| Sacred Heart Physicians | |
|
3377 Riverbend Dr Springfield OR 97477-8803 | |
| (541) 335-2700 | |
| Not Available |
| Full Name | Sacred Heart Physicians |
|---|---|
| Speciality | Hospitalist |
| Location | 3377 Riverbend Dr, Springfield, Oregon |
| Authorized Official Name and Position | Kim Hodgkinson (EVP/CFO) |
| Authorized Official Contact | 3607291102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Heart Physicians Po Box 24410 Eugene OR 97402-0451 Ph: () - | Sacred Heart Physicians 3377 Riverbend Dr Springfield OR 97477-8803 Ph: (541) 335-2700 |
| NPI Number | 1740223874 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 04/07/2017 |
| Medicare PECOS PAC ID | 8527016039 |
|---|---|
| Medicare Enrollment ID | O20050111000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740223874 | NPI | - | NPPES |
| 022910 | Medicaid | OR |
| Provider Name | Richard A Barnhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861471054 PECOS PAC ID: 5193638435 Enrollment ID: I20031111000891 |
| Provider Name | Richard C Padgett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679571814 PECOS PAC ID: 1153234414 Enrollment ID: I20031112000087 |
| Provider Name | Jaswinder K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053390252 PECOS PAC ID: 6507779709 Enrollment ID: I20031112000288 |
| Provider Name | John W Gundry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699773648 PECOS PAC ID: 6507779717 Enrollment ID: I20031112000351 |
| Provider Name | Ramakota K Reddy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861490021 PECOS PAC ID: 7012820236 Enrollment ID: I20031112000426 |
| Provider Name | Stephen L Cook |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801894878 PECOS PAC ID: 2567375702 Enrollment ID: I20031112000492 |
| Provider Name | Mohammad H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295702850 PECOS PAC ID: 5799698965 Enrollment ID: I20031112000640 |
| Provider Name | Elizabeth P Vonwellsheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124058789 PECOS PAC ID: 9931192770 Enrollment ID: I20040406001780 |
| Provider Name | Craig D Anderson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1629014824 PECOS PAC ID: 1951395565 Enrollment ID: I20040414001016 |
| Provider Name | Dennis J Gory |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548268790 PECOS PAC ID: 2961496591 Enrollment ID: I20040414001171 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659363190 PECOS PAC ID: 5092704791 Enrollment ID: I20040507001348 |
| Provider Name | Peter W Ganter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093792673 PECOS PAC ID: 0648260323 Enrollment ID: I20040514000532 |
| Provider Name | Frances C Munkenbeck |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982675146 PECOS PAC ID: 3870586530 Enrollment ID: I20040610001481 |
| Provider Name | Michelle L Birdseye |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467422485 PECOS PAC ID: 6305821802 Enrollment ID: I20040621000108 |
| Provider Name | David R Saenger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104825645 PECOS PAC ID: 2668458944 Enrollment ID: I20040628000301 |
| Provider Name | Sharon H Flynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184694812 PECOS PAC ID: 3779563606 Enrollment ID: I20040722000009 |
| Provider Name | Leo Cytrynbaum |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1659341386 PECOS PAC ID: 1951381888 Enrollment ID: I20040722000020 |
| Provider Name | Rajeev L Alexander |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1497725808 PECOS PAC ID: 3678553278 Enrollment ID: I20040723000532 |
| Provider Name | Garret S Zallen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518972025 PECOS PAC ID: 8426020165 Enrollment ID: I20040812000037 |
| Provider Name | Julie Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740250588 PECOS PAC ID: 5294707873 Enrollment ID: I20040812001052 |
| Provider Name | Michael J Kraynyak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225005093 PECOS PAC ID: 0345214987 Enrollment ID: I20040820000520 |
| Provider Name | Camille E Leider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972548766 PECOS PAC ID: 9739158346 Enrollment ID: I20040930000378 |
| Provider Name | Jeffrey G Baxter |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1053383893 PECOS PAC ID: 0749240596 Enrollment ID: I20041015000270 |
| Provider Name | Oscar A Sanchez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063412427 PECOS PAC ID: 2769430503 Enrollment ID: I20050107000518 |
| Provider Name | Wheeler John Dale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780707174 PECOS PAC ID: 7315995917 Enrollment ID: I20050111000218 |
| Provider Name | Michael Schiedler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164528600 PECOS PAC ID: 3274578232 Enrollment ID: I20050621001004 |
| Provider Name | Perry Vincent Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609803774 PECOS PAC ID: 3971536905 Enrollment ID: I20050912000395 |
| Provider Name | Carol L Crocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598964884 PECOS PAC ID: 0345273199 Enrollment ID: I20050913000997 |
| Provider Name | Hsiang-sen R Yeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770698490 PECOS PAC ID: 4587698048 Enrollment ID: I20050923000323 |
| Provider Name | Andrea O Blattler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912013707 PECOS PAC ID: 7315972494 Enrollment ID: I20050927001481 |
| Provider Name | Paul S Koh |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1093784902 PECOS PAC ID: 2264451343 Enrollment ID: I20051117000644 |
| Provider Name | Lisa M Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447223987 PECOS PAC ID: 9234126897 Enrollment ID: I20051130000228 |
| Provider Name | James A Christon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619984853 PECOS PAC ID: 7517943798 Enrollment ID: I20060104000153 |
| Provider Name | Karthik P Mahadevan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144285263 PECOS PAC ID: 5799749552 Enrollment ID: I20060815000155 |
| Provider Name | Mhd Tarek Nashawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205862505 PECOS PAC ID: 0648275339 Enrollment ID: I20061003000028 |
| Provider Name | Adrienne Nicklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326036211 PECOS PAC ID: 0941286017 Enrollment ID: I20061003000081 |
| Provider Name | Chandra Shekhar Ojha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942236559 PECOS PAC ID: 7719986512 Enrollment ID: I20061205000192 |
| Provider Name | Robert C Barnes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689696999 PECOS PAC ID: 6507811999 Enrollment ID: I20070206000494 |
| Provider Name | Matthew R Trojan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235150814 PECOS PAC ID: 1254337876 Enrollment ID: I20070321000313 |
| Provider Name | Riyad Caradog Karmy-jones |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1023077500 PECOS PAC ID: 5597728055 Enrollment ID: I20070410000310 |
| Provider Name | Ranganathan G Madhavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043355019 PECOS PAC ID: 5193811701 Enrollment ID: I20071012000132 |
| Provider Name | Waleed A Gliza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407059108 PECOS PAC ID: 0446347637 Enrollment ID: I20071105000482 |
| Provider Name | Colleen N Kersh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447462783 PECOS PAC ID: 1052497286 Enrollment ID: I20080327000517 |
| Provider Name | Eva Pradhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205034360 PECOS PAC ID: 4587752951 Enrollment ID: I20080514000588 |
| Provider Name | Moshe M Beracha Kovachevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861657975 PECOS PAC ID: 7911075593 Enrollment ID: I20081009000240 |
| Provider Name | Christopher M Massari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700948973 PECOS PAC ID: 2062439938 Enrollment ID: I20081031000414 |
| Provider Name | Natasa Petrac |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578508214 PECOS PAC ID: 2769430586 Enrollment ID: I20081106000585 |
| Provider Name | Jason M Quiring |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609015049 PECOS PAC ID: 4880750645 Enrollment ID: I20090303000012 |
| Provider Name | Robert K Pelz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235106386 PECOS PAC ID: 8729138664 Enrollment ID: I20090615000349 |
| Provider Name | Amarprit S Bains |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295939395 PECOS PAC ID: 8628114543 Enrollment ID: I20091007000426 |
| Provider Name | Kialing P Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952501744 PECOS PAC ID: 0446396170 Enrollment ID: I20091008000679 |
| Provider Name | Colin Maccoll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447346705 PECOS PAC ID: 2365588969 Enrollment ID: I20091013000474 |
| Provider Name | Jessica M Folek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144488248 PECOS PAC ID: 1557425469 Enrollment ID: I20091020000602 |
| Provider Name | Anthony L Dodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992753297 PECOS PAC ID: 9032250824 Enrollment ID: I20091230000298 |
| Provider Name | Kathleen T Chinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649249681 PECOS PAC ID: 6305972282 Enrollment ID: I20100330000976 |
| Provider Name | Christa Danielson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1982677449 PECOS PAC ID: 0244366078 Enrollment ID: I20100331000094 |
| Provider Name | Geoffrey S Simmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295703825 PECOS PAC ID: 3072649870 Enrollment ID: I20100331000786 |
| Provider Name | Richard L Lari |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336117167 PECOS PAC ID: 7719015254 Enrollment ID: I20100504000796 |
| Provider Name | Matthew B Walter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093722217 PECOS PAC ID: 3870622509 Enrollment ID: I20100518000871 |
| Provider Name | Binaya Rimal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942229117 PECOS PAC ID: 1153345459 Enrollment ID: I20100521000871 |
| Provider Name | David R Dehaas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417986761 PECOS PAC ID: 5294731840 Enrollment ID: I20100712000701 |
| Provider Name | Thomas H Bascom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790714046 PECOS PAC ID: 1759387301 Enrollment ID: I20100713000181 |
| Provider Name | Craig S Seidman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811926223 PECOS PAC ID: 8921004573 Enrollment ID: I20100713000215 |
| Provider Name | Travis A Littman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821202185 PECOS PAC ID: 9931224292 Enrollment ID: I20100910000395 |
| Provider Name | Elaine J Skalabrin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609966233 PECOS PAC ID: 9436111911 Enrollment ID: I20101021001210 |
| Provider Name | Nathaniel S Brigham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851362578 PECOS PAC ID: 5991991143 Enrollment ID: I20101130000525 |
| Provider Name | Margaret N Njonjo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427239334 PECOS PAC ID: 8921287590 Enrollment ID: I20110127001215 |
| Provider Name | Daniel A Cusati Oropeza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134210370 PECOS PAC ID: 3678570710 Enrollment ID: I20110520000248 |
| Provider Name | Shirley Marie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982994554 PECOS PAC ID: 7618154188 Enrollment ID: I20110609000393 |
| Provider Name | Tanmay V Samant |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1811123920 PECOS PAC ID: 0648325738 Enrollment ID: I20110802000136 |
| Provider Name | Nyama S Jacobi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265695217 PECOS PAC ID: 4789853714 Enrollment ID: I20110809000508 |
| Provider Name | Hongshi Xu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396902862 PECOS PAC ID: 0749478915 Enrollment ID: I20110830000090 |
| Provider Name | Jamie David Conklin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467640961 PECOS PAC ID: 3274704846 Enrollment ID: I20110913000240 |
| Provider Name | Cristian M Hutanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013193044 PECOS PAC ID: 9436200888 Enrollment ID: I20110922000417 |
| Provider Name | Sudeshna Banerjee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093926081 PECOS PAC ID: 6709057565 Enrollment ID: I20110927000838 |
| Provider Name | Sudhakar P Karlapudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750547683 PECOS PAC ID: 0547433450 Enrollment ID: I20111108000921 |
| Provider Name | James E Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467693093 PECOS PAC ID: 8628047172 Enrollment ID: I20111123000665 |
| Provider Name | Marc Zarraga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134360845 PECOS PAC ID: 3870645435 Enrollment ID: I20120210000425 |
| Provider Name | Corinne A Kuszik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427108885 PECOS PAC ID: 9739093774 Enrollment ID: I20120717000675 |
| Provider Name | Duc Vo |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1770564015 PECOS PAC ID: 2769516988 Enrollment ID: I20120723000029 |
| Provider Name | Brenda M Ormesher |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922267384 PECOS PAC ID: 3577719574 Enrollment ID: I20120807000575 |
| Provider Name | Jonathan T Pak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467657056 PECOS PAC ID: 9436305018 Enrollment ID: I20120814000676 |
| Provider Name | Kevin A Modeste |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942447032 PECOS PAC ID: 8426208109 Enrollment ID: I20121016000386 |
| Provider Name | Edgar Arturo Salazar Quiros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386892263 PECOS PAC ID: 1355591777 Enrollment ID: I20121022000075 |
| Provider Name | Vanessa R Kizzier-carnahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497998660 PECOS PAC ID: 8325298508 Enrollment ID: I20121024000489 |
| Provider Name | Vikas Grover |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710943303 PECOS PAC ID: 6103819099 Enrollment ID: I20121127000072 |
| Provider Name | Susan E Duke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477577708 PECOS PAC ID: 7214960632 Enrollment ID: I20130218000340 |
| Provider Name | Joseph Tristan N Oconer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942400858 PECOS PAC ID: 9234377300 Enrollment ID: I20130531000053 |
| Provider Name | Steven B Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205824703 PECOS PAC ID: 8729068366 Enrollment ID: I20130619000663 |
| Provider Name | Daniel Ilfrey Lincoln |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215258595 PECOS PAC ID: 1850532565 Enrollment ID: I20130723000502 |
| Provider Name | Katsufumi Nishida |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912118159 PECOS PAC ID: 2264606185 Enrollment ID: I20130820001003 |
| Provider Name | Malgorzata A Zukowska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427219633 PECOS PAC ID: 6305016411 Enrollment ID: I20130910000656 |
| Provider Name | Violeta Draghici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700198587 PECOS PAC ID: 6709020514 Enrollment ID: I20131001000287 |
| Provider Name | Kerin S Konkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235561390 PECOS PAC ID: 4587898945 Enrollment ID: I20131018000265 |
| Provider Name | Cassandra M Wolanin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972802148 PECOS PAC ID: 6901041334 Enrollment ID: I20131028000295 |
| Provider Name | Jason D Cronin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346260379 PECOS PAC ID: 9931103702 Enrollment ID: I20131122001757 |
| Provider Name | David M Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992755334 PECOS PAC ID: 0244247807 Enrollment ID: I20131218001299 |
| Provider Name | Saman Selahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174750335 PECOS PAC ID: 8224288295 Enrollment ID: I20140207001062 |
| Provider Name | Grace Hercl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376640011 PECOS PAC ID: 1850397506 Enrollment ID: I20140523000392 |
| Provider Name | William Linwood Emerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619295011 PECOS PAC ID: 7618191370 Enrollment ID: I20140619001042 |
| Provider Name | Mollie K Skov Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851687552 PECOS PAC ID: 0840414470 Enrollment ID: I20140620001566 |
| Provider Name | Alan Garcin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063849024 PECOS PAC ID: 8921223223 Enrollment ID: I20140630000687 |
| Provider Name | Rechelle L Asirot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902118417 PECOS PAC ID: 1153546858 Enrollment ID: I20140714002492 |
| Provider Name | James S Guetzkow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801906995 PECOS PAC ID: 8921004631 Enrollment ID: I20140811000647 |
| Provider Name | Joanna Marie B Aquino-laban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336435536 PECOS PAC ID: 0143443358 Enrollment ID: I20140814002557 |
| Provider Name | Julius Cesar G Laban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730475187 PECOS PAC ID: 3274766159 Enrollment ID: I20140828000010 |
| Provider Name | Samson Barasa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780813667 PECOS PAC ID: 5991923054 Enrollment ID: I20140902002140 |
| Provider Name | Brittany Ellison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407142573 PECOS PAC ID: 2860613494 Enrollment ID: I20141024001068 |
| Provider Name | Diego Muilenburg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295716926 PECOS PAC ID: 7719034065 Enrollment ID: I20150107000222 |
| Provider Name | Erika C Backstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336456383 PECOS PAC ID: 6103140363 Enrollment ID: I20150116000025 |
| Provider Name | Sarah M Barry |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346471034 PECOS PAC ID: 3577617620 Enrollment ID: I20150122000695 |
| Provider Name | Asligul C Hendershot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346234804 PECOS PAC ID: 8921022237 Enrollment ID: I20150206000949 |
| Provider Name | Catherine Dalton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982726865 PECOS PAC ID: 6204903768 Enrollment ID: I20150303001588 |
| Provider Name | Cameron T Khor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962464099 PECOS PAC ID: 1153318829 Enrollment ID: I20150317000156 |
| Provider Name | Eric R Muller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841467347 PECOS PAC ID: 4587839592 Enrollment ID: I20150330001584 |
| Provider Name | Christine Y Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457514903 PECOS PAC ID: 7416112420 Enrollment ID: I20150417001893 |
| Provider Name | Nicole Dyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053499426 PECOS PAC ID: 8729971189 Enrollment ID: I20150430001285 |
| Provider Name | Heidi Warmbold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285886531 PECOS PAC ID: 8921167214 Enrollment ID: I20150602001791 |
| Provider Name | Michelle Ladonna Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558443515 PECOS PAC ID: 5890859219 Enrollment ID: I20150609002910 |
| Provider Name | Trudy Colaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487809653 PECOS PAC ID: 3577625961 Enrollment ID: I20150613000070 |
| Provider Name | Nandi M Brumidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932539137 PECOS PAC ID: 5698903276 Enrollment ID: I20150702002492 |
| Provider Name | Clifton J Burt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972824043 PECOS PAC ID: 7517191232 Enrollment ID: I20150707003456 |
| Provider Name | Nichole Ingalls |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235357104 PECOS PAC ID: 5890848659 Enrollment ID: I20150728006596 |
| Provider Name | Satyam Lakshmanbhai Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023364593 PECOS PAC ID: 9032423454 Enrollment ID: I20150729009344 |
| Provider Name | Frank Bittner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396030052 PECOS PAC ID: 0840504288 Enrollment ID: I20150729010233 |
| Provider Name | Sidney Todd Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518027630 PECOS PAC ID: 2466407614 Enrollment ID: I20150731015179 |
| Provider Name | Yiyakchu J Thapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013115161 PECOS PAC ID: 2062581903 Enrollment ID: I20150803002415 |
| Provider Name | Collin M Mclaughlin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215220306 PECOS PAC ID: 2860618642 Enrollment ID: I20150810002838 |
| Provider Name | Vivekanand Pantangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508123183 PECOS PAC ID: 9537474739 Enrollment ID: I20150818003541 |
| Provider Name | Ivonne M Daly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639379811 PECOS PAC ID: 4789775404 Enrollment ID: I20150818003614 |
| Provider Name | Andrea L Childress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710211768 PECOS PAC ID: 0547308165 Enrollment ID: I20150820011704 |
| Provider Name | Swetha S Bekara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255762654 PECOS PAC ID: 8628390135 Enrollment ID: I20150821013474 |
| Provider Name | Elena Shinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952688731 PECOS PAC ID: 3274772454 Enrollment ID: I20150826000064 |
| Provider Name | Slavita Maria Laies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376808485 PECOS PAC ID: 0446566087 Enrollment ID: I20150827002662 |
| Provider Name | Kiran K Narreddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760613780 PECOS PAC ID: 5193971141 Enrollment ID: I20150922002593 |
| Provider Name | Erik W Young |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891059333 PECOS PAC ID: 8325356785 Enrollment ID: I20151005000960 |
| Provider Name | Heidi R Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235291808 PECOS PAC ID: 4082923222 Enrollment ID: I20151029000048 |
| Provider Name | Hesham A Elmergawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811246176 PECOS PAC ID: 6709196215 Enrollment ID: I20151113000405 |
| Provider Name | Moxie Loeffler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497026272 PECOS PAC ID: 6608014238 Enrollment ID: I20160112002126 |
| Provider Name | Alice So |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407968431 PECOS PAC ID: 0345345781 Enrollment ID: I20160201001308 |
| Provider Name | Kemble Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205292703 PECOS PAC ID: 5597062398 Enrollment ID: I20160322001731 |
| Provider Name | Michael J Wilder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982861191 PECOS PAC ID: 1254487341 Enrollment ID: I20160415000374 |
| Provider Name | Joshua Nicholas Plank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720342256 PECOS PAC ID: 7719125442 Enrollment ID: I20160505002372 |
| Provider Name | Kantee Karki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043521974 PECOS PAC ID: 4385838911 Enrollment ID: I20160621001942 |
| Provider Name | Katelyn A Clark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366732729 PECOS PAC ID: 7911143201 Enrollment ID: I20160727000078 |
| Provider Name | Eric A Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881836724 PECOS PAC ID: 4587810080 Enrollment ID: I20160804002517 |
| Provider Name | Edmund Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629165741 PECOS PAC ID: 0840347878 Enrollment ID: I20160815000631 |
| Provider Name | Shahin Foroutan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508171570 PECOS PAC ID: 2062707599 Enrollment ID: I20160823002722 |
| Provider Name | Mariko A Ferronato |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528357795 PECOS PAC ID: 7012153752 Enrollment ID: I20160908001947 |
| Provider Name | Michael Friedlander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376550913 PECOS PAC ID: 9638167299 Enrollment ID: I20160908002488 |
| Provider Name | Ellen S Stolar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679898472 PECOS PAC ID: 5193967297 Enrollment ID: I20160923002077 |
| Provider Name | Suleiman M Omar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851690317 PECOS PAC ID: 3274753199 Enrollment ID: I20161004001940 |
| Provider Name | Saroj Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497947345 PECOS PAC ID: 6507980281 Enrollment ID: I20161103002546 |
| Provider Name | Clay H Schneiter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194928853 PECOS PAC ID: 1456445758 Enrollment ID: I20161103002588 |
| Provider Name | Elisabeth Anacius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003109828 PECOS PAC ID: 7810155090 Enrollment ID: I20161109001708 |
| Provider Name | Joshua E Salter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689967796 PECOS PAC ID: 4183946346 Enrollment ID: I20161114002397 |
| Provider Name | Naveed A Quadeer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558526046 PECOS PAC ID: 2062689615 Enrollment ID: I20170214001435 |
| Provider Name | Luis E Leyton-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013911601 PECOS PAC ID: 8022047174 Enrollment ID: I20170310001373 |
| Provider Name | Kathleen C Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801022967 PECOS PAC ID: 0244489102 Enrollment ID: I20170317001701 |
| Provider Name | William S Mcbride |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568480416 PECOS PAC ID: 9234194754 Enrollment ID: I20170329001121 |
| Provider Name | Courtney L Apker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104363878 PECOS PAC ID: 1951686195 Enrollment ID: I20170330000782 |
| Provider Name | Krishnakumar R Muthu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407056906 PECOS PAC ID: 7719071182 Enrollment ID: I20170503001946 |
| Provider Name | Binod Dhungana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881969780 PECOS PAC ID: 6800030354 Enrollment ID: I20170505001473 |
| Provider Name | Margareth Saldanha |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1235387291 PECOS PAC ID: 0143345827 Enrollment ID: I20170508002069 |
| Provider Name | Basanta Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053623314 PECOS PAC ID: 2961536719 Enrollment ID: I20170516001471 |
| Provider Name | Manjunath Raju |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528251618 PECOS PAC ID: 3375683170 Enrollment ID: I20170517001980 |
| Provider Name | Lindsey M King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003263237 PECOS PAC ID: 3476843384 Enrollment ID: I20170608000931 |
| Provider Name | George Zhongshan Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982655403 PECOS PAC ID: 5597832824 Enrollment ID: I20170615001053 |
| Provider Name | Ashok Venkataraman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285864074 PECOS PAC ID: 2567686165 Enrollment ID: I20170620001746 |
| Provider Name | Gayan S Gunasekara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073957429 PECOS PAC ID: 7810265402 Enrollment ID: I20170623000576 |
| Provider Name | Stan Atkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831509371 PECOS PAC ID: 2365711058 Enrollment ID: I20170712002061 |
| Provider Name | Nancy M Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194030080 PECOS PAC ID: 7517233612 Enrollment ID: I20171017002568 |
| Provider Name | Kelly R Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639456379 PECOS PAC ID: 8729253398 Enrollment ID: I20171018002428 |
| Provider Name | Heidi Marie Semple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205355740 PECOS PAC ID: 9032485735 Enrollment ID: I20171025000553 |
| Provider Name | Shannon M Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700285582 PECOS PAC ID: 5193945103 Enrollment ID: I20171102000772 |
| Provider Name | Chinyere Mgbahuru Nwosu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144426487 PECOS PAC ID: 2961527163 Enrollment ID: I20171108003324 |
| Provider Name | Christopher Brian Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588077234 PECOS PAC ID: 1557387255 Enrollment ID: I20171116001772 |
| Provider Name | Charlotte H Yeomans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891897112 PECOS PAC ID: 0446318422 Enrollment ID: I20171128003783 |
| Provider Name | Prajeesh Kandoth Karerat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245543222 PECOS PAC ID: 2668612177 Enrollment ID: I20171128003875 |
| Provider Name | Melissa A Duart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780941666 PECOS PAC ID: 4385881879 Enrollment ID: I20171201001761 |
| Provider Name | Rency P Roy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518373588 PECOS PAC ID: 8628297231 Enrollment ID: I20171201001864 |
| Provider Name | Kelly R Peterson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871916296 PECOS PAC ID: 1254691967 Enrollment ID: I20180126002281 |
| Provider Name | Karim Hussein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780654467 PECOS PAC ID: 9830162585 Enrollment ID: I20180216002017 |
| Provider Name | Michael Khalil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124080015 PECOS PAC ID: 4688695638 Enrollment ID: I20180307001467 |
| Provider Name | Stewart A Weber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609118009 PECOS PAC ID: 3870712680 Enrollment ID: I20180530003212 |
| Provider Name | Swati Gobhil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679952105 PECOS PAC ID: 6305109729 Enrollment ID: I20180711003273 |
| Provider Name | Hiro Kawata |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1962769679 PECOS PAC ID: 4284937913 Enrollment ID: I20180801002134 |
| Provider Name | Donna D Kang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699038216 PECOS PAC ID: 8527318732 Enrollment ID: I20180910002749 |
| Provider Name | Kimberly Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831578855 PECOS PAC ID: 3173821600 Enrollment ID: I20180911000877 |
| Provider Name | Chinar Agarwal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265872691 PECOS PAC ID: 0547510620 Enrollment ID: I20180911002822 |
| Provider Name | Sreekanth Karanam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1912978438 PECOS PAC ID: 9638147960 Enrollment ID: I20181126001334 |
| Provider Name | Glacel A Salagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962985408 PECOS PAC ID: 3577807957 Enrollment ID: I20181212001648 |
| Provider Name | Divneet Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275973083 PECOS PAC ID: 8921313784 Enrollment ID: I20181218003476 |
| Provider Name | Amanda M Greene |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265917629 PECOS PAC ID: 5193062198 Enrollment ID: I20190129003480 |
| Provider Name | Samantha J Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700124021 PECOS PAC ID: 9335462159 Enrollment ID: I20190206002622 |
| Provider Name | Martin Nicholas Bomalaski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508109349 PECOS PAC ID: 2860792512 Enrollment ID: I20190312001200 |
| Provider Name | Carma J Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699093450 PECOS PAC ID: 2264677608 Enrollment ID: I20190617003362 |
| Provider Name | Ossama Al Masalmeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851654776 PECOS PAC ID: 0648571182 Enrollment ID: I20190620000506 |
| Provider Name | Richard Sellman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487837563 PECOS PAC ID: 6204870348 Enrollment ID: I20190724001611 |
| Provider Name | Jenna Lynn Shenk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174819502 PECOS PAC ID: 3375839525 Enrollment ID: I20190731002106 |
| Provider Name | Zakhar Serkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174942916 PECOS PAC ID: 7719289743 Enrollment ID: I20190813003436 |
| Provider Name | Rachel L Zubko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578737342 PECOS PAC ID: 7012189889 Enrollment ID: I20190909003266 |
| Provider Name | Jeffrey D Crawford |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003106071 PECOS PAC ID: 2769627462 Enrollment ID: I20190913000380 |
| Provider Name | Dustin K Mckague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427618974 PECOS PAC ID: 6406188291 Enrollment ID: I20191028003162 |
| Provider Name | Jayme S Mcallister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235589136 PECOS PAC ID: 0345536215 Enrollment ID: I20191113001039 |
| Provider Name | Haley Grace Ruljancich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821647173 PECOS PAC ID: 8820420292 Enrollment ID: I20191125000243 |
| Provider Name | George Robert Dulabon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649264680 PECOS PAC ID: 4789789322 Enrollment ID: I20191204000287 |
| Provider Name | Kevin Patrick Blaine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457644098 PECOS PAC ID: 6406165216 Enrollment ID: I20191209000408 |
| Provider Name | Manuel Alejandro Guerrero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548380488 PECOS PAC ID: 7719032465 Enrollment ID: I20191210001024 |
| Provider Name | Seth H Gunderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538483292 PECOS PAC ID: 8325277353 Enrollment ID: I20191227000111 |
| Provider Name | Dhaval P Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760800932 PECOS PAC ID: 2062727803 Enrollment ID: I20200428000762 |
| Provider Name | Precious Roda F Ramirez Arao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871881029 PECOS PAC ID: 7517185648 Enrollment ID: I20200514001944 |
| Provider Name | Hazel J Abool |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346538360 PECOS PAC ID: 4587802889 Enrollment ID: I20200626001487 |
| Provider Name | Elizabeth M Callan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063775732 PECOS PAC ID: 8921325671 Enrollment ID: I20200727003707 |
| Provider Name | Jon B Wheiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134156565 PECOS PAC ID: 4587629233 Enrollment ID: I20200730002383 |
| Provider Name | Anupa Baral |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750545232 PECOS PAC ID: 6002085859 Enrollment ID: I20200915001693 |
| Provider Name | Emily M Jaksich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336510635 PECOS PAC ID: 2062721830 Enrollment ID: I20201106001461 |
| Provider Name | Desarom Teso |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1558579565 PECOS PAC ID: 4880773951 Enrollment ID: I20210322001707 |
| Provider Name | Victoria A Desimone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144876244 PECOS PAC ID: 0042648867 Enrollment ID: I20210506003057 |
| Provider Name | Laura J Burpee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386826071 PECOS PAC ID: 0941383590 Enrollment ID: I20210510001107 |
| Provider Name | Amy Marie Keech |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639468697 PECOS PAC ID: 0749423630 Enrollment ID: I20210512003192 |
| Provider Name | Sandeep S Jhajj |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174962369 PECOS PAC ID: 8022369941 Enrollment ID: I20210520003155 |
| Provider Name | Luke Butler Henderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194144832 PECOS PAC ID: 3971721598 Enrollment ID: I20210714001739 |
| Provider Name | Arissa R Walberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891185286 PECOS PAC ID: 2062709660 Enrollment ID: I20210723003226 |
| Provider Name | Annaleigh Boggess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164855730 PECOS PAC ID: 6800167594 Enrollment ID: I20210726002935 |
| Provider Name | Sushan Yang Sweeney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851788921 PECOS PAC ID: 6204139736 Enrollment ID: I20210809001528 |
| Provider Name | Harold C Lim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821345687 PECOS PAC ID: 0840507075 Enrollment ID: I20210810001401 |
| Provider Name | Tsewang N Tuladhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760731384 PECOS PAC ID: 1254574148 Enrollment ID: I20210907002349 |
| Provider Name | Amit A Kainth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033539903 PECOS PAC ID: 6305151358 Enrollment ID: I20210930003217 |
| Provider Name | Tanya A Bucierka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629567995 PECOS PAC ID: 2062765928 Enrollment ID: I20211012001310 |
| Provider Name | Matthew Thomas Gust |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629432422 PECOS PAC ID: 0648566208 Enrollment ID: I20211103002247 |
| Provider Name | Bibhuti Neupane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881972677 PECOS PAC ID: 9638493299 Enrollment ID: I20211109001230 |
| Provider Name | Tanush Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639413636 PECOS PAC ID: 1153661822 Enrollment ID: I20211202000427 |
| Provider Name | Melissa Hamilton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750720314 PECOS PAC ID: 8527370071 Enrollment ID: I20211228002279 |
| Provider Name | Algene Guinto Agustin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154849446 PECOS PAC ID: 9638444748 Enrollment ID: I20220118000473 |
| Provider Name | Dikshya Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639581226 PECOS PAC ID: 4688090418 Enrollment ID: I20220321001754 |
| Provider Name | Shahin Foroutan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508171570 PECOS PAC ID: 2062707599 Enrollment ID: I20220620001003 |
| Provider Name | Thomas Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629100656 PECOS PAC ID: 7517900475 Enrollment ID: I20220622001851 |
| Provider Name | Julie Hughes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740250588 PECOS PAC ID: 5294707873 Enrollment ID: I20220811003368 |
| Provider Name | Colleen N Kersh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447462783 PECOS PAC ID: 1052497286 Enrollment ID: I20220811003776 |
| Provider Name | Palak Dwarkesh Parikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295909331 PECOS PAC ID: 2668629205 Enrollment ID: I20220815000887 |
| Provider Name | Megan Dorenkamp |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1417307042 PECOS PAC ID: 5395129027 Enrollment ID: I20220830002730 |
| Provider Name | Arjun Khunger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033679428 PECOS PAC ID: 7911240338 Enrollment ID: I20220908003381 |
| Provider Name | Vanessa Franson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275938755 PECOS PAC ID: 1759604903 Enrollment ID: I20220914002443 |
| Provider Name | Khuram Ameen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881600450 PECOS PAC ID: 6406800192 Enrollment ID: I20220915003935 |
| Provider Name | Rama Subedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376075622 PECOS PAC ID: 8820361728 Enrollment ID: I20221011002965 |
| Provider Name | Dela Amoussou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639464431 PECOS PAC ID: 0941441356 Enrollment ID: I20221014000644 |
| Provider Name | Stuart Jacobson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1841327210 PECOS PAC ID: 5092812123 Enrollment ID: I20221014002054 |
| Provider Name | Laurence Ufford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063468171 PECOS PAC ID: 9436152337 Enrollment ID: I20221130002699 |
| Provider Name | Pennapa Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457405128 PECOS PAC ID: 2163418336 Enrollment ID: I20221227001541 |
| Provider Name | Fahad Alroumi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295010676 PECOS PAC ID: 1254615271 Enrollment ID: I20221230002160 |
| Provider Name | Ali Sultan-qurraie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114156940 PECOS PAC ID: 4880811710 Enrollment ID: I20230105000805 |
| Provider Name | Laura Qi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609257526 PECOS PAC ID: 0840502308 Enrollment ID: I20230109001899 |
| Provider Name | Irma Magdalena Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831861335 PECOS PAC ID: 1658743141 Enrollment ID: I20230209001430 |
| Provider Name | Kareem Husain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912025974 PECOS PAC ID: 5496889180 Enrollment ID: I20230215001423 |
| Provider Name | Desiree Cihelka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720364813 PECOS PAC ID: 8628235959 Enrollment ID: I20230220001828 |
| Provider Name | Shenjing Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568892586 PECOS PAC ID: 0446480149 Enrollment ID: I20230222000671 |
| Provider Name | Janel Schneider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720002694 PECOS PAC ID: 3072547082 Enrollment ID: I20230223002034 |
| Provider Name | Benjamin Huneycutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023050549 PECOS PAC ID: 4486626140 Enrollment ID: I20230223002368 |
| Provider Name | Peter Grubel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376531335 PECOS PAC ID: 3375610173 Enrollment ID: I20230224000604 |
| Provider Name | Geetha Gangu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235102138 PECOS PAC ID: 4789726126 Enrollment ID: I20230224001272 |
| Provider Name | Anand C Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700806668 PECOS PAC ID: 4385688803 Enrollment ID: I20230301002712 |
| Provider Name | Roger Ohanes Oghlakian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245449461 PECOS PAC ID: 8022286541 Enrollment ID: I20230410000991 |
| Provider Name | Leahna Cooney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669885281 PECOS PAC ID: 5193942159 Enrollment ID: I20230411002829 |
| Provider Name | Sarah Erb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023516291 PECOS PAC ID: 5698036705 Enrollment ID: I20230421001663 |
| Provider Name | Virginia Durrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073281069 PECOS PAC ID: 2365839297 Enrollment ID: I20230508002831 |
| Provider Name | Daniel S Mehr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396891677 PECOS PAC ID: 9739075540 Enrollment ID: I20230519000671 |
| Provider Name | Jonathan Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578668927 PECOS PAC ID: 3375540404 Enrollment ID: I20230525001942 |
| Provider Name | Leah Fertig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871293886 PECOS PAC ID: 0749647964 Enrollment ID: I20230602002255 |
| Provider Name | Julia Rose Koos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174227078 PECOS PAC ID: 3678930815 Enrollment ID: I20230605000404 |
| Provider Name | Paul Jason Granet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992785497 PECOS PAC ID: 8527083377 Enrollment ID: I20230606003287 |
| Provider Name | Nathaniel Avila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346683323 PECOS PAC ID: 6305132556 Enrollment ID: I20230608002448 |
| Provider Name | Michael Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639433659 PECOS PAC ID: 8820354715 Enrollment ID: I20230608002599 |
| Provider Name | Rodney Camp |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972568228 PECOS PAC ID: 5698787943 Enrollment ID: I20230612002136 |
| Provider Name | Ashley Le Compte Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205520244 PECOS PAC ID: 4486012895 Enrollment ID: I20230616000872 |
| Provider Name | Michele Lynn Mounce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366819971 PECOS PAC ID: 4981905577 Enrollment ID: I20230626001705 |
| Provider Name | Heather Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285265595 PECOS PAC ID: 4981033735 Enrollment ID: I20230629001924 |
| Provider Name | Jessica F Carter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235316407 PECOS PAC ID: 7618042664 Enrollment ID: I20230714003139 |
| Provider Name | Michael Zammit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841251188 PECOS PAC ID: 5496658213 Enrollment ID: I20230724001398 |
| Provider Name | Ji-ming J Yune |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033560453 PECOS PAC ID: 5395140008 Enrollment ID: I20230724002316 |
| Provider Name | Pranoti G Hiremath |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508250028 PECOS PAC ID: 8224340914 Enrollment ID: I20230801004443 |
| Provider Name | David Landzberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285122846 PECOS PAC ID: 9436409075 Enrollment ID: I20230818001981 |
| Provider Name | Judith Raboy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447706841 PECOS PAC ID: 4587943436 Enrollment ID: I20230823002926 |
| Provider Name | Cory Scott |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073037495 PECOS PAC ID: 3375805260 Enrollment ID: I20230829004470 |
| Provider Name | Allan Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659514321 PECOS PAC ID: 8426338872 Enrollment ID: I20230929001370 |
| Provider Name | Rakesh Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902868433 PECOS PAC ID: 4688754799 Enrollment ID: I20231005001097 |
| Provider Name | Lily Johnston |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558627893 PECOS PAC ID: 0547499345 Enrollment ID: I20231017000563 |
| Provider Name | Preetivi Ellis |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538471305 PECOS PAC ID: 9032334644 Enrollment ID: I20231030003691 |
| Provider Name | Eric Todd Morrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962930495 PECOS PAC ID: 6709156441 Enrollment ID: I20231108001383 |
| Provider Name | Stephens Taylor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508841966 PECOS PAC ID: 9234031550 Enrollment ID: I20231127002773 |
| Provider Name | Anthony Rios |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194952911 PECOS PAC ID: 0244500742 Enrollment ID: I20240124002858 |
| Provider Name | Michael Keith Deford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255113429 PECOS PAC ID: 5991158453 Enrollment ID: I20240131003179 |
| Provider Name | Nicholas Hamilton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811013840 PECOS PAC ID: 0143384370 Enrollment ID: I20240206001669 |
| Provider Name | Phung Le |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932424066 PECOS PAC ID: 9436448479 Enrollment ID: I20240206004002 |
| Provider Name | Claire Lauer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720511181 PECOS PAC ID: 5597036467 Enrollment ID: I20240213001487 |
| Provider Name | Vani Zutshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366974438 PECOS PAC ID: 8729316575 Enrollment ID: I20240214000477 |
| Provider Name | Mark Morasch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790719219 PECOS PAC ID: 0648300533 Enrollment ID: I20240229001895 |
| Provider Name | Benjamin Fiore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114330404 PECOS PAC ID: 4385994581 Enrollment ID: I20240315003702 |
| Provider Name | Jennifer Ashley Ericson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982483731 PECOS PAC ID: 7012356678 Enrollment ID: I20240415003795 |
| Provider Name | Amy Jo Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487411302 PECOS PAC ID: 0547601593 Enrollment ID: I20240508003525 |
| Provider Name | Anahita Sanaie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851779516 PECOS PAC ID: 0143520585 Enrollment ID: I20240531003589 |
| Provider Name | Steven Larson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801974076 PECOS PAC ID: 6901901032 Enrollment ID: I20240602000085 |
Eyecare Focus And Specialties Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 J St, Springfield, OR 97477 Phone: 541-726-5055 Fax: 541-747-5440 | |
G Street Integrated Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1435 G St, Springfield, OR 97477 Phone: 541-735-9420 Fax: 541-747-9420 | |
Northwest Medical Homes, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Centennial Blvd, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-284-5534 | |
Northwest Medical Homes, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2280 Marcola Rd, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-747-0655 | |
Larry A. Jackson, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Centennial Blvd, Suite 7, Springfield, OR 97477 Phone: 541-726-0550 Fax: 541-726-7485 | |
J Beverly Enterprises, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 18th St Ste 6, Springfield, OR 97477 Phone: 541-517-3970 Fax: 458-201-8188 | |
Dr Richard F Erpelding Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Centennial Blvd Ste 7, Springfield, OR 97477 Phone: 541-726-0550 Fax: 541-726-7485 |