Park Nicollet Clinic - Medicare Primary Care in St Louis Park, MN

Park Nicollet Clinic is a medicare enrolled primary clinic (Family Medicine) in St Louis Park, Minnesota. The current practice location for Park Nicollet Clinic is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. For appointments, you can reach them via phone at (952) 993-3123. The mailing address for Park Nicollet Clinic is 3800 Park Nicollet Blvd, Att Business Services, St Louis Park, Minnesota and phone number is (952) 993-1835.

Park Nicollet Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780621904. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (952) 993-3123.

Contact Information

Park Nicollet Clinic
3800 Park Nicollet Blvd
St Louis Park
MN 55416
(952) 993-3123
(952) 993-2770

Map and Direction


Primary Care Clinic Profile

Full NamePark Nicollet Clinic
SpecialityFamily Medicine
Location3800 Park Nicollet Blvd, St Louis Park, Minnesota
Authorized Official Name and PositionJason James Luhrs (VP FINANCE)
Authorized Official Contact9528837158
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Park Nicollet Clinic
3800 Park Nicollet Blvd
Att Business Services
St Louis Park
MN 55416

Ph: (952) 993-1835
Park Nicollet Clinic
3800 Park Nicollet Blvd
St Louis Park
MN 55416

Ph: (952) 993-3123

NPI Details:

NPI Number1780621904
Provider Enumeration Date05/31/2006
Last Update Date10/25/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7911819438
Medicare Enrollment IDO20031104000046

Medical Identifiers

Medical identifiers for Park Nicollet Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780621904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Park Nicollet Clinic acts as a billing entity for following providers:
Provider NameYong-yi Pan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700850740
PECOS PAC ID: 7810801222
Enrollment ID: I20031118001002
Provider NameWilliam S Tiede
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528045408
PECOS PAC ID: 4789588872
Enrollment ID: I20031120000800
Provider NamePatrick M Menning
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427021294
PECOS PAC ID: 1850295734
Enrollment ID: I20031121000682
Provider NameNathan D Block
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871571125
PECOS PAC ID: 0648174334
Enrollment ID: I20031124000644
Provider NameDavid B Gremmels
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1508813452
PECOS PAC ID: 8820992357
Enrollment ID: I20031125000578
Provider NameErin M Warshaw
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1336191428
PECOS PAC ID: 0547164980
Enrollment ID: I20031126000233
Provider NameKristen Marie Zeller-hack
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1316982382
PECOS PAC ID: 8123923414
Enrollment ID: I20031201000213
Provider NameJudy L Guerrero
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1366428732
PECOS PAC ID: 1557266426
Enrollment ID: I20031204000043
Provider NameJeffrey M Mendeloff
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1043297203
PECOS PAC ID: 3577469824
Enrollment ID: I20031209000386
Provider NamePatricia A Welsh
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417934233
PECOS PAC ID: 6103722111
Enrollment ID: I20031210000668
Provider NameHeather Linee Bergeson
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1932172277
PECOS PAC ID: 5890692438
Enrollment ID: I20031212000778
Provider NameKevin J Mullaney
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1447289160
PECOS PAC ID: 6406753474
Enrollment ID: I20031217000701
Provider NameDebra L Schulzetenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518944230
PECOS PAC ID: 4284531955
Enrollment ID: I20031219000029
Provider NameApril M Lind
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275518599
PECOS PAC ID: 7810895547
Enrollment ID: I20031219000444
Provider NameSteven J Burbidge
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366429391
PECOS PAC ID: 2567360381
Enrollment ID: I20031231000106
Provider NameMark R Miner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1760469852
PECOS PAC ID: 4082513809
Enrollment ID: I20031231000208
Provider NameHugh R Neeson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407833544
PECOS PAC ID: 4688573405
Enrollment ID: I20031231000223
Provider NameEric J Weinberg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891772687
PECOS PAC ID: 8628977451
Enrollment ID: I20031231000257
Provider NamePeter D Kent
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1164406831
PECOS PAC ID: 4183523897
Enrollment ID: I20031231000695
Provider NameLinda K Wondrasch
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1396722211
PECOS PAC ID: 4284533852
Enrollment ID: I20040102000319
Provider NameSandra K Morris
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730289851
PECOS PAC ID: 7214836576
Enrollment ID: I20040106000236
Provider NameScott M Jensen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154305662
PECOS PAC ID: 6800709395
Enrollment ID: I20040113000063
Provider NameShareen A Marshall
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1508911017
PECOS PAC ID: 7416858410
Enrollment ID: I20040114000072
Provider NameMary J Ehresman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629053004
PECOS PAC ID: 8325949241
Enrollment ID: I20040115000078
Provider NamePatricia L Haroldson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1184600140
PECOS PAC ID: 2567363120
Enrollment ID: I20040116000260
Provider NameErika J Rabeni
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1275578841
PECOS PAC ID: 2163323528
Enrollment ID: I20040119000110
Provider NameJess Olson
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1326012824
PECOS PAC ID: 3779484902
Enrollment ID: I20040120000284
Provider NameJerome C Siy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043282817
PECOS PAC ID: 5496656530
Enrollment ID: I20040120000810
Provider NameMelissa J Mohrenweiser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790784718
PECOS PAC ID: 7719889815
Enrollment ID: I20040121000046
Provider NameJulie Adams
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1033195284
PECOS PAC ID: 2365344355
Enrollment ID: I20040121000652
Provider NameAmy S Daleiden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053394692
PECOS PAC ID: 3274435292
Enrollment ID: I20040121000847
Provider NameAmy V Knox
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1497730030
PECOS PAC ID: 2365344264
Enrollment ID: I20040122000130
Provider NameMatthew D Mccoy
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1659331759
PECOS PAC ID: 3577465624
Enrollment ID: I20040122000207
Provider NameTimothy A Myers
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1598725699
PECOS PAC ID: 8022910173
Enrollment ID: I20040122000252
Provider NameMarc F Swiontkowski
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1285605527
PECOS PAC ID: 4486556313
Enrollment ID: I20040122000297
Provider NameDiane K Feller
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1467437533
PECOS PAC ID: 5597667444
Enrollment ID: I20040122000407
Provider NameWilliam S Stuart
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1053398032
PECOS PAC ID: 0648172064
Enrollment ID: I20040124000325
Provider NameAndrew Jk Smith
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1699725101
PECOS PAC ID: 3173426715
Enrollment ID: I20040130000120
Provider NameTimothy A Gabrielsen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1578651774
PECOS PAC ID: 3779486410
Enrollment ID: I20040130000538
Provider NameElizabeth Zane Grey
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1679551998
PECOS PAC ID: 2567365059
Enrollment ID: I20040130001057
Provider NameMichael B Hebert
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1467435909
PECOS PAC ID: 2769385152
Enrollment ID: I20040202000287
Provider NameMarek J Kokoszka
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1760467302
PECOS PAC ID: 2567360514
Enrollment ID: I20040202000442
Provider NameDeborah C Bohn
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1902883192
PECOS PAC ID: 6709789043
Enrollment ID: I20040202000628
Provider NameMatthew M Schaar
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790765600
PECOS PAC ID: 5698678944
Enrollment ID: I20040202000713
Provider NameJerusha C Brager
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750469219
PECOS PAC ID: 4587558259
Enrollment ID: I20040212000312
Provider NameJennifer M Weiss
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437136231
PECOS PAC ID: 5092609545
Enrollment ID: I20040214000037
Provider NameKristen M Kopski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386699049
PECOS PAC ID: 8224922778
Enrollment ID: I20040214000078
Provider NameMark T Dahl
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1508862194
PECOS PAC ID: 8426943911
Enrollment ID: I20040216000117
Provider NameJill M Samayoa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538144944
PECOS PAC ID: 3072408558
Enrollment ID: I20040216000641
Provider NamePaul H Kalina
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1427032325
PECOS PAC ID: 9032004148
Enrollment ID: I20040218000250
Provider NameVladimir Savcenko
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861471658
PECOS PAC ID: 4183519119
Enrollment ID: I20040218000958
Provider NameDiana R Danilenko
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043270994
PECOS PAC ID: 9931094562
Enrollment ID: I20040220000876
Provider NameVida S Kent
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1790769461
PECOS PAC ID: 2961398599
Enrollment ID: I20040223000359
Provider NameCharles L Pinkerman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1376573436
PECOS PAC ID: 4587550074
Enrollment ID: I20040223000790
Provider NameAndrea R Zuellig
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1679551527
PECOS PAC ID: 8921994468
Enrollment ID: I20040223001065
Provider NameJames Douglass Schwender
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1558302372
PECOS PAC ID: 5395642144
Enrollment ID: I20040224000249
Provider NameChienyenwa N Nwachuku-winful
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952376675
PECOS PAC ID: 0547156978
Enrollment ID: I20040224000385
Provider NameNicolette Myers
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1912984048
PECOS PAC ID: 4082500251
Enrollment ID: I20040225000015
Provider NameErika N Malvey-dorn
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1225011406
PECOS PAC ID: 8426944364
Enrollment ID: I20040226000415
Provider NameJulie R Zwiener
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013983576
PECOS PAC ID: 1759278104
Enrollment ID: I20040302000115
Provider NameBrent R Chamberlain
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1285611277
PECOS PAC ID: 6901793264
Enrollment ID: I20040302000195
Provider NameDavid A Geddes
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1891767091
PECOS PAC ID: 6608763685
Enrollment ID: I20040303000892
Provider NameArturo Gutierrez
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447236641
PECOS PAC ID: 2264321942
Enrollment ID: I20040311000796
Provider NameDaniel M Zapzalka
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1548248479
PECOS PAC ID: 2961391990
Enrollment ID: I20040315001076
Provider NameSebastian F Cherian
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1265419253
PECOS PAC ID: 0547150054
Enrollment ID: I20040318000430
Provider NameJanet L Larson
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1649255530
PECOS PAC ID: 9032009550
Enrollment ID: I20040318000474
Provider NameDeborah M Olkon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518944594
PECOS PAC ID: 9931099322
Enrollment ID: I20040318001015
Provider NameSusan H Bowers
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1518927698
PECOS PAC ID: 4082606116
Enrollment ID: I20040331000271
Provider NameRoss W Simpson
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1912967761
PECOS PAC ID: 0840282992
Enrollment ID: I20040331000376
Provider NameTimothy G Miley
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1518926260
PECOS PAC ID: 5193717171
Enrollment ID: I20040331000571
Provider NameLevi Stanford Downs
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1700816311
PECOS PAC ID: 3779576970
Enrollment ID: I20040405000957
Provider NameCarter W Muench
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1679540934
PECOS PAC ID: 7315932613
Enrollment ID: I20040416000715
Provider NameMagda A Bushara
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356479265
PECOS PAC ID: 5496740243
Enrollment ID: I20040420000229
Provider NameScott S Nielsen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902824238
PECOS PAC ID: 0143217034
Enrollment ID: I20040430000939
Provider NameKelly A Mcteague
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063450336
PECOS PAC ID: 5092703793
Enrollment ID: I20040503000712
Provider NameBenjamin N Pofahl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821064536
PECOS PAC ID: 4385632728
Enrollment ID: I20040504000816
Provider NameJulie Switzer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1518931799
PECOS PAC ID: 6305835307
Enrollment ID: I20040506000781
Provider NameDavid R Stolpman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1639156243
PECOS PAC ID: 7517956410
Enrollment ID: I20040506001577
Provider NameBlair M Anderson
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1902874613
PECOS PAC ID: 4587653142
Enrollment ID: I20040510000049
Provider NameJames Goddard
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770562639
PECOS PAC ID: 0749279214
Enrollment ID: I20040510000914
Provider NameJonathan T Lineer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417914060
PECOS PAC ID: 6305836032
Enrollment ID: I20040514000847
Provider NameStephanie A Ritter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760598825
PECOS PAC ID: 4880675032
Enrollment ID: I20040526000126
Provider NameDarin S Epstein
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1942285135
PECOS PAC ID: 1456333202
Enrollment ID: I20040604000212
Provider NameKathleen M Larson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073598975
PECOS PAC ID: 8022090737
Enrollment ID: I20040607000024
Provider NameJulie M Boman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1427022110
PECOS PAC ID: 2365424827
Enrollment ID: I20040607001139
Provider NameCarrie J Kremer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205811387
PECOS PAC ID: 4880677962
Enrollment ID: I20040610000100
Provider NameMatthew T Kremer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740265396
PECOS PAC ID: 0941283022
Enrollment ID: I20040610000127
Provider NameJianping Yang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932187861
PECOS PAC ID: 1153304159
Enrollment ID: I20040610001115
Provider NameSari W Witzke
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1346227261
PECOS PAC ID: 0244213270
Enrollment ID: I20040610001269
Provider NameTawatchai Paisansinsup
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1881671881
PECOS PAC ID: 4082697867
Enrollment ID: I20040611000698
Provider NameMark R Sannes
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1174592729
PECOS PAC ID: 2062495666
Enrollment ID: I20040612000115
Provider NameRachel E Lerner
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1073549986
PECOS PAC ID: 5496738098
Enrollment ID: I20040612000127
Provider NameSoma Sen
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730151424
PECOS PAC ID: 9436133477
Enrollment ID: I20040616000901
Provider NameDane R Christensen
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1578541405
PECOS PAC ID: 3870577539
Enrollment ID: I20040618000031
Provider NameMichelle M Wiersgalla
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1225053499
PECOS PAC ID: 6406832252
Enrollment ID: I20040624000846
Provider NameBruce L Ring
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063504496
PECOS PAC ID: 1658358452
Enrollment ID: I20040630000457
Provider NameStephen Tan
Provider TypePractitioner - Micrographic Dermatologic Surgery (mds)
Provider IdentifiersNPI Number: 1669446415
PECOS PAC ID: 3173500873
Enrollment ID: I20040701000084
Provider NameMerritt M Beh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356328744
PECOS PAC ID: 4688651854
Enrollment ID: I20040706000823
Provider NameRoberta V Prigge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639102825
PECOS PAC ID: 5890773782
Enrollment ID: I20040708000415
Provider NameDaniel W Hauschulz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336122969
PECOS PAC ID: 2365420205
Enrollment ID: I20040708000798
Provider NameElizabeth A Bisinov
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1386621860
PECOS PAC ID: 9739087230
Enrollment ID: I20040712001054
Provider NameBethany J Grommesh
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1225090905
PECOS PAC ID: 1951389220
Enrollment ID: I20040713000083
Provider NameKathryn K Selmo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295816122
PECOS PAC ID: 5597744318
Enrollment ID: I20040715000941
Provider NameRebecca A Passi
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1568781029
PECOS PAC ID: 4082693262
Enrollment ID: I20040720000759
Provider NameSavina Ghelfi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1356436919
PECOS PAC ID: 0042290736
Enrollment ID: I20040722001243
Provider NameMargaret A Powers
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1245276690
PECOS PAC ID: 6406836709
Enrollment ID: I20040726000392
Provider NameDrahomira Sencakova
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1124008107
PECOS PAC ID: 6901876846
Enrollment ID: I20040728001382
Provider NameJay S Simonson
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1083691513
PECOS PAC ID: 9739088899
Enrollment ID: I20040802000891
Provider NameAmanda E Leino
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598754335
PECOS PAC ID: 9830160480
Enrollment ID: I20040805000587
Provider NameLisa A Lubbers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093838963
PECOS PAC ID: 7911979992
Enrollment ID: I20040810000960
Provider NameTheresa S Covert
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1972581148
PECOS PAC ID: 6901879105
Enrollment ID: I20040816001436
Provider NameMark R Menge
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1760469928
PECOS PAC ID: 9133192263
Enrollment ID: I20040817000942
Provider NameDarren F Larson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1760467856
PECOS PAC ID: 8527031566
Enrollment ID: I20040817001058
Provider NameRufinoephrem M Festin
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1396720363
PECOS PAC ID: 9830162874
Enrollment ID: I20040817001091
Provider NamePamela J Harris
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1861478828
PECOS PAC ID: 3577536523
Enrollment ID: I20040817001154
Provider NameStephanie M Sanders
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1598742389
PECOS PAC ID: 4385617000
Enrollment ID: I20040819000451
Provider NameIngrid Renee Podnieks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700865300
PECOS PAC ID: 9335113075
Enrollment ID: I20040819001362
Provider NameKristina R Liaugaudas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114902434
PECOS PAC ID: 5890760342
Enrollment ID: I20040830000170
Provider NameHeather R Gallivan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1477538247
PECOS PAC ID: 2365417557
Enrollment ID: I20040831001133
Provider NameLisa Lynette Saul
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588626436
PECOS PAC ID: 5395711683
Enrollment ID: I20040908000828
Provider NameJennifer A Lessard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366403495
PECOS PAC ID: 2264409002
Enrollment ID: I20040913000411
Provider NameLeela Engineer
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1285619478
PECOS PAC ID: 6608835137
Enrollment ID: I20041008000789
Provider NameChristopher A Darnell
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1245204627
PECOS PAC ID: 6305806183
Enrollment ID: I20041015000419
Provider NameDeborah A Thorp
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1861479735
PECOS PAC ID: 0345200853
Enrollment ID: I20041018001146
Provider NameKristin K Christiansen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225065279
PECOS PAC ID: 4688635774
Enrollment ID: I20041021001010
Provider NameAnwar Khokhar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477661825
PECOS PAC ID: 6709848344
Enrollment ID: I20041027000445
Provider NameBeena Kumar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629044698
PECOS PAC ID: 2264494731
Enrollment ID: I20041028000258
Provider NameDaniel J Sullivan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790872331
PECOS PAC ID: 1759343155
Enrollment ID: I20041028000520
Provider NameBernadette S Coden Festin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073591905
PECOS PAC ID: 8921084971
Enrollment ID: I20041104001062
Provider NameTommy M Cho
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457326043
PECOS PAC ID: 3173586609
Enrollment ID: I20041105000752
Provider NameDavid Asinger
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1205886819
PECOS PAC ID: 8426953142
Enrollment ID: I20041110000973
Provider NameSherry A Wenisch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952388779
PECOS PAC ID: 0244295939
Enrollment ID: I20041122000886
Provider NameMelissa M Sherman
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1346227840
PECOS PAC ID: 7618932344
Enrollment ID: I20041122001207
Provider NameLeslie A Trcka
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083605448
PECOS PAC ID: 2466417902
Enrollment ID: I20041124000293
Provider NamePaul F Holten
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215909494
PECOS PAC ID: 3072578046
Enrollment ID: I20041201000714
Provider NameAimee E Johnson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1285683557
PECOS PAC ID: 1052377496
Enrollment ID: I20041207000740
Provider NameScott L Schauss
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1417978974
PECOS PAC ID: 0547227555
Enrollment ID: I20041210000864
Provider NameLeann G Hutchison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386693380
PECOS PAC ID: 9032176904
Enrollment ID: I20041213000250
Provider NameJoanna C Kokoszka
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851376495
PECOS PAC ID: 8921065491
Enrollment ID: I20041216000101
Provider NameAmy M Bonifas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700863933
PECOS PAC ID: 7416914692
Enrollment ID: I20041220000572
Provider NameOlufemi O Banjoko
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1073590519
PECOS PAC ID: 1759349087
Enrollment ID: I20050103000617
Provider NameKaren M Pankratz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235116237
PECOS PAC ID: 3577511989
Enrollment ID: I20050112000034
Provider NameAnthony Wilson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659358562
PECOS PAC ID: 3476505512
Enrollment ID: I20050216000744
Provider NameSteven E Calvin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1912976564
PECOS PAC ID: 8921050089
Enrollment ID: I20050216000839
Provider NameJoel L Boyd
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1619970571
PECOS PAC ID: 8527035245
Enrollment ID: I20050221000076
Provider NameKirk J Aadalen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1720081672
PECOS PAC ID: 6204888043
Enrollment ID: I20050221000086
Provider NameAlan W Markman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1750384707
PECOS PAC ID: 7315914041
Enrollment ID: I20050221000142
Provider NameJohn A Steubs
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1669475638
PECOS PAC ID: 3678540309
Enrollment ID: I20050221000170
Provider NameDaniel L Gatlin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1124074414
PECOS PAC ID: 6406809219
Enrollment ID: I20050222000046
Provider NameCathleen Chen
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1457338444
PECOS PAC ID: 7810940657
Enrollment ID: I20050222000274
Provider NameBeth A Helgerson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1083686810
PECOS PAC ID: 8921051582
Enrollment ID: I20050224000085
Provider NameShabana Siddiqui
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275510794
PECOS PAC ID: 7517910508
Enrollment ID: I20050302000453
Provider NameSurekha Pagidipala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366420804
PECOS PAC ID: 6800840687
Enrollment ID: I20050303001017
Provider NameAaron Binstock
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891744280
PECOS PAC ID: 4284689985
Enrollment ID: I20050315001076
Provider NameMark R Alexander
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1790751493
PECOS PAC ID: 3577519651
Enrollment ID: I20050323000144
Provider NameDavid K Bucher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184699779
PECOS PAC ID: 2961315874
Enrollment ID: I20050323000586
Provider NameChristian M Daleiden
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912998469
PECOS PAC ID: 5991751844
Enrollment ID: I20050324000157
Provider NameJason L Eggers
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1275581795
PECOS PAC ID: 0143276923
Enrollment ID: I20050324000504
Provider NameLori J Fewer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316923055
PECOS PAC ID: 6608822440
Enrollment ID: I20050324000896
Provider NameJalal U Akbar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720063795
PECOS PAC ID: 3971559626
Enrollment ID: I20050324001062
Provider NameDaniel A Albright
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295710192
PECOS PAC ID: 2769438415
Enrollment ID: I20050324001091
Provider NameTimothy G Balder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104801638
PECOS PAC ID: 6406752849
Enrollment ID: I20050328000376
Provider NameMartha Sanford
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184609703
PECOS PAC ID: 3274439625
Enrollment ID: I20050328001038
Provider NameSean E Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548247190
PECOS PAC ID: 6002862372
Enrollment ID: I20050330000135
Provider NameWilliam H Anderson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457338006
PECOS PAC ID: 8123074408
Enrollment ID: I20050330000184
Provider NamePeter B Meier
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1518980192
PECOS PAC ID: 5890742035
Enrollment ID: I20050331000393
Provider NameHeidi G H Cole
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1821054222
PECOS PAC ID: 2567427305
Enrollment ID: I20050401000654
Provider NameRolf J Simonson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982683579
PECOS PAC ID: 7810944576
Enrollment ID: I20050405000452
Provider NameBhavin I Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689646960
PECOS PAC ID: 9335196021
Enrollment ID: I20050405000742
Provider NameRobert C Droullard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760454219
PECOS PAC ID: 0547217267
Enrollment ID: I20050405000981
Provider NameChrista G Beach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285611772
PECOS PAC ID: 1355398942
Enrollment ID: I20050406000123
Provider NameRichard L Beck
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518944974
PECOS PAC ID: 9133176654
Enrollment ID: I20050406000434
Provider NameGeorge E Belzer
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1972580330
PECOS PAC ID: 5799732228
Enrollment ID: I20050406000511
Provider NameWendy M Bergeron
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912984311
PECOS PAC ID: 6305893850
Enrollment ID: I20050406000725
Provider NameMarysue Beran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033196431
PECOS PAC ID: 8325932247
Enrollment ID: I20050406000773
Provider NameThomas T Bennett
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1306823794
PECOS PAC ID: 4688621162
Enrollment ID: I20050406000880
Provider NameMichelle Marie Blaeser
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1619954963
PECOS PAC ID: 0840247193
Enrollment ID: I20050407001096
Provider NameLeann M West
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1013989128
PECOS PAC ID: 0345287454
Enrollment ID: I20050411000788
Provider NameLisa M Bolin
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1710964937
PECOS PAC ID: 3375580137
Enrollment ID: I20050413000281
Provider NameSteven Jay Borowsky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790762920
PECOS PAC ID: 7517904378
Enrollment ID: I20050413000320
Provider NameKarl James Bakken
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033196365
PECOS PAC ID: 2769420934
Enrollment ID: I20050419000499
Provider NameLeslie A Baken
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1750368288
PECOS PAC ID: 9638117815
Enrollment ID: I20050419000543
Provider NameGrant C Morrison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790864395
PECOS PAC ID: 1557261781
Enrollment ID: I20050419000976
Provider NameMary Kay Barrett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720065279
PECOS PAC ID: 3577501600
Enrollment ID: I20050420000250
Provider NameJohn R Bartlett
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407833841
PECOS PAC ID: 9537107685
Enrollment ID: I20050420000464
Provider NameRebecca A Bartlett
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851378319
PECOS PAC ID: 1951349901
Enrollment ID: I20050420000500
Provider NameAnne-marie F Moore
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1770550188
PECOS PAC ID: 7911945985
Enrollment ID: I20050420000598
Provider NameMargaret J Swanson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1881799518
PECOS PAC ID: 7315986429
Enrollment ID: I20050428000247
Provider NameChristine Gove
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992817142
PECOS PAC ID: 5597705079
Enrollment ID: I20050504000205
Provider NameNancy W Schmidt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275596660
PECOS PAC ID: 7517907827
Enrollment ID: I20050505001009
Provider NameJyothi B Kesha
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1558358796
PECOS PAC ID: 3577503515
Enrollment ID: I20050509000901
Provider NameSandeep Bahadur
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1932176831
PECOS PAC ID: 2365482148
Enrollment ID: I20050511000499
Provider NameAlison M Warford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467525527
PECOS PAC ID: 9032151311
Enrollment ID: I20050526000350
Provider NameRichard A Peterson
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1699717561
PECOS PAC ID: 5991747081
Enrollment ID: I20050531000293
Provider NameHeather C Votava-bialczyk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447236252
PECOS PAC ID: 2466495254
Enrollment ID: I20050602000750
Provider NameKent K Bratten
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841277043
PECOS PAC ID: 8527001320
Enrollment ID: I20050602000784
Provider NameTeresa C Mccarthy
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1922184035
PECOS PAC ID: 3678516341
Enrollment ID: I20050603000208
Provider NameMargaret Michelle Browning-holmgren
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1669459681
PECOS PAC ID: 3779526363
Enrollment ID: I20050606000094
Provider NameChristopher Grainger Buck
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952388910
PECOS PAC ID: 6608819206
Enrollment ID: I20050606000155
Provider NameTrevor L Busch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043297021
PECOS PAC ID: 3577506039
Enrollment ID: I20050606000701
Provider NameTorrey Bergman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861442493
PECOS PAC ID: 5890762124
Enrollment ID: I20050606001011
Provider NameRenae A Kain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871523449
PECOS PAC ID: 7113961814
Enrollment ID: I20050614000533
Provider NameJeffrey J Shultz
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1003893520
PECOS PAC ID: 4587563655
Enrollment ID: I20050614000896
Provider NameNadeem Chaudhary
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1649246018
PECOS PAC ID: 5193769586
Enrollment ID: I20050616000417
Provider NamePaula M Cotruta
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1346216579
PECOS PAC ID: 2961446380
Enrollment ID: I20050616000648
Provider NameDavid L Kittelson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1164485819
PECOS PAC ID: 4486699303
Enrollment ID: I20050622000184
Provider NameMichael Richard Walsh
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1275510059
PECOS PAC ID: 8820033780
Enrollment ID: I20050622000519
Provider NameAndrea D Singh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881671329
PECOS PAC ID: 4789629239
Enrollment ID: I20050624000254
Provider NameSeyed Rahim Hosseini Dehkordi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992788475
PECOS PAC ID: 7810932183
Enrollment ID: I20050627001131
Provider NameRachel S Hub
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1275517773
PECOS PAC ID: 1355387473
Enrollment ID: I20050629000508
Provider NameKaren A Moeller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679545453
PECOS PAC ID: 1557307410
Enrollment ID: I20050630000384
Provider NameSon Hong Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265419287
PECOS PAC ID: 6800832551
Enrollment ID: I20050701000868
Provider NameHeidi L Peters
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588677132
PECOS PAC ID: 1557307105
Enrollment ID: I20050705000732
Provider NameTimothy P Kinney
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1407895139
PECOS PAC ID: 8224074729
Enrollment ID: I20050706000984
Provider NameDavid C Sandell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568453926
PECOS PAC ID: 4385670371
Enrollment ID: I20050712000028
Provider NameErin M Mack
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1992772792
PECOS PAC ID: 3274569108
Enrollment ID: I20050712001172
Provider NameShelley T Weier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548231996
PECOS PAC ID: 5193751972
Enrollment ID: I20050713000216
Provider NameMark J Westholder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023095775
PECOS PAC ID: 8527094176
Enrollment ID: I20050714000520
Provider NameNancy J Callinan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1033188222
PECOS PAC ID: 2163459538
Enrollment ID: I20050719000107
Provider NameJames E Johanson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013979491
PECOS PAC ID: 3779578042
Enrollment ID: I20050719000742
Provider NameDaniel A Keeley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073627220
PECOS PAC ID: 5991790271
Enrollment ID: I20050719000794
Provider NameSteven H Reed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336125772
PECOS PAC ID: 6204863475
Enrollment ID: I20050719001032
Provider NameMonica L Norwick
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588641542
PECOS PAC ID: 7113954355
Enrollment ID: I20050720000211
Provider NameNancy C Tokar
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1558340141
PECOS PAC ID: 6406883511
Enrollment ID: I20050720000782
Provider NameLori E Strand
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1891866901
PECOS PAC ID: 7810924800
Enrollment ID: I20050721000183
Provider NameMary E Tahnk-johnson
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1548247547
PECOS PAC ID: 0648189589
Enrollment ID: I20050722000183
Provider NameJohn M Worley
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1033196969
PECOS PAC ID: 2264469857
Enrollment ID: I20050726000390
Provider NameAngela Ngoc-han K Ngo
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1487631537
PECOS PAC ID: 8820026222
Enrollment ID: I20050727000822
Provider NameLisa R Wasserman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1548222482
PECOS PAC ID: 4688602881
Enrollment ID: I20050729000148
Provider NameMichael D Nelson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1689651697
PECOS PAC ID: 5991733727
Enrollment ID: I20050802000478
Provider NameCara Jean Chavira
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457454019
PECOS PAC ID: 2769411982
Enrollment ID: I20050809000036
Provider NameAndrew D Peik
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114981685
PECOS PAC ID: 0244260933
Enrollment ID: I20050812000351
Provider NamePaul J Amundson
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1275507386
PECOS PAC ID: 7113957697
Enrollment ID: I20050815000590
Provider NameCara H Houle
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003821968
PECOS PAC ID: 3779513239
Enrollment ID: I20050816000115
Provider NameJonathan J Sudberry
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700865193
PECOS PAC ID: 3971533316
Enrollment ID: I20050816000657
Provider NameStaci R Moser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013093004
PECOS PAC ID: 5698706471
Enrollment ID: I20050823000028
Provider NameMichelle M Hoff
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205860772
PECOS PAC ID: 4486685260
Enrollment ID: I20050823000062
Provider NameAmy L Francisco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609943802
PECOS PAC ID: 3476584251
Enrollment ID: I20050823000072
Provider NameChi B Huynh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1588623235
PECOS PAC ID: 9931130994
Enrollment ID: I20050830000139
Provider NameJeffrey B Husband
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1639153000
PECOS PAC ID: 3779494984
Enrollment ID: I20050830000771
Provider NameRoss S Paskoff
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1912984915
PECOS PAC ID: 8820029788
Enrollment ID: I20050830000883
Provider NameSteven N Soneral
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285629295
PECOS PAC ID: 8123050010
Enrollment ID: I20050831000152
Provider NameAmy B Criego
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730167610
PECOS PAC ID: 5092747683
Enrollment ID: I20050902000621
Provider NameJudith A Mcelfresh
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1215073275
PECOS PAC ID: 2860425501
Enrollment ID: I20050914000269
Provider NameFareed A Siddiqui
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1235236530
PECOS PAC ID: 8921031535
Enrollment ID: I20050914000881
Provider NameMark W Berger
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962481747
PECOS PAC ID: 0749194777
Enrollment ID: I20050920000198
Provider NameMichael D Ekern
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1205811072
PECOS PAC ID: 9537193537
Enrollment ID: I20050920000399
Provider NameRobert J Johnson
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1740224732
PECOS PAC ID: 4284668229
Enrollment ID: I20050920000726
Provider NameMohamed A Hagi Aden
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093786469
PECOS PAC ID: 3274515945
Enrollment ID: I20050922000630
Provider NameKoken Ozdogan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679545842
PECOS PAC ID: 1355375619
Enrollment ID: I20050926000683
Provider NameSteven M Debol
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1699789883
PECOS PAC ID: 4981638137
Enrollment ID: I20050927000180
Provider NameMohammad T Fareed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598839250
PECOS PAC ID: 5698700144
Enrollment ID: I20051004000088
Provider NameAmy L Sauter
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1700936119
PECOS PAC ID: 1557336997
Enrollment ID: I20051004000421
Provider NameWilliam D Knopp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023093283
PECOS PAC ID: 0941225171
Enrollment ID: I20051006000955
Provider NameJeffrey S Phelan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497734123
PECOS PAC ID: 1254245954
Enrollment ID: I20051007000143
Provider NamePeter W Gjevre
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790750370
PECOS PAC ID: 0345218798
Enrollment ID: I20051012000033
Provider NameCurt Behrns
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801869227
PECOS PAC ID: 1850318379
Enrollment ID: I20051025000024
Provider NameJohn Raymond Fenyk
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1265463129
PECOS PAC ID: 1456378405
Enrollment ID: I20051031000021
Provider NameMichael Tadaharu Akin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114902004
PECOS PAC ID: 8123045713
Enrollment ID: I20051102000482
Provider NameJonathan Patrick Braman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1548296619
PECOS PAC ID: 0840219028
Enrollment ID: I20051116000889
Provider NameJames B Christenson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922019231
PECOS PAC ID: 1759300544
Enrollment ID: I20051122000570
Provider NamePatrick M Mueller
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1023095148
PECOS PAC ID: 5597785071
Enrollment ID: I20051129000636
Provider NameKari M Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003894551
PECOS PAC ID: 1658335302
Enrollment ID: I20051130000153
Provider NameJohn W Apostol
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1245292655
PECOS PAC ID: 9133140239
Enrollment ID: I20051216000495
Provider NameTonya L Bryan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1619939741
PECOS PAC ID: 1759302763
Enrollment ID: I20051216000706
Provider NameCharles A Bryz-gornia
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1356491708
PECOS PAC ID: 2567365406
Enrollment ID: I20051216000711
Provider NameJay A Dirks
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255394573
PECOS PAC ID: 9537181466
Enrollment ID: I20051220000686
Provider NameLaura K Doten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134181712
PECOS PAC ID: 6002838976
Enrollment ID: I20051221000019
Provider NameDaniel Satran
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1063568319
PECOS PAC ID: 9436171261
Enrollment ID: I20051221000429
Provider NameRobert G Sonntag
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1699741397
PECOS PAC ID: 8628090289
Enrollment ID: I20051222000537
Provider NameAndrea L Messina
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1194702258
PECOS PAC ID: 4385666825
Enrollment ID: I20051227000241
Provider NameBridget B Keller
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1801870571
PECOS PAC ID: 1951323377
Enrollment ID: I20051229000331
Provider NameGang K Zhang
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1447238373
PECOS PAC ID: 5092737288
Enrollment ID: I20060103000260
Provider NameKim M Waterbury
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1023215720
PECOS PAC ID: 2860416112
Enrollment ID: I20060125000630
Provider NameJacqueline M Gustafson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760457527
PECOS PAC ID: 1658385893
Enrollment ID: I20060126000960
Provider NameTanya K Henke-le
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518933597
PECOS PAC ID: 9830103399
Enrollment ID: I20060203000446
Provider NameJessica E Kuehn-hajder
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1104833920
PECOS PAC ID: 5496760266
Enrollment ID: I20060215000472
Provider NameStephanie A Norris
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093782716
PECOS PAC ID: 5395750814
Enrollment ID: I20060220000400
Provider NameJennifer G Hines
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437112703
PECOS PAC ID: 0042258717
Enrollment ID: I20060220000451
Provider NameEric C Chen
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1235323247
PECOS PAC ID: 0446266811
Enrollment ID: I20060223000143
Provider NameEunice Chang
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407882327
PECOS PAC ID: 9830105691
Enrollment ID: I20060302000535
Provider NameBurke A Hill
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861432809
PECOS PAC ID: 5799792214
Enrollment ID: I20060308000540
Provider NameAllyson M Hayward
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275516817
PECOS PAC ID: 2860406501
Enrollment ID: I20060320000453
Provider NamePatrick J Schweiger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578573275
PECOS PAC ID: 8426066044
Enrollment ID: I20060323000443
Provider NameBradley J Nelson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1619950839
PECOS PAC ID: 5890703037
Enrollment ID: I20060329000341
Provider NameCharles R Watts
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1427001171
PECOS PAC ID: 8628089083
Enrollment ID: I20060522000156
Provider NamePeter J Boardman
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1376500389
PECOS PAC ID: 0446262356
Enrollment ID: I20060614000223
Provider NameGary B Fetzer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1447291810
PECOS PAC ID: 8729090337
Enrollment ID: I20060626000006
Provider NameMamie J Lausch
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1881636454
PECOS PAC ID: 2769494111
Enrollment ID: I20060629000142
Provider NameJohn A Noll
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1154358273
PECOS PAC ID: 2365455482
Enrollment ID: I20060713000047
Provider NameMelissa J Klohn
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1770512212
PECOS PAC ID: 3577576594
Enrollment ID: I20060717000087
Provider NameColleen N Fischer
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1033149687
PECOS PAC ID: 2264445170
Enrollment ID: I20060719000091
Provider NameBret D Yonke
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174551931
PECOS PAC ID: 3779596424
Enrollment ID: I20060724000243
Provider NameDavid P Lambert
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1154384527
PECOS PAC ID: 9436162120
Enrollment ID: I20060725000249
Provider NameStacey A Mackay
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760469175
PECOS PAC ID: 4587677182
Enrollment ID: I20060727000223
Provider NameDonna Marko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275565434
PECOS PAC ID: 9638182173
Enrollment ID: I20060728000187
Provider NameKelly S Furda
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194751503
PECOS PAC ID: 1658384003
Enrollment ID: I20060801000250
Provider NameKimberly S Glynn
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528090891
PECOS PAC ID: 9638182017
Enrollment ID: I20060802000076
Provider NameEmily J Yonke
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1467406165
PECOS PAC ID: 0244243640
Enrollment ID: I20060802000232
Provider NameNima A Desai
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235117565
PECOS PAC ID: 0143223339
Enrollment ID: I20060808000247
Provider NameChristina R Hyser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730193442
PECOS PAC ID: 6709889736
Enrollment ID: I20060814000088
Provider NameJongsok Pak
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053352930
PECOS PAC ID: 0244233294
Enrollment ID: I20060814000215
Provider NameRobert C Hoch
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1396717245
PECOS PAC ID: 7214930742
Enrollment ID: I20060822000573
Provider NameDavid J Nutz
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1003836800
PECOS PAC ID: 7416950977
Enrollment ID: I20060823000217
Provider NameTanya C Muller
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1891733440
PECOS PAC ID: 9638172109
Enrollment ID: I20060823000253
Provider NameMatthew J Loe
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861419293
PECOS PAC ID: 2769486117
Enrollment ID: I20060828000166
Provider NamePaige N Misselt
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1205945615
PECOS PAC ID: 4486658440
Enrollment ID: I20060905000431
Provider NameBrenda R Larson
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1952310237
PECOS PAC ID: 9830193838
Enrollment ID: I20060906000156
Provider NameRobert J Matlock
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1881616381
PECOS PAC ID: 4082618954
Enrollment ID: I20060907000160
Provider NameDiane M Reader
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1023049293
PECOS PAC ID: 6305840026
Enrollment ID: I20060911000438
Provider NameErica L Berven
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1215900477
PECOS PAC ID: 8729082375
Enrollment ID: I20060913000111
Provider NameBenjamin M Stenzler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538128665
PECOS PAC ID: 7315941978
Enrollment ID: I20060913000234
Provider NameAndrew J Misselt
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1770500555
PECOS PAC ID: 2062417298
Enrollment ID: I20060922000065
Provider NameMichelle L Gorman-mcnerney
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1396716304
PECOS PAC ID: 3678587136
Enrollment ID: I20060922000414
Provider NameLawrence G Richmond
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093751752
PECOS PAC ID: 0244235141
Enrollment ID: I20060928000123
Provider NameDavid Pederson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1487668919
PECOS PAC ID: 9335031210
Enrollment ID: I20060928000165
Provider NameRebecca W Li
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1790725729
PECOS PAC ID: 3577569953
Enrollment ID: I20061006000364
Provider NameJudith M Rock
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962508432
PECOS PAC ID: 0840296166
Enrollment ID: I20061010000532
Provider NameTrude M Stommes Schlangen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104922665
PECOS PAC ID: 1759387079
Enrollment ID: I20061010000533
Provider NameJoshua O Zimmerman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1023062379
PECOS PAC ID: 9830125392
Enrollment ID: I20061011000066
Provider NameSuzanne S Parrino
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730113671
PECOS PAC ID: 1658341870
Enrollment ID: I20061012000098
Provider NameKenneth E Joslyn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730290701
PECOS PAC ID: 8729084884
Enrollment ID: I20061012000229
Provider NameKirsten R Ryan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588760060
PECOS PAC ID: 6204832033
Enrollment ID: I20061018000279
Provider NameBrenda S Scott
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225136526
PECOS PAC ID: 3375549124
Enrollment ID: I20061018000403
Provider NamePaul L Ramnarine
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427157353
PECOS PAC ID: 9931105798
Enrollment ID: I20061018000486
Provider NameNancy L Garnaas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336107903
PECOS PAC ID: 0648276311
Enrollment ID: I20061020000201
Provider NameShari S Hamer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447351838
PECOS PAC ID: 4385641943
Enrollment ID: I20061025000224
Provider NameStacey L Seibel
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1023110889
PECOS PAC ID: 8224035589
Enrollment ID: I20061030000086
Provider NameNathan B Hoffman
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1558310821
PECOS PAC ID: 4183621451
Enrollment ID: I20061030000140
Provider NameJonathan R Nelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336153725
PECOS PAC ID: 7113924481
Enrollment ID: I20061030000208
Provider NameJane M Sulzle
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1497852313
PECOS PAC ID: 9638176928
Enrollment ID: I20061030000329
Provider NameTimothy J Atkinson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548342595
PECOS PAC ID: 3870590078
Enrollment ID: I20061101000190
Provider NameKathleen M Aune
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710069604
PECOS PAC ID: 2466459698
Enrollment ID: I20061101000493
Provider NameTeri K Spilde
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750478442
PECOS PAC ID: 3577560317
Enrollment ID: I20061108000530
Provider NameJoel W Carter
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1417904665
PECOS PAC ID: 9234176082
Enrollment ID: I20061115000042
Provider NameJennifer E Schaefgen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659452621
PECOS PAC ID: 8527066042
Enrollment ID: I20061117000078
Provider NameUrbae Y Hall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497845747
PECOS PAC ID: 3971501420
Enrollment ID: I20061117000295
Provider NameJennifer M Erdmann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588756688
PECOS PAC ID: 4284632696
Enrollment ID: I20061120000200
Provider NameLori D Powell-knutson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912087586
PECOS PAC ID: 5890793202
Enrollment ID: I20061120000219
Provider NameJoanna J Poinar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639275688
PECOS PAC ID: 2668470006
Enrollment ID: I20061120000417
Provider NamePaul D Spilde
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245311273
PECOS PAC ID: 5991703191
Enrollment ID: I20061127000015
Provider NameAshley G Becker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518044064
PECOS PAC ID: 2264430461
Enrollment ID: I20061127000023
Provider NameAnna Schorer
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1164449989
PECOS PAC ID: 3779581996
Enrollment ID: I20061127000157
Provider NameRachel L Ruegemer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831276336
PECOS PAC ID: 6204834344
Enrollment ID: I20061128000053
Provider NameAnne L Gallentine
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306925185
PECOS PAC ID: 6103824297
Enrollment ID: I20061128000438
Provider NameDawn L Stover
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063505519
PECOS PAC ID: 3375541469
Enrollment ID: I20061128000445
Provider NameJulia L Sands
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689773715
PECOS PAC ID: 7810995909
Enrollment ID: I20061128000462
Provider NameErica A Eichhof
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073683124
PECOS PAC ID: 0446258537
Enrollment ID: I20061128000478
Provider NameDawn N Violette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780774133
PECOS PAC ID: 0345248431
Enrollment ID: I20061128000486
Provider NameNicholas P Sharp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952481640
PECOS PAC ID: 9739187741
Enrollment ID: I20061129000093
Provider NameKristine D Braun
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538248919
PECOS PAC ID: 6204834252
Enrollment ID: I20061129000349
Provider NameSarah B Black
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942388400
PECOS PAC ID: 4385642339
Enrollment ID: I20061129000356
Provider NamePaul S Vietzen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1851346753
PECOS PAC ID: 6002814050
Enrollment ID: I20061129000365
Provider NameBrigid A Daly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366513566
PECOS PAC ID: 9032117940
Enrollment ID: I20061130000472
Provider NameLois M Larson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639255540
PECOS PAC ID: 8729087648
Enrollment ID: I20061204000170
Provider NameMelanie A Brudevold
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174609804
PECOS PAC ID: 2163421082
Enrollment ID: I20061204000192
Provider NameAngela A Drew
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073684262
PECOS PAC ID: 0244239077
Enrollment ID: I20061205000512
Provider NameJodi K Luehrs
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770660391
PECOS PAC ID: 2567461304
Enrollment ID: I20061205000582
Provider NameAnn E Naasko
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295812790
PECOS PAC ID: 6901805647
Enrollment ID: I20061207000169
Provider NameMarian R Eichten
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336225986
PECOS PAC ID: 4082613724
Enrollment ID: I20061207000177
Provider NameJill M Koerber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417056052
PECOS PAC ID: 9436158177
Enrollment ID: I20061207000188
Provider NameLezlie B Helfmann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710079041
PECOS PAC ID: 5799784435
Enrollment ID: I20061207000193
Provider NameKristen Dee Lindstrom
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558460113
PECOS PAC ID: 9335148089
Enrollment ID: I20061207000211
Provider NameJohannes Brechtken
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1427088392
PECOS PAC ID: 3375542020
Enrollment ID: I20061207000266
Provider NameTina M Mclean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720027113
PECOS PAC ID: 1850390311
Enrollment ID: I20061211000167
Provider NamePhyllis M Panzer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144305939
PECOS PAC ID: 9931108461
Enrollment ID: I20061212000090
Provider NameJaroslaw Olownia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972689776
PECOS PAC ID: 1658370184
Enrollment ID: I20061212000105
Provider NameMelanie R Olson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780760538
PECOS PAC ID: 4789683228
Enrollment ID: I20061212000157
Provider NameJennifer L Grabner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235200338
PECOS PAC ID: 8921007469
Enrollment ID: I20061212000185
Provider NameDeborah E Skansberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295826808
PECOS PAC ID: 0345249785
Enrollment ID: I20061212000236
Provider NameWilliam H Koch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184796302
PECOS PAC ID: 5193724532
Enrollment ID: I20061212000281
Provider NameAlecia R Klatt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548330830
PECOS PAC ID: 8426057886
Enrollment ID: I20061212000429
Provider NamePatricia K Oys
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053409383
PECOS PAC ID: 3678572039
Enrollment ID: I20061212000450
Provider NameTricia A Kloeckl
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1487753018
PECOS PAC ID: 3678572047
Enrollment ID: I20061212000567
Provider NameStacy L Johnston
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1669571261
PECOS PAC ID: 2668471038
Enrollment ID: I20061212000581
Provider NameAnn M Hlas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437258126
PECOS PAC ID: 9436158664
Enrollment ID: I20061215000192
Provider NameKaren M Dieleman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538230727
PECOS PAC ID: 7315946548
Enrollment ID: I20061215000210
Provider NameChristopher D Kramer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841385515
PECOS PAC ID: 5698774891
Enrollment ID: I20061218000159
Provider NameAzhar T Ali
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1538187786
PECOS PAC ID: 0143228809
Enrollment ID: I20061227000270
Provider NameSara L Narum
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1316024912
PECOS PAC ID: 4981604816
Enrollment ID: I20061228000047
Provider NameSharon L Duncan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639242357
PECOS PAC ID: 5597765123
Enrollment ID: I20070105000115
Provider NameDawn M Taylor
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1962501882
PECOS PAC ID: 9739189234
Enrollment ID: I20070108000127
Provider NameDebra Jg Voss
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1710060843
PECOS PAC ID: 0547260044
Enrollment ID: I20070108000133
Provider NamePamela S Cole
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275609323
PECOS PAC ID: 3870593387
Enrollment ID: I20070108000167
Provider NameDiane M Skinner
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1477634897
PECOS PAC ID: 5890795009
Enrollment ID: I20070111000236
Provider NameSusan M Scanlon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538134473
PECOS PAC ID: 5395649123
Enrollment ID: I20070118000419
Provider NameBradley S Hernandez
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710954870
PECOS PAC ID: 9830167402
Enrollment ID: I20070118000547
Provider NameCharles C Stewart
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306925706
PECOS PAC ID: 9739180662
Enrollment ID: I20070119000472
Provider NameJean M Christiansen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1245319623
PECOS PAC ID: 5294736146
Enrollment ID: I20070122000018
Provider NamePaul R Haller
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487622890
PECOS PAC ID: 8628042009
Enrollment ID: I20070123000585
Provider NameMelissa M Ekholm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932208436
PECOS PAC ID: 1759383532
Enrollment ID: I20070207000420
Provider NameChristine M Brockton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427143932
PECOS PAC ID: 2264434539
Enrollment ID: I20070215000637
Provider NameKandice L Tolic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598840159
PECOS PAC ID: 8224130810
Enrollment ID: I20070228000510
Provider NameJulie A Wagner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093869711
PECOS PAC ID: 1355443805
Enrollment ID: I20070301000299
Provider NameCatherine M Yngsdahl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326141367
PECOS PAC ID: 6406959808
Enrollment ID: I20070305000507
Provider NameMichelle L Vertanen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063555688
PECOS PAC ID: 8729181995
Enrollment ID: I20070308000052
Provider NameGary J Rosenthal
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1265491278
PECOS PAC ID: 8729181631
Enrollment ID: I20070314000389
Provider NameKinga M Kocsis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891823159
PECOS PAC ID: 5395709042
Enrollment ID: I20070315000028
Provider NameJeffrey Paul Lassig
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558459032
PECOS PAC ID: 6507896578
Enrollment ID: I20070329000258
Provider NameJennifer En Fedie
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1548303290
PECOS PAC ID: 1850495896
Enrollment ID: I20070330000170
Provider NameStephanie H Critchley
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1851422398
PECOS PAC ID: 3476657412
Enrollment ID: I20070330000180
Provider NameJacqueline K Murray
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386720282
PECOS PAC ID: 4688778673
Enrollment ID: I20070402000020
Provider NameGregg T Stenger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629168976
PECOS PAC ID: 8426153016
Enrollment ID: I20070410000129
Provider NameJill C Coggins
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1861538191
PECOS PAC ID: 5698870095
Enrollment ID: I20070413000048
Provider NameKathleen R Lauer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124199765
PECOS PAC ID: 0143325464
Enrollment ID: I20070416000424
Provider NameRonald E Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912072976
PECOS PAC ID: 4183729254
Enrollment ID: I20070418000220
Provider NameKatie J Ray
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1952493165
PECOS PAC ID: 4880799956
Enrollment ID: I20070418000246
Provider NameChristopher M Larson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1396763314
PECOS PAC ID: 1153426101
Enrollment ID: I20070419000265
Provider NameGeorgianna F Elliott
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1124180625
PECOS PAC ID: 7618072380
Enrollment ID: I20070425000388
Provider NameJohn Oyakhire
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1518051390
PECOS PAC ID: 9133127400
Enrollment ID: I20070426000562
Provider NameJennifer L Quisberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043399314
PECOS PAC ID: 4284730581
Enrollment ID: I20070503000026
Provider NameDavid T Tapper
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548381395
PECOS PAC ID: 3375649528
Enrollment ID: I20070503000576
Provider NameLudmilla R Peller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942328901
PECOS PAC ID: 2062518046
Enrollment ID: I20070508000561
Provider NameSujata R Costello
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235356452
PECOS PAC ID: 9234235052
Enrollment ID: I20070510000360
Provider NameThomas Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972574879
PECOS PAC ID: 5799719712
Enrollment ID: I20070606000232
Provider NameJulia Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346349040
PECOS PAC ID: 3971502626
Enrollment ID: I20070614000710
Provider NameMichael P Mcgrail
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831166867
PECOS PAC ID: 1759480361
Enrollment ID: I20070622000237
Provider NameKatherine A Severson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952429599
PECOS PAC ID: 2860591088
Enrollment ID: I20070628000178
Provider NameNicole S Nader
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1821290263
PECOS PAC ID: 3072612241
Enrollment ID: I20070628000627
Provider NameAngela K Caszatt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780805192
PECOS PAC ID: 8325148042
Enrollment ID: I20070711000114
Provider NameEhtaisham U Mohammed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508077934
PECOS PAC ID: 6709987787
Enrollment ID: I20070720000136
Provider NameCari G Dakin
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1336285071
PECOS PAC ID: 5193826170
Enrollment ID: I20070720000210
Provider NameDavid J Willis
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1760537534
PECOS PAC ID: 7618078593
Enrollment ID: I20070723000078
Provider NameBetsy L Schwartz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1649303678
PECOS PAC ID: 1052412939
Enrollment ID: I20070723000100
Provider NameScott W Schoshinski
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871629964
PECOS PAC ID: 0244331098
Enrollment ID: I20070723000741
Provider NameMohamed Y Maray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396864765
PECOS PAC ID: 4385735521
Enrollment ID: I20070802000326
Provider NameJeanine L Arnold
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578639522
PECOS PAC ID: 8921199936
Enrollment ID: I20070806000512
Provider NameMichelle C Mirau
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1073714408
PECOS PAC ID: 2769573799
Enrollment ID: I20070806000667
Provider NameSonya B Schroeder
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1225117377
PECOS PAC ID: 2163513011
Enrollment ID: I20070807000070
Provider NameSara C Jardine
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215025267
PECOS PAC ID: 0941391742
Enrollment ID: I20070808000601
Provider NameLori S Anderson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1790884732
PECOS PAC ID: 2264524214
Enrollment ID: I20070822000487
Provider NameNicholas M Edwards
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215992292
PECOS PAC ID: 7719079706
Enrollment ID: I20070822000878
Provider NameMichele M Brezinski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154529139
PECOS PAC ID: 0446342117
Enrollment ID: I20070827000080
Provider NameNancy A Waldbillig
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1205862786
PECOS PAC ID: 2769574441
Enrollment ID: I20070827000145
Provider NameCorey N Fett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174715361
PECOS PAC ID: 1355433046
Enrollment ID: I20070827000274
Provider NameMichelle K Pemble-frazey
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1013116342
PECOS PAC ID: 3072605765
Enrollment ID: I20070827000276
Provider NameAnnie M Fontaine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477581965
PECOS PAC ID: 5597858662
Enrollment ID: I20070905000578
Provider NameAnthony L Pojman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1932183613
PECOS PAC ID: 6709979792
Enrollment ID: I20070907000074
Provider NameElizabeth K Hebl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790754091
PECOS PAC ID: 9234222811
Enrollment ID: I20070912000801
Provider NameKaren G Sherk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164612834
PECOS PAC ID: 2062506298
Enrollment ID: I20070919000588
Provider NameCatherine Q Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952357857
PECOS PAC ID: 2668566696
Enrollment ID: I20070920000644
Provider NameDavid J Wilkins
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1558348458
PECOS PAC ID: 2769576552
Enrollment ID: I20070925000106
Provider NameDesmond Byron Jay
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1720138100
PECOS PAC ID: 7315032927
Enrollment ID: I20070927000448
Provider NameSoumathy Prosper
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1629271671
PECOS PAC ID: 0143315630
Enrollment ID: I20070928000070
Provider NameAndrew Hartigan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093793234
PECOS PAC ID: 5294649976
Enrollment ID: I20070928000639
Provider NameMichele C Erickson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912121237
PECOS PAC ID: 7719072826
Enrollment ID: I20071004000593
Provider NameAlison A Lea
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1902012784
PECOS PAC ID: 2365538121
Enrollment ID: I20071010000309
Provider NameMelissa M Stevens
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689880874
PECOS PAC ID: 8224124094
Enrollment ID: I20071010000362
Provider NameAmy M Mahowald
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952592115
PECOS PAC ID: 4789770330
Enrollment ID: I20071012000468
Provider NamePaulette R Thompson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720178171
PECOS PAC ID: 4688760721
Enrollment ID: I20071019000456
Provider NameKendra L Kubiak
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1134135106
PECOS PAC ID: 1153325030
Enrollment ID: I20071027000008
Provider NameSaima M Ahmer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174642540
PECOS PAC ID: 1153418496
Enrollment ID: I20071102000081
Provider NameJulie A Halverson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245431782
PECOS PAC ID: 3870680044
Enrollment ID: I20071105000331
Provider NameAbel E Tello
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1043276207
PECOS PAC ID: 5698862639
Enrollment ID: I20071107000523
Provider NameHeather Md Thoerner
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1528103314
PECOS PAC ID: 6103913157
Enrollment ID: I20071107000572
Provider NameAnna P Levine
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1699965319
PECOS PAC ID: 2769570662
Enrollment ID: I20071109000483
Provider NameTrisha Jane Bjorneby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952342537
PECOS PAC ID: 4486742053
Enrollment ID: I20071115000067
Provider NameTeresa E Quinn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689648255
PECOS PAC ID: 4880782150
Enrollment ID: I20071120000450
Provider NameJennifer A Deutz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013111814
PECOS PAC ID: 5597853879
Enrollment ID: I20071120000480
Provider NameJennifer M Hierlinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285829754
PECOS PAC ID: 6002904190
Enrollment ID: I20071127000398
Provider NameJames G Capes
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1467476481
PECOS PAC ID: 9537062831
Enrollment ID: I20071203000639
Provider NameMark L Edson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1326024514
PECOS PAC ID: 4183713696
Enrollment ID: I20071207000268
Provider NameHeather E Gantzer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1639154404
PECOS PAC ID: 7618066127
Enrollment ID: I20071207000280
Provider NameHelen M Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285618967
PECOS PAC ID: 1254420771
Enrollment ID: I20071207000290
Provider NameJames S Mallery
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1851331441
PECOS PAC ID: 3678663895
Enrollment ID: I20071212000183
Provider NameCari L Erickson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1417147265
PECOS PAC ID: 1355431438
Enrollment ID: I20071212000647
Provider NameDonna D Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952321200
PECOS PAC ID: 3577653526
Enrollment ID: I20071214000391
Provider NameMary E Spengler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861453763
PECOS PAC ID: 4284724840
Enrollment ID: I20071219000538
Provider NameGustavo H Navarrete
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770765141
PECOS PAC ID: 4385724673
Enrollment ID: I20071227000272
Provider NameKristi K Phillips
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437345808
PECOS PAC ID: 4183704224
Enrollment ID: I20080102000488
Provider NameLinda F Carson
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1760419808
PECOS PAC ID: 4880774934
Enrollment ID: I20080102000526
Provider NameAnna M Kostanecka
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1306969993
PECOS PAC ID: 2264512219
Enrollment ID: I20080103000683
Provider NameGary M Jonson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770693210
PECOS PAC ID: 8628158557
Enrollment ID: I20080104000512
Provider NameSonya L Schober
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1982748349
PECOS PAC ID: 4082794920
Enrollment ID: I20080104000582
Provider NameShane Gustafson
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1922017623
PECOS PAC ID: 1951305291
Enrollment ID: I20080108000093
Provider NameShivani Rawal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699807420
PECOS PAC ID: 0941380430
Enrollment ID: I20080109000791
Provider NameJamie G Jackish
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245244292
PECOS PAC ID: 1153401559
Enrollment ID: I20080110000028
Provider NameJana M Dahn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154504678
PECOS PAC ID: 5597846469
Enrollment ID: I20080116000750
Provider NameSusan A Cleaveland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689741670
PECOS PAC ID: 5991886509
Enrollment ID: I20080121000082
Provider NameWhitney A Evavold
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033172572
PECOS PAC ID: 7214018795
Enrollment ID: I20080123000144
Provider NameMichael Thomas Madison
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1821077876
PECOS PAC ID: 5890609580
Enrollment ID: I20080130000624
Provider NameJanet L Bijwadia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346420916
PECOS PAC ID: 4789631458
Enrollment ID: I20080201000139
Provider NameAlbert L Meric
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1467482323
PECOS PAC ID: 1355444720
Enrollment ID: I20080202000023
Provider NameAnne M Reddy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659340180
PECOS PAC ID: 9335040633
Enrollment ID: I20080208000464
Provider NameYakup Ozbek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538120795
PECOS PAC ID: 8527142249
Enrollment ID: I20080219000808
Provider NameRobyn F Larson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306022876
PECOS PAC ID: 4486739430
Enrollment ID: I20080314000249
Provider NameOliver W Cass
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1497702310
PECOS PAC ID: 5395822555
Enrollment ID: I20080411000462
Provider NameChristopher S Williams
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1750368668
PECOS PAC ID: 3870672389
Enrollment ID: I20080509000040
Provider NameJennifer M Stoffers
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1851378467
PECOS PAC ID: 7810066099
Enrollment ID: I20080514000072
Provider NameAnn Marie Burgeson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740394824
PECOS PAC ID: 8628147642
Enrollment ID: I20080516000544
Provider NameTricia L Zubert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790763621
PECOS PAC ID: 0345319117
Enrollment ID: I20080520000255
Provider NameKeith H Wittenberg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1154300929
PECOS PAC ID: 3173437886
Enrollment ID: I20080530000327
Provider NameRobert H Weinmann
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1780663450
PECOS PAC ID: 3274447982
Enrollment ID: I20080530000354
Provider NameSteven C Hommeyer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356329593
PECOS PAC ID: 8325952005
Enrollment ID: I20080602000034
Provider NameJoseph J Baraga
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730167073
PECOS PAC ID: 8022922053
Enrollment ID: I20080602000094
Provider NameTimothy Goertzen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821076068
PECOS PAC ID: 3577477256
Enrollment ID: I20080602000518
Provider NameJohn P Knoedler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023097078
PECOS PAC ID: 7911811609
Enrollment ID: I20080603000224
Provider NameJennifer Lee Woodland
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700852597
PECOS PAC ID: 4082512397
Enrollment ID: I20080623000051
Provider NameDonaldson W Kingsley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770758211
PECOS PAC ID: 9335210970
Enrollment ID: I20080625000360
Provider NameBrian J Bell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962555920
PECOS PAC ID: 1355413873
Enrollment ID: I20080627000468
Provider NameAnand K Shah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457342131
PECOS PAC ID: 8820160187
Enrollment ID: I20080701000345
Provider NameKevin P Henseler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1952358129
PECOS PAC ID: 6800977810
Enrollment ID: I20080703000478
Provider NameDavid A Gray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053312256
PECOS PAC ID: 8123007655
Enrollment ID: I20080709000721
Provider NameJames T Moe
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1952507501
PECOS PAC ID: 6507939287
Enrollment ID: I20080715000209
Provider NameJohn William Colford
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1164575411
PECOS PAC ID: 1254426141
Enrollment ID: I20080721000076
Provider NameJoel E Barbato
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1770663536
PECOS PAC ID: 9133293947
Enrollment ID: I20080728000586
Provider NameDaniel A Faber
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649497371
PECOS PAC ID: 0941374706
Enrollment ID: I20080729000157
Provider NameClark W Schumacher
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1255374450
PECOS PAC ID: 6800984964
Enrollment ID: I20080806000549
Provider NameJena R Ziegler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477709210
PECOS PAC ID: 0345316394
Enrollment ID: I20080827000749
Provider NameSamantha A Stoven
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1184824211
PECOS PAC ID: 3476629957
Enrollment ID: I20080908000009
Provider NameKenneth Dean Olsen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1528028271
PECOS PAC ID: 3779664214
Enrollment ID: I20080912000433
Provider NameDeepti Torri
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1861650061
PECOS PAC ID: 4789751892
Enrollment ID: I20080915000662
Provider NameDawn M Jenkins
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1811975956
PECOS PAC ID: 1557375243
Enrollment ID: I20080922000243
Provider NameChristina S Spencer
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831399112
PECOS PAC ID: 7810064300
Enrollment ID: I20080925000253
Provider NameChristina L Stavig
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447424882
PECOS PAC ID: 9830266287
Enrollment ID: I20080926000110
Provider NameJean M Tass
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1245496207
PECOS PAC ID: 1052489234
Enrollment ID: I20081001000796
Provider NameLisa I Wolfe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932151347
PECOS PAC ID: 2961570148
Enrollment ID: I20081001000797
Provider NameKristen L Williams
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235321431
PECOS PAC ID: 6507934650
Enrollment ID: I20081002000623
Provider NameHolly J Dodds
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1629038674
PECOS PAC ID: 2062580889
Enrollment ID: I20081007000559
Provider NameJacob A Klein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023283389
PECOS PAC ID: 1658449327
Enrollment ID: I20081008000055
Provider NameJeffery A Dodds
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1164482121
PECOS PAC ID: 9830267475
Enrollment ID: I20081008000829
Provider NameCarmen Hupf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467629519
PECOS PAC ID: 0648348110
Enrollment ID: I20081010000241
Provider NameMichael B Kowalski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447306683
PECOS PAC ID: 4385702653
Enrollment ID: I20081015000657
Provider NameGenia K Dahl
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700991619
PECOS PAC ID: 9931267119
Enrollment ID: I20081016000083
Provider NameElizabeth A Miller
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1659565489
PECOS PAC ID: 9739247735
Enrollment ID: I20081020000582
Provider NameSusan M Holt
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1932201639
PECOS PAC ID: 8628136579
Enrollment ID: I20081021000446
Provider NameGary W Freeman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649245283
PECOS PAC ID: 0648338533
Enrollment ID: I20081021000827
Provider NameGregory Gazzillo
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1427219393
PECOS PAC ID: 8426116294
Enrollment ID: I20081022000736
Provider NameCrystal F Buesking
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952560633
PECOS PAC ID: 4880752435
Enrollment ID: I20081025000152
Provider NameChad W Sharkey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568638286
PECOS PAC ID: 4587722046
Enrollment ID: I20081028000176
Provider NameChiquita M Ewert
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1972562569
PECOS PAC ID: 6103984661
Enrollment ID: I20081028000196
Provider NameNancy R Holmes
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1184643173
PECOS PAC ID: 3375601834
Enrollment ID: I20081028000207
Provider NameTeresa A Tran-lim
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1295756518
PECOS PAC ID: 3072671536
Enrollment ID: I20081028000231
Provider NameRobert T Jones
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1376597179
PECOS PAC ID: 9234297797
Enrollment ID: I20081028000253
Provider NameLura L Mason
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841455714
PECOS PAC ID: 4688732159
Enrollment ID: I20081028000263
Provider NameKatherine L Kardell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932362332
PECOS PAC ID: 7517026958
Enrollment ID: I20081030000346
Provider NameOlga Patricia Argote-muza
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1861642688
PECOS PAC ID: 8022177385
Enrollment ID: I20081101000110
Provider NameTodd A Anderson
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1881856565
PECOS PAC ID: 2567521826
Enrollment ID: I20081101000124
Provider NameSara J Mitlyng
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013182005
PECOS PAC ID: 9133288194
Enrollment ID: I20081105000357
Provider NameRoger K Aronson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932182474
PECOS PAC ID: 9638238611
Enrollment ID: I20081105000500
Provider NameKia K Lilly
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1922293406
PECOS PAC ID: 5890854590
Enrollment ID: I20081111000115
Provider NameMary L Sanderlin
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1972753465
PECOS PAC ID: 6204997620
Enrollment ID: I20081204000033
Provider NameMuhamed H Durakovic
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992784011
PECOS PAC ID: 6406837533
Enrollment ID: I20081218000516
Provider NameMichelle A Denhartigh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538317896
PECOS PAC ID: 7618039835
Enrollment ID: I20081223000348
Provider NameSamuel Asante-buabeng
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558520361
PECOS PAC ID: 8729141569
Enrollment ID: I20090106000259
Provider NamePaul J Sarcia
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1194915934
PECOS PAC ID: 7517020191
Enrollment ID: I20090107000665
Provider NameAmy R Schultz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790948859
PECOS PAC ID: 5294898797
Enrollment ID: I20090109000248
Provider NameCraig Marshall
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063578706
PECOS PAC ID: 5890796742
Enrollment ID: I20090116000339
Provider NameYasmin J Khan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144424854
PECOS PAC ID: 7517021041
Enrollment ID: I20090128000567
Provider NameKimberly A Feehan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265684898
PECOS PAC ID: 1658435029
Enrollment ID: I20090129000357
Provider NameStephanie P Obrien
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932358868
PECOS PAC ID: 9032273214
Enrollment ID: I20090203000369
Provider NameKathryn L Houselog
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053577080
PECOS PAC ID: 9335203405
Enrollment ID: I20090204000504
Provider NameKristopher D Krueger
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1821013111
PECOS PAC ID: 3779647862
Enrollment ID: I20090204000633
Provider NameGretchen S Burk
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1831188549
PECOS PAC ID: 9739244690
Enrollment ID: I20090210000607
Provider NameMolly A Mcconnell
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1578523536
PECOS PAC ID: 2567527724
Enrollment ID: I20090223000329
Provider NameRobert W Werling
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1316930472
PECOS PAC ID: 1951466150
Enrollment ID: I20090224000044
Provider NameHolly B Gustafson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689842007
PECOS PAC ID: 5991861643
Enrollment ID: I20090304000229
Provider NameMary M Sharkey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770733347
PECOS PAC ID: 3577629880
Enrollment ID: I20090311000219
Provider NameJennifer L Lessin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215912530
PECOS PAC ID: 3577629823
Enrollment ID: I20090311000525
Provider NameStanley A Woolner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114989068
PECOS PAC ID: 8527125541
Enrollment ID: I20090318000686
Provider NameKristin A Witte
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013118173
PECOS PAC ID: 0143313882
Enrollment ID: I20090319000158
Provider NameMark C Wilczynski
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1326182551
PECOS PAC ID: 0648337006
Enrollment ID: I20090330000460
Provider NameChris J Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104800267
PECOS PAC ID: 1759448046
Enrollment ID: I20090401000416
Provider NameKarla S Rosenman
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1013943505
PECOS PAC ID: 7517900400
Enrollment ID: I20090402000241
Provider NameNicole M Larson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730342072
PECOS PAC ID: 7012064637
Enrollment ID: I20090416000224
Provider NameChad P Soupir
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1104875301
PECOS PAC ID: 0749292951
Enrollment ID: I20090422000664
Provider NameAaron J Meyer
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1770728461
PECOS PAC ID: 9537217724
Enrollment ID: I20090427000573
Provider NameFolashade A Ogunmodede
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528279858
PECOS PAC ID: 3971604315
Enrollment ID: I20090429000166
Provider NameGregory M Dukinfield
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740449560
PECOS PAC ID: 8729136825
Enrollment ID: I20090429000377
Provider NameCatherine C Newman
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1891773784
PECOS PAC ID: 2860540333
Enrollment ID: I20090511000573
Provider NameJacob P Hayman
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1720252299
PECOS PAC ID: 2961551312
Enrollment ID: I20090514000370
Provider NameNicole M Stelter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205079142
PECOS PAC ID: 4880743715
Enrollment ID: I20090522000223
Provider NameJohn J Obrien
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487631404
PECOS PAC ID: 8921158551
Enrollment ID: I20090602000555
Provider NameScott J Greenley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093860819
PECOS PAC ID: 2668544941
Enrollment ID: I20090615000343
Provider NameMarijo N Aguilera
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1316073448
PECOS PAC ID: 5092866517
Enrollment ID: I20090623000767
Provider NameBrian F Decesare
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1194871798
PECOS PAC ID: 5395811863
Enrollment ID: I20090625000117
Provider NameAjay Rawal
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1831281641
PECOS PAC ID: 3971654179
Enrollment ID: I20090630000063
Provider NameAlicia C Phillips
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1235365560
PECOS PAC ID: 5395897821
Enrollment ID: I20090715000087
Provider NameBenjamin J May
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1710172960
PECOS PAC ID: 0547313918
Enrollment ID: I20090803000113
Provider NameBranden G Duffey
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1598801235
PECOS PAC ID: 6507919537
Enrollment ID: I20090807000597
Provider NameJeanne N Gengerke
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1538351978
PECOS PAC ID: 5698828655
Enrollment ID: I20090810000057
Provider NameRichard D Wemer
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1316001688
PECOS PAC ID: 5991859969
Enrollment ID: I20090811000442
Provider NameDianna J Eastlick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356595466
PECOS PAC ID: 1254485220
Enrollment ID: I20090811000462
Provider NameSamuel A L Bugbee
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1073772893
PECOS PAC ID: 4082768577
Enrollment ID: I20090818000632
Provider NameJames J Wheeler
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1861565350
PECOS PAC ID: 7810041936
Enrollment ID: I20090824000436
Provider NameJacob Hodge
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1811158256
PECOS PAC ID: 3072668193
Enrollment ID: I20090825000751
Provider NameRobyn F Wetter
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1548390255
PECOS PAC ID: 5991873267
Enrollment ID: I20090826000147
Provider NameKristina Balck Sturgell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689866527
PECOS PAC ID: 6305991308
Enrollment ID: I20090826000919
Provider NameAngela M Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023248747
PECOS PAC ID: 4082769781
Enrollment ID: I20090902000050
Provider NameKene Gina Ogbogu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447424247
PECOS PAC ID: 8123173572
Enrollment ID: I20090908000602
Provider NameJulie M Farias
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538334081
PECOS PAC ID: 8628123874
Enrollment ID: I20090911000359
Provider NameDara D Koozekanani
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1265497556
PECOS PAC ID: 6305945783
Enrollment ID: I20090914000533
Provider NameAnn M Odonnell
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1023067204
PECOS PAC ID: 3274689336
Enrollment ID: I20090915000736
Provider NameAndrew L Schakel
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1659506996
PECOS PAC ID: 4981750858
Enrollment ID: I20090917000233
Provider NameMary K Murati
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134315039
PECOS PAC ID: 8022180769
Enrollment ID: I20090918000203
Provider NameRaena S Deperry
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1114018447
PECOS PAC ID: 5092896233
Enrollment ID: I20090921000015
Provider NameTina P Lavin
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1053439497
PECOS PAC ID: 6305992132
Enrollment ID: I20090921000452
Provider NameDanielle K Olson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467682161
PECOS PAC ID: 8628124310
Enrollment ID: I20090922000382
Provider NameMatthew C Turner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407043227
PECOS PAC ID: 9032265632
Enrollment ID: I20090923000598
Provider NameAllison Vargen Mikota
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1104053198
PECOS PAC ID: 8820134109
Enrollment ID: I20090930000671
Provider NameLisa Illig
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1235177932
PECOS PAC ID: 2365526472
Enrollment ID: I20091006000583
Provider NameKathryn A Choe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700019122
PECOS PAC ID: 4789720574
Enrollment ID: I20091008000285
Provider NameSuzanne M Burnett
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1528277076
PECOS PAC ID: 9032255757
Enrollment ID: I20091012000193
Provider NameCarol L Rue
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1316094626
PECOS PAC ID: 1759427479
Enrollment ID: I20091012000208
Provider NameKathryn H Layon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124087275
PECOS PAC ID: 9638215296
Enrollment ID: I20091013000127
Provider NameTracy A Schloemer
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1528188976
PECOS PAC ID: 5890831341
Enrollment ID: I20091014000148
Provider NameKari E Urberg-carlson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1174672471
PECOS PAC ID: 3476699836
Enrollment ID: I20091015000335
Provider NameTina M Fausett
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1871721514
PECOS PAC ID: 2062558422
Enrollment ID: I20091015000389
Provider NameKelly A Yaeger
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1134358856
PECOS PAC ID: 8921145103
Enrollment ID: I20091020000584
Provider NameJayson R Pereira
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104036912
PECOS PAC ID: 2466552351
Enrollment ID: I20091022000032
Provider NameMelissa J Pellinen
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1427111723
PECOS PAC ID: 2860539731
Enrollment ID: I20091026000394
Provider NameAmy C Durtschi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194751362
PECOS PAC ID: 3173563210
Enrollment ID: I20091026000548
Provider NameErin Albert
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1417185646
PECOS PAC ID: 5991842742
Enrollment ID: I20091027000522
Provider NameBrian R Koller
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043295223
PECOS PAC ID: 7012054869
Enrollment ID: I20091027000593
Provider NameJason D Dukes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790914554
PECOS PAC ID: 9931246592
Enrollment ID: I20091030000210
Provider NameScott J Hoffman
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1316197809
PECOS PAC ID: 0143367730
Enrollment ID: I20091030000490
Provider NameKristina O Schaus
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902068422
PECOS PAC ID: 7012055544
Enrollment ID: I20091103000573
Provider NameKari L Unke
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1760606198
PECOS PAC ID: 9830237007
Enrollment ID: I20091109000207
Provider NameLina Daugela
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245419134
PECOS PAC ID: 5395883409
Enrollment ID: I20091110000707
Provider NameJennifer M Demma
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1740264597
PECOS PAC ID: 4981742798
Enrollment ID: I20091117000061
Provider NameJana K Haxton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922261338
PECOS PAC ID: 3375681026
Enrollment ID: I20091117000540
Provider NameRalph S Bovard
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1194785279
PECOS PAC ID: 5890834857
Enrollment ID: I20091203000696
Provider NameLisa C Beckstrom
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1417019035
PECOS PAC ID: 7315087871
Enrollment ID: I20091215000321
Provider NameSteven F Duane
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1104801455
PECOS PAC ID: 3678614237
Enrollment ID: I20100105000646
Provider NameSusan M Salmi
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1902829211
PECOS PAC ID: 4486795838
Enrollment ID: I20100106000834
Provider NameJeffrey A Sczublewski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891772497
PECOS PAC ID: 5991846156
Enrollment ID: I20100109000317
Provider NameStephen K Leenay
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770568594
PECOS PAC ID: 9436290699
Enrollment ID: I20100109000339
Provider NameKari L Mattson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093791196
PECOS PAC ID: 6204977465
Enrollment ID: I20100109000395
Provider NameSamuel J Dardick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992789176
PECOS PAC ID: 2668513821
Enrollment ID: I20100109000404
Provider NameLouis H Millman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013994136
PECOS PAC ID: 8820139017
Enrollment ID: I20100111000236
Provider NamePatricia A Sim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871570333
PECOS PAC ID: 4082755103
Enrollment ID: I20100111000507
Provider NameRobert S Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962486647
PECOS PAC ID: 5890836910
Enrollment ID: I20100111000518
Provider NameLily Ghuman Rodgers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093989899
PECOS PAC ID: 9931240058
Enrollment ID: I20100111000569
Provider NameMark D Seaburg
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790762391
PECOS PAC ID: 8527109651
Enrollment ID: I20100111000613
Provider NameJane A Nemecek
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1548248370
PECOS PAC ID: 5799827143
Enrollment ID: I20100122000319
Provider NameMindy T Anderson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1558599043
PECOS PAC ID: 6901948363
Enrollment ID: I20100122000401
Provider NameApril M Sherren
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1689651192
PECOS PAC ID: 6002958485
Enrollment ID: I20100122000601
Provider NameAaron J Timmerman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063498798
PECOS PAC ID: 9638211014
Enrollment ID: I20100122000611
Provider NameDale Petersen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841274255
PECOS PAC ID: 0446392823
Enrollment ID: I20100122000618
Provider NameKristi A Trostel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033195714
PECOS PAC ID: 0042352429
Enrollment ID: I20100122000647
Provider NameCynthia M Labayen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972588531
PECOS PAC ID: 4587706973
Enrollment ID: I20100122000657
Provider NameAlison A Eckhoff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326023771
PECOS PAC ID: 6204978695
Enrollment ID: I20100122000670
Provider NameMary Z Miley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518944693
PECOS PAC ID: 9931011574
Enrollment ID: I20100125000300
Provider NameJane J Oh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962489922
PECOS PAC ID: 2466594692
Enrollment ID: I20100126000418
Provider NameAnne M Rutledge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609852482
PECOS PAC ID: 5597807735
Enrollment ID: I20100126000465
Provider NameMartha L Guzman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750367660
PECOS PAC ID: 5395887533
Enrollment ID: I20100126000484
Provider NamePaul R Damrow
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1558345736
PECOS PAC ID: 9638211881
Enrollment ID: I20100126000540
Provider NameMark A Wilkowske
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1457338378
PECOS PAC ID: 1759374887
Enrollment ID: I20100126000555
Provider NameAileen Siekman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275519563
PECOS PAC ID: 1557403722
Enrollment ID: I20100126000771
Provider NameAnn M Kools
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871578419
PECOS PAC ID: 1456493626
Enrollment ID: I20100126000782
Provider NameJeremy S Springer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588641997
PECOS PAC ID: 0446392617
Enrollment ID: I20100126000792
Provider NamePaula A Deakins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700860533
PECOS PAC ID: 8224170402
Enrollment ID: I20100126000826
Provider NameTonya M Van Hee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194764936
PECOS PAC ID: 7214079490
Enrollment ID: I20100126000838
Provider NameCraig H Stibal
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1104803881
PECOS PAC ID: 3971645151
Enrollment ID: I20100126000910
Provider NameClinton W Swenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528045465
PECOS PAC ID: 4284776329
Enrollment ID: I20100127000584
Provider NameSteven M Connelly
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1508844432
PECOS PAC ID: 2567505514
Enrollment ID: I20100130000047
Provider NameGail C Lofness Steele
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962485409
PECOS PAC ID: 2365585312
Enrollment ID: I20100130000070
Provider NameChristine M Mccarthy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518943117
PECOS PAC ID: 2163565110
Enrollment ID: I20100130000088
Provider NameDavid A Druckman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1497730741
PECOS PAC ID: 4284777244
Enrollment ID: I20100130000152
Provider NameLarissa L Nelson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1861479875
PECOS PAC ID: 2466595426
Enrollment ID: I20100130000164
Provider NamePatricia A Jilek
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033193198
PECOS PAC ID: 1355484320
Enrollment ID: I20100130000313
Provider NameRebecca M Moxness
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1972580090
PECOS PAC ID: 7113060096
Enrollment ID: I20100201000124
Provider NameRobert J Tierney
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1992782882
PECOS PAC ID: 5698818409
Enrollment ID: I20100202000568
Provider NameDaniel W Watson
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1083691844
PECOS PAC ID: 9133262942
Enrollment ID: I20100202000580
Provider NameGreta B Chen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710964705
PECOS PAC ID: 5496898215
Enrollment ID: I20100202000599
Provider NameSally A Kline
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164406849
PECOS PAC ID: 2668515487
Enrollment ID: I20100202000614
Provider NameMary E Colbert
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1184601171
PECOS PAC ID: 7719020536
Enrollment ID: I20100202000654
Provider NameTimothy C Rajtora
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568447951
PECOS PAC ID: 0941343776
Enrollment ID: I20100202000709
Provider NameSalim A Kathawalla
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1760466676
PECOS PAC ID: 5092858829
Enrollment ID: I20100202000736
Provider NameEdward M Szklarczuk
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1861479859
PECOS PAC ID: 2961545793
Enrollment ID: I20100202000773
Provider NameWendy S Kroll
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1508841164
PECOS PAC ID: 0042353880
Enrollment ID: I20100202000785
Provider NameRamon P Sotto
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1972580454
PECOS PAC ID: 1456494293
Enrollment ID: I20100202000843
Provider NameJoseph F Rinowski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811973738
PECOS PAC ID: 8224171905
Enrollment ID: I20100203000305
Provider NameRonald G Mcgown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871579482
PECOS PAC ID: 9537202221
Enrollment ID: I20100203000339
Provider NameLaura N Olson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780661629
PECOS PAC ID: 0941343636
Enrollment ID: I20100203000375
Provider NameBarbara Schiefen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073590881
PECOS PAC ID: 5092858795
Enrollment ID: I20100203000402
Provider NameGregory S Damberg
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1205819745
PECOS PAC ID: 7719020411
Enrollment ID: I20100203000417
Provider NameKevin J Ose
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1518944461
PECOS PAC ID: 8325181027
Enrollment ID: I20100203000447
Provider NameKeith M Heaton
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1962485508
PECOS PAC ID: 5496898199
Enrollment ID: I20100203000462
Provider NameBernt J Helgaas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225011760
PECOS PAC ID: 7012050727
Enrollment ID: I20100203000493
Provider NameDennis K Showalter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477530996
PECOS PAC ID: 2466595178
Enrollment ID: I20100203000504
Provider NameJoan M Kovacovich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598740136
PECOS PAC ID: 1456494160
Enrollment ID: I20100203000515
Provider NameShey J Larson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982689881
PECOS PAC ID: 6406999127
Enrollment ID: I20100203000572
Provider NameDavid M Ross
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538135843
PECOS PAC ID: 0840388203
Enrollment ID: I20100203000786
Provider NameJun M Herrera
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1396759569
PECOS PAC ID: 2961546932
Enrollment ID: I20100215000827
Provider NameBethel Averbeck
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013987882
PECOS PAC ID: 5698819522
Enrollment ID: I20100216000717
Provider NamePaula K Skarda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942276993
PECOS PAC ID: 9830233774
Enrollment ID: I20100216000771
Provider NameFloyd E Knight
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1902871577
PECOS PAC ID: 6800930744
Enrollment ID: I20100216000804
Provider NameKamal K Sahgal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780660571
PECOS PAC ID: 4385788249
Enrollment ID: I20100216001015
Provider NameBruce E Burnett
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518944586
PECOS PAC ID: 9032021662
Enrollment ID: I20100222000159
Provider NameShannon M Neale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881671923
PECOS PAC ID: 5890839336
Enrollment ID: I20100222000165
Provider NamePeter E Dyrud
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1831174382
PECOS PAC ID: 6406990944
Enrollment ID: I20100222000188
Provider NameBrian C Grubbs
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1134105596
PECOS PAC ID: 3375687825
Enrollment ID: I20100222000234
Provider NameEdwin H Funk
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922083799
PECOS PAC ID: 8325182876
Enrollment ID: I20100222000289
Provider NameAnthony C Woolley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801873732
PECOS PAC ID: 0042354599
Enrollment ID: I20100222000307
Provider NameThomas A Jones
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1609850288
PECOS PAC ID: 0941344493
Enrollment ID: I20100222000320
Provider NameCraig J Malvey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679559066
PECOS PAC ID: 4880738343
Enrollment ID: I20100222000388
Provider NameLynn P Manning
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154308310
PECOS PAC ID: 0840334306
Enrollment ID: I20100222000436
Provider NameGlen P Carlson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245217231
PECOS PAC ID: 9830233303
Enrollment ID: I20100222000457
Provider NameSteven L Kind
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649255985
PECOS PAC ID: 7315082518
Enrollment ID: I20100226000251
Provider NameLaurie J Ritz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265418180
PECOS PAC ID: 2769527969
Enrollment ID: I20100226000270
Provider NameOmri Shochatovitz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750368270
PECOS PAC ID: 4183769391
Enrollment ID: I20100226000316
Provider NameZhen Zhen X Luo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053395681
PECOS PAC ID: 6608911680
Enrollment ID: I20100302000290
Provider NameEnsor E Transfeldt
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1700823671
PECOS PAC ID: 0840197695
Enrollment ID: I20100302000391
Provider NameKellee B Ott
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1154308153
PECOS PAC ID: 4981749991
Enrollment ID: I20100302000571
Provider NameAnthony J Deangelis
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1780668897
PECOS PAC ID: 0143365155
Enrollment ID: I20100302000593
Provider NamePatricia M Kane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295710861
PECOS PAC ID: 5597800508
Enrollment ID: I20100302000601
Provider NameRichard R Moore
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1861479834
PECOS PAC ID: 9133264146
Enrollment ID: I20100302000604
Provider NameJudith A Swauger
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1790762789
PECOS PAC ID: 0648315663
Enrollment ID: I20100302000659
Provider NameJanet M Schaffer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1275510067
PECOS PAC ID: 7810809456
Enrollment ID: I20100303000837
Provider NameJohn T Schousboe
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1811974637
PECOS PAC ID: 5698858793
Enrollment ID: I20100303001136
Provider NameMark K Thomas
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1336127992
PECOS PAC ID: 6002951852
Enrollment ID: I20100303001153
Provider NameMichael T Schueppert
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1346227071
PECOS PAC ID: 5890830665
Enrollment ID: I20100304000167
Provider NameAsra A Mohiuddin
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1346227444
PECOS PAC ID: 0143365916
Enrollment ID: I20100304000194
Provider NameSuzanne M Engstrom
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447235635
PECOS PAC ID: 1759426521
Enrollment ID: I20100304000220
Provider NameJohn J Degelau
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1063489375
PECOS PAC ID: 4789729435
Enrollment ID: I20100304001064
Provider NameDaniel J Schneider
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1164498317
PECOS PAC ID: 6002847977
Enrollment ID: I20100304001070
Provider NameSotirios A Parashos
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1104873314
PECOS PAC ID: 3072694413
Enrollment ID: I20100306000274
Provider NameMark D Erpelding
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659345445
PECOS PAC ID: 0547305104
Enrollment ID: I20100306000348
Provider NamePaul Bloomberg
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902878010
PECOS PAC ID: 2365587920
Enrollment ID: I20100306000351
Provider NameMarcia L Weimerskirch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467439240
PECOS PAC ID: 6901941426
Enrollment ID: I20100308000641
Provider NameMaria J Walde-douglas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316276454
PECOS PAC ID: 4880739390
Enrollment ID: I20100309000408
Provider NameChristine M Colbach
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1003880477
PECOS PAC ID: 8022153469
Enrollment ID: I20100309000936
Provider NameKara V Cundy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962473520
PECOS PAC ID: 7315082641
Enrollment ID: I20100310000984
Provider NameThomas A Kiefer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235113903
PECOS PAC ID: 8224163357
Enrollment ID: I20100315000835
Provider NameTed H Spooner
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1932188653
PECOS PAC ID: 2769517804
Enrollment ID: I20100315000952
Provider NameEllen M Devries
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902880735
PECOS PAC ID: 7810022852
Enrollment ID: I20100316001034
Provider NameMartha A Nance
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1457338592
PECOS PAC ID: 4981739851
Enrollment ID: I20100317000331
Provider NameCarrie P Noran Jaeger
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1053398008
PECOS PAC ID: 6901931641
Enrollment ID: I20100318000990
Provider NameRonald W Hewitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811989080
PECOS PAC ID: 1254243967
Enrollment ID: I20100319000200
Provider NameJodi K Milburn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083691158
PECOS PAC ID: 1355476771
Enrollment ID: I20100323000974
Provider NameBrooke A Vandyke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265418495
PECOS PAC ID: 2163557513
Enrollment ID: I20100324000336
Provider NameAlison M Lang
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1013992684
PECOS PAC ID: 2062548977
Enrollment ID: I20100330001224
Provider NameJonathan R Ray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619952389
PECOS PAC ID: 7719013630
Enrollment ID: I20100330001324
Provider NameSamuel B Emmons
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639154909
PECOS PAC ID: 2163558099
Enrollment ID: I20100330001339
Provider NameSue A Ravenscraft
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1194700864
PECOS PAC ID: 7911819552
Enrollment ID: I20100330001345
Provider NameDean A Kaihoi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942284013
PECOS PAC ID: 3072649839
Enrollment ID: I20100331000364
Provider NameSandra M Skovlund
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1770560252
PECOS PAC ID: 7012043888
Enrollment ID: I20100331000430
Provider NameKurt R Simpson
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1356328777
PECOS PAC ID: 3274669064
Enrollment ID: I20100331000676
Provider NameThomas W Martens
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275519860
PECOS PAC ID: 1850427659
Enrollment ID: I20100331000747
Provider NameTyler J Johnson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1205810868
PECOS PAC ID: 4082740808
Enrollment ID: I20100331000991
Provider NameCharles J Dorland
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104800804
PECOS PAC ID: 8426184169
Enrollment ID: I20100331001250
Provider NameRichard M Bergenstal
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1669459061
PECOS PAC ID: 7315859949
Enrollment ID: I20100331001264
Provider NameAmy F Brandl
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1396722591
PECOS PAC ID: 1153458617
Enrollment ID: I20100415000314
Provider NameMaren E Peterson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881678969
PECOS PAC ID: 9638206097
Enrollment ID: I20100416000578
Provider NamePaul G Johnson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1760466320
PECOS PAC ID: 6305973777
Enrollment ID: I20100416000665
Provider NameShannon M Kelly-schug
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891779567
PECOS PAC ID: 2062549363
Enrollment ID: I20100419000293
Provider NameAnn M Koehler
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1700820073
PECOS PAC ID: 7618878265
Enrollment ID: I20100420000676
Provider NamePraveen Reddy
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1720060775
PECOS PAC ID: 6901861582
Enrollment ID: I20100421000495
Provider NameMark W Depaolis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033193156
PECOS PAC ID: 2567599673
Enrollment ID: I20100421000851
Provider NameKimberly A Fitch
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164407144
PECOS PAC ID: 4688701642
Enrollment ID: I20100422000671
Provider NamePhilip D Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174507271
PECOS PAC ID: 3274660170
Enrollment ID: I20100426000206
Provider NamePhilip Alden Sidell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982759288
PECOS PAC ID: 2466589296
Enrollment ID: I20100427000339
Provider NameJennifer K Ross
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558347492
PECOS PAC ID: 5092842864
Enrollment ID: I20100427000708
Provider NameSteven J Carney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922085919
PECOS PAC ID: 0345377073
Enrollment ID: I20100428000585
Provider NameThomas F Varecka
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1669478723
PECOS PAC ID: 2062442601
Enrollment ID: I20100428000819
Provider NameJill E Kuyava
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225261902
PECOS PAC ID: 4183762123
Enrollment ID: I20100503000832
Provider NameChristine M Duncan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497730931
PECOS PAC ID: 3072641380
Enrollment ID: I20100506000932
Provider NameKathleen J Muffly
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760469894
PECOS PAC ID: 5496883720
Enrollment ID: I20100507000083
Provider NameSupriya Varadarajulu
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1780660969
PECOS PAC ID: 0547398661
Enrollment ID: I20100511001029
Provider NameEdward K Feinstein
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245293000
PECOS PAC ID: 4486782422
Enrollment ID: I20100512000298
Provider NameLeslie G Lofgren
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720049752
PECOS PAC ID: 5991833907
Enrollment ID: I20100512001036
Provider NameJohn A Sebas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275500233
PECOS PAC ID: 4880722800
Enrollment ID: I20100512001067
Provider NameSarah M Evert
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013992213
PECOS PAC ID: 2163550047
Enrollment ID: I20100513000816
Provider NameBernard S Harrison
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1306822374
PECOS PAC ID: 1759419583
Enrollment ID: I20100514000347
Provider NameThomas M Walsh
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1316924103
PECOS PAC ID: 4688586126
Enrollment ID: I20100514000648
Provider NameKristen R Radtke
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700861119
PECOS PAC ID: 8123156999
Enrollment ID: I20100514000756
Provider NameLisa L Benedetto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447213244
PECOS PAC ID: 1254469901
Enrollment ID: I20100517000757
Provider NameMarcia A Caron
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1285611137
PECOS PAC ID: 5698794485
Enrollment ID: I20100521000037
Provider NameMary C Blomberg
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1205813557
PECOS PAC ID: 8527197029
Enrollment ID: I20100521000068
Provider NameKeena Y Leung
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1033194352
PECOS PAC ID: 5698804029
Enrollment ID: I20100524000678
Provider NameSteven C Link
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720013436
PECOS PAC ID: 5890690549
Enrollment ID: I20100525000493
Provider NameKendall J Strand
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518987668
PECOS PAC ID: 3577468222
Enrollment ID: I20100525000619
Provider NameSerena Rosen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902882830
PECOS PAC ID: 1850420902
Enrollment ID: I20100527000482
Provider NameFrederick R Arnason
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477530004
PECOS PAC ID: 2264561349
Enrollment ID: I20100527000808
Provider NameCamille A Earles
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386629830
PECOS PAC ID: 9335278290
Enrollment ID: I20100602000645
Provider NameScott F Mcdaniel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700853967
PECOS PAC ID: 9032248844
Enrollment ID: I20100603000238
Provider NameAlison E L Schini
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1144207952
PECOS PAC ID: 3375672116
Enrollment ID: I20100603000555
Provider NameHaritha R Katta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053388363
PECOS PAC ID: 5799814547
Enrollment ID: I20100603000745
Provider NameJason M Robertson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972575256
PECOS PAC ID: 7416086285
Enrollment ID: I20100603000884
Provider NameKimberely K Swain De Pop
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972575074
PECOS PAC ID: 2769511534
Enrollment ID: I20100603000923
Provider NameJulie A Rice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437135043
PECOS PAC ID: 4587709506
Enrollment ID: I20100604000402
Provider NameLawrence D Deshaw
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326005976
PECOS PAC ID: 3476683293
Enrollment ID: I20100604000604
Provider NameRandolph W Hurley
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1033184239
PECOS PAC ID: 7719017334
Enrollment ID: I20100608000897
Provider NameColleen T Morton
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1770557159
PECOS PAC ID: 8123158615
Enrollment ID: I20100609000911
Provider NameEileen M Worrell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770675126
PECOS PAC ID: 4385774611
Enrollment ID: I20100614000536
Provider NameRewati Teeparti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902872047
PECOS PAC ID: 3577693712
Enrollment ID: I20100614000782
Provider NameTerrence J Maag
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407821754
PECOS PAC ID: 6608906771
Enrollment ID: I20100616000546
Provider NameThomas L Vonsternberg
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1104885441
PECOS PAC ID: 4789714890
Enrollment ID: I20100616000938
Provider NameS Folley Dunna
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861473118
PECOS PAC ID: 7315078086
Enrollment ID: I20100623000950
Provider NameKeith R Harmon
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1003892860
PECOS PAC ID: 0244120954
Enrollment ID: I20100624000101
Provider NameErin C Hanrahan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1255658241
PECOS PAC ID: 0547391195
Enrollment ID: I20100626000324
Provider NameClare L Macdonald-sexton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043443500
PECOS PAC ID: 3072644343
Enrollment ID: I20100630000456
Provider NameApril E Colby
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1336127265
PECOS PAC ID: 1951432905
Enrollment ID: I20100708000511
Provider NameChristina M Kelly-jackels
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598096885
PECOS PAC ID: 6507998408
Enrollment ID: I20100712000638
Provider NameDaniel H Lussenhop
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1861476491
PECOS PAC ID: 6204968530
Enrollment ID: I20100721000768
Provider NameVirginia L Kakacek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134107923
PECOS PAC ID: 1658404736
Enrollment ID: I20100727000856
Provider NameAmy B Spomer
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1285611673
PECOS PAC ID: 5991838971
Enrollment ID: I20100727000915
Provider NameWilfrido R Castaneda
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1780720433
PECOS PAC ID: 7113050105
Enrollment ID: I20100727001115
Provider NameCynthia A Schlick
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1376529990
PECOS PAC ID: 9335181932
Enrollment ID: I20100728001215
Provider NameAndrew A Rzepka
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1740266527
PECOS PAC ID: 0244363133
Enrollment ID: I20100728001257
Provider NameBabatunde A Adekola
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1184856692
PECOS PAC ID: 7810021938
Enrollment ID: I20100811000636
Provider NameApril Kramer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316260656
PECOS PAC ID: 7810021441
Enrollment ID: I20100817001546
Provider NameJoni R Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730280678
PECOS PAC ID: 9234253139
Enrollment ID: I20100830000620
Provider NameShih-an Hsieh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003076290
PECOS PAC ID: 1557485497
Enrollment ID: I20100830001137
Provider NameThomas M Scaramuzza
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1649257437
PECOS PAC ID: 4486778081
Enrollment ID: I20100903000323
Provider NameNila Suntharam
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1891772877
PECOS PAC ID: 5991829590
Enrollment ID: I20100903000362
Provider NameElizabeth A Frankman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1821297987
PECOS PAC ID: 8729103106
Enrollment ID: I20100909000610
Provider NameKaisa L Johnson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1821072992
PECOS PAC ID: 1951426154
Enrollment ID: I20100910001059
Provider NameGregory G Mevissen
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1295763837
PECOS PAC ID: 8628165891
Enrollment ID: I20100910001096
Provider NameLisa M Dekam
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912233859
PECOS PAC ID: 7113042193
Enrollment ID: I20100914000991
Provider NameDaniel J Virnig
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1801072830
PECOS PAC ID: 0648395657
Enrollment ID: I20100914001332
Provider NamePamela S Kaplan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447582028
PECOS PAC ID: 0749305431
Enrollment ID: I20100917001065
Provider NameSheila K Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417012253
PECOS PAC ID: 7012033533
Enrollment ID: I20100921001534
Provider NameAdelaide J Charlton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548247539
PECOS PAC ID: 9133245574
Enrollment ID: I20100923000247
Provider NameJulie L Sumstad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184601163
PECOS PAC ID: 5799801999
Enrollment ID: I20100924000920
Provider NameJennifer M Williams
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194917302
PECOS PAC ID: 1355467507
Enrollment ID: I20100925000196
Provider NameAnna R Mcnanley
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1144230889
PECOS PAC ID: 5496847436
Enrollment ID: I20100927000322
Provider NameDaniel J Kuyper
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1013054386
PECOS PAC ID: 2860518990
Enrollment ID: I20100927000894
Provider NameJonathan T Pribila
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1407974561
PECOS PAC ID: 8426174483
Enrollment ID: I20100927001378
Provider NameJames M Welters
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992786735
PECOS PAC ID: 7517859465
Enrollment ID: I20100927001500
Provider NameStephanie M Lindberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992780217
PECOS PAC ID: 6204952088
Enrollment ID: I20100929001059
Provider NameJenifer Lynn Hensel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730493867
PECOS PAC ID: 3870785348
Enrollment ID: I20101004000407
Provider NameTanya M Kern
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1699759365
PECOS PAC ID: 9335331727
Enrollment ID: I20101004000775
Provider NameAdam J Loavenbruck
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1932392016
PECOS PAC ID: 2365634599
Enrollment ID: I20101006001125
Provider NameErin R Michael
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457663346
PECOS PAC ID: 5698967750
Enrollment ID: I20101007000370
Provider NameMatthew W Tsang
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1821281338
PECOS PAC ID: 2668664475
Enrollment ID: I20101012001165
Provider NameJeannie Larson
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1164406369
PECOS PAC ID: 6507808102
Enrollment ID: I20101013000605
Provider NameSuzanne F Permuth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265416572
PECOS PAC ID: 6608069836
Enrollment ID: I20101020001214
Provider NameAnders L Carlson
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1720254725
PECOS PAC ID: 9032302278
Enrollment ID: I20101020001391
Provider NameKeith F Tyler
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1922206036
PECOS PAC ID: 1658472154
Enrollment ID: I20101021001120
Provider NameAnnemarie K Ellgaard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922083302
PECOS PAC ID: 0648463695
Enrollment ID: I20101021001387
Provider NameCarol J Featherstone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528044252
PECOS PAC ID: 5890988760
Enrollment ID: I20101023000170
Provider NameBeth M Brandenburg
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1104961143
PECOS PAC ID: 3678767084
Enrollment ID: I20101029000902
Provider NameMarcus A Westerman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427103290
PECOS PAC ID: 9032303383
Enrollment ID: I20101030000177
Provider NameGautam K Pai
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972580975
PECOS PAC ID: 9739140120
Enrollment ID: I20101102001051
Provider NameGretchen M Ibele
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1225004385
PECOS PAC ID: 0749181147
Enrollment ID: I20101102001548
Provider NameSusan M Swedenburg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144207184
PECOS PAC ID: 7810181856
Enrollment ID: I20101103000602
Provider NameScott L Glickstein
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1508842279
PECOS PAC ID: 9234323270
Enrollment ID: I20101103000643
Provider NameThomas J Mcnanley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1336226679
PECOS PAC ID: 3274577416
Enrollment ID: I20101104000114
Provider NameAaron F Brosam
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1427249234
PECOS PAC ID: 6608060439
Enrollment ID: I20101104001635
Provider NameHeideh Sarfehjoo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992984231
PECOS PAC ID: 2769677590
Enrollment ID: I20101105001266
Provider NameNathan E Lueck
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1306056064
PECOS PAC ID: 6608061189
Enrollment ID: I20101110000206
Provider NameRae Williams
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205806254
PECOS PAC ID: 1557556842
Enrollment ID: I20101111001554
Provider NameKathy A Wagle
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1912983727
PECOS PAC ID: 4486849569
Enrollment ID: I20101115000930
Provider NameJason C Carvalho
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1659494342
PECOS PAC ID: 8022163781
Enrollment ID: I20101116000462
Provider NameKari Gv Messner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801089701
PECOS PAC ID: 8628263688
Enrollment ID: I20101116000736
Provider NameLinda W Nagel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1649257783
PECOS PAC ID: 0143416842
Enrollment ID: I20101119001002
Provider NameRoderick Adams
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659345619
PECOS PAC ID: 2466648738
Enrollment ID: I20101129000546
Provider NameEmmy C Earp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134355365
PECOS PAC ID: 2466649454
Enrollment ID: I20101202000971
Provider NameNicolai Alan Esala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922238245
PECOS PAC ID: 0840487856
Enrollment ID: I20101202001196
Provider NameVidu Bala Mokkala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396918207
PECOS PAC ID: 0547457566
Enrollment ID: I20101202001249
Provider NameCourtney J Baechler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710021175
PECOS PAC ID: 7214124916
Enrollment ID: I20101207001003
Provider NameAlison Adams
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1467484014
PECOS PAC ID: 7517059090
Enrollment ID: I20101210000222
Provider NameSteven T Oncay
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1518944511
PECOS PAC ID: 3274542626
Enrollment ID: I20101215000486
Provider NameJocelyn M Rieder
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1245456896
PECOS PAC ID: 4284783598
Enrollment ID: I20101223000201
Provider NameMarianne S Liu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407079973
PECOS PAC ID: 8224184791
Enrollment ID: I20110105000759
Provider NameMatthew M Kang
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1427134865
PECOS PAC ID: 1153510847
Enrollment ID: I20110111000965
Provider NameAnne M Furuseth
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1578773107
PECOS PAC ID: 4688863236
Enrollment ID: I20110112000782
Provider NameAngela K Vanderheyden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255647798
PECOS PAC ID: 0840489225
Enrollment ID: I20110117000241
Provider NameKatherine A Biebl-duckworth
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1780876987
PECOS PAC ID: 7719166982
Enrollment ID: I20110120000982
Provider NameElizabeth A Abell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568777274
PECOS PAC ID: 4789863788
Enrollment ID: I20110124000335
Provider NameDaniel M Anderson
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1710949920
PECOS PAC ID: 1153340435
Enrollment ID: I20110124000416
Provider NameSalma S Mohsin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194799213
PECOS PAC ID: 4486614435
Enrollment ID: I20110126001175
Provider NameTeresa K Mallow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396055851
PECOS PAC ID: 5698955821
Enrollment ID: I20110204000960
Provider NameStephen Lukasewycz
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1891989422
PECOS PAC ID: 8325194467
Enrollment ID: I20110209001039
Provider NamePatricia A Sorensen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275786105
PECOS PAC ID: 4981885969
Enrollment ID: I20110223001153
Provider NameCarrie E R Sauter
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1073824090
PECOS PAC ID: 3476734096
Enrollment ID: I20110301001142
Provider NameKristen P Hook
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1053465641
PECOS PAC ID: 1759563265
Enrollment ID: I20110304000303
Provider NameAnn G Coumbe
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1235370008
PECOS PAC ID: 7113109687
Enrollment ID: I20110305000056
Provider NameSonia Karimi Zechmann
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093949273
PECOS PAC ID: 0244412450
Enrollment ID: I20110309000743
Provider NameScott Wissink
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1942425061
PECOS PAC ID: 1850482993
Enrollment ID: I20110311000249
Provider NameVictor Menchaca
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1255633913
PECOS PAC ID: 0840473682
Enrollment ID: I20110331000560
Provider NameChristopher D Carter
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1346430592
PECOS PAC ID: 2860676673
Enrollment ID: I20110401000615
Provider NameLaura J Kolar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710282165
PECOS PAC ID: 2961686704
Enrollment ID: I20110404000086
Provider NameDylan M Zylla
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1356560882
PECOS PAC ID: 2365626082
Enrollment ID: I20110405000153
Provider NameBrenda Lw Abraham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255302642
PECOS PAC ID: 1759565153
Enrollment ID: I20110408000582
Provider NameAnn Chinnakotla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447259395
PECOS PAC ID: 9032172424
Enrollment ID: I20110411000685
Provider NameJohn P Reed
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952366338
PECOS PAC ID: 4486795259
Enrollment ID: I20110412001018
Provider NameHeidi L Holle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134425341
PECOS PAC ID: 3375727415
Enrollment ID: I20110413000872
Provider NameAnge M Krause
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083808786
PECOS PAC ID: 8325223902
Enrollment ID: I20110425000740
Provider NameKarla J Paul
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1679550636
PECOS PAC ID: 6608051131
Enrollment ID: I20110427000680
Provider NameBenji K Mathews
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750616157
PECOS PAC ID: 6608052147
Enrollment ID: I20110517000484
Provider NameNataliya Ishkova-volovets
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780999177
PECOS PAC ID: 1951587120
Enrollment ID: I20110524000353
Provider NameJulie Laidig
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609068832
PECOS PAC ID: 1153464433
Enrollment ID: I20110524000761
Provider NameLemuel Vawter
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447400312
PECOS PAC ID: 8426235912
Enrollment ID: I20110609000685
Provider NameDon R Schroeder
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497809503
PECOS PAC ID: 4880872779
Enrollment ID: I20110623000516
Provider NameSara A Spilseth
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528229754
PECOS PAC ID: 1153509864
Enrollment ID: I20110629000091
Provider NameKarla J Nockleby
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669615613
PECOS PAC ID: 3375721939
Enrollment ID: I20110629000722
Provider NameRaymond M Rivas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669709846
PECOS PAC ID: 9436337854
Enrollment ID: I20110706000391
Provider NameMichael David Segal
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1578585121
PECOS PAC ID: 9234319583
Enrollment ID: I20110721000258
Provider NameNatalia Dorf-biderman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548453947
PECOS PAC ID: 8022286764
Enrollment ID: I20110722000493
Provider NameAnkit Mehta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487810792
PECOS PAC ID: 4880862481
Enrollment ID: I20110726000868
Provider NameAli E Peterson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720259179
PECOS PAC ID: 5193994481
Enrollment ID: I20110802000662
Provider NameJill R Leer
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1396052338
PECOS PAC ID: 5698944841
Enrollment ID: I20110804000671
Provider NameGrace A Totoe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538335302
PECOS PAC ID: 3072782929
Enrollment ID: I20110809000860
Provider NameMarifel Mitzi F Fernandez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881858439
PECOS PAC ID: 3870667389
Enrollment ID: I20110811000780
Provider NameCarissa A Kucala
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1831480607
PECOS PAC ID: 9830368588
Enrollment ID: I20110815000067
Provider NameBryan J Trottier
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1659550309
PECOS PAC ID: 1951571082
Enrollment ID: I20110829000642
Provider NameChad M Kofoed
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841588753
PECOS PAC ID: 9638349699
Enrollment ID: I20110830000368
Provider NameDavid M Tridgell
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1144401720
PECOS PAC ID: 0345410213
Enrollment ID: I20110901000173
Provider NameVanessa N Handler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942492764
PECOS PAC ID: 1153591029
Enrollment ID: I20110901000188
Provider NameAmanda J Christ
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568788347
PECOS PAC ID: 5597935478
Enrollment ID: I20110901000335
Provider NameDavid Anthony Brokl
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1306068150
PECOS PAC ID: 8921278698
Enrollment ID: I20110907001292
Provider NameJames W Clark
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1306824255
PECOS PAC ID: 4183894868
Enrollment ID: I20110907001450
Provider NameKatherine A Paulsen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1144516576
PECOS PAC ID: 9436320959
Enrollment ID: I20110913000910
Provider NameDaniel W Giles
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487988903
PECOS PAC ID: 7618148875
Enrollment ID: I20110919000753
Provider NameNicole L Ulrich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093032484
PECOS PAC ID: 3779754833
Enrollment ID: I20110921000250
Provider NameKevin J Kirlin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619181518
PECOS PAC ID: 9537155890
Enrollment ID: I20110922000716
Provider NameKathleen J Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609965854
PECOS PAC ID: 4981875879
Enrollment ID: I20110926000845
Provider NameSara A Hoff
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1740453687
PECOS PAC ID: 1052582954
Enrollment ID: I20110926000877
Provider NameLydia M Greis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578859518
PECOS PAC ID: 8426229220
Enrollment ID: I20110928000337
Provider NameVanessa L Knoedler
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1659678753
PECOS PAC ID: 9739351438
Enrollment ID: I20110930000149
Provider NameGillian H Luscri
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245407097
PECOS PAC ID: 5193997625
Enrollment ID: I20111005000778
Provider NameChristina M Gonzaga
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1609197052
PECOS PAC ID: 3375715816
Enrollment ID: I20111005000914
Provider NameHilary M Hammell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386963296
PECOS PAC ID: 7214109313
Enrollment ID: I20111014000308
Provider NameAmber Marie Winkelman
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1235457763
PECOS PAC ID: 2567634660
Enrollment ID: I20111014000343
Provider NameAnthony T Vonruden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871880328
PECOS PAC ID: 5597938217
Enrollment ID: I20111025000586
Provider NameChrisanne Kae Timpe Dupuis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972795060
PECOS PAC ID: 7113190596
Enrollment ID: I20111031000450
Provider NameDiane E Muenchow
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124274956
PECOS PAC ID: 0840463253
Enrollment ID: I20111031000714
Provider NameJennifer M Vesely
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124346465
PECOS PAC ID: 8820261167
Enrollment ID: I20111101000454
Provider NameJanet W Chen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053476804
PECOS PAC ID: 9234302506
Enrollment ID: I20111101000772
Provider NameBryan Bohling
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356307250
PECOS PAC ID: 3072572999
Enrollment ID: I20111102000602
Provider NameHeidi L Thorson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982742870
PECOS PAC ID: 9032217047
Enrollment ID: I20111103000336
Provider NameLaura E Broder
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881858363
PECOS PAC ID: 5799958989
Enrollment ID: I20111103000635
Provider NameRoger Lee Parlanti
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134241920
PECOS PAC ID: 3476637893
Enrollment ID: I20111110000393
Provider NameKimberly A Walsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427341247
PECOS PAC ID: 8729252333
Enrollment ID: I20111116000883
Provider NameMarijane S Hauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801176078
PECOS PAC ID: 3779758693
Enrollment ID: I20111205000564
Provider NameTravis C Gunderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740591700
PECOS PAC ID: 8729253224
Enrollment ID: I20111212000823
Provider NameSteven M Rakes
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1285619684
PECOS PAC ID: 7012182462
Enrollment ID: I20111213000622
Provider NameMelissa Samuelsson
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1548273303
PECOS PAC ID: 2466647045
Enrollment ID: I20111214000905
Provider NameNathan T Chomilo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063656593
PECOS PAC ID: 1456527456
Enrollment ID: I20111221000566
Provider NameNicholas J Schneider
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598049603
PECOS PAC ID: 7719153550
Enrollment ID: I20111229000269
Provider NameTanya M Simpson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1447535703
PECOS PAC ID: 6204002579
Enrollment ID: I20120109000427
Provider NameDanica L Holscher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770861585
PECOS PAC ID: 7810163102
Enrollment ID: I20120109000711
Provider NameAmy E Martinez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013285667
PECOS PAC ID: 3173790920
Enrollment ID: I20120118000595
Provider NameChristopher J Chow
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1295908036
PECOS PAC ID: 7719154467
Enrollment ID: I20120119000911
Provider NameTenbit Emiru
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1598957409
PECOS PAC ID: 9032376348
Enrollment ID: I20120127000908
Provider NameNicole T Lowe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023014438
PECOS PAC ID: 1355403064
Enrollment ID: I20120130000448
Provider NameAndrew A Hamp
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821259110
PECOS PAC ID: 2668639709
Enrollment ID: I20120201000709
Provider NameJonathan D Shelver
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1407174857
PECOS PAC ID: 8022275908
Enrollment ID: I20120203000597
Provider NameKelly J Hayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538446083
PECOS PAC ID: 2062679756
Enrollment ID: I20120208000474
Provider NameJodi A Reddan
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1659650745
PECOS PAC ID: 0042486227
Enrollment ID: I20120214000703
Provider NameAbimbola Olajumoke Osagie
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457516734
PECOS PAC ID: 9133294127
Enrollment ID: I20120327000499
Provider NameRyan C Van Wyk
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1922133917
PECOS PAC ID: 0446410542
Enrollment ID: I20120328000035
Provider NameSelamawit Kifleyesus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548539174
PECOS PAC ID: 4486814472
Enrollment ID: I20120329000022
Provider NameSusan B Zhang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508122169
PECOS PAC ID: 4082876834
Enrollment ID: I20120424000589
Provider NameSteven Greer
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1326136714
PECOS PAC ID: 6103843743
Enrollment ID: I20120425000441
Provider NameLinnea K Will
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285950360
PECOS PAC ID: 4486818838
Enrollment ID: I20120614000468
Provider NameDina M Hirsch
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1568584092
PECOS PAC ID: 9234394883
Enrollment ID: I20120703000642
Provider NameJodi M Arns
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376818328
PECOS PAC ID: 0244496438
Enrollment ID: I20120716000046
Provider NameNissa Erickson Geisness
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1467776344
PECOS PAC ID: 3779743943
Enrollment ID: I20120718000720
Provider NameGloria A Ramirez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326275157
PECOS PAC ID: 5294991253
Enrollment ID: I20120720000039
Provider NameAmanda N Delsman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1336402098
PECOS PAC ID: 2365608148
Enrollment ID: I20120723000819
Provider NameGene W Chen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1790836633
PECOS PAC ID: 1456429968
Enrollment ID: I20120801000651
Provider NameLaura B Wilczynski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285646513
PECOS PAC ID: 0749296267
Enrollment ID: I20120801000657
Provider NameKristine L Sanow
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1629236757
PECOS PAC ID: 1759537947
Enrollment ID: I20120802000736
Provider NameMatthew S Johnson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1558593004
PECOS PAC ID: 5294905469
Enrollment ID: I20120814000025
Provider NameKristin N Ritter
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1902040637
PECOS PAC ID: 0941457121
Enrollment ID: I20120822000649
Provider NameAlexis K Christie
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1871522854
PECOS PAC ID: 7214184431
Enrollment ID: I20120823000197
Provider NameDavid Michael Williams
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1700013539
PECOS PAC ID: 0042467912
Enrollment ID: I20120828000661
Provider NameBarbara Roth
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164533741
PECOS PAC ID: 9133171374
Enrollment ID: I20120830000571
Provider NameErich N Bryan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740459551
PECOS PAC ID: 5799932489
Enrollment ID: I20120831000495
Provider NameJessica P Holland
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760539621
PECOS PAC ID: 2769518596
Enrollment ID: I20120831000533
Provider NameIsaac T Marsolek
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1073788519
PECOS PAC ID: 0345497897
Enrollment ID: I20120906000078
Provider NameLisa M Elstad
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235371667
PECOS PAC ID: 2860640307
Enrollment ID: I20120907000311
Provider NameTaiwo N Ngwa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619262110
PECOS PAC ID: 9830347061
Enrollment ID: I20120913000365
Provider NameJeannette A Heidlberg
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1417198839
PECOS PAC ID: 2365690484
Enrollment ID: I20120914000600
Provider NameAndrew E Schneider
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1942596820
PECOS PAC ID: 4486802428
Enrollment ID: I20120917000134
Provider NameErica Grinager
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1427218650
PECOS PAC ID: 3375792955
Enrollment ID: I20120926000479
Provider NameHans S. Grinager
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1134389463
PECOS PAC ID: 7416106968
Enrollment ID: I20120927000434
Provider NameLisa C Lynch Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790051894
PECOS PAC ID: 5597914614
Enrollment ID: I20121005000154
Provider NameMatthew Banfield
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1780762252
PECOS PAC ID: 6901998608
Enrollment ID: I20121019000357
Provider NameTonia A Poirier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538422175
PECOS PAC ID: 0840440194
Enrollment ID: I20121022000537
Provider NameLarisa Sotinsky Speetzen
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1215199963
PECOS PAC ID: 7214082478
Enrollment ID: I20121023000032
Provider NameChristine M Kroll
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477827236
PECOS PAC ID: 6507016755
Enrollment ID: I20121024000105
Provider NameKathryn C Schulz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215285747
PECOS PAC ID: 5496905697
Enrollment ID: I20121024000653
Provider NameKelly D Sander
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821389677
PECOS PAC ID: 1759531965
Enrollment ID: I20121024000775
Provider NameHeather A Hawkinson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043569924
PECOS PAC ID: 5991955080
Enrollment ID: I20121026000070
Provider NameAnna F Valerio
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255526968
PECOS PAC ID: 0143394445
Enrollment ID: I20121026000314
Provider NameMaiken A Strohm
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932492055
PECOS PAC ID: 9739339664
Enrollment ID: I20121030000211
Provider NameChristine M Pui
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1093042855
PECOS PAC ID: 6002066958
Enrollment ID: I20121030000444
Provider NameStephen D Jost
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376779207
PECOS PAC ID: 0840440731
Enrollment ID: I20121031000279
Provider NameAmy J Bidinger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285999441
PECOS PAC ID: 8123279726
Enrollment ID: I20121107000633
Provider NameMegan A Misgen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295094001
PECOS PAC ID: 8224289632
Enrollment ID: I20121113000085
Provider NameRachel M Leake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811252398
PECOS PAC ID: 7113178526
Enrollment ID: I20121113000106
Provider NameLaura A Schreiner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124373105
PECOS PAC ID: 4688825011
Enrollment ID: I20121113000356
Provider NamePunit D Wadhwa
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1558376996
PECOS PAC ID: 0446401723
Enrollment ID: I20121114000277
Provider NameAndrea J Greseth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134437353
PECOS PAC ID: 7113178344
Enrollment ID: I20121115000242
Provider NameMichelle A Ugalde
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831440650
PECOS PAC ID: 5193976090
Enrollment ID: I20121126000525
Provider NameMelissa A Magnuson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952658825
PECOS PAC ID: 6901057819
Enrollment ID: I20121126000546
Provider NameCaitlyn Ms Squire
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558610873
PECOS PAC ID: 0648422519
Enrollment ID: I20121129000278
Provider NameThomas J Maust
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629396619
PECOS PAC ID: 9133371891
Enrollment ID: I20121204000494
Provider NamePadma Yarrapureddy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043449663
PECOS PAC ID: 6002068616
Enrollment ID: I20121205000580
Provider NameMerry R Buckley Barnes
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1811265523
PECOS PAC ID: 3274700158
Enrollment ID: I20121206000191
Provider NameAmy M Perkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629323753
PECOS PAC ID: 5395997944
Enrollment ID: I20121206000447
Provider NameEllen A Sevenich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871842328
PECOS PAC ID: 4183876592
Enrollment ID: I20121212000000
Provider NameKristin L Spencer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396097069
PECOS PAC ID: 8224280482
Enrollment ID: I20121214000396
Provider NameKristen C Hancock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316273204
PECOS PAC ID: 6800937095
Enrollment ID: I20130104000522
Provider NameJoy C Laansma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659623999
PECOS PAC ID: 4486807070
Enrollment ID: I20130109000789
Provider NameGloria A Ayuck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124391461
PECOS PAC ID: 2769635135
Enrollment ID: I20130115000247
Provider NameRashi Arora
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205848892
PECOS PAC ID: 2668478801
Enrollment ID: I20130116000315
Provider NameGirish Luthra
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1659480564
PECOS PAC ID: 0446325294
Enrollment ID: I20130117000481
Provider NameRichard P Vandendolder
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1124375894
PECOS PAC ID: 7416100722
Enrollment ID: I20130118000154
Provider NameHina Rahman
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1114234986
PECOS PAC ID: 5890983647
Enrollment ID: I20130125000188
Provider NameVictor C Van Hee
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1134281892
PECOS PAC ID: 1759480122
Enrollment ID: I20130211000304
Provider NameKeith P Murphy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508007659
PECOS PAC ID: 4284889239
Enrollment ID: I20130225000283
Provider NameBalaji Krishnan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1477784288
PECOS PAC ID: 6204081615
Enrollment ID: I20130308000170
Provider NameNicole L Hildebrandt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578606737
PECOS PAC ID: 5991940181
Enrollment ID: I20130315000386
Provider NameHolly G Winters
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1811235104
PECOS PAC ID: 0345485835
Enrollment ID: I20130404000517
Provider NameBahram Hormozdi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1386800266
PECOS PAC ID: 6002051471
Enrollment ID: I20130408000264
Provider NameSarah E Jax
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164761979
PECOS PAC ID: 1658517024
Enrollment ID: I20130410000253
Provider NameNadiya Beliveau
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366694341
PECOS PAC ID: 8022283373
Enrollment ID: I20130418000329
Provider NameDanielle Hoffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588904569
PECOS PAC ID: 0547407082
Enrollment ID: I20130501000041
Provider NameJessica Sanchez-alfaro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821278953
PECOS PAC ID: 7719124155
Enrollment ID: I20130502000455
Provider NameKathryn Goodrich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780815399
PECOS PAC ID: 2769629005
Enrollment ID: I20130506000305
Provider NameMary B Wulf
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1396713277
PECOS PAC ID: 4385642438
Enrollment ID: I20130508000145
Provider NameJennifer A Hester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033450150
PECOS PAC ID: 0840437091
Enrollment ID: I20130508000271
Provider NameJenniefer E Boyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487992913
PECOS PAC ID: 2163669235
Enrollment ID: I20130508000567
Provider NameYing X Jin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295056497
PECOS PAC ID: 8123266962
Enrollment ID: I20130606000106
Provider NameParnjai J Johnson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1912903477
PECOS PAC ID: 5395636120
Enrollment ID: I20130606000551
Provider NameKristine N Feriancek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952689671
PECOS PAC ID: 1951572742
Enrollment ID: I20130610000040
Provider NameAmanda M Buzard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932543493
PECOS PAC ID: 0143469890
Enrollment ID: I20130610000749
Provider NameKerry L Krueger
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1073809943
PECOS PAC ID: 5395984686
Enrollment ID: I20130618000106
Provider NameLaura J Heinmiller
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1972837706
PECOS PAC ID: 3577702448
Enrollment ID: I20130625000818
Provider NameAdam B Jeffers
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1255539748
PECOS PAC ID: 8325293038
Enrollment ID: I20130702000112
Provider NameAmber Jane Ferguson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1427202092
PECOS PAC ID: 4284795212
Enrollment ID: I20130702000175
Provider NameMichael B Salmela
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487979167
PECOS PAC ID: 9830339829
Enrollment ID: I20130716000597
Provider NameKeith A Craig
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841434198
PECOS PAC ID: 0446490437
Enrollment ID: I20130716000622
Provider NameMolly M Lammie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841426848
PECOS PAC ID: 7416108394
Enrollment ID: I20130723000724
Provider NameJunqing Xin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558688184
PECOS PAC ID: 8325289911
Enrollment ID: I20130724000415
Provider NameErin M Scanlon
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1780902106
PECOS PAC ID: 6002057643
Enrollment ID: I20130724000969
Provider NameElisabeth J Mcclean
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003173469
PECOS PAC ID: 7113168766
Enrollment ID: I20130725000048
Provider NameAndrew S Nickels
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1922230101
PECOS PAC ID: 8224279799
Enrollment ID: I20130725000410
Provider NameMuralidhara Shankarapura Nanjappa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972759215
PECOS PAC ID: 0749421113
Enrollment ID: I20130726000595
Provider NameGerri L Clements
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1447696760
PECOS PAC ID: 2769623180
Enrollment ID: I20130729000206
Provider NameChristopher H Blevins
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1982967030
PECOS PAC ID: 0941446082
Enrollment ID: I20130802000684
Provider NameChristopher F Adams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649208240
PECOS PAC ID: 2668555418
Enrollment ID: I20130805000058
Provider NameJulia Velner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467891507
PECOS PAC ID: 4981846821
Enrollment ID: I20130806000562
Provider NameHaleigh A James
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1922362904
PECOS PAC ID: 3577709385
Enrollment ID: I20130806000800
Provider NameJoshua S Huelster
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154564615
PECOS PAC ID: 6507008257
Enrollment ID: I20130809000288
Provider NameSamar Malaeb
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1326216037
PECOS PAC ID: 8022250596
Enrollment ID: I20130813000312
Provider NameKellie C Lease Stecher
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1851529739
PECOS PAC ID: 8325280852
Enrollment ID: I20130813000894
Provider NameAmy T Moeller
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1578706610
PECOS PAC ID: 5496902561
Enrollment ID: I20130813000933
Provider NameMargaret B. Nolan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700148830
PECOS PAC ID: 9234375098
Enrollment ID: I20130814000919
Provider NameRamoncito A David
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1942563366
PECOS PAC ID: 5496991515
Enrollment ID: I20130819000794
Provider NameHans S Thurmer
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1295009280
PECOS PAC ID: 9739321886
Enrollment ID: I20130820000439
Provider NameAndrew S Houghton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578821997
PECOS PAC ID: 9739321829
Enrollment ID: I20130820000989
Provider NameWei Guan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1356597041
PECOS PAC ID: 0749423812
Enrollment ID: I20130821000903
Provider NameAmanda L Steele
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1225299266
PECOS PAC ID: 4981847985
Enrollment ID: I20130823000176
Provider NameDesiree A Mohandas
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1679837637
PECOS PAC ID: 9638315443
Enrollment ID: I20130823000613
Provider NameWojciech Kraszkiewicz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003134636
PECOS PAC ID: 1759524705
Enrollment ID: I20130823000772
Provider NameVibha Mbbs Kurdikar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1336343888
PECOS PAC ID: 0840345617
Enrollment ID: I20130828000388
Provider NameMichelle A Lowell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043659261
PECOS PAC ID: 2466696208
Enrollment ID: I20130918000491
Provider NameSean C Engel
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1518113646
PECOS PAC ID: 9234314386
Enrollment ID: I20130920000320
Provider NameYonatan Platt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346500923
PECOS PAC ID: 8729222179
Enrollment ID: I20130925000165
Provider NameGrace L Nimmons
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1225235625
PECOS PAC ID: 1557527280
Enrollment ID: I20130926000336
Provider NameKevin T Manzel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386903888
PECOS PAC ID: 7810131166
Enrollment ID: I20130926000489
Provider NameKayla K Borchert
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1780970756
PECOS PAC ID: 1658505417
Enrollment ID: I20131009002075
Provider NameSandra J Schultz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982848503
PECOS PAC ID: 0840424594
Enrollment ID: I20131011000442
Provider NameMorgan E Groth
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588982045
PECOS PAC ID: 8022242619
Enrollment ID: I20131015000949
Provider NameMatthew D Neuger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033474390
PECOS PAC ID: 2466686050
Enrollment ID: I20131015001017
Provider NameTina M Portillo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326359670
PECOS PAC ID: 7618101205
Enrollment ID: I20131015001094
Provider NameMatthew D Wise
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1295944932
PECOS PAC ID: 2961636568
Enrollment ID: I20131015001204
Provider NameAnna Golod Rakovshik
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1194772319
PECOS PAC ID: 2860404878
Enrollment ID: I20131017001069
Provider NameLaura M Furda-raine
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1912147075
PECOS PAC ID: 8224262688
Enrollment ID: I20131018000206
Provider NameDavid B Waggonner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1164600342
PECOS PAC ID: 0143353367
Enrollment ID: I20131021000897
Provider NameJean K Tiffany
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801154752
PECOS PAC ID: 4486889862
Enrollment ID: I20131022000268
Provider NameGregory Legrande Horsley
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1245439744
PECOS PAC ID: 2264667542
Enrollment ID: I20131022000408
Provider NameLisa M Zeman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740524867
PECOS PAC ID: 8628203841
Enrollment ID: I20131024000762
Provider NameDaniel B Hayward
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821380577
PECOS PAC ID: 7315172483
Enrollment ID: I20131025000474
Provider NameLaura M Gandrud Pickett
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1578522009
PECOS PAC ID: 1850374802
Enrollment ID: I20131113000506
Provider NameMaureen K Jaqua
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255658001
PECOS PAC ID: 8729214135
Enrollment ID: I20131113000677
Provider NameJames E Kuderer
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1972748119
PECOS PAC ID: 2365688017
Enrollment ID: I20131114000915
Provider NameErin E Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245664630
PECOS PAC ID: 3072749365
Enrollment ID: I20131114001212
Provider NameTerry Boksberger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689867129
PECOS PAC ID: 1557412046
Enrollment ID: I20131115000683
Provider NameAndrea J Berger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811323512
PECOS PAC ID: 8123254273
Enrollment ID: I20131119000728
Provider NameJill K Wellnitz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134552490
PECOS PAC ID: 3375779432
Enrollment ID: I20131119001257
Provider NameTania L Kelly
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457443384
PECOS PAC ID: 0345423323
Enrollment ID: I20131121000074
Provider NameShauna S Morrow
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427369776
PECOS PAC ID: 9032345913
Enrollment ID: I20131125000254
Provider NameKaren L Boortz
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1801235213
PECOS PAC ID: 6800022534
Enrollment ID: I20131202000356
Provider NameAllison Marie Donovan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1154750503
PECOS PAC ID: 1355577032
Enrollment ID: I20131203000249
Provider NameSarah J Nordberg
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1497090120
PECOS PAC ID: 8628204203
Enrollment ID: I20131204001805
Provider NameStefan P Collinet-adler
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1679751952
PECOS PAC ID: 9638356884
Enrollment ID: I20131209000028
Provider NameSakeena Futrell-carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982037313
PECOS PAC ID: 8921235391
Enrollment ID: I20131210000322
Provider NameVeronica L Barnes
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1902231988
PECOS PAC ID: 7517194764
Enrollment ID: I20131212001865
Provider NameCynthia Marie Wiltgen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841558178
PECOS PAC ID: 7315175833
Enrollment ID: I20140108000999
Provider NameMegan M Bona
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1326474578
PECOS PAC ID: 5799913133
Enrollment ID: I20140110001114
Provider NameMelissa A Adler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124312962
PECOS PAC ID: 5698903763
Enrollment ID: I20140117000363
Provider NameAbby K Lipanot
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1174945315
PECOS PAC ID: 3779711635
Enrollment ID: I20140123000046
Provider NameDaniel S Monroe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487075412
PECOS PAC ID: 4688803158
Enrollment ID: I20140203000383
Provider NameMatthew W Gorman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770874117
PECOS PAC ID: 0042449589
Enrollment ID: I20140204000815
Provider NameBen W Korrer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821343435
PECOS PAC ID: 3375799885
Enrollment ID: I20140204001369
Provider NameMark D Schroeckenstein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427101286
PECOS PAC ID: 7517114424
Enrollment ID: I20140224001651
Provider NameKrista L Siewert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538444062
PECOS PAC ID: 3870723562
Enrollment ID: I20140225000627
Provider NameJeffrey R Johnson
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1659548162
PECOS PAC ID: 9032349113
Enrollment ID: I20140312000106
Provider NameKathryn R Moore
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1689850794
PECOS PAC ID: 4082887021
Enrollment ID: I20140331001751
Provider NameA B M Masudur Rahman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295027514
PECOS PAC ID: 5496987364
Enrollment ID: I20140407002096
Provider NameNatalie L Yarbrough
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992120984
PECOS PAC ID: 2668604562
Enrollment ID: I20140408001000
Provider NameAli M Wells
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467877688
PECOS PAC ID: 2860624566
Enrollment ID: I20140411000882
Provider NamePaul Anderson
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1699960401
PECOS PAC ID: 0446482699
Enrollment ID: I20140422001859
Provider NameSheffey N Massey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609834365
PECOS PAC ID: 8426151937
Enrollment ID: I20140430001236
Provider NameLauren M Dick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376968537
PECOS PAC ID: 6901039833
Enrollment ID: I20140430001476
Provider NameAndrew Bunney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114246113
PECOS PAC ID: 5597998096
Enrollment ID: I20140508000511
Provider NameAlan W Johnson
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1831224641
PECOS PAC ID: 2163692229
Enrollment ID: I20140513001956
Provider NameJonathan P Williams
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003079112
PECOS PAC ID: 1153569710
Enrollment ID: I20140520002247
Provider NameKari M George
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1790101830
PECOS PAC ID: 8628291374
Enrollment ID: I20140527000818
Provider NameMaxine A Behm
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1588900054
PECOS PAC ID: 9335362912
Enrollment ID: I20140529001275
Provider NameAngela D Mucci
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1144517376
PECOS PAC ID: 0143443556
Enrollment ID: I20140603000595
Provider NameDaniel J Townsend
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649530163
PECOS PAC ID: 3072736404
Enrollment ID: I20140603001354
Provider NameErick S Jacobson-dunlop
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1538301973
PECOS PAC ID: 2365697281
Enrollment ID: I20140611002095
Provider NameMargaret M Hildebrand
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417272147
PECOS PAC ID: 1850515826
Enrollment ID: I20140612001847
Provider NamePeter A Stiles
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1174759930
PECOS PAC ID: 3173747888
Enrollment ID: I20140620000497
Provider NameJennifer M Schlies
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1952612525
PECOS PAC ID: 0244455749
Enrollment ID: I20140625000755
Provider NameNeha Sharma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871866095
PECOS PAC ID: 5698990539
Enrollment ID: I20140708002341
Provider NameJeff Counters
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326330622
PECOS PAC ID: 6507081270
Enrollment ID: I20140714001688
Provider NameRyan P Brady
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639303704
PECOS PAC ID: 5294950978
Enrollment ID: I20140714001817
Provider NameJennifer N Hansen
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1508279472
PECOS PAC ID: 7416172101
Enrollment ID: I20140714002050
Provider NameJessica A Greenblatt
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1184940660
PECOS PAC ID: 6305062449
Enrollment ID: I20140724002453
Provider NameDavid E Niccum
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1316110869
PECOS PAC ID: 4789849712
Enrollment ID: I20140731002969
Provider NameLeticia Perondi Luz
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1770619967
PECOS PAC ID: 4587798087
Enrollment ID: I20140801001378
Provider NameKatherine T Janssen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205196854
PECOS PAC ID: 8820215957
Enrollment ID: I20140813000512
Provider NameMarisa K Mckeever
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992119655
PECOS PAC ID: 5092932905
Enrollment ID: I20140815001420
Provider NameErin L Butterfield
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1164651865
PECOS PAC ID: 5597900365
Enrollment ID: I20140826000965
Provider NameAmanda Justine Calvin
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1013354513
PECOS PAC ID: 3971741646
Enrollment ID: I20140908001773
Provider NameKelly Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154732360
PECOS PAC ID: 7416176250
Enrollment ID: I20140910000826
Provider NameJason Patrick Kelly
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1669785556
PECOS PAC ID: 1355560103
Enrollment ID: I20140910001131
Provider NameJoy M Maharaj
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1407292154
PECOS PAC ID: 9234371824
Enrollment ID: I20140910001932
Provider NameJill M Schoeppner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871992313
PECOS PAC ID: 1759500283
Enrollment ID: I20140916001797
Provider NameAmanda B Ihlenfeld
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1548669906
PECOS PAC ID: 8527287812
Enrollment ID: I20140918001861
Provider NameErin Marie Sinkoff
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164837373
PECOS PAC ID: 0941420962
Enrollment ID: I20140925001084
Provider NameChristina A Wruck
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134350515
PECOS PAC ID: 7012137086
Enrollment ID: I20140926000140
Provider NameEric J Nitz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295078061
PECOS PAC ID: 8820218712
Enrollment ID: I20140926001489
Provider NameCrystal J Knutson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1043531437
PECOS PAC ID: 4688894488
Enrollment ID: I20140930000039
Provider NameLucas G Dueffert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073929543
PECOS PAC ID: 4688894389
Enrollment ID: I20141001000470
Provider NameMonica C Bertani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407255318
PECOS PAC ID: 0345460093
Enrollment ID: I20141001002056
Provider NameJoseph Gerard Johnson
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1861620908
PECOS PAC ID: 9133361215
Enrollment ID: I20141002000999
Provider NameEduardo M Medina
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437593993
PECOS PAC ID: 0547480022
Enrollment ID: I20141003002248
Provider NameTulasi Priya Priya Gummadi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710142005
PECOS PAC ID: 3678794765
Enrollment ID: I20141014000942
Provider NameDanelle Leigh Tibbetts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215344825
PECOS PAC ID: 3476774589
Enrollment ID: I20141014001923
Provider NameTena L Ungerman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750796389
PECOS PAC ID: 0840411831
Enrollment ID: I20141015002449
Provider NameAbigail R Stignani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023417292
PECOS PAC ID: 1850512757
Enrollment ID: I20141017001224
Provider NameRussell Benjamin Spingarn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922441278
PECOS PAC ID: 7416178298
Enrollment ID: I20141020001739
Provider NameGina M Wagner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144663931
PECOS PAC ID: 0840411641
Enrollment ID: I20141020002437
Provider NameMegan L Schmitt
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1619293834
PECOS PAC ID: 2961623673
Enrollment ID: I20141022001309
Provider NameKirstin E Brown
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1457671174
PECOS PAC ID: 2365662962
Enrollment ID: I20141022002534
Provider NameVanessa Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881097400
PECOS PAC ID: 3779704267
Enrollment ID: I20141027001335
Provider NameJudith A Wiltse
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134411135
PECOS PAC ID: 1850513961
Enrollment ID: I20141105000752
Provider NameKristen Anne Schmidt
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1760815849
PECOS PAC ID: 7012142516
Enrollment ID: I20141106001940
Provider NameJanelle C Evens
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801295795
PECOS PAC ID: 7012139991
Enrollment ID: I20141108000072
Provider NameAaron T Jagelski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548261357
PECOS PAC ID: 8527045764
Enrollment ID: I20141111000707
Provider NameMatthew D Quanrud
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427457209
PECOS PAC ID: 4587886247
Enrollment ID: I20141112002301
Provider NameSara M Gauquie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962818021
PECOS PAC ID: 9830311380
Enrollment ID: I20141118000046
Provider NameAshley B Gilland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194127324
PECOS PAC ID: 6204158546
Enrollment ID: I20141124000461
Provider NameDaniel B Hess
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1811138209
PECOS PAC ID: 2365764396
Enrollment ID: I20141202002597
Provider NameKatie M Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508265331
PECOS PAC ID: 5799007720
Enrollment ID: I20141203000104
Provider NameSrikanth R Dakoji
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689932436
PECOS PAC ID: 7719209766
Enrollment ID: I20141203000765
Provider NameKristina M Schultz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033553987
PECOS PAC ID: 3173845914
Enrollment ID: I20141204001587
Provider NameClemence M Sullivan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225354681
PECOS PAC ID: 7416279278
Enrollment ID: I20141204002451
Provider NameSarah J Ristvedt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194169946
PECOS PAC ID: 4981926490
Enrollment ID: I20141210002344
Provider NameLaura L Hilker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497162721
PECOS PAC ID: 0547582009
Enrollment ID: I20141211001556
Provider NameMerida A Miller
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205046646
PECOS PAC ID: 8224129549
Enrollment ID: I20141217001552
Provider NameJay A Loso
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679975965
PECOS PAC ID: 9638492663
Enrollment ID: I20141226000433
Provider NameKristen L Budahn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831533512
PECOS PAC ID: 2567786908
Enrollment ID: I20150113002040
Provider NameKruti J Patel
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1043574262
PECOS PAC ID: 7012232218
Enrollment ID: I20150210002426
Provider NameKathryn R Brush
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1972909760
PECOS PAC ID: 5395060461
Enrollment ID: I20150212000493
Provider NameMarc Palen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508840539
PECOS PAC ID: 1759307929
Enrollment ID: I20150216000802
Provider NameAshley A Barnes
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1093113292
PECOS PAC ID: 9739404500
Enrollment ID: I20150219001239
Provider NameJennifer M Sexton
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1467556027
PECOS PAC ID: 5597958835
Enrollment ID: I20150225002077
Provider NameGina M Wolfgram
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1376985077
PECOS PAC ID: 4587980107
Enrollment ID: I20150226000098
Provider NameTing Ting Brenner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437547213
PECOS PAC ID: 8123344538
Enrollment ID: I20150302002230
Provider NameGregory J Trobec
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184022733
PECOS PAC ID: 3678899085
Enrollment ID: I20150302002244
Provider NameNatalie K Doll
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851684229
PECOS PAC ID: 1759608201
Enrollment ID: I20150323001552
Provider NameStacey M Norgren
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1487059853
PECOS PAC ID: 3971820879
Enrollment ID: I20150401002059
Provider NameCarrie J Gonzalez
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1366830952
PECOS PAC ID: 4486971371
Enrollment ID: I20150403000392
Provider NameKaren L Nelson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1568851012
PECOS PAC ID: 1951629807
Enrollment ID: I20150406001312
Provider NameSarah Jayne Anderson Williams
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1316265176
PECOS PAC ID: 7719205574
Enrollment ID: I20150408000978
Provider NameJohn E Bertucci
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588090534
PECOS PAC ID: 2769700533
Enrollment ID: I20150408001226
Provider NameKristin Lieberman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053413708
PECOS PAC ID: 0648267682
Enrollment ID: I20150410001347
Provider NameJason L Buseman
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1942456496
PECOS PAC ID: 1355577057
Enrollment ID: I20150413001675
Provider NameAmanda Mayer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710278833
PECOS PAC ID: 3779801113
Enrollment ID: I20150414001936
Provider NamePatrice M Lindh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013309939
PECOS PAC ID: 4082932249
Enrollment ID: I20150420000623
Provider NameDiane T Tran
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1174784482
PECOS PAC ID: 5092954792
Enrollment ID: I20150427002090
Provider NameTyler J Ulbrich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801139795
PECOS PAC ID: 8224357975
Enrollment ID: I20150501000818
Provider NameDiana C Homan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467842245
PECOS PAC ID: 3971823881
Enrollment ID: I20150516000020
Provider NameSarah K Hallman
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1093104093
PECOS PAC ID: 1557681335
Enrollment ID: I20150519000295
Provider NameDavid J Thomson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568856599
PECOS PAC ID: 8820318629
Enrollment ID: I20150519000981
Provider NameLindsay Lundberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891189528
PECOS PAC ID: 0446570147
Enrollment ID: I20150520002058
Provider NameBeth Dougherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558757641
PECOS PAC ID: 5991025694
Enrollment ID: I20150520002073
Provider NameKyle R Shipley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841408200
PECOS PAC ID: 6507995339
Enrollment ID: I20150521002513
Provider NameMelissa S Wagner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366763708
PECOS PAC ID: 8022205145
Enrollment ID: I20150522000815
Provider NameTimothy Ebbitt
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487986725
PECOS PAC ID: 6608196035
Enrollment ID: I20150526001406
Provider NameTravis Greiman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205271376
PECOS PAC ID: 8527388933
Enrollment ID: I20150527001278
Provider NameJohn F Brunner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740423870
PECOS PAC ID: 2365680204
Enrollment ID: I20150528002417
Provider NameSarah Mugge
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073904306
PECOS PAC ID: 6103147285
Enrollment ID: I20150601002026
Provider NameMichael E Brogan
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1982848412
PECOS PAC ID: 7810218914
Enrollment ID: I20150601002388
Provider NameRyan T Whitesell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245465301
PECOS PAC ID: 2466690540
Enrollment ID: I20150602002888
Provider NameJustin Y Yee
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457618878
PECOS PAC ID: 5294056156
Enrollment ID: I20150603001920
Provider NameDevon R Gubbins
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861808149
PECOS PAC ID: 5294056602
Enrollment ID: I20150610000414
Provider NameRachel R Raab
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053798827
PECOS PAC ID: 4981925344
Enrollment ID: I20150610001903
Provider NameLorri Ann Kenny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346671278
PECOS PAC ID: 5395066617
Enrollment ID: I20150611001089
Provider NameJudy Ann Tan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427321116
PECOS PAC ID: 6103137948
Enrollment ID: I20150619000638
Provider NameKasie Jean Mix
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407109275
PECOS PAC ID: 9931410727
Enrollment ID: I20150619001796
Provider NameCarlton R Kimmerle
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1932427606
PECOS PAC ID: 4082925763
Enrollment ID: I20150622002227
Provider NameBrittani Conway
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1013202100
PECOS PAC ID: 3577874296
Enrollment ID: I20150623000755
Provider NameSarah Susan Asch
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1972731933
PECOS PAC ID: 3072744705
Enrollment ID: I20150623002334
Provider NameMeiling Parker
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1033372321
PECOS PAC ID: 0648411330
Enrollment ID: I20150626000755
Provider NameRoopa Sharma
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1699015024
PECOS PAC ID: 7113146648
Enrollment ID: I20150630001921
Provider NamePatrick Raymond Hadorn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467745927
PECOS PAC ID: 4688986821
Enrollment ID: I20150701000851
Provider NameOlitha J Fofana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013301407
PECOS PAC ID: 1254643349
Enrollment ID: I20150701002832
Provider NameMehdi Dastrange
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982967139
PECOS PAC ID: 4880906734
Enrollment ID: I20150706002597
Provider NameMatthew Loichinger
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1629243415
PECOS PAC ID: 5890951438
Enrollment ID: I20150708000259
Provider NameWilliam S Paulson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619388006
PECOS PAC ID: 8426361320
Enrollment ID: I20150721003201
Provider NameKevin Q Nguyen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407090632
PECOS PAC ID: 2668793514
Enrollment ID: I20150722005555
Provider NameEdward V Craig
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1639143027
PECOS PAC ID: 0941214985
Enrollment ID: I20150723008875
Provider NameDaniel E Hart
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1003101379
PECOS PAC ID: 0244543874
Enrollment ID: I20150724011467
Provider NameTara Ann Nelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447670104
PECOS PAC ID: 1456665579
Enrollment ID: I20150804003359
Provider NameZachary Merten
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134535511
PECOS PAC ID: 5890009641
Enrollment ID: I20150806011896
Provider NameKevin Quinn
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1821404971
PECOS PAC ID: 1153548789
Enrollment ID: I20150806012306
Provider NameAmul B Chaniara
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568726685
PECOS PAC ID: 7315251287
Enrollment ID: I20150810002577
Provider NameLauren Angela Katkish Shaw
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043553753
PECOS PAC ID: 4284949959
Enrollment ID: I20150811004103
Provider NameThomas Dutch Hansen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356752190
PECOS PAC ID: 1759696271
Enrollment ID: I20150812009060
Provider NameKara L Burrow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235176975
PECOS PAC ID: 5496813578
Enrollment ID: I20150813010165
Provider NameBritt Westgard Ehlert
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689837114
PECOS PAC ID: 0244402451
Enrollment ID: I20150813010883
Provider NameSamuel J Kjome
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336110600
PECOS PAC ID: 1850606245
Enrollment ID: I20150813011489
Provider NameMichael Clark
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659784031
PECOS PAC ID: 5092020420
Enrollment ID: I20150814012663
Provider NamePawan K Hari
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1336376904
PECOS PAC ID: 3870808215
Enrollment ID: I20150814012775
Provider NameSara A Hylwa
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1124317383
PECOS PAC ID: 5496060741
Enrollment ID: I20150814013516
Provider NameNicole M Johnson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1396129383
PECOS PAC ID: 3971818931
Enrollment ID: I20150819009173
Provider NameMaureen A Mcdonald
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1760771398
PECOS PAC ID: 5395050256
Enrollment ID: I20150820012086
Provider NameSara J Prescher
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1669608246
PECOS PAC ID: 7214242189
Enrollment ID: I20150820012296
Provider NameJeffrey P Willging
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1235459165
PECOS PAC ID: 1254646128
Enrollment ID: I20150820012536
Provider NameBryan P Svobodny
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851659395
PECOS PAC ID: 7012223324
Enrollment ID: I20150901002904
Provider NameJames T Regan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699017285
PECOS PAC ID: 0941516157
Enrollment ID: I20150902003212
Provider NameNatasha Kohli
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1790074136
PECOS PAC ID: 7719294586
Enrollment ID: I20150911001599
Provider NameAllison J Kubly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992171714
PECOS PAC ID: 8729395454
Enrollment ID: I20150914001288
Provider NameAlexander M Mason
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1275758039
PECOS PAC ID: 6901998582
Enrollment ID: I20150914003035
Provider NameMargaret W Doose
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134411176
PECOS PAC ID: 4880901313
Enrollment ID: I20150916001877
Provider NameAshley R Serrano
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1093940355
PECOS PAC ID: 0143537670
Enrollment ID: I20150916001904
Provider NameMichelle Barnett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093182701
PECOS PAC ID: 2668789017
Enrollment ID: I20150916003238
Provider NameMichael J Cutalo
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821227687
PECOS PAC ID: 5597982892
Enrollment ID: I20150918001040
Provider NameAlison R Bottke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619344470
PECOS PAC ID: 1951618230
Enrollment ID: I20150918001462
Provider NameArtan Kaso
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1689988941
PECOS PAC ID: 9032364153
Enrollment ID: I20150921000930
Provider NameJenna L Viland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275918658
PECOS PAC ID: 6204143407
Enrollment ID: I20150921002830
Provider NameTeresa A Rhone
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1073980454
PECOS PAC ID: 2860709904
Enrollment ID: I20150922001420
Provider NameKimberly Nelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336521624
PECOS PAC ID: 0446567531
Enrollment ID: I20150922003240
Provider NameRachel L Agneberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831453786
PECOS PAC ID: 1557502051
Enrollment ID: I20150923002166
Provider NameLisa Vigen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821476862
PECOS PAC ID: 7618285693
Enrollment ID: I20150925000131
Provider NameMichael J Butcher
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1467692616
PECOS PAC ID: 7911159827
Enrollment ID: I20150925000182
Provider NameMahad A Ururshe
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1083974174
PECOS PAC ID: 1456669365
Enrollment ID: I20150925001753
Provider NameAmy C Orecchia
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1215369152
PECOS PAC ID: 3274841937
Enrollment ID: I20150929002085
Provider NameKaitlyn R Henkelman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669892964
PECOS PAC ID: 8325356090
Enrollment ID: I20150929002258
Provider NameOlusola O Adegoke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619311586
PECOS PAC ID: 0547578932
Enrollment ID: I20151005002194
Provider NameSareedo A Hashi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811306228
PECOS PAC ID: 2264740588
Enrollment ID: I20151006000436
Provider NameThomas E Sanchez
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1922476514
PECOS PAC ID: 3577871748
Enrollment ID: I20151008000126
Provider NameBrenda Servais
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1194873794
PECOS PAC ID: 2062721137
Enrollment ID: I20151013000568
Provider NameJared J Mell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063832921
PECOS PAC ID: 5991014060
Enrollment ID: I20151013000884
Provider NameShannon L Hoversten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568848331
PECOS PAC ID: 1759690399
Enrollment ID: I20151021001237
Provider NameSteven R Quiring
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346626694
PECOS PAC ID: 8628387271
Enrollment ID: I20151021001423
Provider NameFarzad Jamshidian
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841439239
PECOS PAC ID: 9931370061
Enrollment ID: I20151027000756
Provider NameBrent D Bauman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1407117328
PECOS PAC ID: 7719296078
Enrollment ID: I20151027003206
Provider NameNatasha M Mills
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1023443629
PECOS PAC ID: 5294045415
Enrollment ID: I20151030000081
Provider NameRyan Young
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457538118
PECOS PAC ID: 7517128853
Enrollment ID: I20151030001287
Provider NameJeffrey S Rasch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598717662
PECOS PAC ID: 3678517679
Enrollment ID: I20151030001486
Provider NameSarah F Ames
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649640020
PECOS PAC ID: 3870803810
Enrollment ID: I20151104000204
Provider NameBenjamin R Greenberg
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881066918
PECOS PAC ID: 8123338910
Enrollment ID: I20151106001144
Provider NameEloise R Kvam
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619345493
PECOS PAC ID: 3173833761
Enrollment ID: I20151111001348
Provider NameJessica L Gerzsenyi
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1679835920
PECOS PAC ID: 2567772049
Enrollment ID: I20151112002680
Provider NameChristian A Buhr
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942593868
PECOS PAC ID: 3173823101
Enrollment ID: I20151124001567
Provider NameCacy Miranda
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1235535444
PECOS PAC ID: 1153621917
Enrollment ID: I20151130001305
Provider NameCamille Ashley Schwarzrock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003206731
PECOS PAC ID: 8921308529
Enrollment ID: I20151203003433
Provider NameHindi O Hussein
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306280250
PECOS PAC ID: 6002116613
Enrollment ID: I20151204000420
Provider NameBrian Lee Walters
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1114241882
PECOS PAC ID: 8628203502
Enrollment ID: I20151209002182
Provider NameCamille A Delisi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396156667
PECOS PAC ID: 7719289495
Enrollment ID: I20160112003114
Provider NameMichael J Bleet
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194085449
PECOS PAC ID: 5294975942
Enrollment ID: I20160121000637
Provider NameHillary C Otto
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1295066819
PECOS PAC ID: 3375846538
Enrollment ID: I20160121001110
Provider NameTraci L Hardyman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982076659
PECOS PAC ID: 2365752706
Enrollment ID: I20160121001126
Provider NameStephanie N Jones
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1992969471
PECOS PAC ID: 3476799693
Enrollment ID: I20160121001504
Provider NameChristopher J Steadman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881867083
PECOS PAC ID: 7214174028
Enrollment ID: I20160122000937
Provider NameElisabeth A Groebel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497111371
PECOS PAC ID: 3274837877
Enrollment ID: I20160202000685
Provider NameBeth Hartquist Valdivia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952387920
PECOS PAC ID: 5597069120
Enrollment ID: I20160202001974
Provider NameMary C Fields
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1861497745
PECOS PAC ID: 9234189192
Enrollment ID: I20160217000885
Provider NameLauren Mg Doyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720456106
PECOS PAC ID: 6305141680
Enrollment ID: I20160224001839
Provider NameNathan F Shjerve
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1306274873
PECOS PAC ID: 5597060731
Enrollment ID: I20160225000816
Provider NameKacy Berquist
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033577036
PECOS PAC ID: 4284939364
Enrollment ID: I20160226002260
Provider NameAllison R Coindreau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649593310
PECOS PAC ID: 3678604600
Enrollment ID: I20160301001421
Provider NameBrittany N Solc
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588084248
PECOS PAC ID: 5991001422
Enrollment ID: I20160310000003
Provider NameKathryn A Baxstrom
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386987535
PECOS PAC ID: 9436455656
Enrollment ID: I20160314001235
Provider NameValerie M Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619338274
PECOS PAC ID: 9335446707
Enrollment ID: I20160330000802
Provider NameJacquelyn M Warner
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1023483757
PECOS PAC ID: 8729385968
Enrollment ID: I20160401001143
Provider NameJeffrey S Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801897061
PECOS PAC ID: 6305960568
Enrollment ID: I20160412001114
Provider NameAnne B Neeley
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1104143437
PECOS PAC ID: 2860619608
Enrollment ID: I20160412001267
Provider NameJennifer Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902263866
PECOS PAC ID: 3870891625
Enrollment ID: I20160412002288
Provider NameJohn Patrick Oneill
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417213430
PECOS PAC ID: 8628373057
Enrollment ID: I20160413000615
Provider NameTyann N Zeal
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1023480712
PECOS PAC ID: 5193024297
Enrollment ID: I20160425000188
Provider NameAdam Chase Sloane
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1699934430
PECOS PAC ID: 5193859346
Enrollment ID: I20160427000710
Provider NameLaura E Moench
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1104146406
PECOS PAC ID: 0244539146
Enrollment ID: I20160427001706
Provider NameKathryn Popp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710305271
PECOS PAC ID: 1557660966
Enrollment ID: I20160505001264
Provider NameDemetrios Thomas Andrisani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912327115
PECOS PAC ID: 8224337654
Enrollment ID: I20160505001870
Provider NamePezhman Samimian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770744880
PECOS PAC ID: 9830235720
Enrollment ID: I20160506000119
Provider NameBrian S Martell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1689991432
PECOS PAC ID: 9931419793
Enrollment ID: I20160511002723
Provider NameChristopher J Neeley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659698645
PECOS PAC ID: 6406145911
Enrollment ID: I20160523000469
Provider NameSofronio Cruz Ramirez
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1063671220
PECOS PAC ID: 2769650555
Enrollment ID: I20160524001037
Provider NameWilliam M Huepfel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225457740
PECOS PAC ID: 7911202783
Enrollment ID: I20160525002352
Provider NameTimothy Meehan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558686030
PECOS PAC ID: 4486811395
Enrollment ID: I20160525002962
Provider NameKristen M Lindstrom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992160428
PECOS PAC ID: 2769772755
Enrollment ID: I20160603000301
Provider NameMichael Powell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700027166
PECOS PAC ID: 9234262148
Enrollment ID: I20160603001177
Provider NameJoseph M Gill
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326339631
PECOS PAC ID: 6406151539
Enrollment ID: I20160608000323
Provider NameBela S Denes
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1407147242
PECOS PAC ID: 5395049167
Enrollment ID: I20160608001701
Provider NameMichael A Blackburn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619389525
PECOS PAC ID: 8729378260
Enrollment ID: I20160613000266
Provider NameDory Neurock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033356357
PECOS PAC ID: 7911063011
Enrollment ID: I20160614001641
Provider NameThomas Stark
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1275775512
PECOS PAC ID: 0042463911
Enrollment ID: I20160615000491
Provider NameKerri Harting
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487674040
PECOS PAC ID: 8022016906
Enrollment ID: I20160620002332
Provider NameKumba U Kanu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194021766
PECOS PAC ID: 4486945169
Enrollment ID: I20160628001210
Provider NameAndre Montoya Barthelemy
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1992048672
PECOS PAC ID: 9638461023
Enrollment ID: I20160705001329
Provider NameChristine A Morley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1114363124
PECOS PAC ID: 4082855366
Enrollment ID: I20160707001457
Provider NameEmily Bulthuis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760885552
PECOS PAC ID: 3476845546
Enrollment ID: I20160711000656
Provider NameEmily A Van Kirk
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790040509
PECOS PAC ID: 8527207133
Enrollment ID: I20160712002485
Provider NameKaylen Jackson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1225334709
PECOS PAC ID: 3577855345
Enrollment ID: I20160714002019
Provider NameGarjae Dayan Lavien
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1659695310
PECOS PAC ID: 2860703394
Enrollment ID: I20160721000385
Provider NameNouchee Vang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326426032
PECOS PAC ID: 3072819622
Enrollment ID: I20160722000993
Provider NameHeather R Phillips
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083973804
PECOS PAC ID: 4385949833
Enrollment ID: I20160728001854
Provider NamePatrick Kevin Horst
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1649596990
PECOS PAC ID: 6800027178
Enrollment ID: I20160729002164
Provider NameCollin Torok
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558523944
PECOS PAC ID: 7911156948
Enrollment ID: I20160801001831
Provider NameNicole James
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356728331
PECOS PAC ID: 4082908777
Enrollment ID: I20160803000622
Provider NameKaren Sonnenburg
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1265882062
PECOS PAC ID: 1850685587
Enrollment ID: I20160803001751
Provider NameMary E Nielsen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1528325495
PECOS PAC ID: 3870887524
Enrollment ID: I20160803002264
Provider NameAlice Macdonald
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457771271
PECOS PAC ID: 8527352095
Enrollment ID: I20160805000592
Provider NameSagar R Shroff
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1841511243
PECOS PAC ID: 4284937186
Enrollment ID: I20160805002261
Provider NameKaitlin Schultz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285086074
PECOS PAC ID: 9931493004
Enrollment ID: I20160811002618
Provider NameJennifer Wozniczka
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1316265499
PECOS PAC ID: 0840500708
Enrollment ID: I20160815002479
Provider NameJames V Tedesco
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215981196
PECOS PAC ID: 1850433988
Enrollment ID: I20160816000000
Provider NameKimberly A Ollinger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184980518
PECOS PAC ID: 5991937757
Enrollment ID: I20160816000017
Provider NameGregory R Hildebrand
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1255656229
PECOS PAC ID: 6002121068
Enrollment ID: I20160816001205
Provider NameBrian P Cunningham
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1447489430
PECOS PAC ID: 9436460698
Enrollment ID: I20160817001055
Provider NameJudith R Boylan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952788291
PECOS PAC ID: 4183919053
Enrollment ID: I20160817002149
Provider NameJoseph Scherman
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1144586165
PECOS PAC ID: 4688979594
Enrollment ID: I20160818002070
Provider NameTegan R Otto
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740639889
PECOS PAC ID: 4486949146
Enrollment ID: I20160820000225
Provider NameRenee M Donahue Carlson
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1316266166
PECOS PAC ID: 9133414709
Enrollment ID: I20160822000580
Provider NameJessica E Buss
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134571953
PECOS PAC ID: 5698060085
Enrollment ID: I20160824001947
Provider NameRami M Almokayyad
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1194929786
PECOS PAC ID: 3072646975
Enrollment ID: I20160826000025
Provider NameRupendra Dev Thaku Shrestha
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1194993774
PECOS PAC ID: 2961695119
Enrollment ID: I20160826000186
Provider NameBrian J Theisen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912265455
PECOS PAC ID: 3072809094
Enrollment ID: I20160831000135
Provider NameJeffrey Kendall
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1750644589
PECOS PAC ID: 2062641665
Enrollment ID: I20160907002178
Provider NameBenjamin A Linder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942646765
PECOS PAC ID: 5799918694
Enrollment ID: I20160908001489
Provider NameKarin Burbach
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1124046925
PECOS PAC ID: 7810931748
Enrollment ID: I20160915000230
Provider NameChristina E Vinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700339595
PECOS PAC ID: 5597051607
Enrollment ID: I20160915000732
Provider NameAshley M Hieronimus
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1780959148
PECOS PAC ID: 7517262850
Enrollment ID: I20160916000257
Provider NameHuiying Guo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003293101
PECOS PAC ID: 1052618022
Enrollment ID: I20160921002022
Provider NameAllison R Cranston
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366735482
PECOS PAC ID: 1052580008
Enrollment ID: I20160922001441
Provider NameErin L Ziolkowski
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1992250187
PECOS PAC ID: 7618264243
Enrollment ID: I20160926002443
Provider NameTrent D Stensrud
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194107243
PECOS PAC ID: 0941519748
Enrollment ID: I20160927001977
Provider NameAlexandra E Wells
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326313420
PECOS PAC ID: 8426345646
Enrollment ID: I20160930001951
Provider NameDavid T Wells
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073061552
PECOS PAC ID: 9335437425
Enrollment ID: I20161005000464
Provider NameBiye G Tambang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770037574
PECOS PAC ID: 0547558488
Enrollment ID: I20161010001963
Provider NameKisha Patterson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1649729567
PECOS PAC ID: 6002104783
Enrollment ID: I20161012001761
Provider NameBrittany E Wirth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831646348
PECOS PAC ID: 6901194612
Enrollment ID: I20161013000066
Provider NameSarah Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679729131
PECOS PAC ID: 3072758119
Enrollment ID: I20161019001519
Provider NameJill A Kramer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275655474
PECOS PAC ID: 9032353859
Enrollment ID: I20161019001560
Provider NameAlison Elizabeth Sharpe-havill
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1376880823
PECOS PAC ID: 3577851823
Enrollment ID: I20161019001700
Provider NameAli A Pitafi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023115615
PECOS PAC ID: 8921250044
Enrollment ID: I20161025002435
Provider NameRebecca A Barnack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235687880
PECOS PAC ID: 3577841345
Enrollment ID: I20161028001826
Provider NameStephen Norbert Schwartz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316324957
PECOS PAC ID: 0446538870
Enrollment ID: I20161104001716
Provider NameDavid T Chollar
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528514932
PECOS PAC ID: 3375821739
Enrollment ID: I20161107000273
Provider NameChristina C Apfelbaum
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124578935
PECOS PAC ID: 6901185248
Enrollment ID: I20161109002035
Provider NameKyle W Abben
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1225321839
PECOS PAC ID: 3870807373
Enrollment ID: I20161109002077
Provider NameAshley D.b. Haapapuro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750834941
PECOS PAC ID: 7618256470
Enrollment ID: I20161117002719
Provider NameKelly M Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295289064
PECOS PAC ID: 4981983632
Enrollment ID: I20161121000541
Provider NameKelly L Krueger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215212261
PECOS PAC ID: 0042599714
Enrollment ID: I20161121001475
Provider NameTara M Ettestad
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1578991352
PECOS PAC ID: 9931488574
Enrollment ID: I20161122001587
Provider NameAngela J Rickheim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023568763
PECOS PAC ID: 0749560068
Enrollment ID: I20161202001157
Provider NameAmy L Haynes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518411776
PECOS PAC ID: 3870874472
Enrollment ID: I20161219001792
Provider NameChitra Ganesan
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1801063243
PECOS PAC ID: 6800024977
Enrollment ID: I20170109002031
Provider NameShawn M Ronan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1386762227
PECOS PAC ID: 3072699461
Enrollment ID: I20170201001861
Provider NameRachel Boyle
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1194190223
PECOS PAC ID: 6204119399
Enrollment ID: I20170215002990
Provider NameJohanes I Prawira
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932337706
PECOS PAC ID: 9830368786
Enrollment ID: I20170216001155
Provider NameMichael Joseph Schnaus
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336569961
PECOS PAC ID: 6103122676
Enrollment ID: I20170216002513
Provider NameTiffany R Krebsbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023552924
PECOS PAC ID: 0446534010
Enrollment ID: I20170227000589
Provider NameLynn Marie Wilbur
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1184761843
PECOS PAC ID: 5496039430
Enrollment ID: I20170310002047
Provider NameRachel Porteous
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1326589011
PECOS PAC ID: 3375828858
Enrollment ID: I20170323002534
Provider NameAndrew Sundblad
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447411772
PECOS PAC ID: 3375781487
Enrollment ID: I20170329000219
Provider NameAlbert Gutierrez
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1922442599
PECOS PAC ID: 9739311770
Enrollment ID: I20170509002501
Provider NameMehdi Najafi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1003252297
PECOS PAC ID: 2567749849
Enrollment ID: I20170516001056
Provider NameCory Nordman
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1679771521
PECOS PAC ID: 2961689427
Enrollment ID: I20170517000985
Provider NameElizabeth Johnson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1578099677
PECOS PAC ID: 7618244674
Enrollment ID: I20170522002368
Provider NameAnnely Meris Richardson
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1699930552
PECOS PAC ID: 8224210604
Enrollment ID: I20170523001389
Provider NameKristine H Kaehn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750565461
PECOS PAC ID: 3375810310
Enrollment ID: I20170523002971
Provider NameNicole A Meier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427589530
PECOS PAC ID: 3678840436
Enrollment ID: I20170526000040
Provider NameAmanda Meegan
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1326384520
PECOS PAC ID: 1850697327
Enrollment ID: I20170605002003
Provider NameJennifer Kumasaki
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407114390
PECOS PAC ID: 8729392451
Enrollment ID: I20170613002402
Provider NameTracy Lynn Clary
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1396034856
PECOS PAC ID: 7719291657
Enrollment ID: I20170623001757
Provider NameAlexandra Oleinik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609281757
PECOS PAC ID: 1456620038
Enrollment ID: I20170713002070
Provider NameRobert J Schneidewend
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1699065946
PECOS PAC ID: 3971822503
Enrollment ID: I20170724002228
Provider NameBlake Daley
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1639597321
PECOS PAC ID: 6608165469
Enrollment ID: I20170724003201
Provider NameKaren E Rabenau
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1124311048
PECOS PAC ID: 6305166612
Enrollment ID: I20170725000335
Provider NameLorraine Marie Richards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871013037
PECOS PAC ID: 1951671882
Enrollment ID: I20170725002856
Provider NameBarbara S Vaneeckhout
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982612479
PECOS PAC ID: 1254396401
Enrollment ID: I20170726000492
Provider NamePierre Tawfik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467839878
PECOS PAC ID: 2062717929
Enrollment ID: I20170727000059
Provider NameShayla M Anderson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1679828461
PECOS PAC ID: 6608147160
Enrollment ID: I20170802002503
Provider NameAlexandra Sharp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821442534
PECOS PAC ID: 4981985363
Enrollment ID: I20170807001510
Provider NameBrielle Joy Swanstrom
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1225492739
PECOS PAC ID: 7416247317
Enrollment ID: I20170807003192
Provider NameMargaret E Funk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447660600
PECOS PAC ID: 6103197108
Enrollment ID: I20170809003969
Provider NameJenna Tillman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922529015
PECOS PAC ID: 7113298126
Enrollment ID: I20170810000061
Provider NameAdam J Dewenter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1518257880
PECOS PAC ID: 7113298977
Enrollment ID: I20170812000300
Provider NameJohn Mckinley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497283253
PECOS PAC ID: 9830460690
Enrollment ID: I20170812000359
Provider NameBradley Baker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174043319
PECOS PAC ID: 5799056560
Enrollment ID: I20170814000565
Provider NameLaura L Conger
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669892170
PECOS PAC ID: 6002188810
Enrollment ID: I20170814002308
Provider NameKimberly Gotlund
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639692296
PECOS PAC ID: 6800168667
Enrollment ID: I20170815001325
Provider NameBridgett Diers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720437791
PECOS PAC ID: 4082986765
Enrollment ID: I20170815002421
Provider NameAmy Fitzsimmons
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194248351
PECOS PAC ID: 4486926185
Enrollment ID: I20170815003668
Provider NameIsaac Zoller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295180628
PECOS PAC ID: 7214209899
Enrollment ID: I20170816002620
Provider NameKirsten K Johnson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1184966152
PECOS PAC ID: 0941572465
Enrollment ID: I20170817004067
Provider NameLaura M Nilan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568789352
PECOS PAC ID: 0749413060
Enrollment ID: I20170817004312
Provider NameAdrian L Jung
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1285087072
PECOS PAC ID: 5799072492
Enrollment ID: I20170819000099
Provider NameKathleen Caulfield
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730561549
PECOS PAC ID: 6406128891
Enrollment ID: I20170819000178
Provider NameStefan S Buetow
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1689014169
PECOS PAC ID: 5294967527
Enrollment ID: I20170821003445
Provider NameEmily S Peterson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992144604
PECOS PAC ID: 3577853175
Enrollment ID: I20170821003522
Provider NameJaimi L Weber
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1336594498
PECOS PAC ID: 4587958095
Enrollment ID: I20170821003523
Provider NameKara Weigand
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1265828206
PECOS PAC ID: 4880966159
Enrollment ID: I20170821003532
Provider NameJustin E Groenewold
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649681222
PECOS PAC ID: 8325310691
Enrollment ID: I20170821003547
Provider NameBrittany Willis
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1861916017
PECOS PAC ID: 2769754753
Enrollment ID: I20170825002484
Provider NameLawrence T Mollo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1508122334
PECOS PAC ID: 4981905023
Enrollment ID: I20170828003311
Provider NameBenjamin Holker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750803995
PECOS PAC ID: 4284907916
Enrollment ID: I20170831001986
Provider NameDeirdre Dvorak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508388828
PECOS PAC ID: 1153694724
Enrollment ID: I20170901000401
Provider NameKerry Madeleine Leblanc
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134641780
PECOS PAC ID: 2961775598
Enrollment ID: I20170901002725
Provider NameAmanjit Baadh
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003061367
PECOS PAC ID: 3870750029
Enrollment ID: I20170905001562
Provider NameElizabeth Marie Mcniven
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922452325
PECOS PAC ID: 1759654049
Enrollment ID: I20170908000241
Provider NameBrianna J Conklin
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1326578162
PECOS PAC ID: 1759654064
Enrollment ID: I20170908001148
Provider NameLaura M Mollenhoff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033646377
PECOS PAC ID: 1355614363
Enrollment ID: I20170913000562
Provider NameCassandra Gave
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861939241
PECOS PAC ID: 0042583031
Enrollment ID: I20170913003958
Provider NameScott Mitchell
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1174987580
PECOS PAC ID: 6002102894
Enrollment ID: I20170914002421
Provider NameAddison M Demer
Provider TypePractitioner - Micrographic Dermatologic Surgery (mds)
Provider IdentifiersNPI Number: 1912392390
PECOS PAC ID: 3678868148
Enrollment ID: I20170915001812
Provider NameKathryn Wyman-chick
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1710118054
PECOS PAC ID: 6305110180
Enrollment ID: I20170918001052
Provider NameTyler B Bridge
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720405731
PECOS PAC ID: 2769789171
Enrollment ID: I20170918003801
Provider NameTricia J Hadley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205254554
PECOS PAC ID: 1951609650
Enrollment ID: I20170919004318
Provider NamePriyanka Sabharwal
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1487938460
PECOS PAC ID: 9931473568
Enrollment ID: I20170921000119
Provider NameJohanna Dijkstal Beebe
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1093073868
PECOS PAC ID: 0446493399
Enrollment ID: I20170921002037
Provider NameNeil Siekman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265851364
PECOS PAC ID: 4688979040
Enrollment ID: I20170923000039
Provider NameKeith W Fridel
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1215345244
PECOS PAC ID: 2466498431
Enrollment ID: I20170923000058
Provider NamePatrick J Shabino
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1952689978
PECOS PAC ID: 2062645229
Enrollment ID: I20170923000251
Provider NameLauren B Oneill
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205128592
PECOS PAC ID: 1456656370
Enrollment ID: I20171003003952
Provider NameTeresa L Biehn
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1124490578
PECOS PAC ID: 2163797804
Enrollment ID: I20171006000146
Provider NameStephen W Murphy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760892715
PECOS PAC ID: 7113220492
Enrollment ID: I20171009000319
Provider NameJenna L Buth-croes
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1962939355
PECOS PAC ID: 9234404625
Enrollment ID: I20171011001766
Provider NameHeather Lauren Miller
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1821202896
PECOS PAC ID: 3274675111
Enrollment ID: I20171013002850
Provider NameKelsey M Ryks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780108191
PECOS PAC ID: 9739455494
Enrollment ID: I20171024002599
Provider NameEllen Place
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497847966
PECOS PAC ID: 6204102726
Enrollment ID: I20171026003362
Provider NameAlanna Jade Jirschele
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1497265698
PECOS PAC ID: 4385900554
Enrollment ID: I20171106000694
Provider NameAlison Enuma Ikeogu
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1215447511
PECOS PAC ID: 9133485196
Enrollment ID: I20171107001672
Provider NameKelsey M Hiatt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508215385
PECOS PAC ID: 6507122116
Enrollment ID: I20171115001899
Provider NameAshley Heurung Merten
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1174903553
PECOS PAC ID: 6103121546
Enrollment ID: I20171128002520
Provider NameAlexandra Zimmerman
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1871033829
PECOS PAC ID: 3274890199
Enrollment ID: I20171201001247
Provider NameGrace Marie Irish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043729064
PECOS PAC ID: 0547527301
Enrollment ID: I20171202000357
Provider NameChristopher Scott Leonard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992151393
PECOS PAC ID: 8426315912
Enrollment ID: I20171208002242
Provider NameAndrea C. Hillerud
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114012481
PECOS PAC ID: 6608866157
Enrollment ID: I20171211000493
Provider NameDenise K Haldorson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780193821
PECOS PAC ID: 3274891718
Enrollment ID: I20171211001837
Provider NameJill E Kroeger
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1699287177
PECOS PAC ID: 9638437114
Enrollment ID: I20171212000856
Provider NameAmber Marie Stutz
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1952748758
PECOS PAC ID: 1759686686
Enrollment ID: I20171222000034
Provider NameBrent W Anderson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1518471382
PECOS PAC ID: 5799043642
Enrollment ID: I20171222000144
Provider NameDusty Renee Hackler
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1487168357
PECOS PAC ID: 9739447699
Enrollment ID: I20171222000441
Provider NameDarwin G Ramirez Abreu
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1972759082
PECOS PAC ID: 7315160108
Enrollment ID: I20171227002461
Provider NameAmrita Goyal-o'leary
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1801273545
PECOS PAC ID: 3173818564
Enrollment ID: I20180111001443
Provider NameNefeli A Moutsoglou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992216022
PECOS PAC ID: 4688933948
Enrollment ID: I20180111001499
Provider NameErin Ann Brennan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1326357963
PECOS PAC ID: 8628366879
Enrollment ID: I20180116001341
Provider NameMelissa Elisa Maaske
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700393121
PECOS PAC ID: 2264791938
Enrollment ID: I20180126000120
Provider NameBok Chung
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1386680353
PECOS PAC ID: 2961479258
Enrollment ID: I20180202001227
Provider NameCasey Daniel Lloyd
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1679071823
PECOS PAC ID: 7618237645
Enrollment ID: I20180212001419
Provider NameAnne Kathryn Nagler
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1568484608
PECOS PAC ID: 1850327214
Enrollment ID: I20180213000802
Provider NameShannon Gabriel Griggs
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1255541223
PECOS PAC ID: 2860642311
Enrollment ID: I20180213002292
Provider NameJessica Mae Brabender
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285140442
PECOS PAC ID: 2567723927
Enrollment ID: I20180227001191
Provider NameNicole K Walkermarquette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962917799
PECOS PAC ID: 5496016818
Enrollment ID: I20180228000682
Provider NameBradford J Chu
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952628620
PECOS PAC ID: 5799046710
Enrollment ID: I20180307001376
Provider NameKristin A Lentz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750783908
PECOS PAC ID: 0345566428
Enrollment ID: I20180320000140
Provider NameAsrar A Khan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1497161202
PECOS PAC ID: 4486873247
Enrollment ID: I20180321001687
Provider NameMark Dominic Bertucci
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1376055665
PECOS PAC ID: 8022370485
Enrollment ID: I20180322001919
Provider NameRao Watson
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1386953479
PECOS PAC ID: 2668784349
Enrollment ID: I20180328002734
Provider NameJean Marie Thaw
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1851695449
PECOS PAC ID: 0446438105
Enrollment ID: I20180404002927
Provider NameStephanie C Manias
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134628555
PECOS PAC ID: 2163785478
Enrollment ID: I20180419002854
Provider NameAnna Theis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235636275
PECOS PAC ID: 4082979901
Enrollment ID: I20180524001622
Provider NameKevin H Boegel
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1669815320
PECOS PAC ID: 7315242435
Enrollment ID: I20180619003651
Provider NameElina Lipovskiy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538540109
PECOS PAC ID: 2769780683
Enrollment ID: I20180620001600
Provider NameJason Carroll
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033417571
PECOS PAC ID: 4789843285
Enrollment ID: I20180620003349
Provider NameAlexandra Rose Graden
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1619355625
PECOS PAC ID: 2668785551
Enrollment ID: I20180628000000
Provider NameMelanie Elizabeth Franke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740342765
PECOS PAC ID: 4981798428
Enrollment ID: I20180630000067
Provider NameKelsey E Gelhaus
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235559659
PECOS PAC ID: 3476858804
Enrollment ID: I20180702001587
Provider NameThomas Garvey
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1689093247
PECOS PAC ID: 7618247479
Enrollment ID: I20180703002403
Provider NameGail T Griffin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386614709
PECOS PAC ID: 1557487675
Enrollment ID: I20180710002006
Provider NameCameron Tyler Cooper
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144714551
PECOS PAC ID: 4789930421
Enrollment ID: I20180710003269
Provider NameChristine Wei Yin Tran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326425471
PECOS PAC ID: 4981909579
Enrollment ID: I20180713001616
Provider NameLindsay Fitzgerald
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164917936
PECOS PAC ID: 9234486705
Enrollment ID: I20180716002593
Provider NameAnthony Frattalone
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1912101114
PECOS PAC ID: 1052697836
Enrollment ID: I20180718000435
Provider NameElizabeth Z Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780926840
PECOS PAC ID: 3072860139
Enrollment ID: I20180719002859
Provider NameRena A Shah
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1750670667
PECOS PAC ID: 4587885603
Enrollment ID: I20180723000248
Provider NameElliot Mohr Johnson
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1639512866
PECOS PAC ID: 0749538304
Enrollment ID: I20180730003395
Provider NameRuth Joy Barta
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1891063590
PECOS PAC ID: 6608172747
Enrollment ID: I20180731001414
Provider NameErika M Pritchett
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1033347612
PECOS PAC ID: 6406161678
Enrollment ID: I20180802000046
Provider NameJohn M Billings
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1235495524
PECOS PAC ID: 6901033935
Enrollment ID: I20180802001067
Provider NameLaura A Hanson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1568872547
PECOS PAC ID: 9032414461
Enrollment ID: I20180802001771
Provider NameHeather Anne Decker
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1336114529
PECOS PAC ID: 8527033703
Enrollment ID: I20180802001918
Provider NameBrianna Marie Seawell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316432974
PECOS PAC ID: 9830447903
Enrollment ID: I20180806002186
Provider NameAlyson Ann Montplaisir
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467952986
PECOS PAC ID: 5496003576
Enrollment ID: I20180806003114
Provider NameRachael Marie Summers
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1619395571
PECOS PAC ID: 9931422631
Enrollment ID: I20180807003612
Provider NameChristian W Nagel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457748790
PECOS PAC ID: 1850699521
Enrollment ID: I20180808000191
Provider NameKimberly Ann Rehberg
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1699118794
PECOS PAC ID: 9739484031
Enrollment ID: I20180809000034
Provider NameEllen B Gallagher
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710463427
PECOS PAC ID: 2365790110
Enrollment ID: I20180809006177
Provider NameDalia M Nashed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689085383
PECOS PAC ID: 2961790464
Enrollment ID: I20180810001598
Provider NameLucy Neitzel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427438092
PECOS PAC ID: 3577877109
Enrollment ID: I20180810001684
Provider NameAlyssa A Kerber
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1154858579
PECOS PAC ID: 2860765575
Enrollment ID: I20180815001295
Provider NameLaura E Robitschek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972038172
PECOS PAC ID: 7911264577
Enrollment ID: I20180820000696
Provider NameJennifer S Lee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487189718
PECOS PAC ID: 4880952134
Enrollment ID: I20180828000781
Provider NameAnne P Watkins
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1609119833
PECOS PAC ID: 8628373891
Enrollment ID: I20180830003254
Provider NameEmily B O'neil
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1104246800
PECOS PAC ID: 5991000333
Enrollment ID: I20180831002400
Provider NameJayanthi Vijayakumar
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1598025314
PECOS PAC ID: 6103121025
Enrollment ID: I20180831002443
Provider NameJennifer B Manning
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780061051
PECOS PAC ID: 6002181336
Enrollment ID: I20180904001023
Provider NameKelsie M Janney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932688728
PECOS PAC ID: 1951651314
Enrollment ID: I20180905002015
Provider NameJoy L Sayler
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1841770732
PECOS PAC ID: 6800146895
Enrollment ID: I20180913000102
Provider NameHannah Paruzynski
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1669952180
PECOS PAC ID: 6507116472
Enrollment ID: I20180914000034
Provider NameBreeanna Marie Mccarthy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609252410
PECOS PAC ID: 5799084265
Enrollment ID: I20180915000012
Provider NameJason P Havey
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1528455284
PECOS PAC ID: 4789989948
Enrollment ID: I20180917000759
Provider NameMolly Axvig
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659857290
PECOS PAC ID: 0446501282
Enrollment ID: I20180918003367
Provider NameRachel Anne Bartelt Gilbertson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1477031813
PECOS PAC ID: 0446501027
Enrollment ID: I20180920001069
Provider NameCrystal Ebert
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1134550502
PECOS PAC ID: 6103040480
Enrollment ID: I20180927000021
Provider NameKatherine A Swanson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104351584
PECOS PAC ID: 1254699598
Enrollment ID: I20180927001848
Provider NameHannah R Mork
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1083192702
PECOS PAC ID: 3577814656
Enrollment ID: I20180928002421
Provider NameKathryn Shahwan
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1699193714
PECOS PAC ID: 0749597094
Enrollment ID: I20181001000047
Provider NameMaria T Gonzalez Bolanos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609259688
PECOS PAC ID: 0840589073
Enrollment ID: I20181009001604
Provider NameJames H Kong
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1518145051
PECOS PAC ID: 5799070876
Enrollment ID: I20181009002343
Provider NameDouglas Sheafor
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1669438610
PECOS PAC ID: 7517970148
Enrollment ID: I20181012000040
Provider NameOwen D Vincent
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619263324
PECOS PAC ID: 3476782400
Enrollment ID: I20181017001044
Provider NameKimberly D Jacks
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1689195422
PECOS PAC ID: 6406129337
Enrollment ID: I20181018000363
Provider NameShemal M Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346627080
PECOS PAC ID: 0941504492
Enrollment ID: I20181018001134
Provider NameJeffrey Babcock
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1780117762
PECOS PAC ID: 0840563359
Enrollment ID: I20181022002287
Provider NameSarah R Tupper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861977472
PECOS PAC ID: 5496008310
Enrollment ID: I20181023002044
Provider NameJulia M Zerka
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1619452026
PECOS PAC ID: 1850644782
Enrollment ID: I20181023002484
Provider NameAlma Aurioles Aurioles Garibay
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1629486337
PECOS PAC ID: 7618194853
Enrollment ID: I20181025001136
Provider NameChandler Elise Domian Ommen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1437624558
PECOS PAC ID: 4587917711
Enrollment ID: I20181105002429
Provider NameNavid Khezri
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1477034411
PECOS PAC ID: 8022362912
Enrollment ID: I20181113000236
Provider NameKelsey Brown Helsing
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1477803641
PECOS PAC ID: 7012261944
Enrollment ID: I20181113001659
Provider NameJessica Jarnot
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1356761639
PECOS PAC ID: 9537464466
Enrollment ID: I20181116000127
Provider NameKatherine Elizabeth Mazan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548796832
PECOS PAC ID: 5597019117
Enrollment ID: I20181119001557
Provider NameJerry L Juhl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043785157
PECOS PAC ID: 1254685696
Enrollment ID: I20181121000639
Provider NameNatalie Dahlgren
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1821429606
PECOS PAC ID: 1153545256
Enrollment ID: I20181203000068
Provider NameKelsea Rae Forrester
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1760812788
PECOS PAC ID: 5890039796
Enrollment ID: I20181204001633
Provider NameMari B Ekblad
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1144458696
PECOS PAC ID: 3375888050
Enrollment ID: I20181228000077
Provider NameKevin Mcelroy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184151110
PECOS PAC ID: 6204106644
Enrollment ID: I20181228000615
Provider NameMolly J Carlson
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1932149176
PECOS PAC ID: 4486679453
Enrollment ID: I20190124002202
Provider NameSamuel Patrick Pf Otis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1619452075
PECOS PAC ID: 8325385651
Enrollment ID: I20190124002554
Provider NameKatrina M Flaskerud
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1235601774
PECOS PAC ID: 7911245162
Enrollment ID: I20190213001064
Provider NameTarah Pringle
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1033666342
PECOS PAC ID: 5890033674
Enrollment ID: I20190221001068
Provider NameGabriel T Sperl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255697488
PECOS PAC ID: 0042559429
Enrollment ID: I20190301000419
Provider NameAngela Clerc Tarcon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568965200
PECOS PAC ID: 2668737156
Enrollment ID: I20190301001503
Provider NameHannah M Christian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841761160
PECOS PAC ID: 9931448842
Enrollment ID: I20190311001479
Provider NameJessica Jane Kolb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083029920
PECOS PAC ID: 6709172273
Enrollment ID: I20190408000606
Provider NameJoshua C Simonson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326231887
PECOS PAC ID: 4688915291
Enrollment ID: I20190409001234
Provider NameMaria Kelley Kearney
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205394004
PECOS PAC ID: 9133460470
Enrollment ID: I20190415000241
Provider NameBrett David Lackie
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457812307
PECOS PAC ID: 9133460496
Enrollment ID: I20190415001241
Provider NameTaylor Allen Reff
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710445366
PECOS PAC ID: 9133460306
Enrollment ID: I20190416002840
Provider NameLisa B Howley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760538359
PECOS PAC ID: 8224226535
Enrollment ID: I20190418002444
Provider NameAbdurkedir Woliyi Geda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780038216
PECOS PAC ID: 0143563981
Enrollment ID: I20190520001625
Provider NameJane Allison Bailey
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1740275841
PECOS PAC ID: 4385537547
Enrollment ID: I20190520003035
Provider NameElizabeth Ann Anderson Crow
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255344511
PECOS PAC ID: 4284538760
Enrollment ID: I20190603001188
Provider NameSharon L Zehender
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1558597021
PECOS PAC ID: 2264571538
Enrollment ID: I20190604000066
Provider NameJohn M Sherwood
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821121088
PECOS PAC ID: 6800988700
Enrollment ID: I20190619001148
Provider NameBrendan M O'shea
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396972584
PECOS PAC ID: 4385888130
Enrollment ID: I20190621001041
Provider NameNissar Vahora
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407299423
PECOS PAC ID: 4183864168
Enrollment ID: I20190626001823
Provider NameMary Ling Mok Moreno
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1699180893
PECOS PAC ID: 1456641372
Enrollment ID: I20190627001131
Provider NameMollie Naughton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932764313
PECOS PAC ID: 7719211499
Enrollment ID: I20190701000165
Provider NameAli R Samikoglu
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295121275
PECOS PAC ID: 5698073401
Enrollment ID: I20190711000915
Provider NameDau-shen Ju
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1205959962
PECOS PAC ID: 2961737044
Enrollment ID: I20190711001461
Provider NameLucas D D Richer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1649831363
PECOS PAC ID: 2264767201
Enrollment ID: I20190712000049
Provider NameAaron Nissen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699332585
PECOS PAC ID: 6002141058
Enrollment ID: I20190712000775
Provider NameDavid M Miller
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750721593
PECOS PAC ID: 5597075135
Enrollment ID: I20190717001219
Provider NameKaitlyn Stimson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649753781
PECOS PAC ID: 3072848704
Enrollment ID: I20190717001425
Provider NameBenjamin M Wahlquist
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861053944
PECOS PAC ID: 7719212463
Enrollment ID: I20190717002155
Provider NameEva K Schwartz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356769467
PECOS PAC ID: 2567733975
Enrollment ID: I20190723001714
Provider NameJohn P Conely
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346634441
PECOS PAC ID: 0749595841
Enrollment ID: I20190724003844
Provider NameJohn Charles Zeyer
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1558604926
PECOS PAC ID: 6406159474
Enrollment ID: I20190730001402
Provider NameBlake Noennig
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1699192997
PECOS PAC ID: 0941428858
Enrollment ID: I20190730004430
Provider NameAnne E Schendel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1750736906
PECOS PAC ID: 9234465139
Enrollment ID: I20190731000081
Provider NameWilliam Henry Wilson
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1801239892
PECOS PAC ID: 4880823152
Enrollment ID: I20190731000508
Provider NameAhmad R Hatem Al Samaraee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447593173
PECOS PAC ID: 7810292828
Enrollment ID: I20190801000035
Provider NameJohn Tyler Steubs
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679960595
PECOS PAC ID: 9537450325
Enrollment ID: I20190801000324
Provider NamePhillip M Radke
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1407112881
PECOS PAC ID: 7416253679
Enrollment ID: I20190801000511
Provider NameMichael Benjamin Blazar
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1962845172
PECOS PAC ID: 8224380316
Enrollment ID: I20190801003496
Provider NameStephen Lewellis
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1891152641
PECOS PAC ID: 1658608112
Enrollment ID: I20190807001867
Provider NameMelissa A Moran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952960841
PECOS PAC ID: 2961739313
Enrollment ID: I20190808001491
Provider NameNicole Morrissey
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1053971630
PECOS PAC ID: 4587991740
Enrollment ID: I20190809002254
Provider NameRonald Conklin Stimson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780237594
PECOS PAC ID: 1456688647
Enrollment ID: I20190812000084
Provider NameJessica A Wright
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1902364656
PECOS PAC ID: 2062749922
Enrollment ID: I20190815000337
Provider NameSabrina Nicole Fink
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851959183
PECOS PAC ID: 1254668080
Enrollment ID: I20190815003555
Provider NameDaniel S Hanson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164874574
PECOS PAC ID: 6305131947
Enrollment ID: I20190821004826
Provider NameKimberly A Locke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225304405
PECOS PAC ID: 4789828336
Enrollment ID: I20190822001515
Provider NameOluwaseun O Acquah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295189678
PECOS PAC ID: 2466780887
Enrollment ID: I20190823000066
Provider NameVictoria A Rohman
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1184044802
PECOS PAC ID: 0042514507
Enrollment ID: I20190826002052
Provider NameChelsey Arlene Sand
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407200892
PECOS PAC ID: 6800124090
Enrollment ID: I20190827000065
Provider NameAdam Souhail Aldahan
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1609304617
PECOS PAC ID: 0244500791
Enrollment ID: I20190827002445
Provider NameJulia D Coffey
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1790170488
PECOS PAC ID: 7517267982
Enrollment ID: I20190829003897
Provider NameAndrew J Henn
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1275972341
PECOS PAC ID: 2062741903
Enrollment ID: I20190903000794
Provider NameJacob Alan Wessels
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508243866
PECOS PAC ID: 0345519708
Enrollment ID: I20190903002222
Provider NameRachel Elizabeth Martonik
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1366099103
PECOS PAC ID: 8224367065
Enrollment ID: I20190904001974
Provider NameGabrielle R Meyer
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1710305198
PECOS PAC ID: 4486959228
Enrollment ID: I20190905001216
Provider NameCarol G Philippe
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1386025567
PECOS PAC ID: 8325304280
Enrollment ID: I20190905002489
Provider NameKatie M Haferman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1306145081
PECOS PAC ID: 9739418245
Enrollment ID: I20190909003473
Provider NameMckayla Schmitt
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1144617366
PECOS PAC ID: 5698025450
Enrollment ID: I20190910001119
Provider NameMeredith Chan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1578907820
PECOS PAC ID: 4486926771
Enrollment ID: I20190912002383
Provider NameMadison B Peitz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134777550
PECOS PAC ID: 1658600804
Enrollment ID: I20190912002423
Provider NameLinsey M Utzinger
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1720397300
PECOS PAC ID: 7214220839
Enrollment ID: I20190918003210
Provider NameJames D Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750878948
PECOS PAC ID: 5496005316
Enrollment ID: I20190923001469
Provider NameElizabeth Ojukwu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295182772
PECOS PAC ID: 0941550651
Enrollment ID: I20190926000438
Provider NameJonathon D Sikorski
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1184005613
PECOS PAC ID: 7911237110
Enrollment ID: I20191002000926
Provider NameTsige Gebreslasse
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992230072
PECOS PAC ID: 9638400732
Enrollment ID: I20191003001362
Provider NameMichael Patrick Miller
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1912552076
PECOS PAC ID: 0143551283
Enrollment ID: I20191003003526
Provider NameLaura Jean Padhye
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104323781
PECOS PAC ID: 8527315118
Enrollment ID: I20191010000542
Provider NameKristin Elaine Totoraitis
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1376076075
PECOS PAC ID: 9537417563
Enrollment ID: I20191014001403
Provider NameClaudia Baumann
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1689917064
PECOS PAC ID: 2365773850
Enrollment ID: I20191015001231
Provider NameJaime L Loso
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1619364494
PECOS PAC ID: 2668767054
Enrollment ID: I20191016002154
Provider NameSakeena Futrell-carter
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1982037313
PECOS PAC ID: 8921235391
Enrollment ID: I20191016003647
Provider NameVanessa Wankhede Langenfeld
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720441900
PECOS PAC ID: 3274826607
Enrollment ID: I20191017001043
Provider NameKristen Engstrom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164074787
PECOS PAC ID: 1557693314
Enrollment ID: I20191028001845
Provider NameTerry L Poe
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1184738254
PECOS PAC ID: 5597677112
Enrollment ID: I20191111000740
Provider NameTasha B Hale
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1972970226
PECOS PAC ID: 7315379484
Enrollment ID: I20191111001238
Provider NameAnna Venn Carlson Ellason
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356634224
PECOS PAC ID: 1951559962
Enrollment ID: I20191112002494
Provider NameAnnika Rae Hudson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679125959
PECOS PAC ID: 7113359001
Enrollment ID: I20191114001350
Provider NameWestley Shigeo Mori
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1487181285
PECOS PAC ID: 7618247271
Enrollment ID: I20191121000293
Provider NameSarah Ann Elizabeth Novotny
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518279397
PECOS PAC ID: 4789017120
Enrollment ID: I20191126000386
Provider NameKristina Johanna Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861044984
PECOS PAC ID: 8527491851
Enrollment ID: I20191127001209
Provider NameTamara Mukete
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013575034
PECOS PAC ID: 3779819685
Enrollment ID: I20191217002003
Provider NameAbigale J Harris
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750938411
PECOS PAC ID: 2466886577
Enrollment ID: I20191226000831
Provider NameBrian A Conley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1831394402
PECOS PAC ID: 6002076825
Enrollment ID: I20191231000965
Provider NameTurang E Behbahani
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1972846343
PECOS PAC ID: 3173856572
Enrollment ID: I20200102001708
Provider NameHannah Weaver
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1538707484
PECOS PAC ID: 4082048749
Enrollment ID: I20200106001294
Provider NameRobert Hosker
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023338282
PECOS PAC ID: 1153624051
Enrollment ID: I20200107002156
Provider NameKaylee Nadine Frederickson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1639717986
PECOS PAC ID: 1254766561
Enrollment ID: I20200115000166
Provider NameWhitney Lea Finke
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134404908
PECOS PAC ID: 2062659345
Enrollment ID: I20200121002324
Provider NameMelissa Jean Neiert
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386280030
PECOS PAC ID: 9436584273
Enrollment ID: I20200124000227
Provider NamePatrice Danielle Dalton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295374171
PECOS PAC ID: 4789010489
Enrollment ID: I20200128001764
Provider NameKaren Gallagher Winker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558907204
PECOS PAC ID: 1951737014
Enrollment ID: I20200207002513
Provider NameSamantha Marie Slinger
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1003440371
PECOS PAC ID: 2668800251
Enrollment ID: I20200313000826
Provider NamePaige Rygg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952938821
PECOS PAC ID: 4284063074
Enrollment ID: I20200330002343
Provider NameAllison Marie White
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1437797917
PECOS PAC ID: 4284063983
Enrollment ID: I20200401000231
Provider NameBrittney M Joachim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710517669
PECOS PAC ID: 6507295235
Enrollment ID: I20200401001532
Provider NameMelissa Ann Hegland-smith
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1568540409
PECOS PAC ID: 7719317023
Enrollment ID: I20200428000248
Provider NameManoj A Doss
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1487049599
PECOS PAC ID: 9638483282
Enrollment ID: I20200430001241
Provider NameMarie A Diaz Varona
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1720611148
PECOS PAC ID: 0244661122
Enrollment ID: I20200508001082
Provider NameWilliam E Gibson
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1811250095
PECOS PAC ID: 1658674031
Enrollment ID: I20200508001105
Provider NameMarsha M Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407481591
PECOS PAC ID: 2163664186
Enrollment ID: I20200508002703
Provider NameAlissa Deardorff
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1528693785
PECOS PAC ID: 4082045745
Enrollment ID: I20200513000027
Provider NameAimee Violette
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578026738
PECOS PAC ID: 3173859881
Enrollment ID: I20200601001107
Provider NameAbigail E Peterson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003342130
PECOS PAC ID: 6800151879
Enrollment ID: I20200609002306
Provider NameChristian Phillips
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1518329150
PECOS PAC ID: 7113214602
Enrollment ID: I20200623000870
Provider NameNicholas G Matthees
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891105482
PECOS PAC ID: 5193028397
Enrollment ID: I20200625002562
Provider NameLindsay Nicole Page
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770106635
PECOS PAC ID: 4688097892
Enrollment ID: I20200707001592
Provider NameYelena S Mironova-chin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1336598812
PECOS PAC ID: 4082907209
Enrollment ID: I20200716000531
Provider NameNaoko Onizuka
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1336672930
PECOS PAC ID: 8921363888
Enrollment ID: I20200720000096
Provider NameKarl Stuart Tjerandsen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487077566
PECOS PAC ID: 2466717475
Enrollment ID: I20200721001287
Provider NameChristopher Reiff
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1871911768
PECOS PAC ID: 6305140542
Enrollment ID: I20200721003015
Provider NameWilliam Warmka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861978439
PECOS PAC ID: 6901220854
Enrollment ID: I20200723003745
Provider NameJennifer F Jue
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1013204882
PECOS PAC ID: 1658681655
Enrollment ID: I20200724002317
Provider NameAdam Morgan Johannsen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1861802019
PECOS PAC ID: 8224452917
Enrollment ID: I20200728002832
Provider NameArmin Brian Jewell
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1669851572
PECOS PAC ID: 5698003358
Enrollment ID: I20200729002670
Provider NameNaeem Moulki
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1538573969
PECOS PAC ID: 4082910641
Enrollment ID: I20200814000780
Provider NameJessica S.k. Lien
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1568825495
PECOS PAC ID: 2264724731
Enrollment ID: I20200817000687
Provider NameJacob V Sander
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1003438797
PECOS PAC ID: 8426475179
Enrollment ID: I20200826003708
Provider NameBrynne Latterell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841722469
PECOS PAC ID: 5597036889
Enrollment ID: I20200914000580
Provider NameAlaa Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366974933
PECOS PAC ID: 8224308820
Enrollment ID: I20200914002412
Provider NameAdrianne Shoshana Chessidy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679000426
PECOS PAC ID: 4688092083
Enrollment ID: I20200917000300
Provider NameEric M Rohman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1942620687
PECOS PAC ID: 7911203369
Enrollment ID: I20200918000011
Provider NameKatherine H Baillon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205368933
PECOS PAC ID: 2769716166
Enrollment ID: I20200918000139
Provider NameGabrielle Thottam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649652827
PECOS PAC ID: 0941628226
Enrollment ID: I20200918000452
Provider NameJennifer Renee Signor
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1972036531
PECOS PAC ID: 3072931351
Enrollment ID: I20200918000651
Provider NameGrant William Mathison
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1629482708
PECOS PAC ID: 0648496257
Enrollment ID: I20200921001338
Provider NameMouaffaa Tello
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1831622489
PECOS PAC ID: 3375889181
Enrollment ID: I20200930001602
Provider NameKatelyn A Neufeld
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1023626256
PECOS PAC ID: 2769801968
Enrollment ID: I20201007000444
Provider NameJennifer Anne Day
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1225443419
PECOS PAC ID: 4981932050
Enrollment ID: I20201007002443
Provider NameEmily Elizabeth Morimoto
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1316552383
PECOS PAC ID: 8426478421
Enrollment ID: I20201013001689
Provider NameBjorn Bakken
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174939706
PECOS PAC ID: 8729373410
Enrollment ID: I20201029001960
Provider NameNicole Liv Youngberg
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841899341
PECOS PAC ID: 2264842871
Enrollment ID: I20201111001207
Provider NameCaroline Minkus
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1376953323
PECOS PAC ID: 2961707518
Enrollment ID: I20201113001930
Provider NameJoshua P Degallier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083111538
PECOS PAC ID: 8224389093
Enrollment ID: I20201121000208
Provider NameTanya Kohnen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013401249
PECOS PAC ID: 2365853231
Enrollment ID: I20201125000107
Provider NameNeha Sakowski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336680503
PECOS PAC ID: 2062752801
Enrollment ID: I20201130000113
Provider NameLauren E Mcpherson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912439985
PECOS PAC ID: 5890067631
Enrollment ID: I20201208001492
Provider NameVenus L Burney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942649173
PECOS PAC ID: 1254743651
Enrollment ID: I20201208002897
Provider NameNina Moreira
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1326207572
PECOS PAC ID: 9537314349
Enrollment ID: I20201211000022
Provider NameAmanda Holmes
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1811524226
PECOS PAC ID: 9830502095
Enrollment ID: I20210107000096
Provider NameMargaret Candler
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1033657689
PECOS PAC ID: 7416360151
Enrollment ID: I20210119001890
Provider NameStephanie Zimmerman
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1336777267
PECOS PAC ID: 7618381062
Enrollment ID: I20210127000756
Provider NameErin Peters
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1306476189
PECOS PAC ID: 2769810688
Enrollment ID: I20210128002617
Provider NameAlexandria Taylor Sievert
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1609466408
PECOS PAC ID: 7517371339
Enrollment ID: I20210205001021
Provider NameJessica Kathleen Wetzel
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1497356992
PECOS PAC ID: 9032523899
Enrollment ID: I20210208000101
Provider NameChristopher Jc Adams
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598185027
PECOS PAC ID: 9234435496
Enrollment ID: I20210208000815
Provider NameStefanie Joy Wetzel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669983839
PECOS PAC ID: 8527394790
Enrollment ID: I20210208002834
Provider NameLucas Kuzj
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639632441
PECOS PAC ID: 9234464017
Enrollment ID: I20210222000750
Provider NameSteven J. Holladay
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1154911949
PECOS PAC ID: 4183039308
Enrollment ID: I20210222002660
Provider NameLina M Rodriguez
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1588955454
PECOS PAC ID: 6406106848
Enrollment ID: I20210223001873
Provider NameLeslie Ellis
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1568889418
PECOS PAC ID: 3577807304
Enrollment ID: I20210223002257
Provider NameTaiya Brown
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1558968172
PECOS PAC ID: 5698181204
Enrollment ID: I20210305001703
Provider NameLindsay Behl
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1841605003
PECOS PAC ID: 6103042858
Enrollment ID: I20210318002304
Provider NameElaina F Railey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689292369
PECOS PAC ID: 9032526918
Enrollment ID: I20210319000876
Provider NameAnthony Le
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851731061
PECOS PAC ID: 4880981844
Enrollment ID: I20210323002157
Provider NameAllison M Sheldon
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1417506411
PECOS PAC ID: 9032526595
Enrollment ID: I20210329002210
Provider NameBruce Olmscheid
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356632590
PECOS PAC ID: 8022268507
Enrollment ID: I20210416001496
Provider NameHailey Hegland
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1568848968
PECOS PAC ID: 4587953989
Enrollment ID: I20210420002266
Provider NameAshley R Forstrom
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639732837
PECOS PAC ID: 6800127721
Enrollment ID: I20210427001008
Provider NameLindsey Smith
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1033746615
PECOS PAC ID: 8921417148
Enrollment ID: I20210429000438
Provider NameShannon K Krizka
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1346522539
PECOS PAC ID: 2365851904
Enrollment ID: I20210511001402
Provider NameMitchell Carney Wilkinson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457551467
PECOS PAC ID: 3274711486
Enrollment ID: I20210520001034
Provider NameJoshua Jiakun Liu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1649665795
PECOS PAC ID: 8729395934
Enrollment ID: I20210520002394
Provider NameThomas Baron
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750744462
PECOS PAC ID: 1557653508
Enrollment ID: I20210520002988
Provider NameJoy Marie Fairbanks
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1295970259
PECOS PAC ID: 2769881481
Enrollment ID: I20210601001192
Provider NameColin Ziegenbein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427567536
PECOS PAC ID: 1658614664
Enrollment ID: I20210603001933
Provider NameLisa Ann Knapek
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1457926628
PECOS PAC ID: 2466852884
Enrollment ID: I20210607001467
Provider NameMadeline R Cross
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1821539024
PECOS PAC ID: 8022389246
Enrollment ID: I20210608002645
Provider NameMichael D Watkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265013551
PECOS PAC ID: 9638579170
Enrollment ID: I20210621001552
Provider NameArdiana Vuljaj
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972092492
PECOS PAC ID: 7012268162
Enrollment ID: I20210621002720
Provider NameKate Lager
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932774593
PECOS PAC ID: 1052712551
Enrollment ID: I20210622000608
Provider NameJustin Charles Wilson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265006712
PECOS PAC ID: 6709287014
Enrollment ID: I20210624000601
Provider NameDeirdre Michelle Moes
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1427289099
PECOS PAC ID: 7416358635
Enrollment ID: I20210625001044
Provider NameNeeraj Sathnur
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1427391929
PECOS PAC ID: 2860893831
Enrollment ID: I20210628003095
Provider NameRyan Weiler
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1093229098
PECOS PAC ID: 5799186532
Enrollment ID: I20210630001557
Provider NameBradley Basco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073181483
PECOS PAC ID: 7012318850
Enrollment ID: I20210630001696
Provider NameAmanda J Schroeder
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1275996423
PECOS PAC ID: 7113211566
Enrollment ID: I20210630003297
Provider NameSamir Ashwin Joshi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407386881
PECOS PAC ID: 1456620848
Enrollment ID: I20210713001840
Provider NameJacqueline Cleereman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750988481
PECOS PAC ID: 6002226370
Enrollment ID: I20210714003285
Provider NameBrenton Schneider
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1982066106
PECOS PAC ID: 8729373212
Enrollment ID: I20210720003860
Provider NameBrian Redemske
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912574856
PECOS PAC ID: 0749683225
Enrollment ID: I20210721001407
Provider NameBinh C Truong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306429857
PECOS PAC ID: 5890198303
Enrollment ID: I20210721002631
Provider NameMolly Carlson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891366951
PECOS PAC ID: 5294138699
Enrollment ID: I20210722002234
Provider NameNicholas Parkhurst
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215508031
PECOS PAC ID: 9133522444
Enrollment ID: I20210723002738
Provider NameMadilyn Nicole Guith
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1821660200
PECOS PAC ID: 1759784093
Enrollment ID: I20210726000523
Provider NameErica Ting
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497280101
PECOS PAC ID: 0446527378
Enrollment ID: I20210726002799
Provider NameThomas Logan Myers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083215008
PECOS PAC ID: 6800299736
Enrollment ID: I20210729000706
Provider NameAlissa Evenson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1851753388
PECOS PAC ID: 7214229210
Enrollment ID: I20210729003122
Provider NameAndrea Lyle
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1225526858
PECOS PAC ID: 9234466905
Enrollment ID: I20210802000177
Provider NameSneh N. Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528355591
PECOS PAC ID: 8022238013
Enrollment ID: I20210802003483
Provider NameGlen C Gross
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467814467
PECOS PAC ID: 4880986884
Enrollment ID: I20210803003763
Provider NameHaley Kristene Denhartog
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1437729001
PECOS PAC ID: 4688078017
Enrollment ID: I20210807000241
Provider NameAnna Wethington
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376048702
PECOS PAC ID: 0749536332
Enrollment ID: I20210810000569
Provider NameDaniel Sveom
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1568845311
PECOS PAC ID: 1951610088
Enrollment ID: I20210810001384
Provider NameDenis Folan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255863684
PECOS PAC ID: 8527306638
Enrollment ID: I20210810002882
Provider NameKaitlyn Rose Pscodna
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1013587344
PECOS PAC ID: 9436553542
Enrollment ID: I20210811004179
Provider NameDavid Patrick Rakoff
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1093166787
PECOS PAC ID: 7214220193
Enrollment ID: I20210811004205
Provider NameEseferuo O Famati
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396348371
PECOS PAC ID: 8325442395
Enrollment ID: I20210812003108
Provider NameColleen Marie Graf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679121776
PECOS PAC ID: 3870997737
Enrollment ID: I20210814000031
Provider NameEileen Eggenberger
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1225416001
PECOS PAC ID: 7810291630
Enrollment ID: I20210816000708
Provider NameEric M Nelsen
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1801117528
PECOS PAC ID: 7911170410
Enrollment ID: I20210816000879
Provider NameMargaret J Schwartz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093202012
PECOS PAC ID: 0345573846
Enrollment ID: I20210816000956
Provider NameOmar Dajani
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1639564446
PECOS PAC ID: 5698081149
Enrollment ID: I20210817002887
Provider NameMallory Ann Phillips
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871160937
PECOS PAC ID: 8224433859
Enrollment ID: I20210819003850
Provider NameHeather Boeser
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154969020
PECOS PAC ID: 7911302302
Enrollment ID: I20210824000217
Provider NameFrancesca Schirber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841964244
PECOS PAC ID: 6305241514
Enrollment ID: I20210826001972
Provider NameKaren Lane Anderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114196672
PECOS PAC ID: 2860570850
Enrollment ID: I20210827001307
Provider NameSarah C Jones
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811484785
PECOS PAC ID: 7214288679
Enrollment ID: I20210831000294
Provider NameAnn Marie Miller
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1184296519
PECOS PAC ID: 1052717493
Enrollment ID: I20210909002049
Provider NameSavannah Safar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073190591
PECOS PAC ID: 5496163057
Enrollment ID: I20210911000179
Provider NameNoah Richard Kottke
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1689341588
PECOS PAC ID: 0446656714
Enrollment ID: I20210913000493
Provider NameEmily Ann Cramer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780352492
PECOS PAC ID: 3678979820
Enrollment ID: I20210914000520
Provider NameJenna Grace Mangle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437722451
PECOS PAC ID: 4183020373
Enrollment ID: I20210914002124
Provider NameMuna N Abdi
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1174807614
PECOS PAC ID: 1658778436
Enrollment ID: I20210921002494
Provider NameKinsey A Cornick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306339502
PECOS PAC ID: 4082963681
Enrollment ID: I20210921004000
Provider NameKorina Klaysmat
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548939747
PECOS PAC ID: 3779980420
Enrollment ID: I20210922001434
Provider NameWilliam H Ladner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992238471
PECOS PAC ID: 5193078590
Enrollment ID: I20210922003410
Provider NameBrennan Patrick Swan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477128239
PECOS PAC ID: 4587061213
Enrollment ID: I20210923001026
Provider NameErica Anne Svoboda
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841874575
PECOS PAC ID: 0547667115
Enrollment ID: I20210923003005
Provider NameBenjamin R Williams
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1790162220
PECOS PAC ID: 2769789718
Enrollment ID: I20210924000853
Provider NameNicole E Noyes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033608211
PECOS PAC ID: 8729311212
Enrollment ID: I20210924001117
Provider NameNicholas Henry Thell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467028845
PECOS PAC ID: 4183022650
Enrollment ID: I20211013003288
Provider NameEllen Grace Bruesch
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1730789629
PECOS PAC ID: 6002204062
Enrollment ID: I20211023000221
Provider NameElijah Luken
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568134492
PECOS PAC ID: 9133517899
Enrollment ID: I20211028002919
Provider NameAnna Pedersen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740881283
PECOS PAC ID: 9436565462
Enrollment ID: I20211029000026
Provider NameJeffrey R Frankiewicz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184981391
PECOS PAC ID: 5799094918
Enrollment ID: I20211104000485
Provider NameTess L Michielutti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477086288
PECOS PAC ID: 5496022501
Enrollment ID: I20211105001253
Provider NameShereen Sorensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043800022
PECOS PAC ID: 9133518517
Enrollment ID: I20211105002524
Provider NameTeresa Patani
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1689838831
PECOS PAC ID: 8325230105
Enrollment ID: I20211109000117
Provider NameAnna L Melnichuk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013591411
PECOS PAC ID: 8325437445
Enrollment ID: I20211111001084
Provider NameBrittany Schmid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063175941
PECOS PAC ID: 0244629145
Enrollment ID: I20211116000033
Provider NameMohammed Arif Ibrahim
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1255785465
PECOS PAC ID: 5193114841
Enrollment ID: I20211118000055
Provider NameDeb K Mojumder
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1396023818
PECOS PAC ID: 4183928849
Enrollment ID: I20211204000157
Provider NameSamantha A Janssen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437727690
PECOS PAC ID: 5698165678
Enrollment ID: I20211206002614
Provider NameMichael A Schirado
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1104852185
PECOS PAC ID: 4789661026
Enrollment ID: I20211210001482
Provider NameNaga Rumicho
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033592472
PECOS PAC ID: 7810388022
Enrollment ID: I20211223000935
Provider NameKarli Dahl
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386194652
PECOS PAC ID: 1557753373
Enrollment ID: I20220127001773
Provider NameJesse Lyn Moonen
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1306500939
PECOS PAC ID: 0345633756
Enrollment ID: I20220208001056
Provider NameSanjay Saluja
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053374462
PECOS PAC ID: 0840241279
Enrollment ID: I20220217001713
Provider NameBrian P Flemming
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093000747
PECOS PAC ID: 7214226422
Enrollment ID: I20220222002584
Provider NameAllison Jenness
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518463629
PECOS PAC ID: 0143577270
Enrollment ID: I20220224003003
Provider NameAshley Y Blaine
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1174291504
PECOS PAC ID: 6406240035
Enrollment ID: I20220224003043
Provider NameAndrea Joy Kuenzel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780341644
PECOS PAC ID: 1456745892
Enrollment ID: I20220228002255
Provider NameJohn D Millet
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922444355
PECOS PAC ID: 3375845472
Enrollment ID: I20220307002551
Provider NameResley Okioma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083285621
PECOS PAC ID: 9830584382
Enrollment ID: I20220318001330
Provider NameAllisen Deville
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093386690
PECOS PAC ID: 8820483977
Enrollment ID: I20220328001214
Provider NameAaron Buzard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487036158
PECOS PAC ID: 1254689631
Enrollment ID: I20220328001298
Provider NameGerome V Escota
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1235385394
PECOS PAC ID: 0749423713
Enrollment ID: I20220404002350
Provider NameSabrina Zionts
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1427617463
PECOS PAC ID: 7719216340
Enrollment ID: I20220405001091
Provider NameBrett R Becker
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073261145
PECOS PAC ID: 0547656001
Enrollment ID: I20220408001747
Provider NameRyan B O'malley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174729131
PECOS PAC ID: 3870759707
Enrollment ID: I20220409000409
Provider NameEverett H Gu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588004535
PECOS PAC ID: 5395055396
Enrollment ID: I20220418001627
Provider NameAshley D Brown
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1912392184
PECOS PAC ID: 0648604470
Enrollment ID: I20220425001105
Provider NameMelanie A Siefman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912384165
PECOS PAC ID: 5890041073
Enrollment ID: I20220425002793
Provider NameNathan Carr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316586993
PECOS PAC ID: 3072900729
Enrollment ID: I20220427000755
Provider NameKelash Kumar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326499542
PECOS PAC ID: 2466739560
Enrollment ID: I20220510001986
Provider NameApril Marie Hollahan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417606385
PECOS PAC ID: 8921485855
Enrollment ID: I20220516001878
Provider NameBrooke A Dugdale
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184115495
PECOS PAC ID: 6406103886
Enrollment ID: I20220517001369
Provider NameKelsey Lien
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699395707
PECOS PAC ID: 2466877477
Enrollment ID: I20220523000086
Provider NameTimothy K Ho
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063874808
PECOS PAC ID: 8820497779
Enrollment ID: I20220601003005
Provider NameCasey Louise White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134866114
PECOS PAC ID: 4284012394
Enrollment ID: I20220601003056
Provider NameNaima Ali Yahya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154063485
PECOS PAC ID: 7214315225
Enrollment ID: I20220603000620
Provider NameNicholas R Wilson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083177638
PECOS PAC ID: 9032446117
Enrollment ID: I20220606001766
Provider NameAmy Kaufman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114304839
PECOS PAC ID: 9032412317
Enrollment ID: I20220607002914
Provider NameBethany Anne Wenger
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1568703270
PECOS PAC ID: 0446497473
Enrollment ID: I20220608002629
Provider NameRobert Talbert
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700172905
PECOS PAC ID: 3274762422
Enrollment ID: I20220609002655
Provider NamePatrick Hackler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1205282746
PECOS PAC ID: 0345531091
Enrollment ID: I20220610001459
Provider NameSean K Johnston
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609052000
PECOS PAC ID: 7416088489
Enrollment ID: I20220610001786
Provider NameAshley C Anderson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770938607
PECOS PAC ID: 6305242959
Enrollment ID: I20220610002027
Provider NameDennis Heaton
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144453978
PECOS PAC ID: 6901944669
Enrollment ID: I20220613001256
Provider NameBenjamin James Albert Wehner
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457912461
PECOS PAC ID: 4981083417
Enrollment ID: I20220614000757
Provider NameDaniel P Vanderhoef
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013470863
PECOS PAC ID: 8123355203
Enrollment ID: I20220614003331
Provider NameFarah Yusuf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306280631
PECOS PAC ID: 9537440177
Enrollment ID: I20220621001705
Provider NameOrnina Bachour
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073046298
PECOS PAC ID: 2163773011
Enrollment ID: I20220621002836
Provider NameLauren Kathleen Herland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710626767
PECOS PAC ID: 0345629200
Enrollment ID: I20220623000590
Provider NameChristine Frances Lager
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689312803
PECOS PAC ID: 0143609008
Enrollment ID: I20220623000670
Provider NameJennifer Laroy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1942654983
PECOS PAC ID: 3870885254
Enrollment ID: I20220630000947
Provider NameKristy Maas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174268338
PECOS PAC ID: 1355721812
Enrollment ID: I20220630002266
Provider NameBilal Alturkmani
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649627621
PECOS PAC ID: 2264723105
Enrollment ID: I20220705001248
Provider NameDevon Hutton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518379080
PECOS PAC ID: 4284933581
Enrollment ID: I20220714000732
Provider NameRachel Lisbeth Nelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386383826
PECOS PAC ID: 7810378155
Enrollment ID: I20220719000961
Provider NameKatie Lynn Andrinas
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1003311978
PECOS PAC ID: 2062893134
Enrollment ID: I20220720002841
Provider NameSasha Collins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447811203
PECOS PAC ID: 9335474378
Enrollment ID: I20220721000651
Provider NameLuke D Lundeen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295267953
PECOS PAC ID: 6507137866
Enrollment ID: I20220721000907
Provider NameIsaac Rolstad Wieber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013648526
PECOS PAC ID: 2769863786
Enrollment ID: I20220721001238
Provider NameStephy Ann Thomas
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245735828
PECOS PAC ID: 9234476532
Enrollment ID: I20220721002344
Provider NameTiffany Anne Etterman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1023507464
PECOS PAC ID: 7618232414
Enrollment ID: I20220725000076
Provider NameMadeline Mosher
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225768161
PECOS PAC ID: 7517349228
Enrollment ID: I20220727003320
Provider NameBenjamin D Meyer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619324043
PECOS PAC ID: 2264726397
Enrollment ID: I20220802001611
Provider NameMark D Kovacs
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437385507
PECOS PAC ID: 3072738285
Enrollment ID: I20220809003262
Provider NameJoseph Noack
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1871025270
PECOS PAC ID: 3274935895
Enrollment ID: I20220815002516
Provider NameEmily Hyypio
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1457830713
PECOS PAC ID: 2163805649
Enrollment ID: I20220816002048
Provider NameCorinne J Solheid
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1700380284
PECOS PAC ID: 0547500449
Enrollment ID: I20220825000460
Provider NameAdam Sweeney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407149768
PECOS PAC ID: 3577832062
Enrollment ID: I20220825000597
Provider NameRaheel Kapadia
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1659936557
PECOS PAC ID: 8325422389
Enrollment ID: I20220825001603
Provider NameBrian Tomich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437514890
PECOS PAC ID: 8628364981
Enrollment ID: I20220825001835
Provider NameJill H Olson Moser
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1912632274
PECOS PAC ID: 8628452398
Enrollment ID: I20220829003526
Provider NameJeffrey Nathan Smith
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1285959213
PECOS PAC ID: 7214174101
Enrollment ID: I20220902000580
Provider NameMadison K Hemming
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1972238145
PECOS PAC ID: 7012391378
Enrollment ID: I20220906000819
Provider NameAmalya Lewin-larin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457013955
PECOS PAC ID: 9638553761
Enrollment ID: I20220908001536
Provider NameElizabeth Ann Moses
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932828480
PECOS PAC ID: 7810371903
Enrollment ID: I20220909000462
Provider NameElizabeth C Lepage
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1831508811
PECOS PAC ID: 9830574847
Enrollment ID: I20220912001971
Provider NameErin Michelle Miers
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1760993703
PECOS PAC ID: 9537426986
Enrollment ID: I20220913002698
Provider NameMolly K Ostroot
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588169346
PECOS PAC ID: 9234564923
Enrollment ID: I20220914000994
Provider NameLily Ann Thompson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295296994
PECOS PAC ID: 2668857525
Enrollment ID: I20220914001192
Provider NameEllen C Thompson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1730692567
PECOS PAC ID: 1951643188
Enrollment ID: I20220914001421
Provider NameJennifer Marie Janssen
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1932605409
PECOS PAC ID: 3971852526
Enrollment ID: I20220914002442
Provider NameKatherine E Schreck
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184187882
PECOS PAC ID: 2567896525
Enrollment ID: I20220914002772
Provider NameAlexandra A Belzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952034050
PECOS PAC ID: 6305221102
Enrollment ID: I20220914003734
Provider NameKira Novakofski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750879037
PECOS PAC ID: 4981952355
Enrollment ID: I20220914003739
Provider NameMolly Kreutter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1184350092
PECOS PAC ID: 0547645913
Enrollment ID: I20220921001668
Provider NameSamantha Lindsley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881315174
PECOS PAC ID: 7719362011
Enrollment ID: I20220922003787
Provider NameCory T Lymburner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679136428
PECOS PAC ID: 0244564540
Enrollment ID: I20220926000482
Provider NameDiana Akiko Cowdrey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396241493
PECOS PAC ID: 9436406659
Enrollment ID: I20220928000822
Provider NameStevie Maxwell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023546496
PECOS PAC ID: 1759656606
Enrollment ID: I20220928001291
Provider NameKatherine Chang
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1366860108
PECOS PAC ID: 9032413026
Enrollment ID: I20220928002054
Provider NameWinnie Cheung
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679955090
PECOS PAC ID: 3072827229
Enrollment ID: I20220928002070
Provider NameMelissa Albrecht
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1578120366
PECOS PAC ID: 0345626107
Enrollment ID: I20220930001642
Provider NameBrittany Shawn Moreno
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720715659
PECOS PAC ID: 9739565474
Enrollment ID: I20221003002340
Provider NameMaggie Y Abraham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851911044
PECOS PAC ID: 9931524949
Enrollment ID: I20221004001077
Provider NameJennifer L Guptail
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1255951950
PECOS PAC ID: 8527444181
Enrollment ID: I20221005000522
Provider NameStephanie A Pickthorn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972162519
PECOS PAC ID: 7113253774
Enrollment ID: I20221005003345
Provider NameChristine E Prill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316436405
PECOS PAC ID: 6800129396
Enrollment ID: I20221006001438
Provider NameAndrew Radin Fox
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1518594498
PECOS PAC ID: 5294101481
Enrollment ID: I20221012003263
Provider NameMuhammad Hashim Zeb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245728609
PECOS PAC ID: 9335540541
Enrollment ID: I20221014000098
Provider NameAbigail Mae Frith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124752415
PECOS PAC ID: 5991171688
Enrollment ID: I20221020002919
Provider NameSolveig Ophaug
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1295261949
PECOS PAC ID: 5395095194
Enrollment ID: I20221026001880
Provider NameKelly M. Spanier
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1588270557
PECOS PAC ID: 7012390404
Enrollment ID: I20221026002569
Provider NameRenee S Leisen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336872498
PECOS PAC ID: 5395112676
Enrollment ID: I20221028001437
Provider NameZubair Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851734560
PECOS PAC ID: 6103069208
Enrollment ID: I20221028001726
Provider NamePhillip Lee Van
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639330533
PECOS PAC ID: 9335380161
Enrollment ID: I20221031000664
Provider NameLacey Severson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265064935
PECOS PAC ID: 3173990355
Enrollment ID: I20221031002701
Provider NameMeghan Romanowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801517008
PECOS PAC ID: 5698142701
Enrollment ID: I20221102002491
Provider NameStefanie Lautenbach
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1275283855
PECOS PAC ID: 2062889074
Enrollment ID: I20221104000208
Provider NameJody Luck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023762721
PECOS PAC ID: 5294102109
Enrollment ID: I20221107001479
Provider NameMarjay G Kelley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811663479
PECOS PAC ID: 6507233046
Enrollment ID: I20221114000222
Provider NameAdam T Wright
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306078191
PECOS PAC ID: 3779890546
Enrollment ID: I20221115000082
Provider NameAndrew Scarano
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356607725
PECOS PAC ID: 0446473177
Enrollment ID: I20221115000160
Provider NameAex Cahun Barr
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1366977753
PECOS PAC ID: 3274901640
Enrollment ID: I20221116002929
Provider NameJennifer Lothert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770207946
PECOS PAC ID: 0446628739
Enrollment ID: I20221117000519
Provider NameMercy N Shwembom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669107470
PECOS PAC ID: 5698143907
Enrollment ID: I20221117001523
Provider NameAmy Larsen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700505641
PECOS PAC ID: 8527436740
Enrollment ID: I20221119000304
Provider NameMunira Maalimisaq
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467180836
PECOS PAC ID: 0749658714
Enrollment ID: I20221122002655
Provider NameLauren L Mallak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396465738
PECOS PAC ID: 5193193985
Enrollment ID: I20221129002073
Provider NameCaitlin Sarah Coyer
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437868593
PECOS PAC ID: 7416326657
Enrollment ID: I20221212000592
Provider NamePhilip Punnoose
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801523782
PECOS PAC ID: 4688043623
Enrollment ID: I20221213002589
Provider NameSamantha Burwinkel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659949048
PECOS PAC ID: 0840673521
Enrollment ID: I20221215001452
Provider NameAmanda D Kramer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366034514
PECOS PAC ID: 8820467681
Enrollment ID: I20221217000206
Provider NameLainey C Mannix
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124738299
PECOS PAC ID: 0446629232
Enrollment ID: I20221219001038
Provider NameAmy Pearson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801078084
PECOS PAC ID: 2860816014
Enrollment ID: I20221223000115
Provider NameCarly Harvey
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194067660
PECOS PAC ID: 7618197005
Enrollment ID: I20221224000133
Provider NameSondra Windus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427519644
PECOS PAC ID: 3274903232
Enrollment ID: I20230109000711
Provider NameAbigail Kuzas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174131817
PECOS PAC ID: 2769800564
Enrollment ID: I20230112001784
Provider NameMichael Fu-yen Lin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245250802
PECOS PAC ID: 7113922030
Enrollment ID: I20230117003100
Provider NameBrooke Kristine Nunemaker
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225509466
PECOS PAC ID: 7416328000
Enrollment ID: I20230118001305
Provider NameMadeline Kay Dahl
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1265179717
PECOS PAC ID: 2769853977
Enrollment ID: I20230126002043
Provider NameKavya B Desai
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1093370074
PECOS PAC ID: 5597092858
Enrollment ID: I20230127001228
Provider NameRachel Vraa
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1386359982
PECOS PAC ID: 2860864485
Enrollment ID: I20230208001397
Provider NameLaura K Archibald
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1790348472
PECOS PAC ID: 9537494679
Enrollment ID: I20230215002036
Provider NamePaul Frenette
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457702706
PECOS PAC ID: 4789016569
Enrollment ID: I20230216000143
Provider NameMolly Young Sheppard
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184092942
PECOS PAC ID: 1557733698
Enrollment ID: I20230217001697
Provider NameMichael Skulski
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801871876
PECOS PAC ID: 8921058108
Enrollment ID: I20230217002258
Provider NameCassidy Lyn Miller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1932814597
PECOS PAC ID: 0941673891
Enrollment ID: I20230224000397
Provider NameNatalie Marie Bruno
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1982310926
PECOS PAC ID: 7618340589
Enrollment ID: I20230224001152
Provider NameKatherine Borgen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023352275
PECOS PAC ID: 8628441482
Enrollment ID: I20230227002641
Provider NameTaylor Jo Schiebout
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841905437
PECOS PAC ID: 2860865425
Enrollment ID: I20230301000970
Provider NameJacques Boucal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366156986
PECOS PAC ID: 5395118830
Enrollment ID: I20230302001742
Provider NameAnne Marie Harrington
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1801852819
PECOS PAC ID: 1557390341
Enrollment ID: I20230316000779
Provider NameJimena Repetto Frenette
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942662572
PECOS PAC ID: 6608208236
Enrollment ID: I20230317001000
Provider NameBruce Andersen
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1063420792
PECOS PAC ID: 3678485760
Enrollment ID: I20230321001831
Provider NameKathryn Jean Berscheit
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1366151755
PECOS PAC ID: 4688048267
Enrollment ID: I20230322001003
Provider NameMaggie Hysjulien Christ
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235840471
PECOS PAC ID: 1759755275
Enrollment ID: I20230324001250
Provider NameAlexandra Christine Quinn
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1679273320
PECOS PAC ID: 0749654101
Enrollment ID: I20230327000229
Provider NameKarin L Mulrooney
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1982677944
PECOS PAC ID: 0749454411
Enrollment ID: I20230327002513
Provider NameTristan R Lawson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1295260552
PECOS PAC ID: 4082986385
Enrollment ID: I20230328000764
Provider NameLaura T Nguyen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881955193
PECOS PAC ID: 1850616970
Enrollment ID: I20230328002716
Provider NameAllison Spicher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467956979
PECOS PAC ID: 2466847660
Enrollment ID: I20230410000631
Provider NameMaria Lanasa
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1487199675
PECOS PAC ID: 7315273935
Enrollment ID: I20230410000646
Provider NameThomas Freeman
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1083101380
PECOS PAC ID: 9537412853
Enrollment ID: I20230410000989
Provider NameLauren Yorozuya
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1073133096
PECOS PAC ID: 0446677355
Enrollment ID: I20230413000081
Provider NameKatherine Roberts
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1215324439
PECOS PAC ID: 8325343213
Enrollment ID: I20230424000882
Provider NameAjaydas Manikkan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619198439
PECOS PAC ID: 7315031788
Enrollment ID: I20230426002060
Provider NameJudith K Wolf
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1790878726
PECOS PAC ID: 4284829532
Enrollment ID: I20230428002497
Provider NameNeil R Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891494043
PECOS PAC ID: 4688039472
Enrollment ID: I20230501001477
Provider NameMelissa M Glynn
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1659075281
PECOS PAC ID: 3476919598
Enrollment ID: I20230516001836
Provider NamePaul K Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669178620
PECOS PAC ID: 0446616221
Enrollment ID: I20230522000352
Provider NameRachel Williams Beck Salz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932736295
PECOS PAC ID: 8628490661
Enrollment ID: I20230524002359
Provider NameMaarten L Galantowicz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194257899
PECOS PAC ID: 6608146063
Enrollment ID: I20230526001606
Provider NameRebecca S Kimyon
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1902427958
PECOS PAC ID: 7719389626
Enrollment ID: I20230601002822
Provider NameDavid Kovar
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1770536179
PECOS PAC ID: 9638151400
Enrollment ID: I20230602000578
Provider NameGrace Helene Meidl
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1326788183
PECOS PAC ID: 1153788377
Enrollment ID: I20230602002562
Provider NameJohn R Brown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104518265
PECOS PAC ID: 4385001239
Enrollment ID: I20230607003220
Provider NameNabila Rasool
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1639343619
PECOS PAC ID: 1456401777
Enrollment ID: I20230609002315
Provider NameEkaterina Andrea New
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689381550
PECOS PAC ID: 9739546466
Enrollment ID: I20230612000255
Provider NameLauren Doda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114584067
PECOS PAC ID: 3476948647
Enrollment ID: I20230620002690
Provider NameCaroline Carlson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750073813
PECOS PAC ID: 3870951676
Enrollment ID: I20230627001869
Provider NameJordan Elizabeth Martinson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760168009
PECOS PAC ID: 8325407661
Enrollment ID: I20230705003339
Provider NameJames Austin Campbell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437687167
PECOS PAC ID: 3476823915
Enrollment ID: I20230708000431
Provider NameBenjamin Scott Levy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053745273
PECOS PAC ID: 9638421050
Enrollment ID: I20230713002678
Provider NameJohanna Thea Bergh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477239580
PECOS PAC ID: 2163882408
Enrollment ID: I20230718001230
Provider NameMichael Q Benson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447780705
PECOS PAC ID: 7113296062
Enrollment ID: I20230719000338
Provider NameKayln Rachele Stensrud
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295350858
PECOS PAC ID: 3678933900
Enrollment ID: I20230719000561
Provider NameJordan Rhae Lundberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114603677
PECOS PAC ID: 6002276284
Enrollment ID: I20230719003050
Provider NameJacob Albersheim
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1568950103
PECOS PAC ID: 9638424021
Enrollment ID: I20230725000982
Provider NameAlbert M Arslan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528408671
PECOS PAC ID: 2860754595
Enrollment ID: I20230725001612
Provider NameJordan N Putz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851700173
PECOS PAC ID: 9739540428
Enrollment ID: I20230727001665
Provider NameMatthew Charles Mcvay
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1336593300
PECOS PAC ID: 3971903352
Enrollment ID: I20230727001817
Provider NameLuke W Desilet
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1487146296
PECOS PAC ID: 0941550644
Enrollment ID: I20230727002592
Provider NameGurpal S Benning
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891029856
PECOS PAC ID: 6507903036
Enrollment ID: I20230728002328
Provider NameGrace Nelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508545690
PECOS PAC ID: 8123489713
Enrollment ID: I20230728002845
Provider NameEmma Anne Goldberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225712573
PECOS PAC ID: 4082075619
Enrollment ID: I20230731000864
Provider NameMegan Fuka
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1225774086
PECOS PAC ID: 6800257437
Enrollment ID: I20230731000867
Provider NameHallie Mann
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1851053763
PECOS PAC ID: 1850762923
Enrollment ID: I20230731001904
Provider NameSamuel James Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548952781
PECOS PAC ID: 2365803814
Enrollment ID: I20230731002205
Provider NameAdam S Nygard
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871021816
PECOS PAC ID: 3173895232
Enrollment ID: I20230801001541
Provider NameKatherine Rose Berg
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1578253365
PECOS PAC ID: 0446612261
Enrollment ID: I20230810003275
Provider NameNicholas Edward Blonien
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1770932485
PECOS PAC ID: 1850753294
Enrollment ID: I20230816002475
Provider NameCher Chang
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1073074472
PECOS PAC ID: 4082076328
Enrollment ID: I20230817002296
Provider NameJoanna Bobbitt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902588833
PECOS PAC ID: 9335501675
Enrollment ID: I20230817002383
Provider NamePaul J Mcmanus
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093335366
PECOS PAC ID: 5597180505
Enrollment ID: I20230818003153
Provider NameKari Marie Palthe Anderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073294930
PECOS PAC ID: 1658733803
Enrollment ID: I20230820000045
Provider NameAlexis Jean Sherrick
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1962195743
PECOS PAC ID: 3971966094
Enrollment ID: I20230822004078
Provider NameKailynn Adam
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1912466020
PECOS PAC ID: 4183959919
Enrollment ID: I20230823004484
Provider NameBenjamin B Eidenschink
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1366965295
PECOS PAC ID: 1759713092
Enrollment ID: I20230824003572
Provider NameMolly Favour
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275153470
PECOS PAC ID: 5092131466
Enrollment ID: I20230825001092
Provider NameKatherine R Lee
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1386179125
PECOS PAC ID: 2668720848
Enrollment ID: I20230829000841
Provider NameJohn Yang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811670136
PECOS PAC ID: 0648633289
Enrollment ID: I20230829003637
Provider NameAshley Hoffman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1083311799
PECOS PAC ID: 1658735683
Enrollment ID: I20230911000142
Provider NameNatasha Kunin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700588548
PECOS PAC ID: 2365806213
Enrollment ID: I20230912001589
Provider NameElliot J Graziano
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871027037
PECOS PAC ID: 5092079376
Enrollment ID: I20230913001071
Provider NameSamantha J Gardeen
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1255994984
PECOS PAC ID: 3173858230
Enrollment ID: I20230913002584
Provider NameSamuel Joshua Katz
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1568969970
PECOS PAC ID: 5193189868
Enrollment ID: I20230913002973
Provider NameConnie Jaenicke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508875063
PECOS PAC ID: 8426487000
Enrollment ID: I20230914002086
Provider NameArica Nicole Lambrecht
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285317008
PECOS PAC ID: 8820452469
Enrollment ID: I20230914002199
Provider NameLauren T Macneill
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1003377664
PECOS PAC ID: 9739414780
Enrollment ID: I20230914003692
Provider NameCourtney L Plemel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316508161
PECOS PAC ID: 3577895499
Enrollment ID: I20230915001019
Provider NameAnil J Gherau
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407477169
PECOS PAC ID: 1456776848
Enrollment ID: I20230919001875
Provider NameTamara Nunez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548889132
PECOS PAC ID: 5890125611
Enrollment ID: I20230920000797
Provider NameSamuel Thomas Goracke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144905159
PECOS PAC ID: 0143674440
Enrollment ID: I20230920001693
Provider NameJeffrey Austin Heller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417577321
PECOS PAC ID: 6901224740
Enrollment ID: I20230920002774
Provider NameColton Thoreson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659908572
PECOS PAC ID: 0547614885
Enrollment ID: I20230920003571
Provider NameMohamed A Artan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497382675
PECOS PAC ID: 1153745344
Enrollment ID: I20230921000955
Provider NameMirit M Yacoup
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366007023
PECOS PAC ID: 7012244353
Enrollment ID: I20230921003782
Provider NameMegan Elizabeth Bennett
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1457136160
PECOS PAC ID: 1658725395
Enrollment ID: I20230928001591
Provider NameLauren Ann Wrede
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194501395
PECOS PAC ID: 2860846516
Enrollment ID: I20230928001910
Provider NameLauren Anne Getz
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1366121345
PECOS PAC ID: 7113371865
Enrollment ID: I20230928001976
Provider NameHannah Jona Kitch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023604519
PECOS PAC ID: 9335553320
Enrollment ID: I20230928002193
Provider NameKevin R Webb-kay
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1215467790
PECOS PAC ID: 7315216009
Enrollment ID: I20230929000789
Provider NameJonathan Power Hawkinson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1356904007
PECOS PAC ID: 8921452541
Enrollment ID: I20230929001458
Provider NameShannon Nichole Gerberding
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1538656772
PECOS PAC ID: 1850641432
Enrollment ID: I20230929001549
Provider NameKatherine Elizabeth Shaver
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1407633522
PECOS PAC ID: 5395199954
Enrollment ID: I20230929003077
Provider NameKayleigh M Dittes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689294811
PECOS PAC ID: 8224454418
Enrollment ID: I20230929003465
Provider NameNickolas E Williams
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053840041
PECOS PAC ID: 9032489372
Enrollment ID: I20230929003518
Provider NameKester Phillips
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1225357338
PECOS PAC ID: 5193044154
Enrollment ID: I20231002002036
Provider NameWing-sze Wong Sun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720763378
PECOS PAC ID: 3173977667
Enrollment ID: I20231003001152
Provider NameNicole M Pagel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629607700
PECOS PAC ID: 9032531785
Enrollment ID: I20231003002471
Provider NameTaylor Paulsrud
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629856398
PECOS PAC ID: 5799130118
Enrollment ID: I20231004003319
Provider NameElizabeth A Nelson
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1306343686
PECOS PAC ID: 7113278987
Enrollment ID: I20231005000843
Provider NameAngelique Jeanne Trombley
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1437801800
PECOS PAC ID: 8820443294
Enrollment ID: I20231005001281
Provider NameMonica Newton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306453253
PECOS PAC ID: 6608287180
Enrollment ID: I20231009002256
Provider NameMarisa Alvarado
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356126098
PECOS PAC ID: 1456706431
Enrollment ID: I20231011001285
Provider NameLisa Grundtner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730744699
PECOS PAC ID: 8325375652
Enrollment ID: I20231023000454
Provider NameJuliet M Gatiba
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1578069985
PECOS PAC ID: 9830545060
Enrollment ID: I20231025000366
Provider NameAndrew P Rabenstein
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1841652385
PECOS PAC ID: 0143557751
Enrollment ID: I20231025000370
Provider NameScott T Goodrich
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1083748966
PECOS PAC ID: 6002082302
Enrollment ID: I20231025001836
Provider NameAndre J Biscaye
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720617772
PECOS PAC ID: 0648692574
Enrollment ID: I20231025002920
Provider NameBailey Jo Van Oosbree
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356121040
PECOS PAC ID: 5890141873
Enrollment ID: I20231026004093
Provider NameLouis Dainty
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1649250655
PECOS PAC ID: 0244386977
Enrollment ID: I20231027003336
Provider NameCassandra R Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578342465
PECOS PAC ID: 9436505260
Enrollment ID: I20231030002872
Provider NameParkpoom Phatharacharukul
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1205254547
PECOS PAC ID: 1153628516
Enrollment ID: I20231101002477
Provider NameJennifer Franko Greer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427519578
PECOS PAC ID: 2668708165
Enrollment ID: I20231103002089
Provider NameKathleen A Trott
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295739068
PECOS PAC ID: 0547201592
Enrollment ID: I20231107000666
Provider NameZehra Salim Dahlvani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922660034
PECOS PAC ID: 8123358181
Enrollment ID: I20231113000303
Provider NameJerlinda G.c. Ross
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1275829616
PECOS PAC ID: 8426296294
Enrollment ID: I20231116002520
Provider NameTimothy J. Mann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790151538
PECOS PAC ID: 3476854597
Enrollment ID: I20231129001626
Provider NameMarie Margaret Colangelo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801578679
PECOS PAC ID: 6901255397
Enrollment ID: I20231211001948
Provider NameNora Durkin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881010114
PECOS PAC ID: 9436508504
Enrollment ID: I20231214001772
Provider NameAmber Leigh Ramirez-acosta
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1326814047
PECOS PAC ID: 3072963727
Enrollment ID: I20231221002271
Provider NameNyinma Tenpa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356121024
PECOS PAC ID: 8022468529
Enrollment ID: I20231226000658
Provider NameConley Pitzl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811764947
PECOS PAC ID: 2365892601
Enrollment ID: I20231228001156
Provider NameNatalie M Bauman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902589419
PECOS PAC ID: 7618327982
Enrollment ID: I20231228002353
Provider NameJoshua Michael Norling
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114792462
PECOS PAC ID: 8820448087
Enrollment ID: I20231229001792
Provider NameJessica Ann Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730969791
PECOS PAC ID: 6507216611
Enrollment ID: I20240102000527
Provider NameJohn Daniel Rothpletz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740220409
PECOS PAC ID: 3971496142
Enrollment ID: I20240102001184
Provider NameAshley L Baird Urbanski
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1902327422
PECOS PAC ID: 5496085086
Enrollment ID: I20240102002228
Provider NameDelaney Rose Keyes Voeller
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1578257143
PECOS PAC ID: 6709236805
Enrollment ID: I20240102003438
Provider NameCarmen S Franzmeier
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1679017693
PECOS PAC ID: 0143670240
Enrollment ID: I20240102003502
Provider NameJoan Marie Marcuson
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1104928050
PECOS PAC ID: 0446600548
Enrollment ID: I20240102003726
Provider NameMatthew Brandon Cruz
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1851055818
PECOS PAC ID: 3971953985
Enrollment ID: I20240103000115
Provider NameKristen Elizabeth Rachel Hayashi
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174039887
PECOS PAC ID: 5092165019
Enrollment ID: I20240103000329
Provider NameJennifer K Dease
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1194306514
PECOS PAC ID: 8921458944
Enrollment ID: I20240103000596
Provider NameAmanda Jean Burger
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1114207941
PECOS PAC ID: 9436509460
Enrollment ID: I20240103000791
Provider NameSigne M Bradee
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1285073031
PECOS PAC ID: 8325498355
Enrollment ID: I20240103000876
Provider NameElizabeth H Wagner
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1467836130
PECOS PAC ID: 7315397353
Enrollment ID: I20240103001305
Provider NameAnn Kathryn Snowbeck
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174258594
PECOS PAC ID: 3375993322
Enrollment ID: I20240103001539
Provider NameBenjamin Hamilton Meyers
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1285170357
PECOS PAC ID: 9032588876
Enrollment ID: I20240103001891
Provider NameBilikisu Banjoko
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1609445261
PECOS PAC ID: 6800246869
Enrollment ID: I20240103002145
Provider NameSamantha Ann Pruitt-johnson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1750987749
PECOS PAC ID: 8224488291
Enrollment ID: I20240103002298
Provider NameBrandyce R Edson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1447895065
PECOS PAC ID: 6901256973
Enrollment ID: I20240103002451
Provider NameHannah Hill
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1104589233
PECOS PAC ID: 2668823626
Enrollment ID: I20240104000786
Provider NamePatricia Ann Witt
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1932275492
PECOS PAC ID: 0941350680
Enrollment ID: I20240104001933
Provider NameSusan K H Salzl
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1275714974
PECOS PAC ID: 9537510169
Enrollment ID: I20240109000867
Provider NameNichole Elizabeth Young
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1861099194
PECOS PAC ID: 5193177269
Enrollment ID: I20240115001283
Provider NameMai Kue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609644723
PECOS PAC ID: 0749632487
Enrollment ID: I20240118002844
Provider NameJessica Geier
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1083483937
PECOS PAC ID: 2264885334
Enrollment ID: I20240125002422
Provider NameGeorge V Chesteen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1083053573
PECOS PAC ID: 8729333646
Enrollment ID: I20240129001598
Provider NameRebekka N Mcclure
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1023352226
PECOS PAC ID: 5597118174
Enrollment ID: I20240131000426
Provider NameLisa Bonahoom
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1134507593
PECOS PAC ID: 7618310806
Enrollment ID: I20240205001783
Provider NameAndrea Elizabeth Deuring
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1366026163
PECOS PAC ID: 4082057104
Enrollment ID: I20240206002101
Provider NameJody Christensen
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1992149975
PECOS PAC ID: 1557704699
Enrollment ID: I20240206002803
Provider NameRebecca L Langseth
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1700308954
PECOS PAC ID: 5890139794
Enrollment ID: I20240220000309
Provider NameJudith Onuoha
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1770289514
PECOS PAC ID: 2062856982
Enrollment ID: I20240220000812
Provider NameSarah M Hoffman
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1285095943
PECOS PAC ID: 3072957810
Enrollment ID: I20240220001857
Provider NameEmily Wacker
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1588021190
PECOS PAC ID: 9133563992
Enrollment ID: I20240220002724
Provider NamePhilip D Davis
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1174507271
PECOS PAC ID: 3274660170
Enrollment ID: I20240221002038
Provider NameLillie Colleen Fehr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700652096
PECOS PAC ID: 2062856511
Enrollment ID: I20240223000138
Provider NameChloe Murdock
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891989513
PECOS PAC ID: 8921193640
Enrollment ID: I20240223003296
Provider NameSarah L Hosford
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1710982277
PECOS PAC ID: 7214926336
Enrollment ID: I20240319003909
Provider NameRebecca Lyn Schugel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134742646
PECOS PAC ID: 6901244987
Enrollment ID: I20240410001039
Provider NameCorrin B Voeller
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1649761214
PECOS PAC ID: 7517305428
Enrollment ID: I20240410002265
Provider NameAdam G Starr
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639531114
PECOS PAC ID: 0244522928
Enrollment ID: I20240422001177
Provider NameAlexander Manos
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1568153385
PECOS PAC ID: 6305202847
Enrollment ID: I20240426000995
Provider NameAbigail Dennis
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1346007275
PECOS PAC ID: 2163862962
Enrollment ID: I20240426001665
Provider NameBedriyo Abdi Yassin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346025392
PECOS PAC ID: 0446691588
Enrollment ID: I20240507003716
Provider NameMadison Wilder Kroehler
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1760163919
PECOS PAC ID: 3870934920
Enrollment ID: I20240507004295
Provider NamePatrick Lyle King
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104465632
PECOS PAC ID: 4082055090
Enrollment ID: I20240508001927
Provider NameKary Ann Barrette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275299505
PECOS PAC ID: 9335530385
Enrollment ID: I20240509001589
Provider NameElizabeth Herdzina
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1972195626
PECOS PAC ID: 2961843750
Enrollment ID: I20240510001189
Provider NameKaitlyn Nicole Cooper
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1437911484
PECOS PAC ID: 5193166726
Enrollment ID: I20240514003770
Provider NameTia Hagy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235867466
PECOS PAC ID: 4183065642
Enrollment ID: I20240515000650
Provider NameBrandi Steinbach
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1033967625
PECOS PAC ID: 8022550110
Enrollment ID: I20240604003410
Provider NameBrenna Elizabeth Hammer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588122246
PECOS PAC ID: 7416499561
Enrollment ID: I20240605000790
Provider NameErik Weber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144078544
PECOS PAC ID: 7517409998
Enrollment ID: I20240613000717

Reviews and Comments


Family Medicine in St Louis Park, MN

The Good Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 4712 Excelsior Blvd, St Louis Park, MN 55416
Phone: 844-383-8689    
Park Nicollet Clinic Episodic Bundle
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3123    Fax: 952-993-2770
Roseville Eye Associates P.a.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3601 Park Center Blvd Apt 607, St Louis Park, MN 55416
Phone: 608-513-0092    
Passig Chiropractic Office, Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5811 Cedar Lake Rd S Ste E, St Louis Park, MN 55416
Phone: 952-593-0296    Fax: 952-593-0296
Hansen Neuropsychiatric Clinic Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4601 Excelsior Blvd, Suite 300, St Louis Park, MN 55416
Phone: 952-920-6100    
Aeris Medical Group Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2820 Inglewood Ave S, St Louis Park, MN 55416
Phone: 800-598-9908    
Park Nicollet Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 612-371-5400    Fax: 952-993-1762

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.