| Penns Valley Area Medical Center Pc | |
|
4570 Penns Valley Rd Ste 1 Spring Mills PA 16875-8500 | |
| (814) 422-8873 | |
| (814) 422-8860 |
| Full Name | Penns Valley Area Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4570 Penns Valley Rd, Spring Mills, Pennsylvania |
| Authorized Official Name and Position | Scott Allen Kaufman (DIRECTOR OF CORPORATE COMPLIANCE AN) |
| Authorized Official Contact | 8142346147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penns Valley Area Medical Center Pc 4570 Penns Valley Rd Ste 1 Spring Mills PA 16875-8500 Ph: (814) 422-8873 | Penns Valley Area Medical Center Pc 4570 Penns Valley Rd Ste 1 Spring Mills PA 16875-8500 Ph: (814) 422-8873 |
| NPI Number | 1164691499 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 05/14/2008 |
| Medicare PECOS PAC ID | 8426136797 |
|---|---|
| Medicare Enrollment ID | O20081021000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164691499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 568674 (Pennsylvania) | Primary |
| Provider Name | Diana Berlyand |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902972086 PECOS PAC ID: 5991619967 Enrollment ID: I20031113000798 |
| Provider Name | Jeff W Pro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114980208 PECOS PAC ID: 7214835248 Enrollment ID: I20031229000511 |
| Provider Name | Kristie Lynn Kaufman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184680076 PECOS PAC ID: 9931001005 Enrollment ID: I20040121000479 |
| Provider Name | Charles C Nydegger |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730152745 PECOS PAC ID: 3678476744 Enrollment ID: I20040128000435 |
| Provider Name | Tomasz J Niewiarowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073624441 PECOS PAC ID: 6305839895 Enrollment ID: I20040408000700 |
| Provider Name | Robert S Mirsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982622254 PECOS PAC ID: 0042207631 Enrollment ID: I20040427000416 |
| Provider Name | Matthew D Davidson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689663775 PECOS PAC ID: 9032198387 Enrollment ID: I20040719001375 |
| Provider Name | Thomas J Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225006984 PECOS PAC ID: 2769452002 Enrollment ID: I20040726001377 |
| Provider Name | Candace R Good |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144293770 PECOS PAC ID: 4880666445 Enrollment ID: I20040812000924 |
| Provider Name | Thomas E Covaleski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336193846 PECOS PAC ID: 6002870656 Enrollment ID: I20041115000453 |
| Provider Name | Robert M Hall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578527065 PECOS PAC ID: 9739144049 Enrollment ID: I20041129000709 |
| Provider Name | Anthony F Cardell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942263900 PECOS PAC ID: 8729044169 Enrollment ID: I20041207000700 |
| Provider Name | Brian Alan Hyman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467415315 PECOS PAC ID: 0840231999 Enrollment ID: I20050518001082 |
| Provider Name | Barry R Stein |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1275565228 PECOS PAC ID: 5496790594 Enrollment ID: I20050620000881 |
| Provider Name | Gregory George Billy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164486155 PECOS PAC ID: 7810924578 Enrollment ID: I20050725000511 |
| Provider Name | Gregory J Wilson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669406799 PECOS PAC ID: 6103854583 Enrollment ID: I20050727000728 |
| Provider Name | Carlos L Cream |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700835733 PECOS PAC ID: 7911923404 Enrollment ID: I20051024000855 |
| Provider Name | Albert R Zoda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891758041 PECOS PAC ID: 6204843634 Enrollment ID: I20060309000606 |
| Provider Name | Stephen J Pandolph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053311761 PECOS PAC ID: 4880602572 Enrollment ID: I20060324000017 |
| Provider Name | Allyson Spahr Huggins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902864010 PECOS PAC ID: 3476558784 Enrollment ID: I20060920000173 |
| Provider Name | Kenneth A Nizza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578593547 PECOS PAC ID: 2264437318 Enrollment ID: I20060922000262 |
| Provider Name | Michelle Renee Straka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073513123 PECOS PAC ID: 3072518927 Enrollment ID: I20060927000217 |
| Provider Name | Thomas S Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326048471 PECOS PAC ID: 8729032594 Enrollment ID: I20060927000309 |
| Provider Name | Marcela Bohm-velez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376543314 PECOS PAC ID: 4183678956 Enrollment ID: I20060927000347 |
| Provider Name | Ryan Robert Ridenour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013969997 PECOS PAC ID: 8527064500 Enrollment ID: I20061016000001 |
| Provider Name | Cynthia Denise Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255302600 PECOS PAC ID: 6406854397 Enrollment ID: I20061202000014 |
| Provider Name | Veronica Ledvin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467462507 PECOS PAC ID: 0648279703 Enrollment ID: I20070326000176 |
| Provider Name | Patricia Ann Fogelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841294808 PECOS PAC ID: 0840394672 Enrollment ID: I20070403000499 |
| Provider Name | Hy Joseph Depamphilis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609879691 PECOS PAC ID: 9032218896 Enrollment ID: I20070620000452 |
| Provider Name | Rajesh Govindasamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649372319 PECOS PAC ID: 2567494453 Enrollment ID: I20070815000686 |
| Provider Name | Stephanie Lee Ciccarelli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497768469 PECOS PAC ID: 1557453677 Enrollment ID: I20070822000162 |
| Provider Name | Roy Kedem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164449153 PECOS PAC ID: 7618975103 Enrollment ID: I20070907000035 |
| Provider Name | Tania Sandoval Zuniga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215145941 PECOS PAC ID: 1850485699 Enrollment ID: I20070924000530 |
| Provider Name | Shreya M Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205814480 PECOS PAC ID: 6002902426 Enrollment ID: I20071017000365 |
| Provider Name | Karen Leigh Brown |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730113838 PECOS PAC ID: 0547342982 Enrollment ID: I20080124000428 |
| Provider Name | Kristine K Charles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962477786 PECOS PAC ID: 9830274034 Enrollment ID: I20080312000413 |
| Provider Name | Brian R Shunk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548326374 PECOS PAC ID: 4587742770 Enrollment ID: I20080429000571 |
| Provider Name | Michael J Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154344877 PECOS PAC ID: 9234218306 Enrollment ID: I20080501000219 |
| Provider Name | Salvatore M Ramondelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225093107 PECOS PAC ID: 6507935582 Enrollment ID: I20080516000168 |
| Provider Name | James S Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306941562 PECOS PAC ID: 5496720815 Enrollment ID: I20080718000146 |
| Provider Name | Edward C Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285809202 PECOS PAC ID: 9436222874 Enrollment ID: I20080718000291 |
| Provider Name | Jessica S Plunkett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457512246 PECOS PAC ID: 7416023098 Enrollment ID: I20080904000729 |
| Provider Name | Heather L Harpster |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033320395 PECOS PAC ID: 7719053107 Enrollment ID: I20080911000186 |
| Provider Name | Daniel Thomas Bigart |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235268855 PECOS PAC ID: 1355403817 Enrollment ID: I20081218000165 |
| Provider Name | Lester C Griel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811153174 PECOS PAC ID: 5890842512 Enrollment ID: I20090416000057 |
| Provider Name | Dustin G Case |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497915961 PECOS PAC ID: 8426100751 Enrollment ID: I20090717000412 |
| Provider Name | James A Gerardo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306046438 PECOS PAC ID: 0648324160 Enrollment ID: I20090819000066 |
| Provider Name | Emily A Peterson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1306019328 PECOS PAC ID: 1850446600 Enrollment ID: I20090901000211 |
| Provider Name | Faoud T Ishmael |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1275670028 PECOS PAC ID: 9436219417 Enrollment ID: I20090910000181 |
| Provider Name | Brian Shippert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801045133 PECOS PAC ID: 0547307563 Enrollment ID: I20091023000608 |
| Provider Name | Rick D Pasquariello |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720041544 PECOS PAC ID: 6002956877 Enrollment ID: I20091230000018 |
| Provider Name | Yi H Kao |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568488500 PECOS PAC ID: 2365584513 Enrollment ID: I20100126000545 |
| Provider Name | Melanie M Chaputa-cherry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295799831 PECOS PAC ID: 2062555428 Enrollment ID: I20100208000003 |
| Provider Name | Jeffrey G Eaton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356304299 PECOS PAC ID: 5294819496 Enrollment ID: I20100225000317 |
| Provider Name | Stephen M Donelan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417910605 PECOS PAC ID: 3375687510 Enrollment ID: I20100225000488 |
| Provider Name | E. P. Roy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164485397 PECOS PAC ID: 4981749157 Enrollment ID: I20100301000023 |
| Provider Name | J. Frederick Doucette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477516433 PECOS PAC ID: 3678618543 Enrollment ID: I20100303000265 |
| Provider Name | Angela K Hardyk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629032156 PECOS PAC ID: 0941345821 Enrollment ID: I20100303000400 |
| Provider Name | Christopher E Hester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407819162 PECOS PAC ID: 7012052517 Enrollment ID: I20100309000352 |
| Provider Name | John J Solic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134182983 PECOS PAC ID: 1658455852 Enrollment ID: I20100405000078 |
| Provider Name | Eric K Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740217611 PECOS PAC ID: 9133256878 Enrollment ID: I20100428000752 |
| Provider Name | Kimberly A Kolonich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467489344 PECOS PAC ID: 4284762808 Enrollment ID: I20100503000068 |
| Provider Name | Jan S Ulbrecht |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730142977 PECOS PAC ID: 0547398281 Enrollment ID: I20100517000618 |
| Provider Name | Renu Joshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659333177 PECOS PAC ID: 3375676935 Enrollment ID: I20100803000354 |
| Provider Name | Robert R Coll |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588634422 PECOS PAC ID: 0749184554 Enrollment ID: I20100809000576 |
| Provider Name | Tracey L Zellner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164486635 PECOS PAC ID: 8224162185 Enrollment ID: I20100813000256 |
| Provider Name | Robert S Huffard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568426021 PECOS PAC ID: 6507990470 Enrollment ID: I20100813000387 |
| Provider Name | Rachel L Schwab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447209598 PECOS PAC ID: 8022110675 Enrollment ID: I20100816000847 |
| Provider Name | Jean Marie Reams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902843923 PECOS PAC ID: 4082738661 Enrollment ID: I20100903000103 |
| Provider Name | Paul Guillard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174516769 PECOS PAC ID: 2769506161 Enrollment ID: I20100907000697 |
| Provider Name | Jennifer L Delozier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346278397 PECOS PAC ID: 5395930325 Enrollment ID: I20101116000428 |
| Provider Name | Paul L Klink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942265111 PECOS PAC ID: 3072510551 Enrollment ID: I20101122000134 |
| Provider Name | Jerome D Derdel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104812601 PECOS PAC ID: 5294922662 Enrollment ID: I20101210000456 |
| Provider Name | Ralitsa V. Balabanova-tsarnakova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164731303 PECOS PAC ID: 5890984603 Enrollment ID: I20110110000815 |
| Provider Name | Susan C Trainor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497062632 PECOS PAC ID: 8527257831 Enrollment ID: I20110118000484 |
| Provider Name | Raymond K Reichwein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841248960 PECOS PAC ID: 6002098357 Enrollment ID: I20110308001036 |
| Provider Name | David Oselinsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639158173 PECOS PAC ID: 9931233889 Enrollment ID: I20110309000548 |
| Provider Name | Wesam Hassen Moustafa Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043539919 PECOS PAC ID: 5890977763 Enrollment ID: I20110314000844 |
| Provider Name | Charles M Dalton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780663229 PECOS PAC ID: 1850425703 Enrollment ID: I20110323000936 |
| Provider Name | Martin A Albornoz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780687178 PECOS PAC ID: 3779548458 Enrollment ID: I20110325000425 |
| Provider Name | Candace M Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285866848 PECOS PAC ID: 8325224678 Enrollment ID: I20110520000471 |
| Provider Name | Christine L Tichansky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215944160 PECOS PAC ID: 9335326651 Enrollment ID: I20110613000834 |
| Provider Name | Alexander W Szymanski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255544714 PECOS PAC ID: 6103094412 Enrollment ID: I20110712000417 |
| Provider Name | Ishraque Shawon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841453297 PECOS PAC ID: 3971772336 Enrollment ID: I20110802000205 |
| Provider Name | Fahmi Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356504708 PECOS PAC ID: 5799954160 Enrollment ID: I20110802000219 |
| Provider Name | Brian A Spencer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861694853 PECOS PAC ID: 6103095583 Enrollment ID: I20110802000412 |
| Provider Name | Rachelle E Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871888784 PECOS PAC ID: 8123297066 Enrollment ID: I20110809000778 |
| Provider Name | Michelle M Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083902316 PECOS PAC ID: 0648440123 Enrollment ID: I20110822000108 |
| Provider Name | Cara M Ricotta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275781569 PECOS PAC ID: 0840461547 Enrollment ID: I20110930000126 |
| Provider Name | Katrina M Geier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396891222 PECOS PAC ID: 9436326212 Enrollment ID: I20120119000091 |
| Provider Name | Thomas L Showers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821138272 PECOS PAC ID: 7315099975 Enrollment ID: I20120224000320 |
| Provider Name | Matthew Allyn Hazey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902015597 PECOS PAC ID: 8729243415 Enrollment ID: I20120702000365 |
| Provider Name | Kevin C Roe |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538309174 PECOS PAC ID: 9931365459 Enrollment ID: I20120726000625 |
| Provider Name | Tamar Baitel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952665259 PECOS PAC ID: 1759547227 Enrollment ID: I20120727000307 |
| Provider Name | Vanessa L Elliott |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790999159 PECOS PAC ID: 6204012891 Enrollment ID: I20120821000200 |
| Provider Name | Philip A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336387828 PECOS PAC ID: 6204084585 Enrollment ID: I20120911000426 |
| Provider Name | Ashish Chawla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750346730 PECOS PAC ID: 5395799340 Enrollment ID: I20130529000309 |
| Provider Name | Jessica B Shuman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811146020 PECOS PAC ID: 4385882489 Enrollment ID: I20130531000307 |
| Provider Name | Thomas R Clements |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679730295 PECOS PAC ID: 5294973392 Enrollment ID: I20130531000309 |
| Provider Name | Evelyn I Bellinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326381245 PECOS PAC ID: 8628217858 Enrollment ID: I20130620000187 |
| Provider Name | Christopher T. Yingling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912153503 PECOS PAC ID: 7719129766 Enrollment ID: I20130805000364 |
| Provider Name | Rebecca Linn Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437591146 PECOS PAC ID: 7719120542 Enrollment ID: I20130827000505 |
| Provider Name | Allison Leigh Ruzbarsky Yingling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689882631 PECOS PAC ID: 8729234158 Enrollment ID: I20130912000140 |
| Provider Name | Danielle E Sharek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376704429 PECOS PAC ID: 8527292564 Enrollment ID: I20131008000051 |
| Provider Name | Jonathan R Siuta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639136872 PECOS PAC ID: 7517973795 Enrollment ID: I20131029000533 |
| Provider Name | Natalie B Tussey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922145689 PECOS PAC ID: 2860676772 Enrollment ID: I20140109001789 |
| Provider Name | Cathleen A Adams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124253851 PECOS PAC ID: 8729216593 Enrollment ID: I20140124001624 |
| Provider Name | Jason M Schweichler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881903722 PECOS PAC ID: 3173752763 Enrollment ID: I20140130001034 |
| Provider Name | Peter W Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720366800 PECOS PAC ID: 5395976591 Enrollment ID: I20140612000728 |
| Provider Name | Colby R Wesner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396042578 PECOS PAC ID: 0042436677 Enrollment ID: I20140717000322 |
| Provider Name | Anna C Hood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508008921 PECOS PAC ID: 6406092253 Enrollment ID: I20140718001227 |
| Provider Name | Fahima Nasreen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841434289 PECOS PAC ID: 5193960250 Enrollment ID: I20141022000222 |
| Provider Name | Ahsan G Mohar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477704302 PECOS PAC ID: 7517138878 Enrollment ID: I20141215000122 |
| Provider Name | Veeral B Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508181181 PECOS PAC ID: 8527379643 Enrollment ID: I20150616002256 |
| Provider Name | David Michael Chambers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548418882 PECOS PAC ID: 5698087641 Enrollment ID: I20150721001841 |
| Provider Name | George Anthony Saborio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346538246 PECOS PAC ID: 2961717301 Enrollment ID: I20150814012771 |
| Provider Name | Natalie M Aucutt-walker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295947513 PECOS PAC ID: 1850444712 Enrollment ID: I20150908001444 |
| Provider Name | Christopher R Jones |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669649067 PECOS PAC ID: 4082744669 Enrollment ID: I20150925000462 |
| Provider Name | David S Helsel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669463840 PECOS PAC ID: 2961428404 Enrollment ID: I20151016000185 |
| Provider Name | Joseph D. Whitlark |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760461180 PECOS PAC ID: 2769463678 Enrollment ID: I20151106000023 |
| Provider Name | Karen E Cherinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093186348 PECOS PAC ID: 5395034755 Enrollment ID: I20160525001437 |
| Provider Name | Kaitlyn B Brunner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609149970 PECOS PAC ID: 6103117114 Enrollment ID: I20160622002096 |
| Provider Name | Anthony Noto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518256536 PECOS PAC ID: 7012209927 Enrollment ID: I20160714000116 |
| Provider Name | Ramin Zand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427215060 PECOS PAC ID: 7911132733 Enrollment ID: I20160803001938 |
| Provider Name | Julia K. Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669824603 PECOS PAC ID: 0547556896 Enrollment ID: I20160913000440 |
| Provider Name | Kennita Luvangee Burns-johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922393651 PECOS PAC ID: 0244528636 Enrollment ID: I20161018002248 |
| Provider Name | Lynn E Diven |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023101136 PECOS PAC ID: 2668416165 Enrollment ID: I20161128002273 |
| Provider Name | Lakshmi Shankar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396975058 PECOS PAC ID: 5597983965 Enrollment ID: I20170117001237 |
| Provider Name | Christopher W Kocher |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1689645590 PECOS PAC ID: 5890829766 Enrollment ID: I20170220000566 |
| Provider Name | Alyssa Sebastianelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922554518 PECOS PAC ID: 1759665151 Enrollment ID: I20170302002318 |
| Provider Name | Rachel E Zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720525363 PECOS PAC ID: 2163791856 Enrollment ID: I20170712002129 |
| Provider Name | Stephen H. Phillips |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508123407 PECOS PAC ID: 3375795628 Enrollment ID: I20170731002798 |
| Provider Name | Chimaroke Edeoga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659711893 PECOS PAC ID: 8921379751 Enrollment ID: I20170811002092 |
| Provider Name | Wendy M Felice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679984751 PECOS PAC ID: 4486926532 Enrollment ID: I20170824000286 |
| Provider Name | Nazia Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811334949 PECOS PAC ID: 3274751235 Enrollment ID: I20170901000803 |
| Provider Name | Moira Shea Alene Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932629284 PECOS PAC ID: 2264706688 Enrollment ID: I20170925001629 |
| Provider Name | Allison M Guillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407385479 PECOS PAC ID: 8224303557 Enrollment ID: I20171012000283 |
| Provider Name | Blake A Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427317932 PECOS PAC ID: 9739484064 Enrollment ID: I20171023000576 |
| Provider Name | Mark J Furin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407077712 PECOS PAC ID: 2062482672 Enrollment ID: I20171103001891 |
| Provider Name | Sarah Wakefield |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639314487 PECOS PAC ID: 2860662798 Enrollment ID: I20171215000057 |
| Provider Name | Melissa Ann Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023524501 PECOS PAC ID: 9830458850 Enrollment ID: I20180122000897 |
| Provider Name | Elizabeth Marie Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891921276 PECOS PAC ID: 8527218700 Enrollment ID: I20180123001199 |
| Provider Name | Joshua D Kraft |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598185134 PECOS PAC ID: 0042565509 Enrollment ID: I20180625001911 |
| Provider Name | Roni L. Crowell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346623758 PECOS PAC ID: 9537416300 Enrollment ID: I20180725001001 |
| Provider Name | Weldon John Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760800304 PECOS PAC ID: 9931407285 Enrollment ID: I20180816000472 |
| Provider Name | Matthew J Rohrbacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174025019 PECOS PAC ID: 0749530269 Enrollment ID: I20180904003406 |
| Provider Name | Kathryn G Graham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730525577 PECOS PAC ID: 7012218241 Enrollment ID: I20180925000042 |
| Provider Name | Jonathan M Ashley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275919672 PECOS PAC ID: 9335417468 Enrollment ID: I20181101002966 |
| Provider Name | Ann-marie Busick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518309814 PECOS PAC ID: 5597058297 Enrollment ID: I20181119000105 |
| Provider Name | Chase B Cohron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518449644 PECOS PAC ID: 6800134339 Enrollment ID: I20190208000252 |
| Provider Name | Jesse J Jennings |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659782795 PECOS PAC ID: 8123361490 Enrollment ID: I20190530001166 |
| Provider Name | Qasim Salimi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972911089 PECOS PAC ID: 8820321722 Enrollment ID: I20190607002066 |
| Provider Name | Vyacheslav Vilensky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821437328 PECOS PAC ID: 8426279712 Enrollment ID: I20190612000606 |
| Provider Name | Linda Joyce Kurtz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255418240 PECOS PAC ID: 9830425834 Enrollment ID: I20190730000322 |
| Provider Name | Gregory A Ruff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548249642 PECOS PAC ID: 4082789599 Enrollment ID: I20190801000684 |
| Provider Name | Kevin William Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790980381 PECOS PAC ID: 4981887148 Enrollment ID: I20190820000905 |
| Provider Name | Muqueet Kadri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932567013 PECOS PAC ID: 1456680222 Enrollment ID: I20190905000034 |
| Provider Name | Kelly J Eyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962974923 PECOS PAC ID: 6305178674 Enrollment ID: I20191106001276 |
| Provider Name | Jason Scott Ferderber |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1023544053 PECOS PAC ID: 9830467653 Enrollment ID: I20191111000116 |
| Provider Name | Kaliah Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134761489 PECOS PAC ID: 4082049416 Enrollment ID: I20200114000163 |
| Provider Name | Olivia Owusu Boahen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427282631 PECOS PAC ID: 0547315574 Enrollment ID: I20200203001867 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20200205001979 |
| Provider Name | Angela C Onwuanibe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083637441 PECOS PAC ID: 6901885490 Enrollment ID: I20200205002223 |
| Provider Name | Lauren B Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255975892 PECOS PAC ID: 7315375078 Enrollment ID: I20200312001143 |
| Provider Name | Ronald Lakatos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093771123 PECOS PAC ID: 0749173714 Enrollment ID: I20200326000922 |
| Provider Name | Justin Shinn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841687969 PECOS PAC ID: 6305148396 Enrollment ID: I20200519001469 |
| Provider Name | Linda Nabha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558520601 PECOS PAC ID: 9537303995 Enrollment ID: I20200706000106 |
| Provider Name | Sarah Welsh Burgdorf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801213780 PECOS PAC ID: 5193053346 Enrollment ID: I20200706000490 |
| Provider Name | Kelsey Lee-ann Short |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508386970 PECOS PAC ID: 6002185972 Enrollment ID: I20200708000835 |
| Provider Name | Samantha L Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386006401 PECOS PAC ID: 9537451182 Enrollment ID: I20200708001897 |
| Provider Name | Alex Marshal Trzebucki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114269594 PECOS PAC ID: 9739471533 Enrollment ID: I20200709000017 |
| Provider Name | Julia Cornett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679884738 PECOS PAC ID: 3779779251 Enrollment ID: I20200709000059 |
| Provider Name | Stephen T Tingley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982724605 PECOS PAC ID: 7911323241 Enrollment ID: I20200818001841 |
| Provider Name | Elaine M Matisko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588272959 PECOS PAC ID: 4789002072 Enrollment ID: I20200918000742 |
| Provider Name | Shalini Bansil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467429340 PECOS PAC ID: 1850306796 Enrollment ID: I20200928000432 |
| Provider Name | Nathan S Brezovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831433358 PECOS PAC ID: 0749693059 Enrollment ID: I20210106000003 |
| Provider Name | Paul Anthony Cristofano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336596998 PECOS PAC ID: 9537590351 Enrollment ID: I20210430001914 |
| Provider Name | Paul Charles Baresel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699271882 PECOS PAC ID: 7113326026 Enrollment ID: I20210526001385 |
| Provider Name | John H Seok |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770578973 PECOS PAC ID: 8022275478 Enrollment ID: I20210602000138 |
| Provider Name | Tiffany Yuh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790147072 PECOS PAC ID: 1456643766 Enrollment ID: I20210623001301 |
| Provider Name | Scott W Geiger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477917227 PECOS PAC ID: 2668763335 Enrollment ID: I20210624002631 |
| Provider Name | Daniel Robert Pitts |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225491236 PECOS PAC ID: 2264727916 Enrollment ID: I20210712000292 |
| Provider Name | Jenna L Hackenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700383619 PECOS PAC ID: 0244589364 Enrollment ID: I20210714000109 |
| Provider Name | Erica K Marden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780046896 PECOS PAC ID: 5395030845 Enrollment ID: I20210721000392 |
| Provider Name | Maria Basedow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689108060 PECOS PAC ID: 6800166257 Enrollment ID: I20210818000193 |
| Provider Name | William Price Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073010823 PECOS PAC ID: 7810392248 Enrollment ID: I20210824002084 |
| Provider Name | Booth Wainscoat |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699707141 PECOS PAC ID: 7012912165 Enrollment ID: I20210827000502 |
| Provider Name | Nandakumar Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396989562 PECOS PAC ID: 9739313735 Enrollment ID: I20210830001917 |
| Provider Name | Jay D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225702889 PECOS PAC ID: 5395141840 Enrollment ID: I20210908002276 |
| Provider Name | Antonie J Auguste |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508063165 PECOS PAC ID: 0042469843 Enrollment ID: I20210909002299 |
| Provider Name | Sabina Zawadzka |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396109021 PECOS PAC ID: 8820382864 Enrollment ID: I20210913000947 |
| Provider Name | Gloriel Flores-caban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326435207 PECOS PAC ID: 8527465137 Enrollment ID: I20210924000927 |
| Provider Name | Jenna Lynn Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205507555 PECOS PAC ID: 3678971983 Enrollment ID: I20211018000005 |
| Provider Name | Morgan Lee Nellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205509387 PECOS PAC ID: 2860880945 Enrollment ID: I20211021002156 |
| Provider Name | Casey Wineland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780337485 PECOS PAC ID: 3678967411 Enrollment ID: I20220222000438 |
| Provider Name | Darren Petrunak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972251833 PECOS PAC ID: 3476949264 Enrollment ID: I20220404001288 |
| Provider Name | Kayla R Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205355096 PECOS PAC ID: 0042697849 Enrollment ID: I20220517001721 |
| Provider Name | Vikas R Mandadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346691771 PECOS PAC ID: 1153619366 Enrollment ID: I20220604000014 |
| Provider Name | Karli Nicole Stager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629573183 PECOS PAC ID: 5890173629 Enrollment ID: I20220606002997 |
| Provider Name | Shannon Marker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447989827 PECOS PAC ID: 3072992155 Enrollment ID: I20220621000239 |
| Provider Name | Thomas Tuyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023570553 PECOS PAC ID: 1456689116 Enrollment ID: I20220704000346 |
| Provider Name | Karissa Thal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033679691 PECOS PAC ID: 1052648771 Enrollment ID: I20220705003107 |
| Provider Name | Grant William Zeigler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811429400 PECOS PAC ID: 4688054497 Enrollment ID: I20220711000012 |
| Provider Name | Shannon Manley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487169835 PECOS PAC ID: 2163803701 Enrollment ID: I20220714000167 |
| Provider Name | Marina Jeffery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205396967 PECOS PAC ID: 0840527370 Enrollment ID: I20220719001864 |
| Provider Name | Kristen Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427782903 PECOS PAC ID: 6002297876 Enrollment ID: I20220726000699 |
| Provider Name | Sebastian Sylvestre |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1619409851 PECOS PAC ID: 0749614196 Enrollment ID: I20220810001914 |
| Provider Name | Mallory C Schaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821581893 PECOS PAC ID: 9133475411 Enrollment ID: I20220823000257 |
| Provider Name | Steven Cogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861113474 PECOS PAC ID: 5991181133 Enrollment ID: I20220926002551 |
| Provider Name | Mark Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145105 PECOS PAC ID: 7911165659 Enrollment ID: I20230411001643 |
| Provider Name | Adnan F Danish |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265440903 PECOS PAC ID: 3870598279 Enrollment ID: I20230518002210 |
| Provider Name | Deanna Sue Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063677839 PECOS PAC ID: 1153787809 Enrollment ID: I20230523000020 |
| Provider Name | Norman Weir |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033147772 PECOS PAC ID: 3375583198 Enrollment ID: I20230523001581 |
| Provider Name | Cosetta Kim O'neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700571221 PECOS PAC ID: 2264899608 Enrollment ID: I20230531000827 |
| Provider Name | Marta Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316647332 PECOS PAC ID: 3870950751 Enrollment ID: I20230608000740 |
| Provider Name | Kelsey Anne Coleman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013409119 PECOS PAC ID: 2466810346 Enrollment ID: I20230626000752 |
| Provider Name | Andrea George |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215376363 PECOS PAC ID: 2769787662 Enrollment ID: I20230626003428 |
| Provider Name | Diana Zhong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376924365 PECOS PAC ID: 2163721861 Enrollment ID: I20230706000503 |
| Provider Name | Lilian Patrice Mckinley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396372074 PECOS PAC ID: 7416379060 Enrollment ID: I20230802003686 |
| Provider Name | Sarah E Bork |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396783148 PECOS PAC ID: 2668484593 Enrollment ID: I20230830001406 |
| Provider Name | Trenten B Lancaster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447879655 PECOS PAC ID: 3173977790 Enrollment ID: I20230929001108 |
| Provider Name | Elizabeth Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811688724 PECOS PAC ID: 0244685295 Enrollment ID: I20231011000028 |
| Provider Name | Jordan Elizabeth Prutzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225647027 PECOS PAC ID: 4789030644 Enrollment ID: I20231028000350 |
| Provider Name | Nabeel Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154490282 PECOS PAC ID: 4284535188 Enrollment ID: I20231107001125 |
| Provider Name | Nubia Lluberes Rincon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083911143 PECOS PAC ID: 0648428243 Enrollment ID: I20231213000188 |
| Provider Name | James Giacomo Saccomando |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487602330 PECOS PAC ID: 8921079781 Enrollment ID: I20240208003822 |
| Provider Name | Kimberly A Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417911694 PECOS PAC ID: 8426122789 Enrollment ID: I20240216002499 |
| Provider Name | Nicholas Samuel Krajacic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457114399 PECOS PAC ID: 3870932569 Enrollment ID: I20240415000778 |
Penns Valley Area Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Penns Valley Rd, Suite 1, Spring Mills, PA 16875 Phone: 814-422-8873 |