| Public Hospital District #1 Of King County | |
|
400 S 43rd St Renton WA 98055-5714 | |
| (425) 228-3440 | |
| (425) 656-5565 |
| Full Name | Public Hospital District #1 Of King County |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 400 S 43rd St, Renton, Washington |
| Authorized Official Name and Position | Michele Forgues Lackie (SENIOR VICE PRESIDENT FINANCE/CFO) |
| Authorized Official Contact | 4256906677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Public Hospital District #1 Of King County Po Box 34876 Seattle WA 98124-1876 Ph: (425) 656-5412 | Public Hospital District #1 Of King County 400 S 43rd St Renton WA 98055-5714 Ph: (425) 228-3440 |
| NPI Number | 1619209574 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 03/22/2023 |
| Medicare PECOS PAC ID | 4183753965 |
|---|---|
| Medicare Enrollment ID | O20100604000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619209574 | NPI | - | NPPES |
| 1008494 | Medicaid | WA |
| Provider Name | Ravi S Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699757112 PECOS PAC ID: 2365356771 Enrollment ID: I20031118001005 |
| Provider Name | James E Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285647925 PECOS PAC ID: 2668377961 Enrollment ID: I20031201000280 |
| Provider Name | Daniel E Nadig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154343135 PECOS PAC ID: 7113824780 Enrollment ID: I20031216000911 |
| Provider Name | Neil R Hannigan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508893090 PECOS PAC ID: 2062305055 Enrollment ID: I20040204000348 |
| Provider Name | Michael Francis Burke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972574762 PECOS PAC ID: 8628961364 Enrollment ID: I20040205000734 |
| Provider Name | Rajib Choudhury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447335401 PECOS PAC ID: 8921994591 Enrollment ID: I20040223000591 |
| Provider Name | Stefanie Nunez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588671796 PECOS PAC ID: 5698661171 Enrollment ID: I20040223000704 |
| Provider Name | Trisha A Unger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790833408 PECOS PAC ID: 2860484060 Enrollment ID: I20040330001311 |
| Provider Name | Vandita S Samavedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134133424 PECOS PAC ID: 6901890904 Enrollment ID: I20040413000435 |
| Provider Name | Wuaca K Luna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265455612 PECOS PAC ID: 9335133123 Enrollment ID: I20040414000030 |
| Provider Name | Xinda David Wang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700855822 PECOS PAC ID: 2062493760 Enrollment ID: I20040527001304 |
| Provider Name | Rodney W Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265468599 PECOS PAC ID: 9133100654 Enrollment ID: I20040529000010 |
| Provider Name | Philip Y Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942231899 PECOS PAC ID: 4385625755 Enrollment ID: I20040601000519 |
| Provider Name | Heidi J Gray |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1548395486 PECOS PAC ID: 7911982251 Enrollment ID: I20040622000174 |
| Provider Name | Daniel C Hu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548285737 PECOS PAC ID: 3870578669 Enrollment ID: I20040624000395 |
| Provider Name | Michele A Despreaux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346326147 PECOS PAC ID: 0749266450 Enrollment ID: I20040624001309 |
| Provider Name | Melissa L Rubin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811043441 PECOS PAC ID: 4880671510 Enrollment ID: I20040701000379 |
| Provider Name | Tiffany J Hollenbeck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669477725 PECOS PAC ID: 4688650906 Enrollment ID: I20040702000003 |
| Provider Name | Amanda Mccallum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073636262 PECOS PAC ID: 2961480108 Enrollment ID: I20040713000658 |
| Provider Name | Ron Swensen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1184714032 PECOS PAC ID: 2860471760 Enrollment ID: I20040715000141 |
| Provider Name | Matthew J Mulder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902874407 PECOS PAC ID: 2961482955 Enrollment ID: I20040721000750 |
| Provider Name | Susannah I Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669596615 PECOS PAC ID: 2163492406 Enrollment ID: I20040726001410 |
| Provider Name | Jonathan J Hutter |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1538216296 PECOS PAC ID: 3072583210 Enrollment ID: I20040727000711 |
| Provider Name | Suzanne B Krell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841205416 PECOS PAC ID: 9335119031 Enrollment ID: I20040729000935 |
| Provider Name | Nagavedu D Raghunath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235117755 PECOS PAC ID: 4981675840 Enrollment ID: I20040804000284 |
| Provider Name | Tori A Mcfall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932113412 PECOS PAC ID: 6305838590 Enrollment ID: I20040804000467 |
| Provider Name | Se Jung Shin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881665099 PECOS PAC ID: 9436046521 Enrollment ID: I20040804000497 |
| Provider Name | Wayne M Lau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992852578 PECOS PAC ID: 0648262840 Enrollment ID: I20040804000535 |
| Provider Name | Kyung M Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609934546 PECOS PAC ID: 9335112960 Enrollment ID: I20040812001506 |
| Provider Name | Lawrence John Madewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548274715 PECOS PAC ID: 3870567761 Enrollment ID: I20040825001077 |
| Provider Name | Gia L Hemmen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205858123 PECOS PAC ID: 1951370527 Enrollment ID: I20040930000071 |
| Provider Name | Grace B Gamponia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164450748 PECOS PAC ID: 1355302100 Enrollment ID: I20041025000535 |
| Provider Name | David W Sweiger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811903685 PECOS PAC ID: 1557258597 Enrollment ID: I20041110001321 |
| Provider Name | Richard O Avalon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619930088 PECOS PAC ID: 8628031069 Enrollment ID: I20041116000223 |
| Provider Name | Mark B Emery |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699716233 PECOS PAC ID: 2466418223 Enrollment ID: I20041203000705 |
| Provider Name | Kent Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477644938 PECOS PAC ID: 8123085198 Enrollment ID: I20041213000158 |
| Provider Name | Craig Michael Mcgoran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295744209 PECOS PAC ID: 9830157304 Enrollment ID: I20041230000105 |
| Provider Name | Matthew Weston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083606966 PECOS PAC ID: 7911965215 Enrollment ID: I20050103000388 |
| Provider Name | Ravinder S Nijjar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790766350 PECOS PAC ID: 3375591316 Enrollment ID: I20050106000733 |
| Provider Name | Becky J Bohlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306923339 PECOS PAC ID: 8628027877 Enrollment ID: I20050114000527 |
| Provider Name | Augustine H Lawrence |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235168188 PECOS PAC ID: 5092601013 Enrollment ID: I20050209000435 |
| Provider Name | Deidre L Feeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083600217 PECOS PAC ID: 4789575069 Enrollment ID: I20050420000160 |
| Provider Name | Angela J Chien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952490088 PECOS PAC ID: 2365480100 Enrollment ID: I20050421000577 |
| Provider Name | Robert E Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740294594 PECOS PAC ID: 4789627779 Enrollment ID: I20050610000127 |
| Provider Name | Minjing Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720016173 PECOS PAC ID: 0547296105 Enrollment ID: I20050714000594 |
| Provider Name | Ayesha M Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508931056 PECOS PAC ID: 3375534910 Enrollment ID: I20050729000224 |
| Provider Name | Eric Edward Leonheart |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124085709 PECOS PAC ID: 6507838653 Enrollment ID: I20050802001129 |
| Provider Name | Courtney A Mccliment |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932326295 PECOS PAC ID: 4789613241 Enrollment ID: I20050805000211 |
| Provider Name | Jacintha L Raj |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942394275 PECOS PAC ID: 2668402827 Enrollment ID: I20050817000398 |
| Provider Name | Uday K Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912946633 PECOS PAC ID: 0648200873 Enrollment ID: I20050817000930 |
| Provider Name | William Andre Zamora Silva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861413965 PECOS PAC ID: 0042114639 Enrollment ID: I20050817000965 |
| Provider Name | Triet M Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538105325 PECOS PAC ID: 0648201483 Enrollment ID: I20050822001177 |
| Provider Name | Antonio Pedroza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063426344 PECOS PAC ID: 5698706596 Enrollment ID: I20050830000446 |
| Provider Name | Tanya R Rizzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013085109 PECOS PAC ID: 0244261113 Enrollment ID: I20050830001042 |
| Provider Name | Mary E Butcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700814589 PECOS PAC ID: 6002840998 Enrollment ID: I20050920001188 |
| Provider Name | Kimberley K Herner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740202514 PECOS PAC ID: 7618901505 Enrollment ID: I20050920001205 |
| Provider Name | Rajesh Raina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629143060 PECOS PAC ID: 9133153463 Enrollment ID: I20050926000425 |
| Provider Name | Christie Recinto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538198478 PECOS PAC ID: 2466487269 Enrollment ID: I20050930000479 |
| Provider Name | Adam D Ostrowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053399287 PECOS PAC ID: 4183640105 Enrollment ID: I20051019000762 |
| Provider Name | Ellendee Pepper |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861577223 PECOS PAC ID: 2466472261 Enrollment ID: I20051122000762 |
| Provider Name | Michael K Hori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205918208 PECOS PAC ID: 1759301534 Enrollment ID: I20051123000416 |
| Provider Name | Zhimin Zhai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255416368 PECOS PAC ID: 3779503453 Enrollment ID: I20051123000450 |
| Provider Name | William Y Park |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205949195 PECOS PAC ID: 1951321637 Enrollment ID: I20051123000456 |
| Provider Name | Brian H Kumasaka |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801971262 PECOS PAC ID: 8123048808 Enrollment ID: I20051123000465 |
| Provider Name | Christopher A Dire |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245312420 PECOS PAC ID: 4486674173 Enrollment ID: I20051123000564 |
| Provider Name | Ying Y Cui |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639191448 PECOS PAC ID: 1759301443 Enrollment ID: I20051123000569 |
| Provider Name | John W Nemanich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275618720 PECOS PAC ID: 2264452986 Enrollment ID: I20051128000052 |
| Provider Name | William A Pearce |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750463758 PECOS PAC ID: 4789604406 Enrollment ID: I20051128000071 |
| Provider Name | George Lee Dolack |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326122268 PECOS PAC ID: 0941220677 Enrollment ID: I20051128000104 |
| Provider Name | Wynne Chen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518974351 PECOS PAC ID: 3072533504 Enrollment ID: I20051129001028 |
| Provider Name | Shannon L Markegard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124067087 PECOS PAC ID: 9537116900 Enrollment ID: I20051215000330 |
| Provider Name | Donald L Trippel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083775902 PECOS PAC ID: 5496779126 Enrollment ID: I20060120000795 |
| Provider Name | Roberta S Stephenson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881755726 PECOS PAC ID: 5294759924 Enrollment ID: I20060120000811 |
| Provider Name | Stephen F Slack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619080835 PECOS PAC ID: 2860416427 Enrollment ID: I20060123000165 |
| Provider Name | Anna L Lien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558332700 PECOS PAC ID: 2163433368 Enrollment ID: I20060602000091 |
| Provider Name | Sheri L Peterson Buckley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023056249 PECOS PAC ID: 7214948371 Enrollment ID: I20060606000068 |
| Provider Name | Trisha L Pollara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821045972 PECOS PAC ID: 5799797957 Enrollment ID: I20060707000174 |
| Provider Name | David G Vossler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831136985 PECOS PAC ID: 1153325873 Enrollment ID: I20060911000426 |
| Provider Name | Peter A Balousek |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063407716 PECOS PAC ID: 7911990932 Enrollment ID: I20060911000510 |
| Provider Name | Andrew T Brockenbrough |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316994288 PECOS PAC ID: 6002857430 Enrollment ID: I20061030000160 |
| Provider Name | Joshua L Busch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861507584 PECOS PAC ID: 2163429309 Enrollment ID: I20061031000223 |
| Provider Name | Michael Scott Solomon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891736633 PECOS PAC ID: 1254396641 Enrollment ID: I20061219000541 |
| Provider Name | Judith A Fleming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760593362 PECOS PAC ID: 9537169305 Enrollment ID: I20061228000364 |
| Provider Name | Ginger A. Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568490340 PECOS PAC ID: 0244231140 Enrollment ID: I20070119000245 |
| Provider Name | Pankaj Rajvanshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437148749 PECOS PAC ID: 4486655289 Enrollment ID: I20070122000437 |
| Provider Name | Shahina M Banthanavasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790700607 PECOS PAC ID: 9335141647 Enrollment ID: I20070215000037 |
| Provider Name | Laura E Denman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861430597 PECOS PAC ID: 3476534033 Enrollment ID: I20070222000193 |
| Provider Name | Richard J Wall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184780728 PECOS PAC ID: 6406958875 Enrollment ID: I20070305000071 |
| Provider Name | Todd S Bouchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942246418 PECOS PAC ID: 6406959998 Enrollment ID: I20070322000050 |
| Provider Name | Hamilton S Gillespie |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1437269974 PECOS PAC ID: 9234238692 Enrollment ID: I20070626000261 |
| Provider Name | Kelly K Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821007428 PECOS PAC ID: 5991804007 Enrollment ID: I20070629000332 |
| Provider Name | Elisabeth B Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104048180 PECOS PAC ID: 2264532183 Enrollment ID: I20070706000499 |
| Provider Name | Laura E Keeter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962428631 PECOS PAC ID: 7416973185 Enrollment ID: I20070719000387 |
| Provider Name | Jill A Williams |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962628107 PECOS PAC ID: 9133211089 Enrollment ID: I20070822001519 |
| Provider Name | Jennifer B Braden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437262268 PECOS PAC ID: 6002909991 Enrollment ID: I20070910000071 |
| Provider Name | Belinda Fu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992815823 PECOS PAC ID: 6901990357 Enrollment ID: I20070917000461 |
| Provider Name | Thanuja Narendra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174559629 PECOS PAC ID: 4789778895 Enrollment ID: I20070920000297 |
| Provider Name | Anthony F Tagavilla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255532180 PECOS PAC ID: 2365537305 Enrollment ID: I20071004000809 |
| Provider Name | Doris Rosellini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730193012 PECOS PAC ID: 5698861300 Enrollment ID: I20071010000829 |
| Provider Name | Heather L Salton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902005937 PECOS PAC ID: 2961599246 Enrollment ID: I20071102000426 |
| Provider Name | Patricia C Auerbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447207659 PECOS PAC ID: 1052350451 Enrollment ID: I20071128000363 |
| Provider Name | Frank P S Fung |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871547927 PECOS PAC ID: 6002801297 Enrollment ID: I20071220000409 |
| Provider Name | Vilma E Quijada |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770511735 PECOS PAC ID: 7517057086 Enrollment ID: I20071220000434 |
| Provider Name | Yolanda James Richardson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730232489 PECOS PAC ID: 3577646660 Enrollment ID: I20080213000114 |
| Provider Name | Maryellen Maccio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275566879 PECOS PAC ID: 5294819413 Enrollment ID: I20080227000298 |
| Provider Name | Ginger K Longo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942229208 PECOS PAC ID: 6709887276 Enrollment ID: I20080311000481 |
| Provider Name | Eduardo S Margo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588660831 PECOS PAC ID: 1052499514 Enrollment ID: I20080423000717 |
| Provider Name | Yen-tsun Lai |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790727535 PECOS PAC ID: 4284712753 Enrollment ID: I20080423000745 |
| Provider Name | Erica M Brandling Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063682516 PECOS PAC ID: 6406926252 Enrollment ID: I20080605000106 |
| Provider Name | Yahua Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922014703 PECOS PAC ID: 6103996830 Enrollment ID: I20080606000044 |
| Provider Name | David A Lundin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790722692 PECOS PAC ID: 6507860756 Enrollment ID: I20080625000377 |
| Provider Name | Don Quyen Thai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023103033 PECOS PAC ID: 4981665403 Enrollment ID: I20080625000609 |
| Provider Name | Michelle M Zhang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366553513 PECOS PAC ID: 6305877978 Enrollment ID: I20080716000516 |
| Provider Name | Marcus Kauffman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831201326 PECOS PAC ID: 9436100922 Enrollment ID: I20080729000645 |
| Provider Name | Theresa N Tran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992835607 PECOS PAC ID: 0244304178 Enrollment ID: I20080811000318 |
| Provider Name | Omar K Dorzi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811154537 PECOS PAC ID: 6709951585 Enrollment ID: I20080813000226 |
| Provider Name | Mark R Mikols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467431734 PECOS PAC ID: 4284535501 Enrollment ID: I20080822000411 |
| Provider Name | Katherine V Schwab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407067432 PECOS PAC ID: 3072689439 Enrollment ID: I20080909000153 |
| Provider Name | Dara D Jolly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255549507 PECOS PAC ID: 2769550318 Enrollment ID: I20081009000035 |
| Provider Name | Travis A Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235394321 PECOS PAC ID: 7012085673 Enrollment ID: I20081009000054 |
| Provider Name | James Sangyop Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811932148 PECOS PAC ID: 3577506260 Enrollment ID: I20081028000068 |
| Provider Name | Pedro E Trujillo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609852789 PECOS PAC ID: 4880657303 Enrollment ID: I20081105000433 |
| Provider Name | Amie E Macnab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447368550 PECOS PAC ID: 8224197157 Enrollment ID: I20081107000121 |
| Provider Name | Bilha V Zomer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811140353 PECOS PAC ID: 9335209683 Enrollment ID: I20081117000755 |
| Provider Name | Shreeketa M Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750589131 PECOS PAC ID: 7618064577 Enrollment ID: I20081119000825 |
| Provider Name | Sukhdip Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932359551 PECOS PAC ID: 6709948979 Enrollment ID: I20081222000578 |
| Provider Name | Lisa P Greenberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902940687 PECOS PAC ID: 1557423597 Enrollment ID: I20081229000296 |
| Provider Name | Kyle R Heise |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629214036 PECOS PAC ID: 2264597947 Enrollment ID: I20090212000196 |
| Provider Name | Venkata A Punyapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265461446 PECOS PAC ID: 1850309014 Enrollment ID: I20090224000477 |
| Provider Name | Rahul A Desai |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790715100 PECOS PAC ID: 7911905278 Enrollment ID: I20090227000090 |
| Provider Name | Barbara L Golay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437141470 PECOS PAC ID: 2769539568 Enrollment ID: I20090414000394 |
| Provider Name | Eric R Martinez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023295615 PECOS PAC ID: 7113074709 Enrollment ID: I20090420000043 |
| Provider Name | Shelia Dunaway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326124132 PECOS PAC ID: 2769531805 Enrollment ID: I20090521000024 |
| Provider Name | Gilbert Simas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497802383 PECOS PAC ID: 3274684071 Enrollment ID: I20090707000365 |
| Provider Name | Richard D Kim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679673669 PECOS PAC ID: 1951453570 Enrollment ID: I20090713000522 |
| Provider Name | Glynnis M Morton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164668208 PECOS PAC ID: 2567514011 Enrollment ID: I20090715000274 |
| Provider Name | Anna L Samson Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013099647 PECOS PAC ID: 4183777923 Enrollment ID: I20090727000806 |
| Provider Name | Carla P Kovacs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437168002 PECOS PAC ID: 5395837314 Enrollment ID: I20090803000353 |
| Provider Name | Jennifer M Zumsteg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417068677 PECOS PAC ID: 2264586205 Enrollment ID: I20090811000179 |
| Provider Name | Daniel M Letinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366605651 PECOS PAC ID: 5991859431 Enrollment ID: I20090818000150 |
| Provider Name | Dennis L Su |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649403866 PECOS PAC ID: 1658427117 Enrollment ID: I20090924000353 |
| Provider Name | Sandra K Gerling |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124054002 PECOS PAC ID: 3678614021 Enrollment ID: I20100106000823 |
| Provider Name | Paul Bikhazi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427141944 PECOS PAC ID: 9133263718 Enrollment ID: I20100219000729 |
| Provider Name | Sharon A Dobie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578606042 PECOS PAC ID: 2567597529 Enrollment ID: I20100316000291 |
| Provider Name | Michael S Mulligan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003991811 PECOS PAC ID: 4688701949 Enrollment ID: I20100420000080 |
| Provider Name | Barbara A Goff |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1467538264 PECOS PAC ID: 1153458278 Enrollment ID: I20100422000094 |
| Provider Name | Barry I Bockow |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942235510 PECOS PAC ID: 7416086632 Enrollment ID: I20100526001092 |
| Provider Name | Michele K Nelsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093729873 PECOS PAC ID: 2668501404 Enrollment ID: I20100603000526 |
| Provider Name | Ronald K Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487698320 PECOS PAC ID: 0345370821 Enrollment ID: I20100609000750 |
| Provider Name | Stephen M Durch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841228426 PECOS PAC ID: 2860522356 Enrollment ID: I20100609000906 |
| Provider Name | Dinesh V Pai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063453595 PECOS PAC ID: 8426959735 Enrollment ID: I20100615000208 |
| Provider Name | Michael J Kaminski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376571083 PECOS PAC ID: 5991835910 Enrollment ID: I20100617000175 |
| Provider Name | Teresa L Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871509646 PECOS PAC ID: 9436280377 Enrollment ID: I20100622000134 |
| Provider Name | Eamonn Cj Swords |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447291232 PECOS PAC ID: 3072644921 Enrollment ID: I20100622000266 |
| Provider Name | Jon O Neher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437163201 PECOS PAC ID: 1658417696 Enrollment ID: I20100623000329 |
| Provider Name | Gary A Kelsberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790707362 PECOS PAC ID: 5890722367 Enrollment ID: I20100624000037 |
| Provider Name | Heather M Rudisill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316953433 PECOS PAC ID: 3577694553 Enrollment ID: I20100708000833 |
| Provider Name | Janice C Carlton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649201872 PECOS PAC ID: 0840322301 Enrollment ID: I20100719000615 |
| Provider Name | Bryan S Serkin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942276258 PECOS PAC ID: 2668500034 Enrollment ID: I20100727000349 |
| Provider Name | Lori D Channell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184733297 PECOS PAC ID: 7517053515 Enrollment ID: I20100802000173 |
| Provider Name | Marilyn A Gibbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235147653 PECOS PAC ID: 2062546237 Enrollment ID: I20100810001074 |
| Provider Name | Crenguta Stepan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548422629 PECOS PAC ID: 5294869715 Enrollment ID: I20100818001153 |
| Provider Name | David Reed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912945791 PECOS PAC ID: 0547394082 Enrollment ID: I20100818001294 |
| Provider Name | Karin Gunther |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396921938 PECOS PAC ID: 4587788591 Enrollment ID: I20100827000377 |
| Provider Name | Kristen M Oulton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184936429 PECOS PAC ID: 1355466590 Enrollment ID: I20100913000257 |
| Provider Name | Daniel J Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205850369 PECOS PAC ID: 0840315875 Enrollment ID: I20100915000168 |
| Provider Name | Emily Wingfield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043321524 PECOS PAC ID: 2264557073 Enrollment ID: I20100916001366 |
| Provider Name | Kevin R Joseph |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417066556 PECOS PAC ID: 7618092354 Enrollment ID: I20100917000416 |
| Provider Name | Alan C Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104076843 PECOS PAC ID: 2769518075 Enrollment ID: I20100922001264 |
| Provider Name | Shannon K Kropp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992756860 PECOS PAC ID: 7911009915 Enrollment ID: I20101014001178 |
| Provider Name | Paramita A Mukherjee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396935953 PECOS PAC ID: 4789878349 Enrollment ID: I20101028000315 |
| Provider Name | Patricia Mladenov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083881288 PECOS PAC ID: 6204022635 Enrollment ID: I20101127000011 |
| Provider Name | Anusha R Iyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942409388 PECOS PAC ID: 0749476174 Enrollment ID: I20101127000016 |
| Provider Name | Dina T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457367997 PECOS PAC ID: 3779588389 Enrollment ID: I20101127000023 |
| Provider Name | Ekaterina Knowlton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578561007 PECOS PAC ID: 6901092105 Enrollment ID: I20101130001174 |
| Provider Name | Fatime Orsolya Goda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548335060 PECOS PAC ID: 2668669383 Enrollment ID: I20101207001175 |
| Provider Name | Lovely Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376852350 PECOS PAC ID: 9335337211 Enrollment ID: I20101218000089 |
| Provider Name | Lisbeth Mckinnon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922177674 PECOS PAC ID: 1557251055 Enrollment ID: I20110105001246 |
| Provider Name | Mohamad Imad Haque |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326074345 PECOS PAC ID: 3971697111 Enrollment ID: I20110118000989 |
| Provider Name | Kristine King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174600183 PECOS PAC ID: 4082711908 Enrollment ID: I20110201000817 |
| Provider Name | David M Gran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629215991 PECOS PAC ID: 4082808852 Enrollment ID: I20110208000869 |
| Provider Name | Emilie R Torretta |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033414784 PECOS PAC ID: 9931381209 Enrollment ID: I20110308000303 |
| Provider Name | Michelle Arbini |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639194665 PECOS PAC ID: 7810172020 Enrollment ID: I20110504000327 |
| Provider Name | Stephanie Ker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588603989 PECOS PAC ID: 1759567506 Enrollment ID: I20110512000577 |
| Provider Name | Sydney L Cousin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497954176 PECOS PAC ID: 1658423975 Enrollment ID: I20110524000148 |
| Provider Name | Deepthi Mani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831340371 PECOS PAC ID: 2264619634 Enrollment ID: I20110613000199 |
| Provider Name | Sarah K Maitre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275796641 PECOS PAC ID: 0345427555 Enrollment ID: I20110615000228 |
| Provider Name | Andy T Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467612697 PECOS PAC ID: 4981872876 Enrollment ID: I20110720000323 |
| Provider Name | Prakash Vishnu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356515001 PECOS PAC ID: 6800960816 Enrollment ID: I20110812000408 |
| Provider Name | Hyon C Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619124104 PECOS PAC ID: 9739358326 Enrollment ID: I20110817000128 |
| Provider Name | Susan C Powers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275752271 PECOS PAC ID: 0840460127 Enrollment ID: I20110823001067 |
| Provider Name | Hien Pham |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093829632 PECOS PAC ID: 2163692849 Enrollment ID: I20110907001475 |
| Provider Name | Renata R Urban |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1093999740 PECOS PAC ID: 2365519717 Enrollment ID: I20110913000675 |
| Provider Name | Louis W Lim |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1528126448 PECOS PAC ID: 8224209598 Enrollment ID: I20110916000122 |
| Provider Name | Robert F Prongay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770733859 PECOS PAC ID: 1557532603 Enrollment ID: I20110921000177 |
| Provider Name | Seema Rai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891956991 PECOS PAC ID: 3678744745 Enrollment ID: I20110921000392 |
| Provider Name | Ming Zhang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164614731 PECOS PAC ID: 3274697560 Enrollment ID: I20110926000468 |
| Provider Name | Phuc T Phung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053561134 PECOS PAC ID: 5698947125 Enrollment ID: I20111005000831 |
| Provider Name | Craig A Brooker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992971667 PECOS PAC ID: 1850563107 Enrollment ID: I20111010000004 |
| Provider Name | Sandeep Sachdeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922161892 PECOS PAC ID: 1850487117 Enrollment ID: I20111103000215 |
| Provider Name | Brian S Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043272925 PECOS PAC ID: 7113976325 Enrollment ID: I20120106000771 |
| Provider Name | Keith A Boyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891714291 PECOS PAC ID: 4981871910 Enrollment ID: I20120116000150 |
| Provider Name | Gary H Kato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801903323 PECOS PAC ID: 0244499747 Enrollment ID: I20120301000629 |
| Provider Name | Sujata C Poisson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245394170 PECOS PAC ID: 2668631623 Enrollment ID: I20120309000677 |
| Provider Name | Jiyun Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326202078 PECOS PAC ID: 2961534037 Enrollment ID: I20120316000101 |
| Provider Name | Sarah E Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124301817 PECOS PAC ID: 2264695311 Enrollment ID: I20120530000024 |
| Provider Name | Emily K A Turnbull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184992091 PECOS PAC ID: 9931363892 Enrollment ID: I20120606000240 |
| Provider Name | Lynne M Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528184918 PECOS PAC ID: 8628233228 Enrollment ID: I20120705000449 |
| Provider Name | John Kittrell Clyde |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831402841 PECOS PAC ID: 4789840927 Enrollment ID: I20120717000002 |
| Provider Name | James K Sherwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194968446 PECOS PAC ID: 0446407738 Enrollment ID: I20120821000645 |
| Provider Name | Elizabeth L Kijima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790055929 PECOS PAC ID: 5395993844 Enrollment ID: I20120907000337 |
| Provider Name | Jeanne D Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780814426 PECOS PAC ID: 7012165061 Enrollment ID: I20120917000252 |
| Provider Name | Heather K Wheeler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215137930 PECOS PAC ID: 7416105432 Enrollment ID: I20120918000062 |
| Provider Name | Dhruva R Gulur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649407016 PECOS PAC ID: 2860640885 Enrollment ID: I20120918000075 |
| Provider Name | Baburaj Thankappan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770752248 PECOS PAC ID: 4880756709 Enrollment ID: I20121031000602 |
| Provider Name | Margie C Neely |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982964912 PECOS PAC ID: 5294986956 Enrollment ID: I20121107000073 |
| Provider Name | Caner Sakin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285846683 PECOS PAC ID: 9830377647 Enrollment ID: I20130122000574 |
| Provider Name | Sophia Huang Shao Cheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982815676 PECOS PAC ID: 1658568696 Enrollment ID: I20130311000107 |
| Provider Name | Michael Charles Previti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598877565 PECOS PAC ID: 2668660044 Enrollment ID: I20130328000418 |
| Provider Name | Emily Suzanne Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225355647 PECOS PAC ID: 9133368459 Enrollment ID: I20130618000432 |
| Provider Name | Cynthia Marie Lewis |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1902895816 PECOS PAC ID: 0941227227 Enrollment ID: I20130625000745 |
| Provider Name | Matthew S Bremmer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528228848 PECOS PAC ID: 9234395450 Enrollment ID: I20130628000110 |
| Provider Name | Blanca L Belskus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992020325 PECOS PAC ID: 9830339456 Enrollment ID: I20130702000623 |
| Provider Name | Hsiang-hwa Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043539968 PECOS PAC ID: 2365682606 Enrollment ID: I20130709000594 |
| Provider Name | Daniel R Simon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619135738 PECOS PAC ID: 9830385814 Enrollment ID: I20130709000607 |
| Provider Name | Amitoj S Marwaha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972632297 PECOS PAC ID: 9234207580 Enrollment ID: I20130709000783 |
| Provider Name | Joshua H Kachner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053624866 PECOS PAC ID: 5991946659 Enrollment ID: I20130724000029 |
| Provider Name | Christian T Eaton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043534076 PECOS PAC ID: 8820235351 Enrollment ID: I20130724000037 |
| Provider Name | Victor D Estacio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063732782 PECOS PAC ID: 7113168410 Enrollment ID: I20130730000194 |
| Provider Name | Aaron T Fang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003130030 PECOS PAC ID: 6305082405 Enrollment ID: I20130805000983 |
| Provider Name | Brian C Sung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346482932 PECOS PAC ID: 9739235490 Enrollment ID: I20130806000535 |
| Provider Name | Amritpal S Sandhu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982629671 PECOS PAC ID: 4183621204 Enrollment ID: I20130808000299 |
| Provider Name | Esi Nkyekyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548585680 PECOS PAC ID: 0547402158 Enrollment ID: I20130812000276 |
| Provider Name | Maritza Julia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275971053 PECOS PAC ID: 5294978870 Enrollment ID: I20130829000435 |
| Provider Name | Shahram Najar Aarabi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972700458 PECOS PAC ID: 4183867658 Enrollment ID: I20130830000769 |
| Provider Name | Bryan A Sundin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467771287 PECOS PAC ID: 1759525975 Enrollment ID: I20130910000204 |
| Provider Name | Long H Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962632612 PECOS PAC ID: 5092967513 Enrollment ID: I20130910000320 |
| Provider Name | Keith W Leung |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306032446 PECOS PAC ID: 6507931763 Enrollment ID: I20130913000095 |
| Provider Name | Atreya Dash |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578768255 PECOS PAC ID: 2860580503 Enrollment ID: I20131031001260 |
| Provider Name | Josephine Arcilla Evangelista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275704587 PECOS PAC ID: 5193950814 Enrollment ID: I20131104001558 |
| Provider Name | Lara D Whorley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396173936 PECOS PAC ID: 9638305196 Enrollment ID: I20131112000963 |
| Provider Name | Shannon L Bailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265436687 PECOS PAC ID: 4587748876 Enrollment ID: I20131112002160 |
| Provider Name | Kalen D Jolk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477987246 PECOS PAC ID: 2466688635 Enrollment ID: I20131118000305 |
| Provider Name | Jeanne Y Cubanski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235289513 PECOS PAC ID: 8820224991 Enrollment ID: I20131119001289 |
| Provider Name | Jayashree Narayanan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093030223 PECOS PAC ID: 4486882313 Enrollment ID: I20140122001105 |
| Provider Name | Rebecca Stickler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104936020 PECOS PAC ID: 2961507975 Enrollment ID: I20140211001727 |
| Provider Name | Robert C Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700857588 PECOS PAC ID: 2668624206 Enrollment ID: I20140304001943 |
| Provider Name | Darcy A King |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962832519 PECOS PAC ID: 1153551221 Enrollment ID: I20140311001989 |
| Provider Name | Amy B Steers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053359026 PECOS PAC ID: 4486635059 Enrollment ID: I20140321001554 |
| Provider Name | Scott Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194973008 PECOS PAC ID: 7113095894 Enrollment ID: I20140425000197 |
| Provider Name | Christopher Pel-hsin Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376842146 PECOS PAC ID: 1557594306 Enrollment ID: I20140430002375 |
| Provider Name | Jesse D Markman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609001577 PECOS PAC ID: 6305069402 Enrollment ID: I20140519000318 |
| Provider Name | Arianne J Parkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295071124 PECOS PAC ID: 9335362243 Enrollment ID: I20140522000535 |
| Provider Name | Judith Carolin Hagedorn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871754929 PECOS PAC ID: 5799908547 Enrollment ID: I20140522002117 |
| Provider Name | Jeffrey L Stone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194767509 PECOS PAC ID: 9537146931 Enrollment ID: I20140710002431 |
| Provider Name | Josiah M Penalver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669662417 PECOS PAC ID: 7113143793 Enrollment ID: I20140717001948 |
| Provider Name | Linus A C Loo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851683338 PECOS PAC ID: 9931345071 Enrollment ID: I20140719000060 |
| Provider Name | Telly R Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780978338 PECOS PAC ID: 2163648635 Enrollment ID: I20140719000121 |
| Provider Name | Judy Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366601965 PECOS PAC ID: 4688890882 Enrollment ID: I20140724000960 |
| Provider Name | Krissy M Yamamoto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194916395 PECOS PAC ID: 8224209994 Enrollment ID: I20140724001006 |
| Provider Name | Todd A Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972891174 PECOS PAC ID: 5698908234 Enrollment ID: I20140725000914 |
| Provider Name | Jessica A Mcabee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720373806 PECOS PAC ID: 0840416939 Enrollment ID: I20140725001194 |
| Provider Name | Adam M Stephenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316231962 PECOS PAC ID: 7315164829 Enrollment ID: I20140806002692 |
| Provider Name | Kristin F Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508150152 PECOS PAC ID: 0648497867 Enrollment ID: I20140812002533 |
| Provider Name | Ann K Mcfarlane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164761110 PECOS PAC ID: 1456578434 Enrollment ID: I20140814002650 |
| Provider Name | Navanshu Arora |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053366237 PECOS PAC ID: 4385656792 Enrollment ID: I20140821001184 |
| Provider Name | Johnny Shum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407140056 PECOS PAC ID: 4082832241 Enrollment ID: I20140829000848 |
| Provider Name | Athena Ch Lan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396043725 PECOS PAC ID: 5496974545 Enrollment ID: I20140922002940 |
| Provider Name | Jennifer N Pense |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053605600 PECOS PAC ID: 6800016684 Enrollment ID: I20140929001837 |
| Provider Name | Leticia A Maragh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003022112 PECOS PAC ID: 4385864842 Enrollment ID: I20141003001727 |
| Provider Name | Amy Van Galder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174650808 PECOS PAC ID: 6901027036 Enrollment ID: I20141014002474 |
| Provider Name | Rachel Epstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164763611 PECOS PAC ID: 7214158286 Enrollment ID: I20141016002485 |
| Provider Name | Nam H Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043442932 PECOS PAC ID: 8123240223 Enrollment ID: I20141105000304 |
| Provider Name | Nai-ling Yeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639574106 PECOS PAC ID: 3072835172 Enrollment ID: I20141126001713 |
| Provider Name | Weiqiang Gao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447570304 PECOS PAC ID: 2365765922 Enrollment ID: I20150107000020 |
| Provider Name | Casey A Owings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609102201 PECOS PAC ID: 8022157676 Enrollment ID: I20150107001504 |
| Provider Name | Jordan Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154613677 PECOS PAC ID: 7911131149 Enrollment ID: I20150115002386 |
| Provider Name | Tomi Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639443898 PECOS PAC ID: 2163746306 Enrollment ID: I20150119000616 |
| Provider Name | Phillip A Dean |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1972584936 PECOS PAC ID: 4284738550 Enrollment ID: I20150131000137 |
| Provider Name | Michelle E Farber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982025870 PECOS PAC ID: 0749505717 Enrollment ID: I20150214000069 |
| Provider Name | Sumeet Subherwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326138348 PECOS PAC ID: 1355491572 Enrollment ID: I20150326000477 |
| Provider Name | Paul D Niemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164812798 PECOS PAC ID: 2961721733 Enrollment ID: I20150428001885 |
| Provider Name | Kathryn Patricia Pennington |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1336265511 PECOS PAC ID: 5496949703 Enrollment ID: I20150702001607 |
| Provider Name | Ying Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528494267 PECOS PAC ID: 5496983371 Enrollment ID: I20150709000540 |
| Provider Name | Nanette M Guild |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356731681 PECOS PAC ID: 5991018897 Enrollment ID: I20150721003158 |
| Provider Name | Nicole M Cruver Wenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750729356 PECOS PAC ID: 6901119569 Enrollment ID: I20150724012558 |
| Provider Name | Theresa Corey Hamer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609162593 PECOS PAC ID: 8123331709 Enrollment ID: I20150727000294 |
| Provider Name | Gabrielle Maybee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770566432 PECOS PAC ID: 9537341961 Enrollment ID: I20150730012841 |
| Provider Name | Lauren J Webb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073868410 PECOS PAC ID: 9830403872 Enrollment ID: I20150804004508 |
| Provider Name | Nick Nghia Dang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184989451 PECOS PAC ID: 9133433139 Enrollment ID: I20150804006208 |
| Provider Name | Julie Teresa Cella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063787372 PECOS PAC ID: 9335465673 Enrollment ID: I20150805006427 |
| Provider Name | Shawn Akavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780882233 PECOS PAC ID: 6002904760 Enrollment ID: I20150810002851 |
| Provider Name | Bhavana Bajracharya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952647364 PECOS PAC ID: 7315252996 Enrollment ID: I20150811004606 |
| Provider Name | Sean M Verlander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851657514 PECOS PAC ID: 6002121365 Enrollment ID: I20150814014021 |
| Provider Name | Angela I Lawton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750449088 PECOS PAC ID: 5799793287 Enrollment ID: I20150817001818 |
| Provider Name | Paul A Wardrop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467714022 PECOS PAC ID: 9335364462 Enrollment ID: I20150817002423 |
| Provider Name | Jennifer Avila-smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356604995 PECOS PAC ID: 4284860552 Enrollment ID: I20150820011729 |
| Provider Name | Aaron J Bobb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407185382 PECOS PAC ID: 0648438218 Enrollment ID: I20150901002224 |
| Provider Name | Jessica Lynn Brower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780069575 PECOS PAC ID: 2365758679 Enrollment ID: I20150901003023 |
| Provider Name | Mandeep K Kingra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750693602 PECOS PAC ID: 0648462473 Enrollment ID: I20150910000279 |
| Provider Name | Mary D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578671376 PECOS PAC ID: 1052397239 Enrollment ID: I20150911002497 |
| Provider Name | Krista R Kawaguchi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336464247 PECOS PAC ID: 7315254786 Enrollment ID: I20150917000225 |
| Provider Name | Rodney T Riedel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366426405 PECOS PAC ID: 4587694021 Enrollment ID: I20150917001081 |
| Provider Name | Carlos Camal-sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861868101 PECOS PAC ID: 0648587931 Enrollment ID: I20150918001639 |
| Provider Name | Chunbai Zhang |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1194933317 PECOS PAC ID: 4486961638 Enrollment ID: I20150921001188 |
| Provider Name | Lorie Carolyn Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346238235 PECOS PAC ID: 2668494022 Enrollment ID: I20151001001789 |
| Provider Name | Allison R Alberton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598194342 PECOS PAC ID: 7618285891 Enrollment ID: I20151008000793 |
| Provider Name | Amisha Md Mehta |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1992064448 PECOS PAC ID: 2163668096 Enrollment ID: I20151014002094 |
| Provider Name | Olivia Nicole Corrado |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699173856 PECOS PAC ID: 0446569883 Enrollment ID: I20151026000602 |
| Provider Name | Christina G Kipelidis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902273030 PECOS PAC ID: 6002116241 Enrollment ID: I20151119002774 |
| Provider Name | Brenton J Ward |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710129267 PECOS PAC ID: 1153567235 Enrollment ID: I20151231001226 |
| Provider Name | Meghana Vivek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679808190 PECOS PAC ID: 4486807385 Enrollment ID: I20160104002340 |
| Provider Name | Larena L Walshe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992178057 PECOS PAC ID: 3870896285 Enrollment ID: I20160119001745 |
| Provider Name | Promish Shrestha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366797524 PECOS PAC ID: 2365752052 Enrollment ID: I20160122001301 |
| Provider Name | Candace L Mabbitt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265841159 PECOS PAC ID: 2264737592 Enrollment ID: I20160225000385 |
| Provider Name | Kuldeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942681523 PECOS PAC ID: 1052616091 Enrollment ID: I20160229001988 |
| Provider Name | Preetkamal N Singh-cheema |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699074260 PECOS PAC ID: 3678706017 Enrollment ID: I20160318001313 |
| Provider Name | Patricia M Dotson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265681407 PECOS PAC ID: 6305905498 Enrollment ID: I20160412002718 |
| Provider Name | Deepa Gali |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376856922 PECOS PAC ID: 6103116462 Enrollment ID: I20160530000012 |
| Provider Name | Yilin Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871835041 PECOS PAC ID: 8820314255 Enrollment ID: I20160602001749 |
| Provider Name | Mandeep K Walia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285888206 PECOS PAC ID: 3173796497 Enrollment ID: I20160615000289 |
| Provider Name | Iryna S Lototska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487966511 PECOS PAC ID: 0547442550 Enrollment ID: I20160615002088 |
| Provider Name | Esther Fuchs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255572723 PECOS PAC ID: 3375727779 Enrollment ID: I20160621002013 |
| Provider Name | Chelsea E Price |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295097798 PECOS PAC ID: 0547553141 Enrollment ID: I20160719002559 |
| Provider Name | Elise Simons |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1760692198 PECOS PAC ID: 6406034503 Enrollment ID: I20160722001983 |
| Provider Name | Nicole K Zern |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043534936 PECOS PAC ID: 4688967607 Enrollment ID: I20160727002343 |
| Provider Name | Nicole Elise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104276732 PECOS PAC ID: 1759674781 Enrollment ID: I20160727002744 |
| Provider Name | Jayanti Clay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740576560 PECOS PAC ID: 0345480950 Enrollment ID: I20160802003061 |
| Provider Name | Reid Masters |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548420342 PECOS PAC ID: 0547402646 Enrollment ID: I20160803002163 |
| Provider Name | Greta V Bernier |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1588814198 PECOS PAC ID: 6103110325 Enrollment ID: I20160811001040 |
| Provider Name | Kemi M Doll |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1508028788 PECOS PAC ID: 6204121031 Enrollment ID: I20160818000894 |
| Provider Name | Frederick D Park |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013113208 PECOS PAC ID: 4284874504 Enrollment ID: I20160906002318 |
| Provider Name | Andrew D Ashbaugh |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437413556 PECOS PAC ID: 4385959485 Enrollment ID: I20160906002727 |
| Provider Name | Yu Yuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851738512 PECOS PAC ID: 4385957695 Enrollment ID: I20160908000731 |
| Provider Name | Tatyana Sidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114378429 PECOS PAC ID: 2567758105 Enrollment ID: I20160908001683 |
| Provider Name | Marcie H Solondz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720373962 PECOS PAC ID: 0244459071 Enrollment ID: I20160909000607 |
| Provider Name | Lucia Y Chou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669798021 PECOS PAC ID: 7315184942 Enrollment ID: I20160914002049 |
| Provider Name | Jennifer Lelia Davis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831485846 PECOS PAC ID: 7416195193 Enrollment ID: I20160914002148 |
| Provider Name | Tessa M Ravotti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972955201 PECOS PAC ID: 4789971714 Enrollment ID: I20160920000303 |
| Provider Name | Sujatha Manthini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811131832 PECOS PAC ID: 8022160415 Enrollment ID: I20160923001608 |
| Provider Name | Samira A Farah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578900213 PECOS PAC ID: 9537315346 Enrollment ID: I20160926000612 |
| Provider Name | Daniel L Brelsford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033556873 PECOS PAC ID: 4486974524 Enrollment ID: I20160926001024 |
| Provider Name | Shamim H Nejad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124120761 PECOS PAC ID: 0345341400 Enrollment ID: I20160926001618 |
| Provider Name | Samantha Eller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487096442 PECOS PAC ID: 0042513863 Enrollment ID: I20160927001449 |
| Provider Name | Ray Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801158423 PECOS PAC ID: 4981826336 Enrollment ID: I20160927001945 |
| Provider Name | Wendy Wan Anan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669673448 PECOS PAC ID: 8628224672 Enrollment ID: I20160928000665 |
| Provider Name | Melanie L Andersen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164798914 PECOS PAC ID: 1850616269 Enrollment ID: I20160930001376 |
| Provider Name | Sarah Lynn Lewing |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003161324 PECOS PAC ID: 4981992104 Enrollment ID: I20161004000842 |
| Provider Name | Amelia R Buben |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770840266 PECOS PAC ID: 3577851716 Enrollment ID: I20161004001385 |
| Provider Name | Zin M Tun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508122136 PECOS PAC ID: 3779806161 Enrollment ID: I20161004001399 |
| Provider Name | Angela J Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710324454 PECOS PAC ID: 1153641212 Enrollment ID: I20161007001076 |
| Provider Name | Lama R Alameddine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336695873 PECOS PAC ID: 1658659636 Enrollment ID: I20161026000494 |
| Provider Name | Mi Sun Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679925168 PECOS PAC ID: 3577841519 Enrollment ID: I20161026002525 |
| Provider Name | Brie F Altenau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487946489 PECOS PAC ID: 8628356672 Enrollment ID: I20161026003011 |
| Provider Name | Melanie Hj Chong |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1083977557 PECOS PAC ID: 4981983806 Enrollment ID: I20161117001132 |
| Provider Name | Pauline Lao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407208176 PECOS PAC ID: 6002195609 Enrollment ID: I20161123001282 |
| Provider Name | Mariena Mears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417325093 PECOS PAC ID: 4981983491 Enrollment ID: I20161123001826 |
| Provider Name | Cynthia A Knutson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306863030 PECOS PAC ID: 3678754447 Enrollment ID: I20161128000010 |
| Provider Name | Sheryl A Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285183384 PECOS PAC ID: 0749560142 Enrollment ID: I20161130002063 |
| Provider Name | Sophia P Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609161181 PECOS PAC ID: 9537474234 Enrollment ID: I20170110003137 |
| Provider Name | Pei-chia Liang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154612091 PECOS PAC ID: 5294055018 Enrollment ID: I20170202001799 |
| Provider Name | Liane M Fernyhough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003293069 PECOS PAC ID: 8628352135 Enrollment ID: I20170301001048 |
| Provider Name | Reza Berjis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285607606 PECOS PAC ID: 0042209868 Enrollment ID: I20170314001851 |
| Provider Name | Sarah Mae Hillebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740646389 PECOS PAC ID: 4789951872 Enrollment ID: I20170519001952 |
| Provider Name | Kenta Nakamura |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841510310 PECOS PAC ID: 5890956940 Enrollment ID: I20170616002165 |
| Provider Name | Stephen A Mccartney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912249012 PECOS PAC ID: 1052637634 Enrollment ID: I20170619002295 |
| Provider Name | Laura Elizabeth Sienas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538507314 PECOS PAC ID: 5193093821 Enrollment ID: I20170621000672 |
| Provider Name | Brian R Winters |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538468111 PECOS PAC ID: 3375861594 Enrollment ID: I20170621002710 |
| Provider Name | Naomi Belayneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912275892 PECOS PAC ID: 5991929911 Enrollment ID: I20170623001280 |
| Provider Name | So Hee Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679001846 PECOS PAC ID: 8628347051 Enrollment ID: I20170628002173 |
| Provider Name | Surafel Befekadv Gezahegne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326364688 PECOS PAC ID: 3577790336 Enrollment ID: I20170630002614 |
| Provider Name | Joshua H Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427476886 PECOS PAC ID: 9931492584 Enrollment ID: I20170705001727 |
| Provider Name | Poojitha R Beravol |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073749396 PECOS PAC ID: 3072828201 Enrollment ID: I20170721001573 |
| Provider Name | Makeda Emebet Agonafer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215371935 PECOS PAC ID: 6103197694 Enrollment ID: I20170801003859 |
| Provider Name | Jeonghun Moon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437410354 PECOS PAC ID: 4789995564 Enrollment ID: I20170807002629 |
| Provider Name | Rejoice Opara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467898460 PECOS PAC ID: 2769772268 Enrollment ID: I20170817003498 |
| Provider Name | Geetha Narayani Fink |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982919437 PECOS PAC ID: 0840562294 Enrollment ID: I20170818001755 |
| Provider Name | Megan Worthley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639585474 PECOS PAC ID: 6901126044 Enrollment ID: I20170818001843 |
| Provider Name | Shan Dong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861783912 PECOS PAC ID: 0840562104 Enrollment ID: I20170821003163 |
| Provider Name | Aristotle Sun |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1821354069 PECOS PAC ID: 4284937731 Enrollment ID: I20170829003125 |
| Provider Name | Alexis Ann Mettler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881004950 PECOS PAC ID: 8426321209 Enrollment ID: I20170829003859 |
| Provider Name | Thuy T Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578979316 PECOS PAC ID: 0446570592 Enrollment ID: I20170829004420 |
| Provider Name | Olga Valieva Bishop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093158123 PECOS PAC ID: 1153605662 Enrollment ID: I20170907001001 |
| Provider Name | Janelle Trippany |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386922482 PECOS PAC ID: 7719157510 Enrollment ID: I20171003005565 |
| Provider Name | April Harris Downs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659383594 PECOS PAC ID: 3870563463 Enrollment ID: I20171011002792 |
| Provider Name | Zainab A Gaal-weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003332974 PECOS PAC ID: 0446526743 Enrollment ID: I20171031001614 |
| Provider Name | Wenyi Zhang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235497041 PECOS PAC ID: 8921364910 Enrollment ID: I20171107002851 |
| Provider Name | Angela C Beals |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871948216 PECOS PAC ID: 3971860883 Enrollment ID: I20171201000882 |
| Provider Name | Lindsay Marie Nofziger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306365598 PECOS PAC ID: 6406115971 Enrollment ID: I20180109002921 |
| Provider Name | Jennifer Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154648608 PECOS PAC ID: 3870813678 Enrollment ID: I20180112001725 |
| Provider Name | Lindsay L Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871010140 PECOS PAC ID: 0547529497 Enrollment ID: I20180122002502 |
| Provider Name | Jennifer A Fijor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194108654 PECOS PAC ID: 9032426770 Enrollment ID: I20180321001189 |
| Provider Name | Natalie Dawn Morgan-romain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285985218 PECOS PAC ID: 2860639655 Enrollment ID: I20180321002555 |
| Provider Name | Gurvinder K Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194232579 PECOS PAC ID: 1254693559 Enrollment ID: I20180327000757 |
| Provider Name | Rachel A Mlanao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003107202 PECOS PAC ID: 4385944578 Enrollment ID: I20180403001783 |
| Provider Name | Mary E Walton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336665959 PECOS PAC ID: 9830453919 Enrollment ID: I20180426002077 |
| Provider Name | Yvonne Yen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346566098 PECOS PAC ID: 8022252600 Enrollment ID: I20180508002493 |
| Provider Name | Yaw Aninakwa Nyame |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073889044 PECOS PAC ID: 4385946573 Enrollment ID: I20180522002361 |
| Provider Name | Erin Marie Eddington Alden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184138208 PECOS PAC ID: 9133484181 Enrollment ID: I20180523000717 |
| Provider Name | Callie Ann Byrd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376787481 PECOS PAC ID: 5092070805 Enrollment ID: I20180529001220 |
| Provider Name | Aliscia Rose Lindeke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033546718 PECOS PAC ID: 5496010811 Enrollment ID: I20180605002064 |
| Provider Name | Joseph Rootjes Roberts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255607313 PECOS PAC ID: 9436385572 Enrollment ID: I20180606001055 |
| Provider Name | Patrick C Samson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104263771 PECOS PAC ID: 9638424898 Enrollment ID: I20180612003275 |
| Provider Name | Padhma M Venkitapathy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003202870 PECOS PAC ID: 7719232305 Enrollment ID: I20180622001411 |
| Provider Name | Raja Gopal Reddy Edula |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568454064 PECOS PAC ID: 6901841147 Enrollment ID: I20180626002233 |
| Provider Name | Michael James Lynch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255750097 PECOS PAC ID: 4486909868 Enrollment ID: I20180626003443 |
| Provider Name | Shelly Marie Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609287358 PECOS PAC ID: 6305192899 Enrollment ID: I20180713002055 |
| Provider Name | Minsoo Kang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780681569 PECOS PAC ID: 9133016249 Enrollment ID: I20180725004071 |
| Provider Name | Amanda Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992192579 PECOS PAC ID: 3476801382 Enrollment ID: I20180809004272 |
| Provider Name | Olga A Lebed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881195857 PECOS PAC ID: 0648529446 Enrollment ID: I20180827002757 |
| Provider Name | Naeima Santana |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063998573 PECOS PAC ID: 7911257514 Enrollment ID: I20180831000874 |
| Provider Name | Hayley Wurtz Hunt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649697863 PECOS PAC ID: 6103140827 Enrollment ID: I20180907000166 |
| Provider Name | Sara J Pauk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821418930 PECOS PAC ID: 9638493463 Enrollment ID: I20180914001553 |
| Provider Name | Kial L Wiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821485020 PECOS PAC ID: 9830407212 Enrollment ID: I20180918004040 |
| Provider Name | Jenna N Madeja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306240890 PECOS PAC ID: 8426323734 Enrollment ID: I20180919002484 |
| Provider Name | Lisa A Vivanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871088427 PECOS PAC ID: 9537410279 Enrollment ID: I20180919003550 |
| Provider Name | Nazir Ahmed Balouch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942454061 PECOS PAC ID: 7113087990 Enrollment ID: I20181005000782 |
| Provider Name | Gabrielle Dionyse Lauren Bernard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275589608 PECOS PAC ID: 9133013436 Enrollment ID: I20181026001416 |
| Provider Name | Andrew R Quisumbing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679951008 PECOS PAC ID: 6002122322 Enrollment ID: I20181030000428 |
| Provider Name | Cheuk Young Hong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285618314 PECOS PAC ID: 8527359561 Enrollment ID: I20181031003315 |
| Provider Name | Ting-wei Yang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013987841 PECOS PAC ID: 0446497192 Enrollment ID: I20181101002634 |
| Provider Name | Kevin S Ikuta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265878797 PECOS PAC ID: 2264743848 Enrollment ID: I20181112001769 |
| Provider Name | Bethany A Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114400520 PECOS PAC ID: 5799039319 Enrollment ID: I20181119001487 |
| Provider Name | Timothy J Asher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366823742 PECOS PAC ID: 8729392972 Enrollment ID: I20181119002137 |
| Provider Name | Ali Sultan-qurraie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114156940 PECOS PAC ID: 4880811710 Enrollment ID: I20181211002046 |
| Provider Name | Amanda Morgan Casto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497012090 PECOS PAC ID: 9931413275 Enrollment ID: I20190104000673 |
| Provider Name | Dylan A Mart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912327032 PECOS PAC ID: 9436378841 Enrollment ID: I20190108000708 |
| Provider Name | Garrett Brent Hoskins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649751900 PECOS PAC ID: 6800133026 Enrollment ID: I20190125002899 |
| Provider Name | Chloe Rael Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578962528 PECOS PAC ID: 3971723404 Enrollment ID: I20190320000182 |
| Provider Name | Dominique J Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003263617 PECOS PAC ID: 1557653235 Enrollment ID: I20190320002460 |
| Provider Name | Alison Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053823641 PECOS PAC ID: 3274873427 Enrollment ID: I20190326000224 |
| Provider Name | Allison Paige Veidenheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417425141 PECOS PAC ID: 9234470980 Enrollment ID: I20190408001464 |
| Provider Name | Jennifer Kelly Burzawa |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1861715096 PECOS PAC ID: 3072644178 Enrollment ID: I20190410001867 |
| Provider Name | Jaycee Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497249932 PECOS PAC ID: 1355683392 Enrollment ID: I20190423002716 |
| Provider Name | Caylin Hunter Cheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801370697 PECOS PAC ID: 1456693043 Enrollment ID: I20190501000876 |
| Provider Name | I Pan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922565795 PECOS PAC ID: 5890037279 Enrollment ID: I20190506000715 |
| Provider Name | Robin Stiller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083076715 PECOS PAC ID: 2062703689 Enrollment ID: I20190514002189 |
| Provider Name | Nora Delavari |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942791652 PECOS PAC ID: 4587997721 Enrollment ID: I20190603003168 |
| Provider Name | Austin Chandler Nicholson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134532450 PECOS PAC ID: 9638443567 Enrollment ID: I20190604000387 |
| Provider Name | Wojciech Gryc |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063808517 PECOS PAC ID: 5294047189 Enrollment ID: I20190624000524 |
| Provider Name | Rachel Ann Kopicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184078594 PECOS PAC ID: 2769757343 Enrollment ID: I20190627002541 |
| Provider Name | Meagan Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568818227 PECOS PAC ID: 3779858352 Enrollment ID: I20190627003060 |
| Provider Name | Erin N Mclaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932555620 PECOS PAC ID: 7315212982 Enrollment ID: I20190703002949 |
| Provider Name | Marina Saldana Dupree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801183553 PECOS PAC ID: 9234373150 Enrollment ID: I20190708000761 |
| Provider Name | Alexander Joseuf Skokan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851719900 PECOS PAC ID: 7810293826 Enrollment ID: I20190709002884 |
| Provider Name | David Michael Strand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952860488 PECOS PAC ID: 1254666464 Enrollment ID: I20190710002874 |
| Provider Name | Renee Quyen-ngan Thai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659465185 PECOS PAC ID: 3779658778 Enrollment ID: I20190717000750 |
| Provider Name | Bradford Deahl Granath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164521670 PECOS PAC ID: 6103859863 Enrollment ID: I20190719002156 |
| Provider Name | Kimberly Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619399631 PECOS PAC ID: 3072833771 Enrollment ID: I20190723000836 |
| Provider Name | Sabrina Christine Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760976922 PECOS PAC ID: 6406105014 Enrollment ID: I20190806002747 |
| Provider Name | Chad M Bailey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003179300 PECOS PAC ID: 0042575219 Enrollment ID: I20190808002172 |
| Provider Name | Maria Victoria Cayabyab |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508165804 PECOS PAC ID: 9830405042 Enrollment ID: I20190827004175 |
| Provider Name | Matthew John Hallowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467814871 PECOS PAC ID: 5496047078 Enrollment ID: I20190830001595 |
| Provider Name | Eshita Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780083949 PECOS PAC ID: 7416236781 Enrollment ID: I20190830002433 |
| Provider Name | Travis Frederick D'souza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326492547 PECOS PAC ID: 8123327947 Enrollment ID: I20190830002892 |
| Provider Name | Aminta Ann Blinka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720465768 PECOS PAC ID: 6204142607 Enrollment ID: I20190904001760 |
| Provider Name | Anh-chi Dang Do |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790131456 PECOS PAC ID: 9032484621 Enrollment ID: I20190904001949 |
| Provider Name | Garima Ajmani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225484926 PECOS PAC ID: 4880989243 Enrollment ID: I20190904002405 |
| Provider Name | Thidarat Riewe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851952642 PECOS PAC ID: 5890024533 Enrollment ID: I20190905003453 |
| Provider Name | Ashley A Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770044018 PECOS PAC ID: 0244569598 Enrollment ID: I20190911001975 |
| Provider Name | Linnea Hope Deluna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235600651 PECOS PAC ID: 5092044263 Enrollment ID: I20190912003553 |
| Provider Name | Kendra Raquel Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265098891 PECOS PAC ID: 7719217751 Enrollment ID: I20190918001060 |
| Provider Name | Victoria C Boisen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814167 PECOS PAC ID: 7719902675 Enrollment ID: I20190919000420 |
| Provider Name | Elisha Katrina Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679031454 PECOS PAC ID: 8022348945 Enrollment ID: I20190919000675 |
| Provider Name | Pnina Strasbourger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508212200 PECOS PAC ID: 4688949258 Enrollment ID: I20190919001315 |
| Provider Name | Remy Elizabeth Van Sanford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699153916 PECOS PAC ID: 3678885597 Enrollment ID: I20190920002582 |
| Provider Name | Lauren Marie Smilde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790343408 PECOS PAC ID: 5193055770 Enrollment ID: I20190924003260 |
| Provider Name | Niharika Rath |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1851706295 PECOS PAC ID: 9032449640 Enrollment ID: I20190925000530 |
| Provider Name | Ruben L Burbank |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467713867 PECOS PAC ID: 4082917448 Enrollment ID: I20190925001155 |
| Provider Name | Bertram Drury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366822918 PECOS PAC ID: 7113239591 Enrollment ID: I20190926000118 |
| Provider Name | Donald Gilbert Harris |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285958967 PECOS PAC ID: 4183922313 Enrollment ID: I20190930001373 |
| Provider Name | Annie Kyunga Ahn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598182990 PECOS PAC ID: 1153651351 Enrollment ID: I20191002000647 |
| Provider Name | Kallin A Shannon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083158430 PECOS PAC ID: 5799047791 Enrollment ID: I20191007003570 |
| Provider Name | Eric John Schmit |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326452764 PECOS PAC ID: 1153606355 Enrollment ID: I20191013000025 |
| Provider Name | Laura Lynn Aguilar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124478870 PECOS PAC ID: 6901155415 Enrollment ID: I20191029002662 |
| Provider Name | Jamie Lea Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194200667 PECOS PAC ID: 0648519710 Enrollment ID: I20191030001180 |
| Provider Name | Aditi Dhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710331483 PECOS PAC ID: 1052650140 Enrollment ID: I20191101002269 |
| Provider Name | Megan Geneva Hill |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699320549 PECOS PAC ID: 2961834106 Enrollment ID: I20191108002956 |
| Provider Name | Melanie Marashly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720118755 PECOS PAC ID: 9638272370 Enrollment ID: I20191120001644 |
| Provider Name | Sherman Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144603044 PECOS PAC ID: 1456784719 Enrollment ID: I20191127002573 |
| Provider Name | Connor T Mickelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972159945 PECOS PAC ID: 2466885520 Enrollment ID: I20191203001474 |
| Provider Name | Rachel Wanjini Nginyi Munyoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265831911 PECOS PAC ID: 7113146705 Enrollment ID: I20191204001942 |
| Provider Name | Ashwin Gopalan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902242605 PECOS PAC ID: 5698069110 Enrollment ID: I20191223000362 |
| Provider Name | Grace Cho |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952827826 PECOS PAC ID: 8426482357 Enrollment ID: I20191230001757 |
| Provider Name | Rabiah Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780002170 PECOS PAC ID: 6204052541 Enrollment ID: I20200116000085 |
| Provider Name | Lisa M Nicholson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689840399 PECOS PAC ID: 8022360122 Enrollment ID: I20200117001808 |
| Provider Name | Abigail J Friend |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649637653 PECOS PAC ID: 2163700717 Enrollment ID: I20200205003010 |
| Provider Name | Kaylee L Drewry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346889250 PECOS PAC ID: 5890121628 Enrollment ID: I20200214000003 |
| Provider Name | Michael E Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770675092 PECOS PAC ID: 1254486160 Enrollment ID: I20200324000345 |
| Provider Name | Laurie Anne Rodenberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245682228 PECOS PAC ID: 9537456041 Enrollment ID: I20200422002717 |
| Provider Name | Scott D Morris |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1336297498 PECOS PAC ID: 5294785531 Enrollment ID: I20200514002086 |
| Provider Name | Nathan Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831621770 PECOS PAC ID: 4880943323 Enrollment ID: I20200515001147 |
| Provider Name | Becky Lynn Lyons Dills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184267148 PECOS PAC ID: 5597196089 Enrollment ID: I20200518001319 |
| Provider Name | Raymond Aguilar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871024083 PECOS PAC ID: 5092146431 Enrollment ID: I20200519000670 |
| Provider Name | Cindy Yen Shieh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801214879 PECOS PAC ID: 9234400094 Enrollment ID: I20200611001967 |
| Provider Name | Sarah Mcguffin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902223282 PECOS PAC ID: 0244554376 Enrollment ID: I20200618002161 |
| Provider Name | Lee Whitmore Eschenroeder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285168096 PECOS PAC ID: 2264701515 Enrollment ID: I20200618002371 |
| Provider Name | Jessica Rydelski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295359206 PECOS PAC ID: 5991127425 Enrollment ID: I20200629003603 |
| Provider Name | Sara E Mazzoni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235285842 PECOS PAC ID: 0941355200 Enrollment ID: I20200709000914 |
| Provider Name | Trenton M Morton |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1306263322 PECOS PAC ID: 7416264577 Enrollment ID: I20200727001570 |
| Provider Name | Anna Eleanor Goebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003346271 PECOS PAC ID: 9537431291 Enrollment ID: I20200806000089 |
| Provider Name | Jeffrey Edward Keenan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396035168 PECOS PAC ID: 1557786464 Enrollment ID: I20200809000017 |
| Provider Name | Michael Spencer Harper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902338270 PECOS PAC ID: 1557647500 Enrollment ID: I20200810000237 |
| Provider Name | Kenneth Yemisi Igbalode |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235577883 PECOS PAC ID: 2769619949 Enrollment ID: I20200811000667 |
| Provider Name | Rachael L Grothen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508068222 PECOS PAC ID: 5698191484 Enrollment ID: I20200811001704 |
| Provider Name | Derek William Wood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619363983 PECOS PAC ID: 9537461322 Enrollment ID: I20200811001805 |
| Provider Name | Reshad Mahmud |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043607930 PECOS PAC ID: 0648585059 Enrollment ID: I20200812000847 |
| Provider Name | Maziar Khorsandi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013449404 PECOS PAC ID: 7911323142 Enrollment ID: I20200818002307 |
| Provider Name | Amanda Jane Zorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669902839 PECOS PAC ID: 2860764446 Enrollment ID: I20200819003376 |
| Provider Name | Teodora Roumenova Kolarova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477915692 PECOS PAC ID: 3173816436 Enrollment ID: I20200821000810 |
| Provider Name | Jamie Kay Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619586567 PECOS PAC ID: 2668898529 Enrollment ID: I20200821002763 |
| Provider Name | Minh Hang Dao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205356276 PECOS PAC ID: 5890067557 Enrollment ID: I20200826002681 |
| Provider Name | Samandip Singh Hothi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992185136 PECOS PAC ID: 8820343593 Enrollment ID: I20200904000384 |
| Provider Name | Kirsten Margaret Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639609803 PECOS PAC ID: 1658643325 Enrollment ID: I20200909001685 |
| Provider Name | David Feldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528592987 PECOS PAC ID: 0840619961 Enrollment ID: I20200923001226 |
| Provider Name | Reilly Elizabeth Retz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386259968 PECOS PAC ID: 9335568989 Enrollment ID: I20200930002580 |
| Provider Name | Maikha Jeanlione |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417310350 PECOS PAC ID: 6103173828 Enrollment ID: I20201002001359 |
| Provider Name | John Taylor Gabriel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992237929 PECOS PAC ID: 9032462809 Enrollment ID: I20201002002922 |
| Provider Name | Clive Kefei Liu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043668577 PECOS PAC ID: 8921428830 Enrollment ID: I20201014003532 |
| Provider Name | Erika Rene Korinke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528321999 PECOS PAC ID: 5193145977 Enrollment ID: I20201015003228 |
| Provider Name | Jennifer Mcgarry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639778137 PECOS PAC ID: 4385055722 Enrollment ID: I20201116002314 |
| Provider Name | Sarah Sheu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063823086 PECOS PAC ID: 5395964878 Enrollment ID: I20210111000626 |
| Provider Name | Christopher R Kinsella |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114212792 PECOS PAC ID: 0345542882 Enrollment ID: I20210216003331 |
| Provider Name | Supaksh Gupta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578974226 PECOS PAC ID: 2264725811 Enrollment ID: I20210225001915 |
| Provider Name | Jennifer Massara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174597165 PECOS PAC ID: 6709882046 Enrollment ID: I20210301002749 |
| Provider Name | Nicole Opal Lloyd |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447842828 PECOS PAC ID: 5092121764 Enrollment ID: I20210303002249 |
| Provider Name | Jennifer R Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780833004 PECOS PAC ID: 1759502693 Enrollment ID: I20210303003028 |
| Provider Name | Fabian Santana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679168496 PECOS PAC ID: 7719394535 Enrollment ID: I20210323002115 |
| Provider Name | Amelia Louise Shah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750655577 PECOS PAC ID: 1951719970 Enrollment ID: I20210412002475 |
| Provider Name | Brittany Mayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730521857 PECOS PAC ID: 8123259520 Enrollment ID: I20210419002099 |
| Provider Name | Toy Gee Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760775498 PECOS PAC ID: 9830488550 Enrollment ID: I20210420001621 |
| Provider Name | Sargon Bet-shlimon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578097101 PECOS PAC ID: 3577835362 Enrollment ID: I20210514001991 |
| Provider Name | Anand Chandranayan Baxi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528452109 PECOS PAC ID: 5890015069 Enrollment ID: I20210517001983 |
| Provider Name | Margarita Mercado Medina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790929172 PECOS PAC ID: 7012053754 Enrollment ID: I20210518000754 |
| Provider Name | Betsy Rose De La Rosa |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386011765 PECOS PAC ID: 3870993181 Enrollment ID: I20210608002099 |
| Provider Name | Jeannie Ching-i Hu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134267073 PECOS PAC ID: 6406256007 Enrollment ID: I20210618002102 |
| Provider Name | Gurpreet Johal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568751154 PECOS PAC ID: 6709007412 Enrollment ID: I20210719000675 |
| Provider Name | Kristin June Braden Thai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295226355 PECOS PAC ID: 0749539286 Enrollment ID: I20210719001553 |
| Provider Name | Brandon James Teng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336589282 PECOS PAC ID: 6305167826 Enrollment ID: I20210721001833 |
| Provider Name | Ryan D Salinas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144660390 PECOS PAC ID: 1153724661 Enrollment ID: I20210721002645 |
| Provider Name | Lumi Caroline Shimizu Seto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538795760 PECOS PAC ID: 1456754985 Enrollment ID: I20210721003495 |
| Provider Name | Melody Soucy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245805126 PECOS PAC ID: 6204230402 Enrollment ID: I20210810003715 |
| Provider Name | Zeva Daniela Herzog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811488968 PECOS PAC ID: 7810246345 Enrollment ID: I20210901000418 |
| Provider Name | Elaine Liu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518164052 PECOS PAC ID: 3375725880 Enrollment ID: I20210902002140 |
| Provider Name | Samuel Wroe Sussman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881126860 PECOS PAC ID: 4385997352 Enrollment ID: I20210903000845 |
| Provider Name | Elaine Lee Hsia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710472279 PECOS PAC ID: 8224385968 Enrollment ID: I20210903001930 |
| Provider Name | Mallory Grove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730539081 PECOS PAC ID: 7517250897 Enrollment ID: I20210907001063 |
| Provider Name | Allen Sy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033615380 PECOS PAC ID: 5698022648 Enrollment ID: I20210907001355 |
| Provider Name | Mariel Scheinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174027528 PECOS PAC ID: 8123376068 Enrollment ID: I20210907001427 |
| Provider Name | Navjot Dhillon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467608885 PECOS PAC ID: 6002121381 Enrollment ID: I20210907002477 |
| Provider Name | Lauren Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831648401 PECOS PAC ID: 0143564948 Enrollment ID: I20210908002146 |
| Provider Name | Karli Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831761352 PECOS PAC ID: 9032516372 Enrollment ID: I20210929000812 |
| Provider Name | Taylor David Coston |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528592151 PECOS PAC ID: 9032537428 Enrollment ID: I20211101002043 |
| Provider Name | Nicole Asia Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285166140 PECOS PAC ID: 2163848367 Enrollment ID: I20211111002937 |
| Provider Name | Chalermkiat Thanasawat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255507877 PECOS PAC ID: 1052437464 Enrollment ID: I20211115000771 |
| Provider Name | Patrick Scott Pevoto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376550731 PECOS PAC ID: 4385783182 Enrollment ID: I20211209002655 |
| Provider Name | Shawn M Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972917995 PECOS PAC ID: 2264740422 Enrollment ID: I20211223000304 |
| Provider Name | Vinay Govind Bhoplay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477648459 PECOS PAC ID: 5698677649 Enrollment ID: I20220106001399 |
| Provider Name | Hongyang Pi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376074294 PECOS PAC ID: 3971871229 Enrollment ID: I20220113001537 |
| Provider Name | David Asher Drimmer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801206180 PECOS PAC ID: 9335368992 Enrollment ID: I20220119002701 |
| Provider Name | Jamil Matthews |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790070969 PECOS PAC ID: 1254652704 Enrollment ID: I20220204000495 |
| Provider Name | Sandeep Gunna Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679002752 PECOS PAC ID: 1456744382 Enrollment ID: I20220216002690 |
| Provider Name | Lydia Weyenberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407381650 PECOS PAC ID: 4486048592 Enrollment ID: I20220304001784 |
| Provider Name | Shannon Leigh Sluys |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508482332 PECOS PAC ID: 3779902929 Enrollment ID: I20220315000595 |
| Provider Name | Khenyian Cheung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487031068 PECOS PAC ID: 3971851254 Enrollment ID: I20220315002552 |
| Provider Name | Katelan Lauren Halgren |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144971169 PECOS PAC ID: 5496140758 Enrollment ID: I20220323001651 |
| Provider Name | Melissa Ann Grant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629240882 PECOS PAC ID: 3375768583 Enrollment ID: I20220324000628 |
| Provider Name | Haley J Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659716785 PECOS PAC ID: 1850679101 Enrollment ID: I20220421000533 |
| Provider Name | Heather Bruns |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750924197 PECOS PAC ID: 0840622262 Enrollment ID: I20220421001509 |
| Provider Name | Kristen Amaranthine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538618731 PECOS PAC ID: 8022396134 Enrollment ID: I20220429000522 |
| Provider Name | Russel Van Gelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215689658 PECOS PAC ID: 0941697460 Enrollment ID: I20220429001867 |
| Provider Name | Rachel L Herron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588263875 PECOS PAC ID: 1153708417 Enrollment ID: I20220508000002 |
| Provider Name | Fauzia N Rana |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1639138100 PECOS PAC ID: 6800990508 Enrollment ID: I20220511000313 |
| Provider Name | Sherrill J.e. Rose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811481146 PECOS PAC ID: 6800143421 Enrollment ID: I20220511000464 |
| Provider Name | Lorena Carolina Martinez King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710474549 PECOS PAC ID: 5698152734 Enrollment ID: I20220511001803 |
| Provider Name | Alexander Adams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295135101 PECOS PAC ID: 9739459314 Enrollment ID: I20220523001953 |
| Provider Name | Ariel G Brantley-dalglish |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003287749 PECOS PAC ID: 5294022638 Enrollment ID: I20220603001108 |
| Provider Name | Shelley Binkley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497787576 PECOS PAC ID: 6002847175 Enrollment ID: I20220623001052 |
| Provider Name | Enrique G Gorbea Dolagaray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932552353 PECOS PAC ID: 5496091589 Enrollment ID: I20220628001566 |
| Provider Name | Kathryn L Kreicher |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407387822 PECOS PAC ID: 5395017586 Enrollment ID: I20220719001635 |
| Provider Name | Michael A Garcia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013397488 PECOS PAC ID: 2961791736 Enrollment ID: I20220719003931 |
| Provider Name | Matthias Daniel Struck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992298772 PECOS PAC ID: 7214360999 Enrollment ID: I20220719003982 |
| Provider Name | Kelsey Uguccioni |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104498831 PECOS PAC ID: 1355723438 Enrollment ID: I20220805002147 |
| Provider Name | Jasleen Kaur Ghuman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679004345 PECOS PAC ID: 1557619178 Enrollment ID: I20220819002172 |
| Provider Name | John C Mccallum |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730480625 PECOS PAC ID: 6204261340 Enrollment ID: I20220826000733 |
| Provider Name | Victoria Fenwick Bachman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932661238 PECOS PAC ID: 3678806809 Enrollment ID: I20220826001288 |
| Provider Name | Yuriy Yuriyevich Golub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447818968 PECOS PAC ID: 7012243298 Enrollment ID: I20220829002640 |
| Provider Name | Matthew Julian Duenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063070530 PECOS PAC ID: 3375879554 Enrollment ID: I20220907000566 |
| Provider Name | Caroline Huff Boerwinkle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609369545 PECOS PAC ID: 9234486416 Enrollment ID: I20220914002568 |
| Provider Name | Edward A Conner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528599511 PECOS PAC ID: 3577833292 Enrollment ID: I20220916002352 |
| Provider Name | Kevin Man Hin Luk |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205323243 PECOS PAC ID: 5799035796 Enrollment ID: I20220916002782 |
| Provider Name | Tara Caitlin Mccluskey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235491614 PECOS PAC ID: 9739564394 Enrollment ID: I20220916002971 |
| Provider Name | Laura Walsh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043715006 PECOS PAC ID: 6002291663 Enrollment ID: I20220916003000 |
| Provider Name | Lauren Rose Pollack |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114452489 PECOS PAC ID: 5092194084 Enrollment ID: I20220917000229 |
| Provider Name | Tajana Kundacina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275028664 PECOS PAC ID: 6002165198 Enrollment ID: I20220917000545 |
| Provider Name | Alexey Shikuev |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609309541 PECOS PAC ID: 6901143940 Enrollment ID: I20220921001476 |
| Provider Name | Justin Yukio Yoshimoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699371278 PECOS PAC ID: 8022494053 Enrollment ID: I20220928003377 |
| Provider Name | Samira Shokati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063181998 PECOS PAC ID: 3375919285 Enrollment ID: I20221018002195 |
| Provider Name | Anna Condella |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124558374 PECOS PAC ID: 9739453747 Enrollment ID: I20221021001282 |
| Provider Name | Holly Shen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528221652 PECOS PAC ID: 7214184704 Enrollment ID: I20221028000742 |
| Provider Name | Lynn Michelle Skirven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992122584 PECOS PAC ID: 7810364833 Enrollment ID: I20221104000497 |
| Provider Name | Daniel James Zwiesler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427001494 PECOS PAC ID: 5193738557 Enrollment ID: I20221119000352 |
| Provider Name | Andrew Park |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124400858 PECOS PAC ID: 1456720424 Enrollment ID: I20221214000217 |
| Provider Name | Lindsay Erin Canning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003948530 PECOS PAC ID: 4082079892 Enrollment ID: I20230501002214 |
| Provider Name | Jennifer Hsu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841794864 PECOS PAC ID: 7416331590 Enrollment ID: I20230504002660 |
| Provider Name | Alvaro Santamaria |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225560907 PECOS PAC ID: 1557792975 Enrollment ID: I20230525000863 |
| Provider Name | Tiffany Nicole Lum |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548950157 PECOS PAC ID: 0042677122 Enrollment ID: I20230605002729 |
| Provider Name | Jacare Lauren Cardoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487141644 PECOS PAC ID: 7012330541 Enrollment ID: I20230606002974 |
| Provider Name | Natalie Ann Derise |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922505643 PECOS PAC ID: 2567829336 Enrollment ID: I20230609000943 |
| Provider Name | Jenna Cheong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720774193 PECOS PAC ID: 1456719905 Enrollment ID: I20230615002168 |
| Provider Name | Mira John |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013448588 PECOS PAC ID: 3971849613 Enrollment ID: I20230620000825 |
| Provider Name | Fernando Ernesto Casado Castillo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528411774 PECOS PAC ID: 0840525523 Enrollment ID: I20230710003517 |
| Provider Name | Meera R Chappidi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366864076 PECOS PAC ID: 4688928518 Enrollment ID: I20230714002390 |
| Provider Name | Leah Sage Foley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437773330 PECOS PAC ID: 2961825435 Enrollment ID: I20230802001427 |
| Provider Name | Arjun Bahl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598394256 PECOS PAC ID: 4082037049 Enrollment ID: I20230808002367 |
| Provider Name | Samantha Auxilio Viramontes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639792112 PECOS PAC ID: 0840613279 Enrollment ID: I20230818002607 |
| Provider Name | Victoria Hwang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114582871 PECOS PAC ID: 9739543000 Enrollment ID: I20230920000044 |
| Provider Name | Kimberley Chiu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356795561 PECOS PAC ID: 6103164785 Enrollment ID: I20230920003136 |
| Provider Name | Ethan Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578004131 PECOS PAC ID: 7113340597 Enrollment ID: I20230928003938 |
| Provider Name | Meghana Raghavan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316479439 PECOS PAC ID: 2961771530 Enrollment ID: I20231005001349 |
| Provider Name | Cielo Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780193656 PECOS PAC ID: 4082956834 Enrollment ID: I20231107003628 |
| Provider Name | Shaee Damali Davis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679139430 PECOS PAC ID: 1557796091 Enrollment ID: I20231113001732 |
| Provider Name | Alex Joseph Kipp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235440330 PECOS PAC ID: 7214164169 Enrollment ID: I20231117002256 |
| Provider Name | Keemi Janay Ereme |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982163036 PECOS PAC ID: 5092045229 Enrollment ID: I20231129003240 |
| Provider Name | Kyndall Nicole Vise |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1932776960 PECOS PAC ID: 9032510482 Enrollment ID: I20231213000809 |
| Provider Name | Matthew James Gilbert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720281488 PECOS PAC ID: 6709236318 Enrollment ID: I20231222000824 |
| Provider Name | Johanne B Wall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902849284 PECOS PAC ID: 9931550845 Enrollment ID: I20240104003151 |
| Provider Name | Jeremiah David Zemler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275002057 PECOS PAC ID: 1355792128 Enrollment ID: I20240105000469 |
| Provider Name | Dani Blythe Dutro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124407812 PECOS PAC ID: 2668823261 Enrollment ID: I20240108005741 |
| Provider Name | Nancy J Eveleth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831136373 PECOS PAC ID: 8325499759 Enrollment ID: I20240110000108 |
| Provider Name | James Robert Friddle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033489315 PECOS PAC ID: 7911359088 Enrollment ID: I20240115001252 |
| Provider Name | Bridgitte Camelia Mathiasen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053609503 PECOS PAC ID: 9234581125 Enrollment ID: I20240116003481 |
| Provider Name | Patricia J Stern |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578509246 PECOS PAC ID: 3173975943 Enrollment ID: I20240126001257 |
| Provider Name | Ashley B Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689003097 PECOS PAC ID: 5799908224 Enrollment ID: I20240220003394 |
| Provider Name | Calvin Eugene Davis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295225779 PECOS PAC ID: 4183026644 Enrollment ID: I20240220003453 |
| Provider Name | Joshua David Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376307314 PECOS PAC ID: 0840637534 Enrollment ID: I20240318000402 |
| Provider Name | Steffy James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972145001 PECOS PAC ID: 0840614129 Enrollment ID: I20240424004137 |
| Provider Name | Emily Margaret Bicknell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336892694 PECOS PAC ID: 5698162105 Enrollment ID: I20240514002588 |
| Provider Name | Meghann Elizabeth Nelles-dalstrom |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730206558 PECOS PAC ID: 3476939992 Enrollment ID: I20240524002656 |
| Provider Name | Muqdasa Sadat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003670415 PECOS PAC ID: 3779925334 Enrollment ID: I20240528002834 |
One Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Rainier Ave S, Renton, WA 98057 Phone: 425-224-2144 Fax: 425-341-9653 | |
Associated Valley Providers Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4361 Talbot Rd S, Suite 112, Renton, WA 98055 Phone: 425-255-5111 Fax: 425-254-0985 | |
Maranatha Medical Clinic Inc P S Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17900 Talbot Rd S, #101, Renton, WA 98055 Phone: 425-235-9614 Fax: 425-235-1060 | |
Harmonycares Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 Oakesdale Ave Sw Ste C200, Renton, WA 98057 Phone: 866-259-1629 Fax: 855-666-8541 | |
Healthpoint Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 S 2nd St, Renton, WA 98057 Phone: 425-424-6310 Fax: 425-277-1566 | |
Healthpoint Family First Community Center Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16200 116th Ave Se, Renton, WA 98058 Phone: 425-277-1311 | |
Northwest Neurological & Neurovascular Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Sw 39th St, Suite 150, Renton, WA 98057 Phone: 425-264-2568 Fax: 425-264-2569 |