| Patient First Richmond Medical Group Pllc | |
|
5000 Cox Rd Suite 100 Glen Allen VA 23060-9263 | |
| (804) 822-4355 | |
| Not Available |
| Full Name | Patient First Richmond Medical Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5000 Cox Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | George H. Morison (PRESIDENT) |
| Authorized Official Contact | 8049685700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient First Richmond Medical Group Pllc 5000 Cox Rd Glen Allen VA 23060-9263 Ph: (804) 822-3555 | Patient First Richmond Medical Group Pllc 5000 Cox Rd Suite 100 Glen Allen VA 23060-9263 Ph: (804) 822-4355 |
| NPI Number | 1689603748 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 01/27/2021 |
| Medicare PECOS PAC ID | 9931011434 |
|---|---|
| Medicare Enrollment ID | O20031103000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689603748 | NPI | - | NPPES |
| CA1507 | Other | VA | RR MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Werner Schuele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386609873 PECOS PAC ID: 6800700717 Enrollment ID: I20031114000633 |
| Provider Name | Tracy R Roe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639130016 PECOS PAC ID: 1951215706 Enrollment ID: I20031117000069 |
| Provider Name | Brian Blackwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447238738 PECOS PAC ID: 3779487210 Enrollment ID: I20031201000272 |
| Provider Name | Michael J Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306885041 PECOS PAC ID: 7012813900 Enrollment ID: I20031210001136 |
| Provider Name | Sakina K Mirshahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376699 PECOS PAC ID: 2466351200 Enrollment ID: I20031231000318 |
| Provider Name | Damien L Covington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316912991 PECOS PAC ID: 7618876772 Enrollment ID: I20040107000765 |
| Provider Name | Dan Naumann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174597223 PECOS PAC ID: 0547252645 Enrollment ID: I20040331000046 |
| Provider Name | Mokhtar O Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093714065 PECOS PAC ID: 2961492715 Enrollment ID: I20040514000260 |
| Provider Name | Vernis L Beverly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508821174 PECOS PAC ID: 0143205161 Enrollment ID: I20040623000018 |
| Provider Name | Ronald C. Landry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235121526 PECOS PAC ID: 7810976966 Enrollment ID: I20040714000542 |
| Provider Name | Tracey L Huckabee-racz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639139454 PECOS PAC ID: 6406835396 Enrollment ID: I20040715000034 |
| Provider Name | Brent E Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346252020 PECOS PAC ID: 4284600545 Enrollment ID: I20040908000588 |
| Provider Name | Susan G Savery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518922749 PECOS PAC ID: 4981671922 Enrollment ID: I20040910000541 |
| Provider Name | Victoria A Rennie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033174727 PECOS PAC ID: 0244207207 Enrollment ID: I20040910000726 |
| Provider Name | Douglas C Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518927904 PECOS PAC ID: 0244209435 Enrollment ID: I20040924000642 |
| Provider Name | Monsurul H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831185586 PECOS PAC ID: 1850380213 Enrollment ID: I20041203000486 |
| Provider Name | Maulin M Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326012113 PECOS PAC ID: 0143288308 Enrollment ID: I20041221000097 |
| Provider Name | Kim C Clements |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942275193 PECOS PAC ID: 9436108933 Enrollment ID: I20050121000126 |
| Provider Name | Ludmila M Kissi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477723260 PECOS PAC ID: 9830141886 Enrollment ID: I20050217000545 |
| Provider Name | Sandra M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417947276 PECOS PAC ID: 3779536446 Enrollment ID: I20050223000315 |
| Provider Name | Victor Anglin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881641496 PECOS PAC ID: 1456244052 Enrollment ID: I20050830000454 |
| Provider Name | Aisha Nauman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245221902 PECOS PAC ID: 4587696281 Enrollment ID: I20050901000905 |
| Provider Name | Vincent B Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649236555 PECOS PAC ID: 2769461656 Enrollment ID: I20051118000163 |
| Provider Name | Gregory W Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821053802 PECOS PAC ID: 8325067374 Enrollment ID: I20051118000249 |
| Provider Name | Joseph F Lepage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306801717 PECOS PAC ID: 3577542463 Enrollment ID: I20051118000273 |
| Provider Name | Kelly L Stern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366407637 PECOS PAC ID: 2466471420 Enrollment ID: I20051118000299 |
| Provider Name | Christopher R Post |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972591394 PECOS PAC ID: 6204740525 Enrollment ID: I20051213000756 |
| Provider Name | Leanna L Oelrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508896283 PECOS PAC ID: 6507887569 Enrollment ID: I20051219000266 |
| Provider Name | Ekram G Guirguis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083682843 PECOS PAC ID: 6204890395 Enrollment ID: I20060127000088 |
| Provider Name | Shawna Jean Gugel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477519221 PECOS PAC ID: 4385658178 Enrollment ID: I20060201000027 |
| Provider Name | Melissa D Aquilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134150709 PECOS PAC ID: 3577578699 Enrollment ID: I20060210000449 |
| Provider Name | Monte T Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033184932 PECOS PAC ID: 1153327655 Enrollment ID: I20061005000453 |
| Provider Name | Tamara N Mamedova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992717441 PECOS PAC ID: 1850391442 Enrollment ID: I20070104000419 |
| Provider Name | Tobey L Balazs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841300852 PECOS PAC ID: 0749383396 Enrollment ID: I20070320000146 |
| Provider Name | Ahmad S Baray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063439958 PECOS PAC ID: 3577546001 Enrollment ID: I20070329000050 |
| Provider Name | Shazia Habib Farooqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770699613 PECOS PAC ID: 7911001763 Enrollment ID: I20070403000607 |
| Provider Name | Kurt G Rodney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386692929 PECOS PAC ID: 6800799511 Enrollment ID: I20070405000203 |
| Provider Name | Michael L Gitomirski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104844711 PECOS PAC ID: 3678679461 Enrollment ID: I20070511000307 |
| Provider Name | Abla M Husseini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508933458 PECOS PAC ID: 8628175502 Enrollment ID: I20070530000245 |
| Provider Name | Timothy Hutchison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881636702 PECOS PAC ID: 9133123433 Enrollment ID: I20070810000395 |
| Provider Name | Jeffrey M Tessier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548313513 PECOS PAC ID: 4688766843 Enrollment ID: I20070817000627 |
| Provider Name | Faizur Rahman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992724520 PECOS PAC ID: 6204850977 Enrollment ID: I20071012000418 |
| Provider Name | John Anthony Patrizio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417957598 PECOS PAC ID: 5395825616 Enrollment ID: I20071227000547 |
| Provider Name | Fetnat Faye Masri-imadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922158716 PECOS PAC ID: 0143301549 Enrollment ID: I20080111000028 |
| Provider Name | Stephanie Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760690226 PECOS PAC ID: 6406930403 Enrollment ID: I20080229000216 |
| Provider Name | Catherine M Kelso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336239987 PECOS PAC ID: 6709962442 Enrollment ID: I20080321000078 |
| Provider Name | Mark A Paster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770656365 PECOS PAC ID: 1759271174 Enrollment ID: I20080430000055 |
| Provider Name | Chung Yul Woo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376519470 PECOS PAC ID: 7012934615 Enrollment ID: I20080605000214 |
| Provider Name | Anthony Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497821896 PECOS PAC ID: 0648340323 Enrollment ID: I20080606000554 |
| Provider Name | George Quarshie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992829238 PECOS PAC ID: 9830296557 Enrollment ID: I20080718000574 |
| Provider Name | Tahir H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942250378 PECOS PAC ID: 7517980345 Enrollment ID: I20080911000335 |
| Provider Name | Andrew W Kolb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932365053 PECOS PAC ID: 2769559582 Enrollment ID: I20080920000131 |
| Provider Name | Saunora V Prom |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1619179363 PECOS PAC ID: 8921155334 Enrollment ID: I20090421000659 |
| Provider Name | Foroozan Afsharchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700087202 PECOS PAC ID: 4789732975 Enrollment ID: I20090427000601 |
| Provider Name | Anthony J Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902922305 PECOS PAC ID: 4082763941 Enrollment ID: I20090522000473 |
| Provider Name | Joseph Y Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134115603 PECOS PAC ID: 2062565252 Enrollment ID: I20090805000755 |
| Provider Name | Young K Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932106911 PECOS PAC ID: 8123173200 Enrollment ID: I20090826000608 |
| Provider Name | Travis White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003039892 PECOS PAC ID: 7517067010 Enrollment ID: I20090916000458 |
| Provider Name | Saima Zaidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790992212 PECOS PAC ID: 1658417415 Enrollment ID: I20091008000055 |
| Provider Name | Edward J Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215992896 PECOS PAC ID: 4880619253 Enrollment ID: I20091201000680 |
| Provider Name | Cynthia Blain Bettinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548239916 PECOS PAC ID: 8527108125 Enrollment ID: I20091211000451 |
| Provider Name | Patrick P Mccarty |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1629195805 PECOS PAC ID: 5496894461 Enrollment ID: I20100107000697 |
| Provider Name | Tara E Glennon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033321252 PECOS PAC ID: 9931244746 Enrollment ID: I20100304000530 |
| Provider Name | Makonnen K Zelleke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700873429 PECOS PAC ID: 0749237071 Enrollment ID: I20100305000681 |
| Provider Name | Beverly S.a Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437250792 PECOS PAC ID: 6507991635 Enrollment ID: I20100315000916 |
| Provider Name | Mark J Rosenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356379564 PECOS PAC ID: 1759417181 Enrollment ID: I20100324001143 |
| Provider Name | Kathryn Rose-vallejo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598901738 PECOS PAC ID: 4587679469 Enrollment ID: I20100405000434 |
| Provider Name | Richard J Paver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710991385 PECOS PAC ID: 2769519826 Enrollment ID: I20100421000332 |
| Provider Name | Rahul P Wadnerkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073649448 PECOS PAC ID: 5597856443 Enrollment ID: I20100624000240 |
| Provider Name | Patricia A Oshodi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558516187 PECOS PAC ID: 9133250624 Enrollment ID: I20100628000363 |
| Provider Name | Eric Kramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265473250 PECOS PAC ID: 2163553322 Enrollment ID: I20100701000715 |
| Provider Name | Shujauddin Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114126067 PECOS PAC ID: 5395770150 Enrollment ID: I20100806000151 |
| Provider Name | Colleen B Naumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619294089 PECOS PAC ID: 6204960750 Enrollment ID: I20100819000133 |
| Provider Name | Rod S Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538395678 PECOS PAC ID: 2163491119 Enrollment ID: I20100921000644 |
| Provider Name | Yasmin Louise Tarter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164494498 PECOS PAC ID: 3476745118 Enrollment ID: I20101013000157 |
| Provider Name | Diego F Martinez Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063483188 PECOS PAC ID: 4183726854 Enrollment ID: I20101102001018 |
| Provider Name | Jeffrey A Joseph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346256427 PECOS PAC ID: 8022001742 Enrollment ID: I20101221000649 |
| Provider Name | Minh Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073845806 PECOS PAC ID: 0042408536 Enrollment ID: I20101228000543 |
| Provider Name | Mina Salehi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346408580 PECOS PAC ID: 2062600364 Enrollment ID: I20110103000063 |
| Provider Name | Michael K Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285836189 PECOS PAC ID: 6103007604 Enrollment ID: I20110216000653 |
| Provider Name | Isaac S Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417913310 PECOS PAC ID: 5799679080 Enrollment ID: I20110218000519 |
| Provider Name | Khodiadad Basharmal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609855279 PECOS PAC ID: 8921280231 Enrollment ID: I20110308000653 |
| Provider Name | Khurram N Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043410053 PECOS PAC ID: 3870688765 Enrollment ID: I20110325000496 |
| Provider Name | Hung X Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366490567 PECOS PAC ID: 9537123781 Enrollment ID: I20110330000161 |
| Provider Name | Aldo C Dumlao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598925745 PECOS PAC ID: 1658559356 Enrollment ID: I20110628000818 |
| Provider Name | Mary Pat Gronauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659666360 PECOS PAC ID: 5496924524 Enrollment ID: I20110808000146 |
| Provider Name | Donald A Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417924150 PECOS PAC ID: 9739091844 Enrollment ID: I20110915000456 |
| Provider Name | Starina A Jose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992959134 PECOS PAC ID: 4880865237 Enrollment ID: I20110915000660 |
| Provider Name | Simon S Boulattouf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821383761 PECOS PAC ID: 4486825411 Enrollment ID: I20110922000293 |
| Provider Name | John Goreczny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235390956 PECOS PAC ID: 9234302043 Enrollment ID: I20111021000586 |
| Provider Name | Pamela L Gwathmey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205867645 PECOS PAC ID: 0143407015 Enrollment ID: I20111116000054 |
| Provider Name | Piya K Barkley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942438031 PECOS PAC ID: 4688848880 Enrollment ID: I20111128000780 |
| Provider Name | Virgil J Melvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952562902 PECOS PAC ID: 9436323631 Enrollment ID: I20111128000858 |
| Provider Name | Raleigh C Powell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003877416 PECOS PAC ID: 4284809187 Enrollment ID: I20111205000216 |
| Provider Name | Kenneth W Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366417990 PECOS PAC ID: 3971406695 Enrollment ID: I20111206000161 |
| Provider Name | George C Walton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003881228 PECOS PAC ID: 5193818128 Enrollment ID: I20111206000721 |
| Provider Name | John F Strazzullo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548225907 PECOS PAC ID: 6608041033 Enrollment ID: I20111213000295 |
| Provider Name | Scott R Greenfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376518613 PECOS PAC ID: 5799688404 Enrollment ID: I20111213000356 |
| Provider Name | William J Hubbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871559617 PECOS PAC ID: 9032198924 Enrollment ID: I20111216000097 |
| Provider Name | Carmen J Holmes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497915136 PECOS PAC ID: 6709052913 Enrollment ID: I20120110000530 |
| Provider Name | Elizabeth M Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174584536 PECOS PAC ID: 9335042043 Enrollment ID: I20120117000709 |
| Provider Name | Nicole E Roberts-boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700851763 PECOS PAC ID: 7113194002 Enrollment ID: I20120117000765 |
| Provider Name | Leuy Tong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124275409 PECOS PAC ID: 6901064625 Enrollment ID: I20120227000036 |
| Provider Name | Todd Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780607895 PECOS PAC ID: 5193984722 Enrollment ID: I20120316000492 |
| Provider Name | Thomas N Santa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972591709 PECOS PAC ID: 7214199496 Enrollment ID: I20120504000165 |
| Provider Name | Anne Marie M Mullikin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619229143 PECOS PAC ID: 0547414633 Enrollment ID: I20130124000387 |
| Provider Name | Xia Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023273745 PECOS PAC ID: 9032357611 Enrollment ID: I20130522000155 |
| Provider Name | Richard L Schroff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538240502 PECOS PAC ID: 1850575044 Enrollment ID: I20130628000359 |
| Provider Name | Phi B Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982861258 PECOS PAC ID: 2769664374 Enrollment ID: I20130926000527 |
| Provider Name | Olga A Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982929832 PECOS PAC ID: 2668608696 Enrollment ID: I20131122000658 |
| Provider Name | Bhavnita P Thakor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588983605 PECOS PAC ID: 9234368044 Enrollment ID: I20140127000731 |
| Provider Name | Michelle R Latham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265750616 PECOS PAC ID: 5698905685 Enrollment ID: I20140313002144 |
| Provider Name | Jessica R Whiting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740576107 PECOS PAC ID: 5294982948 Enrollment ID: I20140422001379 |
| Provider Name | Jonathan S Avula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407142110 PECOS PAC ID: 2264689918 Enrollment ID: I20140617000618 |
| Provider Name | Melissa J Wisner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790003598 PECOS PAC ID: 5698916245 Enrollment ID: I20140617002041 |
| Provider Name | Jon B Geno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093049827 PECOS PAC ID: 0749425544 Enrollment ID: I20140729001309 |
| Provider Name | Amaris Irina Tanasescu-koga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275830796 PECOS PAC ID: 8224269287 Enrollment ID: I20140806001571 |
| Provider Name | Jonathan D Pender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285052720 PECOS PAC ID: 9032338280 Enrollment ID: I20140919001956 |
| Provider Name | Deepshikha Vyravipillai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528352234 PECOS PAC ID: 2365663176 Enrollment ID: I20141112000236 |
| Provider Name | Trissana L Emdadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801992144 PECOS PAC ID: 1153423330 Enrollment ID: I20141126001035 |
| Provider Name | Shazia Samdani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083933105 PECOS PAC ID: 0244553295 Enrollment ID: I20150116001866 |
| Provider Name | Anuradha Gonuguntla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811176704 PECOS PAC ID: 6406971175 Enrollment ID: I20150127001161 |
| Provider Name | Lori K Krayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922080357 PECOS PAC ID: 4981927795 Enrollment ID: I20150127001782 |
| Provider Name | Nilofer J Tohfafarosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053672865 PECOS PAC ID: 3375868474 Enrollment ID: I20150212001462 |
| Provider Name | Jack Stansbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508014853 PECOS PAC ID: 8022154236 Enrollment ID: I20150612000020 |
| Provider Name | Neelu J Kaliani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568495166 PECOS PAC ID: 5799703450 Enrollment ID: I20150617000627 |
| Provider Name | Rachael A Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861755746 PECOS PAC ID: 5092963595 Enrollment ID: I20150629001479 |
| Provider Name | Paul Scanlan |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1760621205 PECOS PAC ID: 1153632658 Enrollment ID: I20150730012293 |
| Provider Name | Richard Bruce Ashby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912982273 PECOS PAC ID: 7315020328 Enrollment ID: I20150806012811 |
| Provider Name | Mark A Merritt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437534864 PECOS PAC ID: 6507769221 Enrollment ID: I20150924002468 |
| Provider Name | Ariel L Capili |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386901932 PECOS PAC ID: 4789827809 Enrollment ID: I20150930002345 |
| Provider Name | Faiqa Mahmud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891954673 PECOS PAC ID: 4183890866 Enrollment ID: I20151112002645 |
| Provider Name | Paula R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366826406 PECOS PAC ID: 3274833207 Enrollment ID: I20151124001540 |
| Provider Name | Mariatu Koroma-nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568756070 PECOS PAC ID: 5395046528 Enrollment ID: I20151214000631 |
| Provider Name | Nina K Khangura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023372059 PECOS PAC ID: 2567772858 Enrollment ID: I20151218001881 |
| Provider Name | Ardeshir Davoodi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245470004 PECOS PAC ID: 9638357478 Enrollment ID: I20160112003217 |
| Provider Name | Usama Samaan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124316211 PECOS PAC ID: 7416250519 Enrollment ID: I20160125000354 |
| Provider Name | Karen Fields-sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750747168 PECOS PAC ID: 5294032173 Enrollment ID: I20160321000076 |
| Provider Name | Barbara L Molloy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164718516 PECOS PAC ID: 6103121827 Enrollment ID: I20160329000205 |
| Provider Name | Mariann H Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265890883 PECOS PAC ID: 4486952900 Enrollment ID: I20160418001366 |
| Provider Name | Susan E Ferrandino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265844880 PECOS PAC ID: 1557654225 Enrollment ID: I20160822001266 |
| Provider Name | Alexandra Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174812192 PECOS PAC ID: 0547488157 Enrollment ID: I20160822002480 |
| Provider Name | Minnie Sheila L Cruz Tolentino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093975237 PECOS PAC ID: 1153591730 Enrollment ID: I20160823001371 |
| Provider Name | Seema M Bhansali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942482633 PECOS PAC ID: 9133272370 Enrollment ID: I20160829000272 |
| Provider Name | Thamiris V Palacios-kibler |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1508156555 PECOS PAC ID: 0941438725 Enrollment ID: I20160907000294 |
| Provider Name | Phyllis V Acquah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285996868 PECOS PAC ID: 7416265574 Enrollment ID: I20160914001776 |
| Provider Name | Nino Gelenidze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164862868 PECOS PAC ID: 7113214743 Enrollment ID: I20161012002755 |
| Provider Name | Anna K Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881143428 PECOS PAC ID: 9739467531 Enrollment ID: I20161128000126 |
| Provider Name | Robert P Colligan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467490581 PECOS PAC ID: 8325943376 Enrollment ID: I20161128000899 |
| Provider Name | Martin Franco B Tolentino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225471394 PECOS PAC ID: 8224272729 Enrollment ID: I20161214000577 |
| Provider Name | Jessica Cournoyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033666938 PECOS PAC ID: 6608156260 Enrollment ID: I20161219000119 |
| Provider Name | Ryan J Hasson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1902228828 PECOS PAC ID: 8729362686 Enrollment ID: I20170306001094 |
| Provider Name | Maria Muessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487191680 PECOS PAC ID: 2163708280 Enrollment ID: I20170404000599 |
| Provider Name | Aruna R M Kola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275978298 PECOS PAC ID: 9739467192 Enrollment ID: I20170526000261 |
| Provider Name | Alan J Vanderweele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679549950 PECOS PAC ID: 1456638964 Enrollment ID: I20170605000801 |
| Provider Name | Sheeba Mahnaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487900056 PECOS PAC ID: 7214215391 Enrollment ID: I20170801003615 |
| Provider Name | Trenee Jackquel West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326428178 PECOS PAC ID: 9537438197 Enrollment ID: I20170810002510 |
| Provider Name | Bao T Dinh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871907469 PECOS PAC ID: 7012133192 Enrollment ID: I20170907003456 |
| Provider Name | Hiram J Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902249048 PECOS PAC ID: 9638479009 Enrollment ID: I20171017003714 |
| Provider Name | Thomas Van Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891727186 PECOS PAC ID: 7719916667 Enrollment ID: I20180111002146 |
| Provider Name | Vickie D Fulkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588177158 PECOS PAC ID: 2466710066 Enrollment ID: I20180117000413 |
| Provider Name | Miranda R Rozecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477064129 PECOS PAC ID: 0446505242 Enrollment ID: I20180619003306 |
| Provider Name | Kristi Meibers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841647120 PECOS PAC ID: 7416249990 Enrollment ID: I20180806001437 |
| Provider Name | Olufunmilola M Ogbonlowo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174926679 PECOS PAC ID: 4385993138 Enrollment ID: I20180828000936 |
| Provider Name | Rodney L Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700174117 PECOS PAC ID: 3678823820 Enrollment ID: I20181015003232 |
| Provider Name | Sylvester C Izah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376815928 PECOS PAC ID: 0345557658 Enrollment ID: I20181016002505 |
| Provider Name | Alison Kascher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255810511 PECOS PAC ID: 4789937376 Enrollment ID: I20181029002545 |
| Provider Name | Mamta Ojha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215220389 PECOS PAC ID: 2769601301 Enrollment ID: I20181116001681 |
| Provider Name | Maziar Sadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922487198 PECOS PAC ID: 1456608199 Enrollment ID: I20181205001018 |
| Provider Name | Nathan Burwell Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720242662 PECOS PAC ID: 2961688759 Enrollment ID: I20181218001202 |
| Provider Name | Sara R Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962841932 PECOS PAC ID: 5193950954 Enrollment ID: I20181226000905 |
| Provider Name | Noah Isadore Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255713301 PECOS PAC ID: 3173829926 Enrollment ID: I20190208002872 |
| Provider Name | Eduardo Y Hernandez Verge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104271832 PECOS PAC ID: 3678825247 Enrollment ID: I20190213002175 |
| Provider Name | Steven R Weatherspoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922238583 PECOS PAC ID: 3476837816 Enrollment ID: I20190305000417 |
| Provider Name | Meridith E Borza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790148872 PECOS PAC ID: 9638464035 Enrollment ID: I20190305001491 |
| Provider Name | Ivonne Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356814511 PECOS PAC ID: 4587904966 Enrollment ID: I20190409003079 |
| Provider Name | Tabetha A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386102101 PECOS PAC ID: 9133460579 Enrollment ID: I20190430002415 |
| Provider Name | Cade C Cinnamond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487899316 PECOS PAC ID: 5092057679 Enrollment ID: I20190514002420 |
| Provider Name | Todd A Mingin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801241708 PECOS PAC ID: 6204178536 Enrollment ID: I20190520002438 |
| Provider Name | Amanda Moran |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992231039 PECOS PAC ID: 2567732233 Enrollment ID: I20190618001865 |
| Provider Name | Hanna M Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699339879 PECOS PAC ID: 0547595472 Enrollment ID: I20190822000851 |
| Provider Name | Chongfei Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598129371 PECOS PAC ID: 1052648458 Enrollment ID: I20190910000574 |
| Provider Name | Kyung U Auh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760846794 PECOS PAC ID: 8628363918 Enrollment ID: I20190911003735 |
| Provider Name | Maryam R Sindi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437691664 PECOS PAC ID: 7214218130 Enrollment ID: I20191008003554 |
| Provider Name | Dominic J Kiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821449026 PECOS PAC ID: 7113257346 Enrollment ID: I20200107001418 |
| Provider Name | Abdulwahab H Heggi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316981103 PECOS PAC ID: 3274553508 Enrollment ID: I20200118000012 |
| Provider Name | Aaron David Clampitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104313683 PECOS PAC ID: 2062842479 Enrollment ID: I20200429000444 |
| Provider Name | Mehran Khajavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013136464 PECOS PAC ID: 8527155639 Enrollment ID: I20200616000003 |
| Provider Name | Karishma Tolani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578069266 PECOS PAC ID: 3476806647 Enrollment ID: I20200714001531 |
| Provider Name | Hunter Thomas Holloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114467446 PECOS PAC ID: 1850714478 Enrollment ID: I20200717002804 |
| Provider Name | Kenneth D Qiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780171850 PECOS PAC ID: 5991058604 Enrollment ID: I20200801000016 |
| Provider Name | Alexander Behnaz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902398449 PECOS PAC ID: 9335497908 Enrollment ID: I20200803000170 |
| Provider Name | Mary Graham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891181293 PECOS PAC ID: 9436448198 Enrollment ID: I20200826004058 |
| Provider Name | Anna M Dumont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457549115 PECOS PAC ID: 6305979071 Enrollment ID: I20200827003212 |
| Provider Name | Sarah Aley Chacko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336636893 PECOS PAC ID: 2567711138 Enrollment ID: I20200908002132 |
| Provider Name | Jessica Pasko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083842025 PECOS PAC ID: 1850512708 Enrollment ID: I20200909002238 |
| Provider Name | Arun Bansal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497141139 PECOS PAC ID: 6002110426 Enrollment ID: I20200910000461 |
| Provider Name | Nancy Bierman-dear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689698813 PECOS PAC ID: 6406032226 Enrollment ID: I20201014003107 |
| Provider Name | Riken Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659891919 PECOS PAC ID: 7113280082 Enrollment ID: I20201019001029 |
| Provider Name | Matthew P Feist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336419977 PECOS PAC ID: 1759640279 Enrollment ID: I20201022002565 |
| Provider Name | Megan Betts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720465644 PECOS PAC ID: 4789920398 Enrollment ID: I20201022002758 |
| Provider Name | Caleb Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023201977 PECOS PAC ID: 0941496129 Enrollment ID: I20201105000753 |
| Provider Name | Natalie M Lipscomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740786656 PECOS PAC ID: 9739432444 Enrollment ID: I20201109001163 |
| Provider Name | Steven Elek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720398225 PECOS PAC ID: 1456764323 Enrollment ID: I20210114001843 |
| Provider Name | Shannon Lebakken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427616861 PECOS PAC ID: 4385976802 Enrollment ID: I20210602000475 |
| Provider Name | Jennifer Varney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013968338 PECOS PAC ID: 4284853987 Enrollment ID: I20210715001081 |
| Provider Name | Andy Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487016051 PECOS PAC ID: 6305182411 Enrollment ID: I20210715001546 |
| Provider Name | Ramsha Sultana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326500745 PECOS PAC ID: 3577892983 Enrollment ID: I20210715002448 |
| Provider Name | Sharese Delois Jefferson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447747159 PECOS PAC ID: 4082018262 Enrollment ID: I20210810002960 |
| Provider Name | Nicolas Platamone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497218754 PECOS PAC ID: 8022347434 Enrollment ID: I20210811003645 |
| Provider Name | John Whitenton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659832335 PECOS PAC ID: 6305240490 Enrollment ID: I20210812002949 |
| Provider Name | Rohini Manda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174053474 PECOS PAC ID: 8628343415 Enrollment ID: I20210817000162 |
| Provider Name | Selamawi Mesfin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992201834 PECOS PAC ID: 1355695834 Enrollment ID: I20210819000025 |
| Provider Name | Megan Ann Callanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972065589 PECOS PAC ID: 9133454218 Enrollment ID: I20210928000919 |
| Provider Name | Kwasi Ampomah |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629632211 PECOS PAC ID: 7618393562 Enrollment ID: I20210930000688 |
| Provider Name | Kritika Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598261596 PECOS PAC ID: 1759612948 Enrollment ID: I20210930000815 |
| Provider Name | Michelle Hoang-my Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578025862 PECOS PAC ID: 3971832379 Enrollment ID: I20211005000247 |
| Provider Name | Brunilda Late |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477949295 PECOS PAC ID: 1355698366 Enrollment ID: I20211020002505 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740548718 PECOS PAC ID: 2264755636 Enrollment ID: I20211029001852 |
| Provider Name | Cora Elaine Owen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821559535 PECOS PAC ID: 8729477161 Enrollment ID: I20211105000887 |
| Provider Name | Syed Kirmani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568925857 PECOS PAC ID: 5193054427 Enrollment ID: I20211117002483 |
| Provider Name | John D Trask |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922086420 PECOS PAC ID: 7810386638 Enrollment ID: I20211118001731 |
| Provider Name | Faranak E Moghadam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770548893 PECOS PAC ID: 6507750809 Enrollment ID: I20211118002165 |
| Provider Name | Savannah Mills Frashure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922777846 PECOS PAC ID: 2567851124 Enrollment ID: I20211119001729 |
| Provider Name | Arman S Majumder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558929356 PECOS PAC ID: 4486044609 Enrollment ID: I20211203000355 |
| Provider Name | Jahangir Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972066504 PECOS PAC ID: 9739418021 Enrollment ID: I20211203001137 |
| Provider Name | Brady Scott Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780043125 PECOS PAC ID: 2062705817 Enrollment ID: I20220114000086 |
| Provider Name | Rhonda Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619546363 PECOS PAC ID: 2264826940 Enrollment ID: I20220222002170 |
| Provider Name | Delbert Ulisses Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851581698 PECOS PAC ID: 2365637709 Enrollment ID: I20220225000017 |
| Provider Name | Ashley Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497420442 PECOS PAC ID: 0244624229 Enrollment ID: I20220309000026 |
| Provider Name | Brad Mcneal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841687795 PECOS PAC ID: 5597150276 Enrollment ID: I20220316000019 |
| Provider Name | Sharon Enujioke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720215155 PECOS PAC ID: 8527323104 Enrollment ID: I20220415001253 |
| Provider Name | Vasantha Udugampola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861694978 PECOS PAC ID: 2860662681 Enrollment ID: I20220525002605 |
| Provider Name | Jessica Lauren Ochab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740809367 PECOS PAC ID: 8123444817 Enrollment ID: I20220610000490 |
| Provider Name | Justin B Navarro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922686674 PECOS PAC ID: 4183003379 Enrollment ID: I20220617001541 |
| Provider Name | Melissa M Mohnal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538788153 PECOS PAC ID: 6901220235 Enrollment ID: I20220620000347 |
| Provider Name | Paulius Mui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578183141 PECOS PAC ID: 0446672158 Enrollment ID: I20220629002187 |
| Provider Name | Joshua Alan Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740809235 PECOS PAC ID: 3577987817 Enrollment ID: I20220715000002 |
| Provider Name | Jennifer Mihelic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609404276 PECOS PAC ID: 3870904857 Enrollment ID: I20220719001578 |
| Provider Name | Katya K De La Torre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104445725 PECOS PAC ID: 7012331242 Enrollment ID: I20220726001131 |
| Provider Name | Christopher Michael Glynn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811526551 PECOS PAC ID: 4082039821 Enrollment ID: I20220726002813 |
| Provider Name | Hasamone A Nimjareansuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285253989 PECOS PAC ID: 5991120669 Enrollment ID: I20220726003331 |
| Provider Name | Daniel Ripley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841829728 PECOS PAC ID: 2062836307 Enrollment ID: I20220802001886 |
| Provider Name | Emma York |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609405125 PECOS PAC ID: 1951783232 Enrollment ID: I20220803001041 |
| Provider Name | Christopher Trower |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477182343 PECOS PAC ID: 1052738721 Enrollment ID: I20220816003037 |
| Provider Name | Matthew Spinks |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861704108 PECOS PAC ID: 3577792076 Enrollment ID: I20220817002122 |
| Provider Name | Lauren Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235517483 PECOS PAC ID: 8123413739 Enrollment ID: I20220825003832 |
| Provider Name | Mitesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336609155 PECOS PAC ID: 5991135782 Enrollment ID: I20220829000862 |
| Provider Name | Ebaad Malick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255892196 PECOS PAC ID: 0547594970 Enrollment ID: I20220830000287 |
| Provider Name | Nilda Milagros Amador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053050625 PECOS PAC ID: 9032593710 Enrollment ID: I20220830000323 |
| Provider Name | Eben Alexander |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164089058 PECOS PAC ID: 9335563691 Enrollment ID: I20220907000788 |
| Provider Name | Allison Niccole Brindle |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689268054 PECOS PAC ID: 9931581287 Enrollment ID: I20220915003051 |
| Provider Name | Agea Challa Temesgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043931694 PECOS PAC ID: 1153799887 Enrollment ID: I20221130000591 |
| Provider Name | Jenniffer Lynn Reis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356057970 PECOS PAC ID: 9739552167 Enrollment ID: I20230306000154 |
| Provider Name | Asha Swain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710988118 PECOS PAC ID: 4183697766 Enrollment ID: I20230327002266 |
| Provider Name | Dani Boulattouf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609006618 PECOS PAC ID: 5698812923 Enrollment ID: I20230403002242 |
| Provider Name | Kim C Pang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497102958 PECOS PAC ID: 5496087793 Enrollment ID: I20230424002337 |
| Provider Name | Selcen Senol |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124656947 PECOS PAC ID: 4082079462 Enrollment ID: I20230509000872 |
| Provider Name | Andrew Freeman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235769571 PECOS PAC ID: 0749604452 Enrollment ID: I20230531002075 |
| Provider Name | Laura Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134141393 PECOS PAC ID: 0648227199 Enrollment ID: I20230621000057 |
| Provider Name | Kassa Ayalew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962516179 PECOS PAC ID: 1658311972 Enrollment ID: I20230718003847 |
| Provider Name | Frank Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629657978 PECOS PAC ID: 6204239635 Enrollment ID: I20230719002425 |
| Provider Name | Makenna Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710566088 PECOS PAC ID: 4981007317 Enrollment ID: I20230726003563 |
| Provider Name | Matthew Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699354431 PECOS PAC ID: 8628471521 Enrollment ID: I20230727002853 |
| Provider Name | Raju Alluri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023571155 PECOS PAC ID: 8628490331 Enrollment ID: I20230804000293 |
| Provider Name | Mackenzie Delane Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003595455 PECOS PAC ID: 2567825136 Enrollment ID: I20230830003523 |
| Provider Name | Agnijita Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497333702 PECOS PAC ID: 1052774619 Enrollment ID: I20231002001163 |
| Provider Name | Robert Sehgel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619230307 PECOS PAC ID: 2264746866 Enrollment ID: I20231009000390 |
| Provider Name | Umut Tufan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396310728 PECOS PAC ID: 6103219928 Enrollment ID: I20231013002268 |
| Provider Name | Kyle Stawitzky |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093395972 PECOS PAC ID: 0446653943 Enrollment ID: I20231017003995 |
| Provider Name | Mirala Sarza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639676588 PECOS PAC ID: 4981956125 Enrollment ID: I20231027000386 |
| Provider Name | Kieu Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205613957 PECOS PAC ID: 5395192793 Enrollment ID: I20231107004025 |
| Provider Name | Ikemefuna Ezedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255745626 PECOS PAC ID: 0941657027 Enrollment ID: I20231110001920 |
| Provider Name | Robert Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104314145 PECOS PAC ID: 3971973587 Enrollment ID: I20231115000164 |
| Provider Name | Britanne Doss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548688765 PECOS PAC ID: 0749571073 Enrollment ID: I20231212002588 |
| Provider Name | Xiaoqi Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669094736 PECOS PAC ID: 2961850540 Enrollment ID: I20231215000453 |
| Provider Name | Regina Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851771794 PECOS PAC ID: 7416248901 Enrollment ID: I20240124004933 |
| Provider Name | Ifeoma Stella Izuchukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811992738 PECOS PAC ID: 1951390392 Enrollment ID: I20240405003391 |
| Provider Name | Samuel Dobbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447992532 PECOS PAC ID: 4789050386 Enrollment ID: I20240415003971 |
| Provider Name | Jamie Lynn Helmich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811637671 PECOS PAC ID: 3779922208 Enrollment ID: I20240417001774 |
Patient First Richmond Physician's Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Cox Rd, Suite 100, Glen Allen, VA 23060 Phone: 804-968-5700 Fax: 804-217-7991 | |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9900 W Broad St, Suite C, Glen Allen, VA 23060 Phone: 804-358-0361 | |
Allyalign Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10900 Nuckols Rd, Suite 110, Glen Allen, VA 23060 Phone: 804-747-0720 Fax: 804-823-2568 | |
Glen Allen Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059 Phone: 804-612-2980 Fax: 804-762-7102 | |
Glen Allen Medi Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11551 Nuckols Rd Ste C, Glen Allen, VA 23059 Phone: 704-926-7546 | |
Innsbrook Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 Cox Rd, Suite 150, Glen Allen, VA 23060 Phone: 804-346-1780 Fax: 804-346-1781 | |
Dada Bhagwan Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5028 Hickory Meadows Pl, Glen Allen, VA 23059 Phone: 804-514-6958 Fax: 804-282-9135 |