC ID: 4183012305 Enrollment ID: I20211020002610 |
| Provider Name | Micah W Mcneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174193312 PECOS PAC ID: 2466840509 Enrollment ID: I20211022001256 |
| Provider Name | Evan Leigh Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013412634 PECOS PAC ID: 7416205430 Enrollment ID: I20211025000142 |
| Provider Name | John Mccarthy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477662179 PECOS PAC ID: 1254337801 Enrollment ID: I20211027001534 |
| Provider Name | Jaya Wadhawan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033603279 PECOS PAC ID: 6507103785 Enrollment ID: I20211029000144 |
| Provider Name | Sonal Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417308511 PECOS PAC ID: 6608132568 Enrollment ID: I20211102003216 |
| Provider Name | Marwah Farooqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497011266 PECOS PAC ID: 4486966819 Enrollment ID: I20211104002853 |
| Provider Name | Ronan Lev |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871602573 PECOS PAC ID: 8426023391 Enrollment ID: I20211108001997 |
| Provider Name | Jenae Roseland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811505282 PECOS PAC ID: 0446677959 Enrollment ID: I20211109000175 |
| Provider Name | Gerri Cook |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366080855 PECOS PAC ID: 5890121610 Enrollment ID: I20211109003419 |
| Provider Name | Andrea N Machnacki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790453702 PECOS PAC ID: 4082003876 Enrollment ID: I20211117000673 |
| Provider Name | Jamie Lee Hume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326710666 PECOS PAC ID: 3375932171 Enrollment ID: I20211117001100 |
| Provider Name | Jessica L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588247571 PECOS PAC ID: 3375933476 Enrollment ID: I20211203001833 |
| Provider Name | Stephanie Mcmaken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245841238 PECOS PAC ID: 4880084987 Enrollment ID: I20211203001980 |
| Provider Name | Sean Joseph Watts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609370469 PECOS PAC ID: 2961746698 Enrollment ID: I20211208000221 |
| Provider Name | Kaitlyn Sue Mcgough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285250712 PECOS PAC ID: 4789074337 Enrollment ID: I20211214001569 |
| Provider Name | Brittany Nikkole Ziller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528722089 PECOS PAC ID: 9638569205 Enrollment ID: I20211214002322 |
| Provider Name | Philip Craig Ovadia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669405841 PECOS PAC ID: 2062441454 Enrollment ID: I20211215000960 |
| Provider Name | James G Roberts |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356346936 PECOS PAC ID: 0941255061 Enrollment ID: I20211217001138 |
| Provider Name | Candace Crystal Kudla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447929914 PECOS PAC ID: 3577954940 Enrollment ID: I20211217001758 |
| Provider Name | David Duffey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760454961 PECOS PAC ID: 8921064882 Enrollment ID: I20211220002588 |
| Provider Name | Banesa Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780297457 PECOS PAC ID: 0648661900 Enrollment ID: I20211221000086 |
| Provider Name | Sydney L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932862323 PECOS PAC ID: 6002207362 Enrollment ID: I20211221000122 |
| Provider Name | Sananjay Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548525728 PECOS PAC ID: 8123300787 Enrollment ID: I20211222000894 |
| Provider Name | Mirza S Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275063844 PECOS PAC ID: 1052680683 Enrollment ID: I20211228001674 |
| Provider Name | Stefanie Kay Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386300713 PECOS PAC ID: 7416348420 Enrollment ID: I20211230001510 |
| Provider Name | Renell Composto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568124154 PECOS PAC ID: 3173914850 Enrollment ID: I20220107000841 |
| Provider Name | Julie Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467789511 PECOS PAC ID: 2466844949 Enrollment ID: I20220112002233 |
| Provider Name | Jordyn L Rochford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467125237 PECOS PAC ID: 0840682365 Enrollment ID: I20220113000568 |
| Provider Name | Heidi R Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497415152 PECOS PAC ID: 9133511306 Enrollment ID: I20220120000624 |
| Provider Name | Marissa Edelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801551593 PECOS PAC ID: 4183016967 Enrollment ID: I20220128001390 |
| Provider Name | Janel M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801563986 PECOS PAC ID: 7810389608 Enrollment ID: I20220128001915 |
| Provider Name | Amanda Leann Ealy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790446243 PECOS PAC ID: 9335532126 Enrollment ID: I20220128002152 |
| Provider Name | Christine Youngin Kwon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396249751 PECOS PAC ID: 3577813443 Enrollment ID: I20220131001709 |
| Provider Name | Veronica Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609481175 PECOS PAC ID: 3072906650 Enrollment ID: I20220202002284 |
| Provider Name | Alexis C Gazda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043874761 PECOS PAC ID: 8224360722 Enrollment ID: I20220203000766 |
| Provider Name | Tashana Haye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790244531 PECOS PAC ID: 4880926542 Enrollment ID: I20220203001257 |
| Provider Name | Erin Kay Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528580735 PECOS PAC ID: 1759774300 Enrollment ID: I20220203001807 |
| Provider Name | Asim Razzaq |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164531877 PECOS PAC ID: 7517963168 Enrollment ID: I20220204002162 |
| Provider Name | Khalid Al Katranji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063852762 PECOS PAC ID: 0042453045 Enrollment ID: I20220208000701 |
| Provider Name | Leah Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255005443 PECOS PAC ID: 3173916509 Enrollment ID: I20220208001959 |
| Provider Name | Jordan L Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518618123 PECOS PAC ID: 6002209269 Enrollment ID: I20220210001463 |
| Provider Name | Jennifer Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710647870 PECOS PAC ID: 1850784976 Enrollment ID: I20220211001379 |
| Provider Name | Taylor Jordan Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376128439 PECOS PAC ID: 2466845482 Enrollment ID: I20220215000755 |
| Provider Name | Heather Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699347724 PECOS PAC ID: 9537552435 Enrollment ID: I20220216001260 |
| Provider Name | Dileep Kumar Reddy Regalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194379867 PECOS PAC ID: 1153653803 Enrollment ID: I20220216001437 |
| Provider Name | Ethan M Szpara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720548712 PECOS PAC ID: 3274865654 Enrollment ID: I20220225002201 |
| Provider Name | Brian Rapp |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407014657 PECOS PAC ID: 3577704006 Enrollment ID: I20220226000121 |
| Provider Name | Anene Achebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396310645 PECOS PAC ID: 6002200110 Enrollment ID: I20220304001873 |
| Provider Name | Evalynne D Basso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720759830 PECOS PAC ID: 7719372705 Enrollment ID: I20220309000837 |
| Provider Name | Wendelin A Burdo Hartman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770563462 PECOS PAC ID: 1557426988 Enrollment ID: I20220309001823 |
| Provider Name | Sarah Shoemaker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023686128 PECOS PAC ID: 1759776727 Enrollment ID: I20220310000943 |
| Provider Name | Mary Cabell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950854 PECOS PAC ID: 0042605909 Enrollment ID: I20220311002161 |
| Provider Name | Bradley Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023779402 PECOS PAC ID: 3678968534 Enrollment ID: I20220311002210 |
| Provider Name | Paige Ann Seaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558027169 PECOS PAC ID: 5496140352 Enrollment ID: I20220311002219 |
| Provider Name | Benjamin Guth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811658545 PECOS PAC ID: 6305231267 Enrollment ID: I20220311002223 |
| Provider Name | Jessica Ann Reis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053755926 PECOS PAC ID: 5193023075 Enrollment ID: I20220316003158 |
| Provider Name | Willette Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205901410 PECOS PAC ID: 4688628183 Enrollment ID: I20220318001377 |
| Provider Name | Amanda Elaine Salek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134724305 PECOS PAC ID: 9638564800 Enrollment ID: I20220325000368 |
| Provider Name | Tamam Zeidan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699359695 PECOS PAC ID: 2860887916 Enrollment ID: I20220328001486 |
| Provider Name | Amy Hacker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427462910 PECOS PAC ID: 7214156603 Enrollment ID: I20220329001078 |
| Provider Name | Taylor Gohman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225534290 PECOS PAC ID: 1658629142 Enrollment ID: I20220329001087 |
| Provider Name | Kaylee Chantel Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932648003 PECOS PAC ID: 4486040581 Enrollment ID: I20220329001443 |
| Provider Name | Asha Gorsi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255838272 PECOS PAC ID: 6901145002 Enrollment ID: I20220329001653 |
| Provider Name | Stuart Godwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336471267 PECOS PAC ID: 5496921058 Enrollment ID: I20220329001794 |
| Provider Name | Zachary Scott Drawhon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669124848 PECOS PAC ID: 5799171807 Enrollment ID: I20220329001883 |
| Provider Name | Shannon Lynn Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003572470 PECOS PAC ID: 1759777881 Enrollment ID: I20220329002554 |
| Provider Name | Danielle Schmidgall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154078897 PECOS PAC ID: 6002202868 Enrollment ID: I20220404000537 |
| Provider Name | Kevin S Sidhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093165953 PECOS PAC ID: 0547528192 Enrollment ID: I20220404001152 |
| Provider Name | Hassan Ahmad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851772057 PECOS PAC ID: 0244500783 Enrollment ID: I20220406001659 |
| Provider Name | Umakanth Avula |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124479167 PECOS PAC ID: 9133521859 Enrollment ID: I20220413000734 |
| Provider Name | Hiba Anaqrah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417516428 PECOS PAC ID: 2365777489 Enrollment ID: I20220413001038 |
| Provider Name | Tracy Jo Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235886094 PECOS PAC ID: 0244626588 Enrollment ID: I20220413001151 |
| Provider Name | Michelle E Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134608763 PECOS PAC ID: 0941607675 Enrollment ID: I20220415000688 |
| Provider Name | Brianna Edwards Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396492732 PECOS PAC ID: 6800283870 Enrollment ID: I20220420002781 |
| Provider Name | Ben C Coyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407517394 PECOS PAC ID: 4486041415 Enrollment ID: I20220421002026 |
| Provider Name | George W Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942451000 PECOS PAC ID: 8426445222 Enrollment ID: I20220426001613 |
| Provider Name | Stephanie Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477201770 PECOS PAC ID: 4284021965 Enrollment ID: I20220427001938 |
| Provider Name | Wajed H Haddad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336371137 PECOS PAC ID: 6800283433 Enrollment ID: I20220428000816 |
| Provider Name | Watik Maghroudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891350633 PECOS PAC ID: 6507109550 Enrollment ID: I20220504001376 |
| Provider Name | Gary Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245286905 PECOS PAC ID: 4789610338 Enrollment ID: I20220510001484 |
| Provider Name | Laura Muehling |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316695034 PECOS PAC ID: 7416334495 Enrollment ID: I20220512001127 |
| Provider Name | Mohammed Shaezor Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649446824 PECOS PAC ID: 8628120052 Enrollment ID: I20220514000331 |
| Provider Name | Aletha Latrice Nelms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568117968 PECOS PAC ID: 3577940485 Enrollment ID: I20220516001055 |
| Provider Name | Tara Lynn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841946613 PECOS PAC ID: 9638556434 Enrollment ID: I20220517001968 |
| Provider Name | Samantha Cox |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699086322 PECOS PAC ID: 9032417324 Enrollment ID: I20220519000722 |
| Provider Name | Ali Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205321171 PECOS PAC ID: 7810246352 Enrollment ID: I20220524001534 |
| Provider Name | Ashley Nicole Kinsella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912669565 PECOS PAC ID: 1850778242 Enrollment ID: I20220525000758 |
| Provider Name | Burhan Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205488293 PECOS PAC ID: 2769860139 Enrollment ID: I20220526001375 |
| Provider Name | Dana Beth Yednock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881292019 PECOS PAC ID: 0941688196 Enrollment ID: I20220601000266 |
| Provider Name | Mina Mecheal Benjamin Mehanni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902186166 PECOS PAC ID: 2163664087 Enrollment ID: I20220602001844 |
| Provider Name | Jennifer M. Van Autreve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033864061 PECOS PAC ID: 5698153427 Enrollment ID: I20220607000072 |
| Provider Name | Dale Lee Wren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295933687 PECOS PAC ID: 8426182130 Enrollment ID: I20220609002084 |
| Provider Name | Da'kira Kanisha White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710629571 PECOS PAC ID: 2264810720 Enrollment ID: I20220613000856 |
| Provider Name | Bethany Mcgraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063157683 PECOS PAC ID: 9234517707 Enrollment ID: I20220613000990 |
| Provider Name | Muhammad Umer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114239944 PECOS PAC ID: 5597906412 Enrollment ID: I20220613001447 |
| Provider Name | Deborah Mofoluwa Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336809326 PECOS PAC ID: 5799163283 Enrollment ID: I20220613001838 |
| Provider Name | Majdee M Islam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447645304 PECOS PAC ID: 5799098562 Enrollment ID: I20220614002293 |
| Provider Name | Aminat Ogun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790337988 PECOS PAC ID: 9638404569 Enrollment ID: I20220614003143 |
| Provider Name | John Joseph Horky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437712015 PECOS PAC ID: 4183959786 Enrollment ID: I20220615003063 |
| Provider Name | Candice Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093300998 PECOS PAC ID: 5991184046 Enrollment ID: I20220620000999 |
| Provider Name | Liliane Akimpaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629723101 PECOS PAC ID: 0143609297 Enrollment ID: I20220620001112 |
| Provider Name | Zubair Vhora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992361562 PECOS PAC ID: 8426385766 Enrollment ID: I20220630002636 |
| Provider Name | Tianyu Dong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073160024 PECOS PAC ID: 2961882014 Enrollment ID: I20220706003652 |
| Provider Name | Sarah N Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639606411 PECOS PAC ID: 7810261575 Enrollment ID: I20220707002486 |
| Provider Name | Nishanth Vallumsetla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134589799 PECOS PAC ID: 7911387964 Enrollment ID: I20220707002941 |
| Provider Name | Sourabh Lahoti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265776165 PECOS PAC ID: 1456665892 Enrollment ID: I20220708000440 |
| Provider Name | Nabila Ashraf |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730676099 PECOS PAC ID: 1153665666 Enrollment ID: I20220708000611 |
| Provider Name | Teresa L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447919071 PECOS PAC ID: 2668869652 Enrollment ID: I20220711000699 |
| Provider Name | Susi Madrigal-leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346902459 PECOS PAC ID: 8426439159 Enrollment ID: I20220713000577 |
| Provider Name | Joel R Dennison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104480979 PECOS PAC ID: 9234561366 Enrollment ID: I20220713000746 |
| Provider Name | Laura Mcguire |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225423668 PECOS PAC ID: 4688984867 Enrollment ID: I20220713003235 |
| Provider Name | Chandur Bhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215589122 PECOS PAC ID: 6103207402 Enrollment ID: I20220718003166 |
| Provider Name | Whitney Raelene Neville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629716774 PECOS PAC ID: 0749661999 Enrollment ID: I20220719001713 |
| Provider Name | Qi Yan Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841647914 PECOS PAC ID: 7618262791 Enrollment ID: I20220719002208 |
| Provider Name | Samuel Elberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386207504 PECOS PAC ID: 0547596009 Enrollment ID: I20220719002465 |
| Provider Name | Balakrishna Ravella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487214029 PECOS PAC ID: 9436530649 Enrollment ID: I20220720000154 |
| Provider Name | Monica Logan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568923498 PECOS PAC ID: 3678954716 Enrollment ID: I20220720001568 |
| Provider Name | Huy D Hoang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376975185 PECOS PAC ID: 6002233566 Enrollment ID: I20220721003773 |
| Provider Name | Usman Palao Singidas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811457559 PECOS PAC ID: 1153702097 Enrollment ID: I20220722002354 |
| Provider Name | Hannan Zahid |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437611720 PECOS PAC ID: 7810378601 Enrollment ID: I20220726001588 |
| Provider Name | Ibrahim Kashoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659933547 PECOS PAC ID: 5496189888 Enrollment ID: I20220726002555 |
| Provider Name | Dipti Sabharwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841752532 PECOS PAC ID: 0648652321 Enrollment ID: I20220727002176 |
| Provider Name | Alexia Armenta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063971810 PECOS PAC ID: 2365772951 Enrollment ID: I20220727002975 |
| Provider Name | Ryan John Schutt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992097943 PECOS PAC ID: 8426430026 Enrollment ID: I20220728002973 |
| Provider Name | Sriviji Senthil Kumaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609436724 PECOS PAC ID: 0244612604 Enrollment ID: I20220801002836 |
| Provider Name | Deborah Olubukunola Oyelowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003552779 PECOS PAC ID: 9335521731 Enrollment ID: I20220802001290 |
| Provider Name | Terrah Marie Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659025914 PECOS PAC ID: 2961884200 Enrollment ID: I20220802003309 |
| Provider Name | Francisco Benavides |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073968293 PECOS PAC ID: 1254623176 Enrollment ID: I20220804001015 |
| Provider Name | Yetunde Akinde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033616198 PECOS PAC ID: 5395092746 Enrollment ID: I20220805002457 |
| Provider Name | Isaac Kolawole Agboola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073018289 PECOS PAC ID: 6305192147 Enrollment ID: I20220806000449 |
| Provider Name | Martin Tremwel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255837993 PECOS PAC ID: 8628499167 Enrollment ID: I20220808001098 |
| Provider Name | Nathaniel J Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174187652 PECOS PAC ID: 4789916297 Enrollment ID: I20220808002213 |
| Provider Name | Andrea Rose Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114688249 PECOS PAC ID: 0648652503 Enrollment ID: I20220809002460 |
| Provider Name | Nathan Cambron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346980299 PECOS PAC ID: 2264814151 Enrollment ID: I20220809003820 |
| Provider Name | Hansol Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346709300 PECOS PAC ID: 5193108793 Enrollment ID: I20220815001933 |
| Provider Name | Emily Ann Corona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972242188 PECOS PAC ID: 6800279423 Enrollment ID: I20220815002969 |
| Provider Name | Kelly Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649529009 PECOS PAC ID: 1850774498 Enrollment ID: I20220816000084 |
| Provider Name | Eric David Martin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871708222 PECOS PAC ID: 3870736317 Enrollment ID: I20220816000604 |
| Provider Name | Irene Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659001717 PECOS PAC ID: 4385027846 Enrollment ID: I20220816001346 |
| Provider Name | Surya R Kumar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154470466 PECOS PAC ID: 0941299689 Enrollment ID: I20220817002290 |
| Provider Name | Sudakshina Biswas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417690876 PECOS PAC ID: 6507249976 Enrollment ID: I20220817002545 |
| Provider Name | Matthew S Christianson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215148473 PECOS PAC ID: 9335231935 Enrollment ID: I20220818000483 |
| Provider Name | Mohammed T Abdulaaima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861952707 PECOS PAC ID: 4880077189 Enrollment ID: I20220819000700 |
| Provider Name | Karan Rai |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306343603 PECOS PAC ID: 1254681950 Enrollment ID: I20220819001626 |
| Provider Name | Ezequiel R Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912641879 PECOS PAC ID: 5991188153 Enrollment ID: I20220821000060 |
| Provider Name | Alyssa M Leseure |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154066850 PECOS PAC ID: 9335522440 Enrollment ID: I20220822002154 |
| Provider Name | Komal Manoj Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689166100 PECOS PAC ID: 1658621131 Enrollment ID: I20220822002773 |
| Provider Name | Zackary Thomas Franzen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851851018 PECOS PAC ID: 2860725553 Enrollment ID: I20220824001371 |
| Provider Name | Brooke A Yucus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619617602 PECOS PAC ID: 5092198150 Enrollment ID: I20220825002652 |
| Provider Name | Juan Francisco Rodriguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679924617 PECOS PAC ID: 6002210119 Enrollment ID: I20220825003413 |
| Provider Name | Bilal Nadeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972092914 PECOS PAC ID: 0547649493 Enrollment ID: I20220826000618 |
| Provider Name | Abdalhai Alshoubi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134483332 PECOS PAC ID: 8820232135 Enrollment ID: I20220827000113 |
| Provider Name | Naveed Zafar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659690196 PECOS PAC ID: 8123207958 Enrollment ID: I20220830002106 |
| Provider Name | Maureen Lucas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376521583 PECOS PAC ID: 2365485018 Enrollment ID: I20220830003545 |
| Provider Name | Farooq S Ghouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245644830 PECOS PAC ID: 1052694395 Enrollment ID: I20220902002219 |
| Provider Name | Ahmed Abdellatif Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801000476 PECOS PAC ID: 1254694706 Enrollment ID: I20220903000458 |
| Provider Name | Andrew Milian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265090245 PECOS PAC ID: 2062747363 Enrollment ID: I20220905000200 |
| Provider Name | Deepa S Taggarshe |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1689866493 PECOS PAC ID: 2466774575 Enrollment ID: I20220906001000 |
| Provider Name | Laura Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699938316 PECOS PAC ID: 1052530656 Enrollment ID: I20220907002016 |
| Provider Name | Jordan Danielle Joynt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588253207 PECOS PAC ID: 8527442797 Enrollment ID: I20220907002827 |
| Provider Name | Lauren A. Wiseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952061103 PECOS PAC ID: 9931584927 Enrollment ID: I20220912001493 |
| Provider Name | Christopher Steele Kinne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275021610 PECOS PAC ID: 6406250984 Enrollment ID: I20220913001957 |
| Provider Name | Stacey L Ishman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245287101 PECOS PAC ID: 7810932274 Enrollment ID: I20220914001701 |
| Provider Name | Jessica K Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629738018 PECOS PAC ID: 5496130874 Enrollment ID: I20220921001916 |
| Provider Name | Maggie Helen Christ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265176754 PECOS PAC ID: 3678958899 Enrollment ID: I20220923000894 |
| Provider Name | Christina Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386087518 PECOS PAC ID: 4789825894 Enrollment ID: I20220923002620 |
| Provider Name | Andrea Celeste Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295472900 PECOS PAC ID: 4284019456 Enrollment ID: I20220923002978 |
| Provider Name | Andrei Froehling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922530286 PECOS PAC ID: 8426480484 Enrollment ID: I20220926001008 |
| Provider Name | Kishore J Harjai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588631212 PECOS PAC ID: 0345313599 Enrollment ID: I20220927002169 |
| Provider Name | Emily L Griffith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912536178 PECOS PAC ID: 6709204258 Enrollment ID: I20220930000544 |
| Provider Name | Karina Quinto Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134856412 PECOS PAC ID: 7810373750 Enrollment ID: I20220930000550 |
| Provider Name | Jordan S Gitlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164450300 PECOS PAC ID: 0648247015 Enrollment ID: I20220930000689 |
| Provider Name | Henry Osso-rivera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942557863 PECOS PAC ID: 5991125981 Enrollment ID: I20220930002201 |
| Provider Name | Deena M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548995897 PECOS PAC ID: 2769868546 Enrollment ID: I20220930002805 |
| Provider Name | Natalie Louise Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740901123 PECOS PAC ID: 8022494814 Enrollment ID: I20220930002861 |
| Provider Name | Tamekia L Kizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023774973 PECOS PAC ID: 8820474612 Enrollment ID: I20220930002945 |
| Provider Name | Matthew R Gaffney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639664501 PECOS PAC ID: 1850641689 Enrollment ID: I20221003001452 |
| Provider Name | Natalie L Dileonardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740848175 PECOS PAC ID: 2860721412 Enrollment ID: I20221004002090 |
| Provider Name | Marsha A Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639890965 PECOS PAC ID: 7719363431 Enrollment ID: I20221004002588 |
| Provider Name | Echo Amanda Renee Redman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194458976 PECOS PAC ID: 6709262348 Enrollment ID: I20221004003709 |
| Provider Name | Amir Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780144899 PECOS PAC ID: 0840521142 Enrollment ID: I20221005000959 |
| Provider Name | Sameh Attia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396085700 PECOS PAC ID: 5597909218 Enrollment ID: I20221007000973 |
| Provider Name | Karol Otteman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740275130 PECOS PAC ID: 8022079565 Enrollment ID: I20221007001299 |
| Provider Name | Rylee Do |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518451954 PECOS PAC ID: 5395121776 Enrollment ID: I20221009000041 |
| Provider Name | Kyra Lyn Austria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629798822 PECOS PAC ID: 4183000482 Enrollment ID: I20221010001389 |
| Provider Name | Cassandra Worrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720752074 PECOS PAC ID: 3173999430 Enrollment ID: I20221012001617 |
| Provider Name | Lisa Y Shimotake |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710245618 PECOS PAC ID: 8426321423 Enrollment ID: I20221012002390 |
| Provider Name | Sara Mccann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427410430 PECOS PAC ID: 3375837024 Enrollment ID: I20221014002321 |
| Provider Name | Laura Lynn Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154058220 PECOS PAC ID: 9436525490 Enrollment ID: I20221014002664 |
| Provider Name | Vishnu Raj Kumar Mani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174964951 PECOS PAC ID: 3476956095 Enrollment ID: I20221016000028 |
| Provider Name | Kashif A Janjua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20221017000820 |
| Provider Name | Jeanea Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972227304 PECOS PAC ID: 9638545676 Enrollment ID: I20221017002733 |
| Provider Name | Kevin Pugh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043204704 PECOS PAC ID: 4284607250 Enrollment ID: I20221019000273 |
| Provider Name | Denise Bungard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316699945 PECOS PAC ID: 6709252562 Enrollment ID: I20221019000843 |
| Provider Name | Amanda Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477286615 PECOS PAC ID: 5890161665 Enrollment ID: I20221019001205 |
| Provider Name | Brian James Moshier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699860452 PECOS PAC ID: 3476795329 Enrollment ID: I20221019002297 |
| Provider Name | Charles G Henderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912067273 PECOS PAC ID: 1557683596 Enrollment ID: I20221020000984 |
| Provider Name | Lauren E Bridges |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861999310 PECOS PAC ID: 3577814177 Enrollment ID: I20221020001501 |
| Provider Name | Brigham Douglas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265748883 PECOS PAC ID: 9032585799 Enrollment ID: I20221020001679 |
| Provider Name | Sarah Christine White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073274718 PECOS PAC ID: 6901272699 Enrollment ID: I20221020002892 |
| Provider Name | Yasir Loai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205351608 PECOS PAC ID: 5092087452 Enrollment ID: I20221024002299 |
| Provider Name | Freedom Rocillo Andal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770215840 PECOS PAC ID: 3173999612 Enrollment ID: I20221025000418 |
| Provider Name | Jennifer Jo Derubeis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710605951 PECOS PAC ID: 8022484567 Enrollment ID: I20221025000652 |
| Provider Name | Faheem Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225665607 PECOS PAC ID: 7810364999 Enrollment ID: I20221102000836 |
| Provider Name | Hilary Chukwudinma Nwosu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255473625 PECOS PAC ID: 6608899208 Enrollment ID: I20221107002482 |
| Provider Name | Joyce Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407310733 PECOS PAC ID: 3173990942 Enrollment ID: I20221108000917 |
| Provider Name | James W Wycoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457733883 PECOS PAC ID: 8921311499 Enrollment ID: I20221108001354 |
| Provider Name | Luis Garcia Tillan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316475965 PECOS PAC ID: 5395157341 Enrollment ID: I20221108001699 |
| Provider Name | Owen R Brewer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497384861 PECOS PAC ID: 7113345752 Enrollment ID: I20221108002034 |
| Provider Name | Deidra Diane Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083336234 PECOS PAC ID: 4981071784 Enrollment ID: I20221108002448 |
| Provider Name | Danette Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962169938 PECOS PAC ID: 9830583160 Enrollment ID: I20221110002381 |
| Provider Name | Dory A Mickna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700507167 PECOS PAC ID: 8022486430 Enrollment ID: I20221116000773 |
| Provider Name | Gail Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710958558 PECOS PAC ID: 9638140940 Enrollment ID: I20221116003368 |
| Provider Name | Ajay Goenka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669726097 PECOS PAC ID: 8022440296 Enrollment ID: I20221117002677 |
| Provider Name | Maria E Lozada |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689027930 PECOS PAC ID: 1355727488 Enrollment ID: I20221117002935 |
| Provider Name | Emily Ann Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548833064 PECOS PAC ID: 0244608586 Enrollment ID: I20221117002956 |
| Provider Name | Danica Tonya Homere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437870722 PECOS PAC ID: 6002284122 Enrollment ID: I20221122000563 |
| Provider Name | Mary E Neville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104545482 PECOS PAC ID: 8820466865 Enrollment ID: I20221122001798 |
| Provider Name | Adam Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245953371 PECOS PAC ID: 8628446465 Enrollment ID: I20221129000053 |
| Provider Name | Elham Barakat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568104487 PECOS PAC ID: 7416326053 Enrollment ID: I20221203000482 |
| Provider Name | Barry Jacobs |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841258456 PECOS PAC ID: 5294775789 Enrollment ID: I20221205000697 |
| Provider Name | Tiffany Alana Stoddard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720114846 PECOS PAC ID: 1557517893 Enrollment ID: I20221206001608 |
| Provider Name | Kristal Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730805979 PECOS PAC ID: 4789053158 Enrollment ID: I20221206002516 |
| Provider Name | Robin L Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740903012 PECOS PAC ID: 4688043086 Enrollment ID: I20221207000316 |
| Provider Name | Usha Abbineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942651344 PECOS PAC ID: 7113257593 Enrollment ID: I20221207000944 |
| Provider Name | Carmen Leigh Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336875848 PECOS PAC ID: 1850760059 Enrollment ID: I20221209002346 |
| Provider Name | Andrew J Shadrach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467956169 PECOS PAC ID: 3072869106 Enrollment ID: I20221212002489 |
| Provider Name | Jaclyn Ashley Aleksich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568187748 PECOS PAC ID: 6103295134 Enrollment ID: I20221213002232 |
| Provider Name | Mahir Mameledzija |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235766064 PECOS PAC ID: 7618396177 Enrollment ID: I20221214002473 |
| Provider Name | Nathan Eugene Kellenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720798341 PECOS PAC ID: 3072982883 Enrollment ID: I20221216000741 |
| Provider Name | Varoon R Thavapalan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568740546 PECOS PAC ID: 6709000417 Enrollment ID: I20221216001306 |
| Provider Name | Kandi Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962112094 PECOS PAC ID: 5698144392 Enrollment ID: I20221219001652 |
| Provider Name | Jamie A Whitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215341854 PECOS PAC ID: 6901102581 Enrollment ID: I20221229002582 |
| Provider Name | Michelle L Doggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437879012 PECOS PAC ID: 4688044035 Enrollment ID: I20221230000749 |
| Provider Name | Allyson Kay Lindgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912624404 PECOS PAC ID: 0345610580 Enrollment ID: I20230103002650 |
| Provider Name | Nancy E Bass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811922016 PECOS PAC ID: 1951359975 Enrollment ID: I20230109002818 |
| Provider Name | Adam Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912466905 PECOS PAC ID: 3870824279 Enrollment ID: I20230117002085 |
| Provider Name | Elizabeth Nielsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861842007 PECOS PAC ID: 7618262338 Enrollment ID: I20230119000734 |
| Provider Name | Tracy L Shellhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578276051 PECOS PAC ID: 3678944865 Enrollment ID: I20230126001047 |
| Provider Name | Somiya Haider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437504248 PECOS PAC ID: 4385015577 Enrollment ID: I20230126001149 |
| Provider Name | Lindsey M Habecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194452276 PECOS PAC ID: 5193196251 Enrollment ID: I20230127001104 |
| Provider Name | Kaylene Renee Freitag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255044368 PECOS PAC ID: 2860863974 Enrollment ID: I20230128000389 |
| Provider Name | Zachary H Rambo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659900173 PECOS PAC ID: 5991123531 Enrollment ID: I20230130000418 |
| Provider Name | Daniel C Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235386392 PECOS PAC ID: 7315006996 Enrollment ID: I20230130001336 |
| Provider Name | Phu S Huynh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952920522 PECOS PAC ID: 3274951710 Enrollment ID: I20230130002631 |
| Provider Name | Mi Kyung Ko |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184711954 PECOS PAC ID: 1658370788 Enrollment ID: I20230207001716 |
| Provider Name | Clark Russell Murray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699207241 PECOS PAC ID: 5395018378 Enrollment ID: I20230215001159 |
| Provider Name | Amy Renee Brodeur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376026336 PECOS PAC ID: 7315291846 Enrollment ID: I20230217000161 |
| Provider Name | January Aisha Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174757462 PECOS PAC ID: 0345487690 Enrollment ID: I20230221002859 |
| Provider Name | Imoleayo Taiwo Babarinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093162653 PECOS PAC ID: 2668845546 Enrollment ID: I20230223000679 |
| Provider Name | Syed Abbas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154611929 PECOS PAC ID: 9638420235 Enrollment ID: I20230227002389 |
| Provider Name | Misty Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154034734 PECOS PAC ID: 0648643262 Enrollment ID: I20230302000393 |
| Provider Name | Mehreen Shazeb Rathore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235429762 PECOS PAC ID: 5597983882 Enrollment ID: I20230303002064 |
| Provider Name | Johnathon A Berry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801091806 PECOS PAC ID: 6406039130 Enrollment ID: I20230306001352 |
| Provider Name | Loui Abdelghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912161787 PECOS PAC ID: 9931252616 Enrollment ID: I20230306001829 |
| Provider Name | Lori Kyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245940170 PECOS PAC ID: 5294108429 Enrollment ID: I20230308002391 |
| Provider Name | Paige Neaterour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215457346 PECOS PAC ID: 7719256254 Enrollment ID: I20230309002478 |
| Provider Name | Mitchell R Daloia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356963458 PECOS PAC ID: 8820461940 Enrollment ID: I20230309002966 |
| Provider Name | Susan Braid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134468275 PECOS PAC ID: 1052532918 Enrollment ID: I20230314000874 |
| Provider Name | Arnita K Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992779383 PECOS PAC ID: 3274506738 Enrollment ID: I20230316002092 |
| Provider Name | Francis A Oke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194431064 PECOS PAC ID: 7315311743 Enrollment ID: I20230324002135 |
| Provider Name | Jessica L Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003514662 PECOS PAC ID: 6305210774 Enrollment ID: I20230327000535 |
| Provider Name | Siddharth Paresh Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518341940 PECOS PAC ID: 6305182973 Enrollment ID: I20230330001424 |
| Provider Name | Jennifer Renee Stoller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154035913 PECOS PAC ID: 7315312501 Enrollment ID: I20230330002150 |
| Provider Name | Andrea Harlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598467524 PECOS PAC ID: 2961877097 Enrollment ID: I20230403002857 |
| Provider Name | Anand Oroskar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538587340 PECOS PAC ID: 0547544041 Enrollment ID: I20230410001536 |
| Provider Name | Jalpa Bhojawala Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184675258 PECOS PAC ID: 9638074016 Enrollment ID: I20230410001624 |
| Provider Name | Trevor Andrew Parr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336768563 PECOS PAC ID: 7214355841 Enrollment ID: I20230411000682 |
| Provider Name | Nicole J Kerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558969964 PECOS PAC ID: 7618342387 Enrollment ID: I20230411001456 |
| Provider Name | Jackson C Graves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740843127 PECOS PAC ID: 3476985573 Enrollment ID: I20230411002015 |
| Provider Name | Jillian L Wignes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568164432 PECOS PAC ID: 2062887797 Enrollment ID: I20230412000658 |
| Provider Name | Tiffany Kay Roby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952012056 PECOS PAC ID: 7618342130 Enrollment ID: I20230413001964 |
| Provider Name | Brett M Shaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619187523 PECOS PAC ID: 2668644253 Enrollment ID: I20230413002355 |
| Provider Name | Srijan Adhikari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053846188 PECOS PAC ID: 1052683869 Enrollment ID: I20230414001384 |
| Provider Name | Nathan M Zitko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144923343 PECOS PAC ID: 3577928886 Enrollment ID: I20230420000542 |
| Provider Name | Paul A Saconn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255518734 PECOS PAC ID: 2264600196 Enrollment ID: I20230420000971 |
| Provider Name | Kelsi M Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235833260 PECOS PAC ID: 5092170357 Enrollment ID: I20230420002851 |
| Provider Name | Heather Noel Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184097065 PECOS PAC ID: 9739544016 Enrollment ID: I20230421000541 |
| Provider Name | Adam Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801117585 PECOS PAC ID: 4486883014 Enrollment ID: I20230424001287 |
| Provider Name | Carlos Andres Requena Armas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225478639 PECOS PAC ID: 4284930348 Enrollment ID: I20230425001978 |
| Provider Name | Shayet Hossain Eshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588276620 PECOS PAC ID: 1557726551 Enrollment ID: I20230426002004 |
| Provider Name | Sunita Juliana Ferns |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255591707 PECOS PAC ID: 6305093683 Enrollment ID: I20230503000916 |
| Provider Name | Javad S Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831504844 PECOS PAC ID: 3274854914 Enrollment ID: I20230503001340 |
| Provider Name | Kody D Dormire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083241293 PECOS PAC ID: 8527488253 Enrollment ID: I20230504000843 |
| Provider Name | John Devin Watson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386969137 PECOS PAC ID: 5496040214 Enrollment ID: I20230505001539 |
| Provider Name | Theresa A Wiese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891750816 PECOS PAC ID: 4789040080 Enrollment ID: I20230511000778 |
| Provider Name | Ali El Ghazzaoui |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1881383404 PECOS PAC ID: 5092171116 Enrollment ID: I20230516001938 |
| Provider Name | Alvin Das |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912326000 PECOS PAC ID: 6103059811 Enrollment ID: I20230517000935 |
| Provider Name | Malak A Awad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730533985 PECOS PAC ID: 0547555724 Enrollment ID: I20230517002045 |
| Provider Name | Shaun Alec Mcmillin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447889464 PECOS PAC ID: 4385000991 Enrollment ID: I20230523002457 |
| Provider Name | Elizabeth Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184338857 PECOS PAC ID: 6709243157 Enrollment ID: I20230531001454 |
| Provider Name | Patrick M Boyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396305124 PECOS PAC ID: 9638536964 Enrollment ID: I20230601001178 |
| Provider Name | Kahla Jean Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336830652 PECOS PAC ID: 9133586035 Enrollment ID: I20230608001181 |
| Provider Name | Max Kahn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053793315 PECOS PAC ID: 5294040994 Enrollment ID: I20230609000637 |
| Provider Name | Jenna L Marlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215699814 PECOS PAC ID: 8022407204 Enrollment ID: I20230612002276 |
| Provider Name | Sunil Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164042016 PECOS PAC ID: 7012333925 Enrollment ID: I20230612002744 |
| Provider Name | Daniel R Getz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184184038 PECOS PAC ID: 6305278441 Enrollment ID: I20230614001535 |
| Provider Name | Imran Umer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780939660 PECOS PAC ID: 7517238801 Enrollment ID: I20230615001890 |
| Provider Name | Jugal R Thaker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891291522 PECOS PAC ID: 4688924459 Enrollment ID: I20230615001935 |
| Provider Name | Kimberly Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154716306 PECOS PAC ID: 9133440811 Enrollment ID: I20230616002957 |
| Provider Name | Emilia Krol |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952531386 PECOS PAC ID: 0143527689 Enrollment ID: I20230621000063 |
| Provider Name | Marysue P Koelling |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396436929 PECOS PAC ID: 7618335548 Enrollment ID: I20230623002784 |
| Provider Name | Tariq Khan Niazi |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1275067522 PECOS PAC ID: 3779941562 Enrollment ID: I20230627001510 |
| Provider Name | Anne Koronkiewicz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871084731 PECOS PAC ID: 9830578475 Enrollment ID: I20230628000917 |
| Provider Name | Heidi S Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962196170 PECOS PAC ID: 7315306982 Enrollment ID: I20230630000046 |
| Provider Name | Tolulope Joshua Olu-lawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780207340 PECOS PAC ID: 4789043209 Enrollment ID: I20230630002460 |
| Provider Name | Amy Gail Corsolini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992407738 PECOS PAC ID: 9638538093 Enrollment ID: I20230703000184 |
| Provider Name | Mena Henien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437779063 PECOS PAC ID: 6901224534 Enrollment ID: I20230703001702 |
| Provider Name | Yevhen Pavelko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811576085 PECOS PAC ID: 7911309240 Enrollment ID: I20230707001150 |
| Provider Name | Bassil Kherallah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659831501 PECOS PAC ID: 9537591631 Enrollment ID: I20230707002165 |
| Provider Name | Brianna C Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164024808 PECOS PAC ID: 8820457898 Enrollment ID: I20230709000024 |
| Provider Name | Mary Beth O'meara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033675087 PECOS PAC ID: 6406215243 Enrollment ID: I20230711002870 |
| Provider Name | Alex Mauricio Pompa Gale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558821199 PECOS PAC ID: 1153657283 Enrollment ID: I20230711003282 |
| Provider Name | Kellie M Kozlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588164610 PECOS PAC ID: 8426455528 Enrollment ID: I20230712000115 |
| Provider Name | Nicholas Silas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073140216 PECOS PAC ID: 7315365343 Enrollment ID: I20230712000866 |
| Provider Name | Morgan Teston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326767690 PECOS PAC ID: 1951761501 Enrollment ID: I20230714001618 |
| Provider Name | Muhammad Daniyal Burhan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154985356 PECOS PAC ID: 6709265812 Enrollment ID: I20230714001711 |
| Provider Name | Haroun Babajide Ogun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740802693 PECOS PAC ID: 8426471087 Enrollment ID: I20230714002077 |
| Provider Name | Fnu Sagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093325300 PECOS PAC ID: 9931519915 Enrollment ID: I20230714002420 |
| Provider Name | Paul Werner Blessing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619471455 PECOS PAC ID: 8022367523 Enrollment ID: I20230714002585 |
| Provider Name | Margi Gami |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841818507 PECOS PAC ID: 4183084684 Enrollment ID: I20230715000298 |
| Provider Name | Anju D Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407260110 PECOS PAC ID: 2860618048 Enrollment ID: I20230717001087 |
| Provider Name | Ese Adiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104520865 PECOS PAC ID: 2668832056 Enrollment ID: I20230717002885 |
| Provider Name | Aaisya Nabeehah Ansari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326048752 PECOS PAC ID: 5294714564 Enrollment ID: I20230718001242 |
| Provider Name | Sri Mahathi Priyanka Kalipatnapu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558898817 PECOS PAC ID: 4284908914 Enrollment ID: I20230720000583 |
| Provider Name | Kinnera Are |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467074492 PECOS PAC ID: 6901229269 Enrollment ID: I20230721003377 |
| Provider Name | Nirali P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083235816 PECOS PAC ID: 2769802891 Enrollment ID: I20230726003333 |
| Provider Name | Awad A Alyami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356962450 PECOS PAC ID: 4981020294 Enrollment ID: I20230726003490 |
| Provider Name | Zachary T Miers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275211898 PECOS PAC ID: 0345601829 Enrollment ID: I20230731003372 |
| Provider Name | Brandyn Ashley Castro |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457702953 PECOS PAC ID: 5799077392 Enrollment ID: I20230801003258 |
| Provider Name | Johnnatan Marin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164059259 PECOS PAC ID: 3577923036 Enrollment ID: I20230803003244 |
| Provider Name | Joshuae German Gallardo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689985962 PECOS PAC ID: 7012134851 Enrollment ID: I20230807001905 |
| Provider Name | Michael Depasquale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811526270 PECOS PAC ID: 7416379730 Enrollment ID: I20230807003930 |
| Provider Name | Pramod Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942525811 PECOS PAC ID: 2365736386 Enrollment ID: I20230810003258 |
| Provider Name | Aaron E Delgado |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457882474 PECOS PAC ID: 9537433313 Enrollment ID: I20230811000562 |
| Provider Name | Trent Witten Ledbetter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306427893 PECOS PAC ID: 0749685121 Enrollment ID: I20230811000602 |
| Provider Name | Colin Curtis Eash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811524390 PECOS PAC ID: 3375905011 Enrollment ID: I20230814000708 |
| Provider Name | Jessica Eileen Tullington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639618697 PECOS PAC ID: 7416332432 Enrollment ID: I20230814003051 |
| Provider Name | Jay A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568082105 PECOS PAC ID: 1355769993 Enrollment ID: I20230814003427 |
| Provider Name | Ahmad Hussein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134624364 PECOS PAC ID: 7911253380 Enrollment ID: I20230816000371 |
| Provider Name | Theiju Sebastian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215465950 PECOS PAC ID: 9739424185 Enrollment ID: I20230816001739 |
| Provider Name | Nicole Taylor Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548945074 PECOS PAC ID: 2668834011 Enrollment ID: I20230816002965 |
| Provider Name | Jennifer Marie Light |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144676735 PECOS PAC ID: 7810281623 Enrollment ID: I20230816003302 |
| Provider Name | Joseph S Auteri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386613149 PECOS PAC ID: 7719955475 Enrollment ID: I20230817002238 |
| Provider Name | Melhem H Harp |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1134357189 PECOS PAC ID: 5092968602 Enrollment ID: I20230818000096 |
| Provider Name | Meera Gopu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609442912 PECOS PAC ID: 6305208513 Enrollment ID: I20230818001714 |
| Provider Name | Mohammad Mousbah Al-tabbaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881212892 PECOS PAC ID: 7618397399 Enrollment ID: I20230821001200 |
| Provider Name | Niral Kirankumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619232824 PECOS PAC ID: 8123349859 Enrollment ID: I20230821003091 |
| Provider Name | Jamin Kweku Addae |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376906446 PECOS PAC ID: 9537454491 Enrollment ID: I20230822000543 |
| Provider Name | Nisa Maleki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740965078 PECOS PAC ID: 9638532740 Enrollment ID: I20230822003500 |
| Provider Name | Sarah C Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790462729 PECOS PAC ID: 1759744832 Enrollment ID: I20230823002247 |
| Provider Name | Kathryn Trandem |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053674770 PECOS PAC ID: 1557618378 Enrollment ID: I20230824002555 |
| Provider Name | Edward Cho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336453406 PECOS PAC ID: 7214200104 Enrollment ID: I20230825000709 |
| Provider Name | Brooks Lawrence Savery Rademacher |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861811416 PECOS PAC ID: 7517277403 Enrollment ID: I20230825002054 |
| Provider Name | Matthew George |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821484601 PECOS PAC ID: 4688945660 Enrollment ID: I20230825002566 |
| Provider Name | Amitoj Sachdeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255953006 PECOS PAC ID: 9830552595 Enrollment ID: I20230828003658 |
| Provider Name | Samuel Vazquez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811422132 PECOS PAC ID: 5193082808 Enrollment ID: I20230829001037 |
| Provider Name | William Jimenez Marte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407341506 PECOS PAC ID: 2163885872 Enrollment ID: I20230829001780 |
| Provider Name | Daniel K Mujuni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457931545 PECOS PAC ID: 9931562659 Enrollment ID: I20230829002033 |
| Provider Name | Yasmin Ali O'keefe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194001271 PECOS PAC ID: 3072834720 Enrollment ID: I20230829003728 |
| Provider Name | Syeda Ayesha Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215592696 PECOS PAC ID: 1254794738 Enrollment ID: I20230831000488 |
| Provider Name | Adamma Muodeme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427552009 PECOS PAC ID: 9234533423 Enrollment ID: I20230831000737 |
| Provider Name | Chanel Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245928589 PECOS PAC ID: 8820451313 Enrollment ID: I20230831000823 |
| Provider Name | Emily Storck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477182459 PECOS PAC ID: 2769805407 Enrollment ID: I20230901001740 |
| Provider Name | Andrew Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871051268 PECOS PAC ID: 5092047225 Enrollment ID: I20230901002647 |
| Provider Name | Amishi H Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528384187 PECOS PAC ID: 8022471283 Enrollment ID: I20230906000538 |
| Provider Name | Sandy L Northcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174209704 PECOS PAC ID: 8224491410 Enrollment ID: I20230906001760 |
| Provider Name | Tyler Daniel Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356124986 PECOS PAC ID: 5597129650 Enrollment ID: I20230908000686 |
| Provider Name | Jelena Surla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497294862 PECOS PAC ID: 5395092696 Enrollment ID: I20230912002838 |
| Provider Name | Shaker Fawzy Youssef Saad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710032131 PECOS PAC ID: 7810988227 Enrollment ID: I20230913003876 |
| Provider Name | Boubacar Bah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497467401 PECOS PAC ID: 2466816913 Enrollment ID: I20230915002864 |
| Provider Name | Alexander Gall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275068777 PECOS PAC ID: 0143598466 Enrollment ID: I20230918002270 |
| Provider Name | Fahrettin Covut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457885683 PECOS PAC ID: 9638597651 Enrollment ID: I20230920003293 |
| Provider Name | Harsh Rakesh Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114451820 PECOS PAC ID: 1850662156 Enrollment ID: I20230921001390 |
| Provider Name | Eric Wayne Anderson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1609260660 PECOS PAC ID: 2062791676 Enrollment ID: I20230922000377 |
| Provider Name | Jennifer L Soady |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801509443 PECOS PAC ID: 8022462126 Enrollment ID: I20230922002724 |
| Provider Name | Michael D Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215956768 PECOS PAC ID: 3971674862 Enrollment ID: I20230925003334 |
| Provider Name | Kevin Nathaniel Blythe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902149123 PECOS PAC ID: 5193013928 Enrollment ID: I20230926000273 |
| Provider Name | Thomas Stavros Topalis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376129247 PECOS PAC ID: 0244684157 Enrollment ID: I20230927000096 |
| Provider Name | Ronald D Patrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679559728 PECOS PAC ID: 0941282149 Enrollment ID: I20230927001871 |
| Provider Name | Janaki Samaraweera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073960514 PECOS PAC ID: 6608291000 Enrollment ID: I20230927003343 |
| Provider Name | Dorota Stobierska |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104323039 PECOS PAC ID: 2668722455 Enrollment ID: I20230928000832 |
| Provider Name | Tyler James Rafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003596263 PECOS PAC ID: 8729432372 Enrollment ID: I20230929002623 |
| Provider Name | Amro Mohamed Elsharoud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801410592 PECOS PAC ID: 4981020526 Enrollment ID: I20231004000979 |
| Provider Name | Ismail Tabash |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700167640 PECOS PAC ID: 8022309798 Enrollment ID: I20231007000698 |
| Provider Name | Abigail Grace Rapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447831771 PECOS PAC ID: 2860897394 Enrollment ID: I20231010000216 |
| Provider Name | Sohail H Syed |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154702231 PECOS PAC ID: 5698157717 Enrollment ID: I20231010001209 |
| Provider Name | Mohammed Asif |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770844888 PECOS PAC ID: 8325260623 Enrollment ID: I20231010002432 |
| Provider Name | Christopher Velasquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518490135 PECOS PAC ID: 6507114972 Enrollment ID: I20231011003431 |
| Provider Name | Chen Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447612502 PECOS PAC ID: 9830437649 Enrollment ID: I20231011003443 |
| Provider Name | Abigail Frances Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407544992 PECOS PAC ID: 8921453887 Enrollment ID: I20231012001173 |
| Provider Name | Aradia Fu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578855631 PECOS PAC ID: 7214249952 Enrollment ID: I20231012001695 |
| Provider Name | Ramzi A. Kilani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689631079 PECOS PAC ID: 7517966849 Enrollment ID: I20231012001768 |
| Provider Name | Louise Ann Gombako Witherspoon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568562742 PECOS PAC ID: 4981638830 Enrollment ID: I20231012003044 |
| Provider Name | Vishal Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255853792 PECOS PAC ID: 0749555498 Enrollment ID: I20231013000764 |
| Provider Name | Kylie Ruth Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972250660 PECOS PAC ID: 3577918317 Enrollment ID: I20231013000884 |
| Provider Name | Ahadi Hakki |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194816389 PECOS PAC ID: 5496800997 Enrollment ID: I20231013002708 |
| Provider Name | Elisa Bianchi |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1689017303 PECOS PAC ID: 6901140235 Enrollment ID: I20231018001855 |
| Provider Name | Robert W Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669053948 PECOS PAC ID: 3870998370 Enrollment ID: I20231018002533 |
| Provider Name | Chelsey K Judy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588444863 PECOS PAC ID: 4284089749 Enrollment ID: I20231018002971 |
| Provider Name | Laurinda Harjai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134507999 PECOS PAC ID: 4385952324 Enrollment ID: I20231019000227 |
| Provider Name | Melyssa Brianne Glunz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699453829 PECOS PAC ID: 3870949381 Enrollment ID: I20231019001273 |
| Provider Name | Megan J Renaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376329789 PECOS PAC ID: 5698121929 Enrollment ID: I20231024000220 |
| Provider Name | Laurie Lisa Herscher |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750473856 PECOS PAC ID: 0244413821 Enrollment ID: I20231026003696 |
| Provider Name | Melayne A Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699558874 PECOS PAC ID: 2961858964 Enrollment ID: I20231027000674 |
| Provider Name | Kathy A Majcina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164437729 PECOS PAC ID: 1557250412 Enrollment ID: I20231027001188 |
| Provider Name | Matthew A Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811676828 PECOS PAC ID: 3779939517 Enrollment ID: I20231030003640 |
| Provider Name | Rachel L Dewey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730861113 PECOS PAC ID: 4385090174 Enrollment ID: I20231031001618 |
| Provider Name | David Widitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205015906 PECOS PAC ID: 7214172766 Enrollment ID: I20231101002847 |
| Provider Name | Erica Nicole Svendsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114704137 PECOS PAC ID: 5092161604 Enrollment ID: I20231101003307 |
| Provider Name | Emily Anne Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881478352 PECOS PAC ID: 3476900069 Enrollment ID: I20231102003554 |
| Provider Name | Casey J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285410829 PECOS PAC ID: 4688021165 Enrollment ID: I20231104000515 |
| Provider Name | Teresa Finegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558148205 PECOS PAC ID: 6305293820 Enrollment ID: I20231106001336 |
| Provider Name | Mitchel Alan Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609440684 PECOS PAC ID: 2567867971 Enrollment ID: I20231107001988 |
| Provider Name | Sean P Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760264980 PECOS PAC ID: 9133539182 Enrollment ID: I20231107002801 |
| Provider Name | Brian Charles Cusick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174578793 PECOS PAC ID: 5496648578 Enrollment ID: I20231107002901 |
| Provider Name | Zaki Al Yafeai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780209395 PECOS PAC ID: 6204296809 Enrollment ID: I20231109001441 |
| Provider Name | Ellis M Arjmand |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538189147 PECOS PAC ID: 7012984404 Enrollment ID: I20231110000444 |
| Provider Name | Michelle Joos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871377150 PECOS PAC ID: 8729435433 Enrollment ID: I20231116002072 |
| Provider Name | Meldomi Asabea Asante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871376962 PECOS PAC ID: 1951759398 Enrollment ID: I20231127000957 |
| Provider Name | Imran Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104061704 PECOS PAC ID: 0941420426 Enrollment ID: I20231127001479 |
| Provider Name | Brankica Stanisic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659831014 PECOS PAC ID: 2860815495 Enrollment ID: I20231127001704 |
| Provider Name | Kendra Taylor Gorny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235812363 PECOS PAC ID: 0547618688 Enrollment ID: I20231129002483 |
| Provider Name | Chein-jung Lin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346654308 PECOS PAC ID: 6507084449 Enrollment ID: I20231129003750 |
| Provider Name | Amber L Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740967553 PECOS PAC ID: 2062860828 Enrollment ID: I20231205000822 |
| Provider Name | Alison Aldag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497531800 PECOS PAC ID: 2163871955 Enrollment ID: I20231205002062 |
| Provider Name | Ginger Kendell Brainard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871842450 PECOS PAC ID: 5395194963 Enrollment ID: I20231207001908 |
| Provider Name | Jessica L Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154193357 PECOS PAC ID: 4486003092 Enrollment ID: I20231207003248 |
| Provider Name | Cynthia D Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053915553 PECOS PAC ID: 5597114116 Enrollment ID: I20231207003989 |
| Provider Name | Hasanki M Warnakula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851928204 PECOS PAC ID: 7517387608 Enrollment ID: I20231208002655 |
| Provider Name | Elaine Janice Riefkohl Ortiz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619368313 PECOS PAC ID: 9133499346 Enrollment ID: I20231208003331 |
| Provider Name | Heidi A Kellerstrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922871524 PECOS PAC ID: 6406205897 Enrollment ID: I20231211002191 |
| Provider Name | Connor James Medbery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770164675 PECOS PAC ID: 5395140776 Enrollment ID: I20231213001565 |
| Provider Name | Barbara Elizabeth Swartz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811082324 PECOS PAC ID: 6507928884 Enrollment ID: I20231215002194 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952183238 PECOS PAC ID: 3072962950 Enrollment ID: I20231218003496 |
| Provider Name | David Dewei Yang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689168338 PECOS PAC ID: 6901154368 Enrollment ID: I20231219001253 |
| Provider Name | Joan L Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881232643 PECOS PAC ID: 2769832617 Enrollment ID: I20231219001773 |
| Provider Name | Alec Samuel Small |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700464526 PECOS PAC ID: 8527460450 Enrollment ID: I20231219002849 |
| Provider Name | Rebecca Elizabeth Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780463612 PECOS PAC ID: 0446600118 Enrollment ID: I20231220002971 |
| Provider Name | Michael A Rossetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346015260 PECOS PAC ID: 7416307186 Enrollment ID: I20231220003098 |
| Provider Name | Robert Ara Petrossian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912436015 PECOS PAC ID: 0446521819 Enrollment ID: I20231221002319 |
| Provider Name | Rylea Jane Jane Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649671207 PECOS PAC ID: 4284060419 Enrollment ID: I20231228002220 |
| Provider Name | Michael Ryan Carman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962277673 PECOS PAC ID: 3870943152 Enrollment ID: I20231228002917 |
| Provider Name | Emmanuel D Eisenstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831451913 PECOS PAC ID: 1355799677 Enrollment ID: I20240101000217 |
| Provider Name | Sarah Fatima Azam Bader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134680390 PECOS PAC ID: 6507286713 Enrollment ID: I20240103002250 |
| Provider Name | Jamal Ahmed |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265877666 PECOS PAC ID: 5395090351 Enrollment ID: I20240103002389 |
| Provider Name | Tamara Marie Lott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013037373 PECOS PAC ID: 0446601231 Enrollment ID: I20240105001268 |
| Provider Name | Sara Louise Quincer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184890949 PECOS PAC ID: 9830540632 Enrollment ID: I20240105001548 |
| Provider Name | Christopher M Cashen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013037621 PECOS PAC ID: 1759732589 Enrollment ID: I20240105002685 |
| Provider Name | Kevin M Rockey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265506810 PECOS PAC ID: 2466803291 Enrollment ID: I20240105002723 |
| Provider Name | Brandon Lee Underwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144718149 PECOS PAC ID: 5092166835 Enrollment ID: I20240105003191 |
| Provider Name | Victor Hugo Mendoza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215435425 PECOS PAC ID: 9133570989 Enrollment ID: I20240105003367 |
| Provider Name | Brianna K Romanowicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891251518 PECOS PAC ID: 8426409194 Enrollment ID: I20240106000032 |
| Provider Name | Andrea C Strickler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093460818 PECOS PAC ID: 0143671818 Enrollment ID: I20240106000058 |
| Provider Name | Emily L Trulson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952958050 PECOS PAC ID: 4688025356 Enrollment ID: I20240106000089 |
| Provider Name | Carmen Michelle Close |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912331059 PECOS PAC ID: 5597116053 Enrollment ID: I20240109002225 |
| Provider Name | Gina Rae Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437595253 PECOS PAC ID: 1355792821 Enrollment ID: I20240109002437 |
| Provider Name | Gina M Owens-spahn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124358221 PECOS PAC ID: 9436500907 Enrollment ID: I20240109002457 |
| Provider Name | Kathleen Ann Franczak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922487107 PECOS PAC ID: 8820449309 Enrollment ID: I20240109002709 |
| Provider Name | Meredith Rene Sary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154488369 PECOS PAC ID: 3072964550 Enrollment ID: I20240109002826 |
| Provider Name | Laura L Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356073472 PECOS PAC ID: 2668823154 Enrollment ID: I20240109003046 |
| Provider Name | Beth Anne Aussem |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275619645 PECOS PAC ID: 7911358403 Enrollment ID: I20240109003101 |
| Provider Name | Leslie Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417500182 PECOS PAC ID: 1557712049 Enrollment ID: I20240109003114 |
| Provider Name | Timothy Dale Bromley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922158005 PECOS PAC ID: 9234580739 Enrollment ID: I20240109003724 |
| Provider Name | Aryn Alissa Pardieck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134470040 PECOS PAC ID: 5597116004 Enrollment ID: I20240109003879 |
| Provider Name | William E Gebhards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588850515 PECOS PAC ID: 4789035031 Enrollment ID: I20240110004998 |
| Provider Name | Rachel E Simon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023237567 PECOS PAC ID: 8820449051 Enrollment ID: I20240111002797 |
| Provider Name | Nadir Baziz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437930302 PECOS PAC ID: 6507217676 Enrollment ID: I20240112003008 |
| Provider Name | Amy Louise Brooke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578605317 PECOS PAC ID: 0840642955 Enrollment ID: I20240113000535 |
| Provider Name | Shannon L Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043098445 PECOS PAC ID: 9537511654 Enrollment ID: I20240113000732 |
| Provider Name | Keith Allen Downes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740332618 PECOS PAC ID: 7618329749 Enrollment ID: I20240115000037 |
| Provider Name | Kaitlyn Renee Heffren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982480638 PECOS PAC ID: 4789036724 Enrollment ID: I20240116001775 |
| Provider Name | Timothy J Drew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285711333 PECOS PAC ID: 2769834639 Enrollment ID: I20240116002865 |
| Provider Name | Lilian Kay Ott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144000514 PECOS PAC ID: 0749632438 Enrollment ID: I20240118001030 |
| Provider Name | Michelle Elaine Blackwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417971912 PECOS PAC ID: 3577632876 Enrollment ID: I20240118002787 |
| Provider Name | Lisa B Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780932244 PECOS PAC ID: 1153773783 Enrollment ID: I20240119001237 |
| Provider Name | Sydney Marie Gilmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366218893 PECOS PAC ID: 2163874504 Enrollment ID: I20240122001024 |
| Provider Name | Marla Gail Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437552130 PECOS PAC ID: 0345692570 Enrollment ID: I20240123003533 |
| Provider Name | Addison Graves Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770660060 PECOS PAC ID: 5092885277 Enrollment ID: I20240124002960 |
| Provider Name | Benjamin Faustich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699092916 PECOS PAC ID: 8123246451 Enrollment ID: I20240125002098 |
| Provider Name | Chad Aaron Burkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134995020 PECOS PAC ID: 8325491145 Enrollment ID: I20240129002086 |
| Provider Name | Tamara Lorraine Floyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932513207 PECOS PAC ID: 8426337817 Enrollment ID: I20240201003217 |
| Provider Name | Philip H Ulm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245331073 PECOS PAC ID: 8022451210 Enrollment ID: I20240205002013 |
| Provider Name | James Flippin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326380114 PECOS PAC ID: 6800029513 Enrollment ID: I20240206003348 |
| Provider Name | Katie Jo Boydstun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326560525 PECOS PAC ID: 6608132394 Enrollment ID: I20240206003844 |
| Provider Name | Jeanette Bredeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942072830 PECOS PAC ID: 7618310459 Enrollment ID: I20240208000847 |
| Provider Name | Jennifer Christine Ghekiere-dacus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861268005 PECOS PAC ID: 9638512411 Enrollment ID: I20240208002199 |
| Provider Name | Lawrence D Yee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275796328 PECOS PAC ID: 7911340708 Enrollment ID: I20240208002548 |
| Provider Name | Elizabeth Kazlauski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396101275 PECOS PAC ID: 9830532654 Enrollment ID: I20240208003320 |
| Provider Name | Brandy Wade |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962279489 PECOS PAC ID: 2567805096 Enrollment ID: I20240212002085 |
| Provider Name | Kerry A Heinz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245393677 PECOS PAC ID: 3971946344 Enrollment ID: I20240213002804 |
| Provider Name | Kelsi E Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962275719 PECOS PAC ID: 9032553441 Enrollment ID: I20240213004426 |
| Provider Name | Lavender Kristy Zarraga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811767015 PECOS PAC ID: 8325482516 Enrollment ID: I20240215001852 |
| Provider Name | Joy Fitiavana Valente |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063993715 PECOS PAC ID: 4587008719 Enrollment ID: I20240215003164 |
| Provider Name | Heather Renee Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912773979 PECOS PAC ID: 1951745900 Enrollment ID: I20240216003835 |
| Provider Name | Simeon S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639940059 PECOS PAC ID: 1153765029 Enrollment ID: I20240219002938 |
| Provider Name | Rachel Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891322236 PECOS PAC ID: 8426476052 Enrollment ID: I20240219003065 |
| Provider Name | Lauren Elizabeth Lamparter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952988925 PECOS PAC ID: 6103225552 Enrollment ID: I20240220001089 |
| Provider Name | Brett Bonynge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083246821 PECOS PAC ID: 9032514435 Enrollment ID: I20240222002353 |
| Provider Name | Jiafu Ou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093924003 PECOS PAC ID: 4789852617 Enrollment ID: I20240223001470 |
| Provider Name | Bonnie Gail Lansing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467859793 PECOS PAC ID: 7416392840 Enrollment ID: I20240226001753 |
| Provider Name | Michelle A Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669236840 PECOS PAC ID: 9739524034 Enrollment ID: I20240227000176 |
| Provider Name | Nirzar S Parikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942862578 PECOS PAC ID: 5799197885 Enrollment ID: I20240227000543 |
| Provider Name | Awad Ahmed |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851702831 PECOS PAC ID: 2062630593 Enrollment ID: I20240228001657 |
| Provider Name | Vanna Kaye Lenhardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891150660 PECOS PAC ID: 8123463288 Enrollment ID: I20240228002030 |
| Provider Name | Susan E Trompeter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679778054 PECOS PAC ID: 9739319567 Enrollment ID: I20240228003569 |
| Provider Name | Vaughn D Klaassen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578639290 PECOS PAC ID: 5092150102 Enrollment ID: I20240228003757 |
| Provider Name | Tae'lr Terrese Merriweather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952092421 PECOS PAC ID: 0749647253 Enrollment ID: I20240305000717 |
| Provider Name | Nardos Workneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033873096 PECOS PAC ID: 4789079054 Enrollment ID: I20240311003079 |
| Provider Name | Kathryn M Bienemann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295887362 PECOS PAC ID: 4981040938 Enrollment ID: I20240312003707 |
| Provider Name | Johni Lynn Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265959662 PECOS PAC ID: 4981970811 Enrollment ID: I20240313002762 |
| Provider Name | Husam Faris Ghusn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871585588 PECOS PAC ID: 8921054669 Enrollment ID: I20240318001151 |
| Provider Name | Andrew Wilson Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366782930 PECOS PAC ID: 7517348139 Enrollment ID: I20240318001269 |
| Provider Name | Courtney L Lomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851165369 PECOS PAC ID: 4486091055 Enrollment ID: I20240319003214 |
| Provider Name | Sean Masi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316575269 PECOS PAC ID: 1759704851 Enrollment ID: I20240319004042 |
| Provider Name | Erin Rose Thurston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942076906 PECOS PAC ID: 6002253515 Enrollment ID: I20240320000597 |
| Provider Name | Andrea D Escobar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215564653 PECOS PAC ID: 1355755026 Enrollment ID: I20240321002445 |
| Provider Name | Waleed Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235626128 PECOS PAC ID: 5294071700 Enrollment ID: I20240323000142 |
| Provider Name | Nina Nandy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992935001 PECOS PAC ID: 6507085206 Enrollment ID: I20240326003514 |
| Provider Name | Jennifer C Wicklatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063184026 PECOS PAC ID: 8426495367 Enrollment ID: I20240327001170 |
| Provider Name | Danielle R Layne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376302638 PECOS PAC ID: 4385082080 Enrollment ID: I20240401001061 |
| Provider Name | Chuck Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841877222 PECOS PAC ID: 1052713070 Enrollment ID: I20240405001434 |
| Provider Name | Kayla Sabrina Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235717448 PECOS PAC ID: 2062818032 Enrollment ID: I20240409000713 |
| Provider Name | Kunakorn Charmin Atchaneeyasakul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013335330 PECOS PAC ID: 9335470491 Enrollment ID: I20240411001037 |
| Provider Name | James O Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356311666 PECOS PAC ID: 8325004039 Enrollment ID: I20240418003567 |
| Provider Name | Amanda J Repplinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215780184 PECOS PAC ID: 3971942087 Enrollment ID: I20240422001270 |
| Provider Name | Michelle E Beetler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700467651 PECOS PAC ID: 9638574064 Enrollment ID: I20240422002086 |
| Provider Name | Jesse Coleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720570971 PECOS PAC ID: 1254686330 Enrollment ID: I20240506000752 |
| Provider Name | Rayan Jo Rachwan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477073856 PECOS PAC ID: 8123397189 Enrollment ID: I20240507002705 |
| Provider Name | Shalayla M Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982226056 PECOS PAC ID: 5991128894 Enrollment ID: I20240513001600 |
| Provider Name | Rachel J Skoumal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295587624 PECOS PAC ID: 8921449497 Enrollment ID: I20240515000964 |
| Provider Name | Thomas James Mcmorrow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003312059 PECOS PAC ID: 4486902731 Enrollment ID: I20240515001873 |
| Provider Name | Nikesh Kavi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023688371 PECOS PAC ID: 5597106914 Enrollment ID: I20240515003355 |
| Provider Name | Sohiub Nizar Assaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598346918 PECOS PAC ID: 6709280357 Enrollment ID: I20240516000047 |
| Provider Name | Angela Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952027518 PECOS PAC ID: 3476995556 Enrollment ID: I20240521001391 |
| Provider Name | Ashley Christine Stark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023514718 PECOS PAC ID: 0749622561 Enrollment ID: I20240524002046 |
| Provider Name | Alyssa Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174208987 PECOS PAC ID: 4587027610 Enrollment ID: I20240527000144 |
| Provider Name | Steven Branch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922096551 PECOS PAC ID: 5092773226 Enrollment ID: I20240528001285 |
| Provider Name | Monica Lynn Interial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043909757 PECOS PAC ID: 1355783929 Enrollment ID: I20240528003161 |
| Provider Name | Akash Khetpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689246456 PECOS PAC ID: 6709228174 Enrollment ID: I20240530002843 |
| Provider Name | Kirby Thomas Tobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053934885 PECOS PAC ID: 8820493208 Enrollment ID: I20240531000919 |
| Provider Name | Brittany A Teson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306698246 PECOS PAC ID: 0941742902 Enrollment ID: I20240605001694 |
| Provider Name | Reginald Kai Mason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699739607 PECOS PAC ID: 2365411873 Enrollment ID: I20240605001765 |
| Provider Name | Boris Miokovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609440148 PECOS PAC ID: 4183166143 Enrollment ID: I20240605001834 |
| Provider Name | Carli Ann Light |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508622275 PECOS PAC ID: 4486196359 Enrollment ID: I20240606002272 |
| Provider Name | Tara A Washington |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780621276 PECOS PAC ID: 2860485711 Enrollment ID: I20240611001582 |
| Provider Name | Leslie M Sharpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740228568 PECOS PAC ID: 5395768212 Enrollment ID: I20240611002413 |
| Provider Name | Jeremy Storck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952982274 PECOS PAC ID: 4486059805 Enrollment ID: I20240613002388 |
Endocrine & Diabetes, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3308 W Chartwell Rd, Peoria, IL 61614 Phone: 309-691-7640 Fax: 309-691-7640 | |
Orland Park Orthopedics - Peoria Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Mcclure Ave, Peoria, IL 61604 Phone: 309-419-8996 Fax: 309-966-3928 | |
Planned Parenthood Of Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Ne Jefferson St., Peoria, IL 61603 Phone: 309-673-6911 Fax: 309-673-6914 | |
Mjm Family Medicine Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Main St Ste 500, Peoria, IL 61602 Phone: 309-672-4470 Fax: 309-672-4471 | |
Michael D. Cashman, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 490, Peoria, IL 61602 Phone: 309-671-8313 Fax: 309-671-8740 | |
Proctor Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5401 N Knoxville Ave, Suite 209, Peoria, IL 61614 Phone: 309-689-6049 Fax: 309-689-6092 | |
The Bleeding And Clotting Disorders Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 427 W Northmoor Rd, Peoria, IL 61614 Phone: 309-692-5337 Fax: 309-693-3913 |