| Reliant Medical Group, Inc | |
|
5 Neponset St Worcester MA 01606-2714 | |
| (508) 852-0600 | |
| Not Available |
| Full Name | Reliant Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5 Neponset St, Worcester, Massachusetts |
| Authorized Official Name and Position | Tarek Elsawy (CEO) |
| Authorized Official Contact | 5088520600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliant Medical Group, Inc 5 Neponset St Worcester MA 01606-2714 Ph: (508) 852-0600 | Reliant Medical Group, Inc 5 Neponset St Worcester MA 01606-2714 Ph: (508) 852-0600 |
| NPI Number | 1720017528 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 10/18/2018 |
| Medicare PECOS PAC ID | 5597755322 |
|---|---|
| Medicare Enrollment ID | O20040708000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720017528 | NPI | - | NPPES |
| Provider Name | Janice Flores-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962477521 PECOS PAC ID: 7113831041 Enrollment ID: I20031115000005 |
| Provider Name | Dawn M Hartnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164569653 PECOS PAC ID: 1557269404 Enrollment ID: I20031230000171 |
| Provider Name | Anupam Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437187259 PECOS PAC ID: 7719887389 Enrollment ID: I20040110000031 |
| Provider Name | Elizabeth Leighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720138613 PECOS PAC ID: 3072413657 Enrollment ID: I20040110000118 |
| Provider Name | Brenda C Zylstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013081421 PECOS PAC ID: 5698678233 Enrollment ID: I20040130000141 |
| Provider Name | James J Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730161308 PECOS PAC ID: 9638066301 Enrollment ID: I20040228000245 |
| Provider Name | Kern J Bayard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699777888 PECOS PAC ID: 3779471420 Enrollment ID: I20040310000008 |
| Provider Name | Kelton M Burbank |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326050113 PECOS PAC ID: 9739077660 Enrollment ID: I20040310000827 |
| Provider Name | Margaret M. Kamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356348395 PECOS PAC ID: 6002705654 Enrollment ID: I20040312000356 |
| Provider Name | Christine W Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467441170 PECOS PAC ID: 8123918687 Enrollment ID: I20040318000107 |
| Provider Name | Kerry G Bennett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669471678 PECOS PAC ID: 2163313800 Enrollment ID: I20040323000485 |
| Provider Name | Richard A. Rosiello |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992739791 PECOS PAC ID: 9537051982 Enrollment ID: I20040329001245 |
| Provider Name | Yuka Marie Vinagre |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154303576 PECOS PAC ID: 8527950906 Enrollment ID: I20040329001448 |
| Provider Name | Daniel Steigman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003840885 PECOS PAC ID: 2365334752 Enrollment ID: I20040329001518 |
| Provider Name | Denise P. Kleister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255302030 PECOS PAC ID: 5193617454 Enrollment ID: I20040330000182 |
| Provider Name | John Ferullo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528056439 PECOS PAC ID: 7416849708 Enrollment ID: I20040330000388 |
| Provider Name | William F Horgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871554758 PECOS PAC ID: 2961494216 Enrollment ID: I20040330000903 |
| Provider Name | Robert Kossack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912962051 PECOS PAC ID: 0749272029 Enrollment ID: I20040330001096 |
| Provider Name | Peter M Keefe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417931569 PECOS PAC ID: 1850383043 Enrollment ID: I20040330001244 |
| Provider Name | Eric M Lupoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558330613 PECOS PAC ID: 4688666795 Enrollment ID: I20040331000163 |
| Provider Name | Robin H. Braveman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508848581 PECOS PAC ID: 0547258295 Enrollment ID: I20040503001082 |
| Provider Name | Susan C Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457359275 PECOS PAC ID: 6305837816 Enrollment ID: I20040523000011 |
| Provider Name | Karen E Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003877911 PECOS PAC ID: 8022091461 Enrollment ID: I20040608000939 |
| Provider Name | Odalys Croteau |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588659361 PECOS PAC ID: 3779568233 Enrollment ID: I20040621000509 |
| Provider Name | Dan Nir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285617910 PECOS PAC ID: 2365427226 Enrollment ID: I20040623001106 |
| Provider Name | Curuchi Anand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336111731 PECOS PAC ID: 7012995988 Enrollment ID: I20040708001025 |
| Provider Name | Mark T Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073550661 PECOS PAC ID: 0143290247 Enrollment ID: I20040727001215 |
| Provider Name | Maria C Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366459588 PECOS PAC ID: 3274503164 Enrollment ID: I20040728000969 |
| Provider Name | Amanda G Angelescu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508848920 PECOS PAC ID: 8921078635 Enrollment ID: I20040729000979 |
| Provider Name | Michael W Demelis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336108984 PECOS PAC ID: 6507836137 Enrollment ID: I20040729001180 |
| Provider Name | Tiffany Moore Simas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124019435 PECOS PAC ID: 2163494428 Enrollment ID: I20040809000455 |
| Provider Name | Simon N Mcrae |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992774723 PECOS PAC ID: 4587637962 Enrollment ID: I20040813001113 |
| Provider Name | Douglas W. Laidlaw |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124167911 PECOS PAC ID: 0244203578 Enrollment ID: I20040816000855 |
| Provider Name | Linda Ciu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578536314 PECOS PAC ID: 5092789347 Enrollment ID: I20040823000758 |
| Provider Name | Jeffrey Ian Zaref |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609800028 PECOS PAC ID: 5193638641 Enrollment ID: I20040830000187 |
| Provider Name | Michael Potter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124004403 PECOS PAC ID: 6608842315 Enrollment ID: I20040903000549 |
| Provider Name | Stacey D Maslow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023090438 PECOS PAC ID: 8820067432 Enrollment ID: I20040930000377 |
| Provider Name | Mary Ann Graham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942318571 PECOS PAC ID: 0749240349 Enrollment ID: I20041018001040 |
| Provider Name | Christine Castle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043326721 PECOS PAC ID: 4284695545 Enrollment ID: I20041020001284 |
| Provider Name | Oksana Primmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518918598 PECOS PAC ID: 8820059991 Enrollment ID: I20041021000843 |
| Provider Name | Cynthia Hall Sachs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295710408 PECOS PAC ID: 4183685167 Enrollment ID: I20041022000636 |
| Provider Name | Paula Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801861471 PECOS PAC ID: 7416918115 Enrollment ID: I20041026000383 |
| Provider Name | Toby M Milgrome |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417919184 PECOS PAC ID: 1456313832 Enrollment ID: I20041028000337 |
| Provider Name | Elinor A Mody |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376506840 PECOS PAC ID: 0648233882 Enrollment ID: I20041109000024 |
| Provider Name | Robert C Harizi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093776957 PECOS PAC ID: 9537123153 Enrollment ID: I20041115000192 |
| Provider Name | Jonathan Taylor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205800158 PECOS PAC ID: 4981668324 Enrollment ID: I20041116000640 |
| Provider Name | Michael S. Kelfer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306810296 PECOS PAC ID: 0941264287 Enrollment ID: I20041116000748 |
| Provider Name | Michael Daley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861469751 PECOS PAC ID: 2365408929 Enrollment ID: I20041206000286 |
| Provider Name | John V Shufflebarger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1083698112 PECOS PAC ID: 7012973365 Enrollment ID: I20041208000308 |
| Provider Name | Hassna Atlassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326107541 PECOS PAC ID: 5092771303 Enrollment ID: I20041208000859 |
| Provider Name | Yaron R Goldman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649499823 PECOS PAC ID: 8022075001 Enrollment ID: I20041210000657 |
| Provider Name | Nancy C Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578626693 PECOS PAC ID: 8527025105 Enrollment ID: I20041215000466 |
| Provider Name | Robert J Greene |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205843893 PECOS PAC ID: 7012984131 Enrollment ID: I20041215000784 |
| Provider Name | Margaret A Mccahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578515136 PECOS PAC ID: 0042278152 Enrollment ID: I20041221000576 |
| Provider Name | Robert F Mccarron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588630487 PECOS PAC ID: 9830147115 Enrollment ID: I20050104000775 |
| Provider Name | Dale G St Lawrence |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447233796 PECOS PAC ID: 5395793970 Enrollment ID: I20050111000077 |
| Provider Name | Cheryl Mariano Perugini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841266012 PECOS PAC ID: 2062461155 Enrollment ID: I20050114000814 |
| Provider Name | Mark Hryniewich |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255307781 PECOS PAC ID: 4183673056 Enrollment ID: I20050118000653 |
| Provider Name | Kate H Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306811922 PECOS PAC ID: 2466401294 Enrollment ID: I20050119000146 |
| Provider Name | Veronica Rusu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770568206 PECOS PAC ID: 0840241451 Enrollment ID: I20050201000519 |
| Provider Name | Louis G Jenis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285636993 PECOS PAC ID: 5991756694 Enrollment ID: I20050209000777 |
| Provider Name | Daniel Carlucci |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700076882 PECOS PAC ID: 9436048972 Enrollment ID: I20050214000967 |
| Provider Name | Iphigenia A Balodimos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619900685 PECOS PAC ID: 0840242137 Enrollment ID: I20050215000519 |
| Provider Name | Robert H Gottlieb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831136530 PECOS PAC ID: 2961454251 Enrollment ID: I20050215000585 |
| Provider Name | Susan L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730150590 PECOS PAC ID: 6204888373 Enrollment ID: I20050216000903 |
| Provider Name | Babatunde O Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568447480 PECOS PAC ID: 7911806674 Enrollment ID: I20050318000856 |
| Provider Name | John C Platt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588638431 PECOS PAC ID: 9436105210 Enrollment ID: I20050324000477 |
| Provider Name | Louise E Feldhaus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962463893 PECOS PAC ID: 1759337595 Enrollment ID: I20050324000936 |
| Provider Name | Kenneth H Kronlund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174584643 PECOS PAC ID: 5890741227 Enrollment ID: I20050329000288 |
| Provider Name | Lawrence D Garber |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912971037 PECOS PAC ID: 0648226084 Enrollment ID: I20050329000376 |
| Provider Name | Robert C Jandl |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770572315 PECOS PAC ID: 8820980600 Enrollment ID: I20050330000168 |
| Provider Name | Ellen M Delpapa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093706202 PECOS PAC ID: 1557318136 Enrollment ID: I20050406000019 |
| Provider Name | Stephen J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710969670 PECOS PAC ID: 4385681618 Enrollment ID: I20050408000411 |
| Provider Name | Alan M Ehrlich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588727697 PECOS PAC ID: 7618914573 Enrollment ID: I20050412000833 |
| Provider Name | James E Howe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467499129 PECOS PAC ID: 0749227635 Enrollment ID: I20050412001095 |
| Provider Name | Donald G Love |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972594562 PECOS PAC ID: 1658322888 Enrollment ID: I20050412001303 |
| Provider Name | Chandrika D Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720040256 PECOS PAC ID: 4789622127 Enrollment ID: I20050418000694 |
| Provider Name | Deborah Homer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952407785 PECOS PAC ID: 9931147154 Enrollment ID: I20050419000881 |
| Provider Name | Michael J Sheehy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659348530 PECOS PAC ID: 4688612724 Enrollment ID: I20050420000300 |
| Provider Name | Susan L Abend |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427003847 PECOS PAC ID: 8325086143 Enrollment ID: I20050421001310 |
| Provider Name | James F X Kenealy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770679730 PECOS PAC ID: 3971542242 Enrollment ID: I20050426001152 |
| Provider Name | Fae G Nason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588630859 PECOS PAC ID: 5496794620 Enrollment ID: I20050427001041 |
| Provider Name | Michael P Gaudet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972568061 PECOS PAC ID: 0042259178 Enrollment ID: I20050428000436 |
| Provider Name | Abdul Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932169463 PECOS PAC ID: 4688613334 Enrollment ID: I20050502000875 |
| Provider Name | Wendy J Bergman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083674451 PECOS PAC ID: 1850330432 Enrollment ID: I20050503000639 |
| Provider Name | Wayne D Trotter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447224563 PECOS PAC ID: 7012957681 Enrollment ID: I20050504000028 |
| Provider Name | Ronald S Tadiri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780645663 PECOS PAC ID: 4880634385 Enrollment ID: I20050504000406 |
| Provider Name | Alice A Williams |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184670861 PECOS PAC ID: 4385684695 Enrollment ID: I20050505000967 |
| Provider Name | Dmitry V Levenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588685671 PECOS PAC ID: 3577549799 Enrollment ID: I20050512000987 |
| Provider Name | John W Trudel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265493738 PECOS PAC ID: 3870534449 Enrollment ID: I20050513000702 |
| Provider Name | Harvey L Goldfine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366433989 PECOS PAC ID: 2466403696 Enrollment ID: I20050518000264 |
| Provider Name | Joanne M Samant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164504338 PECOS PAC ID: 2365483443 Enrollment ID: I20050518001264 |
| Provider Name | Ninad N. Samant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114994019 PECOS PAC ID: 9133161854 Enrollment ID: I20050524000215 |
| Provider Name | Valerie J Moreland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952400335 PECOS PAC ID: 0648212001 Enrollment ID: I20050525000905 |
| Provider Name | Achal Aggarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548234800 PECOS PAC ID: 3375585706 Enrollment ID: I20050525001306 |
| Provider Name | Janice L Kennedy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932137692 PECOS PAC ID: 8123060308 Enrollment ID: I20050527000074 |
| Provider Name | James Rooney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215983358 PECOS PAC ID: 4981646189 Enrollment ID: I20050527000324 |
| Provider Name | Gregory T Williams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043288848 PECOS PAC ID: 6507809027 Enrollment ID: I20050606001061 |
| Provider Name | Paula G Carmichael |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336103860 PECOS PAC ID: 1153364674 Enrollment ID: I20050606001130 |
| Provider Name | Linda Cozzens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356375588 PECOS PAC ID: 8224072277 Enrollment ID: I20050610000664 |
| Provider Name | Pamela Kutzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801860895 PECOS PAC ID: 7113961913 Enrollment ID: I20050613001124 |
| Provider Name | David J Petullo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003890344 PECOS PAC ID: 7012951536 Enrollment ID: I20050615000928 |
| Provider Name | Martha Fehr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891777405 PECOS PAC ID: 7315981677 Enrollment ID: I20050616001134 |
| Provider Name | Robert W Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003882192 PECOS PAC ID: 3678533304 Enrollment ID: I20050616001136 |
| Provider Name | Carol Barrette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902877384 PECOS PAC ID: 9032153390 Enrollment ID: I20050616001140 |
| Provider Name | David B Degrand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831174416 PECOS PAC ID: 3375587645 Enrollment ID: I20050616001159 |
| Provider Name | Gary R Keilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508857707 PECOS PAC ID: 3375587686 Enrollment ID: I20050617000215 |
| Provider Name | Errol S Mortimer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851375984 PECOS PAC ID: 0042254211 Enrollment ID: I20050617000725 |
| Provider Name | Karen M Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194790758 PECOS PAC ID: 0941245732 Enrollment ID: I20050622000813 |
| Provider Name | Mark E Stoker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578531695 PECOS PAC ID: 0042255762 Enrollment ID: I20050623000144 |
| Provider Name | Marilyn M Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609823566 PECOS PAC ID: 9830135748 Enrollment ID: I20050630000761 |
| Provider Name | Natalie G Osorio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215902846 PECOS PAC ID: 1759327570 Enrollment ID: I20050701000578 |
| Provider Name | John R Person |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205804523 PECOS PAC ID: 0840236527 Enrollment ID: I20050705000080 |
| Provider Name | Cara A Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053397349 PECOS PAC ID: 0143266577 Enrollment ID: I20050707000196 |
| Provider Name | Gopal R Vijayaraghavan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336196096 PECOS PAC ID: 6800823097 Enrollment ID: I20050719001149 |
| Provider Name | Denise M Kight |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417964511 PECOS PAC ID: 3870520729 Enrollment ID: I20050721000740 |
| Provider Name | Barbara J Casaceli |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619039633 PECOS PAC ID: 6305874504 Enrollment ID: I20050729000163 |
| Provider Name | Joseph C Hannan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275513822 PECOS PAC ID: 5193767408 Enrollment ID: I20050802000643 |
| Provider Name | Jeffrey A Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417970526 PECOS PAC ID: 0143258848 Enrollment ID: I20050803000436 |
| Provider Name | Pamela Lee Mok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134107733 PECOS PAC ID: 3476581067 Enrollment ID: I20050804000059 |
| Provider Name | Seema R Naravane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821064478 PECOS PAC ID: 7719916600 Enrollment ID: I20050811000045 |
| Provider Name | Preeti Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801860192 PECOS PAC ID: 2769412386 Enrollment ID: I20050815000086 |
| Provider Name | Tammy C Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851319677 PECOS PAC ID: 1951331248 Enrollment ID: I20050816001113 |
| Provider Name | Eric S Davidson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669437513 PECOS PAC ID: 5799717427 Enrollment ID: I20050902000142 |
| Provider Name | Sharon Campion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154307403 PECOS PAC ID: 3577595909 Enrollment ID: I20050907000566 |
| Provider Name | Margaret M. Burley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1174624753 PECOS PAC ID: 7214969492 Enrollment ID: I20050908000688 |
| Provider Name | Robert M Honig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386610467 PECOS PAC ID: 0345273249 Enrollment ID: I20050912001058 |
| Provider Name | Agnieszka B Snioch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437135720 PECOS PAC ID: 6305879958 Enrollment ID: I20050914000445 |
| Provider Name | Holly B Damiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508882747 PECOS PAC ID: 7012941438 Enrollment ID: I20050923000938 |
| Provider Name | Eugenio M Candal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457327728 PECOS PAC ID: 0840215935 Enrollment ID: I20051007000508 |
| Provider Name | Laura Z Morris |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124132881 PECOS PAC ID: 9638115314 Enrollment ID: I20051013000409 |
| Provider Name | Sarita Nori |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891755443 PECOS PAC ID: 0143246421 Enrollment ID: I20051017000116 |
| Provider Name | Michelle Dorrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053358093 PECOS PAC ID: 7911926092 Enrollment ID: I20051117000626 |
| Provider Name | Robert M Black |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689626913 PECOS PAC ID: 3870513856 Enrollment ID: I20051206000333 |
| Provider Name | Luigi Pacifico |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144294273 PECOS PAC ID: 8325068315 Enrollment ID: I20051206000439 |
| Provider Name | Susan L Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275552002 PECOS PAC ID: 5092736207 Enrollment ID: I20051215000683 |
| Provider Name | William Brian Balcom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639159841 PECOS PAC ID: 4082637046 Enrollment ID: I20060105000583 |
| Provider Name | Timothy Hale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811955628 PECOS PAC ID: 0840214995 Enrollment ID: I20060117000601 |
| Provider Name | Marie Briasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801815758 PECOS PAC ID: 6103840269 Enrollment ID: I20060117000703 |
| Provider Name | Richard E Whitehead |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811958648 PECOS PAC ID: 7416946116 Enrollment ID: I20060120000324 |
| Provider Name | Carolyn A Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861408882 PECOS PAC ID: 3072537349 Enrollment ID: I20060125000773 |
| Provider Name | Jerry H Gurwitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609821032 PECOS PAC ID: 0749296077 Enrollment ID: I20060223000756 |
| Provider Name | Kerrie Mcfeeters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053373688 PECOS PAC ID: 8729094859 Enrollment ID: I20060228000195 |
| Provider Name | John R Schneeweis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023065455 PECOS PAC ID: 1557377439 Enrollment ID: I20060301000734 |
| Provider Name | Matthew J Bean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730107244 PECOS PAC ID: 0446267504 Enrollment ID: I20060314000598 |
| Provider Name | Joseph G Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821072109 PECOS PAC ID: 5597773994 Enrollment ID: I20060327000669 |
| Provider Name | Karin L Underkoffler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699757666 PECOS PAC ID: 6507875317 Enrollment ID: I20060406000044 |
| Provider Name | Henry K Henczel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952382467 PECOS PAC ID: 4183633951 Enrollment ID: I20060406000536 |
| Provider Name | Kimberly S Mccartney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366460156 PECOS PAC ID: 0042229783 Enrollment ID: I20060407000437 |
| Provider Name | Robert E Bessette |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730149188 PECOS PAC ID: 4587673033 Enrollment ID: I20060412000190 |
| Provider Name | William Clayton Cooper |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306866389 PECOS PAC ID: 8527077916 Enrollment ID: I20060412000589 |
| Provider Name | Russell W Cournoyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427030378 PECOS PAC ID: 5597774729 Enrollment ID: I20060417000035 |
| Provider Name | Mark O Cutler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528044328 PECOS PAC ID: 7810906948 Enrollment ID: I20060418000197 |
| Provider Name | Daniel B Guilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144201732 PECOS PAC ID: 7012926926 Enrollment ID: I20060420000162 |
| Provider Name | Robert A Yood |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013983006 PECOS PAC ID: 7618987504 Enrollment ID: I20060421000024 |
| Provider Name | David A Chad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477537520 PECOS PAC ID: 7012927544 Enrollment ID: I20060428000160 |
| Provider Name | Thomas Lee Rosenfeld |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942203856 PECOS PAC ID: 7113937491 Enrollment ID: I20060502000013 |
| Provider Name | Andrew Ciccarelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893738 PECOS PAC ID: 9436162302 Enrollment ID: I20060718000181 |
| Provider Name | Justin N Dorfman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053339432 PECOS PAC ID: 2264435403 Enrollment ID: I20060809000085 |
| Provider Name | Edlira Duro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760425003 PECOS PAC ID: 2961405956 Enrollment ID: I20060811000256 |
| Provider Name | Benjamin Hamar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003897877 PECOS PAC ID: 0547160269 Enrollment ID: I20060816000365 |
| Provider Name | Shashidhara Nanjundaswamy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518930486 PECOS PAC ID: 1456354190 Enrollment ID: I20060817000460 |
| Provider Name | Lawrence C Unger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063468262 PECOS PAC ID: 6204839947 Enrollment ID: I20060817000517 |
| Provider Name | Swati S Sane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104850866 PECOS PAC ID: 4284637711 Enrollment ID: I20060822000505 |
| Provider Name | Mark J Kranis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548217920 PECOS PAC ID: 5890798292 Enrollment ID: I20060823000602 |
| Provider Name | Leah E Doret |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699781039 PECOS PAC ID: 4183628191 Enrollment ID: I20060906000282 |
| Provider Name | Lloyd D Fisher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073550679 PECOS PAC ID: 8729082698 Enrollment ID: I20060907000153 |
| Provider Name | Brooke E Di Anni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174580302 PECOS PAC ID: 5991709867 Enrollment ID: I20060907000163 |
| Provider Name | Joseph Sidari |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699709584 PECOS PAC ID: 8628083094 Enrollment ID: I20060907000173 |
| Provider Name | Patricia F Maalouli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548233943 PECOS PAC ID: 5991709479 Enrollment ID: I20060914000602 |
| Provider Name | Kirti Nagpal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215042015 PECOS PAC ID: 7618972043 Enrollment ID: I20060919000110 |
| Provider Name | Toral Parikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992785919 PECOS PAC ID: 6709881998 Enrollment ID: I20060921000356 |
| Provider Name | Laurie J Marin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417903626 PECOS PAC ID: 4385649409 Enrollment ID: I20060925000217 |
| Provider Name | Patricia L Kavanagh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619909140 PECOS PAC ID: 5890790877 Enrollment ID: I20060926000183 |
| Provider Name | Tony Michel Samaha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891767208 PECOS PAC ID: 1759386386 Enrollment ID: I20061003000455 |
| Provider Name | Kalindi J Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861408452 PECOS PAC ID: 2668478348 Enrollment ID: I20061020000272 |
| Provider Name | Laura Orth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629094107 PECOS PAC ID: 4486651353 Enrollment ID: I20061107000324 |
| Provider Name | Steven Todd Mccormack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023000338 PECOS PAC ID: 4183651987 Enrollment ID: I20061109000190 |
| Provider Name | Deirdre Carroll Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497867543 PECOS PAC ID: 6002814811 Enrollment ID: I20061109000519 |
| Provider Name | Petra H Belady |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467485482 PECOS PAC ID: 7719985738 Enrollment ID: I20061129000125 |
| Provider Name | Brett M Carswell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669451464 PECOS PAC ID: 9133127152 Enrollment ID: I20061129000152 |
| Provider Name | Jan H Brozovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073690061 PECOS PAC ID: 9739187782 Enrollment ID: I20061129000368 |
| Provider Name | Kevin B Martin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124107123 PECOS PAC ID: 6608875364 Enrollment ID: I20061207000317 |
| Provider Name | Renu S Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801887070 PECOS PAC ID: 3971504978 Enrollment ID: I20070117000470 |
| Provider Name | Diana K Mcmanus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699848903 PECOS PAC ID: 0840291597 Enrollment ID: I20070123000311 |
| Provider Name | Nancy Swayze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144298118 PECOS PAC ID: 6901868413 Enrollment ID: I20070205000163 |
| Provider Name | Ilsa Y Grunder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073653507 PECOS PAC ID: 0648375055 Enrollment ID: I20070413000118 |
| Provider Name | Matthew W Benz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356369763 PECOS PAC ID: 6507962453 Enrollment ID: I20070509000493 |
| Provider Name | Khalid Aziz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538165055 PECOS PAC ID: 3274630926 Enrollment ID: I20070515000312 |
| Provider Name | Kurtis R Zimmerman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053434217 PECOS PAC ID: 3476595422 Enrollment ID: I20070522000082 |
| Provider Name | Scott White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144276338 PECOS PAC ID: 4385745215 Enrollment ID: I20070723000508 |
| Provider Name | Leah K Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780753061 PECOS PAC ID: 4981795614 Enrollment ID: I20070809000097 |
| Provider Name | Allian Iffih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750480927 PECOS PAC ID: 9335232701 Enrollment ID: I20070831000057 |
| Provider Name | Prashantha Holla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174663207 PECOS PAC ID: 3971696717 Enrollment ID: I20070910000630 |
| Provider Name | Matthew Waugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598840951 PECOS PAC ID: 9537253323 Enrollment ID: I20070925000166 |
| Provider Name | Liyi Pang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558551648 PECOS PAC ID: 9739274135 Enrollment ID: I20071001000150 |
| Provider Name | Saqib N Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083807887 PECOS PAC ID: 3678668753 Enrollment ID: I20071004000205 |
| Provider Name | Allan Kuong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790868412 PECOS PAC ID: 1153368733 Enrollment ID: I20071013000092 |
| Provider Name | Rekha H Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013119221 PECOS PAC ID: 2163518275 Enrollment ID: I20071022000173 |
| Provider Name | Jocelyne M Durrenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417157587 PECOS PAC ID: 3678666229 Enrollment ID: I20071022000712 |
| Provider Name | Diane S St Onge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437347739 PECOS PAC ID: 6901993732 Enrollment ID: I20071026000045 |
| Provider Name | Anh L To Kuettner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992991012 PECOS PAC ID: 6002903523 Enrollment ID: I20071031000347 |
| Provider Name | Sudesh Kaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104014117 PECOS PAC ID: 7214025568 Enrollment ID: I20071120000287 |
| Provider Name | Denise M Lesperance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669669370 PECOS PAC ID: 0648369421 Enrollment ID: I20071130000532 |
| Provider Name | Andal Sadagopan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932187846 PECOS PAC ID: 4385734698 Enrollment ID: I20071226000113 |
| Provider Name | Kathleen L Mcleod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730377722 PECOS PAC ID: 4981794203 Enrollment ID: I20071226000154 |
| Provider Name | Christy Diane Stine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053380618 PECOS PAC ID: 2264455344 Enrollment ID: I20080103000520 |
| Provider Name | Jennifer A Markey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083800916 PECOS PAC ID: 7517047491 Enrollment ID: I20080104000194 |
| Provider Name | Myra F Cacace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518956010 PECOS PAC ID: 2466533617 Enrollment ID: I20080115000037 |
| Provider Name | David J Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871695296 PECOS PAC ID: 8729169487 Enrollment ID: I20080118000544 |
| Provider Name | Deepti Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689795833 PECOS PAC ID: 8729174768 Enrollment ID: I20080122000030 |
| Provider Name | David Kim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1992721724 PECOS PAC ID: 2769585223 Enrollment ID: I20080124000365 |
| Provider Name | Ahmad D Siddiqui |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700873783 PECOS PAC ID: 7315029469 Enrollment ID: I20080128000618 |
| Provider Name | Sarah Wegiel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871640904 PECOS PAC ID: 9638252281 Enrollment ID: I20080206000184 |
| Provider Name | Michele T Sinopoli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750423125 PECOS PAC ID: 0941383160 Enrollment ID: I20080212000193 |
| Provider Name | John P Mcmahon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548464092 PECOS PAC ID: 1052494184 Enrollment ID: I20080213000420 |
| Provider Name | Helen L Collette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376731679 PECOS PAC ID: 2961586235 Enrollment ID: I20080226000032 |
| Provider Name | Sabrina A Couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386827111 PECOS PAC ID: 3274619846 Enrollment ID: I20080324000034 |
| Provider Name | Peter J Murphy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689657793 PECOS PAC ID: 1456437060 Enrollment ID: I20080324000466 |
| Provider Name | Teresa Lynette Stone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033213145 PECOS PAC ID: 4880773639 Enrollment ID: I20080505000412 |
| Provider Name | Wanda K Pothier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508817545 PECOS PAC ID: 2769378926 Enrollment ID: I20080507000383 |
| Provider Name | Trung Le |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518072990 PECOS PAC ID: 5395791735 Enrollment ID: I20080513000231 |
| Provider Name | Bradley S Daines |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194901041 PECOS PAC ID: 5799854931 Enrollment ID: I20080514000599 |
| Provider Name | Catherine Marie Lehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023171055 PECOS PAC ID: 2466521877 Enrollment ID: I20080527000153 |
| Provider Name | Michele A Taft |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194817940 PECOS PAC ID: 3375614563 Enrollment ID: I20080616000410 |
| Provider Name | Claudiu Salvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831362417 PECOS PAC ID: 6204907058 Enrollment ID: I20080623000038 |
| Provider Name | Kelly M Manchester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528272010 PECOS PAC ID: 8325111081 Enrollment ID: I20080715000031 |
| Provider Name | Michelle Dalal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407812431 PECOS PAC ID: 6709959133 Enrollment ID: I20080718000196 |
| Provider Name | Angela V Turalba |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992853220 PECOS PAC ID: 9133293996 Enrollment ID: I20080729000140 |
| Provider Name | Alwyn F Rapose |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184828766 PECOS PAC ID: 6406920750 Enrollment ID: I20080804000629 |
| Provider Name | Thomas E Jaquith-houston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013074681 PECOS PAC ID: 9739254350 Enrollment ID: I20080818000037 |
| Provider Name | Sarah Bechta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932124427 PECOS PAC ID: 6608941232 Enrollment ID: I20080818000162 |
| Provider Name | Suzanne G Martin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790890754 PECOS PAC ID: 3072689769 Enrollment ID: I20080903000495 |
| Provider Name | Richard Romano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083741896 PECOS PAC ID: 7315014164 Enrollment ID: I20080922000210 |
| Provider Name | Neely L Hines |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225201114 PECOS PAC ID: 4385711043 Enrollment ID: I20080922000411 |
| Provider Name | Elyssa A Pellish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407830201 PECOS PAC ID: 4183656168 Enrollment ID: I20080922000539 |
| Provider Name | Asha Sherring |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275635112 PECOS PAC ID: 3274601331 Enrollment ID: I20081003000061 |
| Provider Name | Michelle L Whitham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609922426 PECOS PAC ID: 1951469139 Enrollment ID: I20081016000062 |
| Provider Name | Besa Bushati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295911121 PECOS PAC ID: 5092873950 Enrollment ID: I20081021000527 |
| Provider Name | Neeta S Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275500639 PECOS PAC ID: 9537227400 Enrollment ID: I20081021000651 |
| Provider Name | Farhan Ibrahimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275688442 PECOS PAC ID: 6305819657 Enrollment ID: I20081024000206 |
| Provider Name | Ritche M Lero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235309014 PECOS PAC ID: 6507925674 Enrollment ID: I20081104000346 |
| Provider Name | William Z Fenn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184897415 PECOS PAC ID: 4385703214 Enrollment ID: I20081107000145 |
| Provider Name | Joan M Arakelian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346498482 PECOS PAC ID: 5890854533 Enrollment ID: I20081110000414 |
| Provider Name | Robert R Grondin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508038217 PECOS PAC ID: 7517026032 Enrollment ID: I20081112000428 |
| Provider Name | Quang P Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578665998 PECOS PAC ID: 8224198551 Enrollment ID: I20081117000601 |
| Provider Name | Elizabeth A Askew |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427078120 PECOS PAC ID: 6709948391 Enrollment ID: I20081216000110 |
| Provider Name | David B Gilchrist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952452989 PECOS PAC ID: 8224190400 Enrollment ID: I20081223000009 |
| Provider Name | Cathleen K Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477524353 PECOS PAC ID: 0345304960 Enrollment ID: I20090127000329 |
| Provider Name | Kimberly K Kats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922258565 PECOS PAC ID: 2466516778 Enrollment ID: I20090202000320 |
| Provider Name | Lauri Toohey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124276779 PECOS PAC ID: 5991869117 Enrollment ID: I20090202000468 |
| Provider Name | Syed S Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508831256 PECOS PAC ID: 4385679513 Enrollment ID: I20090203000035 |
| Provider Name | Rosemary Kirousis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609023985 PECOS PAC ID: 2264597624 Enrollment ID: I20090218000407 |
| Provider Name | Kerry Ann N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902055916 PECOS PAC ID: 2860557121 Enrollment ID: I20090220000039 |
| Provider Name | Laura D Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326292566 PECOS PAC ID: 1052468691 Enrollment ID: I20090416000399 |
| Provider Name | Sean Sheeran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689627614 PECOS PAC ID: 4880763036 Enrollment ID: I20090504000245 |
| Provider Name | James Celestin |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1508986084 PECOS PAC ID: 2860541521 Enrollment ID: I20090529000079 |
| Provider Name | Kimberley A Brinkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164678009 PECOS PAC ID: 4880744044 Enrollment ID: I20090609000440 |
| Provider Name | Bruno J West |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720286073 PECOS PAC ID: 9931270337 Enrollment ID: I20090618000549 |
| Provider Name | Alan D Rosen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841464757 PECOS PAC ID: 5597816868 Enrollment ID: I20090626000012 |
| Provider Name | Iryna G Chastain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285801407 PECOS PAC ID: 7618028606 Enrollment ID: I20090702000539 |
| Provider Name | Thad F Schilling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801823935 PECOS PAC ID: 7911058839 Enrollment ID: I20090706000250 |
| Provider Name | Iris Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780640961 PECOS PAC ID: 2466494588 Enrollment ID: I20090808000064 |
| Provider Name | Hetal Verma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720134547 PECOS PAC ID: 9436205630 Enrollment ID: I20090912000098 |
| Provider Name | Amee Rathod |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043405442 PECOS PAC ID: 9133275357 Enrollment ID: I20090914000153 |
| Provider Name | Seamus Mark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538212477 PECOS PAC ID: 7719033810 Enrollment ID: I20090915000148 |
| Provider Name | Jeffrey A Shih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487832242 PECOS PAC ID: 3375699333 Enrollment ID: I20090917000100 |
| Provider Name | Usha S Rallapalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629203591 PECOS PAC ID: 4789730144 Enrollment ID: I20090926000069 |
| Provider Name | Steven M Solano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992968994 PECOS PAC ID: 5890841175 Enrollment ID: I20090929000382 |
| Provider Name | Dhinager Nandagopal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902043516 PECOS PAC ID: 2365589389 Enrollment ID: I20091023000610 |
| Provider Name | David B Sommer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144490533 PECOS PAC ID: 0446397475 Enrollment ID: I20091024000010 |
| Provider Name | Robyn M Cunniff |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972679330 PECOS PAC ID: 5193862886 Enrollment ID: I20091029000222 |
| Provider Name | Asjad M Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013101948 PECOS PAC ID: 4789723180 Enrollment ID: I20091124000486 |
| Provider Name | Allison Md Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184841736 PECOS PAC ID: 9335289990 Enrollment ID: I20091214000116 |
| Provider Name | Diane Lockhart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407917412 PECOS PAC ID: 9739220633 Enrollment ID: I20100113000707 |
| Provider Name | Sabitha Gopalswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841253234 PECOS PAC ID: 9931241411 Enrollment ID: I20100121000477 |
| Provider Name | William M. Gaines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184684078 PECOS PAC ID: 2062554587 Enrollment ID: I20100122000019 |
| Provider Name | Monika E Kolodziej |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811024623 PECOS PAC ID: 8921141524 Enrollment ID: I20100204000466 |
| Provider Name | Smita Parulkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922060607 PECOS PAC ID: 7416090964 Enrollment ID: I20100205000065 |
| Provider Name | Anne Crowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598744559 PECOS PAC ID: 9931242310 Enrollment ID: I20100208000158 |
| Provider Name | Jeffrey B Burl |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1699749309 PECOS PAC ID: 5395889406 Enrollment ID: I20100212000315 |
| Provider Name | Paul L Arcand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750350849 PECOS PAC ID: 9739274978 Enrollment ID: I20100218000296 |
| Provider Name | Martha B Waite |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700861655 PECOS PAC ID: 9537203740 Enrollment ID: I20100225000201 |
| Provider Name | Robert M Beckmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215901103 PECOS PAC ID: 0345385506 Enrollment ID: I20100227000035 |
| Provider Name | John G Najjar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487630935 PECOS PAC ID: 3779628896 Enrollment ID: I20100301000611 |
| Provider Name | Elizabeth M Lidstone Jayanath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124000294 PECOS PAC ID: 8820133341 Enrollment ID: I20100308000630 |
| Provider Name | Leslie S Bourne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295713113 PECOS PAC ID: 3577608033 Enrollment ID: I20100308000948 |
| Provider Name | Joan M Mcdonagh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609843598 PECOS PAC ID: 4688719032 Enrollment ID: I20100310000096 |
| Provider Name | Putcha Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164493573 PECOS PAC ID: 8123153632 Enrollment ID: I20100322000767 |
| Provider Name | Jeffrey R Underkoffler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518942929 PECOS PAC ID: 6305971706 Enrollment ID: I20100323000790 |
| Provider Name | Volodymyr Lyubchik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356392641 PECOS PAC ID: 1254466626 Enrollment ID: I20100324000511 |
| Provider Name | Judith Mcnicholas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013962026 PECOS PAC ID: 1254467632 Enrollment ID: I20100325000372 |
| Provider Name | Sunita N Vyas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467403667 PECOS PAC ID: 8527196435 Enrollment ID: I20100513001091 |
| Provider Name | Miriam Sithole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619292943 PECOS PAC ID: 4385773522 Enrollment ID: I20100526000236 |
| Provider Name | Armineh Mirzabegian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982636411 PECOS PAC ID: 9032240882 Enrollment ID: I20100623000568 |
| Provider Name | Kimberly J Adamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063494995 PECOS PAC ID: 5294867644 Enrollment ID: I20100720000840 |
| Provider Name | Kaitlyn T Crossen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699003384 PECOS PAC ID: 2264565183 Enrollment ID: I20100729000321 |
| Provider Name | Nicole R Winters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649478215 PECOS PAC ID: 6103959366 Enrollment ID: I20100809000788 |
| Provider Name | Inmay P Macneil |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073836565 PECOS PAC ID: 7113051707 Enrollment ID: I20100818000546 |
| Provider Name | Erica T Ghosh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760696140 PECOS PAC ID: 1254455504 Enrollment ID: I20100824000642 |
| Provider Name | Karen A Heveron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619939386 PECOS PAC ID: 0446374623 Enrollment ID: I20100824001048 |
| Provider Name | Mariam Lari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306941794 PECOS PAC ID: 3476677022 Enrollment ID: I20100902000850 |
| Provider Name | Sunita Hajare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659396562 PECOS PAC ID: 0941325302 Enrollment ID: I20100909000305 |
| Provider Name | Michael E Dybka |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164598314 PECOS PAC ID: 9032282322 Enrollment ID: I20100923000077 |
| Provider Name | Lars C Erickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518957190 PECOS PAC ID: 7012959059 Enrollment ID: I20100929001420 |
| Provider Name | Kimberly R Buckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699793786 PECOS PAC ID: 8527250174 Enrollment ID: I20101014000455 |
| Provider Name | Frank Chau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003840315 PECOS PAC ID: 8224132931 Enrollment ID: I20101020000334 |
| Provider Name | Mark Kraus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144316647 PECOS PAC ID: 7810917499 Enrollment ID: I20101102000231 |
| Provider Name | Javeria Kouser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801062104 PECOS PAC ID: 8224225198 Enrollment ID: I20101206000399 |
| Provider Name | Patrick J Blomberg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497746010 PECOS PAC ID: 5991992745 Enrollment ID: I20101207000299 |
| Provider Name | Anthony Rivera |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487860524 PECOS PAC ID: 2961598420 Enrollment ID: I20101207000600 |
| Provider Name | Nicole Lynn Fillipon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790952695 PECOS PAC ID: 2860680659 Enrollment ID: I20101221000322 |
| Provider Name | Vanessa R Nybo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609184589 PECOS PAC ID: 0941498497 Enrollment ID: I20101228000124 |
| Provider Name | Vida Mia Ruiz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154645992 PECOS PAC ID: 1951582535 Enrollment ID: I20110302000571 |
| Provider Name | Theresa O Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043529597 PECOS PAC ID: 1951583905 Enrollment ID: I20110311000333 |
| Provider Name | Melanie M Brickell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487735015 PECOS PAC ID: 2365625183 Enrollment ID: I20110331000361 |
| Provider Name | Sarah Katz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164755948 PECOS PAC ID: 7012192131 Enrollment ID: I20110504000519 |
| Provider Name | Anjali R Mehta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043343429 PECOS PAC ID: 0042385650 Enrollment ID: I20110607000278 |
| Provider Name | Amos O Adelowo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841498755 PECOS PAC ID: 6608054374 Enrollment ID: I20110628000483 |
| Provider Name | Swetha Lahari Kommareddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437390119 PECOS PAC ID: 8729266291 Enrollment ID: I20110705000206 |
| Provider Name | Irfan Asghar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740307396 PECOS PAC ID: 3870690910 Enrollment ID: I20110707000286 |
| Provider Name | Cormac Denise Depan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588823421 PECOS PAC ID: 2769652239 Enrollment ID: I20110819000532 |
| Provider Name | Patrice L Gallagher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306988795 PECOS PAC ID: 3779686233 Enrollment ID: I20110831000798 |
| Provider Name | Jeffrey J Ayotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124300496 PECOS PAC ID: 3274705249 Enrollment ID: I20111017000698 |
| Provider Name | Linda C Debeasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063791069 PECOS PAC ID: 3375716368 Enrollment ID: I20111108000625 |
| Provider Name | Adina Gutium |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639351612 PECOS PAC ID: 7113190018 Enrollment ID: I20111108000854 |
| Provider Name | Jonathan W Ponte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174811343 PECOS PAC ID: 3577737410 Enrollment ID: I20111110000799 |
| Provider Name | Ana Espila Navarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477717916 PECOS PAC ID: 7315111689 Enrollment ID: I20111123000013 |
| Provider Name | Mohsina Alom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992965073 PECOS PAC ID: 7113191420 Enrollment ID: I20111123000403 |
| Provider Name | Martha J Robillard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528076445 PECOS PAC ID: 2860666096 Enrollment ID: I20111128000001 |
| Provider Name | Azadeh Nasseh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609000512 PECOS PAC ID: 4385811314 Enrollment ID: I20120116000099 |
| Provider Name | Janet M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639160880 PECOS PAC ID: 6305013871 Enrollment ID: I20120124000632 |
| Provider Name | Idah M Shayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770869026 PECOS PAC ID: 4688832892 Enrollment ID: I20120220000603 |
| Provider Name | Basavaraj M Kerur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871741181 PECOS PAC ID: 0648438713 Enrollment ID: I20120221000209 |
| Provider Name | Trista Phaneuf |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942580261 PECOS PAC ID: 5991964199 Enrollment ID: I20120307000642 |
| Provider Name | Margaret Thomas |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1093871444 PECOS PAC ID: 8729189030 Enrollment ID: I20120330000484 |
| Provider Name | Christina Stille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760751127 PECOS PAC ID: 6709046535 Enrollment ID: I20120402000068 |
| Provider Name | Lauren O Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619247855 PECOS PAC ID: 1850552522 Enrollment ID: I20120406000007 |
| Provider Name | Lyndsey E Digiorgio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851661029 PECOS PAC ID: 6103087648 Enrollment ID: I20120411000033 |
| Provider Name | Courtney A Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770854523 PECOS PAC ID: 1254592454 Enrollment ID: I20120416000500 |
| Provider Name | Bryan T Suchecki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184686933 PECOS PAC ID: 7416119540 Enrollment ID: I20120611000500 |
| Provider Name | Allen Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225265051 PECOS PAC ID: 3274795505 Enrollment ID: I20120719000609 |
| Provider Name | Jeanette Y Chun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225195886 PECOS PAC ID: 6406012111 Enrollment ID: I20120725000241 |
| Provider Name | Bradley A Switzer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184779969 PECOS PAC ID: 2961668520 Enrollment ID: I20120725000984 |
| Provider Name | Lorraine P Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801165998 PECOS PAC ID: 3779731179 Enrollment ID: I20120910000326 |
| Provider Name | Jennifer D Chiang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164659611 PECOS PAC ID: 6800054453 Enrollment ID: I20120920000276 |
| Provider Name | Jennifer Gilbert-cohen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104062918 PECOS PAC ID: 5395801138 Enrollment ID: I20120920000544 |
| Provider Name | Mustafa Albakour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407127558 PECOS PAC ID: 9335398718 Enrollment ID: I20120928000043 |
| Provider Name | Thomas James Kesman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033230776 PECOS PAC ID: 1355433608 Enrollment ID: I20121001000132 |
| Provider Name | Yue Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699905653 PECOS PAC ID: 6507015849 Enrollment ID: I20121002000651 |
| Provider Name | Venubabu Kandimalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972734952 PECOS PAC ID: 9739338054 Enrollment ID: I20121004000027 |
| Provider Name | Liza Kimball Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659470342 PECOS PAC ID: 4981854379 Enrollment ID: I20121019000518 |
| Provider Name | Rebecca L Kesman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174537161 PECOS PAC ID: 3375546302 Enrollment ID: I20121022000403 |
| Provider Name | Karyn L Rossacci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164778890 PECOS PAC ID: 8527218601 Enrollment ID: I20121025000782 |
| Provider Name | Tara L Thurston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790830495 PECOS PAC ID: 9133269152 Enrollment ID: I20121106000021 |
| Provider Name | Laura A Hovsepian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487951604 PECOS PAC ID: 3173774585 Enrollment ID: I20121113000164 |
| Provider Name | David J Kanter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073781498 PECOS PAC ID: 6204908718 Enrollment ID: I20121116000196 |
| Provider Name | Debborah Smyth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013238864 PECOS PAC ID: 6800049891 Enrollment ID: I20121221000349 |
| Provider Name | Alexandra B. King |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215204979 PECOS PAC ID: 3779736871 Enrollment ID: I20130123000011 |
| Provider Name | Elena Eberle |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245436526 PECOS PAC ID: 1052579877 Enrollment ID: I20130603000244 |
| Provider Name | Lynne A. Masterson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447592290 PECOS PAC ID: 9234378530 Enrollment ID: I20130618000278 |
| Provider Name | Katelyn M.c. Wasgatt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538505383 PECOS PAC ID: 9234379231 Enrollment ID: I20130716000655 |
| Provider Name | Donny L.f. Chang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114188265 PECOS PAC ID: 2264673607 Enrollment ID: I20130726000267 |
| Provider Name | Brian Burroughs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124288477 PECOS PAC ID: 6608018627 Enrollment ID: I20130805000034 |
| Provider Name | Rahul A. Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497004816 PECOS PAC ID: 0840433801 Enrollment ID: I20130823000890 |
| Provider Name | Kathryn M Chehade |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740620749 PECOS PAC ID: 4284877481 Enrollment ID: I20130906000307 |
| Provider Name | Niharika Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063654275 PECOS PAC ID: 1254583982 Enrollment ID: I20130917000157 |
| Provider Name | Rachel F Berkowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407288533 PECOS PAC ID: 3173767951 Enrollment ID: I20130917000564 |
| Provider Name | July Lau-deza |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669639811 PECOS PAC ID: 7113151267 Enrollment ID: I20131004000045 |
| Provider Name | Kimberly Parente |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457385387 PECOS PAC ID: 4789818212 Enrollment ID: I20131016000360 |
| Provider Name | Anna Ryan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780678649 PECOS PAC ID: 6002914827 Enrollment ID: I20131017000389 |
| Provider Name | Diana Piskala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316297070 PECOS PAC ID: 4385878701 Enrollment ID: I20131017001419 |
| Provider Name | Cynthia A. Royal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851733802 PECOS PAC ID: 7911132618 Enrollment ID: I20131106000176 |
| Provider Name | Phong Kieu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447419601 PECOS PAC ID: 9830324433 Enrollment ID: I20131107001302 |
| Provider Name | Marc L. Braithwaite |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780641357 PECOS PAC ID: 8921020793 Enrollment ID: I20131125000538 |
| Provider Name | Caitlin J Pasquale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821420951 PECOS PAC ID: 9739315441 Enrollment ID: I20131129000020 |
| Provider Name | Omer N Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467709535 PECOS PAC ID: 1658508189 Enrollment ID: I20131209000436 |
| Provider Name | Khwaja A Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891887923 PECOS PAC ID: 6204834559 Enrollment ID: I20131210000641 |
| Provider Name | Rebecca Huard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073955340 PECOS PAC ID: 1951538941 Enrollment ID: I20131219000540 |
| Provider Name | Johanna T Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699101188 PECOS PAC ID: 3274760277 Enrollment ID: I20131219001081 |
| Provider Name | Matthew C Wylie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609053552 PECOS PAC ID: 3476629759 Enrollment ID: I20140129000223 |
| Provider Name | Lorraine Russo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154455491 PECOS PAC ID: 1759510944 Enrollment ID: I20140211000567 |
| Provider Name | Gonzalo J. Paz-soldan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700802469 PECOS PAC ID: 3274763396 Enrollment ID: I20140311000068 |
| Provider Name | Robert F Clyman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962515775 PECOS PAC ID: 7416942610 Enrollment ID: I20140320001255 |
| Provider Name | Maglenes F. Hoogasian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700226818 PECOS PAC ID: 6709017064 Enrollment ID: I20140331000116 |
| Provider Name | Belinda A Bulas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578760708 PECOS PAC ID: 4183840713 Enrollment ID: I20140717000174 |
| Provider Name | Jeanne K. Esler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568758993 PECOS PAC ID: 3476770066 Enrollment ID: I20140805001535 |
| Provider Name | Kristen E. Newsom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104111426 PECOS PAC ID: 0941438782 Enrollment ID: I20140820001327 |
| Provider Name | Iryna A. Rastarhuyeva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033343991 PECOS PAC ID: 1557596970 Enrollment ID: I20140826002617 |
| Provider Name | Bency K Louidor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477848349 PECOS PAC ID: 3274756069 Enrollment ID: I20140908001209 |
| Provider Name | Lauren A Hollowell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154581890 PECOS PAC ID: 3476791633 Enrollment ID: I20140915000044 |
| Provider Name | Heidi K Leftwich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841458692 PECOS PAC ID: 3274703665 Enrollment ID: I20140915000242 |
| Provider Name | James Yon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982832549 PECOS PAC ID: 1052530581 Enrollment ID: I20140916001685 |
| Provider Name | Amanda B Vitko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902193444 PECOS PAC ID: 7719106103 Enrollment ID: I20140917001281 |
| Provider Name | Lisa A Masciarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942617253 PECOS PAC ID: 9931329463 Enrollment ID: I20141006001645 |
| Provider Name | Joseph S. Silva |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770918963 PECOS PAC ID: 2466672597 Enrollment ID: I20141013000665 |
| Provider Name | Maria S Dibner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578792842 PECOS PAC ID: 9234350026 Enrollment ID: I20141020002273 |
| Provider Name | Sara Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730588989 PECOS PAC ID: 6901027721 Enrollment ID: I20141021000544 |
| Provider Name | Erin M. Froio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760737217 PECOS PAC ID: 2860648524 Enrollment ID: I20141103000528 |
| Provider Name | Vanessa M Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174931885 PECOS PAC ID: 8820310972 Enrollment ID: I20141201001605 |
| Provider Name | Mae J. Wolslegel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356517551 PECOS PAC ID: 5597933192 Enrollment ID: I20141204000040 |
| Provider Name | Thomas A. Tomczyk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942436746 PECOS PAC ID: 5496077059 Enrollment ID: I20141210000518 |
| Provider Name | Andrea Turbide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386931699 PECOS PAC ID: 1850614561 Enrollment ID: I20150106000111 |
| Provider Name | Alexandra Almanzar Morel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588956247 PECOS PAC ID: 8628392057 Enrollment ID: I20150113001690 |
| Provider Name | Kristin M Corapi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295982007 PECOS PAC ID: 3577730803 Enrollment ID: I20150121000259 |
| Provider Name | Katharine A. Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013314780 PECOS PAC ID: 7810215407 Enrollment ID: I20150410000950 |
| Provider Name | Amy K Aviles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497083984 PECOS PAC ID: 0547427825 Enrollment ID: I20150515000144 |
| Provider Name | Megan M Mooskian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417349721 PECOS PAC ID: 4688995640 Enrollment ID: I20150603001469 |
| Provider Name | Sarah Nadarajah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063829794 PECOS PAC ID: 6204157100 Enrollment ID: I20150603002908 |
| Provider Name | Jade Watkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710115761 PECOS PAC ID: 8224359179 Enrollment ID: I20150604001032 |
| Provider Name | Shari Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265859722 PECOS PAC ID: 3173844792 Enrollment ID: I20150609000311 |
| Provider Name | Jessica L Verosko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134133994 PECOS PAC ID: 9032211057 Enrollment ID: I20150610001945 |
| Provider Name | Lindsay C Oliver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629362983 PECOS PAC ID: 4183937212 Enrollment ID: I20150720000927 |
| Provider Name | Shawn V Hennessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679952238 PECOS PAC ID: 7911211743 Enrollment ID: I20150806010872 |
| Provider Name | John D Giannone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194950337 PECOS PAC ID: 8123261161 Enrollment ID: I20150814012977 |
| Provider Name | Pavani Srimatkandada |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861713968 PECOS PAC ID: 9537474614 Enrollment ID: I20150819006364 |
| Provider Name | Sheila Provencher Abdallah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821356312 PECOS PAC ID: 1759513609 Enrollment ID: I20150821013221 |
| Provider Name | Luis M Ticona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255693305 PECOS PAC ID: 5294041216 Enrollment ID: I20150904001071 |
| Provider Name | Callie Michelle Stone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023379336 PECOS PAC ID: 6103132063 Enrollment ID: I20150909000197 |
| Provider Name | Amy Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285056341 PECOS PAC ID: 5294042040 Enrollment ID: I20150911000754 |
| Provider Name | Christine L Ditullio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932584950 PECOS PAC ID: 8325355357 Enrollment ID: I20150923001605 |
| Provider Name | Lori Lynn Connors |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629085097 PECOS PAC ID: 2466458260 Enrollment ID: I20150925000639 |
| Provider Name | Shari P Green |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1780726059 PECOS PAC ID: 1355574997 Enrollment ID: I20150928000324 |
| Provider Name | Kyle Hirschman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801175401 PECOS PAC ID: 2466686126 Enrollment ID: I20150929000393 |
| Provider Name | Claudia E Arcand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053797035 PECOS PAC ID: 7315255544 Enrollment ID: I20151007002242 |
| Provider Name | Charlene Carroll |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770886590 PECOS PAC ID: 3870802465 Enrollment ID: I20151022000088 |
| Provider Name | Karri A Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780060426 PECOS PAC ID: 6305156027 Enrollment ID: I20151110000942 |
| Provider Name | Leigh Mcgraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447455068 PECOS PAC ID: 5890095145 Enrollment ID: I20151118002376 |
| Provider Name | Alyssa A Sundstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083098107 PECOS PAC ID: 4789984949 Enrollment ID: I20151120000345 |
| Provider Name | Sarah L. Spiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679919716 PECOS PAC ID: 2860792348 Enrollment ID: I20151207000432 |
| Provider Name | Grace A Snell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851773576 PECOS PAC ID: 8527369479 Enrollment ID: I20151217001292 |
| Provider Name | Kristen M Direnzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770953069 PECOS PAC ID: 3274835640 Enrollment ID: I20160104000234 |
| Provider Name | Karen Ekwueme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720183890 PECOS PAC ID: 5193612687 Enrollment ID: I20160112001472 |
| Provider Name | Jason I Kass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194957589 PECOS PAC ID: 7719106442 Enrollment ID: I20160121002217 |
| Provider Name | Heather M Randazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487943759 PECOS PAC ID: 0446264816 Enrollment ID: I20160125000660 |
| Provider Name | Lisa M. Hassler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336197508 PECOS PAC ID: 2163726191 Enrollment ID: I20160211000171 |
| Provider Name | Jamie M. Piette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326423401 PECOS PAC ID: 2961708763 Enrollment ID: I20160303002133 |
| Provider Name | Jackie S. Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679904346 PECOS PAC ID: 8628374212 Enrollment ID: I20160308001325 |
| Provider Name | Kelli Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184008278 PECOS PAC ID: 6800193723 Enrollment ID: I20160321001260 |
| Provider Name | Aimee Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265802342 PECOS PAC ID: 7911205844 Enrollment ID: I20160411000404 |
| Provider Name | Mohammed Quraishi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871545269 PECOS PAC ID: 8123030814 Enrollment ID: I20160414002182 |
| Provider Name | Richa Sood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235598228 PECOS PAC ID: 5698073807 Enrollment ID: I20160420002007 |
| Provider Name | Holly A Cabral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063810851 PECOS PAC ID: 3577855881 Enrollment ID: I20160707000344 |
| Provider Name | Miin Roh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629333166 PECOS PAC ID: 0749419158 Enrollment ID: I20160707001249 |
| Provider Name | Herath M. Wijerathna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912232307 PECOS PAC ID: 9032366620 Enrollment ID: I20160725002628 |
| Provider Name | Samuel S Nordberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679929004 PECOS PAC ID: 3577857085 Enrollment ID: I20160805001618 |
| Provider Name | Julianne R Lauring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477788701 PECOS PAC ID: 0547402745 Enrollment ID: I20160815001024 |
| Provider Name | Amy W Fraser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558799130 PECOS PAC ID: 9638496854 Enrollment ID: I20160818001526 |
| Provider Name | Sandra A Cutler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548554140 PECOS PAC ID: 7810282233 Enrollment ID: I20160824002795 |
| Provider Name | Marissa Mauricio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013360304 PECOS PAC ID: 0345536504 Enrollment ID: I20160914001778 |
| Provider Name | Katherine M Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134481880 PECOS PAC ID: 8325364862 Enrollment ID: I20160928001655 |
| Provider Name | Tina M Dumont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902032550 PECOS PAC ID: 8921246109 Enrollment ID: I20161004002643 |
| Provider Name | Leslie Vogel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790910800 PECOS PAC ID: 5496990350 Enrollment ID: I20161006001513 |
| Provider Name | Jennifer L. Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154740652 PECOS PAC ID: 7618265448 Enrollment ID: I20161011003251 |
| Provider Name | Morgan E. Brescia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376097535 PECOS PAC ID: 6507154002 Enrollment ID: I20161017001788 |
| Provider Name | Danielle N Boudreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922551746 PECOS PAC ID: 3173801453 Enrollment ID: I20161021001065 |
| Provider Name | Jennifer B Villa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215222344 PECOS PAC ID: 4587979299 Enrollment ID: I20161107001776 |
| Provider Name | Margaret Tu-anh Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447700182 PECOS PAC ID: 6305125725 Enrollment ID: I20161108000303 |
| Provider Name | Jonathan Jaksha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871555649 PECOS PAC ID: 3274632054 Enrollment ID: I20161108001557 |
| Provider Name | Shaina Labonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972050318 PECOS PAC ID: 1456630300 Enrollment ID: I20161116001455 |
| Provider Name | Alison M Stoner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003291014 PECOS PAC ID: 1658677539 Enrollment ID: I20161117001181 |
| Provider Name | Maegan Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821330556 PECOS PAC ID: 4183942444 Enrollment ID: I20161129001237 |
| Provider Name | Shannon Patrick Calhoun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598715278 PECOS PAC ID: 7911804398 Enrollment ID: I20161213002016 |
| Provider Name | Seth C. Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245572072 PECOS PAC ID: 9436477866 Enrollment ID: I20161215000892 |
| Provider Name | Jason Grennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457313314 PECOS PAC ID: 9830179092 Enrollment ID: I20161215001584 |
| Provider Name | Mary L Poulias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639628753 PECOS PAC ID: 9436430618 Enrollment ID: I20161230000099 |
| Provider Name | Louann Maffei-iwuc |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952335416 PECOS PAC ID: 0941581862 Enrollment ID: I20170106001193 |
| Provider Name | Cody A Desouza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588119697 PECOS PAC ID: 5395026280 Enrollment ID: I20170109001616 |
| Provider Name | Nicole M. Caporizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700244753 PECOS PAC ID: 7618259078 Enrollment ID: I20170119000223 |
| Provider Name | Melissa Forchielli Demars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184800146 PECOS PAC ID: 9234393653 Enrollment ID: I20170307000174 |
| Provider Name | Farrell Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780876094 PECOS PAC ID: 8729166780 Enrollment ID: I20170321000907 |
| Provider Name | Amy P Darukhanavala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760632285 PECOS PAC ID: 5991860017 Enrollment ID: I20170327001987 |
| Provider Name | Allison Summers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316926272 PECOS PAC ID: 1052366267 Enrollment ID: I20170420000120 |
| Provider Name | Ana S. Madariya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952530685 PECOS PAC ID: 6608019013 Enrollment ID: I20170628001663 |
| Provider Name | Pamela Jean Sansoucy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982022935 PECOS PAC ID: 1951527290 Enrollment ID: I20170713001601 |
| Provider Name | Monique M Tyminski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063689388 PECOS PAC ID: 1355649039 Enrollment ID: I20170807002313 |
| Provider Name | Danielle L. Moncrieffe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952625766 PECOS PAC ID: 5193098986 Enrollment ID: I20170830000135 |
| Provider Name | Anna Louise Olivo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326569450 PECOS PAC ID: 5395018584 Enrollment ID: I20170911001295 |
| Provider Name | Mila L. Caraballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851820591 PECOS PAC ID: 3072887710 Enrollment ID: I20170920000458 |
| Provider Name | Joan Asperin Zamberletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932507845 PECOS PAC ID: 0547584120 Enrollment ID: I20170927003408 |
| Provider Name | Lindsay A Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073043022 PECOS PAC ID: 7911272547 Enrollment ID: I20171009001436 |
| Provider Name | Estela Trebicka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124549985 PECOS PAC ID: 9931474459 Enrollment ID: I20171010002219 |
| Provider Name | Christina Acocella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487090023 PECOS PAC ID: 8729391776 Enrollment ID: I20171020001180 |
| Provider Name | Tinalynne Haugen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225319064 PECOS PAC ID: 2769748425 Enrollment ID: I20171113002654 |
| Provider Name | Shuqin Xing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851735435 PECOS PAC ID: 9335376920 Enrollment ID: I20171205000431 |
| Provider Name | Deborah Ann Vuillemot |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114097128 PECOS PAC ID: 8921909763 Enrollment ID: I20171208000898 |
| Provider Name | Elizabeth A O'neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811416563 PECOS PAC ID: 4183982598 Enrollment ID: I20171212002541 |
| Provider Name | Jessica N. Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083014955 PECOS PAC ID: 5092073403 Enrollment ID: I20171212002548 |
| Provider Name | Alicia Cooksey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669842175 PECOS PAC ID: 1052679420 Enrollment ID: I20171213002305 |
| Provider Name | Katherine Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881140242 PECOS PAC ID: 7012296049 Enrollment ID: I20171228002356 |
| Provider Name | Christopher Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467775940 PECOS PAC ID: 6002054210 Enrollment ID: I20180108000036 |
| Provider Name | Qingning Bian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982019261 PECOS PAC ID: 8527327865 Enrollment ID: I20180113000080 |
| Provider Name | Lauren E Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700398112 PECOS PAC ID: 0941569875 Enrollment ID: I20180122001775 |
| Provider Name | Kwame Okyere Amponsah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831416874 PECOS PAC ID: 5597936294 Enrollment ID: I20180208001666 |
| Provider Name | Houman J Javady |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992110415 PECOS PAC ID: 1658662200 Enrollment ID: I20180213000053 |
| Provider Name | Sandra Medakovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811403876 PECOS PAC ID: 0941561963 Enrollment ID: I20180307001515 |
| Provider Name | Renee Beaulieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689989667 PECOS PAC ID: 5294964623 Enrollment ID: I20180308002071 |
| Provider Name | Mark Francis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104813302 PECOS PAC ID: 9830378975 Enrollment ID: I20180308002319 |
| Provider Name | Maureen Dinapoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659467389 PECOS PAC ID: 7315101730 Enrollment ID: I20180309001016 |
| Provider Name | Ashley Elizabeth Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386154680 PECOS PAC ID: 4789946393 Enrollment ID: I20180320000635 |
| Provider Name | Rachel Hochmuth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063925311 PECOS PAC ID: 7012270952 Enrollment ID: I20180406000819 |
| Provider Name | Glen Edward Ollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235641143 PECOS PAC ID: 7012270960 Enrollment ID: I20180406001211 |
| Provider Name | Stephanie Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376081992 PECOS PAC ID: 6002170883 Enrollment ID: I20180502001067 |
| Provider Name | Ruth K Mielke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316005697 PECOS PAC ID: 8123915972 Enrollment ID: I20180504000318 |
| Provider Name | Pratima Patil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881141802 PECOS PAC ID: 2769760958 Enrollment ID: I20180507001931 |
| Provider Name | Shiavax B Cowasji |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679603617 PECOS PAC ID: 9739070012 Enrollment ID: I20180517000315 |
| Provider Name | Luila F Baron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013325463 PECOS PAC ID: 4789949868 Enrollment ID: I20180518001266 |
| Provider Name | Dana Kraus Hagarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467979369 PECOS PAC ID: 5496010340 Enrollment ID: I20180525000165 |
| Provider Name | Haley Michelle Watson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548694821 PECOS PAC ID: 5597010496 Enrollment ID: I20180618002195 |
| Provider Name | Kara J Perrelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124196886 PECOS PAC ID: 8921171398 Enrollment ID: I20180620001690 |
| Provider Name | Deidre Hein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184023103 PECOS PAC ID: 0648528596 Enrollment ID: I20180808003279 |
| Provider Name | Patan Gultawatvichai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720335987 PECOS PAC ID: 9931348695 Enrollment ID: I20180827002355 |
| Provider Name | Selvana S Takla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558744268 PECOS PAC ID: 9638460066 Enrollment ID: I20180907001833 |
| Provider Name | Henri Zhuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376925461 PECOS PAC ID: 3375846801 Enrollment ID: I20180921000265 |
| Provider Name | Samantha Anne Minski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760830632 PECOS PAC ID: 9133471840 Enrollment ID: I20181008003096 |
| Provider Name | Jonathan E. Gerbode-grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780174086 PECOS PAC ID: 2365794567 Enrollment ID: I20181017001285 |
| Provider Name | Thanh Tam T Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659876555 PECOS PAC ID: 2163775305 Enrollment ID: I20181105002705 |
| Provider Name | Anna Gonyea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679986319 PECOS PAC ID: 8527312008 Enrollment ID: I20181120001080 |
| Provider Name | Elizabeth Ann Minevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891175113 PECOS PAC ID: 9638476567 Enrollment ID: I20181126002138 |
| Provider Name | Shadie Bajrami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578045498 PECOS PAC ID: 0840534830 Enrollment ID: I20181203000449 |
| Provider Name | Antranig Kalaydjian |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1043658735 PECOS PAC ID: 5991936080 Enrollment ID: I20181210000871 |
| Provider Name | Masooma Rehmtulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194012203 PECOS PAC ID: 3870718927 Enrollment ID: I20181214000138 |
| Provider Name | Mackenzie M Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033627237 PECOS PAC ID: 3274878509 Enrollment ID: I20181214001193 |
| Provider Name | Melissa N. Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144706714 PECOS PAC ID: 0648516740 Enrollment ID: I20190110001619 |
| Provider Name | Vincent G Champion |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972728814 PECOS PAC ID: 6406001411 Enrollment ID: I20190114000686 |
| Provider Name | Allyson Alting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407337413 PECOS PAC ID: 2668718446 Enrollment ID: I20190116000196 |
| Provider Name | Amy L Moran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487942116 PECOS PAC ID: 2860739489 Enrollment ID: I20190121000759 |
| Provider Name | Sarah K Karevicius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457827917 PECOS PAC ID: 8729325899 Enrollment ID: I20190128001544 |
| Provider Name | Lisa A Mcniff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770082992 PECOS PAC ID: 3971841263 Enrollment ID: I20190212001632 |
| Provider Name | John V Chisholm Iii |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366731150 PECOS PAC ID: 6406072446 Enrollment ID: I20190218002852 |
| Provider Name | Rebecca Lynn Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790143048 PECOS PAC ID: 4880933639 Enrollment ID: I20190222001232 |
| Provider Name | Joshua D Claunch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932519287 PECOS PAC ID: 1052537628 Enrollment ID: I20190404002080 |
| Provider Name | Subhash Paudel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710232012 PECOS PAC ID: 0143540765 Enrollment ID: I20190610000507 |
| Provider Name | Yasir Saleem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700263944 PECOS PAC ID: 9739400714 Enrollment ID: I20190618000383 |
| Provider Name | Ernesto G Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215321765 PECOS PAC ID: 4688911043 Enrollment ID: I20190624001769 |
| Provider Name | Erin E O'shea Paudel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033472352 PECOS PAC ID: 8224322425 Enrollment ID: I20190708001901 |
| Provider Name | Karen W Jeng-miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720460447 PECOS PAC ID: 0143524298 Enrollment ID: I20190718002259 |
| Provider Name | Ye Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396013215 PECOS PAC ID: 4587991989 Enrollment ID: I20190807004086 |
| Provider Name | Suzanne Gilman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295029338 PECOS PAC ID: 3577795673 Enrollment ID: I20190812001408 |
| Provider Name | Arnab Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134675564 PECOS PAC ID: 2365739083 Enrollment ID: I20190813002393 |
| Provider Name | Jessica Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891211603 PECOS PAC ID: 7810224813 Enrollment ID: I20190814001798 |
| Provider Name | Stanley Lau |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457798027 PECOS PAC ID: 0143529362 Enrollment ID: I20190827003647 |
| Provider Name | Joshua A Demers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114571767 PECOS PAC ID: 2961730957 Enrollment ID: I20190829001112 |
| Provider Name | Kathryn Cambron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396749867 PECOS PAC ID: 8224016530 Enrollment ID: I20190927001316 |
| Provider Name | Marcus Ortega |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205275385 PECOS PAC ID: 8123336633 Enrollment ID: I20191007001294 |
| Provider Name | Diane M Skwisz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578539912 PECOS PAC ID: 3274864129 Enrollment ID: I20191008002625 |
| Provider Name | Maneet Kaur |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144480641 PECOS PAC ID: 9931335551 Enrollment ID: I20191014000585 |
| Provider Name | Pantea Ebrahimpour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205389715 PECOS PAC ID: 7618208166 Enrollment ID: I20191014002940 |
| Provider Name | Arlene Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679028930 PECOS PAC ID: 2668760091 Enrollment ID: I20191016001170 |
| Provider Name | Sebastian Didato |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356492474 PECOS PAC ID: 2062630957 Enrollment ID: I20191018001318 |
| Provider Name | Ma Leonor Barbosa Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174979447 PECOS PAC ID: 9234461450 Enrollment ID: I20191021002594 |
| Provider Name | Emily A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578119822 PECOS PAC ID: 2567894462 Enrollment ID: I20191114001859 |
| Provider Name | Kia J. Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194770289 PECOS PAC ID: 4789606039 Enrollment ID: I20191202002569 |
| Provider Name | Hung Trinh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407274129 PECOS PAC ID: 5698025732 Enrollment ID: I20191204000677 |
| Provider Name | Farrukh Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356792089 PECOS PAC ID: 0244526598 Enrollment ID: I20191213002191 |
| Provider Name | Elda Zeko-underwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548646359 PECOS PAC ID: 7517391816 Enrollment ID: I20191219000839 |
| Provider Name | Jennifer Yu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013301571 PECOS PAC ID: 3678908472 Enrollment ID: I20200125000039 |
| Provider Name | Rachel E Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528514031 PECOS PAC ID: 9335574037 Enrollment ID: I20200125000272 |
| Provider Name | Robert A Shertick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528606035 PECOS PAC ID: 9234565631 Enrollment ID: I20200203002296 |
| Provider Name | Katherine Mary Zanchi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689196735 PECOS PAC ID: 0345676532 Enrollment ID: I20200206002123 |
| Provider Name | Laura Kusy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558872184 PECOS PAC ID: 5193085819 Enrollment ID: I20200213002759 |
| Provider Name | Gina Tytula |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134765225 PECOS PAC ID: 6406282284 Enrollment ID: I20200214002011 |
| Provider Name | Elizabeth Wyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740530930 PECOS PAC ID: 9537595327 Enrollment ID: I20200217000108 |
| Provider Name | Sheena Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598206229 PECOS PAC ID: 9032546338 Enrollment ID: I20200226002107 |
| Provider Name | Alicia Nichola Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033423116 PECOS PAC ID: 3274960380 Enrollment ID: I20200303000863 |
| Provider Name | Tara L Deso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306490396 PECOS PAC ID: 1951739283 Enrollment ID: I20200319000673 |
| Provider Name | Talia Lachcik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730688250 PECOS PAC ID: 2668734831 Enrollment ID: I20200320001015 |
| Provider Name | Jillian L Whitney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497388128 PECOS PAC ID: 0446688493 Enrollment ID: I20200325001697 |
| Provider Name | Jessica Lynn Weissman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518505973 PECOS PAC ID: 0042649089 Enrollment ID: I20200326002681 |
| Provider Name | Stanley R Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802968 PECOS PAC ID: 4082527205 Enrollment ID: I20200401000975 |
| Provider Name | Kedeshia Malin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124664313 PECOS PAC ID: 0749610202 Enrollment ID: I20200423002157 |
| Provider Name | Eunice Pereira Kowalczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457995417 PECOS PAC ID: 6709217755 Enrollment ID: I20200507002665 |
| Provider Name | Dora Pepo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942859780 PECOS PAC ID: 6002247822 Enrollment ID: I20200512001457 |
| Provider Name | Ashley Jennifer Goddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770115891 PECOS PAC ID: 4486085008 Enrollment ID: I20200515001070 |
| Provider Name | Andrew Ahearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598309932 PECOS PAC ID: 5799116034 Enrollment ID: I20200520002701 |
| Provider Name | Vladyslava Doktor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407246499 PECOS PAC ID: 5890027163 Enrollment ID: I20200615002238 |
| Provider Name | Christine Ann Mathai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639565740 PECOS PAC ID: 4082926340 Enrollment ID: I20200720003589 |
| Provider Name | Allison L Czaplicki |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801442199 PECOS PAC ID: 7618392713 Enrollment ID: I20200723000450 |
| Provider Name | Rochelle M Fritz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407173735 PECOS PAC ID: 4688933393 Enrollment ID: I20200804000597 |
| Provider Name | Sean Maroney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487881983 PECOS PAC ID: 5193141786 Enrollment ID: I20200813000365 |
| Provider Name | Mahawa K Sam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639608920 PECOS PAC ID: 0547539728 Enrollment ID: I20200817000680 |
| Provider Name | Alexander J Connaughton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659781938 PECOS PAC ID: 6103042338 Enrollment ID: I20201005001911 |
| Provider Name | Geoffrey Fey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053415364 PECOS PAC ID: 5799742383 Enrollment ID: I20201020003466 |
| Provider Name | Hyemin Y Pomerantz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346506763 PECOS PAC ID: 7618211376 Enrollment ID: I20201026000767 |
| Provider Name | Jonathan G Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588653075 PECOS PAC ID: 3577669928 Enrollment ID: I20201102001769 |
| Provider Name | Shawn T Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891040689 PECOS PAC ID: 6103103569 Enrollment ID: I20201108000015 |
| Provider Name | Laura L Chilcoat |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225482631 PECOS PAC ID: 9436560646 Enrollment ID: I20201119000755 |
| Provider Name | Mark V Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720425838 PECOS PAC ID: 9234498130 Enrollment ID: I20201207002912 |
| Provider Name | Boskey Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336534429 PECOS PAC ID: 0547578643 Enrollment ID: I20201214000800 |
| Provider Name | Maria Ballentine |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235799917 PECOS PAC ID: 8820325020 Enrollment ID: I20201215003355 |
| Provider Name | Karin Rondeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528509130 PECOS PAC ID: 7517242704 Enrollment ID: I20201223002371 |
| Provider Name | Kathleen Elizabeth Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558976167 PECOS PAC ID: 1052725413 Enrollment ID: I20210126000500 |
| Provider Name | Laura Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649869835 PECOS PAC ID: 4486069085 Enrollment ID: I20210211003399 |
| Provider Name | Katherine Misaiko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821609140 PECOS PAC ID: 6305251430 Enrollment ID: I20210223000322 |
| Provider Name | Ann Marie B Deangelis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477500106 PECOS PAC ID: 8628484458 Enrollment ID: I20210303000247 |
| Provider Name | Anne J Lipton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902838170 PECOS PAC ID: 4183603632 Enrollment ID: I20210309002453 |
| Provider Name | Thomas Eugene Broffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245730530 PECOS PAC ID: 6901212158 Enrollment ID: I20210312000642 |
| Provider Name | Kevin O'connell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245554971 PECOS PAC ID: 6507981032 Enrollment ID: I20210312001268 |
| Provider Name | Freda Agyemang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134733280 PECOS PAC ID: 6608282793 Enrollment ID: I20210316001092 |
| Provider Name | Anne Townsend |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609461102 PECOS PAC ID: 6406262468 Enrollment ID: I20210317001074 |
| Provider Name | Nithya Setty-shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982098349 PECOS PAC ID: 5496005803 Enrollment ID: I20210412001882 |
| Provider Name | Fang Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811159296 PECOS PAC ID: 9830214154 Enrollment ID: I20210412002111 |
| Provider Name | Kayla J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184270803 PECOS PAC ID: 1557692068 Enrollment ID: I20210503002862 |
| Provider Name | Brianna Mirenda |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447835566 PECOS PAC ID: 8224437439 Enrollment ID: I20210520000737 |
| Provider Name | Cheri Anne Klinghard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649865072 PECOS PAC ID: 1355740747 Enrollment ID: I20210607000207 |
| Provider Name | Rebecca M Steil-lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639602899 PECOS PAC ID: 1456751882 Enrollment ID: I20210607001880 |
| Provider Name | Felipe Fernandez Del Castillo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740639681 PECOS PAC ID: 5193016715 Enrollment ID: I20210610003025 |
| Provider Name | David Matthew Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245729656 PECOS PAC ID: 2668723339 Enrollment ID: I20210611001970 |
| Provider Name | Jake Vrdoljak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619976230 PECOS PAC ID: 8527253400 Enrollment ID: I20210611002121 |
| Provider Name | Shannon Margaret Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477146025 PECOS PAC ID: 6507267465 Enrollment ID: I20210629002715 |
| Provider Name | Margaret R Hines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154741601 PECOS PAC ID: 0143447300 Enrollment ID: I20210712003778 |
| Provider Name | Michelle Marieni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942731278 PECOS PAC ID: 8628344348 Enrollment ID: I20210730001391 |
| Provider Name | Natalie M. Godfrey |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1841619533 PECOS PAC ID: 4183028806 Enrollment ID: I20210803001592 |
| Provider Name | John F Kelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235592882 PECOS PAC ID: 0244523595 Enrollment ID: I20210818000081 |
| Provider Name | Savanna M Conger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588245906 PECOS PAC ID: 8527463207 Enrollment ID: I20210818001309 |
| Provider Name | Jillian Julia Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861734030 PECOS PAC ID: 0143625848 Enrollment ID: I20210818002340 |
| Provider Name | Karen G Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992813 PECOS PAC ID: 8729024161 Enrollment ID: I20210825002946 |
| Provider Name | Tiffany Sun |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1245620921 PECOS PAC ID: 1355615337 Enrollment ID: I20210830002429 |
| Provider Name | Amanda Marie Konen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225423775 PECOS PAC ID: 1658672860 Enrollment ID: I20210831000685 |
| Provider Name | Erika A Guynn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750058863 PECOS PAC ID: 6901202332 Enrollment ID: I20210909001858 |
| Provider Name | Jill A Ginisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194342717 PECOS PAC ID: 3072911379 Enrollment ID: I20211015002246 |
| Provider Name | Amelia-jae Thi Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528632015 PECOS PAC ID: 0840698148 Enrollment ID: I20211015002448 |
| Provider Name | Chris Pitsikoulis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669145108 PECOS PAC ID: 9335537398 Enrollment ID: I20211022002396 |
| Provider Name | Kevin W Marcum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619166675 PECOS PAC ID: 0042480303 Enrollment ID: I20211101000895 |
| Provider Name | Monjari Gillian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265533665 PECOS PAC ID: 4587550876 Enrollment ID: I20211109001606 |
| Provider Name | Nicole Rebecca Vona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801496542 PECOS PAC ID: 1052701349 Enrollment ID: I20211130002144 |
| Provider Name | Athena Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003570045 PECOS PAC ID: 6103216031 Enrollment ID: I20211207002097 |
| Provider Name | Kristen P Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407312192 PECOS PAC ID: 6406197342 Enrollment ID: I20211208003259 |
| Provider Name | Geeta J Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134772437 PECOS PAC ID: 6901136118 Enrollment ID: I20211221002797 |
| Provider Name | Cesar Melendez-villegas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922388792 PECOS PAC ID: 1557752706 Enrollment ID: I20211222001374 |
| Provider Name | Justine J Grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639749419 PECOS PAC ID: 6709277742 Enrollment ID: I20211229001311 |
| Provider Name | Jeanette Y Chun |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225195886 PECOS PAC ID: 6406012111 Enrollment ID: I20220104001493 |
| Provider Name | Meaghan J Ekstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659035475 PECOS PAC ID: 0042602773 Enrollment ID: I20220110000825 |
| Provider Name | Laura Shays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184999583 PECOS PAC ID: 3476864026 Enrollment ID: I20220111002026 |
| Provider Name | Abigail J Ryzewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538771670 PECOS PAC ID: 8527451020 Enrollment ID: I20220204001502 |
| Provider Name | Donglin Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477791705 PECOS PAC ID: 8628122900 Enrollment ID: I20220420000278 |
| Provider Name | Oluyinka Olowolafe Reno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922061878 PECOS PAC ID: 0941237549 Enrollment ID: I20220422002084 |
| Provider Name | Nayshalis Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629338280 PECOS PAC ID: 1759778590 Enrollment ID: I20220427000055 |
| Provider Name | Emma L Delaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376197814 PECOS PAC ID: 8224415914 Enrollment ID: I20220518002450 |
| Provider Name | Melody M Banasiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497405609 PECOS PAC ID: 4688052459 Enrollment ID: I20220607001710 |
| Provider Name | James Tasch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689031742 PECOS PAC ID: 2264764083 Enrollment ID: I20220607002549 |
| Provider Name | Jeniffer N Gonzalez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740927904 PECOS PAC ID: 3870972334 Enrollment ID: I20220614001786 |
| Provider Name | Nicole M Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700524873 PECOS PAC ID: 6901285162 Enrollment ID: I20220617000828 |
| Provider Name | Pamela Jean Demar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124358916 PECOS PAC ID: 0941681431 Enrollment ID: I20220714002476 |
| Provider Name | Liesl Matzka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902467954 PECOS PAC ID: 5294064523 Enrollment ID: I20220715002374 |
| Provider Name | Richard Pineo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174270458 PECOS PAC ID: 1254712649 Enrollment ID: I20220716000070 |
| Provider Name | Sarah M Ghabbour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861056111 PECOS PAC ID: 1658752951 Enrollment ID: I20220718003142 |
| Provider Name | Rachel Engelberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255793923 PECOS PAC ID: 4082905435 Enrollment ID: I20220718003260 |
| Provider Name | Matthew James Bernier |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033868062 PECOS PAC ID: 0749662898 Enrollment ID: I20220805000682 |
| Provider Name | Amanda C Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891434510 PECOS PAC ID: 1951784743 Enrollment ID: I20220811000516 |
| Provider Name | Laurel Schnorr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215499124 PECOS PAC ID: 2668701624 Enrollment ID: I20220811001410 |
| Provider Name | Kelsey Helen Brenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699378224 PECOS PAC ID: 2860875549 Enrollment ID: I20220812000756 |
| Provider Name | Maegan M Pollard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841753910 PECOS PAC ID: 9032445267 Enrollment ID: I20220817000977 |
| Provider Name | Caroline Frances Krehbiel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417353061 PECOS PAC ID: 4183007529 Enrollment ID: I20220817001513 |
| Provider Name | Christopher David Czernicki |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063161099 PECOS PAC ID: 2264815596 Enrollment ID: I20220818001081 |
| Provider Name | Amy B Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780321356 PECOS PAC ID: 4688057912 Enrollment ID: I20220818001256 |
| Provider Name | Ravi S Menon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649557851 PECOS PAC ID: 2860626850 Enrollment ID: I20220901001364 |
| Provider Name | Omar Alani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689634073 PECOS PAC ID: 0345248209 Enrollment ID: I20220907002389 |
| Provider Name | Vanessa T Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588236558 PECOS PAC ID: 1850776105 Enrollment ID: I20220922001643 |
| Provider Name | Michelle L Jaques-leonard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598296063 PECOS PAC ID: 2769867043 Enrollment ID: I20220922002717 |
| Provider Name | Manda A Miles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588384127 PECOS PAC ID: 4688050669 Enrollment ID: I20220928001391 |
| Provider Name | Victoria K D'ortenzio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306574959 PECOS PAC ID: 6002292703 Enrollment ID: I20221004001600 |
| Provider Name | Peng Zhao |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306263850 PECOS PAC ID: 3375887003 Enrollment ID: I20221019003130 |
| Provider Name | Shawna Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912627399 PECOS PAC ID: 4981070588 Enrollment ID: I20221024001473 |
| Provider Name | Allison M Grimaldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205571726 PECOS PAC ID: 6103292636 Enrollment ID: I20221025000295 |
| Provider Name | Kripa Gautam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447712815 PECOS PAC ID: 8729455340 Enrollment ID: I20221110000398 |
| Provider Name | Brandon D Bader |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710364377 PECOS PAC ID: 1355769191 Enrollment ID: I20221110001317 |
| Provider Name | Sevil Hemayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063868297 PECOS PAC ID: 8628480084 Enrollment ID: I20221122003388 |
| Provider Name | Sadie H Evertsen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871161976 PECOS PAC ID: 5698145050 Enrollment ID: I20221228002472 |
| Provider Name | Michael A Mcbath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962864389 PECOS PAC ID: 1153745658 Enrollment ID: I20230103000752 |
| Provider Name | Suchita M Kumar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376830091 PECOS PAC ID: 0840437620 Enrollment ID: I20230104002123 |
| Provider Name | Amy L Chau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235840356 PECOS PAC ID: 2567832561 Enrollment ID: I20230109002604 |
| Provider Name | Rebecca Lynn Lebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437775335 PECOS PAC ID: 2961872874 Enrollment ID: I20230110000390 |
| Provider Name | Michelle D Dion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073035556 PECOS PAC ID: 2668842519 Enrollment ID: I20230110002023 |
| Provider Name | Shay Darcey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518581354 PECOS PAC ID: 0143690099 Enrollment ID: I20230110002327 |
| Provider Name | Kathryn Laura Conwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679211452 PECOS PAC ID: 4385015064 Enrollment ID: I20230116000969 |
| Provider Name | Doreen B Neifert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346903713 PECOS PAC ID: 4284005828 Enrollment ID: I20230119000392 |
| Provider Name | Darshak V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689178824 PECOS PAC ID: 3173873825 Enrollment ID: I20230120001904 |
| Provider Name | Gilberto Sustache |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205898509 PECOS PAC ID: 4587612486 Enrollment ID: I20230120002073 |
| Provider Name | Kevin Sun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316460652 PECOS PAC ID: 7517339781 Enrollment ID: I20230216001328 |
| Provider Name | Lauren Rose Botelho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600475 PECOS PAC ID: 8921471699 Enrollment ID: I20230228000295 |
| Provider Name | Jessica Leigh Masterson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912406372 PECOS PAC ID: 7214300573 Enrollment ID: I20230307002326 |
| Provider Name | Bradley M Dekorte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699185256 PECOS PAC ID: 0244453348 Enrollment ID: I20230412000646 |
| Provider Name | Maggie Leung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346959335 PECOS PAC ID: 1850766478 Enrollment ID: I20230413001706 |
| Provider Name | Grace C Winship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083310221 PECOS PAC ID: 3375918840 Enrollment ID: I20230414001029 |
| Provider Name | Katherine Jane Karol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649684713 PECOS PAC ID: 7911362157 Enrollment ID: I20230424000678 |
| Provider Name | Catherine A Scappaticci |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922754464 PECOS PAC ID: 1850756024 Enrollment ID: I20230424001998 |
| Provider Name | Divyamol Lukose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750096756 PECOS PAC ID: 8123483294 Enrollment ID: I20230424002474 |
| Provider Name | Jennifer Velasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750076840 PECOS PAC ID: 4880059997 Enrollment ID: I20230425001006 |
| Provider Name | Irfana Abdulhameed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417661786 PECOS PAC ID: 2567827686 Enrollment ID: I20230425001290 |
| Provider Name | Alexandra M Allard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043943087 PECOS PAC ID: 8527423359 Enrollment ID: I20230501002766 |
| Provider Name | Anna R Whelan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922497874 PECOS PAC ID: 7214223940 Enrollment ID: I20230503003397 |
| Provider Name | Gianna L Wilkie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336501972 PECOS PAC ID: 8325332042 Enrollment ID: I20230608002862 |
| Provider Name | Alexis Svokos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902217508 PECOS PAC ID: 7517283161 Enrollment ID: I20230614000892 |
| Provider Name | Arash Mollaeian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063917854 PECOS PAC ID: 9436551926 Enrollment ID: I20230616003205 |
| Provider Name | Edison Tsui |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568876340 PECOS PAC ID: 5092006478 Enrollment ID: I20230617000029 |
| Provider Name | Jill Saffran-sedacca |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225131089 PECOS PAC ID: 7113074949 Enrollment ID: I20230619000375 |
| Provider Name | Julia Staschen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942829437 PECOS PAC ID: 1052723236 Enrollment ID: I20230712000687 |
| Provider Name | Taruna Chandok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851917140 PECOS PAC ID: 5799145843 Enrollment ID: I20230720002137 |
| Provider Name | Danielle M Harn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023703436 PECOS PAC ID: 6608237417 Enrollment ID: I20230726002265 |
| Provider Name | Jonfranco Barretto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336764422 PECOS PAC ID: 1759742356 Enrollment ID: I20230728002986 |
| Provider Name | Nikhil H Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467830406 PECOS PAC ID: 3678889227 Enrollment ID: I20230802003712 |
| Provider Name | Courtney D Tolliday |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275093718 PECOS PAC ID: 6103152442 Enrollment ID: I20230807003491 |
| Provider Name | Coleman G Clifford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427686989 PECOS PAC ID: 7113346966 Enrollment ID: I20230807003690 |
| Provider Name | Maria Santos Chafoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235825951 PECOS PAC ID: 6901268952 Enrollment ID: I20230808003653 |
| Provider Name | Kai W Jiang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639706146 PECOS PAC ID: 1355766304 Enrollment ID: I20230831001820 |
| Provider Name | Neha Z Esmaeili |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689203382 PECOS PAC ID: 7517386253 Enrollment ID: I20230831002894 |
| Provider Name | Nicholas James Guaragno |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154104412 PECOS PAC ID: 7911361373 Enrollment ID: I20230919000207 |
| Provider Name | Hannah Straight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720767098 PECOS PAC ID: 0941664221 Enrollment ID: I20230920000368 |
| Provider Name | Kyle Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366068660 PECOS PAC ID: 3678996097 Enrollment ID: I20231006002245 |
| Provider Name | Rachel Draper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265091144 PECOS PAC ID: 2365897196 Enrollment ID: I20231013000521 |
| Provider Name | Matthew Horsfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013998129 PECOS PAC ID: 6305807579 Enrollment ID: I20231023000820 |
| Provider Name | Anna Simanowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427334127 PECOS PAC ID: 7810343191 Enrollment ID: I20231023001452 |
| Provider Name | Janet Anderson Ray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003021064 PECOS PAC ID: 6507945334 Enrollment ID: I20231109003054 |
| Provider Name | Angela Mary Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912789280 PECOS PAC ID: 2062860133 Enrollment ID: I20231129003888 |
| Provider Name | Hugo Flavio Raposo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255837134 PECOS PAC ID: 9739437963 Enrollment ID: I20240131001483 |
| Provider Name | Rewana Khedr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780212290 PECOS PAC ID: 6103246848 Enrollment ID: I20240201001000 |
| Provider Name | Elizabeth C Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467852590 PECOS PAC ID: 7214370998 Enrollment ID: I20240209000923 |
| Provider Name | Abigail L Gregoire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518108356 PECOS PAC ID: 5496199689 Enrollment ID: I20240215001958 |
| Provider Name | Debra Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568436830 PECOS PAC ID: 1557323540 Enrollment ID: I20240304003774 |
| Provider Name | Judi Gachunga Machira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639764749 PECOS PAC ID: 1456797612 Enrollment ID: I20240311000030 |
| Provider Name | Marissa Zingg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932802097 PECOS PAC ID: 5294171286 Enrollment ID: I20240313000773 |
| Provider Name | Ryan N Guilfoyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972296556 PECOS PAC ID: 6901243609 Enrollment ID: I20240318000538 |
| Provider Name | Jill M Mcpartland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306991203 PECOS PAC ID: 4082051628 Enrollment ID: I20240319002176 |
| Provider Name | Nicole Marie Boucher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093854903 PECOS PAC ID: 1153768379 Enrollment ID: I20240325000297 |
| Provider Name | Morgan A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033973474 PECOS PAC ID: 4880031764 Enrollment ID: I20240327002931 |
| Provider Name | Lauren Costedio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205539962 PECOS PAC ID: 6608213442 Enrollment ID: I20240328001273 |
| Provider Name | Christina Yvette Stanley-martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316084247 PECOS PAC ID: 4284071077 Enrollment ID: I20240328003029 |
| Provider Name | Lina M Obando |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881843837 PECOS PAC ID: 6305284084 Enrollment ID: I20240401000381 |
| Provider Name | Jessica Ordonez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821622515 PECOS PAC ID: 1850739582 Enrollment ID: I20240401001778 |
| Provider Name | Jessica L Calcut-bennett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649675216 PECOS PAC ID: 8820436439 Enrollment ID: I20240402001659 |
| Provider Name | Lisa Catherine Gaimari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164525028 PECOS PAC ID: 7618316340 Enrollment ID: I20240415002214 |
| Provider Name | Reham Mousa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093571820 PECOS PAC ID: 7113367822 Enrollment ID: I20240429001894 |
| Provider Name | Jennifer Huckabee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689017345 PECOS PAC ID: 3375885551 Enrollment ID: I20240501000865 |
| Provider Name | Melissa Anne Dosick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497013205 PECOS PAC ID: 0547600983 Enrollment ID: I20240501003575 |
| Provider Name | Felicia A Ahearn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740693399 PECOS PAC ID: 5496195869 Enrollment ID: I20240502000717 |
| Provider Name | Margaret M Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578013439 PECOS PAC ID: 0446690630 Enrollment ID: I20240506000900 |
| Provider Name | Yuyang Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538304035 PECOS PAC ID: 4880833615 Enrollment ID: I20240506003262 |
| Provider Name | Muneer Janak Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376516021 PECOS PAC ID: 4688645591 Enrollment ID: I20240521000704 |
| Provider Name | Caitlin Atwood |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790537454 PECOS PAC ID: 1557703360 Enrollment ID: I20240524001702 |
| Provider Name | Indira M Soto-aybar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275872996 PECOS PAC ID: 0840732921 Enrollment ID: I20240604002977 |
| Provider Name | Kaitlyn Magner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235993742 PECOS PAC ID: 6305388968 Enrollment ID: I20240611001561 |
| Provider Name | Kimia K Kani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700028131 PECOS PAC ID: 5991856098 Enrollment ID: I20240612000982 |
Jain Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Winthrop St, Worcester, MA 01604 Phone: 508-799-4100 Fax: 508-799-2388 | |
Neh Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Pleasant St, Worcester, MA 01609 Phone: 508-735-3280 | |
Worcester Internal Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-1808 Fax: 508-798-0538 | |
Anthony Distefano, Jr Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Lincoln St, Worcester, MA 01605 Phone: 508-852-6028 Fax: 508-721-7821 | |
Joseph J. Savitt, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lincoln St, Worcester, MA 01605 Phone: 508-755-1222 Fax: 508-754-9479 | |
Demos Agiomavritis Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Grove St, Suite 120, Worcester, MA 01605 Phone: 508-770-8002 Fax: 508-770-8006 | |
Community Health Link Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jacques Ave, Worcester, MA 01610 Phone: 508-860-1247 |