| Prohealth Physicians Pc | |
|
3 Farm Glen Blvd Prohealth Physicians Farmington CT 06032-1981 | |
| (860) 284-5200 | |
| (860) 409-4077 |
| Full Name | Prohealth Physicians Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3 Farm Glen Blvd, Farmington, Connecticut |
| Authorized Official Name and Position | Jennifer Donahue (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8602845207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prohealth Physicians Pc 3 Farm Glen Blvd Prohealth Physicians Farmington CT 06032-1981 Ph: (860) 284-5200 | Prohealth Physicians Pc 3 Farm Glen Blvd Prohealth Physicians Farmington CT 06032-1981 Ph: (860) 284-5200 |
| NPI Number | 1720194053 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 1355246950 |
|---|---|
| Medicare Enrollment ID | O20031205000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720194053 | NPI | - | NPPES |
| 004171659 | Other | CT | PED MEDICAID |
| 004174439 | Medicaid | CT | |
| 004174421 | Other | CT | FP MEDICAID |
| 004236073 | Other | CT | PT MEDICAID |
| C02126 | Other | CT | MEDICARE PTAN |
| Provider Name | Lisa C Alonso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093725970 PECOS PAC ID: 5799682530 Enrollment ID: I20031218000444 |
| Provider Name | Diane Cue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972514990 PECOS PAC ID: 6204733058 Enrollment ID: I20031218000463 |
| Provider Name | Allison H Whitaker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497767776 PECOS PAC ID: 0648177493 Enrollment ID: I20031218000471 |
| Provider Name | Allen F Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639163439 PECOS PAC ID: 9234038605 Enrollment ID: I20040105000606 |
| Provider Name | Brad A Jubelirer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205942554 PECOS PAC ID: 7416856778 Enrollment ID: I20040106000215 |
| Provider Name | Carrie Streim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972514354 PECOS PAC ID: 4385543651 Enrollment ID: I20040106000247 |
| Provider Name | Cecille Freilich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962414490 PECOS PAC ID: 6901705276 Enrollment ID: I20040106000255 |
| Provider Name | Leah G Post |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871506816 PECOS PAC ID: 0547169815 Enrollment ID: I20040106000259 |
| Provider Name | Maury R Luxemburg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174533186 PECOS PAC ID: 7517866890 Enrollment ID: I20040106000329 |
| Provider Name | Thomas G Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417969841 PECOS PAC ID: 1052210101 Enrollment ID: I20040107000732 |
| Provider Name | Christopher C Lawrence |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790798742 PECOS PAC ID: 5294634366 Enrollment ID: I20040107000790 |
| Provider Name | Steven L Craig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730190737 PECOS PAC ID: 1254230329 Enrollment ID: I20040107000811 |
| Provider Name | Rosemary I Maduka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356374508 PECOS PAC ID: 2466351432 Enrollment ID: I20040108000302 |
| Provider Name | Michael D Good |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104936905 PECOS PAC ID: 5092615955 Enrollment ID: I20040109000019 |
| Provider Name | Vandana Sacheti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114930070 PECOS PAC ID: 1456251156 Enrollment ID: I20040109000782 |
| Provider Name | A E Hertzler Knox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255344321 PECOS PAC ID: 9133020779 Enrollment ID: I20040116000678 |
| Provider Name | David G Tillinghast |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689685992 PECOS PAC ID: 4284533548 Enrollment ID: I20040116000721 |
| Provider Name | Yusra Anis Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992767826 PECOS PAC ID: 2668373101 Enrollment ID: I20040116000775 |
| Provider Name | Mark Tuttle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194737130 PECOS PAC ID: 3274434741 Enrollment ID: I20040116000909 |
| Provider Name | Chris Bentley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770594111 PECOS PAC ID: 7618878182 Enrollment ID: I20040116000923 |
| Provider Name | Susan Buchek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174534408 PECOS PAC ID: 9133020605 Enrollment ID: I20040116000947 |
| Provider Name | James A Ouellette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457364564 PECOS PAC ID: 8729984679 Enrollment ID: I20040116000967 |
| Provider Name | Douglas H Macgilpin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023083573 PECOS PAC ID: 8921900549 Enrollment ID: I20040123000763 |
| Provider Name | Robert S Adamenko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629040100 PECOS PAC ID: 3072416890 Enrollment ID: I20040129000650 |
| Provider Name | William J Brownstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518978808 PECOS PAC ID: 8224931779 Enrollment ID: I20040130000875 |
| Provider Name | Melanie A Mollica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649281544 PECOS PAC ID: 4284527367 Enrollment ID: I20040203000855 |
| Provider Name | Barbara Pokorny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760495782 PECOS PAC ID: 6103710181 Enrollment ID: I20040211000043 |
| Provider Name | Karen Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881692812 PECOS PAC ID: 3375430903 Enrollment ID: I20040301000056 |
| Provider Name | J Carey Laporte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609889641 PECOS PAC ID: 7810884111 Enrollment ID: I20040302000419 |
| Provider Name | Kevin J Flanagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013981471 PECOS PAC ID: 0143118091 Enrollment ID: I20040310000982 |
| Provider Name | Sharon G Remkiewicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497709323 PECOS PAC ID: 4789574252 Enrollment ID: I20040318000166 |
| Provider Name | Candra Smith Slatas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871504712 PECOS PAC ID: 0840180089 Enrollment ID: I20040319000366 |
| Provider Name | Nancy Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447260385 PECOS PAC ID: 7810888468 Enrollment ID: I20040323000605 |
| Provider Name | Kevin L Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851362180 PECOS PAC ID: 8729070008 Enrollment ID: I20040330001122 |
| Provider Name | Sandra I Escalera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669451530 PECOS PAC ID: 9739171133 Enrollment ID: I20040402000816 |
| Provider Name | John B Trouern-trend |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124039466 PECOS PAC ID: 2365439445 Enrollment ID: I20040429000870 |
| Provider Name | Correne L Boucher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659382000 PECOS PAC ID: 9032108923 Enrollment ID: I20040506001515 |
| Provider Name | Nirmala Ramadhar- Persaud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801872528 PECOS PAC ID: 3870582331 Enrollment ID: I20040510000872 |
| Provider Name | Karen E Coblens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063479848 PECOS PAC ID: 6204825342 Enrollment ID: I20040512000424 |
| Provider Name | Gerald Bayona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780695692 PECOS PAC ID: 5193715381 Enrollment ID: I20040518000858 |
| Provider Name | Sheldon Nova |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285672857 PECOS PAC ID: 6305824525 Enrollment ID: I20040714000344 |
| Provider Name | Steven C Lieu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629001300 PECOS PAC ID: 2668452673 Enrollment ID: I20040721000850 |
| Provider Name | Tanya R Bilchik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881668101 PECOS PAC ID: 1850361635 Enrollment ID: I20040729000016 |
| Provider Name | Joann M Orsatti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013012855 PECOS PAC ID: 0345213567 Enrollment ID: I20040817000106 |
| Provider Name | Suzanne Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669407409 PECOS PAC ID: 0042285892 Enrollment ID: I20040826000693 |
| Provider Name | Paul Fitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881628147 PECOS PAC ID: 6204801228 Enrollment ID: I20040901000585 |
| Provider Name | Joseph R Coppa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427100403 PECOS PAC ID: 3971570474 Enrollment ID: I20040914000845 |
| Provider Name | Mary E Baldino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417958364 PECOS PAC ID: 8426012949 Enrollment ID: I20041115001112 |
| Provider Name | Kurt R Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942211420 PECOS PAC ID: 6103881735 Enrollment ID: I20041123000675 |
| Provider Name | Suzanne M Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013905363 PECOS PAC ID: 5890751887 Enrollment ID: I20041201000836 |
| Provider Name | Julian Jose Esteban |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447228770 PECOS PAC ID: 8628034543 Enrollment ID: I20041202000700 |
| Provider Name | Amy L Baumer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104837087 PECOS PAC ID: 7315903663 Enrollment ID: I20041208000358 |
| Provider Name | Gretchen T Michaelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508898800 PECOS PAC ID: 2163471038 Enrollment ID: I20050118000669 |
| Provider Name | Lorissa R Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619040417 PECOS PAC ID: 6305891888 Enrollment ID: I20050317000416 |
| Provider Name | Susan E Lelko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588677553 PECOS PAC ID: 6901847706 Enrollment ID: I20050520000863 |
| Provider Name | Rebekah Pointek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144299694 PECOS PAC ID: 2860429248 Enrollment ID: I20050719000153 |
| Provider Name | Obinna I Maduka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710065917 PECOS PAC ID: 6002846409 Enrollment ID: I20050817000185 |
| Provider Name | Anne E Youngling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245242643 PECOS PAC ID: 3375573595 Enrollment ID: I20050817000842 |
| Provider Name | Michelle R Foye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841255221 PECOS PAC ID: 1153351119 Enrollment ID: I20050818000895 |
| Provider Name | Dana C Ranani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275546244 PECOS PAC ID: 0042241291 Enrollment ID: I20050826000632 |
| Provider Name | Timothy E Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003860891 PECOS PAC ID: 4486671906 Enrollment ID: I20051025000027 |
| Provider Name | Richard J Sekerak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780790584 PECOS PAC ID: 5092734574 Enrollment ID: I20051114000874 |
| Provider Name | Edmund A Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881616894 PECOS PAC ID: 5698797488 Enrollment ID: I20051221000254 |
| Provider Name | Laura A Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326152414 PECOS PAC ID: 7113993791 Enrollment ID: I20060112000847 |
| Provider Name | Tracy A Noell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235174186 PECOS PAC ID: 0244244424 Enrollment ID: I20060126000473 |
| Provider Name | Melissa M Klaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124136353 PECOS PAC ID: 1951315753 Enrollment ID: I20060201000091 |
| Provider Name | Surendran R Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891795316 PECOS PAC ID: 9931168820 Enrollment ID: I20060210000065 |
| Provider Name | Joseph A Babiarz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831109750 PECOS PAC ID: 6103831672 Enrollment ID: I20060221000145 |
| Provider Name | Martha Severino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427016104 PECOS PAC ID: 0446260327 Enrollment ID: I20060424000307 |
| Provider Name | Jack H Adler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851301709 PECOS PAC ID: 6608886239 Enrollment ID: I20060427000163 |
| Provider Name | Arjun Banerjee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629021183 PECOS PAC ID: 3173534450 Enrollment ID: I20060530000085 |
| Provider Name | Jawad Haider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194773564 PECOS PAC ID: 0749292522 Enrollment ID: I20060616000169 |
| Provider Name | Erica P Colavolpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598860132 PECOS PAC ID: 0840296976 Enrollment ID: I20061013000334 |
| Provider Name | Richard M Shoup |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518930957 PECOS PAC ID: 9133125024 Enrollment ID: I20061017000403 |
| Provider Name | Traci A Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194839506 PECOS PAC ID: 4486651296 Enrollment ID: I20061108000331 |
| Provider Name | David Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306954896 PECOS PAC ID: 6305840133 Enrollment ID: I20061219000123 |
| Provider Name | Xiaoming Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881626638 PECOS PAC ID: 2264433168 Enrollment ID: I20070119000232 |
| Provider Name | Ellen Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710058144 PECOS PAC ID: 9335140292 Enrollment ID: I20070122000072 |
| Provider Name | David A Klapper |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1346218146 PECOS PAC ID: 8123064169 Enrollment ID: I20070123000459 |
| Provider Name | Victoria R Dauphinais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871593939 PECOS PAC ID: 1759383656 Enrollment ID: I20070206000326 |
| Provider Name | Lisa Knicos |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992863799 PECOS PAC ID: 2466454368 Enrollment ID: I20070206000352 |
| Provider Name | Clifford B Rosenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124061437 PECOS PAC ID: 0648375576 Enrollment ID: I20070420000293 |
| Provider Name | Madalina I Raut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649219064 PECOS PAC ID: 3274512553 Enrollment ID: I20070423000308 |
| Provider Name | Laura M Welsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215067772 PECOS PAC ID: 2668578246 Enrollment ID: I20070427000113 |
| Provider Name | Arthur C Catsam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700878063 PECOS PAC ID: 9537267877 Enrollment ID: I20070609000017 |
| Provider Name | Gunjan Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508875089 PECOS PAC ID: 7810991700 Enrollment ID: I20070612000531 |
| Provider Name | Seth M Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679611701 PECOS PAC ID: 7214038231 Enrollment ID: I20070720000497 |
| Provider Name | Tina Roman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851304869 PECOS PAC ID: 7618078007 Enrollment ID: I20070730000548 |
| Provider Name | Hyoungsup Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174512735 PECOS PAC ID: 2062440266 Enrollment ID: I20070817000255 |
| Provider Name | Stephen G Wolfe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730245606 PECOS PAC ID: 0042302879 Enrollment ID: I20070823000722 |
| Provider Name | Karl M Dauphinais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548467897 PECOS PAC ID: 9335231810 Enrollment ID: I20070829000071 |
| Provider Name | Amy Wisniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932392651 PECOS PAC ID: 2961596432 Enrollment ID: I20070915000038 |
| Provider Name | Renika N Mcleod-labissiere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578648606 PECOS PAC ID: 0749261642 Enrollment ID: I20071002000569 |
| Provider Name | Kevin M Baran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124239728 PECOS PAC ID: 5193811370 Enrollment ID: I20071018000780 |
| Provider Name | Jong Gil Oh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245296573 PECOS PAC ID: 4486630431 Enrollment ID: I20071031000382 |
| Provider Name | Sarah D Matterfis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730238189 PECOS PAC ID: 4688750870 Enrollment ID: I20080328000108 |
| Provider Name | Craig M Keanna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881635662 PECOS PAC ID: 6406927003 Enrollment ID: I20080625000014 |
| Provider Name | Mark A Sabo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497954184 PECOS PAC ID: 6103990965 Enrollment ID: I20080729000178 |
| Provider Name | Shawn Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427137249 PECOS PAC ID: 8527133487 Enrollment ID: I20080813000923 |
| Provider Name | Vivian P Tsuei |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609814987 PECOS PAC ID: 4486549987 Enrollment ID: I20080919000028 |
| Provider Name | Lynne V Savino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700091774 PECOS PAC ID: 0143389569 Enrollment ID: I20081030000147 |
| Provider Name | Jennifer L Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730117938 PECOS PAC ID: 1254326523 Enrollment ID: I20081030000389 |
| Provider Name | Matthew Friedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437155850 PECOS PAC ID: 5294895553 Enrollment ID: I20081118000035 |
| Provider Name | Margaret Brigham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982615258 PECOS PAC ID: 6507926342 Enrollment ID: I20081124000284 |
| Provider Name | Shilpa Rajashekar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912183187 PECOS PAC ID: 1850452368 Enrollment ID: I20081202000806 |
| Provider Name | Susan M Meissner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770579575 PECOS PAC ID: 2264593433 Enrollment ID: I20081205000471 |
| Provider Name | Ivelisse Rivera Godreau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407881626 PECOS PAC ID: 7416955695 Enrollment ID: I20081208000200 |
| Provider Name | Jacqueline Sloan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902803299 PECOS PAC ID: 7113081852 Enrollment ID: I20090126000275 |
| Provider Name | Christy L Aurigemma |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013130392 PECOS PAC ID: 2567526924 Enrollment ID: I20090129000352 |
| Provider Name | Munish K Shastri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649280538 PECOS PAC ID: 5799840575 Enrollment ID: I20090211000016 |
| Provider Name | Heather M Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497714539 PECOS PAC ID: 1456418268 Enrollment ID: I20090324000005 |
| Provider Name | Joy A Arico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295938520 PECOS PAC ID: 6800953324 Enrollment ID: I20090326000480 |
| Provider Name | Christopher Napp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851388615 PECOS PAC ID: 9830247535 Enrollment ID: I20090507000408 |
| Provider Name | Joseph A Newell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508958943 PECOS PAC ID: 8325197163 Enrollment ID: I20090527000266 |
| Provider Name | Jennifer S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649415977 PECOS PAC ID: 9436209376 Enrollment ID: I20090615000371 |
| Provider Name | Elizabeth J Northrop |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700060068 PECOS PAC ID: 3870645740 Enrollment ID: I20090723000639 |
| Provider Name | Tammy Mayo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184758039 PECOS PAC ID: 0244383750 Enrollment ID: I20090731000211 |
| Provider Name | Jennifer L Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710145552 PECOS PAC ID: 2668526625 Enrollment ID: I20090811000311 |
| Provider Name | Belachew Tessema |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417005000 PECOS PAC ID: 9638223381 Enrollment ID: I20090815000119 |
| Provider Name | Dorothy Fojtik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720012727 PECOS PAC ID: 4486649860 Enrollment ID: I20090826000231 |
| Provider Name | Monika Chaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487886818 PECOS PAC ID: 2365597788 Enrollment ID: I20090908000335 |
| Provider Name | Ivette E Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134109374 PECOS PAC ID: 1658427562 Enrollment ID: I20090917000629 |
| Provider Name | Maria G De Sousa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548450422 PECOS PAC ID: 1052467826 Enrollment ID: I20090918000551 |
| Provider Name | Denes Balazs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982610192 PECOS PAC ID: 7911043534 Enrollment ID: I20091012000323 |
| Provider Name | Deedee S Greco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154655751 PECOS PAC ID: 5395882682 Enrollment ID: I20091019000375 |
| Provider Name | Steven W Luger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811964752 PECOS PAC ID: 2062551419 Enrollment ID: I20091125000169 |
| Provider Name | Lynn F Firestone |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992708226 PECOS PAC ID: 8729127071 Enrollment ID: I20091130000617 |
| Provider Name | Michael D Baldwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104895382 PECOS PAC ID: 6800935834 Enrollment ID: I20091203000471 |
| Provider Name | Andrew B Schachter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790798650 PECOS PAC ID: 3274672043 Enrollment ID: I20091208000440 |
| Provider Name | Gregg H Grinspan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568558690 PECOS PAC ID: 4183707441 Enrollment ID: I20091210000251 |
| Provider Name | Keith Sinusas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063482909 PECOS PAC ID: 8527108737 Enrollment ID: I20091221000092 |
| Provider Name | James A Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437162583 PECOS PAC ID: 0244370351 Enrollment ID: I20091222000278 |
| Provider Name | Steven M Curland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609982560 PECOS PAC ID: 1850431966 Enrollment ID: I20091222000313 |
| Provider Name | John Schifferdecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255344123 PECOS PAC ID: 4183764293 Enrollment ID: I20091222000347 |
| Provider Name | Richard Truex |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568473825 PECOS PAC ID: 8527108638 Enrollment ID: I20091222000365 |
| Provider Name | John F Mullaney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669484929 PECOS PAC ID: 9436299559 Enrollment ID: I20091222000379 |
| Provider Name | David Mintell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366453243 PECOS PAC ID: 8426198540 Enrollment ID: I20091222000386 |
| Provider Name | Stuart Genser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871505313 PECOS PAC ID: 3375683493 Enrollment ID: I20091222000416 |
| Provider Name | Cheryl Laflamme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760495881 PECOS PAC ID: 7618017690 Enrollment ID: I20091223000270 |
| Provider Name | Herbert J Keating |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588676852 PECOS PAC ID: 3173663168 Enrollment ID: I20091223000357 |
| Provider Name | David S Salm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184727273 PECOS PAC ID: 5890835888 Enrollment ID: I20091223000365 |
| Provider Name | Stuart E Herlands |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336150309 PECOS PAC ID: 8527964477 Enrollment ID: I20091223000385 |
| Provider Name | Paul M Vella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447263546 PECOS PAC ID: 0941340947 Enrollment ID: I20091223000402 |
| Provider Name | Terrence W Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982617833 PECOS PAC ID: 1153461165 Enrollment ID: I20091223000455 |
| Provider Name | Alla Bernshteyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063499507 PECOS PAC ID: 6103874516 Enrollment ID: I20091230000317 |
| Provider Name | Daniel B Novak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871506949 PECOS PAC ID: 9234271164 Enrollment ID: I20100115000115 |
| Provider Name | Rubin W Hirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225049240 PECOS PAC ID: 1557403490 Enrollment ID: I20100115000183 |
| Provider Name | Timothy J Buckley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558372805 PECOS PAC ID: 4880736727 Enrollment ID: I20100115000219 |
| Provider Name | Michael M Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710990817 PECOS PAC ID: 9032251749 Enrollment ID: I20100119000397 |
| Provider Name | Richard G Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861505588 PECOS PAC ID: 0042352767 Enrollment ID: I20100119000479 |
| Provider Name | Geetha Gangu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235102138 PECOS PAC ID: 4789726126 Enrollment ID: I20100122000203 |
| Provider Name | Antonio Scappaticci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124031075 PECOS PAC ID: 1951444132 Enrollment ID: I20100210000512 |
| Provider Name | Mary Armetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972580819 PECOS PAC ID: 7012050115 Enrollment ID: I20100211000082 |
| Provider Name | Stephen Yoelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306856463 PECOS PAC ID: 6103960968 Enrollment ID: I20100217000094 |
| Provider Name | Rebecca L Randazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801123849 PECOS PAC ID: 5799820536 Enrollment ID: I20100304000823 |
| Provider Name | Charles J Licata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538172523 PECOS PAC ID: 1052456365 Enrollment ID: I20100310000788 |
| Provider Name | Joseph J Guardino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295746667 PECOS PAC ID: 1759417165 Enrollment ID: I20100324001043 |
| Provider Name | Zbigniew Woznica |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174536486 PECOS PAC ID: 9335275775 Enrollment ID: I20100325000069 |
| Provider Name | Christopher J Mc Dermott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396738076 PECOS PAC ID: 4385770007 Enrollment ID: I20100331001070 |
| Provider Name | Devika R Kasaraneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366454795 PECOS PAC ID: 9830226117 Enrollment ID: I20100419000119 |
| Provider Name | Michael Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831101443 PECOS PAC ID: 4688701345 Enrollment ID: I20100429000017 |
| Provider Name | Carol Weitzman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134102379 PECOS PAC ID: 6002944501 Enrollment ID: I20100504000233 |
| Provider Name | Rita C Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396980314 PECOS PAC ID: 4385772326 Enrollment ID: I20100512000308 |
| Provider Name | Susan S Neagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508099243 PECOS PAC ID: 9739217704 Enrollment ID: I20100512000566 |
| Provider Name | Annette Eppler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518199769 PECOS PAC ID: 0547398554 Enrollment ID: I20100512001016 |
| Provider Name | Elzbieta L Piekarz-dyjak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598864217 PECOS PAC ID: 7618055575 Enrollment ID: I20100519000008 |
| Provider Name | Andrew H Selinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114937141 PECOS PAC ID: 5294864245 Enrollment ID: I20100601000063 |
| Provider Name | Paul Dolinsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942212998 PECOS PAC ID: 5698804698 Enrollment ID: I20100601000656 |
| Provider Name | Stephen N Grimaldi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831101229 PECOS PAC ID: 2062541071 Enrollment ID: I20100601000768 |
| Provider Name | Elizabeth T Pericat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154334274 PECOS PAC ID: 7810026648 Enrollment ID: I20100603000427 |
| Provider Name | Shiji A Isaac |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528112299 PECOS PAC ID: 5698805018 Enrollment ID: I20100611000159 |
| Provider Name | Lois Heinemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760493019 PECOS PAC ID: 7214067644 Enrollment ID: I20100611000291 |
| Provider Name | Nancy H Hurlburt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952313694 PECOS PAC ID: 1355471434 Enrollment ID: I20100616000631 |
| Provider Name | Lea Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205847134 PECOS PAC ID: 7012047038 Enrollment ID: I20100617000252 |
| Provider Name | Anthony A Mascia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306856281 PECOS PAC ID: 0345370383 Enrollment ID: I20100617000431 |
| Provider Name | Jonathan Rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215940135 PECOS PAC ID: 9537065487 Enrollment ID: I20100621000245 |
| Provider Name | Jeffrey R Goldberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093723983 PECOS PAC ID: 9537299425 Enrollment ID: I20100621000442 |
| Provider Name | Robert W Kyrcz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346253457 PECOS PAC ID: 7517098403 Enrollment ID: I20100621000476 |
| Provider Name | Christopher S Curdo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497766422 PECOS PAC ID: 7416088307 Enrollment ID: I20100621000493 |
| Provider Name | Mario Amleto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447260336 PECOS PAC ID: 5395876288 Enrollment ID: I20100621000538 |
| Provider Name | Elizabeth Solano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275544157 PECOS PAC ID: 7719885391 Enrollment ID: I20100621000550 |
| Provider Name | Benjamin Kahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255447504 PECOS PAC ID: 3274664164 Enrollment ID: I20100621000574 |
| Provider Name | Stacey T Unsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023020070 PECOS PAC ID: 8921139718 Enrollment ID: I20100622000877 |
| Provider Name | Samuel K Anyatonwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023028933 PECOS PAC ID: 8921139759 Enrollment ID: I20100623000332 |
| Provider Name | Tatiana K Feld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083626774 PECOS PAC ID: 2163553918 Enrollment ID: I20100623000656 |
| Provider Name | Carlos R Valentin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366454357 PECOS PAC ID: 8628109493 Enrollment ID: I20100623000891 |
| Provider Name | Penny Mcevoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801806724 PECOS PAC ID: 6002947413 Enrollment ID: I20100629000679 |
| Provider Name | Amor C Lomibao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760495683 PECOS PAC ID: 0941332894 Enrollment ID: I20100713000453 |
| Provider Name | Kerline A Vassell-klaus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427134766 PECOS PAC ID: 5294867966 Enrollment ID: I20100715000323 |
| Provider Name | Joshua Fink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861551145 PECOS PAC ID: 7810029386 Enrollment ID: I20100719000665 |
| Provider Name | Tamar R Braverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639185093 PECOS PAC ID: 4688706088 Enrollment ID: I20100721000212 |
| Provider Name | Felicia Wilion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538171822 PECOS PAC ID: 3971636630 Enrollment ID: I20100802000188 |
| Provider Name | Laura J Pickett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306826748 PECOS PAC ID: 8628101300 Enrollment ID: I20100802000410 |
| Provider Name | Stephen Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386655694 PECOS PAC ID: 9032242763 Enrollment ID: I20100802000954 |
| Provider Name | Thomas P Meehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750301958 PECOS PAC ID: 8921131376 Enrollment ID: I20100805000197 |
| Provider Name | Joy E Hong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669484630 PECOS PAC ID: 1254464597 Enrollment ID: I20100806000208 |
| Provider Name | Daniel R Tardif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538170980 PECOS PAC ID: 6103959465 Enrollment ID: I20100806000413 |
| Provider Name | David Edelheit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558338004 PECOS PAC ID: 0446383657 Enrollment ID: I20100809000149 |
| Provider Name | Anil Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225272529 PECOS PAC ID: 3476687575 Enrollment ID: I20100811000513 |
| Provider Name | Fauzia Beig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467659011 PECOS PAC ID: 8527192459 Enrollment ID: I20100814000100 |
| Provider Name | Emily Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710989520 PECOS PAC ID: 3173647013 Enrollment ID: I20100831000004 |
| Provider Name | Robert L Wenick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508820598 PECOS PAC ID: 0143344952 Enrollment ID: I20100831000872 |
| Provider Name | James Finnerty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437154663 PECOS PAC ID: 9436189495 Enrollment ID: I20100831000889 |
| Provider Name | Sean Mcgrade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346205770 PECOS PAC ID: 9931223740 Enrollment ID: I20100831000910 |
| Provider Name | Thomas P Whelan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720043227 PECOS PAC ID: 4385768191 Enrollment ID: I20100831000933 |
| Provider Name | Svetlana Tikhomirova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689631467 PECOS PAC ID: 4183748999 Enrollment ID: I20100831000955 |
| Provider Name | Jeffrey Scott Metzger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558328344 PECOS PAC ID: 3072637883 Enrollment ID: I20100831000971 |
| Provider Name | Martin Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902863798 PECOS PAC ID: 4082605407 Enrollment ID: I20100831000980 |
| Provider Name | Stanley Babu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700935525 PECOS PAC ID: 6507906807 Enrollment ID: I20100924000197 |
| Provider Name | Patricia C Mcivor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821102914 PECOS PAC ID: 2961528799 Enrollment ID: I20100929000464 |
| Provider Name | Serle Mindell Epstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912991175 PECOS PAC ID: 6204938475 Enrollment ID: I20101004000085 |
| Provider Name | Lakshmi Babu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720139843 PECOS PAC ID: 0749348415 Enrollment ID: I20101005000942 |
| Provider Name | Wendy Maki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407991888 PECOS PAC ID: 1759283062 Enrollment ID: I20101008000070 |
| Provider Name | Jennifer Donahue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275647448 PECOS PAC ID: 8820280837 Enrollment ID: I20101008000889 |
| Provider Name | David A Pazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710022264 PECOS PAC ID: 3072415397 Enrollment ID: I20101027000992 |
| Provider Name | Angelee Carta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093782450 PECOS PAC ID: 2365637113 Enrollment ID: I20101108000029 |
| Provider Name | Bjorn Ringstad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699707448 PECOS PAC ID: 4385606433 Enrollment ID: I20101123000309 |
| Provider Name | Bhavna Sacheti Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104048610 PECOS PAC ID: 0244428456 Enrollment ID: I20110103000320 |
| Provider Name | Alex Faustin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346440237 PECOS PAC ID: 4789878968 Enrollment ID: I20110112000654 |
| Provider Name | Spencer Guy Erman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144206699 PECOS PAC ID: 2668653106 Enrollment ID: I20110216001026 |
| Provider Name | Irsal P Cabahug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477870756 PECOS PAC ID: 3476734575 Enrollment ID: I20110223000113 |
| Provider Name | Elizabeth G Shinkevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285942961 PECOS PAC ID: 2961683859 Enrollment ID: I20110225000183 |
| Provider Name | Drew Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487744934 PECOS PAC ID: 8426050378 Enrollment ID: I20110303000004 |
| Provider Name | Karen Cadman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437127370 PECOS PAC ID: 8820270689 Enrollment ID: I20110315000879 |
| Provider Name | Sandra Peccerillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932101854 PECOS PAC ID: 7214111046 Enrollment ID: I20110401000885 |
| Provider Name | Bernadette Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215233853 PECOS PAC ID: 2961686266 Enrollment ID: I20110412000175 |
| Provider Name | Payton D Turpin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154485472 PECOS PAC ID: 1658454913 Enrollment ID: I20110505000379 |
| Provider Name | Sharon Kandro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528181716 PECOS PAC ID: 0648455659 Enrollment ID: I20110505000801 |
| Provider Name | Robert E Parnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740257211 PECOS PAC ID: 4082890793 Enrollment ID: I20110513000515 |
| Provider Name | Margaret Woznica |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1154399558 PECOS PAC ID: 4183800675 Enrollment ID: I20110518000175 |
| Provider Name | Margot H Dayton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386829893 PECOS PAC ID: 6204012727 Enrollment ID: I20110518000534 |
| Provider Name | Kerri Ann Fraterrigo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659571750 PECOS PAC ID: 4284810516 Enrollment ID: I20110520000253 |
| Provider Name | Craig W Czarsty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639104680 PECOS PAC ID: 4183800360 Enrollment ID: I20110526000055 |
| Provider Name | Vijai B Muthukrishnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003016270 PECOS PAC ID: 3678750494 Enrollment ID: I20110603000414 |
| Provider Name | Benjamin J Wycherly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932356508 PECOS PAC ID: 2062695471 Enrollment ID: I20110909002472 |
| Provider Name | Mary Angela Glenn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790845949 PECOS PAC ID: 1456522135 Enrollment ID: I20110929000571 |
| Provider Name | Jessica Palozie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881901742 PECOS PAC ID: 6305018045 Enrollment ID: I20110930000486 |
| Provider Name | Christopher Jon Doan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871754945 PECOS PAC ID: 2961674239 Enrollment ID: I20111010000237 |
| Provider Name | Carol J Fiftal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548331374 PECOS PAC ID: 6901078294 Enrollment ID: I20111010000471 |
| Provider Name | Michael E Blefeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104997923 PECOS PAC ID: 4385816529 Enrollment ID: I20111011000638 |
| Provider Name | Heidi M Smolka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124329461 PECOS PAC ID: 7810169091 Enrollment ID: I20111012000283 |
| Provider Name | Gordon L Brodie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114995016 PECOS PAC ID: 8527230663 Enrollment ID: I20111021000546 |
| Provider Name | Marissa L Lahaie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114208758 PECOS PAC ID: 9133392236 Enrollment ID: I20111107000278 |
| Provider Name | Ekta Khanna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154586691 PECOS PAC ID: 9830365899 Enrollment ID: I20111222000407 |
| Provider Name | Bernard A Giserman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467552166 PECOS PAC ID: 4082880968 Enrollment ID: I20111223000058 |
| Provider Name | Owen R Ehrlich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295835999 PECOS PAC ID: 8527234400 Enrollment ID: I20111223000063 |
| Provider Name | Kaitlin Adams Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710269725 PECOS PAC ID: 3779759360 Enrollment ID: I20120103000605 |
| Provider Name | Sarah Annette Diramio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013147305 PECOS PAC ID: 8527104553 Enrollment ID: I20120109000674 |
| Provider Name | Georgia Sterpka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548537731 PECOS PAC ID: 9032386826 Enrollment ID: I20120119000240 |
| Provider Name | Mark Gregorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598066698 PECOS PAC ID: 6103093448 Enrollment ID: I20120127000001 |
| Provider Name | Lacy C Birdseye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972872463 PECOS PAC ID: 4981861408 Enrollment ID: I20120210000067 |
| Provider Name | Cheryl A Cuozzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063791622 PECOS PAC ID: 8224297635 Enrollment ID: I20120305000237 |
| Provider Name | Jessica M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134350432 PECOS PAC ID: 7719026293 Enrollment ID: I20120418000273 |
| Provider Name | Florence A Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164665774 PECOS PAC ID: 3375706740 Enrollment ID: I20120522001029 |
| Provider Name | William R Mcqueen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376594531 PECOS PAC ID: 9032004544 Enrollment ID: I20120801000000 |
| Provider Name | James Ocampo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720221344 PECOS PAC ID: 4385890813 Enrollment ID: I20120815000670 |
| Provider Name | Patricia L Woessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942562707 PECOS PAC ID: 4183871502 Enrollment ID: I20120820000945 |
| Provider Name | Kasia Koziol Dube |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801024302 PECOS PAC ID: 0547418550 Enrollment ID: I20120918000002 |
| Provider Name | Allyson L Salek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942474739 PECOS PAC ID: 5698816049 Enrollment ID: I20120926000751 |
| Provider Name | Demetra Eleftheriou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104838812 PECOS PAC ID: 3577689843 Enrollment ID: I20121004000669 |
| Provider Name | Aericka R Khongdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710234448 PECOS PAC ID: 7113177601 Enrollment ID: I20121018000135 |
| Provider Name | Antigona M Ajro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942550991 PECOS PAC ID: 0446400873 Enrollment ID: I20121022000190 |
| Provider Name | Cathryn Lefebvre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831447481 PECOS PAC ID: 3476705427 Enrollment ID: I20121220000304 |
| Provider Name | Lolither R Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149604 PECOS PAC ID: 2062665466 Enrollment ID: I20130116000057 |
| Provider Name | Emily J Tuozzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497004402 PECOS PAC ID: 8527203777 Enrollment ID: I20130318000498 |
| Provider Name | Monique R Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932362522 PECOS PAC ID: 4587814116 Enrollment ID: I20130520000639 |
| Provider Name | Alison D Sturm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316025661 PECOS PAC ID: 2062685381 Enrollment ID: I20130621000002 |
| Provider Name | Brett Nowlan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861688772 PECOS PAC ID: 2860631769 Enrollment ID: I20130626000311 |
| Provider Name | Elizabeth Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689010522 PECOS PAC ID: 0042451296 Enrollment ID: I20130730000911 |
| Provider Name | Angela Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730315458 PECOS PAC ID: 1658513536 Enrollment ID: I20130805000862 |
| Provider Name | Dana E Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538417761 PECOS PAC ID: 1355583402 Enrollment ID: I20130820000466 |
| Provider Name | Jill E Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154574416 PECOS PAC ID: 2860552825 Enrollment ID: I20130920000635 |
| Provider Name | Sarah F Arseneault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235437468 PECOS PAC ID: 6204070659 Enrollment ID: I20130925000140 |
| Provider Name | Thomas H Gorin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942258157 PECOS PAC ID: 0840424644 Enrollment ID: I20131010000692 |
| Provider Name | Tigist D Ashagari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619246667 PECOS PAC ID: 0345474862 Enrollment ID: I20131015002221 |
| Provider Name | Craig R Elliott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275581472 PECOS PAC ID: 5395979793 Enrollment ID: I20131017000693 |
| Provider Name | Julia M Toto |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407018419 PECOS PAC ID: 8426220500 Enrollment ID: I20131024000879 |
| Provider Name | Diana N Striffler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174861702 PECOS PAC ID: 9931334083 Enrollment ID: I20131028001239 |
| Provider Name | Anne Willenborg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801844006 PECOS PAC ID: 3779719471 Enrollment ID: I20131203000759 |
| Provider Name | Cynthia A Gruss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689694754 PECOS PAC ID: 6002042603 Enrollment ID: I20131203001273 |
| Provider Name | Margaret O Omojola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285070854 PECOS PAC ID: 7517195076 Enrollment ID: I20140109000112 |
| Provider Name | Alison Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891129953 PECOS PAC ID: 2668600792 Enrollment ID: I20140116000825 |
| Provider Name | Katarzyna Noonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811207442 PECOS PAC ID: 1153559976 Enrollment ID: I20140124000037 |
| Provider Name | Catherine M Demers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487085593 PECOS PAC ID: 1052540838 Enrollment ID: I20140128001212 |
| Provider Name | Thao T Doran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699865063 PECOS PAC ID: 8729089040 Enrollment ID: I20140130000648 |
| Provider Name | Karen Goldberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457331191 PECOS PAC ID: 0648400531 Enrollment ID: I20140219001877 |
| Provider Name | Bruce Freeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467432252 PECOS PAC ID: 2264662972 Enrollment ID: I20140225001323 |
| Provider Name | Eileen Lawrence |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427038181 PECOS PAC ID: 8527298264 Enrollment ID: I20140226000183 |
| Provider Name | Danielle B Alves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295177434 PECOS PAC ID: 8224268404 Enrollment ID: I20140310000313 |
| Provider Name | Edward J Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699940692 PECOS PAC ID: 9032248158 Enrollment ID: I20140417000237 |
| Provider Name | Dottie B Leighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558795070 PECOS PAC ID: 8123250347 Enrollment ID: I20140422000974 |
| Provider Name | Marie Helene Pouliot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982780227 PECOS PAC ID: 7517180680 Enrollment ID: I20140516001225 |
| Provider Name | Carly M Madore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396012498 PECOS PAC ID: 1052536570 Enrollment ID: I20140625001650 |
| Provider Name | Claire M Mcchesney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760720817 PECOS PAC ID: 1153546601 Enrollment ID: I20140626000160 |
| Provider Name | Binayak Koirala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548572720 PECOS PAC ID: 1759512064 Enrollment ID: I20140627001324 |
| Provider Name | Margaret Gross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467552588 PECOS PAC ID: 8224254602 Enrollment ID: I20140721000676 |
| Provider Name | Waile Ramadan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083906416 PECOS PAC ID: 0446476790 Enrollment ID: I20140723001656 |
| Provider Name | Lynda M Lombardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992128128 PECOS PAC ID: 7618106550 Enrollment ID: I20140729000930 |
| Provider Name | Amy Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023320983 PECOS PAC ID: 4183841273 Enrollment ID: I20140813002432 |
| Provider Name | Jennifer B Mastrocola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972896561 PECOS PAC ID: 9739308131 Enrollment ID: I20140917001644 |
| Provider Name | Alexandra N Schain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578973905 PECOS PAC ID: 1850511973 Enrollment ID: I20141013000523 |
| Provider Name | Tamika L Blackburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053593079 PECOS PAC ID: 8123184751 Enrollment ID: I20141021000070 |
| Provider Name | Florence Olakojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457772964 PECOS PAC ID: 1951623156 Enrollment ID: I20141125000486 |
| Provider Name | Chinyere Okoronkwo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861770711 PECOS PAC ID: 1951623727 Enrollment ID: I20141205000316 |
| Provider Name | Nicole L Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437554706 PECOS PAC ID: 5496078842 Enrollment ID: I20141216001803 |
| Provider Name | Cynthia Bodeur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518373398 PECOS PAC ID: 7810210671 Enrollment ID: I20141231000236 |
| Provider Name | Christopher M Desanto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679530034 PECOS PAC ID: 8729063102 Enrollment ID: I20150105001972 |
| Provider Name | Johanna T Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699101188 PECOS PAC ID: 3274760277 Enrollment ID: I20150206001493 |
| Provider Name | Stephanie Belanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407108293 PECOS PAC ID: 4587980156 Enrollment ID: I20150226001622 |
| Provider Name | Ryan Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225453517 PECOS PAC ID: 2466779871 Enrollment ID: I20150324001485 |
| Provider Name | Patricia L Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417103334 PECOS PAC ID: 7416274774 Enrollment ID: I20150325001147 |
| Provider Name | Evelyne L Deloughery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821420134 PECOS PAC ID: 6800113846 Enrollment ID: I20150331002213 |
| Provider Name | Kelly K Greco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700136827 PECOS PAC ID: 0941521991 Enrollment ID: I20150603001148 |
| Provider Name | Tracy Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013144369 PECOS PAC ID: 0648591032 Enrollment ID: I20150611000014 |
| Provider Name | Edith V Vassar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386621456 PECOS PAC ID: 1456530682 Enrollment ID: I20150619001245 |
| Provider Name | Maria Theresa Santos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821316274 PECOS PAC ID: 8628389350 Enrollment ID: I20150622000807 |
| Provider Name | Marianne D Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457635476 PECOS PAC ID: 7315258860 Enrollment ID: I20150624002184 |
| Provider Name | Ashlee A Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750768859 PECOS PAC ID: 3577875517 Enrollment ID: I20150706002048 |
| Provider Name | Rena L Aroesty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629335062 PECOS PAC ID: 3274853353 Enrollment ID: I20150831001574 |
| Provider Name | Kimberly C Gygi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356600787 PECOS PAC ID: 2365674934 Enrollment ID: I20150904000945 |
| Provider Name | Susan J Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265814719 PECOS PAC ID: 9739495730 Enrollment ID: I20150908000991 |
| Provider Name | Melissa A Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679959530 PECOS PAC ID: 1052629433 Enrollment ID: I20151005001855 |
| Provider Name | Kristen M Debisceglie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225435423 PECOS PAC ID: 4688999857 Enrollment ID: I20151013001348 |
| Provider Name | Anthony Guglielmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700279452 PECOS PAC ID: 6507175346 Enrollment ID: I20151019001697 |
| Provider Name | Sarah E Jendza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104299395 PECOS PAC ID: 5193028231 Enrollment ID: I20160122001001 |
| Provider Name | Fredo J Clermont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641150 PECOS PAC ID: 6002112455 Enrollment ID: I20160310000901 |
| Provider Name | Kimberly H Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851750459 PECOS PAC ID: 4880993211 Enrollment ID: I20160505001811 |
| Provider Name | Timothy R Rausch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285035303 PECOS PAC ID: 4486945193 Enrollment ID: I20160627001713 |
| Provider Name | Joseph P Brophy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659699460 PECOS PAC ID: 8426226424 Enrollment ID: I20160627001858 |
| Provider Name | Kimberly A Peace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932408291 PECOS PAC ID: 4688965304 Enrollment ID: I20160627002041 |
| Provider Name | Sherald P Eklund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174654941 PECOS PAC ID: 3476848094 Enrollment ID: I20160822002039 |
| Provider Name | Emmet P Ferriter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497199756 PECOS PAC ID: 9537466206 Enrollment ID: I20160908000742 |
| Provider Name | Kaitlyn M Guardino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184967432 PECOS PAC ID: 8527387117 Enrollment ID: I20161011001103 |
| Provider Name | Rashele P Yarborough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346505567 PECOS PAC ID: 3678713070 Enrollment ID: I20161025001938 |
| Provider Name | Pranav K Kapoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972868198 PECOS PAC ID: 5991945388 Enrollment ID: I20161102000045 |
| Provider Name | Margaret T Rush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063777282 PECOS PAC ID: 1153561402 Enrollment ID: I20161102001238 |
| Provider Name | Melissa W Breton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588942924 PECOS PAC ID: 1456631852 Enrollment ID: I20161130001715 |
| Provider Name | Kimberley D Rutherford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174721138 PECOS PAC ID: 6305002940 Enrollment ID: I20161220000640 |
| Provider Name | Holly A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063956480 PECOS PAC ID: 0749561629 Enrollment ID: I20170109001210 |
| Provider Name | Lindsey E Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265974695 PECOS PAC ID: 5698056570 Enrollment ID: I20170109001449 |
| Provider Name | Julia Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225583214 PECOS PAC ID: 1951682780 Enrollment ID: I20170110000510 |
| Provider Name | Victoria Tofield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760924237 PECOS PAC ID: 2961785852 Enrollment ID: I20170220002820 |
| Provider Name | Ruth G Benet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851711329 PECOS PAC ID: 1850617333 Enrollment ID: I20170501000323 |
| Provider Name | Pamela Wertheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205367117 PECOS PAC ID: 4183901507 Enrollment ID: I20170511001403 |
| Provider Name | Amy Chai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710399548 PECOS PAC ID: 2466720339 Enrollment ID: I20170616002150 |
| Provider Name | Kristen Lynn Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700262409 PECOS PAC ID: 0749587418 Enrollment ID: I20170814001760 |
| Provider Name | Danielle S Phillip-journal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609282219 PECOS PAC ID: 3779880554 Enrollment ID: I20170825000981 |
| Provider Name | Jakell Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124540174 PECOS PAC ID: 8022381466 Enrollment ID: I20170906001677 |
| Provider Name | Caryn Hannah Cohen Sloate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154842920 PECOS PAC ID: 8224301361 Enrollment ID: I20170912000714 |
| Provider Name | Stephanie Fow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679095129 PECOS PAC ID: 9739454687 Enrollment ID: I20171003007696 |
| Provider Name | Rebecca M Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881118479 PECOS PAC ID: 0042585408 Enrollment ID: I20171011000936 |
| Provider Name | Hailun Wang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174815096 PECOS PAC ID: 6709176092 Enrollment ID: I20171011001894 |
| Provider Name | Chinelo Okwuosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033515275 PECOS PAC ID: 1153696455 Enrollment ID: I20171012003008 |
| Provider Name | Manuel A. Orta Cobo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346504941 PECOS PAC ID: 8325272305 Enrollment ID: I20171026002043 |
| Provider Name | Sara Cathleen Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043738768 PECOS PAC ID: 6406113448 Enrollment ID: I20171130000563 |
| Provider Name | Meghan Philips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538687884 PECOS PAC ID: 6406114313 Enrollment ID: I20171226001569 |
| Provider Name | Kristy Poulliot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689183014 PECOS PAC ID: 2466710371 Enrollment ID: I20171226001805 |
| Provider Name | Michelle L Allyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891205316 PECOS PAC ID: 4385903921 Enrollment ID: I20180105000644 |
| Provider Name | Natesha Bestman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992220958 PECOS PAC ID: 9234498171 Enrollment ID: I20180122002223 |
| Provider Name | Deanna Tocco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760745087 PECOS PAC ID: 0345509071 Enrollment ID: I20180125001413 |
| Provider Name | Joanna Wroblewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285145953 PECOS PAC ID: 9931469905 Enrollment ID: I20180213000103 |
| Provider Name | John Lindsay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376930586 PECOS PAC ID: 8022383686 Enrollment ID: I20180307000209 |
| Provider Name | Alicia Dodson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396954764 PECOS PAC ID: 2769671908 Enrollment ID: I20180307000486 |
| Provider Name | Yan Yan Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861994220 PECOS PAC ID: 1759643075 Enrollment ID: I20180327001527 |
| Provider Name | Talia Lachcik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730688250 PECOS PAC ID: 2668734831 Enrollment ID: I20180328000790 |
| Provider Name | Aileen Ingal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205035516 PECOS PAC ID: 9133384332 Enrollment ID: I20180605000483 |
| Provider Name | Brenda Edith Chacon - Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285029892 PECOS PAC ID: 5496045148 Enrollment ID: I20180712000307 |
| Provider Name | Isis Sacramento Ferreira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407103997 PECOS PAC ID: 4082933403 Enrollment ID: I20180829000977 |
| Provider Name | Evan S Levine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366488538 PECOS PAC ID: 7214903830 Enrollment ID: I20180913001293 |
| Provider Name | Tessa Marie Smolinski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275027302 PECOS PAC ID: 6709137011 Enrollment ID: I20180926001793 |
| Provider Name | Melissa A Fazzolari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477041564 PECOS PAC ID: 6901157155 Enrollment ID: I20180926003765 |
| Provider Name | Timothy W Chapados |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295112761 PECOS PAC ID: 1951601780 Enrollment ID: I20180927002682 |
| Provider Name | Andrea G. Dixon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699725929 PECOS PAC ID: 6507878329 Enrollment ID: I20181003000092 |
| Provider Name | Jeffrey Goodsell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003296914 PECOS PAC ID: 7012220213 Enrollment ID: I20181003001644 |
| Provider Name | Mary Elizabeth Van Siclen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730590860 PECOS PAC ID: 5092033597 Enrollment ID: I20181003002665 |
| Provider Name | Jessica Weyman Tutolo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811381726 PECOS PAC ID: 9830405430 Enrollment ID: I20181004001431 |
| Provider Name | Tristin Elizabeth Geist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174066674 PECOS PAC ID: 7315299054 Enrollment ID: I20181009000504 |
| Provider Name | Devorah Donnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093196941 PECOS PAC ID: 4789988577 Enrollment ID: I20181011001817 |
| Provider Name | Monali Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942612114 PECOS PAC ID: 5890910996 Enrollment ID: I20181029001206 |
| Provider Name | Caitlin Marie Minihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265923288 PECOS PAC ID: 7719230267 Enrollment ID: I20181030001978 |
| Provider Name | Wanda I Merced |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851369870 PECOS PAC ID: 1052664455 Enrollment ID: I20181101001882 |
| Provider Name | Nina Erlanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528534641 PECOS PAC ID: 3971857640 Enrollment ID: I20181115001176 |
| Provider Name | Lina M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235606443 PECOS PAC ID: 9032463336 Enrollment ID: I20181126000441 |
| Provider Name | Ashish Malhotra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750589883 PECOS PAC ID: 5496845844 Enrollment ID: I20181126001746 |
| Provider Name | Stephen Kivlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982172771 PECOS PAC ID: 7517203565 Enrollment ID: I20190111000575 |
| Provider Name | Davi-ann Francis Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245709864 PECOS PAC ID: 8729324793 Enrollment ID: I20190111001265 |
| Provider Name | Sandra Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770066961 PECOS PAC ID: 2769729763 Enrollment ID: I20190129003309 |
| Provider Name | Kerin Nagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801366646 PECOS PAC ID: 7012254030 Enrollment ID: I20190130000215 |
| Provider Name | Joanna Sawicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295299592 PECOS PAC ID: 7315288198 Enrollment ID: I20190403002778 |
| Provider Name | Teresa Domack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235540386 PECOS PAC ID: 6204050412 Enrollment ID: I20190405000728 |
| Provider Name | Rachel Denise Arcila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386115806 PECOS PAC ID: 8123361649 Enrollment ID: I20190523001377 |
| Provider Name | Matthew R Kurimai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538475496 PECOS PAC ID: 2961745302 Enrollment ID: I20190528001588 |
| Provider Name | Alexander Joseph Zorn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225697907 PECOS PAC ID: 8224363429 Enrollment ID: I20190710002582 |
| Provider Name | Julie Macneil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659766483 PECOS PAC ID: 7810203254 Enrollment ID: I20190717003079 |
| Provider Name | Katy L Fiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518529882 PECOS PAC ID: 9638405657 Enrollment ID: I20190730001128 |
| Provider Name | Patrick Thomas Ogurick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790104883 PECOS PAC ID: 1557636859 Enrollment ID: I20190730002357 |
| Provider Name | Nina Ester Kashanian |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316509631 PECOS PAC ID: 1951637776 Enrollment ID: I20190731001506 |
| Provider Name | Joshua Hartman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730421355 PECOS PAC ID: 5991049785 Enrollment ID: I20190802000439 |
| Provider Name | Hassan Loutfi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952756918 PECOS PAC ID: 1850620535 Enrollment ID: I20190905000775 |
| Provider Name | Danielle O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013562784 PECOS PAC ID: 4385974872 Enrollment ID: I20190926000271 |
| Provider Name | Shruti Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558773531 PECOS PAC ID: 8820214083 Enrollment ID: I20191016000298 |
| Provider Name | Afsaneh Sharsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992158125 PECOS PAC ID: 1658603360 Enrollment ID: I20191030001543 |
| Provider Name | Amy Kolaczenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699320937 PECOS PAC ID: 8628300183 Enrollment ID: I20191101001687 |
| Provider Name | Onyinyechukwu Kanu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528421807 PECOS PAC ID: 0143514059 Enrollment ID: I20191112000820 |
| Provider Name | Patrene Rhoden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750924429 PECOS PAC ID: 7214369909 Enrollment ID: I20191119000517 |
| Provider Name | Kathleen Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528557857 PECOS PAC ID: 9638503410 Enrollment ID: I20200103000292 |
| Provider Name | Batel Heather Isenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023374667 PECOS PAC ID: 1658676119 Enrollment ID: I20200117000920 |
| Provider Name | Oksana Roytburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699317412 PECOS PAC ID: 6507291556 Enrollment ID: I20200121001587 |
| Provider Name | Janice Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548822000 PECOS PAC ID: 4284060526 Enrollment ID: I20200205002681 |
| Provider Name | Christie C Marcus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558901512 PECOS PAC ID: 6002243318 Enrollment ID: I20200226002654 |
| Provider Name | Alanna Coughlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942362652 PECOS PAC ID: 6608204938 Enrollment ID: I20200319000621 |
| Provider Name | Ann Jennings Maley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447471859 PECOS PAC ID: 3375971658 Enrollment ID: I20200319002739 |
| Provider Name | Evelyn Kumah Danso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285276352 PECOS PAC ID: 3971933540 Enrollment ID: I20200422001443 |
| Provider Name | Jonathan Eric Harwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376692160 PECOS PAC ID: 3476974643 Enrollment ID: I20200527001190 |
| Provider Name | Kerra Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649656414 PECOS PAC ID: 7113236654 Enrollment ID: I20200602000046 |
| Provider Name | Jennifer M Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134251689 PECOS PAC ID: 7517388952 Enrollment ID: I20200610002659 |
| Provider Name | Emily Zheng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134506892 PECOS PAC ID: 0143646497 Enrollment ID: I20200817003013 |
| Provider Name | Megan S Sosensky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619593928 PECOS PAC ID: 7214355932 Enrollment ID: I20200912000037 |
| Provider Name | Preston T Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871110114 PECOS PAC ID: 9032537758 Enrollment ID: I20200912000040 |
| Provider Name | Mary Elizabeth Groth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508849076 PECOS PAC ID: 4688092299 Enrollment ID: I20200915000016 |
| Provider Name | Cristina Augusto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285258673 PECOS PAC ID: 0244658771 Enrollment ID: I20200916000665 |
| Provider Name | Alexander M Baaklini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194256503 PECOS PAC ID: 9133491251 Enrollment ID: I20201020001571 |
| Provider Name | Jamie Lyn Schned |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669820007 PECOS PAC ID: 3678855921 Enrollment ID: I20201027002091 |
| Provider Name | Nnennaya Duke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992144190 PECOS PAC ID: 9638458219 Enrollment ID: I20201110002015 |
| Provider Name | Julianne Belsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598148710 PECOS PAC ID: 9537570619 Enrollment ID: I20201120000886 |
| Provider Name | Elizabeth Chasse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881004828 PECOS PAC ID: 2567751829 Enrollment ID: I20201124002408 |
| Provider Name | Meredith R Halsey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619389541 PECOS PAC ID: 6709003387 Enrollment ID: I20201126000002 |
| Provider Name | Allison Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962741348 PECOS PAC ID: 9436395449 Enrollment ID: I20201213000014 |
| Provider Name | Stephanie D Plasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659924827 PECOS PAC ID: 8527395599 Enrollment ID: I20210122000098 |
| Provider Name | Gail Brown |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073711578 PECOS PAC ID: 7416252093 Enrollment ID: I20210122001916 |
| Provider Name | Elizabeth Solan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942347224 PECOS PAC ID: 8921196783 Enrollment ID: I20210211000860 |
| Provider Name | Julie Mcdermott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609814565 PECOS PAC ID: 7517969900 Enrollment ID: I20210225002087 |
| Provider Name | Amanda Shelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982204715 PECOS PAC ID: 4688083678 Enrollment ID: I20210504000164 |
| Provider Name | Matthew Desir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437531886 PECOS PAC ID: 0042514333 Enrollment ID: I20210507001206 |
| Provider Name | Ingrid Teixeira Furchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215512264 PECOS PAC ID: 2365841699 Enrollment ID: I20210519000078 |
| Provider Name | Danielle Langer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043822794 PECOS PAC ID: 9335549732 Enrollment ID: I20210607000732 |
| Provider Name | Tran Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033616925 PECOS PAC ID: 5890190219 Enrollment ID: I20210824001777 |
| Provider Name | Shanaaz Shameen Mohammed |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245426626 PECOS PAC ID: 9032362660 Enrollment ID: I20211014000300 |
| Provider Name | Barbara Wadzanayi Hama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245708676 PECOS PAC ID: 3072911478 Enrollment ID: I20211015001835 |
| Provider Name | Courtney Souza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457739583 PECOS PAC ID: 8123432887 Enrollment ID: I20220215001323 |
| Provider Name | Laura Cuevas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881359685 PECOS PAC ID: 2961895842 Enrollment ID: I20220217001577 |
| Provider Name | Christina Marie Kaschak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164174223 PECOS PAC ID: 3476932120 Enrollment ID: I20220627001020 |
| Provider Name | Anne Machuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700475829 PECOS PAC ID: 0941689533 Enrollment ID: I20220628003115 |
| Provider Name | Eugenia Golda Volkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639565195 PECOS PAC ID: 4789064353 Enrollment ID: I20220629002581 |
| Provider Name | Gavva Ranadhir R Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750818274 PECOS PAC ID: 3577815919 Enrollment ID: I20220713002614 |
| Provider Name | Biancha Louise Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932863636 PECOS PAC ID: 1153702659 Enrollment ID: I20220714002827 |
| Provider Name | Brent Faherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902565625 PECOS PAC ID: 9931581634 Enrollment ID: I20220727003064 |
| Provider Name | Nishi Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669101259 PECOS PAC ID: 8123401007 Enrollment ID: I20220810003571 |
| Provider Name | Ryan P Drake |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134651318 PECOS PAC ID: 7719259324 Enrollment ID: I20220817003556 |
| Provider Name | Quazi Islam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023111879 PECOS PAC ID: 5890742605 Enrollment ID: I20221005001464 |
| Provider Name | Gabriella Izzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922504653 PECOS PAC ID: 5294085890 Enrollment ID: I20221007001720 |
| Provider Name | Fatema Islam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265538516 PECOS PAC ID: 7416974431 Enrollment ID: I20221013002726 |
| Provider Name | Rachael Marcano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861146003 PECOS PAC ID: 3274900675 Enrollment ID: I20221027000969 |
| Provider Name | Yamini Chalikonda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801459532 PECOS PAC ID: 6800263062 Enrollment ID: I20221101003338 |
| Provider Name | Sarah Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831665686 PECOS PAC ID: 1254670177 Enrollment ID: I20230118000497 |
| Provider Name | Crystal Steed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730616749 PECOS PAC ID: 3274871322 Enrollment ID: I20230220002357 |
| Provider Name | Tricia T Rickettsfacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619308475 PECOS PAC ID: 3678946647 Enrollment ID: I20230222003138 |
| Provider Name | Jennifer Rey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134836802 PECOS PAC ID: 6800260266 Enrollment ID: I20230327000380 |
| Provider Name | Megan Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982301545 PECOS PAC ID: 2163889213 Enrollment ID: I20230605001062 |
| Provider Name | Kathryn J. Dugger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396027249 PECOS PAC ID: 6901129220 Enrollment ID: I20230616002657 |
| Provider Name | Itoro Joseph Etim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184334633 PECOS PAC ID: 8729446539 Enrollment ID: I20230626002418 |
| Provider Name | Zainab Sanaa Shajahan Moidu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144881574 PECOS PAC ID: 4284095191 Enrollment ID: I20230725001602 |
| Provider Name | Kaitlin C Quallen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841856879 PECOS PAC ID: 6103151600 Enrollment ID: I20230727001941 |
| Provider Name | Rachel Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063974020 PECOS PAC ID: 8224367362 Enrollment ID: I20230824002757 |
| Provider Name | Madison Alaia Fucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164107421 PECOS PAC ID: 1254795024 Enrollment ID: I20230912002697 |
| Provider Name | Sheenay Kendra Pryce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134740467 PECOS PAC ID: 7719331909 Enrollment ID: I20230921001504 |
| Provider Name | Geoffrey Allen Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326667437 PECOS PAC ID: 1658725510 Enrollment ID: I20230926002345 |
| Provider Name | Chandel Marie Bouthot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821774068 PECOS PAC ID: 4880040849 Enrollment ID: I20231026002982 |
| Provider Name | Alisa Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588340079 PECOS PAC ID: 6204283609 Enrollment ID: I20231107001265 |
| Provider Name | Suanne Samardge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083495378 PECOS PAC ID: 6305294877 Enrollment ID: I20231121002857 |
| Provider Name | Alexandra Elizabeth Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619668910 PECOS PAC ID: 3678924719 Enrollment ID: I20240112002299 |
| Provider Name | Amelia Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033991674 PECOS PAC ID: 7113360587 Enrollment ID: I20240213002574 |
| Provider Name | Amin R Elashker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093794182 PECOS PAC ID: 8224011390 Enrollment ID: I20240314001648 |
| Provider Name | Marissa Jean Tanasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285490789 PECOS PAC ID: 5193161925 Enrollment ID: I20240314002141 |
| Provider Name | Jennifer Marie Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063283174 PECOS PAC ID: 2769829415 Enrollment ID: I20240318002253 |
| Provider Name | Kevin Knowlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598526766 PECOS PAC ID: 6002254018 Enrollment ID: I20240409003697 |
| Provider Name | Priti B Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508964552 PECOS PAC ID: 5395841167 Enrollment ID: I20240509001585 |
State Of Connecitut Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Infectious Diseases Associates, Farmington, CT 06030 Phone: 860-679-4225 Fax: 860-679-1217 | |
Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Endrocrinology Associates, Farmington, CT 06030 Phone: 860-679-3242 Fax: 860-679-1867 | |
Ihpc Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 High St, Farmington, CT 06032 Phone: 860-424-2450 | |
Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Gastroenterology Associates, Farmington, CT 06030 Phone: 860-679-7503 Fax: 860-679-1610 | |
Claim, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 76 Batterson Park Rd Ste 106, Farmington, CT 06032 Phone: 203-910-7533 | |
Uconn Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3821 | |
Allies Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Bridgewater Rd Ste 100, Farmington, CT 06032 Phone: 860-678-9900 |