| Piedmont Athens Hospitalist Physicians Llc | |
|
35 Collier Rd Nw Ste 635 Atlanta GA 30309-1611 | |
| (404) 367-3014 | |
| Not Available |
| Full Name | Piedmont Athens Hospitalist Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 35 Collier Rd Nw Ste 635, Atlanta, Georgia |
| Authorized Official Name and Position | Christy Aquino (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4702713427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Athens Hospitalist Physicians Llc Po Box 117265 Atlanta GA 30368-7265 Ph: (770) 801-2500 | Piedmont Athens Hospitalist Physicians Llc 35 Collier Rd Nw Ste 635 Atlanta GA 30309-1611 Ph: (404) 367-3014 |
| NPI Number | 1578079000 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 08/11/2021 |
| Medicare PECOS PAC ID | 6305196411 |
|---|---|
| Medicare Enrollment ID | O20180911003967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578079000 | NPI | - | NPPES |
| 003208684A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Syed A Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508837576 PECOS PAC ID: 0042296139 Enrollment ID: I20040629000219 |
| Provider Name | Matthew Boyd Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316975782 PECOS PAC ID: 0143201541 Enrollment ID: I20040712001169 |
| Provider Name | Michael E Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821026295 PECOS PAC ID: 2668451444 Enrollment ID: I20040715000748 |
| Provider Name | Sunil M Alexander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871688820 PECOS PAC ID: 1052381217 Enrollment ID: I20040727000818 |
| Provider Name | Fakhar Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295781094 PECOS PAC ID: 4587636022 Enrollment ID: I20040806000339 |
| Provider Name | Mark H Middleton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710977202 PECOS PAC ID: 6608838230 Enrollment ID: I20041027000371 |
| Provider Name | Russell F Pruitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992886667 PECOS PAC ID: 2860440930 Enrollment ID: I20050105000490 |
| Provider Name | Adam G Marx |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851362008 PECOS PAC ID: 5991755381 Enrollment ID: I20050124000712 |
| Provider Name | Roja R Sanikapally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942275433 PECOS PAC ID: 2264489475 Enrollment ID: I20050331000106 |
| Provider Name | Earle W Gunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043398605 PECOS PAC ID: 7113957457 Enrollment ID: I20050817000124 |
| Provider Name | Stephanie R Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124087879 PECOS PAC ID: 3274565072 Enrollment ID: I20050831000942 |
| Provider Name | Guruman Singh Kalra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790720357 PECOS PAC ID: 8921024324 Enrollment ID: I20051014000552 |
| Provider Name | Ruby G Cheves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477532919 PECOS PAC ID: 0143243295 Enrollment ID: I20060104000714 |
| Provider Name | Hindia Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639135205 PECOS PAC ID: 5597774117 Enrollment ID: I20060411000011 |
| Provider Name | Miguel Jurado |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417908435 PECOS PAC ID: 5597720722 Enrollment ID: I20060412000004 |
| Provider Name | Donald Maynard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194772749 PECOS PAC ID: 3577575380 Enrollment ID: I20060619000027 |
| Provider Name | Melissa K Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962430090 PECOS PAC ID: 4688678980 Enrollment ID: I20060829000107 |
| Provider Name | Mutinhima Moyo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497763015 PECOS PAC ID: 4486658119 Enrollment ID: I20060911000536 |
| Provider Name | Patricia M Haibach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790713550 PECOS PAC ID: 0840296919 Enrollment ID: I20061012000360 |
| Provider Name | Geena Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528111887 PECOS PAC ID: 6709888191 Enrollment ID: I20070214000234 |
| Provider Name | Cassie N Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053531954 PECOS PAC ID: 4880787530 Enrollment ID: I20070911000584 |
| Provider Name | Lisa M Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780731729 PECOS PAC ID: 5698860377 Enrollment ID: I20070927000051 |
| Provider Name | Vishal B Parekh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689872475 PECOS PAC ID: 8123115300 Enrollment ID: I20071105000370 |
| Provider Name | Walker G Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700962644 PECOS PAC ID: 4284710104 Enrollment ID: I20080318000474 |
| Provider Name | Ronald S Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881717775 PECOS PAC ID: 8325126998 Enrollment ID: I20080422000848 |
| Provider Name | Mohammed Obeidin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104987056 PECOS PAC ID: 5395816177 Enrollment ID: I20080623000208 |
| Provider Name | John Elder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992781132 PECOS PAC ID: 2961564984 Enrollment ID: I20081229000170 |
| Provider Name | Monisha Garg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710106141 PECOS PAC ID: 9931256955 Enrollment ID: I20090409000010 |
| Provider Name | Brendan J Groarke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316041783 PECOS PAC ID: 9931252038 Enrollment ID: I20090807000242 |
| Provider Name | Irina S Slavina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558514711 PECOS PAC ID: 2860539137 Enrollment ID: I20091020000365 |
| Provider Name | Rembert Murray Mcelhannon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982698791 PECOS PAC ID: 1557382066 Enrollment ID: I20100722000459 |
| Provider Name | Olayinka A Akinpelu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710130505 PECOS PAC ID: 6103959473 Enrollment ID: I20100806000549 |
| Provider Name | Cesar Y Figueroa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255386835 PECOS PAC ID: 8527955616 Enrollment ID: I20100816000474 |
| Provider Name | Samer A Maalouf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427234194 PECOS PAC ID: 1456544931 Enrollment ID: I20101015000865 |
| Provider Name | Urviben R Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1306053731 PECOS PAC ID: 4183817349 Enrollment ID: I20101020000264 |
| Provider Name | Bamidele Ayotunde Ajibola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669644589 PECOS PAC ID: 4082809009 Enrollment ID: I20101116000257 |
| Provider Name | Rakshitkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841493830 PECOS PAC ID: 8426234006 Enrollment ID: I20110516000674 |
| Provider Name | George E Dasoveanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558310334 PECOS PAC ID: 3072791110 Enrollment ID: I20110621000126 |
| Provider Name | Cynthea M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700116480 PECOS PAC ID: 4183892532 Enrollment ID: I20110729000444 |
| Provider Name | Audrey Marie Veloso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033416557 PECOS PAC ID: 6608046776 Enrollment ID: I20110826000717 |
| Provider Name | Regina F Ayeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720375165 PECOS PAC ID: 7517137185 Enrollment ID: I20110909002599 |
| Provider Name | Chinwe N Aligwekwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609037936 PECOS PAC ID: 8426220427 Enrollment ID: I20111018000180 |
| Provider Name | Shuconda K Sturdivant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528340056 PECOS PAC ID: 2062670342 Enrollment ID: I20120215000588 |
| Provider Name | Jagdish R Sidhpura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184617599 PECOS PAC ID: 7517067671 Enrollment ID: I20120322000433 |
| Provider Name | Larisa M Pearlman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124051685 PECOS PAC ID: 2466420229 Enrollment ID: I20120418000331 |
| Provider Name | Linda Idun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609047844 PECOS PAC ID: 8224109145 Enrollment ID: I20120523000368 |
| Provider Name | Christopher C Sitler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750519062 PECOS PAC ID: 1850572926 Enrollment ID: I20120718000522 |
| Provider Name | Christina Hendry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174751754 PECOS PAC ID: 6608032677 Enrollment ID: I20120718000730 |
| Provider Name | Gregory E Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982832739 PECOS PAC ID: 8820244718 Enrollment ID: I20120808000713 |
| Provider Name | Mukesh Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659535086 PECOS PAC ID: 2365611076 Enrollment ID: I20120828000636 |
| Provider Name | Francis Ampadu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083812515 PECOS PAC ID: 1850577842 Enrollment ID: I20120919000188 |
| Provider Name | Ikramullah Ahmadani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497702567 PECOS PAC ID: 5294636304 Enrollment ID: I20120926000020 |
| Provider Name | Christina L Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689924086 PECOS PAC ID: 3971752080 Enrollment ID: I20121005000115 |
| Provider Name | Breanna L Sorace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871844431 PECOS PAC ID: 3678724267 Enrollment ID: I20121107000522 |
| Provider Name | Abdul Mannan Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437393873 PECOS PAC ID: 9032362561 Enrollment ID: I20130114000238 |
| Provider Name | Amaka Eunice Ezimora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902121122 PECOS PAC ID: 5799939799 Enrollment ID: I20130128000489 |
| Provider Name | Shilpi Das |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336140441 PECOS PAC ID: 7012908940 Enrollment ID: I20130424000413 |
| Provider Name | Barbara Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063752012 PECOS PAC ID: 5294973616 Enrollment ID: I20130524000212 |
| Provider Name | Shannon Stewart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144482803 PECOS PAC ID: 8820239593 Enrollment ID: I20130723000037 |
| Provider Name | Zuhair Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881913309 PECOS PAC ID: 5799919676 Enrollment ID: I20131008001276 |
| Provider Name | Darlene R Crittenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013340314 PECOS PAC ID: 2769617992 Enrollment ID: I20131024001007 |
| Provider Name | Thomas A. Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447682786 PECOS PAC ID: 7416182027 Enrollment ID: I20131106000686 |
| Provider Name | Alice Irene Lawver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538339726 PECOS PAC ID: 1951531029 Enrollment ID: I20140311001725 |
| Provider Name | Abhay J Deshmukh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861726481 PECOS PAC ID: 6305087834 Enrollment ID: I20140506000387 |
| Provider Name | Christie Maria Somers Arietti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508116740 PECOS PAC ID: 8921222431 Enrollment ID: I20140623002696 |
| Provider Name | Samina Choudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467685800 PECOS PAC ID: 5395964423 Enrollment ID: I20140922002204 |
| Provider Name | Margaret Elaine Abate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710962113 PECOS PAC ID: 3072679125 Enrollment ID: I20141105001251 |
| Provider Name | Frank Bonilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528356359 PECOS PAC ID: 0648492082 Enrollment ID: I20141119000952 |
| Provider Name | Shaliza Ann Hanick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891185906 PECOS PAC ID: 2860710928 Enrollment ID: I20150421002540 |
| Provider Name | Donald P Prentiss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275617839 PECOS PAC ID: 9436130507 Enrollment ID: I20150629001228 |
| Provider Name | Eduardo Jose Zouain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821303215 PECOS PAC ID: 0446566202 Enrollment ID: I20150825004462 |
| Provider Name | Eva Katherine Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841502754 PECOS PAC ID: 5799009304 Enrollment ID: I20150902000775 |
| Provider Name | Dwayne Lee Chance |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508121567 PECOS PAC ID: 6608004825 Enrollment ID: I20151030000574 |
| Provider Name | Danny Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295885309 PECOS PAC ID: 1951433630 Enrollment ID: I20151102002085 |
| Provider Name | Alfred Vijay Rathinam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629287776 PECOS PAC ID: 4688768781 Enrollment ID: I20151110001597 |
| Provider Name | Julinkumar Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487881421 PECOS PAC ID: 8729398334 Enrollment ID: I20151111002243 |
| Provider Name | Christopher T. Middendorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780970921 PECOS PAC ID: 6002062924 Enrollment ID: I20151124000907 |
| Provider Name | Brenda Kay Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326419201 PECOS PAC ID: 3779886395 Enrollment ID: I20160114001642 |
| Provider Name | Arpit A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083844518 PECOS PAC ID: 6901054089 Enrollment ID: I20160504002818 |
| Provider Name | Anna M Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033573266 PECOS PAC ID: 9032409420 Enrollment ID: I20160525002830 |
| Provider Name | Joao Mc-oneil Plancher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700142668 PECOS PAC ID: 9638317837 Enrollment ID: I20160812002179 |
| Provider Name | Chelsey Ann Shaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376096222 PECOS PAC ID: 2062707789 Enrollment ID: I20160819001452 |
| Provider Name | David Paulk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336106475 PECOS PAC ID: 5395041412 Enrollment ID: I20160923000366 |
| Provider Name | Katrice K Larece |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972897445 PECOS PAC ID: 6406028166 Enrollment ID: I20160930000921 |
| Provider Name | Sallie Lisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810788 PECOS PAC ID: 1052699170 Enrollment ID: I20161025001032 |
| Provider Name | Vincent E Pair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114294188 PECOS PAC ID: 7315113503 Enrollment ID: I20161212000793 |
| Provider Name | Thomas Chadwick Eustis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427001452 PECOS PAC ID: 2769494673 Enrollment ID: I20170301001377 |
| Provider Name | Keldreca Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447797600 PECOS PAC ID: 5799062501 Enrollment ID: I20170504000954 |
| Provider Name | Roger Vega Blanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983114 PECOS PAC ID: 0648540294 Enrollment ID: I20170714001298 |
| Provider Name | Trammell Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881012029 PECOS PAC ID: 0244535920 Enrollment ID: I20170905003087 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20170908002747 |
| Provider Name | Kathryn Mckinney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174966139 PECOS PAC ID: 5395034268 Enrollment ID: I20170921002327 |
| Provider Name | Rolondo Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073933800 PECOS PAC ID: 9931401866 Enrollment ID: I20171013001862 |
| Provider Name | Bethany Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285156745 PECOS PAC ID: 3779849898 Enrollment ID: I20171106003137 |
| Provider Name | Osarenomase Egharevba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083913230 PECOS PAC ID: 8527284520 Enrollment ID: I20171221001338 |
| Provider Name | Schvon Bussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093139693 PECOS PAC ID: 4284994138 Enrollment ID: I20180214001045 |
| Provider Name | Amy Saulsby-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053711747 PECOS PAC ID: 5890019178 Enrollment ID: I20180609000062 |
| Provider Name | Juan Gabriel Guillot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104139187 PECOS PAC ID: 8123255775 Enrollment ID: I20180626001462 |
| Provider Name | Michael Shotwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427021070 PECOS PAC ID: 1951320936 Enrollment ID: I20180716001209 |
| Provider Name | Brooklyne Marlowe Makaya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487982559 PECOS PAC ID: 5799097234 Enrollment ID: I20180720001237 |
| Provider Name | Dilesh J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114338944 PECOS PAC ID: 5395066963 Enrollment ID: I20180725003161 |
| Provider Name | Megan Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194224980 PECOS PAC ID: 2860742558 Enrollment ID: I20180829004040 |
| Provider Name | Donald Ford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902286743 PECOS PAC ID: 7214288745 Enrollment ID: I20180924000567 |
| Provider Name | Eric Steven Bour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548245913 PECOS PAC ID: 2466354493 Enrollment ID: I20181008003550 |
| Provider Name | Karl Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124295332 PECOS PAC ID: 4587983861 Enrollment ID: I20190111001789 |
| Provider Name | Kelly Williams Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255816658 PECOS PAC ID: 1153667753 Enrollment ID: I20190117002048 |
| Provider Name | Robert Emmett O'connor Iii |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710103270 PECOS PAC ID: 8123126984 Enrollment ID: I20190123003376 |
| Provider Name | Alan D Glassman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912057746 PECOS PAC ID: 1658618384 Enrollment ID: I20190202000202 |
| Provider Name | Christian D Lindsey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346303575 PECOS PAC ID: 4385982859 Enrollment ID: I20190207000866 |
| Provider Name | Daniel Blair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730554007 PECOS PAC ID: 4486929965 Enrollment ID: I20190214003043 |
| Provider Name | Andrew Alexander Ke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265826341 PECOS PAC ID: 6204131436 Enrollment ID: I20190219000189 |
| Provider Name | Marie Leblanc-riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790145563 PECOS PAC ID: 5698014512 Enrollment ID: I20190311001827 |
| Provider Name | Priscilla Ellen Egyir-biney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043661168 PECOS PAC ID: 1759675283 Enrollment ID: I20190403003124 |
| Provider Name | Ameet Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548667934 PECOS PAC ID: 2961773585 Enrollment ID: I20190503000579 |
| Provider Name | Nurat Abiola Aro-lambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336623487 PECOS PAC ID: 8527391432 Enrollment ID: I20190607002562 |
| Provider Name | Courtney Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972965887 PECOS PAC ID: 2961794714 Enrollment ID: I20190718002270 |
| Provider Name | Ngozi Ifeadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811342587 PECOS PAC ID: 8426340654 Enrollment ID: I20190720000025 |
| Provider Name | Matthew Leo Morton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770903676 PECOS PAC ID: 1951603760 Enrollment ID: I20190808003658 |
| Provider Name | Qaisar Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346322823 PECOS PAC ID: 6709978117 Enrollment ID: I20190819003661 |
| Provider Name | Varsha Nirav Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1033434378 PECOS PAC ID: 6709020902 Enrollment ID: I20190822002155 |
| Provider Name | Linda Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982050969 PECOS PAC ID: 6608163530 Enrollment ID: I20191029001891 |
| Provider Name | Adriana Maria Nestoiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558621383 PECOS PAC ID: 5991015984 Enrollment ID: I20191209000753 |
| Provider Name | Brooke L Defrancisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922652809 PECOS PAC ID: 4587098884 Enrollment ID: I20191219000942 |
| Provider Name | Stacey Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245794387 PECOS PAC ID: 1456786912 Enrollment ID: I20200111000041 |
| Provider Name | Kwasi Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215361472 PECOS PAC ID: 7719108844 Enrollment ID: I20200125000249 |
| Provider Name | Brielle Cartwright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710484969 PECOS PAC ID: 7113252164 Enrollment ID: I20200224000342 |
| Provider Name | Jatan J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366893646 PECOS PAC ID: 4789978289 Enrollment ID: I20200420000434 |
| Provider Name | Danny Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114558723 PECOS PAC ID: 8123458692 Enrollment ID: I20200423003039 |
| Provider Name | Audra Turbeville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558997619 PECOS PAC ID: 7810328283 Enrollment ID: I20200519002240 |
| Provider Name | Jason Pfluke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568646362 PECOS PAC ID: 2567517626 Enrollment ID: I20200603002108 |
| Provider Name | Jay Jagdish Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801327804 PECOS PAC ID: 2860762564 Enrollment ID: I20200708001737 |
| Provider Name | Michell Josefina Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962923003 PECOS PAC ID: 3375966401 Enrollment ID: I20200708002738 |
| Provider Name | Mark Lelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437682853 PECOS PAC ID: 4486929007 Enrollment ID: I20200717000610 |
| Provider Name | Reginald Steven Hurtt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659892792 PECOS PAC ID: 3375967441 Enrollment ID: I20200722000898 |
| Provider Name | Elizabeth Garcia-cardenas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588026660 PECOS PAC ID: 5597056994 Enrollment ID: I20200723001340 |
| Provider Name | Nicholas Absalom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770744112 PECOS PAC ID: 5395900633 Enrollment ID: I20200806003368 |
| Provider Name | Syed Ashad Abid |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1578948261 PECOS PAC ID: 4284050808 Enrollment ID: I20200813001404 |
| Provider Name | Richard Newman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831199850 PECOS PAC ID: 2365415957 Enrollment ID: I20200819000714 |
| Provider Name | Cory D Lamar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740469030 PECOS PAC ID: 5991952046 Enrollment ID: I20200821000639 |
| Provider Name | Riikka Mohorn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992721500 PECOS PAC ID: 0547268435 Enrollment ID: I20200831002130 |
| Provider Name | Adam L Heller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710183041 PECOS PAC ID: 5991879793 Enrollment ID: I20200902002555 |
| Provider Name | Jessica Floyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386888113 PECOS PAC ID: 3779729868 Enrollment ID: I20200903003026 |
| Provider Name | Patricia Colon-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427157270 PECOS PAC ID: 0446356216 Enrollment ID: I20200903003664 |
| Provider Name | Mazen Almidani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912936725 PECOS PAC ID: 4587667282 Enrollment ID: I20200904000149 |
| Provider Name | Stanley Garken Lue |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003017427 PECOS PAC ID: 6204005648 Enrollment ID: I20200904000622 |
| Provider Name | Nima Mowzoon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992774327 PECOS PAC ID: 1254358401 Enrollment ID: I20200908000849 |
| Provider Name | Jason R Sebesto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861786246 PECOS PAC ID: 0749416238 Enrollment ID: I20200908002053 |
| Provider Name | Isha Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902258957 PECOS PAC ID: 4385938000 Enrollment ID: I20200909000472 |
| Provider Name | Mai Won |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871676676 PECOS PAC ID: 2860418175 Enrollment ID: I20200912000081 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20200914000215 |
| Provider Name | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20200915000330 |
| Provider Name | Mark N Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932181849 PECOS PAC ID: 5092732388 Enrollment ID: I20200915002361 |
| Provider Name | Vahid Behravan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871722520 PECOS PAC ID: 6507189123 Enrollment ID: I20200916002388 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20200917000495 |
| Provider Name | Lori D Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407464183 PECOS PAC ID: 9638597842 Enrollment ID: I20200918002098 |
| Provider Name | Mark Mitchell Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20200919000127 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20200922001479 |
| Provider Name | Shubhangi Chumble |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881684074 PECOS PAC ID: 6305844242 Enrollment ID: I20200923001874 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20200928001489 |
| Provider Name | Mohammed Zaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215126032 PECOS PAC ID: 4284882895 Enrollment ID: I20200930001506 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20201001002015 |
| Provider Name | Yazan M Suradi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952600223 PECOS PAC ID: 5698055945 Enrollment ID: I20201002000743 |
| Provider Name | William J Lagaly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356371272 PECOS PAC ID: 3870491236 Enrollment ID: I20201005001014 |
| Provider Name | Andrew S Olsen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811359532 PECOS PAC ID: 0143649541 Enrollment ID: I20201005001728 |
| Provider Name | Amanda J Avila |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184841397 PECOS PAC ID: 9830345735 Enrollment ID: I20201005001856 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20201005002077 |
| Provider Name | Raina Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366698482 PECOS PAC ID: 4385816685 Enrollment ID: I20201005002310 |
| Provider Name | Sam Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20201009000736 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20201009001386 |
| Provider Name | Geetanjali Vajapey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740523935 PECOS PAC ID: 5799087441 Enrollment ID: I20201012000002 |
| Provider Name | Vivian Marie Suarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107388 PECOS PAC ID: 7618145830 Enrollment ID: I20201012000528 |
| Provider Name | Deb K Mojumder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396023818 PECOS PAC ID: 4183928849 Enrollment ID: I20201012001185 |
| Provider Name | Harsha Ghatge Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568606259 PECOS PAC ID: 5496983009 Enrollment ID: I20201012002911 |
| Provider Name | Maria Aguilar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518924190 PECOS PAC ID: 9133130156 Enrollment ID: I20201013000275 |
| Provider Name | Katherine Colleen Riordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689832107 PECOS PAC ID: 8224174354 Enrollment ID: I20201013003055 |
| Provider Name | Vivek Baluja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538205539 PECOS PAC ID: 0143408989 Enrollment ID: I20201015001088 |
| Provider Name | Lorianne Elizabeth Avino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306898762 PECOS PAC ID: 6305859919 Enrollment ID: I20201019001615 |
| Provider Name | Mary Katherine Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861644809 PECOS PAC ID: 6608286281 Enrollment ID: I20201110003426 |
| Provider Name | Tigist Mehari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235490426 PECOS PAC ID: 4688955370 Enrollment ID: I20201226000040 |
| Provider Name | Morgan Patrylo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972946002 PECOS PAC ID: 4880948959 Enrollment ID: I20210105002994 |
| Provider Name | Devin Vaishnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184149130 PECOS PAC ID: 4789959255 Enrollment ID: I20210127003616 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20210203001254 |
| Provider Name | Merritt Dammeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679006779 PECOS PAC ID: 6305252727 Enrollment ID: I20210310001193 |
| Provider Name | Obeidurahman Rehmani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619275963 PECOS PAC ID: 2668605106 Enrollment ID: I20210324000819 |
| Provider Name | Hsiong Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912165374 PECOS PAC ID: 1456548601 Enrollment ID: I20210331000606 |
| Provider Name | Orlando W Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730572793 PECOS PAC ID: 7517248677 Enrollment ID: I20210615002787 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20210617002328 |
| Provider Name | Casey Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952763518 PECOS PAC ID: 7810283231 Enrollment ID: I20210630001346 |
| Provider Name | Nina Grace Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750692422 PECOS PAC ID: 6709025505 Enrollment ID: I20210630001876 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20210729001921 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20210803001514 |
| Provider Name | Samuel Quaynor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215319710 PECOS PAC ID: 6507175569 Enrollment ID: I20210803003503 |
| Provider Name | Bannur Ramanna Nandeesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003304619 PECOS PAC ID: 3971907882 Enrollment ID: I20210813000907 |
| Provider Name | Austin Joseph Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053843953 PECOS PAC ID: 7911267919 Enrollment ID: I20210826000969 |
| Provider Name | Basilio Nii Ayitey Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124515838 PECOS PAC ID: 3476958422 Enrollment ID: I20210830000786 |
| Provider Name | Hannah Charlene Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972156461 PECOS PAC ID: 4789080482 Enrollment ID: I20210903001735 |
| Provider Name | Jenna R Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063737302 PECOS PAC ID: 1850514456 Enrollment ID: I20210915000645 |
| Provider Name | Brian D Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770057788 PECOS PAC ID: 9739419516 Enrollment ID: I20210922003151 |
| Provider Name | Evan G Black |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346260247 PECOS PAC ID: 6103724554 Enrollment ID: I20210923000845 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20211013001234 |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20211111001051 |
| Provider Name | Benzion Chaim Yitzchok Blech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538515465 PECOS PAC ID: 9638461056 Enrollment ID: I20211111001526 |
| Provider Name | Philippe Gerard Douyon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306169487 PECOS PAC ID: 3072755396 Enrollment ID: I20211208002491 |
| Provider Name | Morgan Elizabeth Figurelle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801241260 PECOS PAC ID: 8729373642 Enrollment ID: I20211211000165 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20211212000000 |
| Provider Name | Yu-hsuan Liao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868677 PECOS PAC ID: 9133523350 Enrollment ID: I20211213000506 |
| Provider Name | Danielle L Stembridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023689049 PECOS PAC ID: 3072904499 Enrollment ID: I20211220000830 |
| Provider Name | Colby A. Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20211229001408 |
| Provider Name | Kristi Patricia Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750514261 PECOS PAC ID: 6406080811 Enrollment ID: I20211229002082 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20220103001990 |
| Provider Name | Satinder Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386085546 PECOS PAC ID: 7618229436 Enrollment ID: I20220106000458 |
| Provider Name | Robert Myers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700248937 PECOS PAC ID: 7416356324 Enrollment ID: I20220118000061 |
| Provider Name | Guha K Venkatraman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356517593 PECOS PAC ID: 3476721887 Enrollment ID: I20220124001538 |
| Provider Name | Linda Y. Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427476456 PECOS PAC ID: 3678870276 Enrollment ID: I20220127001075 |
| Provider Name | Mohammad Naghz Ahmad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588315667 PECOS PAC ID: 2264827773 Enrollment ID: I20220321000970 |
| Provider Name | Jewell Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568789212 PECOS PAC ID: 5496140873 Enrollment ID: I20220322000878 |
| Provider Name | Elizabeth Laird Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851062053 PECOS PAC ID: 4082001789 Enrollment ID: I20220427002976 |
| Provider Name | Wendi I Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20220509001692 |
| Provider Name | Alain Marcel Morel Ovalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316592611 PECOS PAC ID: 9335545631 Enrollment ID: I20220524000091 |
| Provider Name | Dipal N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922568203 PECOS PAC ID: 1153700505 Enrollment ID: I20220615002578 |
| Provider Name | Mahmoud Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982157400 PECOS PAC ID: 6002151461 Enrollment ID: I20220628002133 |
| Provider Name | Konstantin Nestoiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750945515 PECOS PAC ID: 6002214467 Enrollment ID: I20220719003569 |
| Provider Name | Amr K Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538722483 PECOS PAC ID: 0143555896 Enrollment ID: I20220726000387 |
| Provider Name | Fawad Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659827921 PECOS PAC ID: 6103112354 Enrollment ID: I20220817000592 |
| Provider Name | John Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043251648 PECOS PAC ID: 0840294773 Enrollment ID: I20220817003421 |
| Provider Name | Manjit Pakkala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821358003 PECOS PAC ID: 7719143379 Enrollment ID: I20220818001473 |
| Provider Name | Viral Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508126780 PECOS PAC ID: 5395901854 Enrollment ID: I20220821000000 |
| Provider Name | Kajal Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184183469 PECOS PAC ID: 3476888207 Enrollment ID: I20220829002279 |
| Provider Name | Dominic Amakye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760045223 PECOS PAC ID: 1153719273 Enrollment ID: I20220902000189 |
| Provider Name | Swetha Priya Chaparala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295398964 PECOS PAC ID: 7618352733 Enrollment ID: I20220909002050 |
| Provider Name | Leondus Samuel Mciver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437612017 PECOS PAC ID: 2062897002 Enrollment ID: I20220912003610 |
| Provider Name | Steven Gangloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952756058 PECOS PAC ID: 4587951637 Enrollment ID: I20220922003208 |
| Provider Name | Anant Shenoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194998005 PECOS PAC ID: 5991855140 Enrollment ID: I20220927000895 |
| Provider Name | Benjamin C Groves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396242202 PECOS PAC ID: 7012399033 Enrollment ID: I20220927002120 |
| Provider Name | Nathanael J Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255794525 PECOS PAC ID: 0648560250 Enrollment ID: I20220928003432 |
| Provider Name | Rizwan Shahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467854992 PECOS PAC ID: 8123393287 Enrollment ID: I20221005003810 |
| Provider Name | Kyle Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20221011002399 |
| Provider Name | Malesse B Waje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790138451 PECOS PAC ID: 6800140682 Enrollment ID: I20221012001061 |
| Provider Name | Sheyar Wala Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720511769 PECOS PAC ID: 7517357783 Enrollment ID: I20221012003643 |
| Provider Name | Ellis Greer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871058354 PECOS PAC ID: 2365779774 Enrollment ID: I20221014002456 |
| Provider Name | Igor Alexandrovich Malenky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740714054 PECOS PAC ID: 8820361330 Enrollment ID: I20221024000260 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20221024002718 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20221025000777 |
| Provider Name | Iman Dabiri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841721628 PECOS PAC ID: 5799058194 Enrollment ID: I20221026001220 |
| Provider Name | Radu Zamfir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457857757 PECOS PAC ID: 0345672168 Enrollment ID: I20221026001423 |
| Provider Name | Robert Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598050064 PECOS PAC ID: 5294972998 Enrollment ID: I20221027000486 |
| Provider Name | Cintasha Redmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639437452 PECOS PAC ID: 8628344728 Enrollment ID: I20221027000727 |
| Provider Name | Nishedh Dave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023538337 PECOS PAC ID: 1951672757 Enrollment ID: I20221031001277 |
| Provider Name | Marta Anna Gaertig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376006957 PECOS PAC ID: 7214304435 Enrollment ID: I20221101001215 |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20221115002904 |
| Provider Name | Ebunoluwa Onafalujo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447749932 PECOS PAC ID: 6305189184 Enrollment ID: I20221117001335 |
| Provider Name | Susie Wang Platt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447646013 PECOS PAC ID: 4880971845 Enrollment ID: I20221122001329 |
| Provider Name | Srijana Zarkou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649482340 PECOS PAC ID: 3779617139 Enrollment ID: I20221128002262 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20221213001184 |
| Provider Name | Bashir Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659537827 PECOS PAC ID: 5799932406 Enrollment ID: I20221222001751 |
| Provider Name | Eric Lamarr Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891420121 PECOS PAC ID: 1153791322 Enrollment ID: I20230104001147 |
| Provider Name | Christopher Bourean |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851823231 PECOS PAC ID: 6204100258 Enrollment ID: I20230104002632 |
| Provider Name | Dileep Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538545918 PECOS PAC ID: 1951663814 Enrollment ID: I20230104002965 |
| Provider Name | Robert A Fishman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982807921 PECOS PAC ID: 2062667454 Enrollment ID: I20230131001580 |
| Provider Name | Hisham Abdelmonem Ahmed Abdelmotilib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417445677 PECOS PAC ID: 3870840747 Enrollment ID: I20230131002677 |
| Provider Name | Jimmy Diep Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285815605 PECOS PAC ID: 5799837621 Enrollment ID: I20230222001572 |
| Provider Name | Jasmine Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124730593 PECOS PAC ID: 2567835291 Enrollment ID: I20230228002748 |
| Provider Name | Diana Alsbrook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942798004 PECOS PAC ID: 1759639891 Enrollment ID: I20230320001010 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20230321001472 |
| Provider Name | Damon Derek Simpson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891775177 PECOS PAC ID: 0042405318 Enrollment ID: I20230321002232 |
| Provider Name | Veronica Ikonge Gichana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477296739 PECOS PAC ID: 2769857960 Enrollment ID: I20230330002791 |
| Provider Name | Chris R Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114362613 PECOS PAC ID: 7416196639 Enrollment ID: I20230330003055 |
| Provider Name | Anna Barminova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790292100 PECOS PAC ID: 0345659710 Enrollment ID: I20230403000678 |
| Provider Name | Edward George Boyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073953683 PECOS PAC ID: 3779885678 Enrollment ID: I20230404000536 |
| Provider Name | Brian Birdsong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841750031 PECOS PAC ID: 2264762053 Enrollment ID: I20230404001015 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20230406001927 |
| Provider Name | Michelle Weirauch Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427754605 PECOS PAC ID: 3971978362 Enrollment ID: I20230418000364 |
| Provider Name | Jesse Kenwood Giffhorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497014922 PECOS PAC ID: 4880940618 Enrollment ID: I20230420002228 |
| Provider Name | Mark Sabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942616560 PECOS PAC ID: 7911200340 Enrollment ID: I20230427002887 |
| Provider Name | Edward N Misulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902396559 PECOS PAC ID: 8123409125 Enrollment ID: I20230428000180 |
| Provider Name | Mallory Noelle Luckey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770932170 PECOS PAC ID: 4183902356 Enrollment ID: I20230502000494 |
| Provider Name | Kristen L Veal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20230503000305 |
| Provider Name | Felix Rivera-perez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003078692 PECOS PAC ID: 4981755733 Enrollment ID: I20230503000677 |
| Provider Name | Neil G Jhamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477787067 PECOS PAC ID: 4082852769 Enrollment ID: I20230504002785 |
| Provider Name | Bradley M Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20230524001077 |
| Provider Name | Onoriode Kesiena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740819523 PECOS PAC ID: 6800294422 Enrollment ID: I20230619000759 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20230626000567 |
| Provider Name | Kristen Elizabeth Quick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992264741 PECOS PAC ID: 6406215193 Enrollment ID: I20230628002662 |
| Provider Name | Shreyas Reddy Singireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821627522 PECOS PAC ID: 3375903396 Enrollment ID: I20230721001036 |
| Provider Name | Njika Atemnkeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548870298 PECOS PAC ID: 6709251648 Enrollment ID: I20230731000067 |
| Provider Name | Estella Margaret Kidwell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184696122 PECOS PAC ID: 1456398056 Enrollment ID: I20230811001071 |
| Provider Name | Tinuola Omoniyi Andre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083238448 PECOS PAC ID: 5991177305 Enrollment ID: I20230824001094 |
| Provider Name | Parham J Zamani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184287427 PECOS PAC ID: 6800254327 Enrollment ID: I20230824003177 |
| Provider Name | Bhavan U Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922458611 PECOS PAC ID: 6103221940 Enrollment ID: I20230825002173 |
| Provider Name | Eptesam Sufiyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184358079 PECOS PAC ID: 5597128975 Enrollment ID: I20230901000288 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20230908003561 |
| Provider Name | Danoushka Loris Tememe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255742227 PECOS PAC ID: 5294950812 Enrollment ID: I20230911000320 |
| Provider Name | Crystal Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801021886 PECOS PAC ID: 9931321338 Enrollment ID: I20230913003001 |
| Provider Name | Brianna Nicole Treaster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316626310 PECOS PAC ID: 2264896893 Enrollment ID: I20230914001383 |
| Provider Name | Amol R Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649775503 PECOS PAC ID: 5395095293 Enrollment ID: I20230920003285 |
| Provider Name | Hermelinda Abcede |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891956678 PECOS PAC ID: 3577732601 Enrollment ID: I20230921003369 |
| Provider Name | Cara Elizabeth Hudson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396150538 PECOS PAC ID: 0941426936 Enrollment ID: I20230925001277 |
| Provider Name | Amanda Lynn Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386428712 PECOS PAC ID: 0648624676 Enrollment ID: I20230926000517 |
| Provider Name | Cameron Thomas Kennelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285253401 PECOS PAC ID: 1557783578 Enrollment ID: I20231002002650 |
| Provider Name | Justin De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20231120002096 |
| Provider Name | Sang Myung Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700433398 PECOS PAC ID: 9739512278 Enrollment ID: I20231211001073 |
| Provider Name | Alexander Calder White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669160131 PECOS PAC ID: 9537519764 Enrollment ID: I20231229000749 |
| Provider Name | Oyebisi Moriliat Kilani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013614668 PECOS PAC ID: 5698111326 Enrollment ID: I20240315002108 |
| Provider Name | Khadija Irshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528494689 PECOS PAC ID: 1153673462 Enrollment ID: I20240423001534 |
| Provider Name | Danhely Cruz-vasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164008975 PECOS PAC ID: 7719385509 Enrollment ID: I20240503002844 |
| Provider Name | Muhammad Raza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518541721 PECOS PAC ID: 1557760394 Enrollment ID: I20240529002255 |
| Provider Name | Danah Martrece Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801527502 PECOS PAC ID: 8325580459 Enrollment ID: I20240605000334 |
| Provider Name | Stacie L Ricketts-mccook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053956045 PECOS PAC ID: 8729470356 Enrollment ID: I20240605001741 |
| Provider Name | Erica Wilt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003253857 PECOS PAC ID: 5294084265 Enrollment ID: I20240611003960 |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care - Mary Hall Freedom House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc- Sheffield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |