| Reid Health Physician Associates | |
|
1100 Reid Pkwy Richmond IN 47374-1157 | |
| (765) 983-3127 | |
| (765) 983-3219 |
| Full Name | Reid Health Physician Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 1100 Reid Pkwy, Richmond, Indiana |
| Authorized Official Name and Position | Craig Kinyon (PRESIDENT/CEO) |
| Authorized Official Contact | 7659833127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reid Health Physician Associates 1100 Reid Pkwy Medical Staff Services Department Richmond IN 47374-1157 Ph: (765) 983-3127 | Reid Health Physician Associates 1100 Reid Pkwy Richmond IN 47374-1157 Ph: (765) 983-3127 |
| NPI Number | 1265689111 |
|---|---|
| Provider Enumeration Date | 08/22/2008 |
| Last Update Date | 10/13/2015 |
| Medicare PECOS PAC ID | 6406910769 |
|---|---|
| Medicare Enrollment ID | O20090130000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265689111 | NPI | - | NPPES |
| 201050670 | Medicaid | IN | |
| 201075930 | Medicaid | IN | |
| 201156110 | Medicaid | IN | |
| 200181090 | Medicaid | IN | |
| 201180040 | Medicaid | IN | |
| 200924880 | Medicaid | IN | |
| 201041300 | Medicaid | IN | |
| 201127570 | Medicaid | IN | |
| 200931530 | Medicaid | IN |
| Provider Name | Christopher Grant Neher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124090105 PECOS PAC ID: 0648182048 Enrollment ID: I20031121000152 |
| Provider Name | George M Vail |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760650386 PECOS PAC ID: 9032008578 Enrollment ID: I20040312000955 |
| Provider Name | Harry Lawrence Moynihan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659354215 PECOS PAC ID: 6406842871 Enrollment ID: I20040421001461 |
| Provider Name | Morgan Alfonso Moncada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841255940 PECOS PAC ID: 7810898632 Enrollment ID: I20040430000891 |
| Provider Name | Paul Wolfe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669410411 PECOS PAC ID: 4082605662 Enrollment ID: I20040521000646 |
| Provider Name | Andrew Robert Deitsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659372514 PECOS PAC ID: 2062498355 Enrollment ID: I20040628000411 |
| Provider Name | Janet S Meckley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821058256 PECOS PAC ID: 4486634185 Enrollment ID: I20040722001264 |
| Provider Name | Michael J Williamson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366581209 PECOS PAC ID: 1759353550 Enrollment ID: I20040811001131 |
| Provider Name | Jennifer J Bales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699866939 PECOS PAC ID: 3375510373 Enrollment ID: I20040910000257 |
| Provider Name | Vahid Osman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740264720 PECOS PAC ID: 2264409010 Enrollment ID: I20040913000512 |
| Provider Name | Pankaj Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639279094 PECOS PAC ID: 6608836606 Enrollment ID: I20041014000221 |
| Provider Name | Matthew Bain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225052798 PECOS PAC ID: 0941258297 Enrollment ID: I20050104000548 |
| Provider Name | Lynelle E Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124070289 PECOS PAC ID: 0345298949 Enrollment ID: I20050111000274 |
| Provider Name | Bradley M Dubois |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568421683 PECOS PAC ID: 0345291282 Enrollment ID: I20050208000540 |
| Provider Name | Melissa A Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669431888 PECOS PAC ID: 3577517861 Enrollment ID: I20050309000772 |
| Provider Name | Helen G Riegle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912973702 PECOS PAC ID: 8628018892 Enrollment ID: I20050506000244 |
| Provider Name | Jeffrey L Haist |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871689034 PECOS PAC ID: 6305877622 Enrollment ID: I20050826000272 |
| Provider Name | Allen B Joseph |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447342951 PECOS PAC ID: 4082645304 Enrollment ID: I20050826000304 |
| Provider Name | Robert G Fleming |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497844245 PECOS PAC ID: 0143251470 Enrollment ID: I20050826000344 |
| Provider Name | Stephen J Hornak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871685990 PECOS PAC ID: 1254362486 Enrollment ID: I20050826000408 |
| Provider Name | Akbar Khan Shinwari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033145396 PECOS PAC ID: 3476537671 Enrollment ID: I20050909000969 |
| Provider Name | William Cory Gray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427015114 PECOS PAC ID: 0143255083 Enrollment ID: I20050929000605 |
| Provider Name | Todor Dimitrov Alexandrov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164404877 PECOS PAC ID: 5597781377 Enrollment ID: I20051024000180 |
| Provider Name | Kimberly Ann Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265416341 PECOS PAC ID: 1153347646 Enrollment ID: I20051024000809 |
| Provider Name | Theodore Nukes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891766739 PECOS PAC ID: 2961472626 Enrollment ID: I20060207000596 |
| Provider Name | Gregory Scott Hellwarth |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1407898570 PECOS PAC ID: 0648175521 Enrollment ID: I20060711000051 |
| Provider Name | Daniel L Wegg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013909241 PECOS PAC ID: 9335033208 Enrollment ID: I20060914000500 |
| Provider Name | Jeffrey H Baron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750382446 PECOS PAC ID: 5294730784 Enrollment ID: I20060915000103 |
| Provider Name | Rulong Ren |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588685481 PECOS PAC ID: 0840299319 Enrollment ID: I20061211000270 |
| Provider Name | Xinqiang Han |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831287598 PECOS PAC ID: 8325082449 Enrollment ID: I20070315000416 |
| Provider Name | Abby L Koons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558352682 PECOS PAC ID: 6103920459 Enrollment ID: I20070327000441 |
| Provider Name | Jeremy Lindahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417010513 PECOS PAC ID: 3476659665 Enrollment ID: I20070504000126 |
| Provider Name | William A Lynn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013954304 PECOS PAC ID: 7315950854 Enrollment ID: I20070517000133 |
| Provider Name | Samuel W Iden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144388471 PECOS PAC ID: 2163529108 Enrollment ID: I20070525000295 |
| Provider Name | John Edward Mcginty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003845371 PECOS PAC ID: 4880584069 Enrollment ID: I20070623000116 |
| Provider Name | Timothy S Siegel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053392720 PECOS PAC ID: 2668572751 Enrollment ID: I20070702000421 |
| Provider Name | Balakrishna Bangalore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659582914 PECOS PAC ID: 9032210059 Enrollment ID: I20070720000501 |
| Provider Name | Jessica Renee Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720282189 PECOS PAC ID: 7214028976 Enrollment ID: I20070809000398 |
| Provider Name | Katherine M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659315315 PECOS PAC ID: 4789775149 Enrollment ID: I20070814000653 |
| Provider Name | Pamela M Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336336882 PECOS PAC ID: 3072601376 Enrollment ID: I20071121000004 |
| Provider Name | Karl Matthew Baird |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689646663 PECOS PAC ID: 5193782381 Enrollment ID: I20080131000321 |
| Provider Name | Donald G Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952388035 PECOS PAC ID: 0143303933 Enrollment ID: I20080218000256 |
| Provider Name | Mario Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841244977 PECOS PAC ID: 9234100652 Enrollment ID: I20080324000291 |
| Provider Name | Novera Inam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215975354 PECOS PAC ID: 1557431996 Enrollment ID: I20080528000457 |
| Provider Name | David Desantis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467447748 PECOS PAC ID: 1658478730 Enrollment ID: I20080728000507 |
| Provider Name | John U Tan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093795395 PECOS PAC ID: 9234206384 Enrollment ID: I20080917000134 |
| Provider Name | Kim M Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184732356 PECOS PAC ID: 9234299744 Enrollment ID: I20081113000401 |
| Provider Name | Daniel R Meldrum |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861507253 PECOS PAC ID: 3678633468 Enrollment ID: I20081124000676 |
| Provider Name | Patrick R Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508896960 PECOS PAC ID: 4688626989 Enrollment ID: I20090129000525 |
| Provider Name | Tina B Reichley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811982887 PECOS PAC ID: 6305848631 Enrollment ID: I20090202000426 |
| Provider Name | Phillip C Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235125816 PECOS PAC ID: 5496757726 Enrollment ID: I20090202000470 |
| Provider Name | Brandy Jo Mcclaughry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083867089 PECOS PAC ID: 1355408733 Enrollment ID: I20090330000682 |
| Provider Name | Jithendra P Choudary |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639161821 PECOS PAC ID: 7517997844 Enrollment ID: I20090415000676 |
| Provider Name | Rachel Platts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295805802 PECOS PAC ID: 7113076472 Enrollment ID: I20090518000228 |
| Provider Name | Cheri R Frame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679710636 PECOS PAC ID: 1557411618 Enrollment ID: I20090610000639 |
| Provider Name | Jamie Brummett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316117864 PECOS PAC ID: 2668522525 Enrollment ID: I20090615000556 |
| Provider Name | Aaron Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568613693 PECOS PAC ID: 1951453026 Enrollment ID: I20090721000409 |
| Provider Name | Neil Bryan V Gamilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952564379 PECOS PAC ID: 0042366536 Enrollment ID: I20090924000624 |
| Provider Name | Brenda L Carr-vogelgesang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982834370 PECOS PAC ID: 2062558026 Enrollment ID: I20091005000373 |
| Provider Name | Mary Lynn Bundy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891762258 PECOS PAC ID: 2062552268 Enrollment ID: I20091221000006 |
| Provider Name | George Matthew Stearley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386694214 PECOS PAC ID: 1759385313 Enrollment ID: I20100126000253 |
| Provider Name | Allanna Renae Abel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164751335 PECOS PAC ID: 8325181035 Enrollment ID: I20100203000549 |
| Provider Name | James R Bertsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275580532 PECOS PAC ID: 7911925516 Enrollment ID: I20100218000438 |
| Provider Name | Scott Stevens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821093758 PECOS PAC ID: 3971630047 Enrollment ID: I20100421000423 |
| Provider Name | Joanita Wesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881922532 PECOS PAC ID: 7719015700 Enrollment ID: I20100512000799 |
| Provider Name | Roy M Teng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801853833 PECOS PAC ID: 3678602349 Enrollment ID: I20100519000366 |
| Provider Name | Beth Erin Ingram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851358444 PECOS PAC ID: 8426949975 Enrollment ID: I20100524000082 |
| Provider Name | Thomas Grayson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912902289 PECOS PAC ID: 6800925223 Enrollment ID: I20100524000635 |
| Provider Name | Michael George Khamis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215994504 PECOS PAC ID: 2163421124 Enrollment ID: I20100619000004 |
| Provider Name | Joseph B Clemente |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851462246 PECOS PAC ID: 9830290709 Enrollment ID: I20100628000330 |
| Provider Name | Vuy H Li |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629168372 PECOS PAC ID: 3476628587 Enrollment ID: I20100701000662 |
| Provider Name | Sulfikar Fahd Ibrahim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568673952 PECOS PAC ID: 2062502271 Enrollment ID: I20100727000097 |
| Provider Name | Steven M Walkotte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225125891 PECOS PAC ID: 8628101847 Enrollment ID: I20100809000267 |
| Provider Name | Christine J Farris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578660395 PECOS PAC ID: 8224162177 Enrollment ID: I20100816000001 |
| Provider Name | Rubinder Singh Dab |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467430728 PECOS PAC ID: 7719915487 Enrollment ID: I20100823000743 |
| Provider Name | Richard A Nevels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194812768 PECOS PAC ID: 9335263904 Enrollment ID: I20100903000003 |
| Provider Name | Tyler Brooks Fredenburg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033371406 PECOS PAC ID: 4789709783 Enrollment ID: I20100914001252 |
| Provider Name | Nuzhat Un Nisa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306036140 PECOS PAC ID: 1254456072 Enrollment ID: I20100917000003 |
| Provider Name | Rohit Bawa |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700888955 PECOS PAC ID: 5395657852 Enrollment ID: I20101022000969 |
| Provider Name | David Louis Jetmore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215939467 PECOS PAC ID: 4082696026 Enrollment ID: I20101025001372 |
| Provider Name | Angela J Hornak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083835334 PECOS PAC ID: 6507050390 Enrollment ID: I20101105000563 |
| Provider Name | Cara F Peggs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447283676 PECOS PAC ID: 5597950857 Enrollment ID: I20101111001188 |
| Provider Name | Scott Marsteller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891714937 PECOS PAC ID: 0749298255 Enrollment ID: I20101124000756 |
| Provider Name | Sheryl Marie King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760480305 PECOS PAC ID: 2769667716 Enrollment ID: I20110506000272 |
| Provider Name | Marla M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245538420 PECOS PAC ID: 6507043395 Enrollment ID: I20110603000165 |
| Provider Name | Michael Chiebonam Obichi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467615161 PECOS PAC ID: 5890973416 Enrollment ID: I20110630000521 |
| Provider Name | Joshua French |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346459534 PECOS PAC ID: 7315116779 Enrollment ID: I20110802000112 |
| Provider Name | Christopher Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588783633 PECOS PAC ID: 6608045067 Enrollment ID: I20110802000209 |
| Provider Name | Erika L Brandenstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558565614 PECOS PAC ID: 0840469011 Enrollment ID: I20110803000796 |
| Provider Name | Henry H Chong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073515276 PECOS PAC ID: 0941108005 Enrollment ID: I20120203000344 |
| Provider Name | Mary E Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871868398 PECOS PAC ID: 1052572856 Enrollment ID: I20120420000406 |
| Provider Name | Kelli M Abshear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154681096 PECOS PAC ID: 7113181678 Enrollment ID: I20120613000161 |
| Provider Name | Naeem Raza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447214994 PECOS PAC ID: 7517861859 Enrollment ID: I20120709000236 |
| Provider Name | Lloyd Javier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558503680 PECOS PAC ID: 6204092166 Enrollment ID: I20120720000135 |
| Provider Name | Ahmad Elbash |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770797466 PECOS PAC ID: 7012018872 Enrollment ID: I20120720000217 |
| Provider Name | Erica M Kretchman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003013673 PECOS PAC ID: 7618133430 Enrollment ID: I20120724000272 |
| Provider Name | Christina Michele Holmes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699917013 PECOS PAC ID: 4082865878 Enrollment ID: I20121102000193 |
| Provider Name | Ahsan Usmani |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1336133289 PECOS PAC ID: 7719903491 Enrollment ID: I20121127000411 |
| Provider Name | Sang Kyune Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821191339 PECOS PAC ID: 8325224066 Enrollment ID: I20130722000020 |
| Provider Name | Jennifer M Stachler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558604207 PECOS PAC ID: 2466696240 Enrollment ID: I20130917000536 |
| Provider Name | Louise M Chaperon Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225393887 PECOS PAC ID: 9537319496 Enrollment ID: I20131001000194 |
| Provider Name | Linda S Hinkelman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336371178 PECOS PAC ID: 8729250576 Enrollment ID: I20131001000423 |
| Provider Name | Kyle W Yancey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639337769 PECOS PAC ID: 8729229547 Enrollment ID: I20140114001235 |
| Provider Name | Mary Eversole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669805578 PECOS PAC ID: 8123257011 Enrollment ID: I20140219001384 |
| Provider Name | Sternlate Tshililiwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316961956 PECOS PAC ID: 8729083209 Enrollment ID: I20140310001291 |
| Provider Name | Teri Lynn Schulz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437178035 PECOS PAC ID: 1658502141 Enrollment ID: I20140326001363 |
| Provider Name | Lindsey D Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497990295 PECOS PAC ID: 9436380797 Enrollment ID: I20140331000095 |
| Provider Name | Kimberly J Reffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770917635 PECOS PAC ID: 9234368309 Enrollment ID: I20140404001661 |
| Provider Name | Ramesh Prajapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245661859 PECOS PAC ID: 7810112372 Enrollment ID: I20140626000411 |
| Provider Name | Ajit Dhakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649558024 PECOS PAC ID: 9638394026 Enrollment ID: I20140626001622 |
| Provider Name | Theodore Anthony Kostiuk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952544876 PECOS PAC ID: 3678799251 Enrollment ID: I20140717001934 |
| Provider Name | Annuradha Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568777092 PECOS PAC ID: 3971729955 Enrollment ID: I20140728002591 |
| Provider Name | Cierra Nichole Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992106975 PECOS PAC ID: 9537388749 Enrollment ID: I20140922001307 |
| Provider Name | Kimberly Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134298276 PECOS PAC ID: 8628298007 Enrollment ID: I20141007001255 |
| Provider Name | Wendi A Shaffmaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760883847 PECOS PAC ID: 3577783992 Enrollment ID: I20141007002897 |
| Provider Name | Amanda Louise Keipper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548670722 PECOS PAC ID: 3779704101 Enrollment ID: I20141028000648 |
| Provider Name | Dallas A Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184024515 PECOS PAC ID: 7315169026 Enrollment ID: I20141113001110 |
| Provider Name | Ryan Holliday |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164774329 PECOS PAC ID: 9931422946 Enrollment ID: I20141224000796 |
| Provider Name | Janae A. Martintoni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265857783 PECOS PAC ID: 5890018808 Enrollment ID: I20141224001054 |
| Provider Name | Louis Donald Latorre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558357822 PECOS PAC ID: 3173573607 Enrollment ID: I20150127000698 |
| Provider Name | Ramona D Orschell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851345789 PECOS PAC ID: 7315074424 Enrollment ID: I20150414000178 |
| Provider Name | Zhi Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235499989 PECOS PAC ID: 0648590547 Enrollment ID: I20150515001692 |
| Provider Name | Kristi N James |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790163947 PECOS PAC ID: 3779803200 Enrollment ID: I20150522001001 |
| Provider Name | Dustin Carfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346531720 PECOS PAC ID: 9335385178 Enrollment ID: I20150617000968 |
| Provider Name | Muhammad Bilal Quraishi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710196308 PECOS PAC ID: 6305978628 Enrollment ID: I20150730011237 |
| Provider Name | Shawn Greathouse |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1578720702 PECOS PAC ID: 2163669052 Enrollment ID: I20150731015994 |
| Provider Name | Bonnie M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598131328 PECOS PAC ID: 7517272628 Enrollment ID: I20150819007121 |
| Provider Name | Tina S Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053795435 PECOS PAC ID: 2062727027 Enrollment ID: I20150819009165 |
| Provider Name | Hon Q Vien |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346470838 PECOS PAC ID: 0345465928 Enrollment ID: I20150901001182 |
| Provider Name | Natalie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396122735 PECOS PAC ID: 7810204146 Enrollment ID: I20150917002761 |
| Provider Name | Jennifer L Counceller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750752853 PECOS PAC ID: 2466761127 Enrollment ID: I20151020000803 |
| Provider Name | Kimberly D Carlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831560473 PECOS PAC ID: 9335449636 Enrollment ID: I20151118000469 |
| Provider Name | Christa Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164894572 PECOS PAC ID: 2163722679 Enrollment ID: I20151204000537 |
| Provider Name | Lawrence W Mcmillion |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518162940 PECOS PAC ID: 7911145230 Enrollment ID: I20160107001569 |
| Provider Name | Shahid Husain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346377215 PECOS PAC ID: 1557450681 Enrollment ID: I20160114000322 |
| Provider Name | Alisha Kay Jones |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447519814 PECOS PAC ID: 3779899380 Enrollment ID: I20160222000972 |
| Provider Name | Azeb M. Lemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235591975 PECOS PAC ID: 1850690678 Enrollment ID: I20160429000507 |
| Provider Name | Jason Casselman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1538456462 PECOS PAC ID: 2365685161 Enrollment ID: I20160523000856 |
| Provider Name | Brittany A. Merk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568728152 PECOS PAC ID: 1052600426 Enrollment ID: I20160525001706 |
| Provider Name | Bernole Batenga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528490372 PECOS PAC ID: 0840423869 Enrollment ID: I20160527000315 |
| Provider Name | Jordan D Raynor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285997494 PECOS PAC ID: 8921248014 Enrollment ID: I20160606001344 |
| Provider Name | Seneque Milien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518300680 PECOS PAC ID: 1254574528 Enrollment ID: I20160606002435 |
| Provider Name | Martin E. Munoz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144665472 PECOS PAC ID: 5193029759 Enrollment ID: I20160609001528 |
| Provider Name | Brian R Goggins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154687911 PECOS PAC ID: 9436451176 Enrollment ID: I20160613001642 |
| Provider Name | Aaron Wasserman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922448810 PECOS PAC ID: 3072805548 Enrollment ID: I20160705000350 |
| Provider Name | Emily M Kraft |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265878060 PECOS PAC ID: 3678899861 Enrollment ID: I20160714001664 |
| Provider Name | Koren Joelle Blankley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275982613 PECOS PAC ID: 2769775303 Enrollment ID: I20160720000879 |
| Provider Name | Brennan Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932652104 PECOS PAC ID: 3476846395 Enrollment ID: I20160729000034 |
| Provider Name | Imtiaz Ahmed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215108907 PECOS PAC ID: 1052479946 Enrollment ID: I20160830001479 |
| Provider Name | Stacy L Fee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194271254 PECOS PAC ID: 1153617949 Enrollment ID: I20160902000786 |
| Provider Name | Justin Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003136367 PECOS PAC ID: 4981848140 Enrollment ID: I20160919001321 |
| Provider Name | Andy N. Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467895524 PECOS PAC ID: 8022251297 Enrollment ID: I20160920000604 |
| Provider Name | Venassia L. Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770033417 PECOS PAC ID: 5193013035 Enrollment ID: I20161121000476 |
| Provider Name | Kristen L. Ewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811431786 PECOS PAC ID: 2567742232 Enrollment ID: I20161215000950 |
| Provider Name | Catherine Blyth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013461763 PECOS PAC ID: 0143503417 Enrollment ID: I20170210001669 |
| Provider Name | Macy Sarno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851334510 PECOS PAC ID: 9638124209 Enrollment ID: I20170210001919 |
| Provider Name | Carrie A Kerby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114303559 PECOS PAC ID: 9931415718 Enrollment ID: I20170330000369 |
| Provider Name | Marianne Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699207373 PECOS PAC ID: 4284910258 Enrollment ID: I20170406001907 |
| Provider Name | Lotachukwu R Ojide |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811200025 PECOS PAC ID: 4688817810 Enrollment ID: I20170425000790 |
| Provider Name | Cody R Walker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467872895 PECOS PAC ID: 3870714942 Enrollment ID: I20170427002508 |
| Provider Name | Katie M Marker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639604879 PECOS PAC ID: 6204113293 Enrollment ID: I20170428001661 |
| Provider Name | Nelson Reed Spaulding |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669761565 PECOS PAC ID: 0143507855 Enrollment ID: I20170508000104 |
| Provider Name | Britney M Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023544079 PECOS PAC ID: 8224305230 Enrollment ID: I20170523001782 |
| Provider Name | Oladele M Oladapo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750724886 PECOS PAC ID: 0941436612 Enrollment ID: I20170606001064 |
| Provider Name | Lindsay A Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497284186 PECOS PAC ID: 6103194279 Enrollment ID: I20170613002490 |
| Provider Name | Andrew Carfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891102091 PECOS PAC ID: 5193093748 Enrollment ID: I20170622001941 |
| Provider Name | Lacie S Burge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972043305 PECOS PAC ID: 2264700814 Enrollment ID: I20170622002022 |
| Provider Name | Sylvester N Osayi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790075570 PECOS PAC ID: 9931340452 Enrollment ID: I20170707001015 |
| Provider Name | Andrea R. Dengler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023538899 PECOS PAC ID: 0244509016 Enrollment ID: I20170711000827 |
| Provider Name | Jennifer E. Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932202991 PECOS PAC ID: 2961439765 Enrollment ID: I20170718001655 |
| Provider Name | April D Coffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235476573 PECOS PAC ID: 5991075194 Enrollment ID: I20170720002361 |
| Provider Name | Thomas A Duncan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386082790 PECOS PAC ID: 6709156938 Enrollment ID: I20170721000341 |
| Provider Name | Porus Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447652953 PECOS PAC ID: 3375813173 Enrollment ID: I20170727001815 |
| Provider Name | Lisa Ann Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134643711 PECOS PAC ID: 0446521801 Enrollment ID: I20170802002851 |
| Provider Name | Dara Regn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316151251 PECOS PAC ID: 4183861396 Enrollment ID: I20170821001621 |
| Provider Name | Jami D Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598287245 PECOS PAC ID: 6901179555 Enrollment ID: I20170905000630 |
| Provider Name | Kendall J. Alig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396263323 PECOS PAC ID: 9032482021 Enrollment ID: I20170913003990 |
| Provider Name | Mary Greenwalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417475450 PECOS PAC ID: 8921372699 Enrollment ID: I20170919001538 |
| Provider Name | Christina R Lakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326383456 PECOS PAC ID: 6406120781 Enrollment ID: I20170926000778 |
| Provider Name | Stacy R Borden |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871993485 PECOS PAC ID: 6305067216 Enrollment ID: I20171004001491 |
| Provider Name | Altin Miraka |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518133792 PECOS PAC ID: 3173747391 Enrollment ID: I20171023002148 |
| Provider Name | Robert H Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659463453 PECOS PAC ID: 3375542764 Enrollment ID: I20171031002278 |
| Provider Name | James P. Nuttall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528412731 PECOS PAC ID: 9133494818 Enrollment ID: I20171108000148 |
| Provider Name | Jehangir Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295034064 PECOS PAC ID: 3779711148 Enrollment ID: I20171226000954 |
| Provider Name | Rick L Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164462255 PECOS PAC ID: 0547282519 Enrollment ID: I20171227001281 |
| Provider Name | Denise R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962920785 PECOS PAC ID: 3577822956 Enrollment ID: I20180110000424 |
| Provider Name | Venkatesha G S Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245218817 PECOS PAC ID: 6608820998 Enrollment ID: I20180301001577 |
| Provider Name | Jemila Raji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740530310 PECOS PAC ID: 2769750959 Enrollment ID: I20180412001030 |
| Provider Name | Victoria Adekemi Osayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467756163 PECOS PAC ID: 5496033961 Enrollment ID: I20180510000860 |
| Provider Name | Ping Fu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821229329 PECOS PAC ID: 3577862861 Enrollment ID: I20180521000182 |
| Provider Name | Cassey Leanne Crowell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700261872 PECOS PAC ID: 0345595765 Enrollment ID: I20180626000798 |
| Provider Name | Brandon Scott Baker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457736522 PECOS PAC ID: 2264787647 Enrollment ID: I20180626003581 |
| Provider Name | Rizwan E Kibria |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730292319 PECOS PAC ID: 6608851035 Enrollment ID: I20180710001214 |
| Provider Name | Nancy D Geeting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730679382 PECOS PAC ID: 1456608744 Enrollment ID: I20180718000215 |
| Provider Name | Erin R Suttmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528550092 PECOS PAC ID: 7315294998 Enrollment ID: I20180727002670 |
| Provider Name | Scott D Cohen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871699652 PECOS PAC ID: 3577475904 Enrollment ID: I20180815003379 |
| Provider Name | Tracie Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427530971 PECOS PAC ID: 2567712466 Enrollment ID: I20180913000935 |
| Provider Name | Alexandria Kay Ulrich |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407338981 PECOS PAC ID: 7517217490 Enrollment ID: I20180914000402 |
| Provider Name | Esther Joy Bowlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700368255 PECOS PAC ID: 9638420516 Enrollment ID: I20180918000512 |
| Provider Name | Miranda Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114406568 PECOS PAC ID: 4981956034 Enrollment ID: I20181017003518 |
| Provider Name | Roberta K Patterson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518440791 PECOS PAC ID: 7214281948 Enrollment ID: I20181116000635 |
| Provider Name | Allen Fredrick Meyers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578090502 PECOS PAC ID: 4981972023 Enrollment ID: I20181215000291 |
| Provider Name | Annelyssa N Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609219682 PECOS PAC ID: 8729229687 Enrollment ID: I20190121000482 |
| Provider Name | Ieshsa S Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740753946 PECOS PAC ID: 2567709504 Enrollment ID: I20190129001248 |
| Provider Name | Mohamed Mohamed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861742751 PECOS PAC ID: 6406078161 Enrollment ID: I20190130002188 |
| Provider Name | Gretchen E Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831653971 PECOS PAC ID: 5193062875 Enrollment ID: I20190204002276 |
| Provider Name | Alex M Kissinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568817807 PECOS PAC ID: 9537452628 Enrollment ID: I20190313000706 |
| Provider Name | Heather Ann Brott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114484474 PECOS PAC ID: 2961743059 Enrollment ID: I20190418001974 |
| Provider Name | Mohammed Nabhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861734469 PECOS PAC ID: 7810289444 Enrollment ID: I20190516000072 |
| Provider Name | Donald R Westerhausen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437491974 PECOS PAC ID: 4688977515 Enrollment ID: I20190522002386 |
| Provider Name | Sajid A Shakhan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194165860 PECOS PAC ID: 6709017445 Enrollment ID: I20190523001624 |
| Provider Name | Rachel Ann Wilmot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881252666 PECOS PAC ID: 6709110869 Enrollment ID: I20190624000418 |
| Provider Name | Amanda M Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093294282 PECOS PAC ID: 5294061800 Enrollment ID: I20190719000709 |
| Provider Name | Jordan S Parrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164951125 PECOS PAC ID: 2961773908 Enrollment ID: I20190724000751 |
| Provider Name | Simon Labib Abdallah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952798928 PECOS PAC ID: 3173839529 Enrollment ID: I20190724001786 |
| Provider Name | Michael J Derrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790133734 PECOS PAC ID: 7012203664 Enrollment ID: I20190726002867 |
| Provider Name | Catherine Rose Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306499009 PECOS PAC ID: 2365779899 Enrollment ID: I20190807000637 |
| Provider Name | Francis X Dillon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184674483 PECOS PAC ID: 7012088016 Enrollment ID: I20190821000671 |
| Provider Name | Amber York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457911729 PECOS PAC ID: 6406184944 Enrollment ID: I20190822000867 |
| Provider Name | Ahmad Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033568316 PECOS PAC ID: 6901197631 Enrollment ID: I20190829001445 |
| Provider Name | Aaron Christopher Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255985214 PECOS PAC ID: 5496084154 Enrollment ID: I20190906000446 |
| Provider Name | Georges Debal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316386386 PECOS PAC ID: 4880923085 Enrollment ID: I20190913000957 |
| Provider Name | Michelle Lea Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528612934 PECOS PAC ID: 0143550533 Enrollment ID: I20190927001448 |
| Provider Name | Nisha Panday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124484399 PECOS PAC ID: 1759679525 Enrollment ID: I20191001001717 |
| Provider Name | David King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952751844 PECOS PAC ID: 8123315785 Enrollment ID: I20191023002162 |
| Provider Name | Heston C Lamar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023013869 PECOS PAC ID: 2264499888 Enrollment ID: I20191023003639 |
| Provider Name | Carmen S Gardner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831594647 PECOS PAC ID: 6002104049 Enrollment ID: I20191106000974 |
| Provider Name | Mariabarbara W Will |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336570761 PECOS PAC ID: 6204069511 Enrollment ID: I20191119001370 |
| Provider Name | Nicole M Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871139014 PECOS PAC ID: 6800220443 Enrollment ID: I20200107001769 |
| Provider Name | Crystal Bohse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992344105 PECOS PAC ID: 3375979586 Enrollment ID: I20200229000138 |
| Provider Name | Fatmah H Albaaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023373081 PECOS PAC ID: 8325274889 Enrollment ID: I20200407001926 |
| Provider Name | Andrew Shaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982644175 PECOS PAC ID: 0446204929 Enrollment ID: I20200427000693 |
| Provider Name | Amy Marie Goff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720141252 PECOS PAC ID: 4183619612 Enrollment ID: I20200630002066 |
| Provider Name | Alex Ray Yuan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568996445 PECOS PAC ID: 5395019046 Enrollment ID: I20200708003676 |
| Provider Name | Tanay Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679935282 PECOS PAC ID: 8325462898 Enrollment ID: I20200717000349 |
| Provider Name | Nathanial Voigtman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356861116 PECOS PAC ID: 7012257975 Enrollment ID: I20200721003338 |
| Provider Name | Steven Quach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235662008 PECOS PAC ID: 4082038906 Enrollment ID: I20200723002548 |
| Provider Name | Justin Joseph Tudino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801242482 PECOS PAC ID: 8729370010 Enrollment ID: I20200727003544 |
| Provider Name | Ross Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902334014 PECOS PAC ID: 6709158645 Enrollment ID: I20200804002575 |
| Provider Name | Hira Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023401247 PECOS PAC ID: 9931454154 Enrollment ID: I20200817001789 |
| Provider Name | Morgan L Stamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336752104 PECOS PAC ID: 7810314184 Enrollment ID: I20200901001748 |
| Provider Name | Daniel Mccorry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528598513 PECOS PAC ID: 7416227848 Enrollment ID: I20200902001725 |
| Provider Name | Zachary A Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629688890 PECOS PAC ID: 6103244694 Enrollment ID: I20200915003044 |
| Provider Name | Jessica Limburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245846997 PECOS PAC ID: 0143649210 Enrollment ID: I20200923002733 |
| Provider Name | David J Warwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740888288 PECOS PAC ID: 2860812153 Enrollment ID: I20201027001140 |
| Provider Name | Stephanie Lee Geeting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194326108 PECOS PAC ID: 1355752528 Enrollment ID: I20201118002138 |
| Provider Name | Mohey Saleh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649270398 PECOS PAC ID: 1850203399 Enrollment ID: I20201120001725 |
| Provider Name | Chika Amuche Ezigbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952666257 PECOS PAC ID: 2961620737 Enrollment ID: I20201201001652 |
| Provider Name | Anthony C Vacca |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497797401 PECOS PAC ID: 3173628864 Enrollment ID: I20201203001453 |
| Provider Name | Emily A Farkas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811197742 PECOS PAC ID: 5890889810 Enrollment ID: I20201210001251 |
| Provider Name | Amy Jane Mullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619572823 PECOS PAC ID: 5698187383 Enrollment ID: I20201222002505 |
| Provider Name | Timothy Harward |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982605986 PECOS PAC ID: 2062325715 Enrollment ID: I20210106002580 |
| Provider Name | Mark Franklin Naylor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518916386 PECOS PAC ID: 6103716378 Enrollment ID: I20210203000921 |
| Provider Name | Emily Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578153094 PECOS PAC ID: 8628483328 Enrollment ID: I20210210001037 |
| Provider Name | Erin K Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114516267 PECOS PAC ID: 7113332826 Enrollment ID: I20210210001866 |
| Provider Name | Cynthia L Brindle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841880507 PECOS PAC ID: 1456766781 Enrollment ID: I20210219001007 |
| Provider Name | Carlee M Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639762990 PECOS PAC ID: 5496065526 Enrollment ID: I20210219001635 |
| Provider Name | Michlynn Gaddis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457428179 PECOS PAC ID: 6204245723 Enrollment ID: I20210512002088 |
| Provider Name | Adam Tyler Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427632686 PECOS PAC ID: 3870992035 Enrollment ID: I20210520002446 |
| Provider Name | Ahmed Amro |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952716789 PECOS PAC ID: 2062631138 Enrollment ID: I20210527000129 |
| Provider Name | Augustine A Ajuogu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326544438 PECOS PAC ID: 3971856691 Enrollment ID: I20210611002302 |
| Provider Name | Joni L Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821537069 PECOS PAC ID: 1557646460 Enrollment ID: I20210621001264 |
| Provider Name | Chase F Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497245369 PECOS PAC ID: 0345598827 Enrollment ID: I20210625001106 |
| Provider Name | Thomas M Jetmore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104274463 PECOS PAC ID: 9436550308 Enrollment ID: I20210629002958 |
| Provider Name | Autumn Galindo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053809798 PECOS PAC ID: 1153686688 Enrollment ID: I20210706001630 |
| Provider Name | Willard Palustre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124402383 PECOS PAC ID: 4486901287 Enrollment ID: I20210712003834 |
| Provider Name | Stephen Brian Osmon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083677520 PECOS PAC ID: 6800834136 Enrollment ID: I20210723001498 |
| Provider Name | Amit Bansal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356736433 PECOS PAC ID: 6709190580 Enrollment ID: I20210723003166 |
| Provider Name | Michael Woodin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174740252 PECOS PAC ID: 1658771407 Enrollment ID: I20210726000909 |
| Provider Name | Megan J Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487144721 PECOS PAC ID: 8729343207 Enrollment ID: I20210726001847 |
| Provider Name | Brea Danielle Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659804011 PECOS PAC ID: 3476821604 Enrollment ID: I20210803001624 |
| Provider Name | Igor Dykan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154689420 PECOS PAC ID: 5496900078 Enrollment ID: I20210809001258 |
| Provider Name | Sydney Tingshan Jiang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396194148 PECOS PAC ID: 2062817513 Enrollment ID: I20210820001162 |
| Provider Name | Kayla Ann Nobbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891367058 PECOS PAC ID: 9830594258 Enrollment ID: I20210824001582 |
| Provider Name | Kathryn R Pointis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427721018 PECOS PAC ID: 6608272521 Enrollment ID: I20210901001039 |
| Provider Name | Brayton P Kiedrowski |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770019796 PECOS PAC ID: 2860763513 Enrollment ID: I20210902001035 |
| Provider Name | Michael J Maurer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639556871 PECOS PAC ID: 2163764630 Enrollment ID: I20210903002510 |
| Provider Name | Kyle A Langfitt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891463584 PECOS PAC ID: 2860898293 Enrollment ID: I20210909001581 |
| Provider Name | Deanna Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548686835 PECOS PAC ID: 1658503800 Enrollment ID: I20210913001114 |
| Provider Name | Courtney Lynn Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114508058 PECOS PAC ID: 1456758846 Enrollment ID: I20210928002097 |
| Provider Name | Robert S Farrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952386476 PECOS PAC ID: 8628971801 Enrollment ID: I20211005001595 |
| Provider Name | Janice J Hwang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164412763 PECOS PAC ID: 1254221492 Enrollment ID: I20211005002061 |
| Provider Name | Shota Yamamoto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609165356 PECOS PAC ID: 6901170067 Enrollment ID: I20211005002105 |
| Provider Name | Roi M Lotan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518175637 PECOS PAC ID: 2668572439 Enrollment ID: I20211005002521 |
| Provider Name | Matthew J Thomson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134163314 PECOS PAC ID: 9032153234 Enrollment ID: I20211005002673 |
| Provider Name | Archana C Lucchesi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225108533 PECOS PAC ID: 6709871346 Enrollment ID: I20211006003186 |
| Provider Name | Gregory L Thalken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861547317 PECOS PAC ID: 9830333541 Enrollment ID: I20211011002305 |
| Provider Name | Michael V Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205826237 PECOS PAC ID: 5698708998 Enrollment ID: I20211011002443 |
| Provider Name | Kambrie Y Kato |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235424284 PECOS PAC ID: 7911290069 Enrollment ID: I20211011002468 |
| Provider Name | Andrew Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104883693 PECOS PAC ID: 0547249393 Enrollment ID: I20211011002554 |
| Provider Name | Matthew Benedict |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528008125 PECOS PAC ID: 4789627803 Enrollment ID: I20211011002666 |
| Provider Name | Avanee S Peel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164591616 PECOS PAC ID: 3173554441 Enrollment ID: I20211011002719 |
| Provider Name | Hassan Mohsen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598250847 PECOS PAC ID: 2668860123 Enrollment ID: I20211102002647 |
| Provider Name | Amber L Kendall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740943968 PECOS PAC ID: 2062801228 Enrollment ID: I20211110001364 |
| Provider Name | Tanya M Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669135794 PECOS PAC ID: 4587053434 Enrollment ID: I20211115001047 |
| Provider Name | Chelsea C Uphaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558027870 PECOS PAC ID: 6002205861 Enrollment ID: I20211116002598 |
| Provider Name | Ryan Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1497997050 PECOS PAC ID: 4587789326 Enrollment ID: I20211123001763 |
| Provider Name | Tonya S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679230411 PECOS PAC ID: 2769872043 Enrollment ID: I20211130001757 |
| Provider Name | Shareef M Riad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417111477 PECOS PAC ID: 0042353336 Enrollment ID: I20220119000679 |
| Provider Name | Cherika Shantal O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174284558 PECOS PAC ID: 6901298785 Enrollment ID: I20220128001396 |
| Provider Name | Rebecca Ann Yuan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295297398 PECOS PAC ID: 5193058972 Enrollment ID: I20220216000700 |
| Provider Name | Timothy James Kaehr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093088544 PECOS PAC ID: 0749674257 Enrollment ID: I20220228000419 |
| Provider Name | Kelley Metcalfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639830177 PECOS PAC ID: 1557754876 Enrollment ID: I20220329002451 |
| Provider Name | Abby N Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891442042 PECOS PAC ID: 4486040235 Enrollment ID: I20220405001125 |
| Provider Name | Emily Ann Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215677943 PECOS PAC ID: 8123414851 Enrollment ID: I20220406001579 |
| Provider Name | Amber Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942963590 PECOS PAC ID: 1153718408 Enrollment ID: I20220505000413 |
| Provider Name | Shannon Bownds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518911726 PECOS PAC ID: 6901817386 Enrollment ID: I20220518002928 |
| Provider Name | Peter Joseph Shaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568924454 PECOS PAC ID: 9436482635 Enrollment ID: I20220602001426 |
| Provider Name | Joseph Williamson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1457732166 PECOS PAC ID: 2567753858 Enrollment ID: I20220609001724 |
| Provider Name | Jessica Rachelle Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508510082 PECOS PAC ID: 2668850165 Enrollment ID: I20220610001714 |
| Provider Name | Wendi Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841853363 PECOS PAC ID: 8325428360 Enrollment ID: I20220707002698 |
| Provider Name | Ashlee Renee Pax |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891445961 PECOS PAC ID: 5294117453 Enrollment ID: I20220804000322 |
| Provider Name | Tabatha Timberman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033780473 PECOS PAC ID: 4183006091 Enrollment ID: I20220809000213 |
| Provider Name | Jessica Louise Jones |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962922252 PECOS PAC ID: 4981087178 Enrollment ID: I20220822001295 |
| Provider Name | Keirstan N West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902540537 PECOS PAC ID: 5799160495 Enrollment ID: I20220916000366 |
| Provider Name | Kristen Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144951088 PECOS PAC ID: 3274918669 Enrollment ID: I20220921002621 |
| Provider Name | Josie Lee Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073240115 PECOS PAC ID: 9234505694 Enrollment ID: I20221026002532 |
| Provider Name | Vikram Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235792680 PECOS PAC ID: 3577895093 Enrollment ID: I20221027002543 |
| Provider Name | Cassandra P Addington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356067094 PECOS PAC ID: 1658748421 Enrollment ID: I20221108000743 |
| Provider Name | Alice M Saylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396074449 PECOS PAC ID: 2860860913 Enrollment ID: I20221121001100 |
| Provider Name | Joseph Schneider |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003914292 PECOS PAC ID: 4486699121 Enrollment ID: I20230114000123 |
| Provider Name | Britain Andrew Gailliot |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821401159 PECOS PAC ID: 7315354750 Enrollment ID: I20230209002654 |
| Provider Name | James T Frencher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386039758 PECOS PAC ID: 8022449941 Enrollment ID: I20230214000355 |
| Provider Name | Matthew Hermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477990521 PECOS PAC ID: 0345482212 Enrollment ID: I20230214001540 |
| Provider Name | Zachary S Roeder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326305483 PECOS PAC ID: 4688802655 Enrollment ID: I20230215001528 |
| Provider Name | Max Pollock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427210855 PECOS PAC ID: 5294057303 Enrollment ID: I20230216000412 |
| Provider Name | Bayan Bakir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033476924 PECOS PAC ID: 9436468147 Enrollment ID: I20230307000419 |
| Provider Name | Lisa Rene Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366155186 PECOS PAC ID: 0345614335 Enrollment ID: I20230314001472 |
| Provider Name | Stephanie Jane Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164128815 PECOS PAC ID: 0042684649 Enrollment ID: I20230322001547 |
| Provider Name | Theresa Yuh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265523930 PECOS PAC ID: 3173576154 Enrollment ID: I20230322001816 |
| Provider Name | Olufolajimi Obembe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164630117 PECOS PAC ID: 7315097367 Enrollment ID: I20230322002907 |
| Provider Name | Jacquelyn Ramirez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083643415 PECOS PAC ID: 5496714883 Enrollment ID: I20230607001211 |
| Provider Name | John C Dallenbach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235178229 PECOS PAC ID: 7113395468 Enrollment ID: I20230615002944 |
| Provider Name | Heather L Jarboe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437859212 PECOS PAC ID: 1557729597 Enrollment ID: I20230622002946 |
| Provider Name | Hal Sreden |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467555789 PECOS PAC ID: 7517955917 Enrollment ID: I20230705001133 |
| Provider Name | Jonathan Gallimore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609402544 PECOS PAC ID: 0143644849 Enrollment ID: I20230710003056 |
| Provider Name | Scott O'brien |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881157816 PECOS PAC ID: 4082949318 Enrollment ID: I20230712004154 |
| Provider Name | Soumya Tippireddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861059339 PECOS PAC ID: 3072973692 Enrollment ID: I20230714000677 |
| Provider Name | Nicholas Wade George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760917074 PECOS PAC ID: 0547620015 Enrollment ID: I20230714002899 |
| Provider Name | Brian Kwong |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538511506 PECOS PAC ID: 8123488608 Enrollment ID: I20230714003506 |
| Provider Name | Evelyn M Lorents |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1003176710 PECOS PAC ID: 4880963024 Enrollment ID: I20230717000412 |
| Provider Name | Jillian Ann Pitchford |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649959651 PECOS PAC ID: 1456714831 Enrollment ID: I20230901000538 |
| Provider Name | Sara Kristine Hanson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629751946 PECOS PAC ID: 1355704545 Enrollment ID: I20230906002031 |
| Provider Name | Leslie Kay Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285326017 PECOS PAC ID: 7719341593 Enrollment ID: I20230912003193 |
| Provider Name | Brian Beck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154642205 PECOS PAC ID: 7214156496 Enrollment ID: I20230914003776 |
| Provider Name | Mario C Giudici |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558341073 PECOS PAC ID: 8527967710 Enrollment ID: I20230928002066 |
| Provider Name | Sean M Malarkey |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760879308 PECOS PAC ID: 0840588513 Enrollment ID: I20231005001624 |
| Provider Name | Juddson Lindley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245393107 PECOS PAC ID: 5799675245 Enrollment ID: I20231020000971 |
| Provider Name | Walter Enrico Rizzoni |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942245386 PECOS PAC ID: 4082699483 Enrollment ID: I20231025002795 |
| Provider Name | Adebisi Adeyemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366040065 PECOS PAC ID: 6204246192 Enrollment ID: I20231108002389 |
| Provider Name | Brittanni Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326821984 PECOS PAC ID: 5395192058 Enrollment ID: I20231117000539 |
| Provider Name | Alexandra Virginia Katherine Wolfe-moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295413722 PECOS PAC ID: 8527416122 Enrollment ID: I20231120003010 |
| Provider Name | Yetunde Oriyomi Balogun |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306129713 PECOS PAC ID: 8729318688 Enrollment ID: I20231121003609 |
| Provider Name | Lindsey Elizabeth Porta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669811253 PECOS PAC ID: 1951759851 Enrollment ID: I20231204001622 |
| Provider Name | Jeffrey Halladay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326243544 PECOS PAC ID: 0749349116 Enrollment ID: I20240102000932 |
| Provider Name | Eric Vaillant |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992963227 PECOS PAC ID: 7517387699 Enrollment ID: I20240104001111 |
| Provider Name | Travis Mckellar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538620851 PECOS PAC ID: 9335474162 Enrollment ID: I20240122002337 |
| Provider Name | Elizabeth Meghan Tamplin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538898838 PECOS PAC ID: 8628454642 Enrollment ID: I20240203000354 |
| Provider Name | Shahrzad Mohammadi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821001728 PECOS PAC ID: 6608965694 Enrollment ID: I20240205003493 |
| Provider Name | Clifford Mcdaniel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588616049 PECOS PAC ID: 4789027855 Enrollment ID: I20240206000307 |
| Provider Name | Rebecca R Glunt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497825947 PECOS PAC ID: 9436520194 Enrollment ID: I20240216000297 |
| Provider Name | Thea Ison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255030201 PECOS PAC ID: 3577900471 Enrollment ID: I20240327003496 |
| Provider Name | Ganesh Prasad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649223983 PECOS PAC ID: 0749271328 Enrollment ID: I20240412002796 |
| Provider Name | Michael J Connolly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861889909 PECOS PAC ID: 2062792542 Enrollment ID: I20240416002347 |
| Provider Name | Sunil K Gujrathi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982706974 PECOS PAC ID: 6406953165 Enrollment ID: I20240416002771 |
| Provider Name | Janelle Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912058041 PECOS PAC ID: 1456532050 Enrollment ID: I20240503002657 |
| Provider Name | Benjamin Klein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497981997 PECOS PAC ID: 3375910946 Enrollment ID: I20240524002079 |
Earlham College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 National Rd W, Health Services, Richmond, IN 47374 Phone: 765-983-1328 Fax: 765-983-1488 | |
Indiana Hospitalists, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Reid Parkway, Reid Hospital, Richmond, IN 47374 Phone: 765-983-3492 Fax: 678-441-8656 | |
Wayne Family Health Care, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 Reid Parkway, Suite 210, Richmond, IN 47374 Phone: 765-966-5217 Fax: 765-966-5277 | |
Richmond Family Care Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 Sim Hodgin Pkwy, Richmond, IN 47374 Phone: 765-966-5949 Fax: 765-962-6268 | |
John B Clarkson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4821 Old National Rd E, Suite A, Richmond, IN 47374 Phone: 765-373-3910 Fax: 800-569-1924 | |
Pankaj Kumar, M.d.,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 N 15th St, Richmond, IN 47374 Phone: 765-966-8221 Fax: 765-962-9582 |