| Quincy Physicians & Surgeons Clinic, Pllc | |
|
1025 Maine St Quincy IL 62301-4038 | |
| (217) 222-6550 | |
| Not Available |
| Full Name | Quincy Physicians & Surgeons Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1025 Maine St, Quincy, Illinois |
| Authorized Official Name and Position | Patty Woerman (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2172226550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quincy Physicians & Surgeons Clinic, Pllc 1025 Maine St Quincy IL 62301-4038 Ph: (217) 222-6550 | Quincy Physicians & Surgeons Clinic, Pllc 1025 Maine St Quincy IL 62301-4038 Ph: (217) 222-6550 |
| NPI Number | 1548234198 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 12/20/2021 |
| Medicare PECOS PAC ID | 0749192375 |
|---|---|
| Medicare Enrollment ID | O20031103000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548234198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tanya Annette Royster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851490791 PECOS PAC ID: 6204732084 Enrollment ID: I20031211000474 |
| Provider Name | Tamara Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144355215 PECOS PAC ID: 0244139939 Enrollment ID: I20031231000602 |
| Provider Name | Molly K Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972699452 PECOS PAC ID: 2961303235 Enrollment ID: I20040119000727 |
| Provider Name | Daniel E Riggs |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1548341191 PECOS PAC ID: 2769381060 Enrollment ID: I20040123001055 |
| Provider Name | Linda S Hageman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659345288 PECOS PAC ID: 0446145601 Enrollment ID: I20040217000441 |
| Provider Name | Robert Haag |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376590554 PECOS PAC ID: 3072402239 Enrollment ID: I20040315000457 |
| Provider Name | Frances K Yocum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689698060 PECOS PAC ID: 3072419308 Enrollment ID: I20040320000662 |
| Provider Name | Jeffrey W Lerch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124078795 PECOS PAC ID: 1355334335 Enrollment ID: I20040406000440 |
| Provider Name | Jean C Alexandre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740391531 PECOS PAC ID: 7214922434 Enrollment ID: I20040417000117 |
| Provider Name | Bryon Arnold Sobczak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205973146 PECOS PAC ID: 1658366588 Enrollment ID: I20040419001257 |
| Provider Name | Dennis E Go |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164495610 PECOS PAC ID: 8729064084 Enrollment ID: I20040628000143 |
| Provider Name | Tamara Walls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982651188 PECOS PAC ID: 0244202000 Enrollment ID: I20040811000933 |
| Provider Name | Tanya M Mero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669445052 PECOS PAC ID: 7810965241 Enrollment ID: I20040922001049 |
| Provider Name | Ellen L Pratt |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1255421533 PECOS PAC ID: 8527037290 Enrollment ID: I20040929000551 |
| Provider Name | Melissa S Terhark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003919382 PECOS PAC ID: 8426017690 Enrollment ID: I20041005000478 |
| Provider Name | Raymond P Smith |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477526259 PECOS PAC ID: 3577524941 Enrollment ID: I20041020000479 |
| Provider Name | John T Barbagiovanni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437138781 PECOS PAC ID: 1658333018 Enrollment ID: I20041028000969 |
| Provider Name | Kevin M Hilton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245348184 PECOS PAC ID: 7810950839 Enrollment ID: I20041110000291 |
| Provider Name | Eldon Leon Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821061375 PECOS PAC ID: 4587613153 Enrollment ID: I20050120000959 |
| Provider Name | Scott R Kimber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548233927 PECOS PAC ID: 7214986884 Enrollment ID: I20050120000990 |
| Provider Name | Tawny L Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255319844 PECOS PAC ID: 2163476441 Enrollment ID: I20050309000731 |
| Provider Name | Dennis W Ozment |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1881667152 PECOS PAC ID: 6608821483 Enrollment ID: I20050315000145 |
| Provider Name | Theresa Newton |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1932172244 PECOS PAC ID: 7315910288 Enrollment ID: I20050317000463 |
| Provider Name | Ernest M Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871566653 PECOS PAC ID: 5991751026 Enrollment ID: I20050322000976 |
| Provider Name | Joseph Newton |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1396718706 PECOS PAC ID: 0345213302 Enrollment ID: I20050324001253 |
| Provider Name | Beth A Mccoy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487623021 PECOS PAC ID: 0345297479 Enrollment ID: I20050331001140 |
| Provider Name | Dan H Evans |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730152273 PECOS PAC ID: 1153387568 Enrollment ID: I20050808000353 |
| Provider Name | Peter Minich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073886438 PECOS PAC ID: 4981676269 Enrollment ID: I20050822000737 |
| Provider Name | Deborah S Woodard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740204528 PECOS PAC ID: 4981677994 Enrollment ID: I20051216000387 |
| Provider Name | John M Bozdech |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841279213 PECOS PAC ID: 5597779678 Enrollment ID: I20060127000250 |
| Provider Name | Jennifer S Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003889957 PECOS PAC ID: 0345151551 Enrollment ID: I20060203000556 |
| Provider Name | Hrishikesh P Ghanekar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629041686 PECOS PAC ID: 1951317031 Enrollment ID: I20060622000023 |
| Provider Name | Sara Michelle Cannon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770594723 PECOS PAC ID: 1658374210 Enrollment ID: I20060821000337 |
| Provider Name | Shwetal B Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124053400 PECOS PAC ID: 0749282390 Enrollment ID: I20070209000598 |
| Provider Name | Muhammad A Ali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306826250 PECOS PAC ID: 4880602192 Enrollment ID: I20070622000244 |
| Provider Name | Martha E Blakeley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326239385 PECOS PAC ID: 1456444868 Enrollment ID: I20070830000397 |
| Provider Name | Michelle K Lavery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578763256 PECOS PAC ID: 1052492915 Enrollment ID: I20080116000675 |
| Provider Name | Pierre S Charles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457369480 PECOS PAC ID: 5294818712 Enrollment ID: I20080211000058 |
| Provider Name | Angela M Zanger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538337852 PECOS PAC ID: 5193898583 Enrollment ID: I20080717000609 |
| Provider Name | Kathy B Asbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891781613 PECOS PAC ID: 9032023940 Enrollment ID: I20080809000094 |
| Provider Name | Wissam F Derian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063684066 PECOS PAC ID: 9234204082 Enrollment ID: I20080813000839 |
| Provider Name | Anthony L Biggs |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356560403 PECOS PAC ID: 3779658141 Enrollment ID: I20080819000841 |
| Provider Name | Divya Batra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780896381 PECOS PAC ID: 0941368070 Enrollment ID: I20081018000157 |
| Provider Name | James L Gildner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477549590 PECOS PAC ID: 0244219400 Enrollment ID: I20090119000109 |
| Provider Name | Lisa E Knuffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609000439 PECOS PAC ID: 6204986078 Enrollment ID: I20090617000096 |
| Provider Name | Adam M Reyburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396710042 PECOS PAC ID: 3971531633 Enrollment ID: I20090702000380 |
| Provider Name | Stephanie A Reyburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134140247 PECOS PAC ID: 6709880669 Enrollment ID: I20090707000061 |
| Provider Name | Lance David Real |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497733091 PECOS PAC ID: 1254483050 Enrollment ID: I20090708000540 |
| Provider Name | Mary Joelle Curry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093936627 PECOS PAC ID: 0840342358 Enrollment ID: I20090714000697 |
| Provider Name | Elie Chbeir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063553303 PECOS PAC ID: 5496804833 Enrollment ID: I20090728000651 |
| Provider Name | Christian A Khoury |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477694867 PECOS PAC ID: 3173677101 Enrollment ID: I20090811000066 |
| Provider Name | Adam Derhake |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679741151 PECOS PAC ID: 2264584804 Enrollment ID: I20090812000023 |
| Provider Name | Nathan P Seaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447450952 PECOS PAC ID: 6406901594 Enrollment ID: I20090825000446 |
| Provider Name | Nicolai E Hinds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124024161 PECOS PAC ID: 4082515804 Enrollment ID: I20090915000664 |
| Provider Name | Brittany M Winship |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326270133 PECOS PAC ID: 9931255791 Enrollment ID: I20090918000479 |
| Provider Name | Travis C Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306919709 PECOS PAC ID: 8022111863 Enrollment ID: I20100116000128 |
| Provider Name | Michael J Eling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376516476 PECOS PAC ID: 7012059850 Enrollment ID: I20100116000372 |
| Provider Name | Christian Zwick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801869060 PECOS PAC ID: 5496843526 Enrollment ID: I20100116000391 |
| Provider Name | Eric A Sieck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124091327 PECOS PAC ID: 7012012107 Enrollment ID: I20100118000032 |
| Provider Name | Louis Y Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467425405 PECOS PAC ID: 7113069964 Enrollment ID: I20100118000043 |
| Provider Name | David F Arndt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407834716 PECOS PAC ID: 6002959269 Enrollment ID: I20100210000353 |
| Provider Name | Anita L Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881836757 PECOS PAC ID: 8123174729 Enrollment ID: I20100216000551 |
| Provider Name | Richard F Schlepphorst |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407829708 PECOS PAC ID: 0345152815 Enrollment ID: I20100225000541 |
| Provider Name | Korhan B Raif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184697476 PECOS PAC ID: 2860528098 Enrollment ID: I20100326000909 |
| Provider Name | Pravinchandra C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548233448 PECOS PAC ID: 7911033147 Enrollment ID: I20100326000949 |
| Provider Name | Gregory R Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861470387 PECOS PAC ID: 2163558396 Enrollment ID: I20100326000986 |
| Provider Name | Robert W Weller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669445458 PECOS PAC ID: 9931105780 Enrollment ID: I20100326000995 |
| Provider Name | George E Crickard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447239165 PECOS PAC ID: 0345377339 Enrollment ID: I20100422001036 |
| Provider Name | Ada Kagumba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356314728 PECOS PAC ID: 1759418759 Enrollment ID: I20100422001114 |
| Provider Name | Douglas N Sullivant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467425603 PECOS PAC ID: 9436115839 Enrollment ID: I20100423000223 |
| Provider Name | Richard K Noble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366415671 PECOS PAC ID: 3577690171 Enrollment ID: I20100429000584 |
| Provider Name | Dana B Altman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043298532 PECOS PAC ID: 4688703242 Enrollment ID: I20100520000504 |
| Provider Name | Todd H Petty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649243924 PECOS PAC ID: 5496805335 Enrollment ID: I20100521000504 |
| Provider Name | Kurt L Leimbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982677373 PECOS PAC ID: 3476559220 Enrollment ID: I20100521000511 |
| Provider Name | Timothy S Smith |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144293929 PECOS PAC ID: 9739139775 Enrollment ID: I20100526000922 |
| Provider Name | Lynnae D Glascock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346429917 PECOS PAC ID: 5890824007 Enrollment ID: I20100526001065 |
| Provider Name | Ayca O Raif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376516658 PECOS PAC ID: 8628108420 Enrollment ID: I20100604000384 |
| Provider Name | Douglas J Freel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184614653 PECOS PAC ID: 3476633769 Enrollment ID: I20100810000649 |
| Provider Name | Erin E Adams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144453416 PECOS PAC ID: 6608068168 Enrollment ID: I20101004000385 |
| Provider Name | Jeffrey M Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720051972 PECOS PAC ID: 1850586595 Enrollment ID: I20101108001303 |
| Provider Name | Abram R Geisendorfer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326230087 PECOS PAC ID: 3173657723 Enrollment ID: I20101111000198 |
| Provider Name | Donna S Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396718987 PECOS PAC ID: 2264628890 Enrollment ID: I20101122001231 |
| Provider Name | Jane A Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497729883 PECOS PAC ID: 0042406530 Enrollment ID: I20101123000623 |
| Provider Name | Laura J Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649572066 PECOS PAC ID: 9436345691 Enrollment ID: I20101130000659 |
| Provider Name | Sarah M Hibbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881667491 PECOS PAC ID: 1052401734 Enrollment ID: I20110204000771 |
| Provider Name | Nancy L Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841595253 PECOS PAC ID: 0143405068 Enrollment ID: I20110419000629 |
| Provider Name | Amanda L Wagner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679884696 PECOS PAC ID: 8820273535 Enrollment ID: I20110422000245 |
| Provider Name | Gerald Riley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184821894 PECOS PAC ID: 0143301689 Enrollment ID: I20110613000761 |
| Provider Name | Paul D Tracy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578751491 PECOS PAC ID: 0648349936 Enrollment ID: I20120126000309 |
| Provider Name | Christine L Fredrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417967993 PECOS PAC ID: 7810156437 Enrollment ID: I20120316000373 |
| Provider Name | Karen A Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467459834 PECOS PAC ID: 4183631971 Enrollment ID: I20120326000719 |
| Provider Name | Angela N Frageman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639464100 PECOS PAC ID: 6103087523 Enrollment ID: I20120411000870 |
| Provider Name | Rachel Marshall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992061949 PECOS PAC ID: 2163687393 Enrollment ID: I20120712000867 |
| Provider Name | Sarah B Stambaugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730128687 PECOS PAC ID: 6709042799 Enrollment ID: I20120718000900 |
| Provider Name | Austin G Hake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003077389 PECOS PAC ID: 5890946065 Enrollment ID: I20121116000041 |
| Provider Name | Preeti Jhaveri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639292741 PECOS PAC ID: 0143386474 Enrollment ID: I20130430000640 |
| Provider Name | Taylor J Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033420690 PECOS PAC ID: 1951548122 Enrollment ID: I20130507000239 |
| Provider Name | Kristin E Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023203031 PECOS PAC ID: 6709979313 Enrollment ID: I20130520000392 |
| Provider Name | Anne T Zinn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124368394 PECOS PAC ID: 4789822552 Enrollment ID: I20130606000434 |
| Provider Name | Jason E Knuffman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184690109 PECOS PAC ID: 3870555063 Enrollment ID: I20130925000375 |
| Provider Name | Isidoros F Vardaros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841509304 PECOS PAC ID: 2860627783 Enrollment ID: I20131031001243 |
| Provider Name | Sebastian P Baginski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891831566 PECOS PAC ID: 5294801395 Enrollment ID: I20140402001046 |
| Provider Name | Hope R Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194142950 PECOS PAC ID: 3779715040 Enrollment ID: I20140421000997 |
| Provider Name | Linda S Jennette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891110532 PECOS PAC ID: 0244463685 Enrollment ID: I20140509000123 |
| Provider Name | Becky L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538132527 PECOS PAC ID: 3971726878 Enrollment ID: I20140522000313 |
| Provider Name | Sumul A Gandhi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467769760 PECOS PAC ID: 6103148184 Enrollment ID: I20141202000879 |
| Provider Name | Kelsey A Vonderhaar |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215328182 PECOS PAC ID: 9335466788 Enrollment ID: I20150323001792 |
| Provider Name | Alison W Vander Ley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568854511 PECOS PAC ID: 4587981436 Enrollment ID: I20150402001128 |
| Provider Name | Samantha J Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609267491 PECOS PAC ID: 4587982368 Enrollment ID: I20150407000482 |
| Provider Name | Karen A Weems |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366833014 PECOS PAC ID: 1951620178 Enrollment ID: I20150508001797 |
| Provider Name | Kelly J Gronewold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194118687 PECOS PAC ID: 5597084780 Enrollment ID: I20150511001463 |
| Provider Name | Catherine M Ayres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386085967 PECOS PAC ID: 4789816380 Enrollment ID: I20150519002149 |
| Provider Name | Lisa K Sprague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346627536 PECOS PAC ID: 0446570048 Enrollment ID: I20150521002433 |
| Provider Name | Christopher Matthew Bradbury |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063723930 PECOS PAC ID: 9436388113 Enrollment ID: I20150708001619 |
| Provider Name | Megan E Siemens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275819393 PECOS PAC ID: 9537471248 Enrollment ID: I20150709001689 |
| Provider Name | Daniel John Ferraro |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629237409 PECOS PAC ID: 4789814005 Enrollment ID: I20150721000755 |
| Provider Name | Dustin C Higgins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306157409 PECOS PAC ID: 5395974091 Enrollment ID: I20150812009077 |
| Provider Name | Eric Fynn-thompson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053539403 PECOS PAC ID: 0143393892 Enrollment ID: I20151026002014 |
| Provider Name | Courtney N Kruthoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316316276 PECOS PAC ID: 0749590412 Enrollment ID: I20151109001383 |
| Provider Name | Jennifer L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659743516 PECOS PAC ID: 9436450459 Enrollment ID: I20151217000028 |
| Provider Name | Leah C Whipple |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639426661 PECOS PAC ID: 2668624321 Enrollment ID: I20160406001089 |
| Provider Name | Jessica L Bentele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639546815 PECOS PAC ID: 0840598926 Enrollment ID: I20160406002142 |
| Provider Name | Anna Levin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255621496 PECOS PAC ID: 7618129313 Enrollment ID: I20160622001407 |
| Provider Name | Daniel E Schneider |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861786261 PECOS PAC ID: 0143471466 Enrollment ID: I20160712002235 |
| Provider Name | Arvin G Abueg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770814014 PECOS PAC ID: 5193840437 Enrollment ID: I20160719000334 |
| Provider Name | Tiffany L Greiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225583388 PECOS PAC ID: 7810283025 Enrollment ID: I20160914000048 |
| Provider Name | Heather L Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831540459 PECOS PAC ID: 8325336092 Enrollment ID: I20161019002031 |
| Provider Name | Julia L Whittaker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790811867 PECOS PAC ID: 4284912015 Enrollment ID: I20161031000911 |
| Provider Name | Kendra J Conkright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053556647 PECOS PAC ID: 8224153994 Enrollment ID: I20161109001224 |
| Provider Name | Kayla A Sipes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588113534 PECOS PAC ID: 4183903339 Enrollment ID: I20161111000649 |
| Provider Name | Yvonne R Robison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043608730 PECOS PAC ID: 8224318910 Enrollment ID: I20161219000136 |
| Provider Name | Mary B Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409259 PECOS PAC ID: 5496039414 Enrollment ID: I20170310001062 |
| Provider Name | Katelyn M Fessenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053851790 PECOS PAC ID: 1355627712 Enrollment ID: I20170419001459 |
| Provider Name | Kelly A Durst-sharpe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447632187 PECOS PAC ID: 5496067118 Enrollment ID: I20170511001107 |
| Provider Name | Samuel Healy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730594128 PECOS PAC ID: 2062733967 Enrollment ID: I20170607001104 |
| Provider Name | David L Phillips |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649538638 PECOS PAC ID: 3870736531 Enrollment ID: I20170615001813 |
| Provider Name | Daniel K Kimple |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699030551 PECOS PAC ID: 8224330956 Enrollment ID: I20170814000163 |
| Provider Name | Jordan E Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497285977 PECOS PAC ID: 3476826280 Enrollment ID: I20170830000496 |
| Provider Name | Brian C Baumann |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841559945 PECOS PAC ID: 2668745985 Enrollment ID: I20170925002404 |
| Provider Name | Halley C Anderson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427495803 PECOS PAC ID: 8628219672 Enrollment ID: I20170928002939 |
| Provider Name | Lindsay M Brink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568877959 PECOS PAC ID: 5799006599 Enrollment ID: I20170929002200 |
| Provider Name | Josie L Mccracken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598278715 PECOS PAC ID: 0042578809 Enrollment ID: I20171227002695 |
| Provider Name | Erin M Whalen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336667724 PECOS PAC ID: 6406115930 Enrollment ID: I20180109001166 |
| Provider Name | Claire C Stull |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366952665 PECOS PAC ID: 7517226707 Enrollment ID: I20180116001058 |
| Provider Name | Heidi M Haisley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710341060 PECOS PAC ID: 9739441486 Enrollment ID: I20180319000352 |
| Provider Name | Wayland J Mutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447769724 PECOS PAC ID: 3476815010 Enrollment ID: I20180320001919 |
| Provider Name | Matthew T Brink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104209931 PECOS PAC ID: 3274846076 Enrollment ID: I20180730001967 |
| Provider Name | Abraham M Sheffield |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841552411 PECOS PAC ID: 9032358148 Enrollment ID: I20180801003582 |
| Provider Name | Erin Mj Sheffield |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013144328 PECOS PAC ID: 3678882438 Enrollment ID: I20180803002815 |
| Provider Name | Katy M Wand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356751366 PECOS PAC ID: 0840592382 Enrollment ID: I20180822002660 |
| Provider Name | Tana L Maggart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659660769 PECOS PAC ID: 9931447646 Enrollment ID: I20190205000859 |
| Provider Name | Laura E Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104337369 PECOS PAC ID: 0941541064 Enrollment ID: I20190417002334 |
| Provider Name | Macy Y Ferguson-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881192979 PECOS PAC ID: 3476895483 Enrollment ID: I20190423001190 |
| Provider Name | Brooke N Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689804924 PECOS PAC ID: 6406197037 Enrollment ID: I20190509000311 |
| Provider Name | Adam Rafi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356640825 PECOS PAC ID: 2365767134 Enrollment ID: I20190607001163 |
| Provider Name | Kaitlyn M Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619535838 PECOS PAC ID: 6204163751 Enrollment ID: I20190807001367 |
| Provider Name | Luke A Ellerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386206795 PECOS PAC ID: 8820325244 Enrollment ID: I20190808000444 |
| Provider Name | Marianne L Mcclain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396906392 PECOS PAC ID: 3072841899 Enrollment ID: I20190819000030 |
| Provider Name | Sandra N Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235602293 PECOS PAC ID: 4789912726 Enrollment ID: I20190828003395 |
| Provider Name | Diana M Veihl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861046070 PECOS PAC ID: 8325377476 Enrollment ID: I20190916000523 |
| Provider Name | Albert G Singh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679724058 PECOS PAC ID: 7810145042 Enrollment ID: I20191002000183 |
| Provider Name | Bryson Thomas Whalen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255727301 PECOS PAC ID: 9436468428 Enrollment ID: I20191011000682 |
| Provider Name | Alison J Simmons |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457902884 PECOS PAC ID: 3476884099 Enrollment ID: I20191014001250 |
| Provider Name | Tara D Stark |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538685474 PECOS PAC ID: 8426389826 Enrollment ID: I20191016002538 |
| Provider Name | Sarah J Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841847464 PECOS PAC ID: 8426480443 Enrollment ID: I20191113001970 |
| Provider Name | Erica A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154968675 PECOS PAC ID: 1658705785 Enrollment ID: I20191226001641 |
| Provider Name | Shari Robesky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316586613 PECOS PAC ID: 3577998301 Enrollment ID: I20200124000027 |
| Provider Name | Chancy N Rodeghero |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265615520 PECOS PAC ID: 6305083049 Enrollment ID: I20200210000078 |
| Provider Name | Matthew J Knudson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962609768 PECOS PAC ID: 3971749334 Enrollment ID: I20200320002044 |
| Provider Name | Alaina Gribler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316572332 PECOS PAC ID: 8426486606 Enrollment ID: I20200323000788 |
| Provider Name | Imran M Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699120535 PECOS PAC ID: 7315235215 Enrollment ID: I20200520000829 |
| Provider Name | Miguel A Pardinas Gutierrez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568876407 PECOS PAC ID: 3577984640 Enrollment ID: I20200527001672 |
| Provider Name | Macy Huber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871066746 PECOS PAC ID: 3779820584 Enrollment ID: I20200917000409 |
| Provider Name | Kent L Snowden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558444646 PECOS PAC ID: 3476449562 Enrollment ID: I20201007000811 |
| Provider Name | Brian Kent Goodwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962004176 PECOS PAC ID: 2961813837 Enrollment ID: I20201125000237 |
| Provider Name | Eric Colton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790723492 PECOS PAC ID: 0244271245 Enrollment ID: I20201214002071 |
| Provider Name | Angela Dawn Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366042202 PECOS PAC ID: 3072929553 Enrollment ID: I20210308002003 |
| Provider Name | Liam James Fischer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528449634 PECOS PAC ID: 0143533307 Enrollment ID: I20210310001317 |
| Provider Name | Benjamin Fischer Valuck |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023351673 PECOS PAC ID: 3870736028 Enrollment ID: I20210419002496 |
| Provider Name | Niharika Yedla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245785047 PECOS PAC ID: 1951700269 Enrollment ID: I20210518002620 |
| Provider Name | Paul A Conrad |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528028214 PECOS PAC ID: 0648268052 Enrollment ID: I20210525002812 |
| Provider Name | Rhea Loraine O'brien |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649835877 PECOS PAC ID: 0941600795 Enrollment ID: I20210615003416 |
| Provider Name | Hala Saad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982159612 PECOS PAC ID: 0648670190 Enrollment ID: I20210621001941 |
| Provider Name | Randall James Brenneman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366899841 PECOS PAC ID: 2365737939 Enrollment ID: I20210707003560 |
| Provider Name | Ryan D Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306211677 PECOS PAC ID: 7012219090 Enrollment ID: I20210929002721 |
| Provider Name | Todd R Porter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407931140 PECOS PAC ID: 4082665260 Enrollment ID: I20211008001039 |
| Provider Name | Matthew S Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588186928 PECOS PAC ID: 1153669825 Enrollment ID: I20211109002815 |
| Provider Name | Mary Elizabeth Cooper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154846707 PECOS PAC ID: 6103192745 Enrollment ID: I20211110000509 |
| Provider Name | Ryan Edmund Teheng |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114553880 PECOS PAC ID: 1355770017 Enrollment ID: I20211115000834 |
| Provider Name | Jerrid O Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639663511 PECOS PAC ID: 6305194366 Enrollment ID: I20211228001427 |
| Provider Name | Ryan A Eifrid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649700998 PECOS PAC ID: 7113296682 Enrollment ID: I20220125002495 |
| Provider Name | Morgan Danielle Hattemar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154079291 PECOS PAC ID: 1850787961 Enrollment ID: I20220329001989 |
| Provider Name | Kelle D Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366199580 PECOS PAC ID: 8820484140 Enrollment ID: I20220413000546 |
| Provider Name | Kaelie N Venvertloh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417605221 PECOS PAC ID: 6608253406 Enrollment ID: I20220517002132 |
| Provider Name | Eann J Diller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538898655 PECOS PAC ID: 8123407004 Enrollment ID: I20220623001213 |
| Provider Name | Kartikeya Tripathi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003269200 PECOS PAC ID: 2365720919 Enrollment ID: I20220721000166 |
| Provider Name | Wajeeha H Rizvi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154773661 PECOS PAC ID: 9335433341 Enrollment ID: I20220726003734 |
| Provider Name | Logan Lloyd Warner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548829591 PECOS PAC ID: 2567797871 Enrollment ID: I20220727000788 |
| Provider Name | Cailey B Mobbs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609523984 PECOS PAC ID: 8921482019 Enrollment ID: I20220909000380 |
| Provider Name | Jace P Corray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518694074 PECOS PAC ID: 5496130122 Enrollment ID: I20220916001519 |
| Provider Name | Clayton D Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518614890 PECOS PAC ID: 0547645004 Enrollment ID: I20220920000179 |
| Provider Name | Christina A Vanmeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649826603 PECOS PAC ID: 4688040751 Enrollment ID: I20221013002803 |
| Provider Name | Scott C Robertson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356394423 PECOS PAC ID: 7719975325 Enrollment ID: I20221020000846 |
| Provider Name | Megan S Bridgeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710608104 PECOS PAC ID: 9436527892 Enrollment ID: I20221116002554 |
| Provider Name | Cara M Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568184976 PECOS PAC ID: 8628446663 Enrollment ID: I20221122001489 |
| Provider Name | Alexander J Hannan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720426315 PECOS PAC ID: 4789825217 Enrollment ID: I20221128000098 |
| Provider Name | Prachi Jain |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326333626 PECOS PAC ID: 0345500468 Enrollment ID: I20230128000111 |
| Provider Name | Erin E Ryan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699489773 PECOS PAC ID: 0547633554 Enrollment ID: I20230222000657 |
| Provider Name | Jessica Nicole Boozer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578113759 PECOS PAC ID: 8325370364 Enrollment ID: I20230519001584 |
| Provider Name | Anna C Stoeckmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730879271 PECOS PAC ID: 8224494943 Enrollment ID: I20230522002340 |
| Provider Name | Andrew J. Barfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750793253 PECOS PAC ID: 9032448667 Enrollment ID: I20230714003330 |
| Provider Name | Elie Ghoulam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699216887 PECOS PAC ID: 3870861768 Enrollment ID: I20230718003008 |
| Provider Name | James M Van Den Bogaerde |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588624522 PECOS PAC ID: 4688640873 Enrollment ID: I20230815003281 |
| Provider Name | Alex H Graham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932849866 PECOS PAC ID: 1153700059 Enrollment ID: I20230823003598 |
| Provider Name | Elizabeth Coble Pulliam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679124580 PECOS PAC ID: 5890127526 Enrollment ID: I20231212003706 |
| Provider Name | Kristen N Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295419265 PECOS PAC ID: 3476903212 Enrollment ID: I20231220001607 |
| Provider Name | Joann O'rourke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346335841 PECOS PAC ID: 6204286735 Enrollment ID: I20231227000137 |
| Provider Name | Nicole Antoinette Shields |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023104940 PECOS PAC ID: 7012367543 Enrollment ID: I20231227000141 |
| Provider Name | Tiffaney K. Rains-eaton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144624891 PECOS PAC ID: 1557711082 Enrollment ID: I20231227000177 |
| Provider Name | Janice Ivy Winn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942571336 PECOS PAC ID: 5092165522 Enrollment ID: I20231227000220 |
| Provider Name | Julie A Van Hove |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376012955 PECOS PAC ID: 8527418060 Enrollment ID: I20231227000270 |
| Provider Name | Amy R Hasting |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255682837 PECOS PAC ID: 8527418961 Enrollment ID: I20231227000643 |
| Provider Name | Cheryl A Krus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073176038 PECOS PAC ID: 2163872516 Enrollment ID: I20231227001051 |
| Provider Name | Christina Leigh Helm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134492150 PECOS PAC ID: 8224488671 Enrollment ID: I20231227001118 |
| Provider Name | Melissa Ann Hildebrand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639482300 PECOS PAC ID: 5991155350 Enrollment ID: I20231227001404 |
| Provider Name | Jennifer Lee Guilfoyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417051020 PECOS PAC ID: 4587014956 Enrollment ID: I20231227001950 |
| Provider Name | Susan Rae Macdonough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174186233 PECOS PAC ID: 3779933007 Enrollment ID: I20231228000988 |
| Provider Name | Kathleen Jean Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033340203 PECOS PAC ID: 1850741190 Enrollment ID: I20231228001370 |
| Provider Name | Paul D Warning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366088007 PECOS PAC ID: 2961852231 Enrollment ID: I20231228002454 |
| Provider Name | Mason Spitzner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164284972 PECOS PAC ID: 1254777097 Enrollment ID: I20240314002636 |
| Provider Name | Stephen W Nesbit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356401343 PECOS PAC ID: 6204809270 Enrollment ID: I20240422000475 |
| Provider Name | Michael J Benedict |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558777656 PECOS PAC ID: 4385862994 Enrollment ID: I20240515000273 |
Siu Center For Family Medicine - Transitions Of Western Illinois Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4409 Maine St Ste 100, Quincy, IL 62305 Phone: 217-919-9139 Fax: 217-223-0461 | |
Blessing Express Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 N 34th St, Quincy, IL 62301 Phone: 217-214-9626 Fax: 217-214-9627 | |
Blessing Walk-in Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Harrison St, Quincy, IL 62301 Phone: 217-223-8400 | |
Siu Center For Family Medicine - Adams County Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Vermont St Ste 100, Quincy, IL 62301 Phone: 217-222-8440 | |
Blessing Walk-in Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Broadway St, Quincy, IL 62305 Phone: 217-228-1060 | |
Blessing Fastcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9945 | |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 S 24th St Ste 100, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 |