| Rockford Health Physicians | |
|
2300 N Rockton Ave Rockford IL 61103 | |
| (815) 971-2000 | |
| Not Available |
| Full Name | Rockford Health Physicians |
|---|---|
| Speciality | Clinic/Center |
| Location | 2300 N Rockton Ave, Rockford, Illinois |
| Authorized Official Name and Position | Todd Anderson (VP/CFO) |
| Authorized Official Contact | 8159716752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockford Health Physicians 2300 N Rockton Ave Rockford IL 61103-3619 Ph: (815) 971-2000 | Rockford Health Physicians 2300 N Rockton Ave Rockford IL 61103 Ph: (815) 971-2000 |
| NPI Number | 1043242886 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/05/2020 |
| Medicare PECOS PAC ID | 2567374036 |
|---|---|
| Medicare Enrollment ID | O20031103000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043242886 | NPI | - | NPPES |
| 000054495 | Other | WI | WI MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Loretto Glynn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235111014 PECOS PAC ID: 6103723747 Enrollment ID: I20031212000758 |
| Provider Name | Felipe Peren Enriquez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457305468 PECOS PAC ID: 8729985007 Enrollment ID: I20031216000364 |
| Provider Name | Abbas F Alsaraf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245221134 PECOS PAC ID: 8325945553 Enrollment ID: I20031216000762 |
| Provider Name | Marc J Ovadia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356342398 PECOS PAC ID: 5597660902 Enrollment ID: I20031217000573 |
| Provider Name | J Eric D Castro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316971807 PECOS PAC ID: 7719884527 Enrollment ID: I20031218000215 |
| Provider Name | Shaila P Kechter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922075944 PECOS PAC ID: 5496653925 Enrollment ID: I20031222000620 |
| Provider Name | Syed M Ala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235233792 PECOS PAC ID: 7214836469 Enrollment ID: I20040107000216 |
| Provider Name | Ian Schermer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992815187 PECOS PAC ID: 4082515697 Enrollment ID: I20040116000503 |
| Provider Name | Jeffrey R Smith |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346200938 PECOS PAC ID: 5799686150 Enrollment ID: I20040119000112 |
| Provider Name | Gregory G Nowak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376516625 PECOS PAC ID: 9032010491 Enrollment ID: I20040119000121 |
| Provider Name | Maryanne K Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275500613 PECOS PAC ID: 8426950759 Enrollment ID: I20040126000577 |
| Provider Name | Todd David Alexander |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972572139 PECOS PAC ID: 0648172122 Enrollment ID: I20040127000123 |
| Provider Name | Gerald B Holtz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578649554 PECOS PAC ID: 6507759867 Enrollment ID: I20040203000052 |
| Provider Name | Balamoorti N Gaonkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427014760 PECOS PAC ID: 4385537281 Enrollment ID: I20040204000924 |
| Provider Name | Jane L Kotecki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760451793 PECOS PAC ID: 4789578774 Enrollment ID: I20040211000152 |
| Provider Name | Mohammad H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396810370 PECOS PAC ID: 3678468170 Enrollment ID: I20040216000203 |
| Provider Name | Todd W Bannen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952414682 PECOS PAC ID: 5294621785 Enrollment ID: I20040223000805 |
| Provider Name | Sanjay Vasudeo Joag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174543615 PECOS PAC ID: 1658267885 Enrollment ID: I20040225000402 |
| Provider Name | Raja Naveed I Sadiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821064213 PECOS PAC ID: 6103712443 Enrollment ID: I20040226000046 |
| Provider Name | Krishnan Srinivasan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770579922 PECOS PAC ID: 9436047099 Enrollment ID: I20040306000032 |
| Provider Name | Thomas E Garrity |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134105125 PECOS PAC ID: 5294623674 Enrollment ID: I20040308000775 |
| Provider Name | William P Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902911027 PECOS PAC ID: 7810885035 Enrollment ID: I20040309000923 |
| Provider Name | Serge Golber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861464992 PECOS PAC ID: 5294637740 Enrollment ID: I20040313000408 |
| Provider Name | Alan S Ginzburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659390888 PECOS PAC ID: 3476442716 Enrollment ID: I20040313000480 |
| Provider Name | Deepak Malhotra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023078797 PECOS PAC ID: 1456240704 Enrollment ID: I20040313000513 |
| Provider Name | Kathleen E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063418143 PECOS PAC ID: 6709776768 Enrollment ID: I20040316000400 |
| Provider Name | Lee C Yang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548203615 PECOS PAC ID: 8527950203 Enrollment ID: I20040327000115 |
| Provider Name | Donald Ray Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457394520 PECOS PAC ID: 3779475454 Enrollment ID: I20040327000167 |
| Provider Name | Amjad A Safvi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093707457 PECOS PAC ID: 7012809650 Enrollment ID: I20040327000224 |
| Provider Name | Adam Finkelstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750471678 PECOS PAC ID: 8921090291 Enrollment ID: I20040330001013 |
| Provider Name | Harlan E Bogie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174523658 PECOS PAC ID: 3870585003 Enrollment ID: I20040330001504 |
| Provider Name | James Lauren Woodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932201555 PECOS PAC ID: 6608868195 Enrollment ID: I20040402000654 |
| Provider Name | Jason Bredenkamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780601237 PECOS PAC ID: 1951292168 Enrollment ID: I20040406000549 |
| Provider Name | Eldin E Karaikovic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033131024 PECOS PAC ID: 3870586308 Enrollment ID: I20040408000291 |
| Provider Name | Eliyazar Gaddam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073561858 PECOS PAC ID: 0749274140 Enrollment ID: I20040409000013 |
| Provider Name | Udaya Bontu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255339503 PECOS PAC ID: 5496741993 Enrollment ID: I20040422001619 |
| Provider Name | Alan E Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225075302 PECOS PAC ID: 6709775042 Enrollment ID: I20040429000118 |
| Provider Name | Vijay Kumar Goyal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407966484 PECOS PAC ID: 5496743528 Enrollment ID: I20040505001321 |
| Provider Name | Philip Miner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295845485 PECOS PAC ID: 6305835364 Enrollment ID: I20040506001196 |
| Provider Name | John T Dorsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144330333 PECOS PAC ID: 6002728524 Enrollment ID: I20040514000333 |
| Provider Name | Karen A Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396766978 PECOS PAC ID: 6608867569 Enrollment ID: I20040519001375 |
| Provider Name | John Waters |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033176656 PECOS PAC ID: 9537150321 Enrollment ID: I20040520000746 |
| Provider Name | Yariv Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154396034 PECOS PAC ID: 9335130178 Enrollment ID: I20040520001088 |
| Provider Name | George B Beranek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295716330 PECOS PAC ID: 4183605389 Enrollment ID: I20040525000742 |
| Provider Name | Henry T Barnhart |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477587921 PECOS PAC ID: 9436130580 Enrollment ID: I20040526000170 |
| Provider Name | Pilar M Caballero |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922097989 PECOS PAC ID: 4688656911 Enrollment ID: I20040602000287 |
| Provider Name | Lester C Jurgens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023047156 PECOS PAC ID: 6507848389 Enrollment ID: I20040604000451 |
| Provider Name | Mark D Zarnke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295737948 PECOS PAC ID: 1850374414 Enrollment ID: I20040612000545 |
| Provider Name | Tracy C Brito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285669895 PECOS PAC ID: 2062498538 Enrollment ID: I20040625000449 |
| Provider Name | Steven M Salisbury |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679638860 PECOS PAC ID: 4981681228 Enrollment ID: I20040702001179 |
| Provider Name | Michael J Strassman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114084068 PECOS PAC ID: 2567440894 Enrollment ID: I20040719001166 |
| Provider Name | Mary L Enabe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639284748 PECOS PAC ID: 5890775746 Enrollment ID: I20040722000169 |
| Provider Name | Paul W Hargan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457367526 PECOS PAC ID: 1456331941 Enrollment ID: I20040723001246 |
| Provider Name | Patrick F Para |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114979036 PECOS PAC ID: 2567432800 Enrollment ID: I20040726001391 |
| Provider Name | Jeffrey Jacobs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174524136 PECOS PAC ID: 0143290098 Enrollment ID: I20040730000597 |
| Provider Name | Mario A Affinati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952461238 PECOS PAC ID: 6709857030 Enrollment ID: I20040802001060 |
| Provider Name | Faheem Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942282215 PECOS PAC ID: 0042282329 Enrollment ID: I20040807000210 |
| Provider Name | Mark D Weissman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366426538 PECOS PAC ID: 9133022890 Enrollment ID: I20040813000380 |
| Provider Name | Isabel A Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225148414 PECOS PAC ID: 8921071325 Enrollment ID: I20040813001210 |
| Provider Name | Michael Domenico Tiblandi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134118235 PECOS PAC ID: 3173597705 Enrollment ID: I20040820000416 |
| Provider Name | Shannon L Watley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205821121 PECOS PAC ID: 7315912763 Enrollment ID: I20040830000244 |
| Provider Name | John P Erickson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336204551 PECOS PAC ID: 6901871292 Enrollment ID: I20040831000304 |
| Provider Name | Proddutur R. Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184712481 PECOS PAC ID: 6800862491 Enrollment ID: I20040903001205 |
| Provider Name | David A Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659349850 PECOS PAC ID: 9931177664 Enrollment ID: I20040921000641 |
| Provider Name | William Betz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720040389 PECOS PAC ID: 7214905876 Enrollment ID: I20040921000987 |
| Provider Name | George D Tsonis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225198849 PECOS PAC ID: 0749258242 Enrollment ID: I20040922000782 |
| Provider Name | Todd H Chaffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053421230 PECOS PAC ID: 9537073978 Enrollment ID: I20040922001160 |
| Provider Name | John P Rudzinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184734378 PECOS PAC ID: 1456329762 Enrollment ID: I20040923000476 |
| Provider Name | James H Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891805081 PECOS PAC ID: 9133197452 Enrollment ID: I20040923000509 |
| Provider Name | Robert H Escarza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871603068 PECOS PAC ID: 6800864166 Enrollment ID: I20040923000833 |
| Provider Name | Gillian M Headley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497865687 PECOS PAC ID: 8527037720 Enrollment ID: I20040924000729 |
| Provider Name | Pablo Morales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740390939 PECOS PAC ID: 2769451970 Enrollment ID: I20040924000843 |
| Provider Name | Stephen E Lehnert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154369478 PECOS PAC ID: 6800795774 Enrollment ID: I20040927000007 |
| Provider Name | Rebecca C Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255330635 PECOS PAC ID: 5991764573 Enrollment ID: I20041008000354 |
| Provider Name | Ramsis F Ghaly |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588661656 PECOS PAC ID: 8820057326 Enrollment ID: I20041011000192 |
| Provider Name | Gregory Granzeier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134239320 PECOS PAC ID: 3971563164 Enrollment ID: I20041012001410 |
| Provider Name | Esther A Sy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659358703 PECOS PAC ID: 3577523273 Enrollment ID: I20041018000232 |
| Provider Name | Morris Kletzel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811964299 PECOS PAC ID: 2860453883 Enrollment ID: I20041022000933 |
| Provider Name | George E Hoganson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164497483 PECOS PAC ID: 8820059652 Enrollment ID: I20041025000446 |
| Provider Name | Rani N Rao |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538135991 PECOS PAC ID: 8123080876 Enrollment ID: I20041103001114 |
| Provider Name | Susan L Peluchiwski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437158086 PECOS PAC ID: 9234192964 Enrollment ID: I20041104000479 |
| Provider Name | Michael J Wilbur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841212016 PECOS PAC ID: 6608866868 Enrollment ID: I20041108000133 |
| Provider Name | Kendall D Boone |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861498909 PECOS PAC ID: 5698757862 Enrollment ID: I20041108000269 |
| Provider Name | Samuel K Appavu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346243169 PECOS PAC ID: 5092778340 Enrollment ID: I20041108000552 |
| Provider Name | Kevin M Hilton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245348184 PECOS PAC ID: 7810950839 Enrollment ID: I20041110000291 |
| Provider Name | Bassam Soufan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356451546 PECOS PAC ID: 4981668639 Enrollment ID: I20041115000690 |
| Provider Name | Stephen H Kozlowski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285749390 PECOS PAC ID: 1557254901 Enrollment ID: I20041117000180 |
| Provider Name | Jennifer E Beto |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427164359 PECOS PAC ID: 2961468749 Enrollment ID: I20041203000154 |
| Provider Name | Sami Atassi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801830534 PECOS PAC ID: 0042276669 Enrollment ID: I20041207000100 |
| Provider Name | Francisco Carrion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144330325 PECOS PAC ID: 1456318211 Enrollment ID: I20041213001013 |
| Provider Name | Prasad K Kilaru |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003910423 PECOS PAC ID: 3173571007 Enrollment ID: I20050107000388 |
| Provider Name | Leela L Narra |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225001571 PECOS PAC ID: 2567410343 Enrollment ID: I20050107000790 |
| Provider Name | Aliya S Naseer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568572758 PECOS PAC ID: 0345298121 Enrollment ID: I20050107000825 |
| Provider Name | Sheldon A Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427168616 PECOS PAC ID: 7214985092 Enrollment ID: I20050107000851 |
| Provider Name | Phillip Higgins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306956594 PECOS PAC ID: 9830147636 Enrollment ID: I20050108000017 |
| Provider Name | David L Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689784878 PECOS PAC ID: 1658329453 Enrollment ID: I20050108000020 |
| Provider Name | Thomas J Brefeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699885871 PECOS PAC ID: 7416905229 Enrollment ID: I20050108000086 |
| Provider Name | Bryan A Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669582854 PECOS PAC ID: 7719935527 Enrollment ID: I20050108000129 |
| Provider Name | Paul R Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578623195 PECOS PAC ID: 7012965551 Enrollment ID: I20050111000515 |
| Provider Name | Hahn T Rudolph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275643462 PECOS PAC ID: 2668420118 Enrollment ID: I20050111000606 |
| Provider Name | Francis J Nicolosi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477663664 PECOS PAC ID: 4880642347 Enrollment ID: I20050111000719 |
| Provider Name | Eno A Nsima-obot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033180245 PECOS PAC ID: 2860440351 Enrollment ID: I20050111001011 |
| Provider Name | John G Hovis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770693962 PECOS PAC ID: 8123077468 Enrollment ID: I20050113000725 |
| Provider Name | David R Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013027200 PECOS PAC ID: 6608825963 Enrollment ID: I20050113000869 |
| Provider Name | Bharati P Roy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366552556 PECOS PAC ID: 1658320775 Enrollment ID: I20050115000058 |
| Provider Name | Frederick Dietz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235249426 PECOS PAC ID: 7416906540 Enrollment ID: I20050115000092 |
| Provider Name | Craig Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548370737 PECOS PAC ID: 4688623713 Enrollment ID: I20050115000098 |
| Provider Name | Hugh T Mchugh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578673760 PECOS PAC ID: 3375453459 Enrollment ID: I20050115000161 |
| Provider Name | Vivek Thappa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295743383 PECOS PAC ID: 2860441813 Enrollment ID: I20050117000204 |
| Provider Name | Robin R Hovis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033229224 PECOS PAC ID: 6800845876 Enrollment ID: I20050117000349 |
| Provider Name | Jon Monkemeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114087731 PECOS PAC ID: 8426007147 Enrollment ID: I20050119000871 |
| Provider Name | Jon Strutzenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174633366 PECOS PAC ID: 7214986934 Enrollment ID: I20050119000899 |
| Provider Name | Jeannie Wang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487714002 PECOS PAC ID: 3678522216 Enrollment ID: I20050120000727 |
| Provider Name | Aaron Coates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871603050 PECOS PAC ID: 3870542459 Enrollment ID: I20050120000940 |
| Provider Name | Arthur S Rone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457461642 PECOS PAC ID: 1456300037 Enrollment ID: I20050120000993 |
| Provider Name | Cathy C Alexander |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134289754 PECOS PAC ID: 9032168596 Enrollment ID: I20050121000622 |
| Provider Name | Erbert Caceres |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508976788 PECOS PAC ID: 3274582754 Enrollment ID: I20050121000825 |
| Provider Name | Timothy J Mcdonough |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740210533 PECOS PAC ID: 9830140870 Enrollment ID: I20050207000735 |
| Provider Name | Tracy V Bedford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477501534 PECOS PAC ID: 8628029477 Enrollment ID: I20050209000337 |
| Provider Name | Tarun Mullick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912906462 PECOS PAC ID: 9032161054 Enrollment ID: I20050217000390 |
| Provider Name | Kenneth H Segel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063496800 PECOS PAC ID: 0446203384 Enrollment ID: I20050303000445 |
| Provider Name | Michael G Grassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952340143 PECOS PAC ID: 2668426107 Enrollment ID: I20050308001054 |
| Provider Name | Nadeem Ahson Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447360631 PECOS PAC ID: 8224085857 Enrollment ID: I20050405001114 |
| Provider Name | Phil W Oliveri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700055308 PECOS PAC ID: 5294772554 Enrollment ID: I20050408000693 |
| Provider Name | Kyoko Misawa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912988759 PECOS PAC ID: 6608837356 Enrollment ID: I20050413000904 |
| Provider Name | Jeffrey E Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396713590 PECOS PAC ID: 2961476189 Enrollment ID: I20050425000299 |
| Provider Name | Nicole A Hartsough |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962400382 PECOS PAC ID: 2264472992 Enrollment ID: I20050512000648 |
| Provider Name | Matthew D Gibb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609895820 PECOS PAC ID: 3274574587 Enrollment ID: I20050517000878 |
| Provider Name | Abdullah Altayeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831191584 PECOS PAC ID: 0345284030 Enrollment ID: I20050614000476 |
| Provider Name | Joseph Schneider |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003914292 PECOS PAC ID: 4486699121 Enrollment ID: I20050623000556 |
| Provider Name | Chong H Pak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003926296 PECOS PAC ID: 4284679663 Enrollment ID: I20050627000252 |
| Provider Name | Scott A Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003999228 PECOS PAC ID: 3870539018 Enrollment ID: I20050628001256 |
| Provider Name | Saeed Zamir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134113400 PECOS PAC ID: 9931145620 Enrollment ID: I20050705000193 |
| Provider Name | Christine B Ward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982714176 PECOS PAC ID: 9638105687 Enrollment ID: I20050712000496 |
| Provider Name | Michael J Mccarthy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851383061 PECOS PAC ID: 8921035304 Enrollment ID: I20050719000174 |
| Provider Name | Robert M Glovsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316057508 PECOS PAC ID: 7517994601 Enrollment ID: I20050720000607 |
| Provider Name | Laura A Demarco Paitl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457359739 PECOS PAC ID: 4981631900 Enrollment ID: I20050721000466 |
| Provider Name | Srikumar B Pillai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518953538 PECOS PAC ID: 3173551256 Enrollment ID: I20050729000848 |
| Provider Name | Leonid Raskin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558471748 PECOS PAC ID: 9931138062 Enrollment ID: I20050809001050 |
| Provider Name | Raza S Hamdani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144207218 PECOS PAC ID: 7416920731 Enrollment ID: I20050818000499 |
| Provider Name | David S Lewin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316950223 PECOS PAC ID: 8022048875 Enrollment ID: I20050822000397 |
| Provider Name | Philip William Hix |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437161775 PECOS PAC ID: 1951332659 Enrollment ID: I20050823000289 |
| Provider Name | Parag K Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639107667 PECOS PAC ID: 4486685872 Enrollment ID: I20050825000441 |
| Provider Name | Nathan M Lidsky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083663280 PECOS PAC ID: 6608807789 Enrollment ID: I20050829000537 |
| Provider Name | Alan D Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083605034 PECOS PAC ID: 5496787632 Enrollment ID: I20050909000251 |
| Provider Name | Michael Messing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740219351 PECOS PAC ID: 8628001567 Enrollment ID: I20050913000089 |
| Provider Name | Reginald A Ebirim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396702957 PECOS PAC ID: 6406889690 Enrollment ID: I20050917000240 |
| Provider Name | Thanh Cam Trieu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689791576 PECOS PAC ID: 0446202972 Enrollment ID: I20050928001325 |
| Provider Name | Sumoulindra T Bhattacharya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306906920 PECOS PAC ID: 7618902107 Enrollment ID: I20051004000426 |
| Provider Name | Jatinder Ahluwalia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447249800 PECOS PAC ID: 4981639317 Enrollment ID: I20051004000767 |
| Provider Name | Mohammed Memon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164577102 PECOS PAC ID: 9436104619 Enrollment ID: I20051013000614 |
| Provider Name | Charles M Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518077700 PECOS PAC ID: 1456377720 Enrollment ID: I20051017000923 |
| Provider Name | Stephen Peter Holland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851470967 PECOS PAC ID: 5890711428 Enrollment ID: I20051021000694 |
| Provider Name | Bhernee A Paragas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265581391 PECOS PAC ID: 6002833563 Enrollment ID: I20051025000340 |
| Provider Name | Ahtesham Hyder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740207505 PECOS PAC ID: 3577543925 Enrollment ID: I20051025000657 |
| Provider Name | Lianne Holloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619000932 PECOS PAC ID: 8820019573 Enrollment ID: I20051209000550 |
| Provider Name | Steven D Diamond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861481244 PECOS PAC ID: 0749201507 Enrollment ID: I20051212000273 |
| Provider Name | Nicole R Mott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093732034 PECOS PAC ID: 4587685854 Enrollment ID: I20051214000553 |
| Provider Name | Kelly A Hix |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326056961 PECOS PAC ID: 3577584879 Enrollment ID: I20051214000726 |
| Provider Name | Rubina A Mirza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972564359 PECOS PAC ID: 0941261986 Enrollment ID: I20051228000655 |
| Provider Name | Alice F Amro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215994322 PECOS PAC ID: 3274556774 Enrollment ID: I20060111000321 |
| Provider Name | Kenneth I Oriordan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912075649 PECOS PAC ID: 3577586239 Enrollment ID: I20060112000077 |
| Provider Name | Funmilayo A Macaulay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356441844 PECOS PAC ID: 3274557459 Enrollment ID: I20060116000426 |
| Provider Name | Humaira J Bari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497845135 PECOS PAC ID: 4183639750 Enrollment ID: I20060217000663 |
| Provider Name | Bijal Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598721847 PECOS PAC ID: 1658388285 Enrollment ID: I20060307000545 |
| Provider Name | John H Perryman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235242496 PECOS PAC ID: 3870500747 Enrollment ID: I20060317000242 |
| Provider Name | Samir Kanainalal Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427072768 PECOS PAC ID: 3779591185 Enrollment ID: I20060328000253 |
| Provider Name | Mark S Dy-liacco |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366488850 PECOS PAC ID: 5092613265 Enrollment ID: I20060411000429 |
| Provider Name | Ira Wolke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831150200 PECOS PAC ID: 6709895154 Enrollment ID: I20060412000265 |
| Provider Name | Carlos D Ortega |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972525269 PECOS PAC ID: 1759390131 Enrollment ID: I20060413000035 |
| Provider Name | Marconi Deladisma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477597342 PECOS PAC ID: 0648289785 Enrollment ID: I20060418000266 |
| Provider Name | Fazlur R Zahurullah |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720068695 PECOS PAC ID: 9133139900 Enrollment ID: I20060425000486 |
| Provider Name | Glenn Milos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285602516 PECOS PAC ID: 0143237511 Enrollment ID: I20060425000676 |
| Provider Name | Soma Sinha Roy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467409193 PECOS PAC ID: 0648280610 Enrollment ID: I20060504000735 |
| Provider Name | Mark A Grevious |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194727909 PECOS PAC ID: 0840201885 Enrollment ID: I20060505000390 |
| Provider Name | Oliver M. Olea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629023635 PECOS PAC ID: 6406867571 Enrollment ID: I20060606000162 |
| Provider Name | Liwa T. Younis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588611305 PECOS PAC ID: 3274527239 Enrollment ID: I20060608000039 |
| Provider Name | Carl Backer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760477608 PECOS PAC ID: 7618989567 Enrollment ID: I20060615000223 |
| Provider Name | Ai-xuan Holterman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649228032 PECOS PAC ID: 1951313543 Enrollment ID: I20060623000131 |
| Provider Name | Maxita M Pinawin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669416095 PECOS PAC ID: 7113939554 Enrollment ID: I20060629000062 |
| Provider Name | Saima Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487671103 PECOS PAC ID: 5092718460 Enrollment ID: I20060825000043 |
| Provider Name | Ghaith M Nahlawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457380800 PECOS PAC ID: 4284638610 Enrollment ID: I20060828000018 |
| Provider Name | Tracy L Muhammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033161435 PECOS PAC ID: 1951305523 Enrollment ID: I20060913000243 |
| Provider Name | Carlos J Aguero Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053364349 PECOS PAC ID: 5698784700 Enrollment ID: I20060915000564 |
| Provider Name | Machelle M Dopkins |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750300901 PECOS PAC ID: 2062417314 Enrollment ID: I20060920000447 |
| Provider Name | Robert K Erickson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225048804 PECOS PAC ID: 5496750549 Enrollment ID: I20060922000306 |
| Provider Name | Aneesa S Majid |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1588615082 PECOS PAC ID: 9436058443 Enrollment ID: I20060922000386 |
| Provider Name | Baseer M Qazi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386654093 PECOS PAC ID: 4789689845 Enrollment ID: I20060922000398 |
| Provider Name | Saima Naeem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164478616 PECOS PAC ID: 9032115530 Enrollment ID: I20061005000473 |
| Provider Name | Melody J Cates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609821511 PECOS PAC ID: 4688670946 Enrollment ID: I20061010000046 |
| Provider Name | Sunil M Chauhan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912922881 PECOS PAC ID: 5698705408 Enrollment ID: I20061010000634 |
| Provider Name | Alfredo Ramirez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003829417 PECOS PAC ID: 4284630401 Enrollment ID: I20061011000617 |
| Provider Name | Monica A Manring |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407940794 PECOS PAC ID: 8527064575 Enrollment ID: I20061013000391 |
| Provider Name | Syed Muhammad Irfan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508895897 PECOS PAC ID: 0143227868 Enrollment ID: I20061023000111 |
| Provider Name | Annette Corinne Olin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053323881 PECOS PAC ID: 4587661061 Enrollment ID: I20061025000504 |
| Provider Name | Faisal A Sami |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154312676 PECOS PAC ID: 3072510577 Enrollment ID: I20061025000650 |
| Provider Name | Brian Parvez Jokhy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508802554 PECOS PAC ID: 4587661996 Enrollment ID: I20061027000179 |
| Provider Name | Troy Bradley Shaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285665661 PECOS PAC ID: 4688671423 Enrollment ID: I20061108000610 |
| Provider Name | Lisa D. Daniel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982632865 PECOS PAC ID: 8729041306 Enrollment ID: I20061114000404 |
| Provider Name | Maurice F Loeffel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548228042 PECOS PAC ID: 0941208433 Enrollment ID: I20061116000401 |
| Provider Name | Jude J Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194755587 PECOS PAC ID: 8224037122 Enrollment ID: I20061204000022 |
| Provider Name | Rupesh I Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568557692 PECOS PAC ID: 9537168919 Enrollment ID: I20061212000630 |
| Provider Name | Mohammed S Homsi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932272952 PECOS PAC ID: 0143229161 Enrollment ID: I20061220000157 |
| Provider Name | Lynette M Castronovo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821055484 PECOS PAC ID: 2769584598 Enrollment ID: I20070226000642 |
| Provider Name | Virginia Luisa Velazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609952670 PECOS PAC ID: 1759483340 Enrollment ID: I20070228000533 |
| Provider Name | Robert Hamilton Pierce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891749701 PECOS PAC ID: 9537261128 Enrollment ID: I20070228000576 |
| Provider Name | Andrew Bennett |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114084878 PECOS PAC ID: 7618079088 Enrollment ID: I20070305000139 |
| Provider Name | Maliha Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043230303 PECOS PAC ID: 6406854140 Enrollment ID: I20070315000317 |
| Provider Name | Jessica A Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124181664 PECOS PAC ID: 0345343091 Enrollment ID: I20070316000455 |
| Provider Name | Asha Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124171459 PECOS PAC ID: 9436253770 Enrollment ID: I20070327000386 |
| Provider Name | Rhonda R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548388044 PECOS PAC ID: 9638273261 Enrollment ID: I20070409000310 |
| Provider Name | Ryan H Engel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740336718 PECOS PAC ID: 3870698400 Enrollment ID: I20070410000488 |
| Provider Name | Paula Cascio |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629100037 PECOS PAC ID: 7719082049 Enrollment ID: I20070416000479 |
| Provider Name | Goldwyn Foggie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013925387 PECOS PAC ID: 0547366288 Enrollment ID: I20070426000284 |
| Provider Name | Manisha Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114048493 PECOS PAC ID: 1557467123 Enrollment ID: I20070430000044 |
| Provider Name | Andrew Albert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659413656 PECOS PAC ID: 4082710561 Enrollment ID: I20070430000153 |
| Provider Name | Kathleen A Larson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740396647 PECOS PAC ID: 0143326652 Enrollment ID: I20070430000460 |
| Provider Name | Paula J Melone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598812414 PECOS PAC ID: 8022045723 Enrollment ID: I20070604000446 |
| Provider Name | Kathleen M Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447223789 PECOS PAC ID: 2163521253 Enrollment ID: I20070702000265 |
| Provider Name | Jammy J Dinnel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457439465 PECOS PAC ID: 4981704806 Enrollment ID: I20070706000500 |
| Provider Name | David Michael Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912027038 PECOS PAC ID: 7315047966 Enrollment ID: I20070711000510 |
| Provider Name | Stephen M Berns |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437367927 PECOS PAC ID: 6709986185 Enrollment ID: I20070713000740 |
| Provider Name | Jappan J Bhatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669594115 PECOS PAC ID: 2567562952 Enrollment ID: I20070713000817 |
| Provider Name | David E Deutsch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326158510 PECOS PAC ID: 0345341574 Enrollment ID: I20070718000483 |
| Provider Name | Sharon K Rhodes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093825283 PECOS PAC ID: 0446351076 Enrollment ID: I20070725000662 |
| Provider Name | Michael J Fumo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528196656 PECOS PAC ID: 8224139639 Enrollment ID: I20070728000043 |
| Provider Name | Jean L Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164648614 PECOS PAC ID: 2860455367 Enrollment ID: I20070810000063 |
| Provider Name | Anshul B Bamrolia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942361662 PECOS PAC ID: 7618069006 Enrollment ID: I20070815000050 |
| Provider Name | Jason D Riesinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770781148 PECOS PAC ID: 2062504228 Enrollment ID: I20070817000614 |
| Provider Name | Terence R Lichtor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114976289 PECOS PAC ID: 4880786920 Enrollment ID: I20070822000302 |
| Provider Name | Lucy W Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285606970 PECOS PAC ID: 8123110012 Enrollment ID: I20070823000244 |
| Provider Name | Dennie T. Rogers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952509473 PECOS PAC ID: 0143314799 Enrollment ID: I20070913000595 |
| Provider Name | Nicole Marie Correnti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598958712 PECOS PAC ID: 3971697426 Enrollment ID: I20070914000595 |
| Provider Name | Shahariar Hossion Saikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841380714 PECOS PAC ID: 9537253745 Enrollment ID: I20070919000455 |
| Provider Name | Maria C P Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841300035 PECOS PAC ID: 6507951431 Enrollment ID: I20071005000811 |
| Provider Name | Timothy W Swain |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295742898 PECOS PAC ID: 6608859095 Enrollment ID: I20071031000563 |
| Provider Name | Stewart Goldman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306806245 PECOS PAC ID: 7911094271 Enrollment ID: I20071102000224 |
| Provider Name | Douglas Byron Hood |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679505242 PECOS PAC ID: 4587643119 Enrollment ID: I20071110000116 |
| Provider Name | William D Hutt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942310131 PECOS PAC ID: 3072601517 Enrollment ID: I20071115000632 |
| Provider Name | Matthew C Dodaro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760688360 PECOS PAC ID: 8426138090 Enrollment ID: I20080108000911 |
| Provider Name | Gustavo A Espinosa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114904620 PECOS PAC ID: 8426139825 Enrollment ID: I20080111000018 |
| Provider Name | Anthony Rocco Zappia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184734402 PECOS PAC ID: 3375435977 Enrollment ID: I20080118000160 |
| Provider Name | Azade C Yedidag |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467485276 PECOS PAC ID: 3173547254 Enrollment ID: I20080118000717 |
| Provider Name | Syed S Bokhari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710984224 PECOS PAC ID: 5890785067 Enrollment ID: I20080313000128 |
| Provider Name | Raymond A Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417067604 PECOS PAC ID: 3476639873 Enrollment ID: I20080326000253 |
| Provider Name | Maureen L Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457416752 PECOS PAC ID: 0547362055 Enrollment ID: I20080404000414 |
| Provider Name | Ross Tannebaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861492225 PECOS PAC ID: 6709820624 Enrollment ID: I20080411000184 |
| Provider Name | Michael C Michelotti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912991688 PECOS PAC ID: 4385608272 Enrollment ID: I20080509000395 |
| Provider Name | Bradley L Abramson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477756484 PECOS PAC ID: 1153493556 Enrollment ID: I20080630000427 |
| Provider Name | Jonathan F Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013195650 PECOS PAC ID: 4981777026 Enrollment ID: I20080722000591 |
| Provider Name | Maxim Gorelik |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1548246101 PECOS PAC ID: 0547298119 Enrollment ID: I20080725000697 |
| Provider Name | Nicole O Macaulay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073799235 PECOS PAC ID: 1759455991 Enrollment ID: I20080805000905 |
| Provider Name | Selma Rashid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285816736 PECOS PAC ID: 5092889279 Enrollment ID: I20080806000322 |
| Provider Name | Sepehr B Sani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336281575 PECOS PAC ID: 9537233424 Enrollment ID: I20080812000122 |
| Provider Name | Chunliu Zhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043486954 PECOS PAC ID: 7517038870 Enrollment ID: I20080814000456 |
| Provider Name | Perka Guenev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205934254 PECOS PAC ID: 1153496757 Enrollment ID: I20080815000588 |
| Provider Name | Kyle E Wilhite |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598975260 PECOS PAC ID: 0042385593 Enrollment ID: I20080818000407 |
| Provider Name | Carl Nicholas Valentin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356505788 PECOS PAC ID: 0840366365 Enrollment ID: I20080908000353 |
| Provider Name | Erik J Iversen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851452312 PECOS PAC ID: 0749193571 Enrollment ID: I20081006000684 |
| Provider Name | Richard Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962472886 PECOS PAC ID: 7113095688 Enrollment ID: I20081010000223 |
| Provider Name | Lisa M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750539078 PECOS PAC ID: 7416025911 Enrollment ID: I20081010000477 |
| Provider Name | Ronald B Foran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710980396 PECOS PAC ID: 8820166200 Enrollment ID: I20081016000305 |
| Provider Name | Omer Yusaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669585956 PECOS PAC ID: 7618931627 Enrollment ID: I20081101000103 |
| Provider Name | Joel Manaligod |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881769214 PECOS PAC ID: 5496815730 Enrollment ID: I20081117000699 |
| Provider Name | Rebecca J Behling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508060518 PECOS PAC ID: 0648330829 Enrollment ID: I20081118000241 |
| Provider Name | Bruce D Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821108010 PECOS PAC ID: 2668533233 Enrollment ID: I20081202000372 |
| Provider Name | Christopher M Kerwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942470760 PECOS PAC ID: 6800957879 Enrollment ID: I20081209000524 |
| Provider Name | Daniel Orozco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154329399 PECOS PAC ID: 9537221957 Enrollment ID: I20081218000729 |
| Provider Name | Michael J Sergeant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205965936 PECOS PAC ID: 6709948599 Enrollment ID: I20090105000301 |
| Provider Name | Jafar S Hasan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1992827224 PECOS PAC ID: 5092878942 Enrollment ID: I20090120000509 |
| Provider Name | Kevin R Kozak |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124219241 PECOS PAC ID: 3173696465 Enrollment ID: I20090127000736 |
| Provider Name | Robert Tiballi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194757427 PECOS PAC ID: 6406839737 Enrollment ID: I20090311000528 |
| Provider Name | Andrew J Sartino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669621470 PECOS PAC ID: 5395802904 Enrollment ID: I20090326000351 |
| Provider Name | Janine James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184635799 PECOS PAC ID: 2860480175 Enrollment ID: I20090512000343 |
| Provider Name | Justin K Kwak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700033628 PECOS PAC ID: 8426107970 Enrollment ID: I20090513000134 |
| Provider Name | Yaimet V Bucknor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902030836 PECOS PAC ID: 4880745470 Enrollment ID: I20090622000180 |
| Provider Name | Raja I Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316142755 PECOS PAC ID: 3870644214 Enrollment ID: I20090625000296 |
| Provider Name | Mohammed Sajid Hussain Ansari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649492620 PECOS PAC ID: 0648322107 Enrollment ID: I20090714000318 |
| Provider Name | Pamela A Herbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649295098 PECOS PAC ID: 7113820341 Enrollment ID: I20090716000072 |
| Provider Name | William Sandoval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912080912 PECOS PAC ID: 6406908334 Enrollment ID: I20090723000334 |
| Provider Name | Aashish Taneja |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992907893 PECOS PAC ID: 7315090834 Enrollment ID: I20090731000237 |
| Provider Name | Siddharth J Gandhi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831226042 PECOS PAC ID: 8022161314 Enrollment ID: I20090804000548 |
| Provider Name | William J Cowden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033384904 PECOS PAC ID: 5890849871 Enrollment ID: I20090811000463 |
| Provider Name | Ioannis Karkatzounis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639335235 PECOS PAC ID: 9032263835 Enrollment ID: I20090813000167 |
| Provider Name | Saroosh Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639335078 PECOS PAC ID: 1759435100 Enrollment ID: I20090819000439 |
| Provider Name | Faisal M Raja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275644254 PECOS PAC ID: 7416024229 Enrollment ID: I20090828000572 |
| Provider Name | Xiaotian W Austin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174583744 PECOS PAC ID: 6800809732 Enrollment ID: I20090831000249 |
| Provider Name | Amish M Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659524213 PECOS PAC ID: 8820144819 Enrollment ID: I20090916000198 |
| Provider Name | Rajeev S Kalsi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447464292 PECOS PAC ID: 8820144736 Enrollment ID: I20090917000635 |
| Provider Name | Rockton W Hitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225108947 PECOS PAC ID: 7810033883 Enrollment ID: I20091005000443 |
| Provider Name | Dena Z Hamad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427205400 PECOS PAC ID: 2163568023 Enrollment ID: I20091006000597 |
| Provider Name | Arthur W Mardis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366429466 PECOS PAC ID: 9133279227 Enrollment ID: I20091111000389 |
| Provider Name | Howard Mell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770557266 PECOS PAC ID: 6305876665 Enrollment ID: I20091112000255 |
| Provider Name | Landon S Pryor |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1831306968 PECOS PAC ID: 8628177912 Enrollment ID: I20091113000048 |
| Provider Name | Rudy J Allen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104079276 PECOS PAC ID: 8123166733 Enrollment ID: I20091118000506 |
| Provider Name | Sharma Saith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225013683 PECOS PAC ID: 9335051077 Enrollment ID: I20100127000252 |
| Provider Name | Joseph J Pulvirenti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427044775 PECOS PAC ID: 6103969167 Enrollment ID: I20100130000138 |
| Provider Name | Rachel Woker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891025557 PECOS PAC ID: 3779626114 Enrollment ID: I20100206000180 |
| Provider Name | Linda Alic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235197161 PECOS PAC ID: 0648177840 Enrollment ID: I20100212000508 |
| Provider Name | Christine L Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801121405 PECOS PAC ID: 2264576669 Enrollment ID: I20100224000039 |
| Provider Name | Marko F Krpan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992871347 PECOS PAC ID: 7113052358 Enrollment ID: I20100312000956 |
| Provider Name | Kelly M Wren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801855218 PECOS PAC ID: 3678576261 Enrollment ID: I20100415000684 |
| Provider Name | Patrick Hayes Mckenna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952397051 PECOS PAC ID: 4385740158 Enrollment ID: I20100423000884 |
| Provider Name | Edith M Newsome |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376579722 PECOS PAC ID: 7113072869 Enrollment ID: I20100526000885 |
| Provider Name | Sadasiva Jampala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174530737 PECOS PAC ID: 0547390809 Enrollment ID: I20100611000741 |
| Provider Name | Romulo E Ortega |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194835389 PECOS PAC ID: 3678603941 Enrollment ID: I20100612000079 |
| Provider Name | Eric D Bullock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417067695 PECOS PAC ID: 6800927799 Enrollment ID: I20100621000462 |
| Provider Name | Rubina Ehtesham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962512152 PECOS PAC ID: 9335270222 Enrollment ID: I20100621000480 |
| Provider Name | Diane E Boone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972613156 PECOS PAC ID: 5395877955 Enrollment ID: I20100716000422 |
| Provider Name | Sohail A. Chaudhry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245247717 PECOS PAC ID: 9133251770 Enrollment ID: I20100719000199 |
| Provider Name | Fabienne R Herman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588801278 PECOS PAC ID: 1355474263 Enrollment ID: I20100729000162 |
| Provider Name | Ebby P Jido |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730258047 PECOS PAC ID: 6800929027 Enrollment ID: I20100809000275 |
| Provider Name | Kimberly A Chaney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790987469 PECOS PAC ID: 2961594239 Enrollment ID: I20100812000309 |
| Provider Name | John A Alexander |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669532289 PECOS PAC ID: 1658405634 Enrollment ID: I20100812000410 |
| Provider Name | Hamad Farhat |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861724064 PECOS PAC ID: 7416081138 Enrollment ID: I20100817001143 |
| Provider Name | Shamshad Anjum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487753596 PECOS PAC ID: 0244366029 Enrollment ID: I20100824001119 |
| Provider Name | Todd Schirmang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1134347305 PECOS PAC ID: 8123142882 Enrollment ID: I20100901000695 |
| Provider Name | Sandra T Labak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396766218 PECOS PAC ID: 1456475953 Enrollment ID: I20100907000546 |
| Provider Name | Gregory M Richards |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801839519 PECOS PAC ID: 5395806046 Enrollment ID: I20100913000944 |
| Provider Name | Mark D Hornbach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194829515 PECOS PAC ID: 1557486008 Enrollment ID: I20100921000565 |
| Provider Name | Sonya Nichole Ephraim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396992400 PECOS PAC ID: 4284750415 Enrollment ID: I20100924001304 |
| Provider Name | Alicia A Huntley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417068438 PECOS PAC ID: 6800912841 Enrollment ID: I20100927001100 |
| Provider Name | Luke D Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457509150 PECOS PAC ID: 7214053172 Enrollment ID: I20100928001348 |
| Provider Name | Fernando Lamounier |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1609826312 PECOS PAC ID: 5991717456 Enrollment ID: I20101007000271 |
| Provider Name | Rukhmi V Bhat |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326204819 PECOS PAC ID: 2961695143 Enrollment ID: I20101020000610 |
| Provider Name | Nicolai G Mejevoi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427369131 PECOS PAC ID: 6103010426 Enrollment ID: I20101101000752 |
| Provider Name | Zaher Qassem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366551996 PECOS PAC ID: 7911976196 Enrollment ID: I20101103000235 |
| Provider Name | Rana Abdul-khalek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275768087 PECOS PAC ID: 8820283625 Enrollment ID: I20101105000894 |
| Provider Name | Derek J Matoka |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316193824 PECOS PAC ID: 5294920658 Enrollment ID: I20101110001324 |
| Provider Name | Cynthia L Leslie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740254846 PECOS PAC ID: 6103012083 Enrollment ID: I20101118000778 |
| Provider Name | Peter M Mccool |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306044847 PECOS PAC ID: 3274620133 Enrollment ID: I20101129000094 |
| Provider Name | Briana N Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750532065 PECOS PAC ID: 6800924101 Enrollment ID: I20101216000955 |
| Provider Name | David L Crawford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306874128 PECOS PAC ID: 0941190490 Enrollment ID: I20101221000112 |
| Provider Name | Scott A Legrand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861528515 PECOS PAC ID: 0941498349 Enrollment ID: I20101229000959 |
| Provider Name | Kenneth J Tomchik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629090972 PECOS PAC ID: 8022206390 Enrollment ID: I20101230000793 |
| Provider Name | Maha Mikhailwassef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063511095 PECOS PAC ID: 6608972674 Enrollment ID: I20110114000354 |
| Provider Name | Mary Beth Madonna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265427108 PECOS PAC ID: 3173712437 Enrollment ID: I20110118001096 |
| Provider Name | R Deva Nathan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700987708 PECOS PAC ID: 0648227348 Enrollment ID: I20110119001262 |
| Provider Name | May Hashimi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154342293 PECOS PAC ID: 8022297233 Enrollment ID: I20110120000317 |
| Provider Name | Mohsin Ali Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174636013 PECOS PAC ID: 0547261828 Enrollment ID: I20110125000693 |
| Provider Name | Heather L Finnegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417267832 PECOS PAC ID: 1254511793 Enrollment ID: I20110215000992 |
| Provider Name | Francis C Chaten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043294952 PECOS PAC ID: 8628021912 Enrollment ID: I20110307000812 |
| Provider Name | Farah Diba Ciftci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902135668 PECOS PAC ID: 3577746254 Enrollment ID: I20110318000344 |
| Provider Name | Lisa E Hosea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871560060 PECOS PAC ID: 6507800414 Enrollment ID: I20110322001030 |
| Provider Name | Sharada Kamalanatha Chaitra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629165899 PECOS PAC ID: 9133289051 Enrollment ID: I20110329000701 |
| Provider Name | Christopher H Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346355575 PECOS PAC ID: 5799969218 Enrollment ID: I20110407000604 |
| Provider Name | Larry O Sy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932182995 PECOS PAC ID: 8325222730 Enrollment ID: I20110408000727 |
| Provider Name | Deeann M Sternhagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912162629 PECOS PAC ID: 9032285341 Enrollment ID: I20110520000659 |
| Provider Name | Andrew N Vo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730297763 PECOS PAC ID: 0941336101 Enrollment ID: I20110531000048 |
| Provider Name | Jane K Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588827588 PECOS PAC ID: 6709063464 Enrollment ID: I20110606000382 |
| Provider Name | Edward Shlasko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962417600 PECOS PAC ID: 9537337472 Enrollment ID: I20110721000098 |
| Provider Name | Jibran Naseer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821261892 PECOS PAC ID: 7012197700 Enrollment ID: I20110803000907 |
| Provider Name | Julie L Bailor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962709766 PECOS PAC ID: 7618146564 Enrollment ID: I20110809000854 |
| Provider Name | Karen Imma C Gellada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285897967 PECOS PAC ID: 5193995256 Enrollment ID: I20110826000659 |
| Provider Name | Marisha L Cook |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1356487904 PECOS PAC ID: 4284774142 Enrollment ID: I20110829000088 |
| Provider Name | Fang Zhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861792715 PECOS PAC ID: 9133399025 Enrollment ID: I20110901000340 |
| Provider Name | Clayborn J Morris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548575855 PECOS PAC ID: 4082882048 Enrollment ID: I20110912000101 |
| Provider Name | Kadijah S Ray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417159401 PECOS PAC ID: 7416128871 Enrollment ID: I20110915000782 |
| Provider Name | Aurelian S. Ivan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841467743 PECOS PAC ID: 3274704630 Enrollment ID: I20110915000861 |
| Provider Name | James David Hall |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972693018 PECOS PAC ID: 8527961648 Enrollment ID: I20110919000754 |
| Provider Name | Anitha Nimmagadda |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1558686964 PECOS PAC ID: 3971774977 Enrollment ID: I20110923000305 |
| Provider Name | Utpal H Dhruve |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013112333 PECOS PAC ID: 0749451680 Enrollment ID: I20110926000264 |
| Provider Name | Adam A Sciuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285696856 PECOS PAC ID: 1153459607 Enrollment ID: I20111004000208 |
| Provider Name | Bruce W Cardone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699723965 PECOS PAC ID: 4082526314 Enrollment ID: I20111004000726 |
| Provider Name | Venkata S Dontaraju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821241084 PECOS PAC ID: 5395917694 Enrollment ID: I20111010000579 |
| Provider Name | Magdalena Nowak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740439215 PECOS PAC ID: 7012189970 Enrollment ID: I20111019000156 |
| Provider Name | Julie Platt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467488734 PECOS PAC ID: 7012999113 Enrollment ID: I20111024000505 |
| Provider Name | Michael W Armstrong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578855953 PECOS PAC ID: 2365615556 Enrollment ID: I20111103000596 |
| Provider Name | Roger A Bohn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225098791 PECOS PAC ID: 2769655646 Enrollment ID: I20111109000848 |
| Provider Name | John J Keith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538129069 PECOS PAC ID: 6305019282 Enrollment ID: I20111109000853 |
| Provider Name | Edward D Fausel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790745289 PECOS PAC ID: 9234304106 Enrollment ID: I20111206000059 |
| Provider Name | Shalini Paturi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215191754 PECOS PAC ID: 5698940955 Enrollment ID: I20111214001026 |
| Provider Name | Daniel J Mcquillan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205996824 PECOS PAC ID: 7012000128 Enrollment ID: I20111227000394 |
| Provider Name | Cezary Dudzinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487841540 PECOS PAC ID: 9830365089 Enrollment ID: I20120110000457 |
| Provider Name | Thomas T Hui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487725206 PECOS PAC ID: 7618992223 Enrollment ID: I20120111000955 |
| Provider Name | Timothy N Koritz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396855581 PECOS PAC ID: 8325215361 Enrollment ID: I20120116000179 |
| Provider Name | Rajesh Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477789998 PECOS PAC ID: 4385811074 Enrollment ID: I20120120000393 |
| Provider Name | Stephen J Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124188743 PECOS PAC ID: 7315004819 Enrollment ID: I20120127000874 |
| Provider Name | Earl Y Cheng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225024813 PECOS PAC ID: 8022275577 Enrollment ID: I20120210000368 |
| Provider Name | Scott A Weintraub |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861541567 PECOS PAC ID: 0840458154 Enrollment ID: I20120215000990 |
| Provider Name | James G Glasser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568432250 PECOS PAC ID: 7517099922 Enrollment ID: I20120229000291 |
| Provider Name | Janet M Hoffman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629247523 PECOS PAC ID: 7315106986 Enrollment ID: I20120319000081 |
| Provider Name | Stephen C Cotton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891756888 PECOS PAC ID: 1557521812 Enrollment ID: I20120322000689 |
| Provider Name | James M Severson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518912765 PECOS PAC ID: 2769642131 Enrollment ID: I20120327000894 |
| Provider Name | James W Phoenix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700922267 PECOS PAC ID: 8628238623 Enrollment ID: I20120329000183 |
| Provider Name | Meghan K Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770854085 PECOS PAC ID: 1254592769 Enrollment ID: I20120410000510 |
| Provider Name | Erica S Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205106341 PECOS PAC ID: 0749441152 Enrollment ID: I20120411000761 |
| Provider Name | Janine Elizabeth Andriusis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356581037 PECOS PAC ID: 8628238961 Enrollment ID: I20120412000349 |
| Provider Name | Jennifer L Dinges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720148281 PECOS PAC ID: 8123289014 Enrollment ID: I20120420000224 |
| Provider Name | Bradley L Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962463935 PECOS PAC ID: 1456409580 Enrollment ID: I20120427000140 |
| Provider Name | Allan R Kornfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134278831 PECOS PAC ID: 3971696907 Enrollment ID: I20120427000435 |
| Provider Name | Mark Kellen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023178647 PECOS PAC ID: 3577725134 Enrollment ID: I20120427000472 |
| Provider Name | Melissa Rohrbacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649349564 PECOS PAC ID: 9830198092 Enrollment ID: I20120501000519 |
| Provider Name | Jeffrey A Mcfadden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487678652 PECOS PAC ID: 2961590104 Enrollment ID: I20120501000728 |
| Provider Name | Paul David Fulling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952461576 PECOS PAC ID: 5991967259 Enrollment ID: I20120502000397 |
| Provider Name | Bhanu P Sankineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063675619 PECOS PAC ID: 5799947669 Enrollment ID: I20120510000566 |
| Provider Name | Michael R Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730470493 PECOS PAC ID: 9133306418 Enrollment ID: I20120511000332 |
| Provider Name | Patricio L Ilada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679630156 PECOS PAC ID: 4587565338 Enrollment ID: I20120618000644 |
| Provider Name | Michael Flisak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548426943 PECOS PAC ID: 1153596705 Enrollment ID: I20120709000508 |
| Provider Name | Justin W Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518229210 PECOS PAC ID: 3971769753 Enrollment ID: I20120724000539 |
| Provider Name | Anastasia Osipova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073889382 PECOS PAC ID: 0244496875 Enrollment ID: I20120725000559 |
| Provider Name | Yone Amuka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790929693 PECOS PAC ID: 6002075439 Enrollment ID: I20120802000245 |
| Provider Name | Ron Mark Oren |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1366422438 PECOS PAC ID: 5395761134 Enrollment ID: I20120806000746 |
| Provider Name | Nichole S Lupei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275761488 PECOS PAC ID: 3779739636 Enrollment ID: I20120808000431 |
| Provider Name | Naser M Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437270253 PECOS PAC ID: 0244338317 Enrollment ID: I20120808000544 |
| Provider Name | Fawaz Ahmad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477786598 PECOS PAC ID: 9436305992 Enrollment ID: I20120816000153 |
| Provider Name | Frank Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295990125 PECOS PAC ID: 3678729167 Enrollment ID: I20120816000478 |
| Provider Name | Robina M Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760788376 PECOS PAC ID: 0244406155 Enrollment ID: I20120816000637 |
| Provider Name | Hernan Sierra-fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104074749 PECOS PAC ID: 2264688688 Enrollment ID: I20120816000968 |
| Provider Name | Elizabeth M Leweling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265632459 PECOS PAC ID: 9638326028 Enrollment ID: I20120820000659 |
| Provider Name | Meredith M Ulmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720216930 PECOS PAC ID: 5092962324 Enrollment ID: I20120821001120 |
| Provider Name | Kari L Chase |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033481627 PECOS PAC ID: 5890942098 Enrollment ID: I20120823000022 |
| Provider Name | Juan A Santiago Gonzalez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801089016 PECOS PAC ID: 1254588130 Enrollment ID: I20120828000757 |
| Provider Name | Kristine J Thayer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366464950 PECOS PAC ID: 4587656285 Enrollment ID: I20120925000307 |
| Provider Name | Syed Samee-ul Haq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063655686 PECOS PAC ID: 8820247034 Enrollment ID: I20121003000736 |
| Provider Name | Syed Parvez Quadri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417190265 PECOS PAC ID: 7517116676 Enrollment ID: I20121004000412 |
| Provider Name | Amanda C Schmidgall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518222660 PECOS PAC ID: 4183873987 Enrollment ID: I20121011000850 |
| Provider Name | Shawn S Wallery |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881851780 PECOS PAC ID: 0749430445 Enrollment ID: I20121015000364 |
| Provider Name | Mary C Baldauf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447271911 PECOS PAC ID: 3779569165 Enrollment ID: I20121015000710 |
| Provider Name | Aseem Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508061227 PECOS PAC ID: 4789834201 Enrollment ID: I20121018000494 |
| Provider Name | Brian Michalsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548426158 PECOS PAC ID: 8921259300 Enrollment ID: I20121112000448 |
| Provider Name | Karthik Koduru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720241565 PECOS PAC ID: 0244308732 Enrollment ID: I20121116000547 |
| Provider Name | Joseph J. Lesnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861470262 PECOS PAC ID: 5092759456 Enrollment ID: I20121128000610 |
| Provider Name | Fadi M Kara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942519533 PECOS PAC ID: 2264684018 Enrollment ID: I20121130000581 |
| Provider Name | Mussarat J Bukhari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225266422 PECOS PAC ID: 6901058460 Enrollment ID: I20121206000602 |
| Provider Name | Raju M Shanmugam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043448111 PECOS PAC ID: 1850543968 Enrollment ID: I20121218000018 |
| Provider Name | Casey G Shupe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982867446 PECOS PAC ID: 6608029699 Enrollment ID: I20121221000370 |
| Provider Name | Megan M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760730576 PECOS PAC ID: 3779736673 Enrollment ID: I20121228000338 |
| Provider Name | Sarah Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124389671 PECOS PAC ID: 2567615982 Enrollment ID: I20130116000215 |
| Provider Name | Nathan Dennis Norem |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801025473 PECOS PAC ID: 7214197847 Enrollment ID: I20130118000409 |
| Provider Name | Jennifer Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558551119 PECOS PAC ID: 0840368643 Enrollment ID: I20130131000400 |
| Provider Name | Salaheldin Abusin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215266952 PECOS PAC ID: 1951555648 Enrollment ID: I20130205000275 |
| Provider Name | Megan M Wallace |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306192810 PECOS PAC ID: 1254585821 Enrollment ID: I20130206000587 |
| Provider Name | Matthew D Piske |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861657884 PECOS PAC ID: 8022262245 Enrollment ID: I20130215000358 |
| Provider Name | Laura Koch Loner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376714600 PECOS PAC ID: 4183878341 Enrollment ID: I20130218000134 |
| Provider Name | Jimmy Morrison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881782654 PECOS PAC ID: 5193637742 Enrollment ID: I20130219000419 |
| Provider Name | Amy J Buchenau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912149337 PECOS PAC ID: 4183879000 Enrollment ID: I20130226000601 |
| Provider Name | Rena L Stewart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386696391 PECOS PAC ID: 0143227694 Enrollment ID: I20130312000557 |
| Provider Name | Bishara D Baddour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093078388 PECOS PAC ID: 6204071590 Enrollment ID: I20130313000527 |
| Provider Name | Vicki A Uremovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043477391 PECOS PAC ID: 5597900449 Enrollment ID: I20130325000088 |
| Provider Name | Larissa A Piton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760727010 PECOS PAC ID: 7214172873 Enrollment ID: I20130402000296 |
| Provider Name | Laeeq S Shamsuddin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568524312 PECOS PAC ID: 0244322360 Enrollment ID: I20130413000027 |
| Provider Name | David F Saldanha |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750557138 PECOS PAC ID: 8022255405 Enrollment ID: I20130501000532 |
| Provider Name | Mohammed H Sabit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992918577 PECOS PAC ID: 0143467407 Enrollment ID: I20130506000530 |
| Provider Name | Nael Gharbi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578874202 PECOS PAC ID: 3072782515 Enrollment ID: I20130515000373 |
| Provider Name | Rajesh Kakarla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609026467 PECOS PAC ID: 9335319185 Enrollment ID: I20130517000077 |
| Provider Name | Glendon C Burress |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639190200 PECOS PAC ID: 0345480810 Enrollment ID: I20130703000425 |
| Provider Name | Jordan C Tasse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750538260 PECOS PAC ID: 1759521115 Enrollment ID: I20130708000317 |
| Provider Name | Leela Diana Farr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346403482 PECOS PAC ID: 6901046291 Enrollment ID: I20130710000284 |
| Provider Name | Joseph Reses |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356526255 PECOS PAC ID: 6507997913 Enrollment ID: I20130712000415 |
| Provider Name | Kim-doan K Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235371386 PECOS PAC ID: 0840344198 Enrollment ID: I20130715000420 |
| Provider Name | Suhaib Kazmouz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053559559 PECOS PAC ID: 7113079104 Enrollment ID: I20130802000850 |
| Provider Name | Anne Celner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992057251 PECOS PAC ID: 3577705490 Enrollment ID: I20130806000242 |
| Provider Name | Swapna Aradhyula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659688588 PECOS PAC ID: 6709028533 Enrollment ID: I20130807000841 |
| Provider Name | Ishmeet Singh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1336306406 PECOS PAC ID: 9234371709 Enrollment ID: I20130813000278 |
| Provider Name | Ambreen Laeeq |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689881591 PECOS PAC ID: 8729221403 Enrollment ID: I20130828000210 |
| Provider Name | Irene Graziani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043516396 PECOS PAC ID: 2567696727 Enrollment ID: I20131002000286 |
| Provider Name | Elisha J Robinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750584058 PECOS PAC ID: 9032379813 Enrollment ID: I20131003000085 |
| Provider Name | Keith Jeremy Wolfe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245463595 PECOS PAC ID: 3375777410 Enrollment ID: I20131003000585 |
| Provider Name | Eugene K Vortia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972725174 PECOS PAC ID: 2264533124 Enrollment ID: I20131004000145 |
| Provider Name | Hassan George Azar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538504493 PECOS PAC ID: 6204803018 Enrollment ID: I20131111000201 |
| Provider Name | Sushmita N Prathipati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740581776 PECOS PAC ID: 7113153537 Enrollment ID: I20131113000919 |
| Provider Name | Cesar Padua Cube |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699979898 PECOS PAC ID: 9133219652 Enrollment ID: I20131125000318 |
| Provider Name | Julie A Kafka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437380078 PECOS PAC ID: 3971739673 Enrollment ID: I20131203000713 |
| Provider Name | Shani Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659674240 PECOS PAC ID: 3577790906 Enrollment ID: I20131210002085 |
| Provider Name | Derek Brian Wall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518937085 PECOS PAC ID: 1951404326 Enrollment ID: I20140103000374 |
| Provider Name | Michael A Hart |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1558686709 PECOS PAC ID: 8123256625 Enrollment ID: I20140108000386 |
| Provider Name | Baby Than |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033371554 PECOS PAC ID: 9638336878 Enrollment ID: I20140305000076 |
| Provider Name | Kisha L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083045231 PECOS PAC ID: 2769613694 Enrollment ID: I20140318001227 |
| Provider Name | Chris E Mileos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598180135 PECOS PAC ID: 5991936445 Enrollment ID: I20140326000090 |
| Provider Name | Hilary Wagner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093139131 PECOS PAC ID: 0648401877 Enrollment ID: I20140401000302 |
| Provider Name | Sanya Siraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356554075 PECOS PAC ID: 6204966849 Enrollment ID: I20140409002361 |
| Provider Name | Michele Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659701704 PECOS PAC ID: 4284866856 Enrollment ID: I20140414000629 |
| Provider Name | Christopher L. Wistrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700041886 PECOS PAC ID: 2365613221 Enrollment ID: I20140428000631 |
| Provider Name | Jehanzeb Ahmed A Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720066244 PECOS PAC ID: 3072693548 Enrollment ID: I20140502000799 |
| Provider Name | Shazel Gharbi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134449713 PECOS PAC ID: 1557518693 Enrollment ID: I20140506000186 |
| Provider Name | Muhammad Rk Orakzai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033402672 PECOS PAC ID: 1456574276 Enrollment ID: I20140523002143 |
| Provider Name | Brett A Walters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093098329 PECOS PAC ID: 5395968754 Enrollment ID: I20140603002383 |
| Provider Name | Brian P Cone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578859328 PECOS PAC ID: 7113153354 Enrollment ID: I20140618001248 |
| Provider Name | Justin Kelley Spackey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831353788 PECOS PAC ID: 4385770536 Enrollment ID: I20140620001343 |
| Provider Name | Edward J Bok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225061732 PECOS PAC ID: 9638081904 Enrollment ID: I20140630001516 |
| Provider Name | Richard Louis Herrmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598052532 PECOS PAC ID: 0648496000 Enrollment ID: I20140722000803 |
| Provider Name | Anupama Shivaraju |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417133190 PECOS PAC ID: 3870719677 Enrollment ID: I20140731001791 |
| Provider Name | Manuel E Lopez Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255311338 PECOS PAC ID: 9436041092 Enrollment ID: I20140806001840 |
| Provider Name | Biana Kotlyar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023397668 PECOS PAC ID: 1759520687 Enrollment ID: I20140811002725 |
| Provider Name | Olga Geniyevna Kozlova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477997674 PECOS PAC ID: 5991924763 Enrollment ID: I20140910001963 |
| Provider Name | Sara A Mijal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720107261 PECOS PAC ID: 3072732643 Enrollment ID: I20140912000993 |
| Provider Name | Kenyatta J Frazier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023303138 PECOS PAC ID: 7719107473 Enrollment ID: I20140930002163 |
| Provider Name | Ivan Parra-sanchez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922265818 PECOS PAC ID: 1951522093 Enrollment ID: I20141015000604 |
| Provider Name | Benjamin Mathew |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477781466 PECOS PAC ID: 2466506555 Enrollment ID: I20141015001346 |
| Provider Name | Mohammed Iiyas Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417198011 PECOS PAC ID: 7810020567 Enrollment ID: I20141022002314 |
| Provider Name | Heidi M Johns Fielder |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598164469 PECOS PAC ID: 0941422141 Enrollment ID: I20141103001688 |
| Provider Name | Vibhav Bansal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730337569 PECOS PAC ID: 2163680851 Enrollment ID: I20141110002095 |
| Provider Name | Waleed A Abbasi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487941969 PECOS PAC ID: 0345481768 Enrollment ID: I20141113001536 |
| Provider Name | John C Ralphe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811962921 PECOS PAC ID: 6608853056 Enrollment ID: I20141201001579 |
| Provider Name | Elizabeth A Jansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629206644 PECOS PAC ID: 6002138492 Enrollment ID: I20141215001947 |
| Provider Name | Revathi Belur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518133842 PECOS PAC ID: 1951545912 Enrollment ID: I20150105000040 |
| Provider Name | Funminiyi Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588649321 PECOS PAC ID: 8325015126 Enrollment ID: I20150203002342 |
| Provider Name | Nelly Y Amador |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336119064 PECOS PAC ID: 4284656422 Enrollment ID: I20150206000818 |
| Provider Name | Emmanuel A Osagiede |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215024971 PECOS PAC ID: 4688671985 Enrollment ID: I20150209001014 |
| Provider Name | William H Dunn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669447504 PECOS PAC ID: 5991740540 Enrollment ID: I20150211001465 |
| Provider Name | Royland Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740464882 PECOS PAC ID: 3870662125 Enrollment ID: I20150213001247 |
| Provider Name | Armughan Bangash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962679852 PECOS PAC ID: 3375682578 Enrollment ID: I20150313002318 |
| Provider Name | Ronald S Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558476291 PECOS PAC ID: 1759386444 Enrollment ID: I20150317001761 |
| Provider Name | William Staehle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811287105 PECOS PAC ID: 9436476041 Enrollment ID: I20150319001005 |
| Provider Name | Andre Bobo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437299724 PECOS PAC ID: 6507818333 Enrollment ID: I20150323001082 |
| Provider Name | Andrea E Behling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588065353 PECOS PAC ID: 7315264462 Enrollment ID: I20150330000552 |
| Provider Name | Avi E Domnitz Gebet |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619125622 PECOS PAC ID: 0547416398 Enrollment ID: I20150330000730 |
| Provider Name | Karen W Phelan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801871017 PECOS PAC ID: 3375861768 Enrollment ID: I20150415000944 |
| Provider Name | Colette M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164812541 PECOS PAC ID: 6204154529 Enrollment ID: I20150417000853 |
| Provider Name | Michael J Potts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881679090 PECOS PAC ID: 9032437264 Enrollment ID: I20150417001625 |
| Provider Name | Olayinka Akinola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043593049 PECOS PAC ID: 6103145529 Enrollment ID: I20150507000581 |
| Provider Name | Khatija M Vaid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366641714 PECOS PAC ID: 8729308788 Enrollment ID: I20150515000319 |
| Provider Name | Rajyalakshmi Gannu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770600769 PECOS PAC ID: 8628253754 Enrollment ID: I20150515001651 |
| Provider Name | Kyle J Legrand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972820280 PECOS PAC ID: 2961654801 Enrollment ID: I20150519002785 |
| Provider Name | Jason R Soriano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275920969 PECOS PAC ID: 8022338490 Enrollment ID: I20150526002590 |
| Provider Name | Paul R Wucka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215243027 PECOS PAC ID: 8426378753 Enrollment ID: I20150527002345 |
| Provider Name | Binod Khatiwada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023365368 PECOS PAC ID: 2567783442 Enrollment ID: I20150603002569 |
| Provider Name | Jodee B Meddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699934240 PECOS PAC ID: 6406024926 Enrollment ID: I20150608000817 |
| Provider Name | Joseph S Palter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982990487 PECOS PAC ID: 3678894110 Enrollment ID: I20150609001055 |
| Provider Name | George Edward Havelka |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215187695 PECOS PAC ID: 6103147665 Enrollment ID: I20150609001554 |
| Provider Name | Shelby D Rifkin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639166481 PECOS PAC ID: 8123928306 Enrollment ID: I20150609001683 |
| Provider Name | Sreekumar Madassery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063649093 PECOS PAC ID: 5890006852 Enrollment ID: I20150617000423 |
| Provider Name | John Field |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578906624 PECOS PAC ID: 7416268487 Enrollment ID: I20150617000802 |
| Provider Name | Ryan Trombly |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972778603 PECOS PAC ID: 0840368239 Enrollment ID: I20150618000820 |
| Provider Name | David Colombo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164487716 PECOS PAC ID: 0042111072 Enrollment ID: I20150622002174 |
| Provider Name | Andrea D Bowmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811382427 PECOS PAC ID: 6002127537 Enrollment ID: I20150624001373 |
| Provider Name | Hanna J Rakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821476359 PECOS PAC ID: 9436460904 Enrollment ID: I20150624002769 |
| Provider Name | Abdul Shirazi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104117423 PECOS PAC ID: 3779895784 Enrollment ID: I20150706000980 |
| Provider Name | Aaron Patick Frye |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619158136 PECOS PAC ID: 0345552154 Enrollment ID: I20150708001655 |
| Provider Name | Luan Elezi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659635092 PECOS PAC ID: 5597077222 Enrollment ID: I20150708002497 |
| Provider Name | Sandra L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710365176 PECOS PAC ID: 7315250412 Enrollment ID: I20150720000066 |
| Provider Name | Joseph D Verzwyvelt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801186127 PECOS PAC ID: 6800036914 Enrollment ID: I20150720000720 |
| Provider Name | Jillian R Kaskavage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063788149 PECOS PAC ID: 7810147790 Enrollment ID: I20150720001166 |
| Provider Name | Osmanuddin S Ahmed |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790917557 PECOS PAC ID: 6305157199 Enrollment ID: I20150721002462 |
| Provider Name | Meghann Victoria Houck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558658633 PECOS PAC ID: 8123252640 Enrollment ID: I20150723009653 |
| Provider Name | Anand K Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326302910 PECOS PAC ID: 6103130810 Enrollment ID: I20150807014480 |
| Provider Name | Christina Tragos |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720234743 PECOS PAC ID: 7315167228 Enrollment ID: I20150812006306 |
| Provider Name | Stephen W Pichler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952676280 PECOS PAC ID: 3870808959 Enrollment ID: I20150819006483 |
| Provider Name | Arvind Mahatme |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104040922 PECOS PAC ID: 4789779422 Enrollment ID: I20150819009036 |
| Provider Name | Rashad J Belin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508150418 PECOS PAC ID: 0648585638 Enrollment ID: I20150820009964 |
| Provider Name | John A Pakiela |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265402036 PECOS PAC ID: 4082684592 Enrollment ID: I20150821013025 |
| Provider Name | Tamila R Grant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114226578 PECOS PAC ID: 1355656125 Enrollment ID: I20150824000824 |
| Provider Name | Syed A Jafri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174874291 PECOS PAC ID: 4789990946 Enrollment ID: I20150902001581 |
| Provider Name | Asif Ali Khan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386805059 PECOS PAC ID: 7416101068 Enrollment ID: I20150910000017 |
| Provider Name | Robert A Marshall |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1063438570 PECOS PAC ID: 1850604224 Enrollment ID: I20150923002336 |
| Provider Name | Jeena J Padath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801152111 PECOS PAC ID: 5092023713 Enrollment ID: I20150930000760 |
| Provider Name | James J Macneal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366692287 PECOS PAC ID: 8921136458 Enrollment ID: I20151012001488 |
| Provider Name | Beth A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386011252 PECOS PAC ID: 5395054274 Enrollment ID: I20151015000559 |
| Provider Name | Saeed Chowdhry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780837922 PECOS PAC ID: 8325190416 Enrollment ID: I20151104001031 |
| Provider Name | Karl Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477564094 PECOS PAC ID: 4688867930 Enrollment ID: I20151105000873 |
| Provider Name | Amanda Elizabeth Patz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427429240 PECOS PAC ID: 8022328772 Enrollment ID: I20151109000841 |
| Provider Name | Jessica Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538538079 PECOS PAC ID: 4688984131 Enrollment ID: I20151112001706 |
| Provider Name | Ryan J Holmbeck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629324538 PECOS PAC ID: 8628387701 Enrollment ID: I20151125001754 |
| Provider Name | Shanti P Subbarao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487910295 PECOS PAC ID: 9638484850 Enrollment ID: I20151130001274 |
| Provider Name | Summer L Schuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154726511 PECOS PAC ID: 1052611795 Enrollment ID: I20151201002957 |
| Provider Name | Igal Breitman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881973014 PECOS PAC ID: 7719121847 Enrollment ID: I20151217002288 |
| Provider Name | Matheau Julien |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20160106000390 |
| Provider Name | Elise C Tabary Remsen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427423458 PECOS PAC ID: 8325340391 Enrollment ID: I20160107001756 |
| Provider Name | Jermaine K White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306133640 PECOS PAC ID: 7618279225 Enrollment ID: I20160113000825 |
| Provider Name | Ediri J Brume |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386941508 PECOS PAC ID: 5597906370 Enrollment ID: I20160125000362 |
| Provider Name | Gayatri Sonti |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295905107 PECOS PAC ID: 6204981822 Enrollment ID: I20160127002715 |
| Provider Name | Sanjay Soni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659509305 PECOS PAC ID: 6204053507 Enrollment ID: I20160129001703 |
| Provider Name | Emilio Claudio Calabrese |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063852192 PECOS PAC ID: 1557502622 Enrollment ID: I20160218002553 |
| Provider Name | Ali Amin Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326278417 PECOS PAC ID: 9133372253 Enrollment ID: I20160229002313 |
| Provider Name | Evelyn Oteng-bediako |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1790825040 PECOS PAC ID: 2264523810 Enrollment ID: I20160308002716 |
| Provider Name | Brian A Aronson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215928064 PECOS PAC ID: 1355313057 Enrollment ID: I20160318002015 |
| Provider Name | Philip A Faraci |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851391593 PECOS PAC ID: 2365413648 Enrollment ID: I20160321001301 |
| Provider Name | Victoria Z Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326408436 PECOS PAC ID: 0042517898 Enrollment ID: I20160323000287 |
| Provider Name | Manjusha Anna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972890994 PECOS PAC ID: 1658696612 Enrollment ID: I20160325000773 |
| Provider Name | Kin Wing Au |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497793814 PECOS PAC ID: 4082698535 Enrollment ID: I20160408000361 |
| Provider Name | Rotimi O Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144537051 PECOS PAC ID: 8628226016 Enrollment ID: I20160408000763 |
| Provider Name | Neeraj B Chepuri |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740231364 PECOS PAC ID: 4880506047 Enrollment ID: I20160413001796 |
| Provider Name | Lydia J Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871954636 PECOS PAC ID: 2567761737 Enrollment ID: I20160422001346 |
| Provider Name | Emily Gawaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528429958 PECOS PAC ID: 2163711128 Enrollment ID: I20160513000814 |
| Provider Name | Bilal A Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568487650 PECOS PAC ID: 5092728592 Enrollment ID: I20160517001363 |
| Provider Name | Allyson A Askew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780618025 PECOS PAC ID: 5597865683 Enrollment ID: I20160520001663 |
| Provider Name | Leonard Dasilva |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902873185 PECOS PAC ID: 9830096718 Enrollment ID: I20160608001709 |
| Provider Name | Mohammad Mahdi Paryavi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336529130 PECOS PAC ID: 0648560342 Enrollment ID: I20160609000033 |
| Provider Name | Shlomo Noskow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720401474 PECOS PAC ID: 9436449139 Enrollment ID: I20160609000146 |
| Provider Name | John M Paik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447699368 PECOS PAC ID: 5799080479 Enrollment ID: I20160610001504 |
| Provider Name | Sandra Saldana Cervantes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487855854 PECOS PAC ID: 9335454677 Enrollment ID: I20160613000501 |
| Provider Name | Adnan Iqbal Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184658692 PECOS PAC ID: 4789588377 Enrollment ID: I20160624000015 |
| Provider Name | Addie B Spier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336373406 PECOS PAC ID: 4789836263 Enrollment ID: I20160705000746 |
| Provider Name | Semere Tedla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528403805 PECOS PAC ID: 1658671920 Enrollment ID: I20160706001202 |
| Provider Name | Hemant Sindhu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790057123 PECOS PAC ID: 6901113158 Enrollment ID: I20160712000181 |
| Provider Name | Keenan C Wanamaker |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972508968 PECOS PAC ID: 1658364336 Enrollment ID: I20160715000124 |
| Provider Name | Mohammad A Ishaq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336585140 PECOS PAC ID: 6406157684 Enrollment ID: I20160718000381 |
| Provider Name | Kusuma Nio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609166776 PECOS PAC ID: 3476846981 Enrollment ID: I20160721000316 |
| Provider Name | Susan Vahebi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578805990 PECOS PAC ID: 3072806264 Enrollment ID: I20160726001478 |
| Provider Name | Kanwal S Chaudhry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336263201 PECOS PAC ID: 9537256243 Enrollment ID: I20160801002022 |
| Provider Name | Matthew E Smetana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487093795 PECOS PAC ID: 4284955139 Enrollment ID: I20160801002071 |
| Provider Name | Ashraf A Baeshu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376862540 PECOS PAC ID: 4486892692 Enrollment ID: I20160802002279 |
| Provider Name | Patricia M Panzica |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093827222 PECOS PAC ID: 5698069300 Enrollment ID: I20160803001377 |
| Provider Name | John A Hart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073625208 PECOS PAC ID: 4284928904 Enrollment ID: I20160803001548 |
| Provider Name | Pedram Rezai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265727051 PECOS PAC ID: 3577857564 Enrollment ID: I20160815001411 |
| Provider Name | Steven T Clark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306954615 PECOS PAC ID: 9032111273 Enrollment ID: I20160815001641 |
| Provider Name | Michal P Zlowodzki |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467645390 PECOS PAC ID: 3870767247 Enrollment ID: I20160815001739 |
| Provider Name | Syed A Masood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548471204 PECOS PAC ID: 0840367843 Enrollment ID: I20160815002846 |
| Provider Name | Kate Hannah Cole Stankiewicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487950010 PECOS PAC ID: 1557593787 Enrollment ID: I20160817002161 |
| Provider Name | Maryam Hamidi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477840320 PECOS PAC ID: 9335448661 Enrollment ID: I20160822000890 |
| Provider Name | Laura G Padron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518318047 PECOS PAC ID: 1052606548 Enrollment ID: I20160823001704 |
| Provider Name | Bryan R Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821353889 PECOS PAC ID: 3678871886 Enrollment ID: I20160824002662 |
| Provider Name | Oormila P Kovilam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659307189 PECOS PAC ID: 7113970195 Enrollment ID: I20160825002207 |
| Provider Name | Lindsay Fairfax |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952512980 PECOS PAC ID: 7113157124 Enrollment ID: I20160826000199 |
| Provider Name | Brenda L Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417209768 PECOS PAC ID: 5496040438 Enrollment ID: I20160830000599 |
| Provider Name | William Zelkovich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982915302 PECOS PAC ID: 4385939347 Enrollment ID: I20160830001052 |
| Provider Name | Sherazuddin Qureshi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043453806 PECOS PAC ID: 5092001032 Enrollment ID: I20160831000755 |
| Provider Name | Gail I Schuman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750508305 PECOS PAC ID: 9133213853 Enrollment ID: I20160831001713 |
| Provider Name | Paul Bennett Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477710424 PECOS PAC ID: 0446560056 Enrollment ID: I20160831002783 |
| Provider Name | Selwyn E Mahon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992816169 PECOS PAC ID: 4385628692 Enrollment ID: I20160901001172 |
| Provider Name | Lindsay Bustle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750836300 PECOS PAC ID: 8325334170 Enrollment ID: I20160906000525 |
| Provider Name | David A Ajibade |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407050248 PECOS PAC ID: 4587819958 Enrollment ID: I20160906000905 |
| Provider Name | Mitra Javandel Chapman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326369521 PECOS PAC ID: 6901192079 Enrollment ID: I20160916000045 |
| Provider Name | Rebecca J Hartman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528513124 PECOS PAC ID: 3072800176 Enrollment ID: I20160916001226 |
| Provider Name | Nicole M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295188803 PECOS PAC ID: 0547557480 Enrollment ID: I20160921001166 |
| Provider Name | Alyssa Nicole Humphrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609002179 PECOS PAC ID: 7416009972 Enrollment ID: I20160930000518 |
| Provider Name | Donald Arms |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548233661 PECOS PAC ID: 1052321247 Enrollment ID: I20161004002338 |
| Provider Name | James Freeman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821035684 PECOS PAC ID: 5799676607 Enrollment ID: I20161004002521 |
| Provider Name | Suraj Bopanna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740433291 PECOS PAC ID: 9436390325 Enrollment ID: I20161005000384 |
| Provider Name | Shankar Rajeswaran |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710113253 PECOS PAC ID: 8729376728 Enrollment ID: I20161006001337 |
| Provider Name | Youssef Elias |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972828291 PECOS PAC ID: 8123327558 Enrollment ID: I20161007000420 |
| Provider Name | Elias Woldegabriel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316252265 PECOS PAC ID: 1658507330 Enrollment ID: I20161007001697 |
| Provider Name | Drake Rothstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700800992 PECOS PAC ID: 7810994514 Enrollment ID: I20161011000107 |
| Provider Name | Joan K Zawin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205912037 PECOS PAC ID: 9739171109 Enrollment ID: I20161012001580 |
| Provider Name | Kimberly G Remedios-smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013323096 PECOS PAC ID: 0749408219 Enrollment ID: I20161017000005 |
| Provider Name | Ali Mahdavi |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1578628350 PECOS PAC ID: 3779517834 Enrollment ID: I20161018001694 |
| Provider Name | Aisha Shareef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669632964 PECOS PAC ID: 9931236007 Enrollment ID: I20161024000712 |
| Provider Name | Diana L Kenyon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174772594 PECOS PAC ID: 7012218001 Enrollment ID: I20161101000326 |
| Provider Name | Shruti A Fadia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669634770 PECOS PAC ID: 4688893969 Enrollment ID: I20161101000864 |
| Provider Name | Elizabeth Anne Pickvance |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508836107 PECOS PAC ID: 9537166509 Enrollment ID: I20161102000726 |
| Provider Name | Zahra Mathura |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053575860 PECOS PAC ID: 4183867286 Enrollment ID: I20161109002342 |
| Provider Name | Sargine A Brutus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417999285 PECOS PAC ID: 5294767455 Enrollment ID: I20161117001289 |
| Provider Name | Karen J Kotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578921599 PECOS PAC ID: 3971882739 Enrollment ID: I20161118000005 |
| Provider Name | Muhammad Salim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205042579 PECOS PAC ID: 5092831164 Enrollment ID: I20161118000953 |
| Provider Name | Moira F Schieke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245538636 PECOS PAC ID: 0749417970 Enrollment ID: I20161128000719 |
| Provider Name | Meera Singavi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891037214 PECOS PAC ID: 5496059560 Enrollment ID: I20161202001778 |
| Provider Name | Vishrut P Naik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063730976 PECOS PAC ID: 7214243104 Enrollment ID: I20161212002396 |
| Provider Name | Mickey Cho |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811002348 PECOS PAC ID: 4587680590 Enrollment ID: I20161214000560 |
| Provider Name | Daniel Eggeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568450 PECOS PAC ID: 5799085544 Enrollment ID: I20161216000171 |
| Provider Name | Eric Steinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316933054 PECOS PAC ID: 9436145752 Enrollment ID: I20170112000247 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20170130000865 |
| Provider Name | Shalom Butel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932590148 PECOS PAC ID: 0042502460 Enrollment ID: I20170130002998 |
| Provider Name | Chance Henderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851503544 PECOS PAC ID: 7517105893 Enrollment ID: I20170208000563 |
| Provider Name | Angela Hadie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073941605 PECOS PAC ID: 7911134523 Enrollment ID: I20170215001049 |
| Provider Name | Nicholas D Poulos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669446894 PECOS PAC ID: 2769454693 Enrollment ID: I20170216001604 |
| Provider Name | Harigovinda Reddy Challa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508942319 PECOS PAC ID: 0042288698 Enrollment ID: I20170217001556 |
| Provider Name | Shalako L Denison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104111772 PECOS PAC ID: 5991010472 Enrollment ID: I20170223001989 |
| Provider Name | Matthew J Kaminsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316292386 PECOS PAC ID: 4688958945 Enrollment ID: I20170306000244 |
| Provider Name | Giuseppe Gioia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932188729 PECOS PAC ID: 6103894514 Enrollment ID: I20170306001974 |
| Provider Name | Margaret Soforenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912984402 PECOS PAC ID: 1759435894 Enrollment ID: I20170316002223 |
| Provider Name | Eva K Drinka |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114180296 PECOS PAC ID: 6608096953 Enrollment ID: I20170316002548 |
| Provider Name | Luann Ostrander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982144762 PECOS PAC ID: 9436434008 Enrollment ID: I20170322000312 |
| Provider Name | Ashley A. Crull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093255929 PECOS PAC ID: 5597040139 Enrollment ID: I20170323000320 |
| Provider Name | Lauren E Poteet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063961985 PECOS PAC ID: 1355627415 Enrollment ID: I20170404002605 |
| Provider Name | Hussam S Suradi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992962450 PECOS PAC ID: 1254557887 Enrollment ID: I20170405001391 |
| Provider Name | Christina Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063953016 PECOS PAC ID: 3870879620 Enrollment ID: I20170411001345 |
| Provider Name | Kamela A Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407387020 PECOS PAC ID: 9436435898 Enrollment ID: I20170419001524 |
| Provider Name | Michael A Corbin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548365463 PECOS PAC ID: 4082518410 Enrollment ID: I20170426001497 |
| Provider Name | Joshua Zimmerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053653634 PECOS PAC ID: 5496050346 Enrollment ID: I20170511002788 |
| Provider Name | Adam Matthew Starr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215101373 PECOS PAC ID: 8921310509 Enrollment ID: I20170515001444 |
| Provider Name | Kristin Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366882862 PECOS PAC ID: 0446493167 Enrollment ID: I20170518001484 |
| Provider Name | Sanjay Subramanian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922071836 PECOS PAC ID: 2466414446 Enrollment ID: I20170525001949 |
| Provider Name | Joseph Thomas Gower |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730152562 PECOS PAC ID: 6507133139 Enrollment ID: I20170601001473 |
| Provider Name | Kyle E Pfeifer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932494986 PECOS PAC ID: 5496054934 Enrollment ID: I20170605000978 |
| Provider Name | Stuart I Myers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346357878 PECOS PAC ID: 6901807890 Enrollment ID: I20170606000760 |
| Provider Name | Sean Patrick Dyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881030963 PECOS PAC ID: 2668766916 Enrollment ID: I20170621002320 |
| Provider Name | Rishi Chaudhuri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376891028 PECOS PAC ID: 1759659287 Enrollment ID: I20170623002563 |
| Provider Name | Kristin E Clemons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376530618 PECOS PAC ID: 5698830115 Enrollment ID: I20170626000086 |
| Provider Name | Steven Paul Hanovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811099419 PECOS PAC ID: 9739145582 Enrollment ID: I20170626000746 |
| Provider Name | Shahid Shekhani |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1649278870 PECOS PAC ID: 4688652811 Enrollment ID: I20170627000056 |
| Provider Name | Fadi Aldaas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417245499 PECOS PAC ID: 5597988048 Enrollment ID: I20170628003371 |
| Provider Name | Brett Lewellyn |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1629229208 PECOS PAC ID: 8325204456 Enrollment ID: I20170703000692 |
| Provider Name | Muhammad Bangash |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245542901 PECOS PAC ID: 2163602905 Enrollment ID: I20170707001150 |
| Provider Name | Joyce E Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427352277 PECOS PAC ID: 8426940164 Enrollment ID: I20170711002414 |
| Provider Name | Lifang Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023384377 PECOS PAC ID: 1052540283 Enrollment ID: I20170726002268 |
| Provider Name | Nicole Marie Gentile |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417241944 PECOS PAC ID: 0648427492 Enrollment ID: I20170726004183 |
| Provider Name | Gurdeep Atwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710307376 PECOS PAC ID: 4385944461 Enrollment ID: I20170802002189 |
| Provider Name | Alhang Konyak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225266992 PECOS PAC ID: 4082897012 Enrollment ID: I20170804001897 |
| Provider Name | Aimen E Ben Ayad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003231267 PECOS PAC ID: 2264703420 Enrollment ID: I20170807000328 |
| Provider Name | Jennifer J Gibson Chambers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689017220 PECOS PAC ID: 4789994633 Enrollment ID: I20170807001256 |
| Provider Name | Andrea K Mehlbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417483322 PECOS PAC ID: 2365713492 Enrollment ID: I20170808000061 |
| Provider Name | Matthew Doscher |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194012781 PECOS PAC ID: 6406127554 Enrollment ID: I20170808000817 |
| Provider Name | Eric S Toone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366857906 PECOS PAC ID: 2264736149 Enrollment ID: I20170808003456 |
| Provider Name | Waleed Mansour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043628589 PECOS PAC ID: 1557661980 Enrollment ID: I20170814000395 |
| Provider Name | Ryan M Decoons |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275693749 PECOS PAC ID: 1456594837 Enrollment ID: I20170817003780 |
| Provider Name | Anwar Abdul-hadi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710291992 PECOS PAC ID: 1456623586 Enrollment ID: I20170823003629 |
| Provider Name | Brian S Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497894562 PECOS PAC ID: 4183777014 Enrollment ID: I20170824001995 |
| Provider Name | Thomas A Mcfarland |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093783250 PECOS PAC ID: 5092896530 Enrollment ID: I20170824002456 |
| Provider Name | Anthony F Rizzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033558283 PECOS PAC ID: 4880998962 Enrollment ID: I20170828000134 |
| Provider Name | Taiwo F. Durowade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427391168 PECOS PAC ID: 4981977303 Enrollment ID: I20170907000996 |
| Provider Name | Christopher W Grant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114212040 PECOS PAC ID: 9931409265 Enrollment ID: I20170908001565 |
| Provider Name | Germaine R Fritz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295730612 PECOS PAC ID: 9638166598 Enrollment ID: I20170908002287 |
| Provider Name | Karen E Ries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255854204 PECOS PAC ID: 0042583239 Enrollment ID: I20170911001224 |
| Provider Name | Terrance R Grant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275822090 PECOS PAC ID: 2365715463 Enrollment ID: I20170913000008 |
| Provider Name | Wondwossen M Zenebe |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1225472681 PECOS PAC ID: 0143593103 Enrollment ID: I20170913002888 |
| Provider Name | Lorraine Choi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215166897 PECOS PAC ID: 8022205756 Enrollment ID: I20170913003208 |
| Provider Name | Neil P Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376821082 PECOS PAC ID: 3274806245 Enrollment ID: I20170913003245 |
| Provider Name | Roshan Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316213960 PECOS PAC ID: 3173826971 Enrollment ID: I20170916000209 |
| Provider Name | Krishna Mohan Rayapudi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467688093 PECOS PAC ID: 8123163722 Enrollment ID: I20170918001791 |
| Provider Name | Chetan Narasanna Gowda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245402080 PECOS PAC ID: 3779850318 Enrollment ID: I20170925003443 |
| Provider Name | Farooq Shahzad |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1104018225 PECOS PAC ID: 4981877743 Enrollment ID: I20170926004071 |
| Provider Name | Ali Said Nouwairi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568424505 PECOS PAC ID: 0143217018 Enrollment ID: I20171004000788 |
| Provider Name | Hadyn M Hollister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588957542 PECOS PAC ID: 5890093892 Enrollment ID: I20171006002452 |
| Provider Name | Paul E Seifert |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609839406 PECOS PAC ID: 1254329592 Enrollment ID: I20171009002361 |
| Provider Name | Ryan Maxwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659511202 PECOS PAC ID: 5395900831 Enrollment ID: I20171009002612 |
| Provider Name | Thea P Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609018969 PECOS PAC ID: 1456584242 Enrollment ID: I20171016000062 |
| Provider Name | Allison Lindell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619395878 PECOS PAC ID: 1456574888 Enrollment ID: I20171016003503 |
| Provider Name | Montoya K Taylor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558523464 PECOS PAC ID: 8426297375 Enrollment ID: I20171020002443 |
| Provider Name | Allison M Parsons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487193439 PECOS PAC ID: 6608142260 Enrollment ID: I20171026000196 |
| Provider Name | Kenneth M Wolnak |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982744678 PECOS PAC ID: 0244217388 Enrollment ID: I20171026002699 |
| Provider Name | Jamila Danice Goldsmith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750646550 PECOS PAC ID: 8022313071 Enrollment ID: I20171101000560 |
| Provider Name | John H Braxton |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073568655 PECOS PAC ID: 0648214320 Enrollment ID: I20171102001225 |
| Provider Name | Rupa N Baro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851706402 PECOS PAC ID: 8729344908 Enrollment ID: I20171103000189 |
| Provider Name | Nikita Tihonov |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215128194 PECOS PAC ID: 6002087129 Enrollment ID: I20171103001060 |
| Provider Name | Josephine R Fanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497116057 PECOS PAC ID: 4688746522 Enrollment ID: I20171104000253 |
| Provider Name | Narongsak Boonswang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821015652 PECOS PAC ID: 9739184169 Enrollment ID: I20171108001730 |
| Provider Name | Omar M El-sheikh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760681225 PECOS PAC ID: 6901030097 Enrollment ID: I20171109000006 |
| Provider Name | Brandon D Frye |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669621785 PECOS PAC ID: 1850608894 Enrollment ID: I20171109003554 |
| Provider Name | Anna Maria Alicia De Costa |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407261522 PECOS PAC ID: 4880815307 Enrollment ID: I20171110001895 |
| Provider Name | Jagdeep Singh Sodhi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255532347 PECOS PAC ID: 7810182359 Enrollment ID: I20171129002163 |
| Provider Name | Jennifer L Boomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861901316 PECOS PAC ID: 6204193204 Enrollment ID: I20171129002382 |
| Provider Name | Dennis D. Magdadaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074753 PECOS PAC ID: 3375800162 Enrollment ID: I20171204001331 |
| Provider Name | Ladouglas Suber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265788483 PECOS PAC ID: 0446517239 Enrollment ID: I20171204001424 |
| Provider Name | Jonathan Bean |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356583413 PECOS PAC ID: 9133439177 Enrollment ID: I20171218000224 |
| Provider Name | Nerine T Vincent |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174899967 PECOS PAC ID: 1557590908 Enrollment ID: I20171219000921 |
| Provider Name | Joanne May Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255431128 PECOS PAC ID: 6608874870 Enrollment ID: I20171219002396 |
| Provider Name | Fikisha Latoya Warden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679701395 PECOS PAC ID: 9739338351 Enrollment ID: I20171220002273 |
| Provider Name | Shami Goyal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992931620 PECOS PAC ID: 3577710854 Enrollment ID: I20171226002064 |
| Provider Name | Yaqoob Mujtaba Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801200456 PECOS PAC ID: 9133487952 Enrollment ID: I20171227000534 |
| Provider Name | Andrea P Rossow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659632917 PECOS PAC ID: 9234431123 Enrollment ID: I20171227000726 |
| Provider Name | Yousuf Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881957611 PECOS PAC ID: 2668610304 Enrollment ID: I20171228001980 |
| Provider Name | Carlos F Sanchez Glanville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336395904 PECOS PAC ID: 3678853470 Enrollment ID: I20180119002289 |
| Provider Name | Christopher Tomaino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558594960 PECOS PAC ID: 1658661244 Enrollment ID: I20180227000087 |
| Provider Name | Patrick J Pollock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871520296 PECOS PAC ID: 0042535486 Enrollment ID: I20180227000350 |
| Provider Name | James C Spann |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134209273 PECOS PAC ID: 1557363934 Enrollment ID: I20180228000082 |
| Provider Name | Amanda L Halvorson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891294195 PECOS PAC ID: 4082975032 Enrollment ID: I20180308000009 |
| Provider Name | Richard Rezko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134489693 PECOS PAC ID: 0941446835 Enrollment ID: I20180314000377 |
| Provider Name | Erika J Oltmanns |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063914760 PECOS PAC ID: 0648533646 Enrollment ID: I20180404000737 |
| Provider Name | Irina Dimitrova |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1003847237 PECOS PAC ID: 8527082999 Enrollment ID: I20180419002099 |
| Provider Name | Rachel S Bercovitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932112505 PECOS PAC ID: 6709932650 Enrollment ID: I20180423000014 |
| Provider Name | Tareq Kass-hout |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144513359 PECOS PAC ID: 4880910512 Enrollment ID: I20180424000154 |
| Provider Name | Nicole M Warmac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821591421 PECOS PAC ID: 6406110550 Enrollment ID: I20180426000752 |
| Provider Name | Stephanie Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508368309 PECOS PAC ID: 1557625324 Enrollment ID: I20180502000984 |
| Provider Name | Brian J Mason |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346248028 PECOS PAC ID: 8224187885 Enrollment ID: I20180509000883 |
| Provider Name | Clarke Morton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497789515 PECOS PAC ID: 0345246443 Enrollment ID: I20180601000427 |
| Provider Name | Robert Kenney Needleman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790190221 PECOS PAC ID: 3971897612 Enrollment ID: I20180614002936 |
| Provider Name | Lori Moroz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750870291 PECOS PAC ID: 7012262868 Enrollment ID: I20180619001208 |
| Provider Name | Andrea E Romano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164704201 PECOS PAC ID: 0547404949 Enrollment ID: I20180626001777 |
| Provider Name | Kenneth Laput |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184138042 PECOS PAC ID: 8628339496 Enrollment ID: I20180703000097 |
| Provider Name | Jaclyn Weidner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669969275 PECOS PAC ID: 9032465927 Enrollment ID: I20180706002159 |
| Provider Name | Abdoulie Njie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164836433 PECOS PAC ID: 7517251796 Enrollment ID: I20180719002814 |
| Provider Name | Velisa J Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366810632 PECOS PAC ID: 5698083343 Enrollment ID: I20180721000109 |
| Provider Name | Paras Pandya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295706802 PECOS PAC ID: 7416982657 Enrollment ID: I20180723001803 |
| Provider Name | Carmen Alcala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639583560 PECOS PAC ID: 8325343460 Enrollment ID: I20180724000857 |
| Provider Name | Krzysztof Malewicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609383496 PECOS PAC ID: 1052669652 Enrollment ID: I20180730001138 |
| Provider Name | Pratixa Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891210647 PECOS PAC ID: 0840548053 Enrollment ID: I20180803002467 |
| Provider Name | Anastasios Konstantakos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902892110 PECOS PAC ID: 4082614854 Enrollment ID: I20180809004146 |
| Provider Name | Catrina Patrice Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457766677 PECOS PAC ID: 6608097894 Enrollment ID: I20180810002492 |
| Provider Name | Stephanie Birmingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023508769 PECOS PAC ID: 6305194044 Enrollment ID: I20180813001107 |
| Provider Name | Molly Grosvenor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336634179 PECOS PAC ID: 5294084927 Enrollment ID: I20180814001298 |
| Provider Name | David Benjamin Kaplan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982040986 PECOS PAC ID: 5395987697 Enrollment ID: I20180816000422 |
| Provider Name | Nasser Razack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225141328 PECOS PAC ID: 3375574668 Enrollment ID: I20180817002251 |
| Provider Name | Janese Laster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679839047 PECOS PAC ID: 4486903895 Enrollment ID: I20180817002494 |
| Provider Name | Lindsay N Satterlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861917643 PECOS PAC ID: 6507115722 Enrollment ID: I20180822000447 |
| Provider Name | Muamer Mulasmajic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326526716 PECOS PAC ID: 5890044903 Enrollment ID: I20180823000915 |
| Provider Name | Sunnan Moinuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497140727 PECOS PAC ID: 0143524199 Enrollment ID: I20180828003683 |
| Provider Name | Brandon J Strawn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609294701 PECOS PAC ID: 7214287903 Enrollment ID: I20180829004056 |
| Provider Name | Robert Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720407430 PECOS PAC ID: 6406144989 Enrollment ID: I20180830000902 |
| Provider Name | C. Jonathan David Foster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598052748 PECOS PAC ID: 0143598276 Enrollment ID: I20180830002397 |
| Provider Name | Sandeep Mahajan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700142395 PECOS PAC ID: 2567746050 Enrollment ID: I20180904002801 |
| Provider Name | Victor J Weiss |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619028768 PECOS PAC ID: 2961564588 Enrollment ID: I20180906001432 |
| Provider Name | Nilam B Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104113091 PECOS PAC ID: 2365672409 Enrollment ID: I20180913002766 |
| Provider Name | Atiq U Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376022350 PECOS PAC ID: 0840541264 Enrollment ID: I20180925001543 |
| Provider Name | Ammar Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336526524 PECOS PAC ID: 4587979034 Enrollment ID: I20180926003473 |
| Provider Name | Donald A Girard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326008509 PECOS PAC ID: 1052215050 Enrollment ID: I20180927001187 |
| Provider Name | Zuhair Elzimmili |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679013692 PECOS PAC ID: 9537420138 Enrollment ID: I20181008000007 |
| Provider Name | Andrew D Tannenbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972867315 PECOS PAC ID: 4981836897 Enrollment ID: I20181017001453 |
| Provider Name | Mayank S Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699162099 PECOS PAC ID: 8325390446 Enrollment ID: I20181017002308 |
| Provider Name | Shabnam Zarrabi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346566114 PECOS PAC ID: 7214234566 Enrollment ID: I20181018001355 |
| Provider Name | Carl L Christie |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1023202769 PECOS PAC ID: 9739247115 Enrollment ID: I20181029000867 |
| Provider Name | Adam M. Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780080846 PECOS PAC ID: 4284958166 Enrollment ID: I20181101000748 |
| Provider Name | Lawrence G Lareau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174522999 PECOS PAC ID: 8224193149 Enrollment ID: I20181102001663 |
| Provider Name | Christine Lenox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306211198 PECOS PAC ID: 7911250188 Enrollment ID: I20181106000403 |
| Provider Name | David M Francis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003299942 PECOS PAC ID: 6608166830 Enrollment ID: I20181109001577 |
| Provider Name | Seema C Garg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356369235 PECOS PAC ID: 5890779094 Enrollment ID: I20181112000974 |
| Provider Name | Kristina Nichole Hester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609133180 PECOS PAC ID: 7911201330 Enrollment ID: I20181113000759 |
| Provider Name | Kent Choung Choi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184618456 PECOS PAC ID: 5991724833 Enrollment ID: I20181114001238 |
| Provider Name | Laura S Chun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407260755 PECOS PAC ID: 7810282787 Enrollment ID: I20181115000699 |
| Provider Name | Altaf Dawood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295034759 PECOS PAC ID: 9739307778 Enrollment ID: I20181121000317 |
| Provider Name | Ernest Henry Sutton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609130327 PECOS PAC ID: 0749599884 Enrollment ID: I20181126000518 |
| Provider Name | Sarah R Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134603095 PECOS PAC ID: 8820332166 Enrollment ID: I20181127003409 |
| Provider Name | Andrew Degnan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801152004 PECOS PAC ID: 4385919588 Enrollment ID: I20181128000557 |
| Provider Name | Shadi F Obeidat |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962616565 PECOS PAC ID: 0345418828 Enrollment ID: I20181128000779 |
| Provider Name | Emily N Eckerstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467904789 PECOS PAC ID: 8921383894 Enrollment ID: I20181128000855 |
| Provider Name | Donald R Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609090026 PECOS PAC ID: 3577654938 Enrollment ID: I20181128002318 |
| Provider Name | Kristi Amanda Bogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871811141 PECOS PAC ID: 7517233372 Enrollment ID: I20181129000448 |
| Provider Name | Laquisha M Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518433564 PECOS PAC ID: 7416291455 Enrollment ID: I20181203002063 |
| Provider Name | Erin A Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720224637 PECOS PAC ID: 6103957535 Enrollment ID: I20181207000221 |
| Provider Name | Michelle D Harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477038743 PECOS PAC ID: 3870837446 Enrollment ID: I20181208000207 |
| Provider Name | Marian M Tripp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316334287 PECOS PAC ID: 4385944529 Enrollment ID: I20181210003043 |
| Provider Name | Chelsey Lesniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518434463 PECOS PAC ID: 1759626161 Enrollment ID: I20181212003361 |
| Provider Name | Blessing Otoabasi Godwin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538245618 PECOS PAC ID: 7719080456 Enrollment ID: I20181227001809 |
| Provider Name | David L Junkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902285323 PECOS PAC ID: 4486966595 Enrollment ID: I20181231000269 |
| Provider Name | Benjamin D Lemoine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497071872 PECOS PAC ID: 4587963228 Enrollment ID: I20181231001481 |
| Provider Name | Chelsea Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346716693 PECOS PAC ID: 2062758246 Enrollment ID: I20190109000165 |
| Provider Name | Jagpal S Sahota |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083712202 PECOS PAC ID: 1456359611 Enrollment ID: I20190116000014 |
| Provider Name | Dana Elsherif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013270024 PECOS PAC ID: 5698081321 Enrollment ID: I20190116000214 |
| Provider Name | Fateema T Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154620680 PECOS PAC ID: 3577836022 Enrollment ID: I20190117001052 |
| Provider Name | Amy Lask |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285103002 PECOS PAC ID: 1951648070 Enrollment ID: I20190128003498 |
| Provider Name | Marvin Antonio Duque |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659520823 PECOS PAC ID: 0749337368 Enrollment ID: I20190128003509 |
| Provider Name | Nimarta Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073892253 PECOS PAC ID: 0648573915 Enrollment ID: I20190130000883 |
| Provider Name | Constance Blaisdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588135529 PECOS PAC ID: 2860730199 Enrollment ID: I20190212003026 |
| Provider Name | Syed Shan Zamir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093761926 PECOS PAC ID: 1759390099 Enrollment ID: I20190212003164 |
| Provider Name | Vevek Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063738243 PECOS PAC ID: 2264725332 Enrollment ID: I20190218001196 |
| Provider Name | Anil G Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083657514 PECOS PAC ID: 6305860719 Enrollment ID: I20190225002218 |
| Provider Name | Adam Kevin Kney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043586480 PECOS PAC ID: 4688929870 Enrollment ID: I20190226000030 |
| Provider Name | Nizar Tejani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043311459 PECOS PAC ID: 1254244338 Enrollment ID: I20190326001456 |
| Provider Name | Wahaj Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750834628 PECOS PAC ID: 7517211048 Enrollment ID: I20190404000324 |
| Provider Name | Ferdous Barlaskar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184981490 PECOS PAC ID: 3072826312 Enrollment ID: I20190404000454 |
| Provider Name | Walid F Omer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386909737 PECOS PAC ID: 1355656018 Enrollment ID: I20190411001308 |
| Provider Name | Saman Razzak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700171261 PECOS PAC ID: 7810126802 Enrollment ID: I20190415002300 |
| Provider Name | Hatem Desoky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558636860 PECOS PAC ID: 2466720578 Enrollment ID: I20190423000354 |
| Provider Name | Benjamin F Plucknette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790050425 PECOS PAC ID: 6406071224 Enrollment ID: I20190508002741 |
| Provider Name | Lea K Parsley |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1851378426 PECOS PAC ID: 8325213994 Enrollment ID: I20190510000697 |
| Provider Name | Holly Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346256567 PECOS PAC ID: 1355393927 Enrollment ID: I20190513001748 |
| Provider Name | Gordon W Dowds |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134115710 PECOS PAC ID: 4789747833 Enrollment ID: I20190514002248 |
| Provider Name | Linda M Kolka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013404151 PECOS PAC ID: 4082957006 Enrollment ID: I20190515000538 |
| Provider Name | Kent A Nickell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942270004 PECOS PAC ID: 1759271745 Enrollment ID: I20190516001597 |
| Provider Name | Hamid Bashir |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225257694 PECOS PAC ID: 6507911559 Enrollment ID: I20190517001505 |
| Provider Name | Jennifer L Davidson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013479575 PECOS PAC ID: 1850634395 Enrollment ID: I20190523002391 |
| Provider Name | Yonker Y Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033117494 PECOS PAC ID: 2062314487 Enrollment ID: I20190531000011 |
| Provider Name | Victor G Williams |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942322821 PECOS PAC ID: 7719070127 Enrollment ID: I20190604000474 |
| Provider Name | Shailesh Chandramohan Garg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962630269 PECOS PAC ID: 9335432129 Enrollment ID: I20190606001510 |
| Provider Name | James W Bauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902249543 PECOS PAC ID: 7719242726 Enrollment ID: I20190617000140 |
| Provider Name | Julie Long |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255435996 PECOS PAC ID: 1557547023 Enrollment ID: I20190620001566 |
| Provider Name | Janice D Mcdaniel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407045768 PECOS PAC ID: 2062636343 Enrollment ID: I20190621002374 |
| Provider Name | Brian Walcott |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093975500 PECOS PAC ID: 7416115118 Enrollment ID: I20190628001277 |
| Provider Name | Sammi Dali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407825722 PECOS PAC ID: 5092793505 Enrollment ID: I20190701000262 |
| Provider Name | Rhonda J Gale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043778772 PECOS PAC ID: 2769716208 Enrollment ID: I20190703000162 |
| Provider Name | Corbin Joseph Barwegen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518315464 PECOS PAC ID: 2163700733 Enrollment ID: I20190710000277 |
| Provider Name | Abdallah Mahmoud Hamdallah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053726760 PECOS PAC ID: 1052537818 Enrollment ID: I20190710001149 |
| Provider Name | Monica Mejia Acosta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255519120 PECOS PAC ID: 1759427156 Enrollment ID: I20190715002232 |
| Provider Name | Anusha Yanamadala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174978027 PECOS PAC ID: 9537420369 Enrollment ID: I20190716001512 |
| Provider Name | Maxie I Mcdonough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023479946 PECOS PAC ID: 8325331051 Enrollment ID: I20190717001032 |
| Provider Name | Nishant Sadana |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194082446 PECOS PAC ID: 6002077823 Enrollment ID: I20190722003079 |
| Provider Name | Moamen M Al Zoubi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770902587 PECOS PAC ID: 4688978083 Enrollment ID: I20190725000653 |
| Provider Name | Sara Taherkhani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386954436 PECOS PAC ID: 7618108259 Enrollment ID: I20190730003833 |
| Provider Name | Rosario A Carrasco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720288079 PECOS PAC ID: 7012921869 Enrollment ID: I20190731002034 |
| Provider Name | Elizabeth Marie Polfer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982938155 PECOS PAC ID: 1759514102 Enrollment ID: I20190731003892 |
| Provider Name | Lynn Bakeerah Hassan Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164478418 PECOS PAC ID: 5092627265 Enrollment ID: I20190820000052 |
| Provider Name | Dhafer Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467855973 PECOS PAC ID: 8921356429 Enrollment ID: I20190820002635 |
| Provider Name | Nishith A Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902255656 PECOS PAC ID: 0143563056 Enrollment ID: I20190823001437 |
| Provider Name | Muhammad Siddique Khurram |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720490667 PECOS PAC ID: 2466781240 Enrollment ID: I20190903002974 |
| Provider Name | Neelum Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346448867 PECOS PAC ID: 5597094292 Enrollment ID: I20190905001656 |
| Provider Name | Matthew T Groenwald |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124461645 PECOS PAC ID: 6709169477 Enrollment ID: I20190906000047 |
| Provider Name | Felix S Boecker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265753594 PECOS PAC ID: 4183874282 Enrollment ID: I20190906000996 |
| Provider Name | Mohammad Amir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386036085 PECOS PAC ID: 6204146848 Enrollment ID: I20190910002079 |
| Provider Name | Patrick Brian Mulligan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326433467 PECOS PAC ID: 8628371242 Enrollment ID: I20190910003165 |
| Provider Name | Muhammad Burhan Ud Din Janjua |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295140820 PECOS PAC ID: 0446580252 Enrollment ID: I20190920002407 |
| Provider Name | Wassim M Mchayleh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093988487 PECOS PAC ID: 9931259942 Enrollment ID: I20190926001164 |
| Provider Name | Stephanie N Okwudi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497138259 PECOS PAC ID: 0042520082 Enrollment ID: I20190927002042 |
| Provider Name | Casandra K Pihl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346898210 PECOS PAC ID: 5799015988 Enrollment ID: I20191002000257 |
| Provider Name | Melissa N Normoyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710535950 PECOS PAC ID: 6507196649 Enrollment ID: I20191002002993 |
| Provider Name | Brenda Beilfuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275185142 PECOS PAC ID: 0446581433 Enrollment ID: I20191004001810 |
| Provider Name | Maria V Gomez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982087433 PECOS PAC ID: 0941505994 Enrollment ID: I20191004002895 |
| Provider Name | Frederick O'brien |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629129192 PECOS PAC ID: 4183807985 Enrollment ID: I20191008003886 |
| Provider Name | Anthony Kouri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215355862 PECOS PAC ID: 6901100890 Enrollment ID: I20191009000039 |
| Provider Name | Adam R Burr |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245626555 PECOS PAC ID: 5294039822 Enrollment ID: I20191009001899 |
| Provider Name | Jeffrey A Planchard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306102991 PECOS PAC ID: 2264715705 Enrollment ID: I20191009001972 |
| Provider Name | Michael A Masteller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497196455 PECOS PAC ID: 1557605375 Enrollment ID: I20191016000570 |
| Provider Name | Jacob S Witt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891157871 PECOS PAC ID: 0749551505 Enrollment ID: I20191016001815 |
| Provider Name | Maria Fuertes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972778389 PECOS PAC ID: 8426112376 Enrollment ID: I20191022003066 |
| Provider Name | Erik Stephen Storm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801869789 PECOS PAC ID: 6608969522 Enrollment ID: I20191025002189 |
| Provider Name | Joshua Thomas Billingsley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316165475 PECOS PAC ID: 4789810128 Enrollment ID: I20191028000099 |
| Provider Name | Mitchell L Sheley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093102378 PECOS PAC ID: 5496056160 Enrollment ID: I20191028001195 |
| Provider Name | John P Chunga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730259714 PECOS PAC ID: 6901884360 Enrollment ID: I20191029002219 |
| Provider Name | David Theodore Murray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982018834 PECOS PAC ID: 3779876669 Enrollment ID: I20191101001263 |
| Provider Name | Taara Hassan Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124326079 PECOS PAC ID: 6305278755 Enrollment ID: I20191122002428 |
| Provider Name | Karen Denise Szymanski |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730391228 PECOS PAC ID: 3779663836 Enrollment ID: I20191204000134 |
| Provider Name | Justine Lyn Beaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780227124 PECOS PAC ID: 8123451267 Enrollment ID: I20191204001392 |
| Provider Name | Artur Szymczak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831474618 PECOS PAC ID: 6406086396 Enrollment ID: I20191204001462 |
| Provider Name | Victoria Laine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609134006 PECOS PAC ID: 9032427497 Enrollment ID: I20191204002540 |
| Provider Name | Rajasekhar Nalluri |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1245254838 PECOS PAC ID: 0840203212 Enrollment ID: I20191212002170 |
| Provider Name | Laura Sinada-bottros |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962799403 PECOS PAC ID: 8426398892 Enrollment ID: I20191216001830 |
| Provider Name | William Reed |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891789582 PECOS PAC ID: 1658361910 Enrollment ID: I20191226000239 |
| Provider Name | Aleksandra Kuczmarska-haas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609222611 PECOS PAC ID: 3870885643 Enrollment ID: I20200109001944 |
| Provider Name | John H Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154741155 PECOS PAC ID: 1759689318 Enrollment ID: I20200110001120 |
| Provider Name | Matthew Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558469833 PECOS PAC ID: 6709978943 Enrollment ID: I20200115000128 |
| Provider Name | Theressia Louise Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992951347 PECOS PAC ID: 2668667452 Enrollment ID: I20200117000678 |
| Provider Name | Patricia A Nahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740348200 PECOS PAC ID: 6608821392 Enrollment ID: I20200121001269 |
| Provider Name | Tori Homb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922646942 PECOS PAC ID: 6608201330 Enrollment ID: I20200127001183 |
| Provider Name | Ganga Prabhakar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023109444 PECOS PAC ID: 6709860943 Enrollment ID: I20200130002235 |
| Provider Name | Pervez A Alvi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932160348 PECOS PAC ID: 8022065234 Enrollment ID: I20200203000885 |
| Provider Name | Tina L Longphee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053950055 PECOS PAC ID: 9032545173 Enrollment ID: I20200207001488 |
| Provider Name | Aisha Sozzer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679992093 PECOS PAC ID: 1254634561 Enrollment ID: I20200213000580 |
| Provider Name | Kushal Rajnikant Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386063782 PECOS PAC ID: 9436432861 Enrollment ID: I20200213001219 |
| Provider Name | Lauren E Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043850068 PECOS PAC ID: 9335576156 Enrollment ID: I20200217001518 |
| Provider Name | Laura Anne Recob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609414119 PECOS PAC ID: 3870920622 Enrollment ID: I20200218000188 |
| Provider Name | Douglas L Hendricks |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1922165703 PECOS PAC ID: 2860554805 Enrollment ID: I20200219000080 |
| Provider Name | John E Rectenwald |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992806905 PECOS PAC ID: 3476578683 Enrollment ID: I20200219001484 |
| Provider Name | John L Thurston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588959076 PECOS PAC ID: 9436440245 Enrollment ID: I20200319001668 |
| Provider Name | Christine M Gillette |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972814283 PECOS PAC ID: 2860820933 Enrollment ID: I20200324001288 |
| Provider Name | Kenyn Lawrence Koop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124507439 PECOS PAC ID: 1557691987 Enrollment ID: I20200326002015 |
| Provider Name | Concepcion Santillan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083647408 PECOS PAC ID: 2567402100 Enrollment ID: I20200326002163 |
| Provider Name | Taylor Wade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710464482 PECOS PAC ID: 9638406523 Enrollment ID: I20200327000183 |
| Provider Name | Yaser R Mustafa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992217178 PECOS PAC ID: 1355670845 Enrollment ID: I20200327000327 |
| Provider Name | Eli T James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669959441 PECOS PAC ID: 2163855537 Enrollment ID: I20200330000551 |
| Provider Name | Janet Barkhou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144752528 PECOS PAC ID: 3678832268 Enrollment ID: I20200330001235 |
| Provider Name | Jason R Moen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588152714 PECOS PAC ID: 8123351590 Enrollment ID: I20200330001287 |
| Provider Name | Muhammad Saleem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194213272 PECOS PAC ID: 5890030258 Enrollment ID: I20200330001725 |
| Provider Name | Jane E Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942220140 PECOS PAC ID: 3375673122 Enrollment ID: I20200331000098 |
| Provider Name | Saba Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780172064 PECOS PAC ID: 7911230388 Enrollment ID: I20200402000004 |
| Provider Name | Jacob Landvatter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649768938 PECOS PAC ID: 9739413030 Enrollment ID: I20200402002468 |
| Provider Name | Erin Clare Gustafson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689190381 PECOS PAC ID: 8527497981 Enrollment ID: I20200406001916 |
| Provider Name | Kendra L Meyers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679600209 PECOS PAC ID: 6406285584 Enrollment ID: I20200413000571 |
| Provider Name | Renee L Voltz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447389440 PECOS PAC ID: 2264862150 Enrollment ID: I20200416001285 |
| Provider Name | Betsy O Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154456929 PECOS PAC ID: 0941630834 Enrollment ID: I20200416001561 |
| Provider Name | Suhail A Shaikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184808529 PECOS PAC ID: 0143380451 Enrollment ID: I20200417001859 |
| Provider Name | Valentina R Dalili-shoaie |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1447224126 PECOS PAC ID: 8325046022 Enrollment ID: I20200421002938 |
| Provider Name | Kelsey Pendleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497140503 PECOS PAC ID: 3072863646 Enrollment ID: I20200423003508 |
| Provider Name | Usman K Qadeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467728378 PECOS PAC ID: 7214229491 Enrollment ID: I20200428001422 |
| Provider Name | Waqas Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316300247 PECOS PAC ID: 8426341322 Enrollment ID: I20200519000468 |
| Provider Name | Jeffrey A Morgan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043436132 PECOS PAC ID: 8921108366 Enrollment ID: I20200521002200 |
| Provider Name | Kathryn R Johns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891223285 PECOS PAC ID: 7214358282 Enrollment ID: I20200529000032 |
| Provider Name | Luqman Baloch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144753062 PECOS PAC ID: 9830466309 Enrollment ID: I20200529000063 |
| Provider Name | Cai Yuan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215341516 PECOS PAC ID: 0749556918 Enrollment ID: I20200529001738 |
| Provider Name | Mark G Barnett |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821096660 PECOS PAC ID: 6507907763 Enrollment ID: I20200601001886 |
| Provider Name | Joshua Paul Roach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326492018 PECOS PAC ID: 8628361664 Enrollment ID: I20200604000419 |
| Provider Name | Hisham S Bassiouny |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801951637 PECOS PAC ID: 1557619459 Enrollment ID: I20200604002905 |
| Provider Name | Joanna E Gernsback |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215252440 PECOS PAC ID: 3577891951 Enrollment ID: I20200622001126 |
| Provider Name | Imdad Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053536219 PECOS PAC ID: 6305946344 Enrollment ID: I20200626000726 |
| Provider Name | Miroslav P Peev |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639517006 PECOS PAC ID: 4981994274 Enrollment ID: I20200629000217 |
| Provider Name | John M Snider |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1235180167 PECOS PAC ID: 7810038486 Enrollment ID: I20200629000807 |
| Provider Name | Cynthia L Philpott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053880690 PECOS PAC ID: 1456684729 Enrollment ID: I20200706000369 |
| Provider Name | Emily H Shin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831350768 PECOS PAC ID: 5193906998 Enrollment ID: I20200706000696 |
| Provider Name | Eugene A Gulliver |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366401903 PECOS PAC ID: 9931117785 Enrollment ID: I20200706000869 |
| Provider Name | Sean W Marquis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053554089 PECOS PAC ID: 5496921249 Enrollment ID: I20200708000417 |
| Provider Name | Jacob G Ginglen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538518386 PECOS PAC ID: 3779821467 Enrollment ID: I20200729001817 |
| Provider Name | Maaz Badshah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043525520 PECOS PAC ID: 8123269206 Enrollment ID: I20200811003472 |
| Provider Name | Sunil Krishna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023424934 PECOS PAC ID: 9739505835 Enrollment ID: I20200820000202 |
| Provider Name | Anup Sud |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316972631 PECOS PAC ID: 4486752649 Enrollment ID: I20200827002541 |
| Provider Name | James Robert Tobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750812145 PECOS PAC ID: 3375814825 Enrollment ID: I20200911000887 |
| Provider Name | Kathryn Clemans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417574054 PECOS PAC ID: 0244658839 Enrollment ID: I20200914002497 |
| Provider Name | Abdulah Alrifai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265774616 PECOS PAC ID: 1052612405 Enrollment ID: I20200915002597 |
| Provider Name | Briann N Modos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396391728 PECOS PAC ID: 7618206202 Enrollment ID: I20200921002599 |
| Provider Name | Moataz M Gaddor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255694600 PECOS PAC ID: 9537307277 Enrollment ID: I20200921002970 |
| Provider Name | Sarah Marie Lamont |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740608256 PECOS PAC ID: 5193947562 Enrollment ID: I20200922000842 |
| Provider Name | Grace C Blitzer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053844852 PECOS PAC ID: 1355611567 Enrollment ID: I20200930002515 |
| Provider Name | Vernon E Zurick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174556567 PECOS PAC ID: 5991738742 Enrollment ID: I20201001000850 |
| Provider Name | David A Hsu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740252972 PECOS PAC ID: 4082738364 Enrollment ID: I20201001001346 |
| Provider Name | Andrew T Knox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568752665 PECOS PAC ID: 1658658000 Enrollment ID: I20201001003099 |
| Provider Name | Lisa M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558988592 PECOS PAC ID: 0941620827 Enrollment ID: I20201014002199 |
| Provider Name | Hrissanthi Ikonomidou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104063692 PECOS PAC ID: 6608933882 Enrollment ID: I20201105001181 |
| Provider Name | Hannah Ashley Miller-hosseini |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720362957 PECOS PAC ID: 4981014537 Enrollment ID: I20201110001647 |
| Provider Name | Jennifer M Kwon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851306450 PECOS PAC ID: 8729139480 Enrollment ID: I20201113000274 |
| Provider Name | Adam D Wallace |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386969079 PECOS PAC ID: 2264744945 Enrollment ID: I20201116001464 |
| Provider Name | Heather Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023621760 PECOS PAC ID: 1557772761 Enrollment ID: I20201119000669 |
| Provider Name | John R Hoch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114982725 PECOS PAC ID: 0648230631 Enrollment ID: I20201209001116 |
| Provider Name | William Ekow Awotwi Ayetey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780604025 PECOS PAC ID: 5698817096 Enrollment ID: I20201217001725 |
| Provider Name | Marwan M Abdulsattar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265790695 PECOS PAC ID: 9638468531 Enrollment ID: I20201223001790 |
| Provider Name | Misty Buskohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417552092 PECOS PAC ID: 0143248047 Enrollment ID: I20201229002749 |
| Provider Name | Michelle L Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013503630 PECOS PAC ID: 7618381765 Enrollment ID: I20210201000769 |
| Provider Name | Jacob H Wolf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801445077 PECOS PAC ID: 5092149377 Enrollment ID: I20210208000774 |
| Provider Name | Ashraf I Osman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063453918 PECOS PAC ID: 7214949247 Enrollment ID: I20210223001883 |
| Provider Name | Ewald J Horwath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720128986 PECOS PAC ID: 7113975525 Enrollment ID: I20210305001723 |
| Provider Name | Charles Windham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306058540 PECOS PAC ID: 5799708244 Enrollment ID: I20210308001516 |
| Provider Name | Carlos Collin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609850171 PECOS PAC ID: 2365487923 Enrollment ID: I20210309000244 |
| Provider Name | Alberto A Penalver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740294545 PECOS PAC ID: 4183756687 Enrollment ID: I20210309002308 |
| Provider Name | Jonathan Lee Hulkower |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063597961 PECOS PAC ID: 0749323343 Enrollment ID: I20210309002646 |
| Provider Name | Diana L Santiago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588872287 PECOS PAC ID: 2668597840 Enrollment ID: I20210310002559 |
| Provider Name | Victor Sawhney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700013802 PECOS PAC ID: 1456584622 Enrollment ID: I20210311001438 |
| Provider Name | Julia Hoang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801202197 PECOS PAC ID: 3375970627 Enrollment ID: I20210312002340 |
| Provider Name | David B White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407310717 PECOS PAC ID: 1557601887 Enrollment ID: I20210319001421 |
| Provider Name | Hamid R Mohammadzadeh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053394619 PECOS PAC ID: 7719878016 Enrollment ID: I20210324002129 |
| Provider Name | Kara M Sturlini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275043093 PECOS PAC ID: 1850652348 Enrollment ID: I20210330001968 |
| Provider Name | Logan Klockner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437743432 PECOS PAC ID: 2466869680 Enrollment ID: I20210405002091 |
| Provider Name | Mohammed I Azam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275947392 PECOS PAC ID: 4486920683 Enrollment ID: I20210412000915 |
| Provider Name | Rabin K Nouranifar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093798431 PECOS PAC ID: 7810967858 Enrollment ID: I20210514001559 |
| Provider Name | Carlos L Arrieta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104316744 PECOS PAC ID: 0840699658 Enrollment ID: I20210527002502 |
| Provider Name | Mary Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295334811 PECOS PAC ID: 5698176154 Enrollment ID: I20210622002632 |
| Provider Name | Jeffrey Anglen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922050400 PECOS PAC ID: 0244280139 Enrollment ID: I20210720000775 |
| Provider Name | William Matthew Brigode |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356726699 PECOS PAC ID: 9335497429 Enrollment ID: I20210721003942 |
| Provider Name | Karina L P Quinn |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013167675 PECOS PAC ID: 5193945749 Enrollment ID: I20210728000887 |
| Provider Name | Ammar Aqeel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952895666 PECOS PAC ID: 4385047117 Enrollment ID: I20210730000846 |
| Provider Name | Javier Enrique Fajardo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902943780 PECOS PAC ID: 0941304265 Enrollment ID: I20210812002695 |
| Provider Name | Tarek Jazmati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528440690 PECOS PAC ID: 4385069137 Enrollment ID: I20210812003149 |
| Provider Name | Emily C. Merfeld |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194222554 PECOS PAC ID: 4486901683 Enrollment ID: I20210812003932 |
| Provider Name | Noelle H Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598439846 PECOS PAC ID: 7911302187 Enrollment ID: I20210826000372 |
| Provider Name | Elizabeth L Burke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972176279 PECOS PAC ID: 4981000940 Enrollment ID: I20210831002174 |
| Provider Name | Ahmed B Abdel Rahman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316972698 PECOS PAC ID: 3779558127 Enrollment ID: I20210910001759 |
| Provider Name | William Schneider |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487966818 PECOS PAC ID: 5395083281 Enrollment ID: I20210913003104 |
| Provider Name | Thayer Hamoudah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568843209 PECOS PAC ID: 2769774611 Enrollment ID: I20210915001715 |
| Provider Name | Jay C Robinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730508276 PECOS PAC ID: 8325266331 Enrollment ID: I20210915003203 |
| Provider Name | Lauren Mount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487242830 PECOS PAC ID: 9931506987 Enrollment ID: I20210918000058 |
| Provider Name | Gamal M Marey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548418759 PECOS PAC ID: 2062785330 Enrollment ID: I20211004001011 |
| Provider Name | Brennan J Barrett |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669847307 PECOS PAC ID: 1850644923 Enrollment ID: I20211021002351 |
| Provider Name | Jennifer N Fleming |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104429554 PECOS PAC ID: 6800284704 Enrollment ID: I20211026002385 |
| Provider Name | Myra Khan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588075162 PECOS PAC ID: 5991008955 Enrollment ID: I20211101001357 |
| Provider Name | Melissa Alexandra Bachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225709900 PECOS PAC ID: 7911395488 Enrollment ID: I20211102003271 |
| Provider Name | Christine Joy C Junia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649606179 PECOS PAC ID: 3173829538 Enrollment ID: I20211116001515 |
| Provider Name | Rita Lemngan Nkamanyang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396417671 PECOS PAC ID: 9931599610 Enrollment ID: I20211213001088 |
| Provider Name | Kimball Fuiks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932170362 PECOS PAC ID: 0840211660 Enrollment ID: I20211228001881 |
| Provider Name | Kathryn M Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689223232 PECOS PAC ID: 3072904937 Enrollment ID: I20220103001928 |
| Provider Name | Tamara Lynn Paradies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265194047 PECOS PAC ID: 5496002479 Enrollment ID: I20220112000728 |
| Provider Name | Oji Oji |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750434783 PECOS PAC ID: 5799843496 Enrollment ID: I20220112001986 |
| Provider Name | Imaad Bin Mujeeb |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689992687 PECOS PAC ID: 1254668742 Enrollment ID: I20220113001639 |
| Provider Name | Sonny Garcha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265635445 PECOS PAC ID: 8426173410 Enrollment ID: I20220120001806 |
| Provider Name | Mary Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487662060 PECOS PAC ID: 1052210762 Enrollment ID: I20220127001810 |
| Provider Name | David Kum-wah Chew |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366424509 PECOS PAC ID: 9032134473 Enrollment ID: I20220201002036 |
| Provider Name | Hayan Moualla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760682835 PECOS PAC ID: 2163600529 Enrollment ID: I20220307002112 |
| Provider Name | Gina Marie Tassione |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992477954 PECOS PAC ID: 9032517776 Enrollment ID: I20220407001013 |
| Provider Name | Shahid Mohammad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598227407 PECOS PAC ID: 4486040813 Enrollment ID: I20220411002261 |
| Provider Name | Hiba Anaqrah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417516428 PECOS PAC ID: 2365777489 Enrollment ID: I20220413001038 |
| Provider Name | Marwan Ghazoul |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558362491 PECOS PAC ID: 6507815776 Enrollment ID: I20220425001589 |
| Provider Name | Margaret Coplin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093743551 PECOS PAC ID: 4587636873 Enrollment ID: I20220503001576 |
| Provider Name | Christopher M Chambers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184831869 PECOS PAC ID: 8628141785 Enrollment ID: I20220505001950 |
| Provider Name | Darcey J Bedward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538551254 PECOS PAC ID: 6204721707 Enrollment ID: I20220604000188 |
| Provider Name | Melisa Carrasco Mccaul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336567833 PECOS PAC ID: 4789973520 Enrollment ID: I20220606002721 |
| Provider Name | Brett Morris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588229314 PECOS PAC ID: 7113341306 Enrollment ID: I20220607000764 |
| Provider Name | Michael C R Andrews |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063791853 PECOS PAC ID: 5799062568 Enrollment ID: I20220620000403 |
| Provider Name | Monica Logan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568923498 PECOS PAC ID: 3678954716 Enrollment ID: I20220720001568 |
| Provider Name | Diana Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194930917 PECOS PAC ID: 0244410181 Enrollment ID: I20220817000661 |
| Provider Name | Anthony D Dicianni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356790372 PECOS PAC ID: 2264855873 Enrollment ID: I20220912003607 |
| Provider Name | Than T Aye |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104053792 PECOS PAC ID: 6709191109 Enrollment ID: I20220916003021 |
| Provider Name | Emily Katherine Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063132595 PECOS PAC ID: 4981080645 Enrollment ID: I20221003003014 |
| Provider Name | Roberto Amado-cattaneo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073700225 PECOS PAC ID: 8527955004 Enrollment ID: I20221012001774 |
| Provider Name | Vishnu Raj Kumar Mani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174964951 PECOS PAC ID: 3476956095 Enrollment ID: I20221016000028 |
| Provider Name | Ambica Nakhasi |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1619498342 PECOS PAC ID: 1557738903 Enrollment ID: I20221027003095 |
| Provider Name | Faheem Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225665607 PECOS PAC ID: 7810364999 Enrollment ID: I20221102000836 |
| Provider Name | Graham Thomas Campbell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194287482 PECOS PAC ID: 4880926021 Enrollment ID: I20221109002055 |
| Provider Name | Alexandra Esser |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942938410 PECOS PAC ID: 6406224203 Enrollment ID: I20221129002341 |
| Provider Name | Mahmut G Yucel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104453091 PECOS PAC ID: 9638564974 Enrollment ID: I20221201000567 |
| Provider Name | Natalie Jean Parker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376096768 PECOS PAC ID: 6406143767 Enrollment ID: I20221215000765 |
| Provider Name | Sunil K Darbari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932197290 PECOS PAC ID: 3678475308 Enrollment ID: I20221223000679 |
| Provider Name | Renie Arielle Teague |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720703820 PECOS PAC ID: 3375914070 Enrollment ID: I20230117000490 |
| Provider Name | Caitlin Heth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598475089 PECOS PAC ID: 5294107090 Enrollment ID: I20230203001407 |
| Provider Name | David D Nelsen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417184169 PECOS PAC ID: 4183894587 Enrollment ID: I20230209002213 |
| Provider Name | Clark Russell Murray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699207241 PECOS PAC ID: 5395018378 Enrollment ID: I20230215001159 |
| Provider Name | Verna L Auge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255430039 PECOS PAC ID: 7113943168 Enrollment ID: I20230215001782 |
| Provider Name | Brittany Bankes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710690680 PECOS PAC ID: 4183097082 Enrollment ID: I20230223001317 |
| Provider Name | Katlin Elizabeth Cheatham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336851294 PECOS PAC ID: 4082087606 Enrollment ID: I20230302000482 |
| Provider Name | Teresa Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063553196 PECOS PAC ID: 9032582556 Enrollment ID: I20230303001746 |
| Provider Name | Mehreen Shazeb Rathore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235429762 PECOS PAC ID: 5597983882 Enrollment ID: I20230303002064 |
| Provider Name | Zeeshan Tariq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194958967 PECOS PAC ID: 1557585304 Enrollment ID: I20230308000350 |
| Provider Name | Miguel Rodriguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255418984 PECOS PAC ID: 0648464529 Enrollment ID: I20230309000572 |
| Provider Name | Michael Muehlberger |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982752671 PECOS PAC ID: 1658549068 Enrollment ID: I20230310000644 |
| Provider Name | Tarek Radwan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750484200 PECOS PAC ID: 7113175928 Enrollment ID: I20230310001607 |
| Provider Name | Nicola Corvaja |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1003988643 PECOS PAC ID: 7214958453 Enrollment ID: I20230323001981 |
| Provider Name | Wajahat Humayun |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881009348 PECOS PAC ID: 2264650282 Enrollment ID: I20230412001017 |
| Provider Name | Adam Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801117585 PECOS PAC ID: 4486883014 Enrollment ID: I20230424001287 |
| Provider Name | Hartmuth Bittner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104182245 PECOS PAC ID: 8820245053 Enrollment ID: I20230503002443 |
| Provider Name | Javariah I Asghar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1467688804 PECOS PAC ID: 5193911014 Enrollment ID: I20230509001150 |
| Provider Name | Ashley N Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609545052 PECOS PAC ID: 4284032350 Enrollment ID: I20230517003334 |
| Provider Name | Laura Jennette Reingold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205464625 PECOS PAC ID: 2860815982 Enrollment ID: I20230521000136 |
| Provider Name | Robb Whinney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568480044 PECOS PAC ID: 2860384237 Enrollment ID: I20230627001293 |
| Provider Name | Palanikumar Balasundaram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881180412 PECOS PAC ID: 9739549825 Enrollment ID: I20230720003876 |
| Provider Name | Kaili Ranta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700406485 PECOS PAC ID: 4183049208 Enrollment ID: I20230809002555 |
| Provider Name | Adrian Recinto Velasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184251266 PECOS PAC ID: 7416319629 Enrollment ID: I20230818001593 |
| Provider Name | Abu Fahad Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083243877 PECOS PAC ID: 3577926427 Enrollment ID: I20230825001229 |
| Provider Name | Matilda Marta Abu-saba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760020739 PECOS PAC ID: 9032572508 Enrollment ID: I20230831000165 |
| Provider Name | Courtney Leann Lehrke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154003580 PECOS PAC ID: 3971966144 Enrollment ID: I20230906001189 |
| Provider Name | Kajel K Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871118083 PECOS PAC ID: 1658735840 Enrollment ID: I20230906002319 |
| Provider Name | Jayesh M Madhani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457461576 PECOS PAC ID: 0244381887 Enrollment ID: I20230906003369 |
| Provider Name | David Sved |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497316384 PECOS PAC ID: 8729471743 Enrollment ID: I20230913000313 |
| Provider Name | Gabriella Fuchs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164957395 PECOS PAC ID: 8729324405 Enrollment ID: I20230918004100 |
| Provider Name | Hari Menon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942864541 PECOS PAC ID: 3072935899 Enrollment ID: I20230919000383 |
| Provider Name | Timothy Raymond Niedzielak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972028421 PECOS PAC ID: 6103200951 Enrollment ID: I20230919000937 |
| Provider Name | Andrew Michael Wishy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619389939 PECOS PAC ID: 8527332337 Enrollment ID: I20230919002463 |
| Provider Name | Jibran Rana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043638729 PECOS PAC ID: 8729207865 Enrollment ID: I20230925001165 |
| Provider Name | Meredith Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114588597 PECOS PAC ID: 5193057859 Enrollment ID: I20231002003036 |
| Provider Name | Timothy Patrick Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235751231 PECOS PAC ID: 4880018456 Enrollment ID: I20231003001366 |
| Provider Name | Hyojin Jeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578190054 PECOS PAC ID: 2062867302 Enrollment ID: I20231006001324 |
| Provider Name | Muhammad R Marwali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053536078 PECOS PAC ID: 6901974708 Enrollment ID: I20231107002553 |
| Provider Name | Julia Kim Leblanc |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467416990 PECOS PAC ID: 6002805801 Enrollment ID: I20231114001727 |
| Provider Name | William C Leach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558399279 PECOS PAC ID: 7719980911 Enrollment ID: I20231117002212 |
| Provider Name | Panchapakesan Pranatharthi Haran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467473330 PECOS PAC ID: 5193741353 Enrollment ID: I20231121001728 |
| Provider Name | Elvis Kasi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972000438 PECOS PAC ID: 4789007774 Enrollment ID: I20231201000728 |
| Provider Name | Shetal Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982135067 PECOS PAC ID: 6406269901 Enrollment ID: I20231206002022 |
| Provider Name | Fernanda N Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730962580 PECOS PAC ID: 8921457573 Enrollment ID: I20231208000640 |
| Provider Name | Mehwish Aziz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407475353 PECOS PAC ID: 8820447337 Enrollment ID: I20231208003153 |
| Provider Name | Matthew A Weeks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619239936 PECOS PAC ID: 6103130653 Enrollment ID: I20231212001505 |
| Provider Name | Andrew James Rife |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902421449 PECOS PAC ID: 5092164392 Enrollment ID: I20231212002924 |
| Provider Name | Katherine Aulis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558985861 PECOS PAC ID: 8527478858 Enrollment ID: I20231213000903 |
| Provider Name | Aaron M Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750768271 PECOS PAC ID: 9638428840 Enrollment ID: I20231229000580 |
| Provider Name | Rayonda Coleman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154844363 PECOS PAC ID: 9436422953 Enrollment ID: I20240112002048 |
| Provider Name | Mariah Mallinger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972379964 PECOS PAC ID: 9436501087 Enrollment ID: I20240118003352 |
| Provider Name | Nikyla Lee Bilderback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164296844 PECOS PAC ID: 7416309927 Enrollment ID: I20240120000212 |
| Provider Name | Haleem J Rasool |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790766392 PECOS PAC ID: 2961495114 Enrollment ID: I20240122002554 |
| Provider Name | Mayank Mehrotra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396238192 PECOS PAC ID: 3476805649 Enrollment ID: I20240125002457 |
| Provider Name | Danielle Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861278715 PECOS PAC ID: 9133574593 Enrollment ID: I20240131003626 |
| Provider Name | Christina M Quijano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356387112 PECOS PAC ID: 6103810171 Enrollment ID: I20240205003038 |
| Provider Name | Sara A. Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689441859 PECOS PAC ID: 9537503842 Enrollment ID: I20240214003181 |
| Provider Name | Collins A Kwarteng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598943516 PECOS PAC ID: 0143407890 Enrollment ID: I20240221003860 |
| Provider Name | Michael Gregory Congoran |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487421392 PECOS PAC ID: 8527403005 Enrollment ID: I20240224000499 |
| Provider Name | Molly Ryan Schabacker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952032419 PECOS PAC ID: 7416392162 Enrollment ID: I20240304002676 |
| Provider Name | Andrew Venters Owens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194168161 PECOS PAC ID: 5496051898 Enrollment ID: I20240305000953 |
| Provider Name | Sandra Engemann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992780977 PECOS PAC ID: 0143213694 Enrollment ID: I20240312001978 |
| Provider Name | Matthew Darwin Tyl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851734222 PECOS PAC ID: 4880903277 Enrollment ID: I20240320003407 |
| Provider Name | Siddharth A Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821001066 PECOS PAC ID: 3971747890 Enrollment ID: I20240326002995 |
| Provider Name | Lynette Ann Mindt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992576110 PECOS PAC ID: 6507204427 Enrollment ID: I20240410002764 |
| Provider Name | Sarah Baranski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154189611 PECOS PAC ID: 3870932502 Enrollment ID: I20240415002322 |
| Provider Name | Gia Elena Marotta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689817173 PECOS PAC ID: 6103044656 Enrollment ID: I20240417003253 |
| Provider Name | Chung Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881981447 PECOS PAC ID: 4789991613 Enrollment ID: I20240419001241 |
| Provider Name | Anqi Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588240022 PECOS PAC ID: 4082054085 Enrollment ID: I20240424001529 |
| Provider Name | Manish Rochwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841605425 PECOS PAC ID: 5092000885 Enrollment ID: I20240424001924 |
| Provider Name | Irina Goncharova |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104857465 PECOS PAC ID: 7012916968 Enrollment ID: I20240501002920 |
| Provider Name | Colin Harari |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922635895 PECOS PAC ID: 0042612855 Enrollment ID: I20240508003466 |
| Provider Name | Dana Muchala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336915677 PECOS PAC ID: 5193167237 Enrollment ID: I20240521003658 |
| Provider Name | Sarah Sophia Cali |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831665017 PECOS PAC ID: 5395187058 Enrollment ID: I20240525000419 |
| Provider Name | Lamont A Parrott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275038242 PECOS PAC ID: 8325480098 Enrollment ID: I20240527000064 |
| Provider Name | Lena Carleton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871120436 PECOS PAC ID: 4880012400 Enrollment ID: I20240612003095 |
D/b/a Cherry Valley Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1848 Daimler Rd, Rockford, IL 61112 Phone: 815-229-2500 Fax: 815-398-9587 | |
Gautam Gupta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6090 Strathmoor Dr, Suite #4, Rockford, IL 61107 Phone: 815-229-1899 Fax: 815-231-1218 | |
Woodward Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2473 Mcfarland Rd, Rockford, IL 61107 Phone: 779-696-7190 | |
Rockford School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N Gardiner Ave, Rockford, IL 61107 Phone: 815-398-3976 | |
Rockford Adult Medicine Associates S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 534 Roxbury Rd, Rockford, IL 61107 Phone: 815-381-7005 | |
Aunt Martha's Rockford Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Executive Pkwy Ste L1, Rockford, IL 61107 Phone: 877-692-8686 |