| Pai Participant 9 Pa | |
|
1550 Waters Ridge Dr Lewisville TX 75057-6011 | |
| (972) 899-4401 | |
| Not Available |
| Full Name | Pai Participant 9 Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1550 Waters Ridge Dr, Lewisville, Texas |
| Authorized Official Name and Position | Jill Ford (SR MNGR IN CRED/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4846432639 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pai Participant 9 Pa Po Box 639676 Cincinnati OH 45263-9676 Ph: (859) 291-4800 | Pai Participant 9 Pa 1550 Waters Ridge Dr Lewisville TX 75057-6011 Ph: (972) 899-4401 |
| NPI Number | 1679135420 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 03/28/2022 |
| Medicare PECOS PAC ID | 7113254277 |
|---|---|
| Medicare Enrollment ID | O20190812003650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679135420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Rosaria Taimouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306952296 PECOS PAC ID: 2466435300 Enrollment ID: I20040610001475 |
| Provider Name | Asra Oberoi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396936183 PECOS PAC ID: 8224013529 Enrollment ID: I20040621001874 |
| Provider Name | Milton Shaw |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1346203007 PECOS PAC ID: 3678535879 Enrollment ID: I20041030000113 |
| Provider Name | Laura Givens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902957046 PECOS PAC ID: 0345290847 Enrollment ID: I20050122000161 |
| Provider Name | Zahir A Momin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073529327 PECOS PAC ID: 5294750576 Enrollment ID: I20051006000511 |
| Provider Name | Dipauni S Doshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831162874 PECOS PAC ID: 0042212037 Enrollment ID: I20070205000058 |
| Provider Name | Douglas W Sander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568567881 PECOS PAC ID: 1850393463 Enrollment ID: I20070212000294 |
| Provider Name | Christian F Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932188208 PECOS PAC ID: 7719886621 Enrollment ID: I20070801000371 |
| Provider Name | Lauretta U Ogbue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003807462 PECOS PAC ID: 2062478092 Enrollment ID: I20070806000510 |
| Provider Name | Suma S Gowda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174558605 PECOS PAC ID: 7517051600 Enrollment ID: I20070920000173 |
| Provider Name | Mehjabin I Parkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508068438 PECOS PAC ID: 6103901251 Enrollment ID: I20080313000090 |
| Provider Name | Ron K Rankin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861405250 PECOS PAC ID: 4082640602 Enrollment ID: I20080609000456 |
| Provider Name | David Dmitry Boltan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447468624 PECOS PAC ID: 5698846194 Enrollment ID: I20080611000057 |
| Provider Name | Philip C Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306852678 PECOS PAC ID: 7810068699 Enrollment ID: I20080623000227 |
| Provider Name | Mary Theresa Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306015227 PECOS PAC ID: 5698848174 Enrollment ID: I20080716000410 |
| Provider Name | Mary Z Blackburn |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699930628 PECOS PAC ID: 0446327233 Enrollment ID: I20080919000436 |
| Provider Name | Ricardo A Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164438446 PECOS PAC ID: 5092883272 Enrollment ID: I20081002000035 |
| Provider Name | John D Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528077112 PECOS PAC ID: 2163584319 Enrollment ID: I20081222000422 |
| Provider Name | Rui C Benevides |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093973216 PECOS PAC ID: 1951467026 Enrollment ID: I20090226000126 |
| Provider Name | Peter P Acosta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083637888 PECOS PAC ID: 1951457423 Enrollment ID: I20090924000528 |
| Provider Name | Steven R Bray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417971474 PECOS PAC ID: 1850436098 Enrollment ID: I20100226000617 |
| Provider Name | Laurie A Ferraro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720310436 PECOS PAC ID: 8921136219 Enrollment ID: I20100506000610 |
| Provider Name | Padma Nagalakshmi Munukuti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972651305 PECOS PAC ID: 7810092301 Enrollment ID: I20100720000324 |
| Provider Name | Theresa Lynn Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578734133 PECOS PAC ID: 3072647932 Enrollment ID: I20100813000233 |
| Provider Name | Sreevani Gudiseva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851551741 PECOS PAC ID: 8820282874 Enrollment ID: I20101103000711 |
| Provider Name | Jason L Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447441639 PECOS PAC ID: 2163616947 Enrollment ID: I20101105000526 |
| Provider Name | Mauricio A Sardan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902005523 PECOS PAC ID: 9931271509 Enrollment ID: I20101115000375 |
| Provider Name | Kelli Renee White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538304266 PECOS PAC ID: 8729269998 Enrollment ID: I20110221000814 |
| Provider Name | Don N Murrmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821027038 PECOS PAC ID: 2567435811 Enrollment ID: I20110318000282 |
| Provider Name | Virginia Barlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194768200 PECOS PAC ID: 7810066867 Enrollment ID: I20110412000804 |
| Provider Name | Jesus Aranda-cano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003106543 PECOS PAC ID: 5496932469 Enrollment ID: I20110601000194 |
| Provider Name | Gregory J Brogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659674760 PECOS PAC ID: 7719156405 Enrollment ID: I20110815000635 |
| Provider Name | Swati F D Souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902087091 PECOS PAC ID: 0446335566 Enrollment ID: I20111011000085 |
| Provider Name | Jeremy L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144557679 PECOS PAC ID: 2769656628 Enrollment ID: I20111111000114 |
| Provider Name | Nabanita Basu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417118522 PECOS PAC ID: 6103090816 Enrollment ID: I20111115000389 |
| Provider Name | Neelima Gowrigari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205097318 PECOS PAC ID: 8527224757 Enrollment ID: I20120716000493 |
| Provider Name | Aneesh George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104051382 PECOS PAC ID: 9436305091 Enrollment ID: I20120814000425 |
| Provider Name | Krystle F Garrett Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457669210 PECOS PAC ID: 5496901977 Enrollment ID: I20120816000346 |
| Provider Name | Arsalan Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396984068 PECOS PAC ID: 6103958772 Enrollment ID: I20120820000668 |
| Provider Name | Raeeda M Gheewala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851507115 PECOS PAC ID: 8022275346 Enrollment ID: I20120906000430 |
| Provider Name | Johnita L Darton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306816699 PECOS PAC ID: 3173411634 Enrollment ID: I20120924000312 |
| Provider Name | Amanda S Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023367505 PECOS PAC ID: 6709035306 Enrollment ID: I20120925000446 |
| Provider Name | Miguel A Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689835993 PECOS PAC ID: 4789862491 Enrollment ID: I20120928000174 |
| Provider Name | Kristina J Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801057112 PECOS PAC ID: 3072791771 Enrollment ID: I20120928000190 |
| Provider Name | Olutoyin O Abitoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851559595 PECOS PAC ID: 1850467515 Enrollment ID: I20121003000528 |
| Provider Name | Joyce Louise Kenebrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992056816 PECOS PAC ID: 1850543166 Enrollment ID: I20121213000354 |
| Provider Name | Eunice Orji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811248891 PECOS PAC ID: 6406001106 Enrollment ID: I20130312000038 |
| Provider Name | Laura Martinez-colon |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164869285 PECOS PAC ID: 5496995607 Enrollment ID: I20130711000819 |
| Provider Name | Abdul Moneim Saad Hasheesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912199654 PECOS PAC ID: 7911094784 Enrollment ID: I20140327001851 |
| Provider Name | Rachel S Villegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073890950 PECOS PAC ID: 6507098480 Enrollment ID: I20140408000284 |
| Provider Name | Michael Joseph Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174810048 PECOS PAC ID: 4688892276 Enrollment ID: I20140822001670 |
| Provider Name | Sweety J Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972894004 PECOS PAC ID: 9234452228 Enrollment ID: I20141224000094 |
| Provider Name | Nakizito Namazzi Kazigo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528263852 PECOS PAC ID: 2466778212 Enrollment ID: I20150313000934 |
| Provider Name | Scott W Tolan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821313610 PECOS PAC ID: 3678890449 Enrollment ID: I20150317000528 |
| Provider Name | Zhaoli Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710370671 PECOS PAC ID: 2466771688 Enrollment ID: I20150508002006 |
| Provider Name | Khris Randy Ramdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861652471 PECOS PAC ID: 2668628793 Enrollment ID: I20150604000079 |
| Provider Name | Leamy A Seabert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033505359 PECOS PAC ID: 5193037984 Enrollment ID: I20150708000936 |
| Provider Name | Prasanthi K Arety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528333713 PECOS PAC ID: 3274845938 Enrollment ID: I20150709000066 |
| Provider Name | Richa Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518973882 PECOS PAC ID: 1759693237 Enrollment ID: I20150713000910 |
| Provider Name | Samira Shahnaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134495575 PECOS PAC ID: 9830407097 Enrollment ID: I20151007003142 |
| Provider Name | Crystal Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366828543 PECOS PAC ID: 1759691124 Enrollment ID: I20151116000451 |
| Provider Name | Sherri Cook-rousey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295107142 PECOS PAC ID: 6608177969 Enrollment ID: I20151211000037 |
| Provider Name | Jess Siby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215302450 PECOS PAC ID: 9830491372 Enrollment ID: I20151230001136 |
| Provider Name | Shauntorya Trychelle Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104296615 PECOS PAC ID: 6800190125 Enrollment ID: I20160208000910 |
| Provider Name | Micah David Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306074778 PECOS PAC ID: 4486834454 Enrollment ID: I20160302000212 |
| Provider Name | Christine Koestel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891152948 PECOS PAC ID: 1557667250 Enrollment ID: I20160307000882 |
| Provider Name | Reeja Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538538038 PECOS PAC ID: 0547567315 Enrollment ID: I20160322000709 |
| Provider Name | Shaila Khowja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528451176 PECOS PAC ID: 9032400361 Enrollment ID: I20160616001972 |
| Provider Name | Scherraine Y Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174992853 PECOS PAC ID: 7012209109 Enrollment ID: I20160711001301 |
| Provider Name | Dahlia Ferilina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265890636 PECOS PAC ID: 3870889132 Enrollment ID: I20160913000922 |
| Provider Name | Berril Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649726563 PECOS PAC ID: 0941588859 Enrollment ID: I20161027002011 |
| Provider Name | Anu Antony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780132886 PECOS PAC ID: 2769760990 Enrollment ID: I20161111001328 |
| Provider Name | Brian Kristoff Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356747257 PECOS PAC ID: 4486933520 Enrollment ID: I20161114001653 |
| Provider Name | Mangesh Bhatta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588921597 PECOS PAC ID: 8325351463 Enrollment ID: I20170208002451 |
| Provider Name | Zahra Shariff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538260492 PECOS PAC ID: 8527084128 Enrollment ID: I20170803001790 |
| Provider Name | Stacy Roberts Mccown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457728735 PECOS PAC ID: 1456631993 Enrollment ID: I20170811001684 |
| Provider Name | Albert Arthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720499668 PECOS PAC ID: 1254655897 Enrollment ID: I20171019001021 |
| Provider Name | Mehrukh Mujeeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225232804 PECOS PAC ID: 3678741196 Enrollment ID: I20171220001343 |
| Provider Name | Gail W Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235515867 PECOS PAC ID: 7517229172 Enrollment ID: I20180319000981 |
| Provider Name | Amita Aghera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518460930 PECOS PAC ID: 9931456910 Enrollment ID: I20180723000289 |
| Provider Name | Alexis Schmitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558445106 PECOS PAC ID: 9830446160 Enrollment ID: I20180813001476 |
| Provider Name | Tawna Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831639020 PECOS PAC ID: 9537418611 Enrollment ID: I20180822003245 |
| Provider Name | Carolyn Diane Crispell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306069265 PECOS PAC ID: 0941394894 Enrollment ID: I20180904001524 |
| Provider Name | Marica Baricuatro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689156812 PECOS PAC ID: 3476807686 Enrollment ID: I20181106002913 |
| Provider Name | Simeon M Ngishu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629540497 PECOS PAC ID: 4183886740 Enrollment ID: I20190128002353 |
| Provider Name | Obuchukwuneme Calais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457829640 PECOS PAC ID: 3375880495 Enrollment ID: I20190129000131 |
| Provider Name | Zakari Kwota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467806810 PECOS PAC ID: 8022359603 Enrollment ID: I20190409000339 |
| Provider Name | Brenda Michelle Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992274849 PECOS PAC ID: 1254673577 Enrollment ID: I20190506002545 |
| Provider Name | Latrisala Weathers Bankston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972097491 PECOS PAC ID: 9830425164 Enrollment ID: I20190724003626 |
| Provider Name | Jessica Diann Brittain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760040349 PECOS PAC ID: 5395072789 Enrollment ID: I20190807003602 |
| Provider Name | Kayla L Himphayvanh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578036026 PECOS PAC ID: 3375873953 Enrollment ID: I20190924003252 |
| Provider Name | Juliana Ezenwanyi Ike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801363643 PECOS PAC ID: 1153651559 Enrollment ID: I20190927001777 |
| Provider Name | Farouk Talakshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233000 PECOS PAC ID: 4587956420 Enrollment ID: I20191115001840 |
| Provider Name | Hima Parchuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386843332 PECOS PAC ID: 9638363542 Enrollment ID: I20191204000190 |
| Provider Name | Zarintaj Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760024038 PECOS PAC ID: 4385078583 Enrollment ID: I20191220002185 |
| Provider Name | Soumya Mohanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255971214 PECOS PAC ID: 6406283233 Enrollment ID: I20200217003418 |
| Provider Name | Loveleen M Swami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255973558 PECOS PAC ID: 6103253638 Enrollment ID: I20200224001033 |
| Provider Name | Linda D Reid-bonnema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336341429 PECOS PAC ID: 2062841331 Enrollment ID: I20200408000347 |
| Provider Name | John Beuerlein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417040205 PECOS PAC ID: 5092723395 Enrollment ID: I20200410001593 |
| Provider Name | Dennie Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700174166 PECOS PAC ID: 2062631450 Enrollment ID: I20200411000090 |
| Provider Name | Susan Meller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538177316 PECOS PAC ID: 1052463569 Enrollment ID: I20200414001072 |
| Provider Name | Jason Woo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962744573 PECOS PAC ID: 4082855440 Enrollment ID: I20200415000153 |
| Provider Name | Stella Marquardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083256416 PECOS PAC ID: 8022449347 Enrollment ID: I20200520001871 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457791113 PECOS PAC ID: 0749585131 Enrollment ID: I20200824002656 |
| Provider Name | Sharan Lynn Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003430026 PECOS PAC ID: 4981021102 Enrollment ID: I20200902000099 |
| Provider Name | Tomi Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568936748 PECOS PAC ID: 4082033055 Enrollment ID: I20200925000474 |
| Provider Name | Natasha Pervez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487030615 PECOS PAC ID: 8628498029 Enrollment ID: I20201026000107 |
| Provider Name | Madisen Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689155764 PECOS PAC ID: 0547508525 Enrollment ID: I20201123003395 |
| Provider Name | Bryan Ngwa Neba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104428010 PECOS PAC ID: 7517370620 Enrollment ID: I20210111001454 |
| Provider Name | John Bonnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568724219 PECOS PAC ID: 5799030623 Enrollment ID: I20210126002058 |
| Provider Name | Uroje Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013442292 PECOS PAC ID: 3274949276 Enrollment ID: I20210316002201 |
| Provider Name | Lindsey Karka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174133268 PECOS PAC ID: 5597172361 Enrollment ID: I20210323000005 |
| Provider Name | Katherine Ann Mayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942886114 PECOS PAC ID: 1557760824 Enrollment ID: I20210519001700 |
| Provider Name | Ted A Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609465533 PECOS PAC ID: 8527467612 Enrollment ID: I20210521000964 |
| Provider Name | Emily Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871163832 PECOS PAC ID: 4284037573 Enrollment ID: I20210723002186 |
| Provider Name | Marc Duke |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1659943322 PECOS PAC ID: 4688078322 Enrollment ID: I20210803002221 |
| Provider Name | Stephen Berry |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255903639 PECOS PAC ID: 6406250042 Enrollment ID: I20210804002602 |
| Provider Name | Emilie Anne Boline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598334195 PECOS PAC ID: 8527462001 Enrollment ID: I20210805000417 |
| Provider Name | Sarah Thandiwe Erskine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972017408 PECOS PAC ID: 9638438971 Enrollment ID: I20210816001235 |
| Provider Name | Zaid Qaraghan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144634809 PECOS PAC ID: 3577782093 Enrollment ID: I20210908002736 |
| Provider Name | Sulakshna Dhamija |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629383153 PECOS PAC ID: 0244474112 Enrollment ID: I20211014001756 |
| Provider Name | Haley Walker Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174194864 PECOS PAC ID: 3678971967 Enrollment ID: I20211018002991 |
| Provider Name | Daphney Claude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063974129 PECOS PAC ID: 2365830502 Enrollment ID: I20211021000316 |
| Provider Name | Teena Thayil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548807654 PECOS PAC ID: 5496143398 Enrollment ID: I20211026002187 |
| Provider Name | Julie Kristine Thielke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861156127 PECOS PAC ID: 8921497264 Enrollment ID: I20211108002262 |
| Provider Name | Nichol Lynn Burch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285398255 PECOS PAC ID: 2062801509 Enrollment ID: I20211122003078 |
| Provider Name | Yagya Bimali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316609639 PECOS PAC ID: 4183012776 Enrollment ID: I20211130002266 |
| Provider Name | Sukyong Chun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528722352 PECOS PAC ID: 7719379981 Enrollment ID: I20220120000480 |
| Provider Name | Derek Jason Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598411779 PECOS PAC ID: 8628465226 Enrollment ID: I20220429000885 |
| Provider Name | Teresa Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194119545 PECOS PAC ID: 0244519726 Enrollment ID: I20220502002248 |
| Provider Name | Kerry F Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366108433 PECOS PAC ID: 3274910922 Enrollment ID: I20220518000978 |
| Provider Name | Caroline Igharoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841960499 PECOS PAC ID: 9436537743 Enrollment ID: I20220527000355 |
| Provider Name | Januka Banjara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528706553 PECOS PAC ID: 7911388038 Enrollment ID: I20220721000863 |
| Provider Name | Camille Marie Kielbasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609501774 PECOS PAC ID: 2668855339 Enrollment ID: I20220812000399 |
| Provider Name | Caroline Etok Elad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700401163 PECOS PAC ID: 3173927068 Enrollment ID: I20220829000809 |
| Provider Name | Jill Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295706158 PECOS PAC ID: 3274500491 Enrollment ID: I20220920000504 |
| Provider Name | Isabelle Yapobi Attie |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649998972 PECOS PAC ID: 6800271214 Enrollment ID: I20220921003594 |
| Provider Name | Jenniifer M Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760118582 PECOS PAC ID: 9830575166 Enrollment ID: I20221010002305 |
| Provider Name | Steven J Ramdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679924781 PECOS PAC ID: 3779876859 Enrollment ID: I20230103000661 |
| Provider Name | Cynthia Kuan Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053081869 PECOS PAC ID: 0143691998 Enrollment ID: I20230114000049 |
| Provider Name | Jarrod Murphy Nero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881086296 PECOS PAC ID: 9032439187 Enrollment ID: I20230204000125 |
| Provider Name | Lana Delice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548913098 PECOS PAC ID: 3274906375 Enrollment ID: I20230309002530 |
| Provider Name | Catherine Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003325267 PECOS PAC ID: 6901956671 Enrollment ID: I20230321000412 |
| Provider Name | Shelly Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346375219 PECOS PAC ID: 0345385720 Enrollment ID: I20230406001707 |
| Provider Name | Angela Ann Sedlacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134820657 PECOS PAC ID: 8921463209 Enrollment ID: I20230421000485 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20230426002541 |
| Provider Name | Lynn Lokelani Shehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205542131 PECOS PAC ID: 9931564531 Enrollment ID: I20230504001159 |
| Provider Name | Jackie Marie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457099301 PECOS PAC ID: 6406214022 Enrollment ID: I20230614000881 |
| Provider Name | Leanne Marie Cowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407548357 PECOS PAC ID: 2860850781 Enrollment ID: I20230623002526 |
| Provider Name | Christine Michelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811257215 PECOS PAC ID: 3476719055 Enrollment ID: I20230714001212 |
| Provider Name | Akosua Neferteti Obeng-aduasare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230725000845 |
| Provider Name | Mary Obiyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396457537 PECOS PAC ID: 2163877564 Enrollment ID: I20231006000936 |
| Provider Name | Shana Roushia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699313825 PECOS PAC ID: 9830526466 Enrollment ID: I20231011003321 |
| Provider Name | Osariemen Faith Idehen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629859095 PECOS PAC ID: 0840647095 Enrollment ID: I20231108003793 |
| Provider Name | Salie Davila-torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720678261 PECOS PAC ID: 2264847268 Enrollment ID: I20231207001788 |
| Provider Name | Leonora Conte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841521176 PECOS PAC ID: 3476698234 Enrollment ID: I20240126003894 |
| Provider Name | Gina Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245918028 PECOS PAC ID: 8426492406 Enrollment ID: I20240217000503 |
| Provider Name | Lillian Nagi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063851442 PECOS PAC ID: 0648594929 Enrollment ID: I20240222003038 |
| Provider Name | Koe Sierra Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992569917 PECOS PAC ID: 5698110237 Enrollment ID: I20240305002129 |
| Provider Name | Jennifer Marie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356813653 PECOS PAC ID: 5698009660 Enrollment ID: I20240306001634 |
| Provider Name | Faith Lanette Seck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356512727 PECOS PAC ID: 4880980721 Enrollment ID: I20240311001843 |
| Provider Name | Jorge Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710480272 PECOS PAC ID: 0941540645 Enrollment ID: I20240311002873 |
| Provider Name | Barbara Denise Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376300186 PECOS PAC ID: 7416395785 Enrollment ID: I20240404004280 |
Wisdom Healthcare Clinic N Healthcare Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 W Main St, Suite B, Lewisville, TX 75057 Phone: 817-200-6189 Fax: 469-464-4398 | |
North Texas Gastroenterology Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 W Main St, Suite 106, Lewisville, TX 75057 Phone: 972-420-8800 Fax: 972-420-8888 | |
Today Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318a W Main St, Lewisville, TX 75067 Phone: 214-222-0781 Fax: 214-513-0495 | |
Physician's Homecare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 Winter Park Ln, Lewisville, TX 75077 Phone: 619-755-7229 | |
Main Street Medical Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 571 W Main St, Suite 120, Lewisville, TX 75057 Phone: 972-221-3500 Fax: 972-221-3522 | |
Premier Med- Care,llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 W Main St, 160, Lewisville, TX 75067 Phone: 972-219-2300 Fax: 972-219-2335 | |
Eezee Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1165 S Stemmons Fwy Ste 264, Lewisville, TX 75067 Phone: 214-206-1118 |