| Prevea Sheboygan Health Center | |
|
1621 N Taylor Dr Sheboygan WI 53081-1990 | |
| (920) 458-4419 | |
| Not Available |
| Full Name | Prevea Sheboygan Health Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1621 N Taylor Dr, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Justin Selle (PRESIDENT & CEO) |
| Authorized Official Contact | 9204964700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevea Sheboygan Health Center Po Box 19070 Green Bay WI 54307-9070 Ph: (920) 496-4700 | Prevea Sheboygan Health Center 1621 N Taylor Dr Sheboygan WI 53081-1990 Ph: (920) 458-4419 |
| NPI Number | 1275799413 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 8325931652 |
|---|---|
| Medicare Enrollment ID | O20040202001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275799413 | NPI | - | NPPES |
| 21327400 | Medicaid | WI |
| Provider Name | Katharina S Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053380345 PECOS PAC ID: 4486559275 Enrollment ID: I20031204000736 |
| Provider Name | Henry K Feider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407901481 PECOS PAC ID: 6305745126 Enrollment ID: I20031231000229 |
| Provider Name | Ronan M Smyth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578619979 PECOS PAC ID: 6608775432 Enrollment ID: I20031231000267 |
| Provider Name | David J Balison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245307719 PECOS PAC ID: 1850290685 Enrollment ID: I20031231000285 |
| Provider Name | Nami P Zarvan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003962416 PECOS PAC ID: 4385543123 Enrollment ID: I20031231000301 |
| Provider Name | Dennis J Bielke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073668059 PECOS PAC ID: 7012816861 Enrollment ID: I20031231000367 |
| Provider Name | Ian A Sproat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174679575 PECOS PAC ID: 6800795675 Enrollment ID: I20031231000485 |
| Provider Name | William H Benn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346275344 PECOS PAC ID: 0648179762 Enrollment ID: I20040107000622 |
| Provider Name | David W Koeper |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487698387 PECOS PAC ID: 9234030206 Enrollment ID: I20040114000425 |
| Provider Name | Kambiz Farbakhsh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861446015 PECOS PAC ID: 4284536988 Enrollment ID: I20040123000027 |
| Provider Name | David J Palubiak |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871596627 PECOS PAC ID: 4981507209 Enrollment ID: I20040202000499 |
| Provider Name | Nicky Plementosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467461053 PECOS PAC ID: 3173417268 Enrollment ID: I20040210000737 |
| Provider Name | Peter M Falk |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053424853 PECOS PAC ID: 0941106298 Enrollment ID: I20040211000768 |
| Provider Name | Lorraine Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447348479 PECOS PAC ID: 5991690752 Enrollment ID: I20040219000648 |
| Provider Name | Robert J Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477559938 PECOS PAC ID: 4789573346 Enrollment ID: I20040311001325 |
| Provider Name | Tracy G Heim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548245152 PECOS PAC ID: 3173414026 Enrollment ID: I20040322001074 |
| Provider Name | Kay L Conradt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316989056 PECOS PAC ID: 5294627295 Enrollment ID: I20040325001130 |
| Provider Name | Matthew Mieczyslaw Zak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275621807 PECOS PAC ID: 1557354560 Enrollment ID: I20040406000646 |
| Provider Name | Carinna L Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245244383 PECOS PAC ID: 6608860036 Enrollment ID: I20040409000191 |
| Provider Name | Lisa J Steinbruecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932165016 PECOS PAC ID: 8527052125 Enrollment ID: I20040414000915 |
| Provider Name | Pennapa Chan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457405128 PECOS PAC ID: 2163418336 Enrollment ID: I20040422001154 |
| Provider Name | Alexander T Hawkins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619070802 PECOS PAC ID: 7810984697 Enrollment ID: I20040426001499 |
| Provider Name | Ruth K Bloesl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497849368 PECOS PAC ID: 5092702696 Enrollment ID: I20040427000459 |
| Provider Name | Annette M Tripp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851315360 PECOS PAC ID: 8123015427 Enrollment ID: I20040428001142 |
| Provider Name | Karla J Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508890971 PECOS PAC ID: 8022006097 Enrollment ID: I20040506000438 |
| Provider Name | Gwen L Hirner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558381343 PECOS PAC ID: 8820089261 Enrollment ID: I20040525000571 |
| Provider Name | Peter A Fergus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639157936 PECOS PAC ID: 5294624854 Enrollment ID: I20040615000043 |
| Provider Name | Susan A Dobberpuhl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235310921 PECOS PAC ID: 9537144613 Enrollment ID: I20040622001443 |
| Provider Name | John M Koch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467478271 PECOS PAC ID: 1153316757 Enrollment ID: I20040624001422 |
| Provider Name | Joshua D Riebe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619023009 PECOS PAC ID: 6406832427 Enrollment ID: I20040629000542 |
| Provider Name | Richard L Erdman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326090697 PECOS PAC ID: 3678543527 Enrollment ID: I20040728000667 |
| Provider Name | James Ignatius Sladky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053467456 PECOS PAC ID: 4981503810 Enrollment ID: I20040812000560 |
| Provider Name | William L Vandorp |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710900675 PECOS PAC ID: 3870567142 Enrollment ID: I20040823000858 |
| Provider Name | Randall R Johnson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447293188 PECOS PAC ID: 5092781476 Enrollment ID: I20040907001329 |
| Provider Name | Jerry J Miller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497758049 PECOS PAC ID: 8426025461 Enrollment ID: I20040910000553 |
| Provider Name | Gary L Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992744163 PECOS PAC ID: 4981671138 Enrollment ID: I20040916000024 |
| Provider Name | Elisabeth V Ballard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760543532 PECOS PAC ID: 4082681374 Enrollment ID: I20040920000794 |
| Provider Name | Fuad E Zankoul |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1770100489 PECOS PAC ID: 6204804677 Enrollment ID: I20040923000034 |
| Provider Name | Byung Il W Choi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467403840 PECOS PAC ID: 6800855396 Enrollment ID: I20041008001307 |
| Provider Name | Kristen A Brazzale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851321483 PECOS PAC ID: 9830159458 Enrollment ID: I20041018000486 |
| Provider Name | Atif A Qureshi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629014790 PECOS PAC ID: 5597726489 Enrollment ID: I20041025000028 |
| Provider Name | Rachel K Drake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477564649 PECOS PAC ID: 0547225328 Enrollment ID: I20041122000055 |
| Provider Name | Carrie J Burger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205864824 PECOS PAC ID: 5294790952 Enrollment ID: I20041123000094 |
| Provider Name | Scott R Schinschke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407951130 PECOS PAC ID: 5294791588 Enrollment ID: I20041208000668 |
| Provider Name | Jeffrey A Herold |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932394962 PECOS PAC ID: 7517924764 Enrollment ID: I20041221000032 |
| Provider Name | Eugeni T Kouzov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336196062 PECOS PAC ID: 6406814102 Enrollment ID: I20041228000724 |
| Provider Name | Kathleen R Maginot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922074095 PECOS PAC ID: 9739138983 Enrollment ID: I20050114000516 |
| Provider Name | Istvan Danko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326015645 PECOS PAC ID: 4385694215 Enrollment ID: I20050127000748 |
| Provider Name | Kenneth L Schaufelberger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790754810 PECOS PAC ID: 5395795033 Enrollment ID: I20050131000176 |
| Provider Name | Todd A Rave |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407982978 PECOS PAC ID: 6709837024 Enrollment ID: I20050203000750 |
| Provider Name | Jessica Lynn Entringer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861492126 PECOS PAC ID: 5092769851 Enrollment ID: I20050304000550 |
| Provider Name | John S Hokanson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700852829 PECOS PAC ID: 2860446382 Enrollment ID: I20050308000886 |
| Provider Name | Sumon Bhattacharjee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740221910 PECOS PAC ID: 0648225177 Enrollment ID: I20050317000765 |
| Provider Name | Kristin A Seaborg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831166016 PECOS PAC ID: 9638125941 Enrollment ID: I20050329001133 |
| Provider Name | Luke Joseph Lamers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952353799 PECOS PAC ID: 6305894668 Enrollment ID: I20050420001011 |
| Provider Name | Jeremy B Mccue |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033187927 PECOS PAC ID: 1658319686 Enrollment ID: I20050420001056 |
| Provider Name | Eric W Newgent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942201967 PECOS PAC ID: 0446298996 Enrollment ID: I20050425000546 |
| Provider Name | Terence S Edgar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679506091 PECOS PAC ID: 0547202194 Enrollment ID: I20050524001335 |
| Provider Name | Jeff A Kleiner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194712232 PECOS PAC ID: 5294761151 Enrollment ID: I20050712000662 |
| Provider Name | Todd S Fergus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083694111 PECOS PAC ID: 9234163767 Enrollment ID: I20050923000085 |
| Provider Name | Robert D Moyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699791368 PECOS PAC ID: 1153355615 Enrollment ID: I20050923000306 |
| Provider Name | Ashok N Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447276985 PECOS PAC ID: 6103850672 Enrollment ID: I20050923000349 |
| Provider Name | Kyle J Makuck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982628541 PECOS PAC ID: 3678508587 Enrollment ID: I20050929000336 |
| Provider Name | Robb M Steenwyk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780672998 PECOS PAC ID: 5496780140 Enrollment ID: I20050930000355 |
| Provider Name | Osaid K Ahmad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689618589 PECOS PAC ID: 1658306980 Enrollment ID: I20051005000491 |
| Provider Name | Janeen M Hudzinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295841708 PECOS PAC ID: 0547282675 Enrollment ID: I20060103000585 |
| Provider Name | Ravindra Hanumaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740237775 PECOS PAC ID: 9537183355 Enrollment ID: I20060119000778 |
| Provider Name | Jennifer A Burns |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659304046 PECOS PAC ID: 7517971369 Enrollment ID: I20060131000720 |
| Provider Name | Suzanne S Herold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194793273 PECOS PAC ID: 8527090174 Enrollment ID: I20060328000298 |
| Provider Name | Thomas J Smith |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649273400 PECOS PAC ID: 6002726098 Enrollment ID: I20060406000435 |
| Provider Name | John Christopher Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295717668 PECOS PAC ID: 9032181136 Enrollment ID: I20060508000562 |
| Provider Name | Brian L Lohrbach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528099199 PECOS PAC ID: 9335150044 Enrollment ID: I20060510000040 |
| Provider Name | Dorota Walkiewicz Jedrzejczak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720011984 PECOS PAC ID: 9234142886 Enrollment ID: I20060726000245 |
| Provider Name | Yu Chin Fang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780616896 PECOS PAC ID: 3678586955 Enrollment ID: I20060803000457 |
| Provider Name | Jeffrey J Fanning |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962442087 PECOS PAC ID: 1456355445 Enrollment ID: I20060906000067 |
| Provider Name | Shari A Vanstraten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154333409 PECOS PAC ID: 7315941044 Enrollment ID: I20060911000520 |
| Provider Name | Briana M Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316919681 PECOS PAC ID: 7517944523 Enrollment ID: I20061010000074 |
| Provider Name | Nadeem Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770577785 PECOS PAC ID: 6507862315 Enrollment ID: I20061018000040 |
| Provider Name | Lee W Hash |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063521714 PECOS PAC ID: 2163441288 Enrollment ID: I20061025000678 |
| Provider Name | Jaclyn B Wirkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437256880 PECOS PAC ID: 2466459672 Enrollment ID: I20061101000259 |
| Provider Name | C Danae Steele |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174601298 PECOS PAC ID: 0648161216 Enrollment ID: I20061212000459 |
| Provider Name | Christine A Munson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427133834 PECOS PAC ID: 2961402367 Enrollment ID: I20070109000408 |
| Provider Name | Todd R Peebles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386665925 PECOS PAC ID: 9335181957 Enrollment ID: I20070111000611 |
| Provider Name | William J Mallory |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083630776 PECOS PAC ID: 2769483833 Enrollment ID: I20070117000125 |
| Provider Name | Victoria L Vande Zande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083711279 PECOS PAC ID: 1658373550 Enrollment ID: I20070206000341 |
| Provider Name | Jennifer A English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477620201 PECOS PAC ID: 4284736851 Enrollment ID: I20070228000344 |
| Provider Name | Heidi Ann Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821136300 PECOS PAC ID: 5092818930 Enrollment ID: I20070313000513 |
| Provider Name | Philip A Yazbak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538119649 PECOS PAC ID: 4880508779 Enrollment ID: I20070518000320 |
| Provider Name | Yaw D Berko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003952995 PECOS PAC ID: 6608974050 Enrollment ID: I20070607000528 |
| Provider Name | Jesus I Iruretagoyena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285757997 PECOS PAC ID: 9436257508 Enrollment ID: I20070613000532 |
| Provider Name | Lara M Powers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730176140 PECOS PAC ID: 2769581156 Enrollment ID: I20070626000471 |
| Provider Name | Resa E Malloy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043334451 PECOS PAC ID: 2062512874 Enrollment ID: I20070710000182 |
| Provider Name | Ryan M Peirce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790704724 PECOS PAC ID: 2466457312 Enrollment ID: I20070720000782 |
| Provider Name | Mehul M Doshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578514287 PECOS PAC ID: 3173536299 Enrollment ID: I20070720000810 |
| Provider Name | John D Hutto |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972714285 PECOS PAC ID: 3971604539 Enrollment ID: I20070726000208 |
| Provider Name | Donna J Habeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790999472 PECOS PAC ID: 7113018904 Enrollment ID: I20070808000532 |
| Provider Name | Ivy E Leasum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295925824 PECOS PAC ID: 7012000383 Enrollment ID: I20070831000178 |
| Provider Name | Michael Heili |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134142615 PECOS PAC ID: 1557333259 Enrollment ID: I20070910000076 |
| Provider Name | Gianina L Sibla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275736530 PECOS PAC ID: 7315032315 Enrollment ID: I20071005000448 |
| Provider Name | Moshood A Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457559296 PECOS PAC ID: 7416044664 Enrollment ID: I20071105000141 |
| Provider Name | Donald R Cooley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982758876 PECOS PAC ID: 7012004047 Enrollment ID: I20071107000379 |
| Provider Name | Jeremy D Metzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356388086 PECOS PAC ID: 8325128366 Enrollment ID: I20080103000539 |
| Provider Name | John C Ralphe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811962921 PECOS PAC ID: 6608853056 Enrollment ID: I20080227000658 |
| Provider Name | Patrick J Mckenzie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881620565 PECOS PAC ID: 6103738398 Enrollment ID: I20080319000047 |
| Provider Name | Peter Frosio Nichol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245320852 PECOS PAC ID: 3476531146 Enrollment ID: I20080404000661 |
| Provider Name | Rebecca M Vissers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932370855 PECOS PAC ID: 3476632357 Enrollment ID: I20080502000591 |
| Provider Name | Karen K Cooley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437227667 PECOS PAC ID: 5698854024 Enrollment ID: I20080509000238 |
| Provider Name | Tasbirul Islam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154598563 PECOS PAC ID: 7012087273 Enrollment ID: I20080530000769 |
| Provider Name | Michael A Martella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194849398 PECOS PAC ID: 9335211390 Enrollment ID: I20080708000414 |
| Provider Name | Christina P Fergus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306977525 PECOS PAC ID: 8325113939 Enrollment ID: I20080816000018 |
| Provider Name | Prasad V Kanneganti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649260423 PECOS PAC ID: 0042393381 Enrollment ID: I20080822000495 |
| Provider Name | Andrea D Boeckman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194882514 PECOS PAC ID: 2365518073 Enrollment ID: I20080903000664 |
| Provider Name | Kelechi N Chiori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922271907 PECOS PAC ID: 2860568375 Enrollment ID: I20080908000256 |
| Provider Name | Padraic R Obma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649392549 PECOS PAC ID: 3577655570 Enrollment ID: I20080912000203 |
| Provider Name | Kofi A Asiamah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427221621 PECOS PAC ID: 2466528567 Enrollment ID: I20080912000470 |
| Provider Name | Charles F Dais |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053368795 PECOS PAC ID: 4385602077 Enrollment ID: I20080922000404 |
| Provider Name | Andrew Richard Greene |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871531749 PECOS PAC ID: 2466463542 Enrollment ID: I20081007000572 |
| Provider Name | Mark Schick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194743435 PECOS PAC ID: 5799843181 Enrollment ID: I20081029000660 |
| Provider Name | Jason W Hoppe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508899899 PECOS PAC ID: 5193884484 Enrollment ID: I20081031000060 |
| Provider Name | Paul J Schmitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245258581 PECOS PAC ID: 0345301669 Enrollment ID: I20081205000067 |
| Provider Name | Gayle M Kasdorf Schmeling |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629071485 PECOS PAC ID: 8729049945 Enrollment ID: I20090109000575 |
| Provider Name | Sarah J Mirocha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356405054 PECOS PAC ID: 7315000270 Enrollment ID: I20090120000564 |
| Provider Name | Erica R Loppnow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346494770 PECOS PAC ID: 1254495161 Enrollment ID: I20090121000393 |
| Provider Name | Craig Powell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275506073 PECOS PAC ID: 9638233844 Enrollment ID: I20090203000652 |
| Provider Name | Gregory Grose |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760488647 PECOS PAC ID: 0648331116 Enrollment ID: I20090206000476 |
| Provider Name | Hrissanthi Ikonomidou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104063692 PECOS PAC ID: 6608933882 Enrollment ID: I20090316000635 |
| Provider Name | Jennifer Rench |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013090455 PECOS PAC ID: 8628126893 Enrollment ID: I20090427000354 |
| Provider Name | Brian J Mason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346248028 PECOS PAC ID: 8224187885 Enrollment ID: I20090601000432 |
| Provider Name | Thomas Florack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649296518 PECOS PAC ID: 6901892124 Enrollment ID: I20090624000703 |
| Provider Name | Frederick A Abrokwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003098989 PECOS PAC ID: 2961554605 Enrollment ID: I20090710000311 |
| Provider Name | April Borchardt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366469793 PECOS PAC ID: 1052318516 Enrollment ID: I20090817000259 |
| Provider Name | Steven D Turzinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154340727 PECOS PAC ID: 7113072927 Enrollment ID: I20090831000492 |
| Provider Name | Rose M Turba |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124046883 PECOS PAC ID: 0345395067 Enrollment ID: I20090902000266 |
| Provider Name | Tony J Pleshe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487678975 PECOS PAC ID: 4981759586 Enrollment ID: I20090903000367 |
| Provider Name | Rafal G Ciecierski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093916595 PECOS PAC ID: 2163577586 Enrollment ID: I20090908000264 |
| Provider Name | Erich G Metzler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770516981 PECOS PAC ID: 2769537182 Enrollment ID: I20090908000299 |
| Provider Name | Deborah S Fischer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861418725 PECOS PAC ID: 5698820900 Enrollment ID: I20090909000493 |
| Provider Name | Tracy L Severson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649284654 PECOS PAC ID: 2365597523 Enrollment ID: I20090911000462 |
| Provider Name | David W Rentmeester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538186101 PECOS PAC ID: 8820143092 Enrollment ID: I20090911000541 |
| Provider Name | Syed T Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023207586 PECOS PAC ID: 9638268865 Enrollment ID: I20090914000419 |
| Provider Name | Emmanuel O Nwadike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962686485 PECOS PAC ID: 1456407618 Enrollment ID: I20090914000503 |
| Provider Name | Ellen M Neuhaus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992738108 PECOS PAC ID: 9133119233 Enrollment ID: I20090916000222 |
| Provider Name | Scott M Hunt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467478255 PECOS PAC ID: 7618023623 Enrollment ID: I20090916000444 |
| Provider Name | Paul M Pritchard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790718922 PECOS PAC ID: 1355497181 Enrollment ID: I20090921000507 |
| Provider Name | Kendra Marsh Kates |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609027168 PECOS PAC ID: 9537215181 Enrollment ID: I20090923000156 |
| Provider Name | Melissa A Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255569489 PECOS PAC ID: 7810043189 Enrollment ID: I20090929000281 |
| Provider Name | James R Clemens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871519900 PECOS PAC ID: 8628114782 Enrollment ID: I20091005000343 |
| Provider Name | Lynn Marie Steinhaus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881608891 PECOS PAC ID: 3476699455 Enrollment ID: I20091005000623 |
| Provider Name | David W Kohls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225051345 PECOS PAC ID: 1658417274 Enrollment ID: I20091012000318 |
| Provider Name | Kathleen M Barkow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043235351 PECOS PAC ID: 3577609015 Enrollment ID: I20091014000099 |
| Provider Name | Syed M Rizvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548376312 PECOS PAC ID: 4486687266 Enrollment ID: I20091103000700 |
| Provider Name | Mamie E Lintereur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730328998 PECOS PAC ID: 9830238336 Enrollment ID: I20091123000157 |
| Provider Name | Kelly Jo Gitter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124043005 PECOS PAC ID: 6406996743 Enrollment ID: I20091217000683 |
| Provider Name | Lindsey Angst |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821322702 PECOS PAC ID: 1951444397 Enrollment ID: I20100206000187 |
| Provider Name | Thomas J Zweifel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114027307 PECOS PAC ID: 2961545058 Enrollment ID: I20100212000011 |
| Provider Name | Matthew M Drewry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578645727 PECOS PAC ID: 1153456348 Enrollment ID: I20100312000490 |
| Provider Name | Todd Gould |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265431126 PECOS PAC ID: 1850361346 Enrollment ID: I20100324000517 |
| Provider Name | Russell L Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396067708 PECOS PAC ID: 3476680786 Enrollment ID: I20100419000336 |
| Provider Name | Lisa M Ambrosius |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487632329 PECOS PAC ID: 2668509738 Enrollment ID: I20100421000476 |
| Provider Name | Shardha Srinivasan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205804010 PECOS PAC ID: 1850428657 Enrollment ID: I20100428000150 |
| Provider Name | Nicholas Vonbergen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124229406 PECOS PAC ID: 6002986619 Enrollment ID: I20100603000634 |
| Provider Name | Susan M Werchek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275857864 PECOS PAC ID: 8729117593 Enrollment ID: I20100603000976 |
| Provider Name | Scott T Glaeser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346238011 PECOS PAC ID: 6002841806 Enrollment ID: I20100604000856 |
| Provider Name | Olusolape A Adegbehingbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679756977 PECOS PAC ID: 5890825095 Enrollment ID: I20100615000528 |
| Provider Name | Amanda R Hallas Huff |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235366527 PECOS PAC ID: 4587715032 Enrollment ID: I20100618000329 |
| Provider Name | Norris A Norman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245473172 PECOS PAC ID: 7810021482 Enrollment ID: I20100818000289 |
| Provider Name | David A Hsu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740252972 PECOS PAC ID: 4082738364 Enrollment ID: I20100824001038 |
| Provider Name | Kurtis D Scheer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689600637 PECOS PAC ID: 0345211637 Enrollment ID: I20100824001145 |
| Provider Name | Luther Sigurdsson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508194457 PECOS PAC ID: 1355465899 Enrollment ID: I20100903000876 |
| Provider Name | Scott L Ruggles |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1174636062 PECOS PAC ID: 5496870586 Enrollment ID: I20100913000989 |
| Provider Name | Venkata R K Kadipi Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528259397 PECOS PAC ID: 2264558394 Enrollment ID: I20100927000958 |
| Provider Name | Paul Eugene Reckard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902823578 PECOS PAC ID: 9830215821 Enrollment ID: I20100928000215 |
| Provider Name | Emmanuel O Odeyemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346566460 PECOS PAC ID: 7810189925 Enrollment ID: I20101007000972 |
| Provider Name | Amy L Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679649123 PECOS PAC ID: 9830381763 Enrollment ID: I20101008001297 |
| Provider Name | Yazmin Fuentes Miranda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710009899 PECOS PAC ID: 3274607742 Enrollment ID: I20101011000568 |
| Provider Name | Shefiu O Shittu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20101012001243 |
| Provider Name | Donna M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457470494 PECOS PAC ID: 2961695325 Enrollment ID: I20101019000450 |
| Provider Name | Paul M Smullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033234406 PECOS PAC ID: 2668665696 Enrollment ID: I20101021001201 |
| Provider Name | Okechukwu N Kanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871817593 PECOS PAC ID: 1850584772 Enrollment ID: I20101022000966 |
| Provider Name | William Y Ansa Otu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346564168 PECOS PAC ID: 2365635208 Enrollment ID: I20101022001131 |
| Provider Name | Brian J Zaruba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972707735 PECOS PAC ID: 6204020720 Enrollment ID: I20101028001176 |
| Provider Name | Thomas J Krahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023155520 PECOS PAC ID: 9335333582 Enrollment ID: I20101101001259 |
| Provider Name | Allison M Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659691061 PECOS PAC ID: 5698960904 Enrollment ID: I20101112000142 |
| Provider Name | Shannon M Diamond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750699708 PECOS PAC ID: 4385831353 Enrollment ID: I20101203000557 |
| Provider Name | Chinwe Oraka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20101208000240 |
| Provider Name | Paul O Odusanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720395411 PECOS PAC ID: 6608056064 Enrollment ID: I20110202000708 |
| Provider Name | Naomi K Krzyzanowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528295201 PECOS PAC ID: 6709066566 Enrollment ID: I20110210000851 |
| Provider Name | Mary L Roethel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083927412 PECOS PAC ID: 6800078494 Enrollment ID: I20110302000809 |
| Provider Name | Corynn M Feldmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396903852 PECOS PAC ID: 7517149495 Enrollment ID: I20110314000968 |
| Provider Name | Tracy T Lyons |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679650097 PECOS PAC ID: 5698958023 Enrollment ID: I20110323000237 |
| Provider Name | Deanna B Lyons |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508943929 PECOS PAC ID: 6103009535 Enrollment ID: I20110323000270 |
| Provider Name | Meghan Et Hanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073559647 PECOS PAC ID: 1759566847 Enrollment ID: I20110505000435 |
| Provider Name | David R Beck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326169822 PECOS PAC ID: 6406032457 Enrollment ID: I20110509000855 |
| Provider Name | Michelle L Maki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053631564 PECOS PAC ID: 6002092319 Enrollment ID: I20110523000494 |
| Provider Name | Tony J Busse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023295870 PECOS PAC ID: 9335327956 Enrollment ID: I20110630000527 |
| Provider Name | Leann Hoffmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790083293 PECOS PAC ID: 0143408674 Enrollment ID: I20110701000136 |
| Provider Name | Bradley A Locke |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1336300276 PECOS PAC ID: 1951579986 Enrollment ID: I20110719000328 |
| Provider Name | Sara L Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467658302 PECOS PAC ID: 2264600154 Enrollment ID: I20110720000312 |
| Provider Name | Sarah Wegner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184919359 PECOS PAC ID: 1153590252 Enrollment ID: I20110805000681 |
| Provider Name | Mary Elizabeth Capelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407154693 PECOS PAC ID: 3476722489 Enrollment ID: I20110809000311 |
| Provider Name | Tyler Bailey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447480256 PECOS PAC ID: 5395914204 Enrollment ID: I20110810000648 |
| Provider Name | Joseph C Mccormick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265503882 PECOS PAC ID: 0143346940 Enrollment ID: I20110812000527 |
| Provider Name | Charles M Korankye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346405362 PECOS PAC ID: 6103012000 Enrollment ID: I20110830000178 |
| Provider Name | Laura L Alsteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114215886 PECOS PAC ID: 9537330121 Enrollment ID: I20110909002878 |
| Provider Name | Mohamed Fouzi Abdul Hameed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255590899 PECOS PAC ID: 8527239128 Enrollment ID: I20110912000077 |
| Provider Name | Simil S Gala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073716445 PECOS PAC ID: 6709057664 Enrollment ID: I20110926000469 |
| Provider Name | Todd A Schubkegel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225291453 PECOS PAC ID: 9638341035 Enrollment ID: I20111007000605 |
| Provider Name | Stacy C Milquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154604387 PECOS PAC ID: 2668644568 Enrollment ID: I20111019000708 |
| Provider Name | Erica A Smits |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093096505 PECOS PAC ID: 9739352501 Enrollment ID: I20111024000668 |
| Provider Name | Sarah A Eskofski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790069920 PECOS PAC ID: 2062685415 Enrollment ID: I20111031000063 |
| Provider Name | Lauren K Holloman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588949945 PECOS PAC ID: 4981878287 Enrollment ID: I20111123000358 |
| Provider Name | Anne M Janning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417220021 PECOS PAC ID: 6406016930 Enrollment ID: I20120321000173 |
| Provider Name | Stephanie L Mccabe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639441785 PECOS PAC ID: 5799945960 Enrollment ID: I20120326000379 |
| Provider Name | Mary S Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790057560 PECOS PAC ID: 7911169206 Enrollment ID: I20120502000686 |
| Provider Name | Robin M Frenzel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801063193 PECOS PAC ID: 9537323647 Enrollment ID: I20120620000607 |
| Provider Name | Cheong Jun Lee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699851915 PECOS PAC ID: 4082860861 Enrollment ID: I20120809000836 |
| Provider Name | Alison J Zimmermann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407122708 PECOS PAC ID: 4284880808 Enrollment ID: I20120814000017 |
| Provider Name | Edward Anafi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841429461 PECOS PAC ID: 8729235866 Enrollment ID: I20120824000723 |
| Provider Name | Kelly R Ruess |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568721066 PECOS PAC ID: 2961659404 Enrollment ID: I20120905000819 |
| Provider Name | Kelly L Feavel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932463197 PECOS PAC ID: 9436307899 Enrollment ID: I20120911000153 |
| Provider Name | Ross L Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790032977 PECOS PAC ID: 6305094368 Enrollment ID: I20120917000359 |
| Provider Name | Lulseged S Zenebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104186287 PECOS PAC ID: 6507014503 Enrollment ID: I20120917000802 |
| Provider Name | Dana L Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558618140 PECOS PAC ID: 9234388620 Enrollment ID: I20120928000182 |
| Provider Name | James C Hansen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1114128048 PECOS PAC ID: 1759530959 Enrollment ID: I20121003000583 |
| Provider Name | Jeffrey Shaw |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1124083712 PECOS PAC ID: 8628105160 Enrollment ID: I20121009000293 |
| Provider Name | Kimberly A Romenesko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023368727 PECOS PAC ID: 8820247778 Enrollment ID: I20121009000443 |
| Provider Name | Tyler E Spletzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992053177 PECOS PAC ID: 5294985446 Enrollment ID: I20121024000145 |
| Provider Name | Lauren M Resch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053676361 PECOS PAC ID: 6305096264 Enrollment ID: I20121030000525 |
| Provider Name | Lori B Thiry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588913859 PECOS PAC ID: 1759532278 Enrollment ID: I20121109000509 |
| Provider Name | Diane M Milson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144575481 PECOS PAC ID: 3476704529 Enrollment ID: I20121119000282 |
| Provider Name | Kristen M Kaiser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518214394 PECOS PAC ID: 7911159082 Enrollment ID: I20121219000010 |
| Provider Name | Kristine M Strickland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568660959 PECOS PAC ID: 6406949957 Enrollment ID: I20121226000424 |
| Provider Name | Kristin B Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104178110 PECOS PAC ID: 4183861214 Enrollment ID: I20130509000525 |
| Provider Name | Charles M Leys |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073660940 PECOS PAC ID: 6800933987 Enrollment ID: I20130618000674 |
| Provider Name | Christina L Smits |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063769016 PECOS PAC ID: 4082854625 Enrollment ID: I20130703000041 |
| Provider Name | Mark A Kachan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003080102 PECOS PAC ID: 3072688134 Enrollment ID: I20130712000059 |
| Provider Name | Olasunkanmi Kolawole Oyetunde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598962722 PECOS PAC ID: 6507953510 Enrollment ID: I20130716000336 |
| Provider Name | Tal Pollak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770831158 PECOS PAC ID: 9234370982 Enrollment ID: I20130723000904 |
| Provider Name | Kevin J Tielens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891132445 PECOS PAC ID: 6406097948 Enrollment ID: I20130726000196 |
| Provider Name | Cathy L Lentz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982040796 PECOS PAC ID: 9133360340 Enrollment ID: I20130731000555 |
| Provider Name | Nicole M Twohig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871931030 PECOS PAC ID: 7618119181 Enrollment ID: I20130813000249 |
| Provider Name | Brett J Malo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578706255 PECOS PAC ID: 8729220918 Enrollment ID: I20130819000483 |
| Provider Name | Matthew W Buelow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659513158 PECOS PAC ID: 1951543057 Enrollment ID: I20130819000713 |
| Provider Name | Amy L Van Gheem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649407412 PECOS PAC ID: 9739323833 Enrollment ID: I20130911000183 |
| Provider Name | Carolyn S Seidl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659713535 PECOS PAC ID: 4486898202 Enrollment ID: I20130918000222 |
| Provider Name | Heather L Mocco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225395635 PECOS PAC ID: 7214171735 Enrollment ID: I20130923000468 |
| Provider Name | Adebisi O Alimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649599317 PECOS PAC ID: 9537393665 Enrollment ID: I20131003000474 |
| Provider Name | Samantha D Beyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073946497 PECOS PAC ID: 9638303597 Enrollment ID: I20131008000570 |
| Provider Name | Anna M Stockhausen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457679748 PECOS PAC ID: 8527292317 Enrollment ID: I20131010000555 |
| Provider Name | Khine T Swe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568787653 PECOS PAC ID: 3274768304 Enrollment ID: I20131028000577 |
| Provider Name | Megan M Mcmahon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992147714 PECOS PAC ID: 1557596590 Enrollment ID: I20131030000309 |
| Provider Name | Achal Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871729210 PECOS PAC ID: 9032344841 Enrollment ID: I20131104000725 |
| Provider Name | David S Beimborn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972804854 PECOS PAC ID: 5597991703 Enrollment ID: I20131118001484 |
| Provider Name | Tracy L Dumke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538469523 PECOS PAC ID: 8820224041 Enrollment ID: I20131118001614 |
| Provider Name | Jiannan Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366875338 PECOS PAC ID: 5294961330 Enrollment ID: I20131120001741 |
| Provider Name | Jaime L Deeslie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730414384 PECOS PAC ID: 3678709458 Enrollment ID: I20131127000300 |
| Provider Name | Amy L Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255760625 PECOS PAC ID: 0648406447 Enrollment ID: I20131127001104 |
| Provider Name | Michael J Laviolette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801192422 PECOS PAC ID: 2860628518 Enrollment ID: I20131202001189 |
| Provider Name | Donald Massenburg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932118536 PECOS PAC ID: 7315949153 Enrollment ID: I20131202001535 |
| Provider Name | Kristine K Nigrelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710315346 PECOS PAC ID: 2668608233 Enrollment ID: I20131204001266 |
| Provider Name | Ashley A Verbeten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154684942 PECOS PAC ID: 9032345624 Enrollment ID: I20131204002063 |
| Provider Name | Maureen C Mommaerts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033547476 PECOS PAC ID: 3577790658 Enrollment ID: I20131217000487 |
| Provider Name | Ashley M Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447680939 PECOS PAC ID: 2860629680 Enrollment ID: I20131224000071 |
| Provider Name | Elizabeth L Mccool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881928547 PECOS PAC ID: 1850526401 Enrollment ID: I20131224000161 |
| Provider Name | Kristine M Doemel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972925170 PECOS PAC ID: 8527299148 Enrollment ID: I20140325001266 |
| Provider Name | Daniel M O Connell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043434798 PECOS PAC ID: 0244427268 Enrollment ID: I20140519001265 |
| Provider Name | Michelle L Shahrouri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154740504 PECOS PAC ID: 7416170568 Enrollment ID: I20140519001540 |
| Provider Name | Donna J Krebsbach |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508279068 PECOS PAC ID: 7315161080 Enrollment ID: I20140619001620 |
| Provider Name | Joshua J Arvey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275943276 PECOS PAC ID: 7315161957 Enrollment ID: I20140620001860 |
| Provider Name | Kelly E O'connor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225448681 PECOS PAC ID: 8628293925 Enrollment ID: I20140630000782 |
| Provider Name | Nicholas J Kropp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578973897 PECOS PAC ID: 4082839261 Enrollment ID: I20140701001846 |
| Provider Name | Jan G Mrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679607212 PECOS PAC ID: 5597717686 Enrollment ID: I20140703001881 |
| Provider Name | Sean M Lehner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366671125 PECOS PAC ID: 3375768906 Enrollment ID: I20140715001370 |
| Provider Name | Richard Amankwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164712741 PECOS PAC ID: 6901022540 Enrollment ID: I20140717000527 |
| Provider Name | Beth A Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336109123 PECOS PAC ID: 0345249348 Enrollment ID: I20140814000540 |
| Provider Name | Heather L Bartlett |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1487649323 PECOS PAC ID: 9133146012 Enrollment ID: I20140828001997 |
| Provider Name | Kim M Schmeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396150892 PECOS PAC ID: 4486873379 Enrollment ID: I20140908001321 |
| Provider Name | Marc Grodsky |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1639379118 PECOS PAC ID: 6800015033 Enrollment ID: I20140919000978 |
| Provider Name | Katie L Prucha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376943803 PECOS PAC ID: 2365661337 Enrollment ID: I20140924001552 |
| Provider Name | Muhammad Ali Syed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053607689 PECOS PAC ID: 0143460741 Enrollment ID: I20140925000714 |
| Provider Name | Marla Z Wolfert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528232576 PECOS PAC ID: 1254551138 Enrollment ID: I20140926000847 |
| Provider Name | Jessica R Hilbert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922440429 PECOS PAC ID: 3870713373 Enrollment ID: I20141006000814 |
| Provider Name | Nickolas S Demark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114214004 PECOS PAC ID: 4880825363 Enrollment ID: I20141013002380 |
| Provider Name | Amanda A Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831590264 PECOS PAC ID: 2668693284 Enrollment ID: I20141024000717 |
| Provider Name | Stacia E Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376653956 PECOS PAC ID: 8628299856 Enrollment ID: I20141031000774 |
| Provider Name | Kashif M Ali |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477887453 PECOS PAC ID: 0345482717 Enrollment ID: I20141104000501 |
| Provider Name | Jennifer A Milosavljevic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972673325 PECOS PAC ID: 1658466784 Enrollment ID: I20141105001378 |
| Provider Name | Sarah O Bustos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396908505 PECOS PAC ID: 9335311208 Enrollment ID: I20141110001603 |
| Provider Name | Esther L Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346640778 PECOS PAC ID: 3577785419 Enrollment ID: I20141110001914 |
| Provider Name | Daniel Severance |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659534220 PECOS PAC ID: 9234351024 Enrollment ID: I20141111001645 |
| Provider Name | Melissa Virant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619379369 PECOS PAC ID: 3072735646 Enrollment ID: I20141114001388 |
| Provider Name | Andrew D Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619140092 PECOS PAC ID: 9830082395 Enrollment ID: I20141125000478 |
| Provider Name | Sara E Uecke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265798946 PECOS PAC ID: 2860714011 Enrollment ID: I20141125001964 |
| Provider Name | Agnes Kresch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871720995 PECOS PAC ID: 5092037267 Enrollment ID: I20141126000423 |
| Provider Name | Megan K Sarder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447653993 PECOS PAC ID: 0446573869 Enrollment ID: I20141216000683 |
| Provider Name | Olivia M Smaney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245630219 PECOS PAC ID: 5395060917 Enrollment ID: I20150202001790 |
| Provider Name | Susan D Collins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639342611 PECOS PAC ID: 1254656887 Enrollment ID: I20150202001941 |
| Provider Name | Brooke D Shaikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952703944 PECOS PAC ID: 7810214517 Enrollment ID: I20150317001884 |
| Provider Name | Lynn M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629468343 PECOS PAC ID: 9931428547 Enrollment ID: I20150504000938 |
| Provider Name | Elizabeth Waerzeggers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811009152 PECOS PAC ID: 8022337138 Enrollment ID: I20150512000102 |
| Provider Name | Kathleen A Mcginley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528285996 PECOS PAC ID: 7113247297 Enrollment ID: I20150514000364 |
| Provider Name | Kimberly Geralyn Thiry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417334475 PECOS PAC ID: 8224358999 Enrollment ID: I20150520001023 |
| Provider Name | Adam M Wied |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124408174 PECOS PAC ID: 3971814344 Enrollment ID: I20150625002724 |
| Provider Name | Kara Hoppe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063677920 PECOS PAC ID: 8224292396 Enrollment ID: I20150709000272 |
| Provider Name | Katie L Halverson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700268513 PECOS PAC ID: 7911219522 Enrollment ID: I20150709001949 |
| Provider Name | Aaron Lee White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114305471 PECOS PAC ID: 8123331253 Enrollment ID: I20150720000766 |
| Provider Name | Kayode J Bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427306935 PECOS PAC ID: 0345553384 Enrollment ID: I20150720001368 |
| Provider Name | Chelsie L Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578946919 PECOS PAC ID: 6103139910 Enrollment ID: I20150723007079 |
| Provider Name | Lindsey R Wolf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740693365 PECOS PAC ID: 3779898028 Enrollment ID: I20150814013491 |
| Provider Name | Ashley Micksch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790160729 PECOS PAC ID: 4082929179 Enrollment ID: I20150819006687 |
| Provider Name | Briana M Kudick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063898757 PECOS PAC ID: 8123334083 Enrollment ID: I20150909000120 |
| Provider Name | Jonathan P Dunker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144543299 PECOS PAC ID: 9739309287 Enrollment ID: I20150910000137 |
| Provider Name | Shirley Tetteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114210473 PECOS PAC ID: 9638318504 Enrollment ID: I20150911000555 |
| Provider Name | Varun Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881958478 PECOS PAC ID: 8628386588 Enrollment ID: I20150928000558 |
| Provider Name | Muniba Chohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063816031 PECOS PAC ID: 4688982481 Enrollment ID: I20150928002515 |
| Provider Name | Jennifer N Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205205424 PECOS PAC ID: 9537478003 Enrollment ID: I20151023000370 |
| Provider Name | Hau Dang Le |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871774752 PECOS PAC ID: 7719054022 Enrollment ID: I20151026000017 |
| Provider Name | Elyse Marie Engebose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609252139 PECOS PAC ID: 4486963758 Enrollment ID: I20151028000161 |
| Provider Name | Heather M Meeusen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212214 PECOS PAC ID: 0446560635 Enrollment ID: I20151029001975 |
| Provider Name | Edward A Morales |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770579757 PECOS PAC ID: 0749248797 Enrollment ID: I20151112000215 |
| Provider Name | Michael I Maitar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619019304 PECOS PAC ID: 4587563358 Enrollment ID: I20151231000915 |
| Provider Name | Hema Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053335513 PECOS PAC ID: 6204825102 Enrollment ID: I20160105000838 |
| Provider Name | Hannah S Craanen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144644931 PECOS PAC ID: 5597083907 Enrollment ID: I20160126000005 |
| Provider Name | Abigail Riegelman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639534209 PECOS PAC ID: 8022312636 Enrollment ID: I20160202001282 |
| Provider Name | Alin Sora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275554131 PECOS PAC ID: 3678603073 Enrollment ID: I20160210002393 |
| Provider Name | James M Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174628374 PECOS PAC ID: 9133396864 Enrollment ID: I20160215001184 |
| Provider Name | Shannon Plos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477911071 PECOS PAC ID: 1850690132 Enrollment ID: I20160509001879 |
| Provider Name | Bruce Andrew Lynch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356403885 PECOS PAC ID: 9335301043 Enrollment ID: I20160523001273 |
| Provider Name | Horace D De Yampert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316392046 PECOS PAC ID: 6002106622 Enrollment ID: I20160609001032 |
| Provider Name | Nicholas L Schiedermayer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376990408 PECOS PAC ID: 0345530846 Enrollment ID: I20160610001011 |
| Provider Name | Jacob Kevin Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336597335 PECOS PAC ID: 9335430818 Enrollment ID: I20160614002159 |
| Provider Name | Ashley Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265882559 PECOS PAC ID: 5395036156 Enrollment ID: I20160624001840 |
| Provider Name | Matthew M Harmelink |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497052021 PECOS PAC ID: 7911290457 Enrollment ID: I20160721001436 |
| Provider Name | Collin Torok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558523944 PECOS PAC ID: 7911156948 Enrollment ID: I20160802001669 |
| Provider Name | Derek Hoyme |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245469808 PECOS PAC ID: 2062657372 Enrollment ID: I20160808002817 |
| Provider Name | Chandra S Pingili |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063734069 PECOS PAC ID: 7517093347 Enrollment ID: I20160811000015 |
| Provider Name | Margaret Mary Greco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760686414 PECOS PAC ID: 9739251703 Enrollment ID: I20160817003183 |
| Provider Name | Mark N Griffith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710912399 PECOS PAC ID: 9234190109 Enrollment ID: I20160818002448 |
| Provider Name | Catherine Cooch Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265673164 PECOS PAC ID: 5991090110 Enrollment ID: I20160825002781 |
| Provider Name | Sara M Degrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164878484 PECOS PAC ID: 0840585980 Enrollment ID: I20160829000649 |
| Provider Name | Shelly Gupta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285075481 PECOS PAC ID: 1850687096 Enrollment ID: I20160914001151 |
| Provider Name | Cavin Harold Glenn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932359759 PECOS PAC ID: 4880919919 Enrollment ID: I20160915002014 |
| Provider Name | Kathryn Page Treml |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194271312 PECOS PAC ID: 4688961709 Enrollment ID: I20160916002050 |
| Provider Name | Cristina A Muresanu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134409816 PECOS PAC ID: 3971803149 Enrollment ID: I20160920003063 |
| Provider Name | Amanda A Henschel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104374388 PECOS PAC ID: 4587952734 Enrollment ID: I20161004001755 |
| Provider Name | Chase D Hanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134672405 PECOS PAC ID: 4587952197 Enrollment ID: I20161014000980 |
| Provider Name | Alison Kescenovitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366994154 PECOS PAC ID: 6305125774 Enrollment ID: I20161108001794 |
| Provider Name | Dzifaa Kofi Lotsu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770739211 PECOS PAC ID: 1355582354 Enrollment ID: I20161118001934 |
| Provider Name | Christopher P Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821321225 PECOS PAC ID: 5193007524 Enrollment ID: I20170120000091 |
| Provider Name | Erin M Bancroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013455252 PECOS PAC ID: 6800170069 Enrollment ID: I20170307001642 |
| Provider Name | Amy S Gumieny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386180362 PECOS PAC ID: 9436434354 Enrollment ID: I20170315002557 |
| Provider Name | Megan C Drewieske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881133866 PECOS PAC ID: 6002193992 Enrollment ID: I20170502001020 |
| Provider Name | Divya Hotchandani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891740262 PECOS PAC ID: 1254343452 Enrollment ID: I20170503002387 |
| Provider Name | Tracie B Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477787026 PECOS PAC ID: 3870747132 Enrollment ID: I20170509000179 |
| Provider Name | Andrew T Knox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568752665 PECOS PAC ID: 1658658000 Enrollment ID: I20170511002688 |
| Provider Name | Dustin L Simpson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710285630 PECOS PAC ID: 7911290077 Enrollment ID: I20170512001330 |
| Provider Name | Nicole M Larscheid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427585736 PECOS PAC ID: 9638447873 Enrollment ID: I20170613000763 |
| Provider Name | Olatunji D Oladeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985350 PECOS PAC ID: 9638313448 Enrollment ID: I20170613000968 |
| Provider Name | Frederick G Joachim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669738043 PECOS PAC ID: 3971871906 Enrollment ID: I20170616000178 |
| Provider Name | Amanda Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710415427 PECOS PAC ID: 3577831296 Enrollment ID: I20170621000285 |
| Provider Name | Nicholas M Kolanko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427214857 PECOS PAC ID: 4880863034 Enrollment ID: I20170703001008 |
| Provider Name | Lucas A Navrestad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821527821 PECOS PAC ID: 2769752054 Enrollment ID: I20170719002156 |
| Provider Name | Efe M Akpoigbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023365152 PECOS PAC ID: 9032334891 Enrollment ID: I20170719003840 |
| Provider Name | Raquel Farias-moeller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144532052 PECOS PAC ID: 3971882226 Enrollment ID: I20170720000900 |
| Provider Name | Tawni N Kobielak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215466396 PECOS PAC ID: 4981975166 Enrollment ID: I20170807001118 |
| Provider Name | Imran A Baloch |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659399822 PECOS PAC ID: 0648270124 Enrollment ID: I20170817002901 |
| Provider Name | Erica Larson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316207046 PECOS PAC ID: 3870865769 Enrollment ID: I20170828003212 |
| Provider Name | John Coates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730317967 PECOS PAC ID: 5890910434 Enrollment ID: I20170830001960 |
| Provider Name | Adam Scott Brinkman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427212455 PECOS PAC ID: 3870726318 Enrollment ID: I20170906000800 |
| Provider Name | Nouman Syed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841555653 PECOS PAC ID: 8123329406 Enrollment ID: I20170908000498 |
| Provider Name | Michael S Oldenburg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770847683 PECOS PAC ID: 2769629526 Enrollment ID: I20170929002292 |
| Provider Name | Katie Gesch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063839447 PECOS PAC ID: 5294045225 Enrollment ID: I20171006000891 |
| Provider Name | Scott M Haskins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770878142 PECOS PAC ID: 8426206426 Enrollment ID: I20171009002404 |
| Provider Name | Lileth Joy H Mondok |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942597356 PECOS PAC ID: 4688949035 Enrollment ID: I20171011000395 |
| Provider Name | Trisha A Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811407323 PECOS PAC ID: 9739446097 Enrollment ID: I20171122001318 |
| Provider Name | Rishi E Subbarayan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962791632 PECOS PAC ID: 0345558680 Enrollment ID: I20171207001426 |
| Provider Name | Christina Mestelle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720510043 PECOS PAC ID: 2466710330 Enrollment ID: I20171222000998 |
| Provider Name | Trevor M. Mcculley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780105478 PECOS PAC ID: 4486912128 Enrollment ID: I20171229001156 |
| Provider Name | Jenna Marie Rust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326440983 PECOS PAC ID: 7618273368 Enrollment ID: I20180112001349 |
| Provider Name | Aleshia Garland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174970164 PECOS PAC ID: 8820359102 Enrollment ID: I20180301000528 |
| Provider Name | Sara E Creighton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629398169 PECOS PAC ID: 8628205390 Enrollment ID: I20180410001606 |
| Provider Name | Alexandra Barbara Osuchowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699095646 PECOS PAC ID: 8224279609 Enrollment ID: I20180411001233 |
| Provider Name | Elizabeth M Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750885448 PECOS PAC ID: 5193088789 Enrollment ID: I20180412001717 |
| Provider Name | Amanada J Gaccetta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417219197 PECOS PAC ID: 8426311721 Enrollment ID: I20180419002269 |
| Provider Name | Angela Meg Montague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619476256 PECOS PAC ID: 2668735812 Enrollment ID: I20180420002141 |
| Provider Name | Elleda A Linsmeyer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881140184 PECOS PAC ID: 3678837374 Enrollment ID: I20180504001022 |
| Provider Name | Matthew P Schuette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134654502 PECOS PAC ID: 3072878362 Enrollment ID: I20180608000105 |
| Provider Name | Jordyn E Arndt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548750458 PECOS PAC ID: 0446505754 Enrollment ID: I20180608001382 |
| Provider Name | Adam Kevin Kney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043586480 PECOS PAC ID: 4688929870 Enrollment ID: I20180612000092 |
| Provider Name | Elizabeth A Lindner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881182715 PECOS PAC ID: 6406101922 Enrollment ID: I20180623000160 |
| Provider Name | Rowan Karaman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225341852 PECOS PAC ID: 1052553740 Enrollment ID: I20180628000106 |
| Provider Name | Aliaksandr Trusau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538542089 PECOS PAC ID: 8729394846 Enrollment ID: I20180702000887 |
| Provider Name | Musab Em T Nusrat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225317399 PECOS PAC ID: 4789906140 Enrollment ID: I20180705000180 |
| Provider Name | Paula Lynn Pengilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306839865 PECOS PAC ID: 5294839015 Enrollment ID: I20180706000212 |
| Provider Name | Amanda M Johansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518451418 PECOS PAC ID: 7911253711 Enrollment ID: I20180710001008 |
| Provider Name | Samuel J Adams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972947224 PECOS PAC ID: 8224385869 Enrollment ID: I20180727001094 |
| Provider Name | Wyatt Isaac Wiedenfeld |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912310152 PECOS PAC ID: 1557651601 Enrollment ID: I20180731001170 |
| Provider Name | Alison Jean Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063465656 PECOS PAC ID: 4981663283 Enrollment ID: I20180731001648 |
| Provider Name | Janine Rhoades |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841588993 PECOS PAC ID: 8527297191 Enrollment ID: I20180810001142 |
| Provider Name | Maxwell James Armstrong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760971261 PECOS PAC ID: 8123377876 Enrollment ID: I20180814002260 |
| Provider Name | Ryley Ruzek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124514377 PECOS PAC ID: 4183973837 Enrollment ID: I20180814002471 |
| Provider Name | Kristin M Gardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366933608 PECOS PAC ID: 3779832902 Enrollment ID: I20180822000865 |
| Provider Name | Brittany M Walczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326525049 PECOS PAC ID: 9436408507 Enrollment ID: I20180822002783 |
| Provider Name | Benjamin C Jordan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922393396 PECOS PAC ID: 2264689033 Enrollment ID: I20180827000102 |
| Provider Name | Vikas Khullar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952665804 PECOS PAC ID: 8527299486 Enrollment ID: I20180827003124 |
| Provider Name | Samantha L Newhouse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346728847 PECOS PAC ID: 7113276973 Enrollment ID: I20180828001294 |
| Provider Name | Jennifer L Herbst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104310572 PECOS PAC ID: 9234489782 Enrollment ID: I20180905001031 |
| Provider Name | Jessica J Leszczynski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881014561 PECOS PAC ID: 5193034940 Enrollment ID: I20180907000678 |
| Provider Name | Catherine Holland Andrade |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538687991 PECOS PAC ID: 6406106731 Enrollment ID: I20180907001990 |
| Provider Name | Thu Malikowski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184659740 PECOS PAC ID: 7618996653 Enrollment ID: I20180921002218 |
| Provider Name | Kirsten Holly Macgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700370194 PECOS PAC ID: 0547512253 Enrollment ID: I20181008002844 |
| Provider Name | Erin Elizabeth Stevens |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1841461084 PECOS PAC ID: 9234283730 Enrollment ID: I20181009002706 |
| Provider Name | Michael Given |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104898980 PECOS PAC ID: 0042256141 Enrollment ID: I20181009003035 |
| Provider Name | Catherine Lee Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154812170 PECOS PAC ID: 4486906856 Enrollment ID: I20181012000566 |
| Provider Name | Steven I Levin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720064207 PECOS PAC ID: 6406870096 Enrollment ID: I20181017000119 |
| Provider Name | Ann J Rojaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750866646 PECOS PAC ID: 5698028892 Enrollment ID: I20181105000687 |
| Provider Name | Elizabeth D Newbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972087187 PECOS PAC ID: 5698028884 Enrollment ID: I20181106001122 |
| Provider Name | Julius A Silvidi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730121385 PECOS PAC ID: 9638152606 Enrollment ID: I20181114000025 |
| Provider Name | Karen E Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386007722 PECOS PAC ID: 0042554255 Enrollment ID: I20181128003466 |
| Provider Name | Michelle A Schmitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922468685 PECOS PAC ID: 4688910953 Enrollment ID: I20190107003302 |
| Provider Name | Danielle L Starr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639623051 PECOS PAC ID: 3375839418 Enrollment ID: I20190123000351 |
| Provider Name | Loraine J Lauver-tobin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437622115 PECOS PAC ID: 8628316676 Enrollment ID: I20190218000029 |
| Provider Name | Drew D Koeppl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033534169 PECOS PAC ID: 6002139482 Enrollment ID: I20190221001094 |
| Provider Name | Erin J Broda |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699247486 PECOS PAC ID: 9234478074 Enrollment ID: I20190222000763 |
| Provider Name | Shaina Marie Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598229478 PECOS PAC ID: 8820338759 Enrollment ID: I20190312003372 |
| Provider Name | Ashley E Naas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467928440 PECOS PAC ID: 9335489087 Enrollment ID: I20190318000206 |
| Provider Name | Amanda Beinemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043694672 PECOS PAC ID: 0143535914 Enrollment ID: I20190406000000 |
| Provider Name | Nicholas S Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548520695 PECOS PAC ID: 0941459747 Enrollment ID: I20190425000007 |
| Provider Name | Jonathan Shuit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356800445 PECOS PAC ID: 7315280492 Enrollment ID: I20190513000094 |
| Provider Name | Lindsay Fairfax |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952512980 PECOS PAC ID: 7113157124 Enrollment ID: I20190514000008 |
| Provider Name | Tyler Qiu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780038851 PECOS PAC ID: 1557604113 Enrollment ID: I20190522001407 |
| Provider Name | Ryan A Butcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730541533 PECOS PAC ID: 7618228123 Enrollment ID: I20190612002118 |
| Provider Name | Michael Joseph Beninati |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033453600 PECOS PAC ID: 6204122898 Enrollment ID: I20190613000429 |
| Provider Name | Gurminder Dhillon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013263854 PECOS PAC ID: 8325371776 Enrollment ID: I20190618000392 |
| Provider Name | Thomas Landis Ratchford Jr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144563537 PECOS PAC ID: 7719115625 Enrollment ID: I20190626001820 |
| Provider Name | Kristin E Joachim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497198022 PECOS PAC ID: 0648504316 Enrollment ID: I20190628002845 |
| Provider Name | Crystal C Lalonde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548610579 PECOS PAC ID: 9931492097 Enrollment ID: I20190712002607 |
| Provider Name | Humera Fatima Ahmad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174934806 PECOS PAC ID: 9436467206 Enrollment ID: I20190716000104 |
| Provider Name | Jared D Vesperman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801349378 PECOS PAC ID: 4284960691 Enrollment ID: I20190723002563 |
| Provider Name | Nader N Sallam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083068316 PECOS PAC ID: 0446501720 Enrollment ID: I20190723003699 |
| Provider Name | Stephen J Serio |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245525989 PECOS PAC ID: 8224302401 Enrollment ID: I20190729000343 |
| Provider Name | Steven W Gale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730528456 PECOS PAC ID: 8123251337 Enrollment ID: I20190807002089 |
| Provider Name | Heather L Lensmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376105387 PECOS PAC ID: 7113254293 Enrollment ID: I20190813000005 |
| Provider Name | Justin Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033558010 PECOS PAC ID: 0547580185 Enrollment ID: I20190814003398 |
| Provider Name | Steven A Bomkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780238584 PECOS PAC ID: 9931436870 Enrollment ID: I20190814003887 |
| Provider Name | Christopher D Kading |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982265583 PECOS PAC ID: 1850629387 Enrollment ID: I20190822000495 |
| Provider Name | Miguel A Reyes Chavez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437500618 PECOS PAC ID: 5294020236 Enrollment ID: I20190822002498 |
| Provider Name | Brian P Bye |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760828263 PECOS PAC ID: 3274774609 Enrollment ID: I20190823000227 |
| Provider Name | Danielle L Leick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902467731 PECOS PAC ID: 6002145950 Enrollment ID: I20190903001110 |
| Provider Name | Mitchell J Thompson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568996692 PECOS PAC ID: 2961775127 Enrollment ID: I20190910001557 |
| Provider Name | Alexa Gavaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093166266 PECOS PAC ID: 4789913112 Enrollment ID: I20190911000663 |
| Provider Name | Manal S Soliman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104867084 PECOS PAC ID: 6103814504 Enrollment ID: I20190919002645 |
| Provider Name | Katryn N Furuya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205887312 PECOS PAC ID: 3678539053 Enrollment ID: I20190920001920 |
| Provider Name | Gina M Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376190165 PECOS PAC ID: 3577893007 Enrollment ID: I20190926002045 |
| Provider Name | Yousuf Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609286590 PECOS PAC ID: 1254633605 Enrollment ID: I20191002003210 |
| Provider Name | Ashley S Perez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134366198 PECOS PAC ID: 8921330887 Enrollment ID: I20191025000004 |
| Provider Name | Kayla M Juntunen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831618941 PECOS PAC ID: 6901238658 Enrollment ID: I20191118002152 |
| Provider Name | Ajay K Gupta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316049265 PECOS PAC ID: 1254382088 Enrollment ID: I20191212000905 |
| Provider Name | Emily J Fisher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467004671 PECOS PAC ID: 5597190090 Enrollment ID: I20200110000012 |
| Provider Name | Brent J Schoppe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548326309 PECOS PAC ID: 9537125430 Enrollment ID: I20200116001408 |
| Provider Name | Scott B Raymond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194080010 PECOS PAC ID: 9436386448 Enrollment ID: I20200130002051 |
| Provider Name | Brandy M Sabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942831060 PECOS PAC ID: 3577999796 Enrollment ID: I20200207000231 |
| Provider Name | Christine A Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780215251 PECOS PAC ID: 4587091368 Enrollment ID: I20200218001342 |
| Provider Name | Emily M Jeska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861026494 PECOS PAC ID: 7517395478 Enrollment ID: I20200309000795 |
| Provider Name | Allison B Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487286282 PECOS PAC ID: 5193153849 Enrollment ID: I20200312000885 |
| Provider Name | Kristi A Hasenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407480866 PECOS PAC ID: 8224466891 Enrollment ID: I20200312001988 |
| Provider Name | Katrina V Victoria |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972899649 PECOS PAC ID: 4284876269 Enrollment ID: I20200317002369 |
| Provider Name | Kelsey L Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093165847 PECOS PAC ID: 9133557291 Enrollment ID: I20200324001205 |
| Provider Name | Lisa A Bingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730711870 PECOS PAC ID: 8820427701 Enrollment ID: I20200327000937 |
| Provider Name | Vibhu R Kshettry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1427011352 PECOS PAC ID: 6709939093 Enrollment ID: I20200327001510 |
| Provider Name | James W Kribs |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1568563179 PECOS PAC ID: 4284630344 Enrollment ID: I20200401002007 |
| Provider Name | Samuel J Durham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467459040 PECOS PAC ID: 3678628955 Enrollment ID: I20200402001231 |
| Provider Name | Jasmine T John |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1205214178 PECOS PAC ID: 3577876457 Enrollment ID: I20200403000282 |
| Provider Name | Dawn P Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144858713 PECOS PAC ID: 8022448968 Enrollment ID: I20200417000074 |
| Provider Name | Laura M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336776350 PECOS PAC ID: 6507296100 Enrollment ID: I20200422003064 |
| Provider Name | Oliver W Graf |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124262480 PECOS PAC ID: 1456660646 Enrollment ID: I20200423002574 |
| Provider Name | Robert M Koffie |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760744460 PECOS PAC ID: 2466689138 Enrollment ID: I20200430000889 |
| Provider Name | Tarra L Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891320834 PECOS PAC ID: 8820429012 Enrollment ID: I20200501001931 |
| Provider Name | Shea A Sternhagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780219238 PECOS PAC ID: 4688005861 Enrollment ID: I20200505000006 |
| Provider Name | Daniel Robert Beacher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942628466 PECOS PAC ID: 3678866191 Enrollment ID: I20200518003126 |
| Provider Name | Shannon Pollock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376963694 PECOS PAC ID: 3678994894 Enrollment ID: I20200526002211 |
| Provider Name | Pradeep Bangalore Prakash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831514900 PECOS PAC ID: 7416225347 Enrollment ID: I20200601001905 |
| Provider Name | Dawit Worku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942732789 PECOS PAC ID: 3072848043 Enrollment ID: I20200620000057 |
| Provider Name | Jacquelyn Hanna Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811330376 PECOS PAC ID: 7911203914 Enrollment ID: I20200629000950 |
| Provider Name | Andrew C Radtke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710305123 PECOS PAC ID: 2466731476 Enrollment ID: I20200630001028 |
| Provider Name | Asad Majid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982778254 PECOS PAC ID: 0749278109 Enrollment ID: I20200715001551 |
| Provider Name | Erin C Ott |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609496389 PECOS PAC ID: 1951725654 Enrollment ID: I20200727003314 |
| Provider Name | Patrick J Stumbras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326473240 PECOS PAC ID: 5496179103 Enrollment ID: I20200728000106 |
| Provider Name | Lauren I Useem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639520414 PECOS PAC ID: 6002108131 Enrollment ID: I20200806001351 |
| Provider Name | Lawrence Tse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972035517 PECOS PAC ID: 3375871635 Enrollment ID: I20200810002774 |
| Provider Name | Benjamin D Andrew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083000863 PECOS PAC ID: 2264741552 Enrollment ID: I20200812003463 |
| Provider Name | Lukman Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669824074 PECOS PAC ID: 7810225414 Enrollment ID: I20200818003433 |
| Provider Name | David J Goldberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346272283 PECOS PAC ID: 4981789575 Enrollment ID: I20200826001635 |
| Provider Name | Shilpa M Ullikashi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033632336 PECOS PAC ID: 4587909353 Enrollment ID: I20200902002541 |
| Provider Name | Jessica Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225649973 PECOS PAC ID: 0749607737 Enrollment ID: I20200908000749 |
| Provider Name | Felix Ofori-gyebi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366675480 PECOS PAC ID: 1052567641 Enrollment ID: I20200909000704 |
| Provider Name | Michael J Florack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134494339 PECOS PAC ID: 1355639584 Enrollment ID: I20200915001827 |
| Provider Name | Niyati Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053613125 PECOS PAC ID: 6608182936 Enrollment ID: I20200922001572 |
| Provider Name | Stella Ofori-sampong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275064834 PECOS PAC ID: 9537431911 Enrollment ID: I20200923000766 |
| Provider Name | Matthew John Sprister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063026276 PECOS PAC ID: 9436578812 Enrollment ID: I20201005001169 |
| Provider Name | Mhd Hashem Rajabbik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528422631 PECOS PAC ID: 3375888431 Enrollment ID: I20201103000422 |
| Provider Name | Aleksandra M Babiarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083077762 PECOS PAC ID: 5294028361 Enrollment ID: I20201112001129 |
| Provider Name | Chanthorn Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356691836 PECOS PAC ID: 2668882010 Enrollment ID: I20201113001151 |
| Provider Name | Caitlin W Hicks |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356607139 PECOS PAC ID: 0648428029 Enrollment ID: I20201116000520 |
| Provider Name | Miranda M Wendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902413081 PECOS PAC ID: 7214348341 Enrollment ID: I20201123000122 |
| Provider Name | Marjorie R Hatszegi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205307170 PECOS PAC ID: 1850630336 Enrollment ID: I20201125001719 |
| Provider Name | Megan A Piotrowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275140857 PECOS PAC ID: 1557772340 Enrollment ID: I20201130002516 |
| Provider Name | Fidelis Ajobome Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20201203002469 |
| Provider Name | Monica Newton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306453253 PECOS PAC ID: 6608287180 Enrollment ID: I20201204002594 |
| Provider Name | Amanda M Kuntz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831672286 PECOS PAC ID: 4688086770 Enrollment ID: I20201214003222 |
| Provider Name | Patrick O Odia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285041285 PECOS PAC ID: 0547530859 Enrollment ID: I20201216001494 |
| Provider Name | Keisha L Vickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114526530 PECOS PAC ID: 7315359049 Enrollment ID: I20201222000111 |
| Provider Name | Natalie L Rank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083216238 PECOS PAC ID: 5597177261 Enrollment ID: I20201222001636 |
| Provider Name | Stephanie L Alban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174126205 PECOS PAC ID: 0345654042 Enrollment ID: I20210120001586 |
| Provider Name | Alan M Hamza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366794612 PECOS PAC ID: 5799085064 Enrollment ID: I20210120001664 |
| Provider Name | Maria C Hanstedt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699876631 PECOS PAC ID: 8729492392 Enrollment ID: I20210122002446 |
| Provider Name | Ryan A Weisnicht |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730687252 PECOS PAC ID: 1254745631 Enrollment ID: I20210126001453 |
| Provider Name | Jennifer A Davis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801159264 PECOS PAC ID: 3971732223 Enrollment ID: I20210127000029 |
| Provider Name | Steven J Finstad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144617283 PECOS PAC ID: 7214221993 Enrollment ID: I20210204001474 |
| Provider Name | Julia M Mutchie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972199891 PECOS PAC ID: 7012322621 Enrollment ID: I20210211003464 |
| Provider Name | John S Thurlow |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740441237 PECOS PAC ID: 3375958739 Enrollment ID: I20210216003243 |
| Provider Name | Jacob D Anason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427644046 PECOS PAC ID: 1254746670 Enrollment ID: I20210217002327 |
| Provider Name | Judith W Cook |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891714606 PECOS PAC ID: 4981639770 Enrollment ID: I20210219001916 |
| Provider Name | Serena Ashour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023623832 PECOS PAC ID: 7012322951 Enrollment ID: I20210226000895 |
| Provider Name | Kayla A Lenzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588251342 PECOS PAC ID: 4082020615 Enrollment ID: I20210306000029 |
| Provider Name | Vicki Lynn Hutterer Trost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801488028 PECOS PAC ID: 9830505262 Enrollment ID: I20210310001609 |
| Provider Name | Beth M Van Ess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437742079 PECOS PAC ID: 4688081961 Enrollment ID: I20210402000899 |
| Provider Name | Hiba Hadid |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497097539 PECOS PAC ID: 0840422788 Enrollment ID: I20210429002756 |
| Provider Name | Jeffrey T Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962422915 PECOS PAC ID: 6800837402 Enrollment ID: I20210430000783 |
| Provider Name | Jon Byers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134703028 PECOS PAC ID: 3577972066 Enrollment ID: I20210513001474 |
| Provider Name | Patricia A Stukenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295315695 PECOS PAC ID: 7113327404 Enrollment ID: I20210608001398 |
| Provider Name | Aaron A Cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790758548 PECOS PAC ID: 7012290505 Enrollment ID: I20210617000344 |
| Provider Name | Yujian Weng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659948289 PECOS PAC ID: 0446651384 Enrollment ID: I20210629001825 |
| Provider Name | Mohamed M Azab |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013390434 PECOS PAC ID: 2365749876 Enrollment ID: I20210630003350 |
| Provider Name | Brian J Walsh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851373823 PECOS PAC ID: 9436158060 Enrollment ID: I20210630004201 |
| Provider Name | Rachel Marie Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528636339 PECOS PAC ID: 9931501129 Enrollment ID: I20210709002648 |
| Provider Name | Jacob J Baus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427631027 PECOS PAC ID: 6608278767 Enrollment ID: I20210712002918 |
| Provider Name | Elena A Giese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083183297 PECOS PAC ID: 9931434255 Enrollment ID: I20210713001309 |
| Provider Name | Dylan T Timberlake |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1730574328 PECOS PAC ID: 9133474562 Enrollment ID: I20210713002090 |
| Provider Name | Jalel Abera Hunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194220558 PECOS PAC ID: 5597167569 Enrollment ID: I20210713003344 |
| Provider Name | Joao Vitor Andreoli Saltao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851870976 PECOS PAC ID: 2567709454 Enrollment ID: I20210714003708 |
| Provider Name | Rebecca L Gehrmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841797594 PECOS PAC ID: 3072861301 Enrollment ID: I20210715003347 |
| Provider Name | Nicole C Fechter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851961114 PECOS PAC ID: 8820490527 Enrollment ID: I20210716000850 |
| Provider Name | Trent J Auguston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083102792 PECOS PAC ID: 1254734858 Enrollment ID: I20210720002003 |
| Provider Name | Michael Oriakhi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366894701 PECOS PAC ID: 7113250036 Enrollment ID: I20210720002076 |
| Provider Name | Whitney L Klas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164093993 PECOS PAC ID: 2062815475 Enrollment ID: I20210722002899 |
| Provider Name | Amy N Mcmahon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396889648 PECOS PAC ID: 2163825209 Enrollment ID: I20210727000922 |
| Provider Name | Maymoona Attiyat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437591583 PECOS PAC ID: 8820491855 Enrollment ID: I20210728000976 |
| Provider Name | Anas M Sarhan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417290404 PECOS PAC ID: 1153553243 Enrollment ID: I20210730001173 |
| Provider Name | Solomon Zerga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487159273 PECOS PAC ID: 9830592682 Enrollment ID: I20210730001662 |
| Provider Name | Michelle M Greenheck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811377401 PECOS PAC ID: 3577855576 Enrollment ID: I20210731000254 |
| Provider Name | Connor J Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992201453 PECOS PAC ID: 7416371265 Enrollment ID: I20210804000027 |
| Provider Name | Bradley J Paus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265929491 PECOS PAC ID: 8527323914 Enrollment ID: I20210804000854 |
| Provider Name | Angelica T Hon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144892464 PECOS PAC ID: 5799189742 Enrollment ID: I20210812001983 |
| Provider Name | Inna Neyman Lobeck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336435494 PECOS PAC ID: 5294033171 Enrollment ID: I20210816001836 |
| Provider Name | Scott P Steinmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831179902 PECOS PAC ID: 9234126053 Enrollment ID: I20210817000474 |
| Provider Name | Julie Adams |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1033195284 PECOS PAC ID: 2365344355 Enrollment ID: I20210820000644 |
| Provider Name | Sonya Kirmani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861712358 PECOS PAC ID: 4385886811 Enrollment ID: I20210820003138 |
| Provider Name | Rachel E Caliva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700369634 PECOS PAC ID: 1759635873 Enrollment ID: I20210902000685 |
| Provider Name | Abigail Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740953355 PECOS PAC ID: 6901202548 Enrollment ID: I20210908001510 |
| Provider Name | Abigail R Brooks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881114809 PECOS PAC ID: 7315343845 Enrollment ID: I20210909001100 |
| Provider Name | Phillip J Mercier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205282852 PECOS PAC ID: 1456645753 Enrollment ID: I20210914001578 |
| Provider Name | Fatima Ahmed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477935575 PECOS PAC ID: 8729382759 Enrollment ID: I20210924002240 |
| Provider Name | Julius Griauzde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225318652 PECOS PAC ID: 6406156363 Enrollment ID: I20211006002767 |
| Provider Name | Suraj Bopanna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740433291 PECOS PAC ID: 9436390325 Enrollment ID: I20211012003134 |
| Provider Name | Hersi Cabdi Moallin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154818953 PECOS PAC ID: 1355749979 Enrollment ID: I20211013000923 |
| Provider Name | Daniel Galban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215432661 PECOS PAC ID: 4284036153 Enrollment ID: I20211026000099 |
| Provider Name | Kyle Michael Eriks-cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174176812 PECOS PAC ID: 0749613735 Enrollment ID: I20211108001847 |
| Provider Name | Stacey A Roebken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376146472 PECOS PAC ID: 7618366832 Enrollment ID: I20211109003461 |
| Provider Name | Samantha T Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669137428 PECOS PAC ID: 1850781220 Enrollment ID: I20211130000864 |
| Provider Name | Mariah Lau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407511744 PECOS PAC ID: 4789074006 Enrollment ID: I20211201000208 |
| Provider Name | Pamela K Hammock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922460856 PECOS PAC ID: 0143528554 Enrollment ID: I20211208003630 |
| Provider Name | Christine A Ripp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326493032 PECOS PAC ID: 7012283955 Enrollment ID: I20211209001193 |
| Provider Name | Maggie M Larson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083379051 PECOS PAC ID: 5597155218 Enrollment ID: I20211210001766 |
| Provider Name | Jayme E Beukelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043974066 PECOS PAC ID: 3173913787 Enrollment ID: I20211213002708 |
| Provider Name | Emiko Hayakawa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982042297 PECOS PAC ID: 8628357381 Enrollment ID: I20220106002140 |
| Provider Name | Naim N Khoury |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437342870 PECOS PAC ID: 3577852557 Enrollment ID: I20220111002475 |
| Provider Name | Jeffrey John Ferguson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447668785 PECOS PAC ID: 8729209325 Enrollment ID: I20220113000670 |
| Provider Name | Angela R Moioli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861151581 PECOS PAC ID: 1658763917 Enrollment ID: I20220118001431 |
| Provider Name | Daniel D So |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023167004 PECOS PAC ID: 2860437886 Enrollment ID: I20220126002533 |
| Provider Name | Rene Andrade Machado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689219347 PECOS PAC ID: 7416389093 Enrollment ID: I20220127002936 |
| Provider Name | Natalie L Kamberos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689769531 PECOS PAC ID: 9032367412 Enrollment ID: I20220128000365 |
| Provider Name | Lauren M Blue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740626639 PECOS PAC ID: 0941436950 Enrollment ID: I20220208002402 |
| Provider Name | Cassandra Lee Holmquist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487215539 PECOS PAC ID: 8426441619 Enrollment ID: I20220211000160 |
| Provider Name | Heidi Ruth Schmidt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679083091 PECOS PAC ID: 9436544376 Enrollment ID: I20220311001473 |
| Provider Name | James Shirley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427176429 PECOS PAC ID: 9830243203 Enrollment ID: I20220322002236 |
| Provider Name | Hector F Britto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790817286 PECOS PAC ID: 1759281736 Enrollment ID: I20220322003070 |
| Provider Name | Kera A Schill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518613629 PECOS PAC ID: 0547655755 Enrollment ID: I20220324001041 |
| Provider Name | Ronald Devore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619078201 PECOS PAC ID: 8820992324 Enrollment ID: I20220405000968 |
| Provider Name | Stephanie N Magnin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891443396 PECOS PAC ID: 3375939614 Enrollment ID: I20220413001044 |
| Provider Name | Sonia Brar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487965364 PECOS PAC ID: 8224271168 Enrollment ID: I20220414000270 |
| Provider Name | Mackenzie R Vander Bloomen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740940733 PECOS PAC ID: 4183010473 Enrollment ID: I20220414000562 |
| Provider Name | Ehssan Zare |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972826618 PECOS PAC ID: 5294057923 Enrollment ID: I20220421000236 |
| Provider Name | Jennifer Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710642335 PECOS PAC ID: 8426445313 Enrollment ID: I20220422002102 |
| Provider Name | Tammy A Woods |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104035872 PECOS PAC ID: 6608001003 Enrollment ID: I20220502001922 |
| Provider Name | Taylor M Baldridge |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790428985 PECOS PAC ID: 9335526557 Enrollment ID: I20220509002524 |
| Provider Name | Jolene C Wittmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356083810 PECOS PAC ID: 6103203088 Enrollment ID: I20220514000170 |
| Provider Name | Jonathan Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174935019 PECOS PAC ID: 4587880265 Enrollment ID: I20220517003156 |
| Provider Name | Avantika Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295198083 PECOS PAC ID: 4183987696 Enrollment ID: I20220531001655 |
| Provider Name | Kathryn Doreen Zellner-perronne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366189987 PECOS PAC ID: 5799163317 Enrollment ID: I20220609001083 |
| Provider Name | Yasir Yafai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205395381 PECOS PAC ID: 8224417357 Enrollment ID: I20220621002161 |
| Provider Name | Anda B Scorza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699068130 PECOS PAC ID: 3779873864 Enrollment ID: I20220627000595 |
| Provider Name | Joseph F Albers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124689393 PECOS PAC ID: 2264813286 Enrollment ID: I20220721001006 |
| Provider Name | Lindsey P Strainis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063151801 PECOS PAC ID: 6709267628 Enrollment ID: I20220722001431 |
| Provider Name | Rachel L Scullion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720710668 PECOS PAC ID: 9133500937 Enrollment ID: I20220725001569 |
| Provider Name | Eric Rojo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972063022 PECOS PAC ID: 2062814288 Enrollment ID: I20220809003935 |
| Provider Name | Yousaf Ajam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841713088 PECOS PAC ID: 9032592993 Enrollment ID: I20220810002727 |
| Provider Name | Amber M Demerath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356072417 PECOS PAC ID: 3971986431 Enrollment ID: I20220816001171 |
| Provider Name | Evan Krueger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861807174 PECOS PAC ID: 2264721067 Enrollment ID: I20220817002253 |
| Provider Name | Pamela E Falcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124680764 PECOS PAC ID: 7618202680 Enrollment ID: I20220818001487 |
| Provider Name | Zaheer Akhtar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366002966 PECOS PAC ID: 9436485216 Enrollment ID: I20220819001617 |
| Provider Name | Cali R Luecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699409524 PECOS PAC ID: 0749663862 Enrollment ID: I20220822002894 |
| Provider Name | Anastasia M Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730813502 PECOS PAC ID: 8628451721 Enrollment ID: I20220823002660 |
| Provider Name | Dana James Irrer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063771228 PECOS PAC ID: 9931406774 Enrollment ID: I20220823003131 |
| Provider Name | Shannon Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699755496 PECOS PAC ID: 9931150570 Enrollment ID: I20220826001109 |
| Provider Name | Amanda M Charniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114653367 PECOS PAC ID: 3173907904 Enrollment ID: I20220829001588 |
| Provider Name | Thomas J Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497767578 PECOS PAC ID: 8022060037 Enrollment ID: I20220831001312 |
| Provider Name | Kirsta Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568922615 PECOS PAC ID: 2860894078 Enrollment ID: I20220906002306 |
| Provider Name | Rory L Fry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306308267 PECOS PAC ID: 0446652523 Enrollment ID: I20220907001913 |
| Provider Name | Ram V Chavali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558338194 PECOS PAC ID: 8123073285 Enrollment ID: I20220908002013 |
| Provider Name | Elham E Abushanab |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306392634 PECOS PAC ID: 9234513318 Enrollment ID: I20220908003639 |
| Provider Name | Sarah Elizabeth Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912460866 PECOS PAC ID: 8729312772 Enrollment ID: I20220912001503 |
| Provider Name | Lauren M Prokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558097071 PECOS PAC ID: 8123403052 Enrollment ID: I20220913003811 |
| Provider Name | Nicole L Nolte Rierdon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275260853 PECOS PAC ID: 9638554413 Enrollment ID: I20220914002346 |
| Provider Name | John W Lace |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528705050 PECOS PAC ID: 7416332218 Enrollment ID: I20220914003636 |
| Provider Name | Jolene C Dorn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508596495 PECOS PAC ID: 4587049218 Enrollment ID: I20220916001514 |
| Provider Name | Patrick Riggle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518326941 PECOS PAC ID: 0446650550 Enrollment ID: I20220916002564 |
| Provider Name | Zachary J Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568182889 PECOS PAC ID: 5890171425 Enrollment ID: I20221004003142 |
| Provider Name | Ameen A Masoodi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508429960 PECOS PAC ID: 5496089369 Enrollment ID: I20221005002727 |
| Provider Name | Hannah Tumilty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831652775 PECOS PAC ID: 6800299819 Enrollment ID: I20221020001747 |
| Provider Name | Nichole C Dutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871216051 PECOS PAC ID: 3971979485 Enrollment ID: I20221024002043 |
| Provider Name | Pradeep Km Javarayee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033550298 PECOS PAC ID: 6305189200 Enrollment ID: I20221026001915 |
| Provider Name | Jeffrey R Shaha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326762428 PECOS PAC ID: 5799152088 Enrollment ID: I20221028001688 |
| Provider Name | Namrata D Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184075954 PECOS PAC ID: 8325330426 Enrollment ID: I20221107001671 |
| Provider Name | Jordan Abel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417273301 PECOS PAC ID: 4789806522 Enrollment ID: I20221111000425 |
| Provider Name | Kelly J Edlebeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558003723 PECOS PAC ID: 5890163109 Enrollment ID: I20221117001445 |
| Provider Name | Yang Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427775402 PECOS PAC ID: 3173991270 Enrollment ID: I20221121003203 |
| Provider Name | Michael L Jones |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1013020080 PECOS PAC ID: 5092745935 Enrollment ID: I20221128001335 |
| Provider Name | Maria Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841209194 PECOS PAC ID: 1759336175 Enrollment ID: I20221201002518 |
| Provider Name | Ekta X Nayyar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336348929 PECOS PAC ID: 9133260870 Enrollment ID: I20221202000152 |
| Provider Name | Andrea C Cady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124742416 PECOS PAC ID: 8224407648 Enrollment ID: I20221207001125 |
| Provider Name | Patricia Hsu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770741134 PECOS PAC ID: 7416003736 Enrollment ID: I20221207002888 |
| Provider Name | Kaitlyn E Sharboneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699492306 PECOS PAC ID: 7517336779 Enrollment ID: I20221209000575 |
| Provider Name | Amelia F Killick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144947524 PECOS PAC ID: 3971972167 Enrollment ID: I20221209002121 |
| Provider Name | Kimberly L Zambito |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306038880 PECOS PAC ID: 7911063565 Enrollment ID: I20221212002685 |
| Provider Name | Ariel K Kumbalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083331052 PECOS PAC ID: 6800266883 Enrollment ID: I20230109001760 |
| Provider Name | Omar Nehme |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427222561 PECOS PAC ID: 5890850721 Enrollment ID: I20230113001926 |
| Provider Name | Sarah A Verhagen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083139182 PECOS PAC ID: 6103297965 Enrollment ID: I20230114000216 |
| Provider Name | Cameron Huxford |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972671626 PECOS PAC ID: 0840280020 Enrollment ID: I20230119000711 |
| Provider Name | Anthy Demestihas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649363532 PECOS PAC ID: 8123002565 Enrollment ID: I20230124001021 |
| Provider Name | Rebecca H Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902523368 PECOS PAC ID: 3971974254 Enrollment ID: I20230124002846 |
| Provider Name | Stephanie J O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629683958 PECOS PAC ID: 1759752801 Enrollment ID: I20230127000919 |
| Provider Name | Kaylee Lynn Hawks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003520255 PECOS PAC ID: 6507238987 Enrollment ID: I20230213000724 |
| Provider Name | Katherine C Brey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720790298 PECOS PAC ID: 9133591522 Enrollment ID: I20230213001312 |
| Provider Name | Kevin J Kramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558076216 PECOS PAC ID: 9739551912 Enrollment ID: I20230216001658 |
| Provider Name | Tigist D Gemechu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518469782 PECOS PAC ID: 9234496498 Enrollment ID: I20230228002071 |
| Provider Name | Rick Avery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205490497 PECOS PAC ID: 7911371026 Enrollment ID: I20230313000513 |
| Provider Name | Ahmed U Otokiti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760867204 PECOS PAC ID: 9537410824 Enrollment ID: I20230316001775 |
| Provider Name | Nicole A Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609574573 PECOS PAC ID: 2860866654 Enrollment ID: I20230317001057 |
| Provider Name | Christopher L Klika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104539790 PECOS PAC ID: 0244604759 Enrollment ID: I20230324000518 |
| Provider Name | Rachel Kroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023776937 PECOS PAC ID: 7810387669 Enrollment ID: I20230411000492 |
| Provider Name | Erika L Behnke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861131682 PECOS PAC ID: 6709269871 Enrollment ID: I20230512000561 |
| Provider Name | Krista Michele Radish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669179552 PECOS PAC ID: 3779949383 Enrollment ID: I20230523002358 |
| Provider Name | Elizabeth M Collis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306532247 PECOS PAC ID: 9739546847 Enrollment ID: I20230606000393 |
| Provider Name | Michaela C Machurick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366137333 PECOS PAC ID: 9133586969 Enrollment ID: I20230608002956 |
| Provider Name | Olivia K Skoglind |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518650423 PECOS PAC ID: 8123485752 Enrollment ID: I20230613001117 |
| Provider Name | Joshua Denk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174147987 PECOS PAC ID: 2466876040 Enrollment ID: I20230627002735 |
| Provider Name | Michael K Ryan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124314612 PECOS PAC ID: 4981901436 Enrollment ID: I20230712000377 |
| Provider Name | Brandon M Sauer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992296735 PECOS PAC ID: 6204183288 Enrollment ID: I20230712001400 |
| Provider Name | Anna J Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831338219 PECOS PAC ID: 3779751003 Enrollment ID: I20230712002374 |
| Provider Name | Josie R Doxtater |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083391965 PECOS PAC ID: 7618337767 Enrollment ID: I20230720002023 |
| Provider Name | Justin N Bottsford-miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598986200 PECOS PAC ID: 0749446763 Enrollment ID: I20230807002139 |
| Provider Name | Joanie Columbia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558597526 PECOS PAC ID: 1557663028 Enrollment ID: I20230807003345 |
| Provider Name | Samantha Vouyiouklis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417577610 PECOS PAC ID: 7719300888 Enrollment ID: I20230807003351 |
| Provider Name | Samantha Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831728807 PECOS PAC ID: 6608290945 Enrollment ID: I20230808003634 |
| Provider Name | Bahareh N Alavi-dunn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447783501 PECOS PAC ID: 8022352095 Enrollment ID: I20230809000813 |
| Provider Name | Abdelouahid Souala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033600721 PECOS PAC ID: 4486901451 Enrollment ID: I20230809001790 |
| Provider Name | Sadaf Younis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538786157 PECOS PAC ID: 2668890500 Enrollment ID: I20230810001433 |
| Provider Name | Henry S Chan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780202259 PECOS PAC ID: 9931522562 Enrollment ID: I20230814003453 |
| Provider Name | Anna K Kutchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124703012 PECOS PAC ID: 7618339151 Enrollment ID: I20230815001706 |
| Provider Name | Megan Lyn Dietze-fiedler |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1699126052 PECOS PAC ID: 5799079703 Enrollment ID: I20230821001679 |
| Provider Name | James S Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144889205 PECOS PAC ID: 9739413568 Enrollment ID: I20230821001910 |
| Provider Name | Eren Erdem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306937271 PECOS PAC ID: 1456323039 Enrollment ID: I20230825000285 |
| Provider Name | Megan L Hetzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336828649 PECOS PAC ID: 9931562741 Enrollment ID: I20230828000568 |
| Provider Name | Holly A Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962181214 PECOS PAC ID: 6406219237 Enrollment ID: I20230828001480 |
| Provider Name | Lamia Aljundi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780030619 PECOS PAC ID: 6002101755 Enrollment ID: I20230906000406 |
| Provider Name | Stacey Lyn Vangrinsven |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104018514 PECOS PAC ID: 9739543943 Enrollment ID: I20230906002917 |
| Provider Name | Alexandra A Erdmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447607213 PECOS PAC ID: 7517250673 Enrollment ID: I20230913002203 |
| Provider Name | Kaitlan R Hoelz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598446197 PECOS PAC ID: 8729442140 Enrollment ID: I20230918002468 |
| Provider Name | Tyler Vandevoort |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326568270 PECOS PAC ID: 2163789348 Enrollment ID: I20230920001420 |
| Provider Name | Peter E Nicoloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518649367 PECOS PAC ID: 2668826512 Enrollment ID: I20230926001883 |
| Provider Name | Brittney Lemon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679094486 PECOS PAC ID: 9537536487 Enrollment ID: I20230927001816 |
| Provider Name | Kai Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932634110 PECOS PAC ID: 7214319524 Enrollment ID: I20230927002214 |
| Provider Name | Daniel C Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104074483 PECOS PAC ID: 8820140114 Enrollment ID: I20230927002421 |
| Provider Name | Sarah Sommermeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740515014 PECOS PAC ID: 3375951833 Enrollment ID: I20230928003905 |
| Provider Name | Jessica R Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801578703 PECOS PAC ID: 6103270822 Enrollment ID: I20230929000981 |
| Provider Name | Megan M Ritchay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801527684 PECOS PAC ID: 8123472784 Enrollment ID: I20230929003560 |
| Provider Name | Adele Amine |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891155099 PECOS PAC ID: 8325330285 Enrollment ID: I20231002001590 |
| Provider Name | Samantha J Seiltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629851134 PECOS PAC ID: 0840645958 Enrollment ID: I20231010001756 |
| Provider Name | Alexander C Barr |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174015176 PECOS PAC ID: 2163779802 Enrollment ID: I20231011002192 |
| Provider Name | Amy C Cavanaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477337061 PECOS PAC ID: 9537514559 Enrollment ID: I20231011003318 |
| Provider Name | Kristen B Spees |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982732434 PECOS PAC ID: 0840645743 Enrollment ID: I20231012002598 |
| Provider Name | Sahil Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932712593 PECOS PAC ID: 6507285020 Enrollment ID: I20231013001412 |
| Provider Name | Nicole M Reiland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881478386 PECOS PAC ID: 9234585068 Enrollment ID: I20231030002984 |
| Provider Name | John Demi Peters |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952838674 PECOS PAC ID: 2961884101 Enrollment ID: I20231030003559 |
| Provider Name | Ajhani Kesavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043837271 PECOS PAC ID: 1759708043 Enrollment ID: I20231114002156 |
| Provider Name | Jennifer Bea Resch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457032146 PECOS PAC ID: 1254785116 Enrollment ID: I20231129000334 |
| Provider Name | Molly J Piumbroeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447032107 PECOS PAC ID: 8527417914 Enrollment ID: I20231211002005 |
| Provider Name | Holly H Omar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104912120 PECOS PAC ID: 4082649934 Enrollment ID: I20231211002035 |
| Provider Name | Lisa M Tutskey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750305462 PECOS PAC ID: 3476903386 Enrollment ID: I20231219000674 |
| Provider Name | Dan J Braaten |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053477158 PECOS PAC ID: 0941650501 Enrollment ID: I20231221002853 |
| Provider Name | Ashley E Gardon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376889709 PECOS PAC ID: 2365892999 Enrollment ID: I20231222001671 |
| Provider Name | Kathleen A Barrow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144679481 PECOS PAC ID: 4284084823 Enrollment ID: I20231222002097 |
| Provider Name | Danielle M Casper |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043562648 PECOS PAC ID: 9537519087 Enrollment ID: I20231222002558 |
| Provider Name | Kristina K Hunter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457925430 PECOS PAC ID: 6406206911 Enrollment ID: I20231226001017 |
| Provider Name | Laurie L Sumnicht-pieper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447461975 PECOS PAC ID: 1456701960 Enrollment ID: I20231226001171 |
| Provider Name | Amos Thao |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295493245 PECOS PAC ID: 4284084617 Enrollment ID: I20231228000678 |
| Provider Name | Chasity L Schmeisser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477764520 PECOS PAC ID: 9436509718 Enrollment ID: I20231228002784 |
| Provider Name | Paula A Jakubowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174074900 PECOS PAC ID: 0840640165 Enrollment ID: I20231229000217 |
| Provider Name | Michael G Huber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265545057 PECOS PAC ID: 7810347077 Enrollment ID: I20231229001843 |
| Provider Name | Jenny M Hickey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407377633 PECOS PAC ID: 7911358700 Enrollment ID: I20240105001172 |
| Provider Name | Danielle C Mccole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194249599 PECOS PAC ID: 5294186573 Enrollment ID: I20240111000713 |
| Provider Name | William Weede |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255958914 PECOS PAC ID: 3779902341 Enrollment ID: I20240116001366 |
| Provider Name | Marie D. Ibarra Stafford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043763956 PECOS PAC ID: 6204288863 Enrollment ID: I20240118003864 |
| Provider Name | Teresa C Heatly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366466039 PECOS PAC ID: 7214072644 Enrollment ID: I20240123002116 |
| Provider Name | Rachel M Jolivard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720865629 PECOS PAC ID: 4183077977 Enrollment ID: I20240129001204 |
| Provider Name | Johnathan Au |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518463231 PECOS PAC ID: 2365797917 Enrollment ID: I20240130001226 |
| Provider Name | Dawn L Vardis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972749471 PECOS PAC ID: 1850734963 Enrollment ID: I20240206001881 |
| Provider Name | Steven S Wille |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851541080 PECOS PAC ID: 5294178208 Enrollment ID: I20240207000404 |
| Provider Name | Caleb J Vizina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750757522 PECOS PAC ID: 1658688338 Enrollment ID: I20240209000231 |
| Provider Name | Kathryn M. Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487852406 PECOS PAC ID: 1658714100 Enrollment ID: I20240212002515 |
| Provider Name | Panhia Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750156535 PECOS PAC ID: 9931544137 Enrollment ID: I20240227004091 |
| Provider Name | Benjamin M Lerner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629167622 PECOS PAC ID: 4284828740 Enrollment ID: I20240307001806 |
| Provider Name | Nicole A Meighen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689435943 PECOS PAC ID: 0042656852 Enrollment ID: I20240314001481 |
| Provider Name | Cynthia J Mantey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073381562 PECOS PAC ID: 8426495474 Enrollment ID: I20240326001978 |
| Provider Name | Cassandra L Vanstraten |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003478793 PECOS PAC ID: 4981042934 Enrollment ID: I20240409005037 |
| Provider Name | Jordan N Chingo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316305790 PECOS PAC ID: 2062850977 Enrollment ID: I20240410002285 |
| Provider Name | Brook A Coopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760241525 PECOS PAC ID: 5092154534 Enrollment ID: I20240417002494 |
| Provider Name | Dana I Tarandy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629001623 PECOS PAC ID: 7012911142 Enrollment ID: I20240424001028 |
| Provider Name | Nathan D Souheaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578276390 PECOS PAC ID: 5294105334 Enrollment ID: I20240430000836 |
| Provider Name | Courtney C Crouse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992199137 PECOS PAC ID: 9830418375 Enrollment ID: I20240430002026 |
| Provider Name | Courtney A Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104546399 PECOS PAC ID: 2264818574 Enrollment ID: I20240501000267 |
| Provider Name | Jennifer A Daggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801646245 PECOS PAC ID: 8224478334 Enrollment ID: I20240506001961 |
| Provider Name | Ahmed Elakkad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518461961 PECOS PAC ID: 5193142248 Enrollment ID: I20240513001013 |
Marsho Family Medical Group, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-451-3214 | |
Lakeshore Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1721 Saemann Avenue, Sheboygan, WI 53081 Phone: 920-783-6633 Fax: 920-783-6392 | |
Aurora Sheboygan Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Lakeshore Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S. 8th Street, Sheboygan, WI 53081 Phone: 920-783-6633 Fax: 920-783-6392 | |
Aurora Health Care Central, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5000 | |
Prevea Sheboygan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-803-1598 |