| Roswell Park Cancer Institute | |
|
Elm And Carlton St Buffalo NY 14263-0001 | |
| (716) 845-2300 | |
| Not Available |
| Full Name | Roswell Park Cancer Institute |
|---|---|
| Speciality | Clinic/Center |
| Location | Elm And Carlton St, Buffalo, New York |
| Authorized Official Name and Position | Candace S Johnson (PRESIDENT & CEO) |
| Authorized Official Contact | 7168452300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roswell Park Cancer Institute Elm And Carlton St Buffalo NY 14263-0001 Ph: (716) 845-2300 | Roswell Park Cancer Institute Elm And Carlton St Buffalo NY 14263-0001 Ph: (716) 845-2300 |
| NPI Number | 1720036593 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 06/15/2015 |
| Medicare PECOS PAC ID | 3577475110 |
|---|---|
| Medicare Enrollment ID | O20031103000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720036593 | NPI | - | NPPES |
| 02997079 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Helen H Cappuccino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467458893 PECOS PAC ID: 2567357775 Enrollment ID: I20040217000767 |
| Provider Name | Stephen B Edge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063418465 PECOS PAC ID: 4981595287 Enrollment ID: I20040324001124 |
| Provider Name | Ilene L Rothman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801852876 PECOS PAC ID: 8729970793 Enrollment ID: I20040325001014 |
| Provider Name | Jenny Romero |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245217553 PECOS PAC ID: 9335133453 Enrollment ID: I20040412001616 |
| Provider Name | Carrie G Silliman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891778668 PECOS PAC ID: 0042204067 Enrollment ID: I20040413000567 |
| Provider Name | Ahmed N Belal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588667083 PECOS PAC ID: 4587652664 Enrollment ID: I20040505001622 |
| Provider Name | James W Lohr |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518957612 PECOS PAC ID: 7618968447 Enrollment ID: I20040520001070 |
| Provider Name | Ranjan Bhayana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366407173 PECOS PAC ID: 8921081696 Enrollment ID: I20040611001398 |
| Provider Name | Charles Roche |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639168677 PECOS PAC ID: 3577547942 Enrollment ID: I20040614001602 |
| Provider Name | Edward J Spangenthal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285615047 PECOS PAC ID: 0648254987 Enrollment ID: I20040615001113 |
| Provider Name | Nikolaos Almyroudis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962407163 PECOS PAC ID: 8527042332 Enrollment ID: I20040617000621 |
| Provider Name | Renuka V Iyer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1891792982 PECOS PAC ID: 4183601818 Enrollment ID: I20040701000356 |
| Provider Name | Garin M Tomaszewski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831170604 PECOS PAC ID: 5799763496 Enrollment ID: I20040709000592 |
| Provider Name | Andrew E Esch |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1871520437 PECOS PAC ID: 2860471497 Enrollment ID: I20040716001134 |
| Provider Name | Bettina Smallman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588636690 PECOS PAC ID: 9335119932 Enrollment ID: I20040730000034 |
| Provider Name | Lauren B Bruckner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053346841 PECOS PAC ID: 0042283798 Enrollment ID: I20040819000646 |
| Provider Name | Gregory B Hare |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710983689 PECOS PAC ID: 2668445321 Enrollment ID: I20040819000678 |
| Provider Name | Anthony Freundel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881658672 PECOS PAC ID: 8426024886 Enrollment ID: I20040907001169 |
| Provider Name | Ermelinda Bonaccio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649275231 PECOS PAC ID: 6507833191 Enrollment ID: I20040914000098 |
| Provider Name | Margaret A Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114900230 PECOS PAC ID: 1951350206 Enrollment ID: I20050113000802 |
| Provider Name | Margaret M Spadinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164405932 PECOS PAC ID: 0648221101 Enrollment ID: I20050202000625 |
| Provider Name | Karen L Pfentner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467435594 PECOS PAC ID: 3779535307 Enrollment ID: I20050211000434 |
| Provider Name | Molli M Oldenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598732414 PECOS PAC ID: 6103873286 Enrollment ID: I20050331000806 |
| Provider Name | Todd Demmy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720084122 PECOS PAC ID: 5597712117 Enrollment ID: I20050406000339 |
| Provider Name | Kara M Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619950607 PECOS PAC ID: 9335180363 Enrollment ID: I20050519000427 |
| Provider Name | Dheerendra Prasad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811988249 PECOS PAC ID: 2062463557 Enrollment ID: I20050523000467 |
| Provider Name | Paul N Bogner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609871284 PECOS PAC ID: 7618919804 Enrollment ID: I20050527000232 |
| Provider Name | Kevin T Robillard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356436489 PECOS PAC ID: 1153366109 Enrollment ID: I20050621000938 |
| Provider Name | Vinod K Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437184173 PECOS PAC ID: 5597792598 Enrollment ID: I20050721000312 |
| Provider Name | Mary E Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699860197 PECOS PAC ID: 8628005659 Enrollment ID: I20050721000553 |
| Provider Name | Julie A Kwoka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497738793 PECOS PAC ID: 5597792234 Enrollment ID: I20050725001019 |
| Provider Name | Thomas A Cumbo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982744504 PECOS PAC ID: 3476581257 Enrollment ID: I20050808000026 |
| Provider Name | Kimberly F Fedkiw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447289236 PECOS PAC ID: 9335170463 Enrollment ID: I20050829000135 |
| Provider Name | Lori J Mcdougald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982602769 PECOS PAC ID: 1355373994 Enrollment ID: I20050906000201 |
| Provider Name | Karen Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609859420 PECOS PAC ID: 8527092394 Enrollment ID: I20050922000960 |
| Provider Name | Khurshid A Guru |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568443117 PECOS PAC ID: 9830115179 Enrollment ID: I20051017000639 |
| Provider Name | Mihai Merzianu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245221001 PECOS PAC ID: 0042237067 Enrollment ID: I20051028000860 |
| Provider Name | Robert A Fenstermaker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376549683 PECOS PAC ID: 1254235831 Enrollment ID: I20060213000375 |
| Provider Name | Tessa T Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134185952 PECOS PAC ID: 4284640152 Enrollment ID: I20060301000642 |
| Provider Name | Erika S Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477694701 PECOS PAC ID: 8628087673 Enrollment ID: I20060419000431 |
| Provider Name | Prasanna Kumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538137088 PECOS PAC ID: 1557321601 Enrollment ID: I20060526000079 |
| Provider Name | Joseph J Skitzki |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1417995960 PECOS PAC ID: 3870505050 Enrollment ID: I20060717000068 |
| Provider Name | William J Gibbons |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215042700 PECOS PAC ID: 3678575685 Enrollment ID: I20070205000248 |
| Provider Name | Thaer Khoury |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316043839 PECOS PAC ID: 3476655861 Enrollment ID: I20070305000317 |
| Provider Name | Meghan Higman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245280288 PECOS PAC ID: 4981709680 Enrollment ID: I20070424000532 |
| Provider Name | Marcelle A Grassi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881690915 PECOS PAC ID: 1355447327 Enrollment ID: I20070508000464 |
| Provider Name | Julie A Mussell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538231196 PECOS PAC ID: 2668571464 Enrollment ID: I20070620000045 |
| Provider Name | Sanjay Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740238906 PECOS PAC ID: 2567403827 Enrollment ID: I20070621000070 |
| Provider Name | Alan K Klitzke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245389709 PECOS PAC ID: 1355440819 Enrollment ID: I20070625000066 |
| Provider Name | Pamela M Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295899094 PECOS PAC ID: 3173622644 Enrollment ID: I20070625000158 |
| Provider Name | Cheryl L Neely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053463372 PECOS PAC ID: 2668571886 Enrollment ID: I20070628000197 |
| Provider Name | Rhonda A Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033133509 PECOS PAC ID: 2466553490 Enrollment ID: I20070720000616 |
| Provider Name | Mamoon Bokhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265499503 PECOS PAC ID: 3072614718 Enrollment ID: I20070724000674 |
| Provider Name | Dena Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053351064 PECOS PAC ID: 6608867619 Enrollment ID: I20070726000851 |
| Provider Name | Denise A Rokitka |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760565287 PECOS PAC ID: 3375644826 Enrollment ID: I20070727000169 |
| Provider Name | Eileen B Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831242973 PECOS PAC ID: 5395836621 Enrollment ID: I20070801000162 |
| Provider Name | Carl D Morrison |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932142379 PECOS PAC ID: 9032202874 Enrollment ID: I20070910000667 |
| Provider Name | Elizabeth L Mahoney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316140296 PECOS PAC ID: 7214023282 Enrollment ID: I20071022000797 |
| Provider Name | Romel A Bertulfo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194915116 PECOS PAC ID: 3476640137 Enrollment ID: I20071029000356 |
| Provider Name | Anurag K Singh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568662930 PECOS PAC ID: 7012005978 Enrollment ID: I20071112000196 |
| Provider Name | Saikrishna S Yendamuri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396940995 PECOS PAC ID: 3173611480 Enrollment ID: I20071121000052 |
| Provider Name | Steven J Ambrusko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205047461 PECOS PAC ID: 9830287960 Enrollment ID: I20071126000585 |
| Provider Name | Niels U Gothgen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508952573 PECOS PAC ID: 9133219215 Enrollment ID: I20071212000684 |
| Provider Name | Raghu Ram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639138597 PECOS PAC ID: 3870673858 Enrollment ID: I20080103000141 |
| Provider Name | Grace K Dy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639143795 PECOS PAC ID: 6800976739 Enrollment ID: I20080104000507 |
| Provider Name | Betsy J Bodie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598963886 PECOS PAC ID: 6305920711 Enrollment ID: I20080225000173 |
| Provider Name | Peter Reden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528016359 PECOS PAC ID: 5496713968 Enrollment ID: I20080225000664 |
| Provider Name | Jacqueline A Goldfinch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235317546 PECOS PAC ID: 4688758865 Enrollment ID: I20080227000013 |
| Provider Name | Amy P Early |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316903321 PECOS PAC ID: 2062451024 Enrollment ID: I20080325000458 |
| Provider Name | Mary K Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457368094 PECOS PAC ID: 0840378956 Enrollment ID: I20080415000345 |
| Provider Name | Mary Deveau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548463664 PECOS PAC ID: 2769551308 Enrollment ID: I20080521000856 |
| Provider Name | Marion C Mcgovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467620013 PECOS PAC ID: 0547330102 Enrollment ID: I20080609000450 |
| Provider Name | Sandeep Kaur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710158571 PECOS PAC ID: 5698847572 Enrollment ID: I20080709000658 |
| Provider Name | Kathleen J Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851568281 PECOS PAC ID: 1850463662 Enrollment ID: I20080710000259 |
| Provider Name | Jill S Nestico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073596110 PECOS PAC ID: 3779656103 Enrollment ID: I20080718000144 |
| Provider Name | Karen L Vona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700036217 PECOS PAC ID: 3274694336 Enrollment ID: I20081208000206 |
| Provider Name | Deborah Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679793889 PECOS PAC ID: 9739243411 Enrollment ID: I20090123000511 |
| Provider Name | Michelle Sabia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275730293 PECOS PAC ID: 6204990443 Enrollment ID: I20090203000083 |
| Provider Name | James E Thompson |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1568405868 PECOS PAC ID: 5890859243 Enrollment ID: I20090203000142 |
| Provider Name | Ronald A Alberico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366447567 PECOS PAC ID: 1052475043 Enrollment ID: I20090206000162 |
| Provider Name | Nadiha M Eloudi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104809417 PECOS PAC ID: 3274698725 Enrollment ID: I20090217000082 |
| Provider Name | Janice M Proy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275785396 PECOS PAC ID: 2668539065 Enrollment ID: I20090331000301 |
| Provider Name | David M Mattson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134336621 PECOS PAC ID: 6305993213 Enrollment ID: I20090413000002 |
| Provider Name | Wendy L Weinstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679523484 PECOS PAC ID: 9335035849 Enrollment ID: I20090604000068 |
| Provider Name | Brian J Page |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700028933 PECOS PAC ID: 1850441668 Enrollment ID: I20090616000456 |
| Provider Name | Thomas Laudico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740403526 PECOS PAC ID: 6800946690 Enrollment ID: I20090617000353 |
| Provider Name | Julia Barber Faller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730322090 PECOS PAC ID: 5294886990 Enrollment ID: I20090619000021 |
| Provider Name | Amy L Sumbrum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316039944 PECOS PAC ID: 1759432826 Enrollment ID: I20090701000028 |
| Provider Name | James M Smaldino |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245211986 PECOS PAC ID: 0648321711 Enrollment ID: I20090701000043 |
| Provider Name | Lindsay M Wachowiak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093951014 PECOS PAC ID: 1355492448 Enrollment ID: I20090701000229 |
| Provider Name | Hong Liu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942383807 PECOS PAC ID: 3577616523 Enrollment ID: I20090808000038 |
| Provider Name | Hongbin Chen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306982020 PECOS PAC ID: 9537213525 Enrollment ID: I20090810000365 |
| Provider Name | Sheila M Tighe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306076344 PECOS PAC ID: 7911052238 Enrollment ID: I20090909000644 |
| Provider Name | Elisabeth Dexter |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1427007095 PECOS PAC ID: 5890841746 Enrollment ID: I20090918000211 |
| Provider Name | Joseph M Rasnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881887537 PECOS PAC ID: 3870649270 Enrollment ID: I20090930000389 |
| Provider Name | Thomas Schwaab |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457432346 PECOS PAC ID: 8123026176 Enrollment ID: I20091020000123 |
| Provider Name | Elizabeth A Griffiths |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962577171 PECOS PAC ID: 9335294396 Enrollment ID: I20100104000300 |
| Provider Name | Kathleen Mogensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790768687 PECOS PAC ID: 4082757356 Enrollment ID: I20100209000272 |
| Provider Name | Laszlo L Mechtler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710978598 PECOS PAC ID: 5193612281 Enrollment ID: I20100212000235 |
| Provider Name | Tracey O Connor |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043201411 PECOS PAC ID: 3072648021 Enrollment ID: I20100317000003 |
| Provider Name | Anthony T Yarussi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598746075 PECOS PAC ID: 0345375390 Enrollment ID: I20100317000011 |
| Provider Name | Teresa Palmieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578546701 PECOS PAC ID: 1254466121 Enrollment ID: I20100317000338 |
| Provider Name | Jason T Rein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124256367 PECOS PAC ID: 8729113402 Enrollment ID: I20100319000456 |
| Provider Name | Francisco J Hernandez Ilizaliturri |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477559359 PECOS PAC ID: 3476688870 Enrollment ID: I20100323000813 |
| Provider Name | Joanne L Becker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235134800 PECOS PAC ID: 7315073004 Enrollment ID: I20100406000074 |
| Provider Name | Linda L Tiffany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881677623 PECOS PAC ID: 0244367035 Enrollment ID: I20100428000095 |
| Provider Name | Martin C Mahoney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235120296 PECOS PAC ID: 3870620537 Enrollment ID: I20100429000004 |
| Provider Name | Charles M Levea |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730187006 PECOS PAC ID: 6507993268 Enrollment ID: I20100429000008 |
| Provider Name | Dominick M Lamonica |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1912905357 PECOS PAC ID: 7416084116 Enrollment ID: I20100429000401 |
| Provider Name | Ellis Levine |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1992703268 PECOS PAC ID: 0042348625 Enrollment ID: I20100503000807 |
| Provider Name | Peter S Klieger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427089622 PECOS PAC ID: 9830227222 Enrollment ID: I20100505000594 |
| Provider Name | Oscar A Deleon-casasola |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467458851 PECOS PAC ID: 6103954409 Enrollment ID: I20100506000764 |
| Provider Name | Shashikant B Lele |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1053319681 PECOS PAC ID: 4688702921 Enrollment ID: I20100507000193 |
| Provider Name | Michael Kuettel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043217193 PECOS PAC ID: 3577691815 Enrollment ID: I20100507000213 |
| Provider Name | Hector R Nava |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295726990 PECOS PAC ID: 9931238607 Enrollment ID: I20100519000372 |
| Provider Name | Paul I Tomljanovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053392829 PECOS PAC ID: 3779612270 Enrollment ID: I20100521000113 |
| Provider Name | Alice Mohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497738611 PECOS PAC ID: 9931238441 Enrollment ID: I20100521000145 |
| Provider Name | Karen A Furlani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801879036 PECOS PAC ID: 5890824957 Enrollment ID: I20100527000580 |
| Provider Name | Renier Brentjens |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588635510 PECOS PAC ID: 2466581533 Enrollment ID: I20100527000664 |
| Provider Name | Maureen Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477745115 PECOS PAC ID: 2062422801 Enrollment ID: I20100611000761 |
| Provider Name | Eunice S Wang |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1386625598 PECOS PAC ID: 3173654027 Enrollment ID: I20100622000249 |
| Provider Name | Mark Lema |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174521512 PECOS PAC ID: 1951432822 Enrollment ID: I20100622000449 |
| Provider Name | Robert J Plunkett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174504377 PECOS PAC ID: 7719881390 Enrollment ID: I20100624000622 |
| Provider Name | Boris W Kuvshinoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669470001 PECOS PAC ID: 3173654837 Enrollment ID: I20100625000008 |
| Provider Name | Philip Jr Mccarthy |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1770574808 PECOS PAC ID: 0446381008 Enrollment ID: I20100625000015 |
| Provider Name | John M Kane |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1053318832 PECOS PAC ID: 7911990197 Enrollment ID: I20100626000241 |
| Provider Name | Nathalie C Zeitouni |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164403010 PECOS PAC ID: 9739210204 Enrollment ID: I20100628000032 |
| Provider Name | Brahm Segal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316928468 PECOS PAC ID: 5991836488 Enrollment ID: I20100628000340 |
| Provider Name | Elizabeth Mcclintick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407847544 PECOS PAC ID: 4385775881 Enrollment ID: I20100628000408 |
| Provider Name | Peter G Maslak |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1265403067 PECOS PAC ID: 5496886566 Enrollment ID: I20100706000740 |
| Provider Name | Patricia Doucette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114900420 PECOS PAC ID: 3274664289 Enrollment ID: I20100707000503 |
| Provider Name | Chukwumere E Nwogu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164403770 PECOS PAC ID: 6002948122 Enrollment ID: I20100724000037 |
| Provider Name | Laura Snopkowksi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982687752 PECOS PAC ID: 8527190685 Enrollment ID: I20100726000220 |
| Provider Name | Marcus Sikorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700869575 PECOS PAC ID: 6103959002 Enrollment ID: I20100729000018 |
| Provider Name | Mark W Hennon |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124108998 PECOS PAC ID: 4789708850 Enrollment ID: I20100825001040 |
| Provider Name | Jingxin Qiu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942381173 PECOS PAC ID: 7113091570 Enrollment ID: I20100903000004 |
| Provider Name | Steven J Nurkin |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1639323850 PECOS PAC ID: 8325162993 Enrollment ID: I20100903000017 |
| Provider Name | Saby George |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063686418 PECOS PAC ID: 3476678897 Enrollment ID: I20100908000995 |
| Provider Name | Peter J Frederick |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1558579078 PECOS PAC ID: 2062513369 Enrollment ID: I20100915000836 |
| Provider Name | Andrew J Fabiano |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144543455 PECOS PAC ID: 7012033202 Enrollment ID: I20100924000698 |
| Provider Name | Jon W Grande |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679596332 PECOS PAC ID: 8224220868 Enrollment ID: I20101014000348 |
| Provider Name | Renee M Mapes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548576291 PECOS PAC ID: 6103010095 Enrollment ID: I20101104001002 |
| Provider Name | Ruth M Rohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982922738 PECOS PAC ID: 8820283567 Enrollment ID: I20101108001300 |
| Provider Name | Norbert Sule |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114143682 PECOS PAC ID: 0648331942 Enrollment ID: I20101229000478 |
| Provider Name | Kazunori Kanehira |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255396685 PECOS PAC ID: 6305947680 Enrollment ID: I20110121000079 |
| Provider Name | Laurie M Herbst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457316762 PECOS PAC ID: 3971782392 Enrollment ID: I20110131000893 |
| Provider Name | Todd Schultz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194982322 PECOS PAC ID: 5092851733 Enrollment ID: I20110321000589 |
| Provider Name | Craig M Hendler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962676056 PECOS PAC ID: 1456534346 Enrollment ID: I20110331000010 |
| Provider Name | Bo Xu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497989586 PECOS PAC ID: 3678750908 Enrollment ID: I20110614000112 |
| Provider Name | Wesley L Hicks |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861498750 PECOS PAC ID: 9638357643 Enrollment ID: I20110622000213 |
| Provider Name | Sara A Majewski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679587471 PECOS PAC ID: 8426180290 Enrollment ID: I20110707000192 |
| Provider Name | Matthew J Barth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477714103 PECOS PAC ID: 4688842941 Enrollment ID: I20110713000157 |
| Provider Name | Marco L Davila |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326204322 PECOS PAC ID: 2567630544 Enrollment ID: I20110718000632 |
| Provider Name | Janine M Milligan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316120355 PECOS PAC ID: 4688842545 Enrollment ID: I20110719000862 |
| Provider Name | Dorothy C Pan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1053601732 PECOS PAC ID: 1850560046 Enrollment ID: I20110804000074 |
| Provider Name | Andrew J Bain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174721302 PECOS PAC ID: 9537292560 Enrollment ID: I20110804000480 |
| Provider Name | Heidi C Crow |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1770707515 PECOS PAC ID: 1355511718 Enrollment ID: I20110823000689 |
| Provider Name | Frederick Hong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366436198 PECOS PAC ID: 7911177019 Enrollment ID: I20110829000302 |
| Provider Name | Rachael A Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568767903 PECOS PAC ID: 3779754122 Enrollment ID: I20110915000679 |
| Provider Name | Karolina H Wrzeszcz-onyenma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568407062 PECOS PAC ID: 0143235374 Enrollment ID: I20110920000626 |
| Provider Name | Jessica S Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154654978 PECOS PAC ID: 1951573849 Enrollment ID: I20111019000537 |
| Provider Name | Jennifer F Renzetti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386663748 PECOS PAC ID: 5698948164 Enrollment ID: I20111027000754 |
| Provider Name | Diana Bona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215224217 PECOS PAC ID: 4486821774 Enrollment ID: I20120127000578 |
| Provider Name | Katie M Wigdorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184903379 PECOS PAC ID: 3173788833 Enrollment ID: I20120702000028 |
| Provider Name | Ananda C Dharshan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881852697 PECOS PAC ID: 1456507128 Enrollment ID: I20120813000148 |
| Provider Name | Moni Abraham Kuriakose |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1851667216 PECOS PAC ID: 4880840552 Enrollment ID: I20120813000184 |
| Provider Name | Moshim Kukar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144485020 PECOS PAC ID: 5092962340 Enrollment ID: I20120822000185 |
| Provider Name | Tracy J Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790857779 PECOS PAC ID: 3476591215 Enrollment ID: I20120822000398 |
| Provider Name | Michelle Graton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295000321 PECOS PAC ID: 9638327182 Enrollment ID: I20120907000367 |
| Provider Name | Nadia Malik |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942464250 PECOS PAC ID: 1951559780 Enrollment ID: I20120919000527 |
| Provider Name | Jennifer E Grimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821303140 PECOS PAC ID: 1850541202 Enrollment ID: I20121022000392 |
| Provider Name | Laura J Mango |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619110210 PECOS PAC ID: 5294985578 Enrollment ID: I20121022000778 |
| Provider Name | Carin M Tauriello |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275700551 PECOS PAC ID: 9133379209 Enrollment ID: I20121025000697 |
| Provider Name | Eric C Kauffman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437301298 PECOS PAC ID: 5294921979 Enrollment ID: I20121205000008 |
| Provider Name | Zubin Menon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780956326 PECOS PAC ID: 9436302312 Enrollment ID: I20121228000041 |
| Provider Name | Justine Kurtzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639432743 PECOS PAC ID: 8921253972 Enrollment ID: I20130225000260 |
| Provider Name | Elizabeth G Fiorica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245574086 PECOS PAC ID: 1456506948 Enrollment ID: I20130307000372 |
| Provider Name | John W Powell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851557615 PECOS PAC ID: 4284767989 Enrollment ID: I20130315000190 |
| Provider Name | Robert Frank Lohman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144385972 PECOS PAC ID: 8820178411 Enrollment ID: I20130402000169 |
| Provider Name | Linda Manth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902953136 PECOS PAC ID: 8729225529 Enrollment ID: I20130515000599 |
| Provider Name | Danielle Marie Goetz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053365452 PECOS PAC ID: 7618988833 Enrollment ID: I20130801000085 |
| Provider Name | Sadat Ozair |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285796508 PECOS PAC ID: 7911932553 Enrollment ID: I20130808000530 |
| Provider Name | Leanne E Ortolano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881940831 PECOS PAC ID: 3274775598 Enrollment ID: I20130815000273 |
| Provider Name | Melissa L Hughes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700049673 PECOS PAC ID: 4486897550 Enrollment ID: I20130821000897 |
| Provider Name | Bethany Lema |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730405564 PECOS PAC ID: 5294978169 Enrollment ID: I20130823001175 |
| Provider Name | Molly B Aungst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699117606 PECOS PAC ID: 7810131000 Enrollment ID: I20130909000655 |
| Provider Name | Shana Bradigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700125788 PECOS PAC ID: 3072757228 Enrollment ID: I20130910000555 |
| Provider Name | Raymond Sroka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184867517 PECOS PAC ID: 9436383775 Enrollment ID: I20130930000048 |
| Provider Name | Jill M Ratchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356787147 PECOS PAC ID: 3375777568 Enrollment ID: I20131001000192 |
| Provider Name | Shirley Schierer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487817441 PECOS PAC ID: 6709052087 Enrollment ID: I20131118000412 |
| Provider Name | Michael F Petroziello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730345513 PECOS PAC ID: 0446487458 Enrollment ID: I20131219001461 |
| Provider Name | Laura L Contreras Goode |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487078564 PECOS PAC ID: 0345471819 Enrollment ID: I20140326000850 |
| Provider Name | Michelle M Walter |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730341314 PECOS PAC ID: 4486886017 Enrollment ID: I20140415000616 |
| Provider Name | Corrie E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942649165 PECOS PAC ID: 1355574427 Enrollment ID: I20140428000165 |
| Provider Name | Saraswati Pokharel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073734943 PECOS PAC ID: 0446498299 Enrollment ID: I20140429000762 |
| Provider Name | Jessica M Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174868608 PECOS PAC ID: 9234371923 Enrollment ID: I20140528001249 |
| Provider Name | Thomas W Croucher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285953919 PECOS PAC ID: 1052535614 Enrollment ID: I20140623000478 |
| Provider Name | Vishal Gupta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386977726 PECOS PAC ID: 3476778978 Enrollment ID: I20140625001011 |
| Provider Name | Christopher J Cataldi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952721268 PECOS PAC ID: 5799900866 Enrollment ID: I20140703000149 |
| Provider Name | Cemile Ozturk |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508179839 PECOS PAC ID: 8729203831 Enrollment ID: I20140703001572 |
| Provider Name | Amber M Koeppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477706406 PECOS PAC ID: 7810113826 Enrollment ID: I20140729000822 |
| Provider Name | Emese Zsiros |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1598921181 PECOS PAC ID: 2860619764 Enrollment ID: I20140818001377 |
| Provider Name | Ajay P Abad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639311244 PECOS PAC ID: 8022236843 Enrollment ID: I20140820000746 |
| Provider Name | Gyorgy Paragh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689973943 PECOS PAC ID: 8022236926 Enrollment ID: I20140905000341 |
| Provider Name | Andrew C Storer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689871634 PECOS PAC ID: 0042479115 Enrollment ID: I20141001000163 |
| Provider Name | Rajeev Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326342924 PECOS PAC ID: 8820210537 Enrollment ID: I20141113001280 |
| Provider Name | Casey J Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306255062 PECOS PAC ID: 5799907176 Enrollment ID: I20141120000128 |
| Provider Name | Paul Grant |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1356579940 PECOS PAC ID: 3971825381 Enrollment ID: I20141212001678 |
| Provider Name | Kaitlyn N Mancari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346642170 PECOS PAC ID: 4880917749 Enrollment ID: I20141229001099 |
| Provider Name | Candice P Lyke-frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528492394 PECOS PAC ID: 1951620608 Enrollment ID: I20150501000825 |
| Provider Name | Terry Jo Brooks-devlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831526763 PECOS PAC ID: 2769701150 Enrollment ID: I20150506002309 |
| Provider Name | Kimberly L Brady |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619119658 PECOS PAC ID: 7719106897 Enrollment ID: I20150626000392 |
| Provider Name | Marie Elaine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811124555 PECOS PAC ID: 6608008768 Enrollment ID: I20150629002728 |
| Provider Name | Larson Hsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548496391 PECOS PAC ID: 2769794775 Enrollment ID: I20150706001002 |
| Provider Name | Varun K Chowdhry |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023342060 PECOS PAC ID: 5193943678 Enrollment ID: I20150710001874 |
| Provider Name | Rabi Yacoub |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497987093 PECOS PAC ID: 2668785726 Enrollment ID: I20150717001761 |
| Provider Name | Simon D Fung Kee Fung |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114243896 PECOS PAC ID: 1658685326 Enrollment ID: I20150810000436 |
| Provider Name | Benjamin P Mcgreevy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194954628 PECOS PAC ID: 2264671668 Enrollment ID: I20150825003109 |
| Provider Name | Marc J Siebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932536240 PECOS PAC ID: 3577879204 Enrollment ID: I20150826001042 |
| Provider Name | Megan E Pailler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841568078 PECOS PAC ID: 5597072447 Enrollment ID: I20150910000184 |
| Provider Name | Timothy D Quinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609037597 PECOS PAC ID: 9335305713 Enrollment ID: I20150923001545 |
| Provider Name | Silpa Mandava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831479179 PECOS PAC ID: 6406163443 Enrollment ID: I20150923002096 |
| Provider Name | Jeffrey Carter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568641850 PECOS PAC ID: 0143538934 Enrollment ID: I20150928002059 |
| Provider Name | Samuel N Puvendran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982920328 PECOS PAC ID: 2961710728 Enrollment ID: I20150929001512 |
| Provider Name | Steven A Steer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083842058 PECOS PAC ID: 8123915501 Enrollment ID: I20151027000949 |
| Provider Name | Elizabeth A Bowdish |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457500423 PECOS PAC ID: 5193035962 Enrollment ID: I20151106000131 |
| Provider Name | Allison J. Czwojdak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275970329 PECOS PAC ID: 9133439516 Enrollment ID: I20151116000751 |
| Provider Name | Christine E Sheffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558745679 PECOS PAC ID: 7810299245 Enrollment ID: I20151231001110 |
| Provider Name | Heather M Pisano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518330216 PECOS PAC ID: 7214230770 Enrollment ID: I20160118000611 |
| Provider Name | Amy A Case |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1750326914 PECOS PAC ID: 2961625553 Enrollment ID: I20160321001316 |
| Provider Name | Laura E Ciraolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134599012 PECOS PAC ID: 9537458385 Enrollment ID: I20160517002220 |
| Provider Name | Clare J Twist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356477608 PECOS PAC ID: 9436192192 Enrollment ID: I20160526002293 |
| Provider Name | Lauren Ab Snyder |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386007821 PECOS PAC ID: 0244520740 Enrollment ID: I20160610001037 |
| Provider Name | Jennifer A Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568846632 PECOS PAC ID: 8123319449 Enrollment ID: I20160616001633 |
| Provider Name | Michael J Bax |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740589274 PECOS PAC ID: 0042520520 Enrollment ID: I20160708000155 |
| Provider Name | Gurkamal S Chatta |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1114999083 PECOS PAC ID: 1951425263 Enrollment ID: I20160714002167 |
| Provider Name | Alia Hasham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942530787 PECOS PAC ID: 9638464084 Enrollment ID: I20160824000365 |
| Provider Name | Qiang Li |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518278001 PECOS PAC ID: 2860788726 Enrollment ID: I20160901002087 |
| Provider Name | Kevin Castillo Lesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700147394 PECOS PAC ID: 3072809896 Enrollment ID: I20160902001873 |
| Provider Name | Joseph B. Kuechle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992022701 PECOS PAC ID: 6608189618 Enrollment ID: I20160906000815 |
| Provider Name | Kazuaki Takabe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942460126 PECOS PAC ID: 4284707068 Enrollment ID: I20160908001173 |
| Provider Name | Laurie Flury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053762815 PECOS PAC ID: 1254628803 Enrollment ID: I20160924000456 |
| Provider Name | Mary E Eustace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649622432 PECOS PAC ID: 3779871975 Enrollment ID: I20161004000262 |
| Provider Name | Can Ozturk |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619230315 PECOS PAC ID: 2264720507 Enrollment ID: I20161019001478 |
| Provider Name | Igor Puzanov |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700892502 PECOS PAC ID: 6507807625 Enrollment ID: I20161116001562 |
| Provider Name | Kenan Onel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043360084 PECOS PAC ID: 4587608062 Enrollment ID: I20161121000789 |
| Provider Name | Showkat Hamid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386950814 PECOS PAC ID: 7113161399 Enrollment ID: I20161121001641 |
| Provider Name | Gary Mann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760567572 PECOS PAC ID: 1951436302 Enrollment ID: I20161122000487 |
| Provider Name | Anne Grand'maison |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1699170803 PECOS PAC ID: 5294015582 Enrollment ID: I20161202000329 |
| Provider Name | Stephanie E Myszka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003361585 PECOS PAC ID: 3577844968 Enrollment ID: I20161222001318 |
| Provider Name | Benjamin L Matson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386974467 PECOS PAC ID: 6103107495 Enrollment ID: I20161228000866 |
| Provider Name | Alicia A Lieberman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780973909 PECOS PAC ID: 0840599155 Enrollment ID: I20170117000951 |
| Provider Name | Tracy Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154876555 PECOS PAC ID: 2365725058 Enrollment ID: I20170202001764 |
| Provider Name | Erin R Mouyeos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053554188 PECOS PAC ID: 9537442264 Enrollment ID: I20170203000667 |
| Provider Name | Julie A Comella Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285876136 PECOS PAC ID: 1850674417 Enrollment ID: I20170207000375 |
| Provider Name | Alyson Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780122564 PECOS PAC ID: 6204110059 Enrollment ID: I20170223000784 |
| Provider Name | Cindy Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427292978 PECOS PAC ID: 2769631902 Enrollment ID: I20170223001956 |
| Provider Name | Beverly A Schaefer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699091272 PECOS PAC ID: 3779867726 Enrollment ID: I20170313000072 |
| Provider Name | Kimberly E Wooten |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235390949 PECOS PAC ID: 2860779501 Enrollment ID: I20170504002450 |
| Provider Name | Eric David Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841532231 PECOS PAC ID: 1850697020 Enrollment ID: I20170518000670 |
| Provider Name | Brandon R Seifert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649513169 PECOS PAC ID: 1951678614 Enrollment ID: I20170531000262 |
| Provider Name | Amanda C Przespolewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699066332 PECOS PAC ID: 2567739006 Enrollment ID: I20170605000404 |
| Provider Name | Jerry T Wong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285935585 PECOS PAC ID: 5597051102 Enrollment ID: I20170620000321 |
| Provider Name | Chinazom U Ibegbu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720346125 PECOS PAC ID: 5890091771 Enrollment ID: I20170721001565 |
| Provider Name | Christos Fountzilas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1558672105 PECOS PAC ID: 8022312099 Enrollment ID: I20170724001006 |
| Provider Name | Edwin Yau |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568759769 PECOS PAC ID: 2264726991 Enrollment ID: I20170830001107 |
| Provider Name | Jose P Cruz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538505474 PECOS PAC ID: 2668745126 Enrollment ID: I20170905001309 |
| Provider Name | Helah Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780100297 PECOS PAC ID: 0941574164 Enrollment ID: I20170926003332 |
| Provider Name | Jacquelyn M Danna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366963951 PECOS PAC ID: 7315211547 Enrollment ID: I20170926003747 |
| Provider Name | Noelle Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023534088 PECOS PAC ID: 0941566277 Enrollment ID: I20171102000997 |
| Provider Name | Maghan Krone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013432194 PECOS PAC ID: 0143586487 Enrollment ID: I20171102001405 |
| Provider Name | Sarah A Crance |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962858365 PECOS PAC ID: 4385900927 Enrollment ID: I20171114002909 |
| Provider Name | Lucas J Speak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750890919 PECOS PAC ID: 8022375807 Enrollment ID: I20171204000776 |
| Provider Name | Richard W Gong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366459760 PECOS PAC ID: 6406026343 Enrollment ID: I20180110003133 |
| Provider Name | Sarah A Wren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396267183 PECOS PAC ID: 1850652488 Enrollment ID: I20180222002206 |
| Provider Name | Sebastiano Andreana |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1942526421 PECOS PAC ID: 0648532606 Enrollment ID: I20180403000893 |
| Provider Name | Omar Hasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912269879 PECOS PAC ID: 2769745793 Enrollment ID: I20180404001845 |
| Provider Name | Shelby M Belair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346743598 PECOS PAC ID: 1759645054 Enrollment ID: I20180515001289 |
| Provider Name | Ryan Mcspadden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427324417 PECOS PAC ID: 4981900750 Enrollment ID: I20180531000942 |
| Provider Name | Sarbajit Mukherjee |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003164427 PECOS PAC ID: 9436456068 Enrollment ID: I20180604000097 |
| Provider Name | Brian L Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639529035 PECOS PAC ID: 8426330895 Enrollment ID: I20180611000155 |
| Provider Name | Subin Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588008080 PECOS PAC ID: 7618222522 Enrollment ID: I20180618002557 |
| Provider Name | Shipra Gandhi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801154711 PECOS PAC ID: 1355697764 Enrollment ID: I20180627001198 |
| Provider Name | Agnieszka Katadzyna Witkiewicz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538177159 PECOS PAC ID: 4789698499 Enrollment ID: I20180702001435 |
| Provider Name | Kenneth Seastedt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912273186 PECOS PAC ID: 2365703147 Enrollment ID: I20180813002043 |
| Provider Name | Jens Hillengass |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447748058 PECOS PAC ID: 9436408226 Enrollment ID: I20180828002605 |
| Provider Name | Miranda Sokan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285018051 PECOS PAC ID: 2860742525 Enrollment ID: I20180830002203 |
| Provider Name | Brian M Sedar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568959534 PECOS PAC ID: 6709136237 Enrollment ID: I20180905000425 |
| Provider Name | David W Hwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962791061 PECOS PAC ID: 1153567045 Enrollment ID: I20180913002924 |
| Provider Name | Kathryn A Gillies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245710029 PECOS PAC ID: 3072864545 Enrollment ID: I20180921001520 |
| Provider Name | Muddusir Mohammad Ayaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790164564 PECOS PAC ID: 6406169200 Enrollment ID: I20181005000336 |
| Provider Name | Michelle Secrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548740327 PECOS PAC ID: 3476805953 Enrollment ID: I20181010003611 |
| Provider Name | Katherine M Mullin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497075147 PECOS PAC ID: 2163664673 Enrollment ID: I20181025001724 |
| Provider Name | Quinn Patton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154896686 PECOS PAC ID: 6305190885 Enrollment ID: I20181120000878 |
| Provider Name | Stephanie L Griebner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922583343 PECOS PAC ID: 2163776436 Enrollment ID: I20181127000331 |
| Provider Name | Archit Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184003147 PECOS PAC ID: 2860740933 Enrollment ID: I20181205002857 |
| Provider Name | Adeel Ahmad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578717997 PECOS PAC ID: 8123274776 Enrollment ID: I20181211000943 |
| Provider Name | Lauren Carlson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639661721 PECOS PAC ID: 0749525020 Enrollment ID: I20181213002719 |
| Provider Name | Victoria Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114494853 PECOS PAC ID: 6406191261 Enrollment ID: I20181224000187 |
| Provider Name | Ahmed Nasir Yousuf Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962775239 PECOS PAC ID: 1850609827 Enrollment ID: I20181231001759 |
| Provider Name | Zubair Ur Rehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265829360 PECOS PAC ID: 2860705282 Enrollment ID: I20190122002261 |
| Provider Name | Michael E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780156331 PECOS PAC ID: 6002154101 Enrollment ID: I20190215000709 |
| Provider Name | Madeline Mcmorrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245704352 PECOS PAC ID: 0941549737 Enrollment ID: I20190221001753 |
| Provider Name | Jessica Hafezi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003380528 PECOS PAC ID: 0941540801 Enrollment ID: I20190313000719 |
| Provider Name | Nirmala Tasgaonkar |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1093987158 PECOS PAC ID: 5799080750 Enrollment ID: I20190318001503 |
| Provider Name | Caitlin Jeanne Reich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285109439 PECOS PAC ID: 0840530465 Enrollment ID: I20190319000598 |
| Provider Name | Lindsay J Lipinski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417191438 PECOS PAC ID: 4385939040 Enrollment ID: I20190322001719 |
| Provider Name | Kelly Wood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477514305 PECOS PAC ID: 9234164518 Enrollment ID: I20190501002016 |
| Provider Name | Amro Elshoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417398975 PECOS PAC ID: 8729321757 Enrollment ID: I20190515000992 |
| Provider Name | Syed Qudsiyah Rufai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952796757 PECOS PAC ID: 0547562860 Enrollment ID: I20190605002516 |
| Provider Name | Wendy Markwardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720644172 PECOS PAC ID: 5395078943 Enrollment ID: I20190613000782 |
| Provider Name | Destiny S Ciemny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356809263 PECOS PAC ID: 3971836370 Enrollment ID: I20190617001558 |
| Provider Name | Jason M Heim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386100675 PECOS PAC ID: 0749515286 Enrollment ID: I20190705000585 |
| Provider Name | Samantha R Ridolfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114485943 PECOS PAC ID: 1456686898 Enrollment ID: I20190708002596 |
| Provider Name | Zhongbo Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013356047 PECOS PAC ID: 4183972276 Enrollment ID: I20190715002290 |
| Provider Name | Nathaniel M Ivanick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063623098 PECOS PAC ID: 4486796208 Enrollment ID: I20190719001313 |
| Provider Name | Christopher P Bona |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699189696 PECOS PAC ID: 5395008650 Enrollment ID: I20190719002614 |
| Provider Name | Mark A Medakovich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780144410 PECOS PAC ID: 7012243199 Enrollment ID: I20190726001688 |
| Provider Name | Geoffrey D Bilinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861950164 PECOS PAC ID: 3971839812 Enrollment ID: I20190730002202 |
| Provider Name | Desi R Carozza |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558538777 PECOS PAC ID: 3971736059 Enrollment ID: I20190807002010 |
| Provider Name | Leonid Cherkassky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306074562 PECOS PAC ID: 3274750906 Enrollment ID: I20190820003118 |
| Provider Name | Katherine Mager |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1376825646 PECOS PAC ID: 2365771144 Enrollment ID: I20190903003007 |
| Provider Name | Gabrielle R Paoletti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609289776 PECOS PAC ID: 6305063611 Enrollment ID: I20190904000121 |
| Provider Name | Thomas J Edd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538514864 PECOS PAC ID: 3476848573 Enrollment ID: I20190919003003 |
| Provider Name | Jamie Kerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851948194 PECOS PAC ID: 6103157334 Enrollment ID: I20191018001495 |
| Provider Name | Lovejeet Atwal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598315970 PECOS PAC ID: 1254663495 Enrollment ID: I20191021003459 |
| Provider Name | Shalana Bria Labayen O'brien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144546854 PECOS PAC ID: 8729359237 Enrollment ID: I20191028001125 |
| Provider Name | Michelle Ding |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336303254 PECOS PAC ID: 6901060367 Enrollment ID: I20191029000265 |
| Provider Name | Kimberly Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205486271 PECOS PAC ID: 7810229523 Enrollment ID: I20191030001636 |
| Provider Name | Mohamed M Desouki |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760552699 PECOS PAC ID: 6709041163 Enrollment ID: I20191101000162 |
| Provider Name | Rachel Wolniewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962053140 PECOS PAC ID: 5294067625 Enrollment ID: I20191104002411 |
| Provider Name | Vladimir Frias |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1023197456 PECOS PAC ID: 3375875727 Enrollment ID: I20191104002949 |
| Provider Name | Myron Y Prawak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619193620 PECOS PAC ID: 9830299916 Enrollment ID: I20191111002190 |
| Provider Name | Geovanny Perez Estrella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255618906 PECOS PAC ID: 1850514209 Enrollment ID: I20191204001591 |
| Provider Name | Boulos Beshai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457621617 PECOS PAC ID: 9335492305 Enrollment ID: I20191213000873 |
| Provider Name | Torrie L Wydysh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467097717 PECOS PAC ID: 3072947795 Enrollment ID: I20200103002289 |
| Provider Name | Cheryl Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588205256 PECOS PAC ID: 0446685457 Enrollment ID: I20200122001494 |
| Provider Name | Ahmed Aly Hussein Aly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952858839 PECOS PAC ID: 4486080074 Enrollment ID: I20200129002727 |
| Provider Name | Danielle C Balasubramaniam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366072621 PECOS PAC ID: 1658700943 Enrollment ID: I20200408001143 |
| Provider Name | Christina Scott |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962966507 PECOS PAC ID: 2062841372 Enrollment ID: I20200408002081 |
| Provider Name | Mallory Andrzejak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790347672 PECOS PAC ID: 0345670006 Enrollment ID: I20200420002618 |
| Provider Name | Tiffany M Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396371746 PECOS PAC ID: 6608206073 Enrollment ID: I20200427001115 |
| Provider Name | Alicia Goldenberg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740677855 PECOS PAC ID: 4486085784 Enrollment ID: I20200520000742 |
| Provider Name | Sayeeda Yasmeen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356724629 PECOS PAC ID: 5092042333 Enrollment ID: I20200520000815 |
| Provider Name | Mary Frances A Croake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902291917 PECOS PAC ID: 4183960644 Enrollment ID: I20200529002314 |
| Provider Name | Alexander F Croake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265815534 PECOS PAC ID: 4183968191 Enrollment ID: I20200626001497 |
| Provider Name | Ajay Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710321914 PECOS PAC ID: 9638592504 Enrollment ID: I20200710000755 |
| Provider Name | Saba Ali |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629330253 PECOS PAC ID: 4486916533 Enrollment ID: I20200717002150 |
| Provider Name | You-wen Qian |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902003130 PECOS PAC ID: 3779678198 Enrollment ID: I20200720001758 |
| Provider Name | Mohammmad Faraz Ul Haq |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649685199 PECOS PAC ID: 0941545776 Enrollment ID: I20200724002591 |
| Provider Name | Mark G. Faber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285167080 PECOS PAC ID: 4587901871 Enrollment ID: I20200727001413 |
| Provider Name | Musa Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003226143 PECOS PAC ID: 7315245842 Enrollment ID: I20200731001018 |
| Provider Name | Joseph Maher |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1760406458 PECOS PAC ID: 4981708229 Enrollment ID: I20200812000102 |
| Provider Name | Sarah A Sporski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720628613 PECOS PAC ID: 0648698522 Enrollment ID: I20200909000864 |
| Provider Name | Frank Freund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609304872 PECOS PAC ID: 2466722004 Enrollment ID: I20200916002695 |
| Provider Name | Kathryn Emily Fritzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487280731 PECOS PAC ID: 0042638140 Enrollment ID: I20200921002891 |
| Provider Name | Kelsey L Adamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174056733 PECOS PAC ID: 1557608940 Enrollment ID: I20200921003087 |
| Provider Name | Kai Fu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770531840 PECOS PAC ID: 3476698515 Enrollment ID: I20200929000610 |
| Provider Name | Andrea Darrall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750999462 PECOS PAC ID: 3577982255 Enrollment ID: I20200929003622 |
| Provider Name | Mohammad Uzair Ansari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891229977 PECOS PAC ID: 8123365400 Enrollment ID: I20201014002112 |
| Provider Name | Sandeep Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487180105 PECOS PAC ID: 9537406046 Enrollment ID: I20201028001958 |
| Provider Name | Allison Koscak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881291599 PECOS PAC ID: 9830501881 Enrollment ID: I20201215002838 |
| Provider Name | Lori Ann Hinca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225646854 PECOS PAC ID: 5991117863 Enrollment ID: I20201217001227 |
| Provider Name | Nataliya Buxbaum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144493982 PECOS PAC ID: 4284046806 Enrollment ID: I20201223000816 |
| Provider Name | Carolyn Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215537204 PECOS PAC ID: 7618380833 Enrollment ID: I20210107002594 |
| Provider Name | Christopher P Bona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699189696 PECOS PAC ID: 5395008650 Enrollment ID: I20210112002695 |
| Provider Name | Kimberly M Kohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568070779 PECOS PAC ID: 1153735600 Enrollment ID: I20210125002884 |
| Provider Name | Caitlin M Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659701050 PECOS PAC ID: 6406260397 Enrollment ID: I20210204002423 |
| Provider Name | Samantha J Esnaola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922692888 PECOS PAC ID: 1254748940 Enrollment ID: I20210324002788 |
| Provider Name | Victoria Bruns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184245094 PECOS PAC ID: 7416365259 Enrollment ID: I20210416000369 |
| Provider Name | Ashley Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235719766 PECOS PAC ID: 9830508746 Enrollment ID: I20210505002306 |
| Provider Name | Sumangaly Thambiaiyah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538424205 PECOS PAC ID: 8325348675 Enrollment ID: I20210507001652 |
| Provider Name | Kaitlyn Hartman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184088734 PECOS PAC ID: 6204245947 Enrollment ID: I20210510000153 |
| Provider Name | Chi Mei Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245625334 PECOS PAC ID: 0648571018 Enrollment ID: I20210510000353 |
| Provider Name | Dharmesh Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922363894 PECOS PAC ID: 0648583278 Enrollment ID: I20210510000487 |
| Provider Name | Pamela Jeannette Sung |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972862084 PECOS PAC ID: 5698073690 Enrollment ID: I20210511002811 |
| Provider Name | Steven Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053792374 PECOS PAC ID: 4385955798 Enrollment ID: I20210603001041 |
| Provider Name | Ravi B Doobay |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316325608 PECOS PAC ID: 0143566166 Enrollment ID: I20210615000908 |
| Provider Name | Deepak Vadehra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255727392 PECOS PAC ID: 7113230673 Enrollment ID: I20210623002534 |
| Provider Name | Christina Lyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699341446 PECOS PAC ID: 4284035122 Enrollment ID: I20210629002151 |
| Provider Name | Gregory Freund |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568685964 PECOS PAC ID: 4587718309 Enrollment ID: I20210702001672 |
| Provider Name | Sehrish Jamot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922410794 PECOS PAC ID: 5294952917 Enrollment ID: I20210713001102 |
| Provider Name | Mercy K Tomy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417391434 PECOS PAC ID: 4486932118 Enrollment ID: I20210713001822 |
| Provider Name | John P Bonnewell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730592130 PECOS PAC ID: 9335366608 Enrollment ID: I20210719003046 |
| Provider Name | Prantesh Jain |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710295019 PECOS PAC ID: 5496997074 Enrollment ID: I20210806000660 |
| Provider Name | Drew Kuraitis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184152449 PECOS PAC ID: 4284979410 Enrollment ID: I20210812000609 |
| Provider Name | Julia Easton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407429285 PECOS PAC ID: 9335544824 Enrollment ID: I20210820003085 |
| Provider Name | Kathleen Shanahan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942578174 PECOS PAC ID: 2668878414 Enrollment ID: I20210902002507 |
| Provider Name | Anthony Dakwar |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1588921647 PECOS PAC ID: 2961736004 Enrollment ID: I20210907000342 |
| Provider Name | Anoop Prabhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083814982 PECOS PAC ID: 8224254198 Enrollment ID: I20210907003524 |
| Provider Name | Brendan Mcsherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770256463 PECOS PAC ID: 8527464635 Enrollment ID: I20210914003055 |
| Provider Name | Aalia J Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891288650 PECOS PAC ID: 6406194976 Enrollment ID: I20210916003428 |
| Provider Name | Madeline Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174290464 PECOS PAC ID: 0143627323 Enrollment ID: I20210930002756 |
| Provider Name | Justin Mcmaster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851748560 PECOS PAC ID: 4284971581 Enrollment ID: I20211011000798 |
| Provider Name | Ayham Al Afif |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518582873 PECOS PAC ID: 0547668931 Enrollment ID: I20211015001667 |
| Provider Name | Kristen Lynn Paler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003479916 PECOS PAC ID: 7618365917 Enrollment ID: I20211019000573 |
| Provider Name | Janice Gennocro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790364131 PECOS PAC ID: 1254729882 Enrollment ID: I20211101000317 |
| Provider Name | Maura Seitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356018634 PECOS PAC ID: 0840688222 Enrollment ID: I20211104001414 |
| Provider Name | Benjamin Switzer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1497288203 PECOS PAC ID: 9739457557 Enrollment ID: I20211220001045 |
| Provider Name | Ashish Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376898841 PECOS PAC ID: 9739426032 Enrollment ID: I20220121001559 |
| Provider Name | Jenna Borrelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346905486 PECOS PAC ID: 3173916590 Enrollment ID: I20220208001518 |
| Provider Name | Peggy Stefanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518611938 PECOS PAC ID: 6305230293 Enrollment ID: I20220217002432 |
| Provider Name | Grant Schofield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831630391 PECOS PAC ID: 7911250683 Enrollment ID: I20220301000409 |
| Provider Name | Molly Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891446126 PECOS PAC ID: 2668867318 Enrollment ID: I20220316003457 |
| Provider Name | Benjamin Francisco Calvo |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1639263858 PECOS PAC ID: 9638268808 Enrollment ID: I20220405002507 |
| Provider Name | Xilei Xu Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063898799 PECOS PAC ID: 8426435686 Enrollment ID: I20220510001162 |
| Provider Name | Shannon Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285374561 PECOS PAC ID: 1759768625 Enrollment ID: I20220514000064 |
| Provider Name | Alyssa Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669117313 PECOS PAC ID: 9537548862 Enrollment ID: I20220616002337 |
| Provider Name | Courtney Englert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578209698 PECOS PAC ID: 1850770199 Enrollment ID: I20220616002526 |
| Provider Name | Mark Farrugia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386176212 PECOS PAC ID: 6709156391 Enrollment ID: I20220715001137 |
| Provider Name | Matthew J Cortese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730533779 PECOS PAC ID: 4284928763 Enrollment ID: I20220715001571 |
| Provider Name | Kristen A Fox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730828005 PECOS PAC ID: 4486036597 Enrollment ID: I20220806000134 |
| Provider Name | Hassan Awada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225528649 PECOS PAC ID: 8325393820 Enrollment ID: I20220808001002 |
| Provider Name | Mehvish Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861927840 PECOS PAC ID: 7517232598 Enrollment ID: I20220810002995 |
| Provider Name | Paul O'connor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457887382 PECOS PAC ID: 8921335266 Enrollment ID: I20220811002189 |
| Provider Name | Karen Mclean |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1356467575 PECOS PAC ID: 9335318807 Enrollment ID: I20220914002863 |
| Provider Name | Faye Del Carmen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043895063 PECOS PAC ID: 2961805692 Enrollment ID: I20220926000602 |
| Provider Name | Anuradha Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710333943 PECOS PAC ID: 5698036200 Enrollment ID: I20220926001309 |
| Provider Name | Lei Deng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346775251 PECOS PAC ID: 5597141754 Enrollment ID: I20220926003220 |
| Provider Name | Alina Shevorykin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477174795 PECOS PAC ID: 1850767898 Enrollment ID: I20221017002584 |
| Provider Name | Taylor Kochanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093440273 PECOS PAC ID: 3173999778 Enrollment ID: I20221024001436 |
| Provider Name | Nicholas Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063097814 PECOS PAC ID: 4082017876 Enrollment ID: I20221107000121 |
| Provider Name | Jeremy A Diehl |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740631878 PECOS PAC ID: 7618246638 Enrollment ID: I20221121002340 |
| Provider Name | Victoria L Carhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841715810 PECOS PAC ID: 8921477159 Enrollment ID: I20221212000369 |
| Provider Name | Jessica Urbank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962129577 PECOS PAC ID: 6103295241 Enrollment ID: I20221212001215 |
| Provider Name | Shauna Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528364817 PECOS PAC ID: 1153791611 Enrollment ID: I20221228001828 |
| Provider Name | Jean-luc C Urbain |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1548588759 PECOS PAC ID: 5395007371 Enrollment ID: I20230104000778 |
| Provider Name | Jayalakshmi Balakrishna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386990265 PECOS PAC ID: 4981951597 Enrollment ID: I20230227002425 |
| Provider Name | Joshua Regal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184155814 PECOS PAC ID: 4688047202 Enrollment ID: I20230302000275 |
| Provider Name | Bradley Webster |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386031425 PECOS PAC ID: 6204140627 Enrollment ID: I20230316000702 |
| Provider Name | Sarah L Averill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003137522 PECOS PAC ID: 1658512504 Enrollment ID: I20230316001690 |
| Provider Name | Casey Gormley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669021424 PECOS PAC ID: 6103258629 Enrollment ID: I20230316001836 |
| Provider Name | Amanda Gynan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124781380 PECOS PAC ID: 3375908163 Enrollment ID: I20230501001230 |
| Provider Name | Mary Vesterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356994537 PECOS PAC ID: 5890150684 Enrollment ID: I20230501001338 |
| Provider Name | Sarah Nalbach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912576414 PECOS PAC ID: 8224493010 Enrollment ID: I20230501001441 |
| Provider Name | Michael A Kozlowski |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336259324 PECOS PAC ID: 5294039723 Enrollment ID: I20230508000682 |
| Provider Name | Patrick Christie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215623319 PECOS PAC ID: 7012373608 Enrollment ID: I20230524002603 |
| Provider Name | Ayse I Kilic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245753961 PECOS PAC ID: 3870974355 Enrollment ID: I20230615000688 |
| Provider Name | Nada Zmeter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548764186 PECOS PAC ID: 4183989163 Enrollment ID: I20230803002255 |
| Provider Name | Renee Reding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871205740 PECOS PAC ID: 1557722717 Enrollment ID: I20230803002787 |
| Provider Name | William Alexander |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114585379 PECOS PAC ID: 7618204868 Enrollment ID: I20230804000307 |
| Provider Name | Alex Niu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083020440 PECOS PAC ID: 6002109600 Enrollment ID: I20230804002237 |
| Provider Name | Kanwaldeep Mallhi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538394275 PECOS PAC ID: 0446554612 Enrollment ID: I20230807000193 |
| Provider Name | Jayasree Krishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134503188 PECOS PAC ID: 1052617164 Enrollment ID: I20230808000510 |
| Provider Name | Aleodor A Andea |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669421145 PECOS PAC ID: 7315950284 Enrollment ID: I20230808001378 |
| Provider Name | Sheheryar K Kabraji |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326369562 PECOS PAC ID: 7517127459 Enrollment ID: I20230810000325 |
| Provider Name | Hamza Hassan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700300837 PECOS PAC ID: 4284979634 Enrollment ID: I20230810001508 |
| Provider Name | Varsha Gupta |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1558895532 PECOS PAC ID: 9931561727 Enrollment ID: I20230810001944 |
| Provider Name | Bailey Fitzgerald |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902253024 PECOS PAC ID: 2668765439 Enrollment ID: I20230814003895 |
| Provider Name | Kannan Thanikachalam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487060489 PECOS PAC ID: 3476868134 Enrollment ID: I20230823002908 |
| Provider Name | Daniel P Bax |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598254005 PECOS PAC ID: 1951646942 Enrollment ID: I20230911003235 |
| Provider Name | Brian Betts |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1114055860 PECOS PAC ID: 9436337540 Enrollment ID: I20231010002662 |
| Provider Name | Nikolina Gjorgievski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376221168 PECOS PAC ID: 3779938808 Enrollment ID: I20231010002739 |
| Provider Name | Zachary E Stiles |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1861810988 PECOS PAC ID: 9638524440 Enrollment ID: I20231016000132 |
| Provider Name | Daniel Clever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780369520 PECOS PAC ID: 8628425675 Enrollment ID: I20231113001621 |
| Provider Name | Ajay Iyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194342576 PECOS PAC ID: 3678992195 Enrollment ID: I20231114002155 |
| Provider Name | Harold Dean Mcspadden |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1437291077 PECOS PAC ID: 4587011473 Enrollment ID: I20231115000396 |
| Provider Name | Daniel William Sheehan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881777225 PECOS PAC ID: 1951378371 Enrollment ID: I20231201000491 |
| Provider Name | Alina Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851164461 PECOS PAC ID: 2961851332 Enrollment ID: I20231211001283 |
| Provider Name | Katie T Carlberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699063933 PECOS PAC ID: 1153554696 Enrollment ID: I20231228001322 |
| Provider Name | Naomi Spallina |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972384352 PECOS PAC ID: 7416390364 Enrollment ID: I20240207002006 |
| Provider Name | Tricia Numan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205002524 PECOS PAC ID: 2062727852 Enrollment ID: I20240207002615 |
| Provider Name | Jill Schabert |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780702167 PECOS PAC ID: 7012150626 Enrollment ID: I20240207003152 |
| Provider Name | Ehsan Malek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205061702 PECOS PAC ID: 2264610963 Enrollment ID: I20240213004101 |
| Provider Name | Shernan Holtan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780664284 PECOS PAC ID: 9537132774 Enrollment ID: I20240219002588 |
| Provider Name | Lauren Sheldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982465365 PECOS PAC ID: 0143668558 Enrollment ID: I20240404001822 |
| Provider Name | Vidya Nagrale |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265750178 PECOS PAC ID: 0547646507 Enrollment ID: I20240429001265 |
| Provider Name | Ashley Colan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578322202 PECOS PAC ID: 6002256708 Enrollment ID: I20240429001605 |
| Provider Name | Anna Conte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710746466 PECOS PAC ID: 1850833583 Enrollment ID: I20240610000189 |
Buffalo Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Genesee St, Buffalo, NY 14211 Phone: 716-895-2200 Fax: 716-895-3300 | |
Jeremiah O Sullivan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2218 Main St, Buffalo, NY 14214 Phone: 716-834-4141 Fax: 716-838-5840 | |
Greater Buffalo United Accountable Healthcare Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 Niagara St, Buffalo, NY 14201 Phone: 716-882-0366 Fax: 716-830-4840 | |
Buffalo Psychiatric Center Act Team Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Forest Ave, Building 51 A Area, Buffalo, NY 14213 Phone: 716-885-2261 | |
Winston G Douglas Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 755 Wehrle Dr, Buffalo, NY 14225 Phone: 716-884-8033 Fax: 716-342-2523 | |
Carewell Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-830-5453 Fax: 716-332-3525 | |
Nutrition With Noelle P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 Sheridan Dr, Buffalo, NY 14223 Phone: 716-417-6388 |