| Sanford Health Kelliher Clinic | |
|
243 Clark Ave N Kelliher MN 56650-3015 | |
| (218) 647-8832 | |
| (218) 647-8127 |
| Full Name | Sanford Health Kelliher Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 243 Clark Ave N, Kelliher, Minnesota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Health Kelliher Clinic 345 4th St Nw Kelliher MN 56650 Ph: (218) 647-8832 | Sanford Health Kelliher Clinic 243 Clark Ave N Kelliher MN 56650-3015 Ph: (218) 647-8832 |
| NPI Number | 1770849697 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 08/04/2022 |
| Medicare PECOS PAC ID | 5597725168 |
|---|---|
| Medicare Enrollment ID | O20041025000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770849697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nha P Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578595617 PECOS PAC ID: 3577467596 Enrollment ID: I20031121000373 |
| Provider Name | Daniel W Louvar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912984923 PECOS PAC ID: 0345143293 Enrollment ID: I20040129000148 |
| Provider Name | Sultan Michael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346330412 PECOS PAC ID: 6709771132 Enrollment ID: I20040216000959 |
| Provider Name | Kevin D Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700825981 PECOS PAC ID: 2860388931 Enrollment ID: I20040225000718 |
| Provider Name | Andrea B Jolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154301463 PECOS PAC ID: 2668377656 Enrollment ID: I20040228000179 |
| Provider Name | John F Rotilie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598722464 PECOS PAC ID: 2961496856 Enrollment ID: I20040414000503 |
| Provider Name | Rachel Irene Fleming |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144275454 PECOS PAC ID: 9032106497 Enrollment ID: I20040428000060 |
| Provider Name | John H Imsande |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245283787 PECOS PAC ID: 1850388943 Enrollment ID: I20040429000922 |
| Provider Name | Martha Ellen Grandits |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548222425 PECOS PAC ID: 1052300969 Enrollment ID: I20040506001663 |
| Provider Name | Francis Noel Leblanc |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881652493 PECOS PAC ID: 1254320815 Enrollment ID: I20040510000029 |
| Provider Name | Timothy S Yeh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912981887 PECOS PAC ID: 9335049279 Enrollment ID: I20040513000163 |
| Provider Name | Gregory B Snyder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295730349 PECOS PAC ID: 0749270072 Enrollment ID: I20040517001418 |
| Provider Name | Suzanne L Human |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326080649 PECOS PAC ID: 6901897594 Enrollment ID: I20040521000731 |
| Provider Name | Jon D Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508884172 PECOS PAC ID: 1355323635 Enrollment ID: I20040601001446 |
| Provider Name | Tara L Broadwater |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255310298 PECOS PAC ID: 1052396512 Enrollment ID: I20040621000537 |
| Provider Name | Kevin L Schoepel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841211067 PECOS PAC ID: 6800861105 Enrollment ID: I20040831000384 |
| Provider Name | David A Vanengelenhoven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093775900 PECOS PAC ID: 5991772717 Enrollment ID: I20040913000272 |
| Provider Name | Mark J Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619904794 PECOS PAC ID: 6507829314 Enrollment ID: I20041111000483 |
| Provider Name | Allison Ann Schultz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992789143 PECOS PAC ID: 9830154665 Enrollment ID: I20041122000354 |
| Provider Name | Susan L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437171022 PECOS PAC ID: 1658336011 Enrollment ID: I20041124000488 |
| Provider Name | Joseph A Corser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235213075 PECOS PAC ID: 8729044888 Enrollment ID: I20041209000744 |
| Provider Name | Eileen M Channel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497831580 PECOS PAC ID: 0648229286 Enrollment ID: I20050120000680 |
| Provider Name | Sarah A Tarutis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578578449 PECOS PAC ID: 9739133802 Enrollment ID: I20050314001042 |
| Provider Name | Curtis C Krueger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952341026 PECOS PAC ID: 3274501192 Enrollment ID: I20050321000137 |
| Provider Name | Sara A Fredrickson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407880057 PECOS PAC ID: 7214982511 Enrollment ID: I20050321000169 |
| Provider Name | Nicole A Lingen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457393704 PECOS PAC ID: 8628019197 Enrollment ID: I20050513000761 |
| Provider Name | Jason J Caron |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114070182 PECOS PAC ID: 0840236766 Enrollment ID: I20050630000856 |
| Provider Name | William L Bock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295753994 PECOS PAC ID: 1456397991 Enrollment ID: I20050706000461 |
| Provider Name | Michele Schoenborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457386906 PECOS PAC ID: 7012943749 Enrollment ID: I20050713000775 |
| Provider Name | Hojung J Yoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447208616 PECOS PAC ID: 5890722987 Enrollment ID: I20050720000600 |
| Provider Name | Samuel R Sant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740327493 PECOS PAC ID: 8628008638 Enrollment ID: I20050819000156 |
| Provider Name | Esther J Potti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053381798 PECOS PAC ID: 5395777635 Enrollment ID: I20050907000764 |
| Provider Name | Kimberly Js Avenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154422012 PECOS PAC ID: 3779516661 Enrollment ID: I20050912000983 |
| Provider Name | Johanna R Askegard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083694608 PECOS PAC ID: 7517990658 Enrollment ID: I20050919000120 |
| Provider Name | Holly C Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275513772 PECOS PAC ID: 7315972395 Enrollment ID: I20050928000816 |
| Provider Name | Delayna A Nitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780662544 PECOS PAC ID: 3971522160 Enrollment ID: I20051116000991 |
| Provider Name | Wai L Chan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013934017 PECOS PAC ID: 9234159039 Enrollment ID: I20051122000711 |
| Provider Name | Craig H Haggerty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760409627 PECOS PAC ID: 1658391453 Enrollment ID: I20051122000747 |
| Provider Name | Daniel P Dekrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154349702 PECOS PAC ID: 8820018633 Enrollment ID: I20051122000771 |
| Provider Name | Rodney D Will |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033131628 PECOS PAC ID: 9537189345 Enrollment ID: I20051122000786 |
| Provider Name | Kris Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558389296 PECOS PAC ID: 2668433236 Enrollment ID: I20051122000805 |
| Provider Name | Alicia A Frankwitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720027303 PECOS PAC ID: 9234159450 Enrollment ID: I20051202000518 |
| Provider Name | Todd Gunnar Holmes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588720544 PECOS PAC ID: 4981627924 Enrollment ID: I20060105000426 |
| Provider Name | Andrew A Jordan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992723563 PECOS PAC ID: 1850345299 Enrollment ID: I20060123000834 |
| Provider Name | Timothy R Beiswenger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588681571 PECOS PAC ID: 8628087707 Enrollment ID: I20060418000592 |
| Provider Name | David B Paul |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528056595 PECOS PAC ID: 3072525104 Enrollment ID: I20060608000048 |
| Provider Name | Paul J Lappinga |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508870544 PECOS PAC ID: 2567465529 Enrollment ID: I20060811000027 |
| Provider Name | Nancy J Stock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144248212 PECOS PAC ID: 6002811106 Enrollment ID: I20060925000067 |
| Provider Name | Angela Joy Wood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235237439 PECOS PAC ID: 5496751695 Enrollment ID: I20061011000419 |
| Provider Name | Ronald W Bardwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356446694 PECOS PAC ID: 7618974593 Enrollment ID: I20061107000468 |
| Provider Name | Steffen P Christensen Iii |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336167063 PECOS PAC ID: 4587573969 Enrollment ID: I20061108000543 |
| Provider Name | David A Galloway |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700993813 PECOS PAC ID: 3577561349 Enrollment ID: I20061110000311 |
| Provider Name | Thomas Jarrad Matzke |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639121304 PECOS PAC ID: 1456304104 Enrollment ID: I20070215000311 |
| Provider Name | Mary C Macleod |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972695302 PECOS PAC ID: 9739147844 Enrollment ID: I20070226000020 |
| Provider Name | Natasha Siefker Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528103421 PECOS PAC ID: 4385749936 Enrollment ID: I20070410000625 |
| Provider Name | John P Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780638064 PECOS PAC ID: 7012975477 Enrollment ID: I20070511000008 |
| Provider Name | Paul C Allegra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013030097 PECOS PAC ID: 8224136759 Enrollment ID: I20070607000273 |
| Provider Name | Mark A Shanfeld |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710024435 PECOS PAC ID: 0143250159 Enrollment ID: I20070710000318 |
| Provider Name | Matthew F Sanford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033167416 PECOS PAC ID: 3173534575 Enrollment ID: I20070719000581 |
| Provider Name | Germaine E Cheslock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154468890 PECOS PAC ID: 9335240191 Enrollment ID: I20070723000840 |
| Provider Name | Neil Bratney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790895456 PECOS PAC ID: 6608977012 Enrollment ID: I20070728000020 |
| Provider Name | Yassar Almanaseer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467585349 PECOS PAC ID: 4183658594 Enrollment ID: I20070809000722 |
| Provider Name | Joseph M Kreklau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760566467 PECOS PAC ID: 3779583091 Enrollment ID: I20070828000495 |
| Provider Name | Justin M Horner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326169061 PECOS PAC ID: 3971696618 Enrollment ID: I20070911000471 |
| Provider Name | Pamela M Samson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760403984 PECOS PAC ID: 1153414818 Enrollment ID: I20070911000702 |
| Provider Name | Janice Marie Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376639286 PECOS PAC ID: 3476647611 Enrollment ID: I20070919000714 |
| Provider Name | Steven J Quamme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023030665 PECOS PAC ID: 2466546601 Enrollment ID: I20070919000753 |
| Provider Name | William G Muller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942228531 PECOS PAC ID: 5698869733 Enrollment ID: I20070919000772 |
| Provider Name | Maria K Statton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194746313 PECOS PAC ID: 0547367716 Enrollment ID: I20070919000866 |
| Provider Name | Neil A Skogerboe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487685582 PECOS PAC ID: 9032203187 Enrollment ID: I20070919000878 |
| Provider Name | Colleen A Kloehn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295715373 PECOS PAC ID: 3476521311 Enrollment ID: I20080123000401 |
| Provider Name | Bonnie M Bailey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831137660 PECOS PAC ID: 6204892524 Enrollment ID: I20080215000563 |
| Provider Name | Janice Marie Dickson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376639286 PECOS PAC ID: 3476647611 Enrollment ID: I20080311000161 |
| Provider Name | Roland Armstrong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265450969 PECOS PAC ID: 0143122648 Enrollment ID: I20080403000447 |
| Provider Name | John W. Kosko |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104920511 PECOS PAC ID: 1951218965 Enrollment ID: I20080508000118 |
| Provider Name | Maxwell W Gessner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467543447 PECOS PAC ID: 8820073273 Enrollment ID: I20080722000137 |
| Provider Name | Peter Biegler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164683363 PECOS PAC ID: 8325111537 Enrollment ID: I20080722000204 |
| Provider Name | Gary Starr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598898157 PECOS PAC ID: 4880790096 Enrollment ID: I20080812000425 |
| Provider Name | Laurie Straw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467473686 PECOS PAC ID: 2466353982 Enrollment ID: I20080917000859 |
| Provider Name | Toni J Haffner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346356326 PECOS PAC ID: 0446319594 Enrollment ID: I20081105000227 |
| Provider Name | Maanasi Madan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861658874 PECOS PAC ID: 7315007796 Enrollment ID: I20081114000299 |
| Provider Name | Faysal Yousefi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366642191 PECOS PAC ID: 0143389718 Enrollment ID: I20081115000096 |
| Provider Name | Erika K Beckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861649071 PECOS PAC ID: 9638230279 Enrollment ID: I20081202000100 |
| Provider Name | Benjamin P Roy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023076064 PECOS PAC ID: 2567523350 Enrollment ID: I20081211000810 |
| Provider Name | Jason E Alexander |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801048350 PECOS PAC ID: 9032271556 Enrollment ID: I20081217000488 |
| Provider Name | Todd David Reil |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154355311 PECOS PAC ID: 6103894464 Enrollment ID: I20090106000090 |
| Provider Name | Jeffrey Eikanger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699793653 PECOS PAC ID: 0749241586 Enrollment ID: I20090217000723 |
| Provider Name | Ram Prasad Paneru |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740457902 PECOS PAC ID: 7719043926 Enrollment ID: I20090312000344 |
| Provider Name | Garrel C Kinzler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740432558 PECOS PAC ID: 1254496037 Enrollment ID: I20090324000575 |
| Provider Name | Mila Berdecia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972549970 PECOS PAC ID: 4981684206 Enrollment ID: I20090608000295 |
| Provider Name | Jason M Asheim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780693424 PECOS PAC ID: 8628077872 Enrollment ID: I20090710000242 |
| Provider Name | Jonathan Frederick Fox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336275718 PECOS PAC ID: 7214089291 Enrollment ID: I20090722000531 |
| Provider Name | Jonathan Ross Fish |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629117890 PECOS PAC ID: 6103979836 Enrollment ID: I20090728000902 |
| Provider Name | Matthew Trefz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376735035 PECOS PAC ID: 9739230590 Enrollment ID: I20090810000398 |
| Provider Name | Andre M Spence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861621153 PECOS PAC ID: 0941355622 Enrollment ID: I20090901000627 |
| Provider Name | Augusto Alonto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700833845 PECOS PAC ID: 4385607753 Enrollment ID: I20091021000267 |
| Provider Name | Thomas Paul Haas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821074733 PECOS PAC ID: 5395882294 Enrollment ID: I20091026000650 |
| Provider Name | Chetan P Maingi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952408809 PECOS PAC ID: 1254338551 Enrollment ID: I20091223000443 |
| Provider Name | Sharon Hepler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356324818 PECOS PAC ID: 8325176175 Enrollment ID: I20100514000580 |
| Provider Name | Kevin P Murphy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912019415 PECOS PAC ID: 7113823618 Enrollment ID: I20100608000931 |
| Provider Name | Steven M Falk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578501813 PECOS PAC ID: 9537126420 Enrollment ID: I20100612000169 |
| Provider Name | Philip Michael Sweetser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356378558 PECOS PAC ID: 6507997947 Enrollment ID: I20100628001009 |
| Provider Name | Mark A Eggen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861439028 PECOS PAC ID: 3870625585 Enrollment ID: I20100715000792 |
| Provider Name | Tracy E Napp |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1427058841 PECOS PAC ID: 8325121700 Enrollment ID: I20100717000200 |
| Provider Name | Shaun P Myre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427379759 PECOS PAC ID: 1052444064 Enrollment ID: I20100728000228 |
| Provider Name | Richard L Stennes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194793919 PECOS PAC ID: 2163555350 Enrollment ID: I20100809001109 |
| Provider Name | Shih-an Hsieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003076290 PECOS PAC ID: 1557485497 Enrollment ID: I20100830001137 |
| Provider Name | Michelle Marie Quale |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902982481 PECOS PAC ID: 4486778982 Enrollment ID: I20100907000522 |
| Provider Name | Bruce J Klosterman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740207414 PECOS PAC ID: 6002834850 Enrollment ID: I20100920000208 |
| Provider Name | Chalermkiat Thanasawat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255507877 PECOS PAC ID: 1052437464 Enrollment ID: I20100922001272 |
| Provider Name | William J Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164470720 PECOS PAC ID: 0042279135 Enrollment ID: I20101006001167 |
| Provider Name | Mark E Colliton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134147861 PECOS PAC ID: 7517150089 Enrollment ID: I20101018000594 |
| Provider Name | Mark S Claussen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447278171 PECOS PAC ID: 9537101282 Enrollment ID: I20101110001275 |
| Provider Name | Donald J Stallman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386665503 PECOS PAC ID: 4880889880 Enrollment ID: I20101116001132 |
| Provider Name | Sherry S Billups |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124045125 PECOS PAC ID: 2860688769 Enrollment ID: I20101117001475 |
| Provider Name | William G Dicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073535563 PECOS PAC ID: 8729276696 Enrollment ID: I20101218000047 |
| Provider Name | David Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124040712 PECOS PAC ID: 2769539949 Enrollment ID: I20110104001318 |
| Provider Name | Homayoon Shahidi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295756419 PECOS PAC ID: 1658434873 Enrollment ID: I20110105000966 |
| Provider Name | Sreyoshi Thielen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760646699 PECOS PAC ID: 2567651318 Enrollment ID: I20110110000047 |
| Provider Name | Richard C Bailly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215954201 PECOS PAC ID: 1557555380 Enrollment ID: I20110110000933 |
| Provider Name | Dennis E Bier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114945847 PECOS PAC ID: 5193910719 Enrollment ID: I20110111000701 |
| Provider Name | Keith A Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225347792 PECOS PAC ID: 5698964146 Enrollment ID: I20110113001059 |
| Provider Name | Mohamed Hussein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639488166 PECOS PAC ID: 8527257096 Enrollment ID: I20110114000043 |
| Provider Name | Mark S Dwyer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962420505 PECOS PAC ID: 5698736437 Enrollment ID: I20110124001008 |
| Provider Name | Ali Arbabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003816554 PECOS PAC ID: 2062447980 Enrollment ID: I20110203001008 |
| Provider Name | James F Hatch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437177086 PECOS PAC ID: 6103856422 Enrollment ID: I20110203001114 |
| Provider Name | Lynda R Siepker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376636514 PECOS PAC ID: 8628258415 Enrollment ID: I20110210001205 |
| Provider Name | Trenton A Barstad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942370671 PECOS PAC ID: 5294917878 Enrollment ID: I20110303000841 |
| Provider Name | Rhonda L Schaffer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750435269 PECOS PAC ID: 0941482723 Enrollment ID: I20110315001089 |
| Provider Name | Dubert Medina Guerrero |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811103989 PECOS PAC ID: 1153445598 Enrollment ID: I20110524000626 |
| Provider Name | Natalie Zabezhinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558330100 PECOS PAC ID: 6103003009 Enrollment ID: I20110601000610 |
| Provider Name | Yongsheng Ren |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770510828 PECOS PAC ID: 1850395617 Enrollment ID: I20110622000501 |
| Provider Name | Mohammad Nurulqadr Jameel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114071602 PECOS PAC ID: 3375721731 Enrollment ID: I20110707000303 |
| Provider Name | Heather A Muster |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992825814 PECOS PAC ID: 5496856478 Enrollment ID: I20110808000728 |
| Provider Name | Miran J Blanchard |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629369830 PECOS PAC ID: 4385813294 Enrollment ID: I20110810000661 |
| Provider Name | Pawan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518114594 PECOS PAC ID: 5991974503 Enrollment ID: I20110815000938 |
| Provider Name | Paul G Mariani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164597480 PECOS PAC ID: 8729058250 Enrollment ID: I20110819000507 |
| Provider Name | Michael Craig Thurgood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265571137 PECOS PAC ID: 3072706183 Enrollment ID: I20110901000203 |
| Provider Name | Mckenzi K Burmeister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235456773 PECOS PAC ID: 2860665254 Enrollment ID: I20111031000558 |
| Provider Name | Gregory L Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699709592 PECOS PAC ID: 2163432451 Enrollment ID: I20111109000809 |
| Provider Name | Andrea J Athmann-luksik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275814659 PECOS PAC ID: 0840465886 Enrollment ID: I20111202000434 |
| Provider Name | Sarah C Weinzierl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790010338 PECOS PAC ID: 7113184920 Enrollment ID: I20120207000281 |
| Provider Name | Katherine L Friese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821379462 PECOS PAC ID: 9234396664 Enrollment ID: I20120213000594 |
| Provider Name | Jacob B Stay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801165592 PECOS PAC ID: 6901068360 Enrollment ID: I20120501000133 |
| Provider Name | Michael T Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104155175 PECOS PAC ID: 4587828819 Enrollment ID: I20120615000561 |
| Provider Name | Nathaniel D Mclean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033348545 PECOS PAC ID: 1355598319 Enrollment ID: I20120827000134 |
| Provider Name | Mateen Ur Rahman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669621306 PECOS PAC ID: 4082862644 Enrollment ID: I20120924000755 |
| Provider Name | Daniel George Hoody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871766923 PECOS PAC ID: 1850560012 Enrollment ID: I20121026000540 |
| Provider Name | Joan M Schwinghammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720333917 PECOS PAC ID: 8729239587 Enrollment ID: I20121105000254 |
| Provider Name | Lorraine A Swan Kremeier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093736217 PECOS PAC ID: 9739126939 Enrollment ID: I20121206000129 |
| Provider Name | Todd Gray |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679587422 PECOS PAC ID: 1759399025 Enrollment ID: I20121215000030 |
| Provider Name | Lindsay Klein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841554540 PECOS PAC ID: 7214189380 Enrollment ID: I20121218000582 |
| Provider Name | Patrick C Jahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437406907 PECOS PAC ID: 1850543927 Enrollment ID: I20121218000587 |
| Provider Name | Shannon M Welsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124379128 PECOS PAC ID: 5496908857 Enrollment ID: I20130115000136 |
| Provider Name | Hina Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114234986 PECOS PAC ID: 5890983647 Enrollment ID: I20130125000188 |
| Provider Name | Bahram Hormozdi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386800266 PECOS PAC ID: 6002051471 Enrollment ID: I20130408000264 |
| Provider Name | Danielle C Kondziolka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528345097 PECOS PAC ID: 1951546332 Enrollment ID: I20130408000343 |
| Provider Name | Mary Jane Richter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508109661 PECOS PAC ID: 3678713013 Enrollment ID: I20130709000395 |
| Provider Name | Kenneth Charles Weimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174624761 PECOS PAC ID: 1557435484 Enrollment ID: I20130719000155 |
| Provider Name | Jagan Mohan Rao Jakkula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891924957 PECOS PAC ID: 5193966729 Enrollment ID: I20130724000842 |
| Provider Name | Arveity R Setty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174755615 PECOS PAC ID: 2769623032 Enrollment ID: I20130729000979 |
| Provider Name | Anita F Sundholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295174563 PECOS PAC ID: 0749421717 Enrollment ID: I20130802000599 |
| Provider Name | Samar Malaeb |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326216037 PECOS PAC ID: 8022250596 Enrollment ID: I20130813000312 |
| Provider Name | Kashif A Zuberi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508919572 PECOS PAC ID: 9739339466 Enrollment ID: I20130815000741 |
| Provider Name | James Daniel Dewar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013128222 PECOS PAC ID: 1355412917 Enrollment ID: I20130820000154 |
| Provider Name | Jolyn Mary Seitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043453772 PECOS PAC ID: 3678724259 Enrollment ID: I20130823000341 |
| Provider Name | Andrea Jean Nelsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043442700 PECOS PAC ID: 0749423770 Enrollment ID: I20130823000519 |
| Provider Name | Angela K Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164855532 PECOS PAC ID: 5890939300 Enrollment ID: I20130924000555 |
| Provider Name | Kathryn Anne Mell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508186362 PECOS PAC ID: 5698929057 Enrollment ID: I20130924000957 |
| Provider Name | Romie M Tinsay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750312708 PECOS PAC ID: 7517192719 Enrollment ID: I20131024000122 |
| Provider Name | Bryna J Vonholdt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336572486 PECOS PAC ID: 9234364175 Enrollment ID: I20131030000519 |
| Provider Name | Joni K Dreith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144462144 PECOS PAC ID: 8729213558 Enrollment ID: I20131101000227 |
| Provider Name | Jessica L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659710887 PECOS PAC ID: 9032344858 Enrollment ID: I20131104001063 |
| Provider Name | Luis Casas |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1679541841 PECOS PAC ID: 5597796938 Enrollment ID: I20131107001553 |
| Provider Name | Brahim Elouardighi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598741191 PECOS PAC ID: 3678503869 Enrollment ID: I20131125000723 |
| Provider Name | Chris L Cleveland |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1982693875 PECOS PAC ID: 6901052471 Enrollment ID: I20131203000026 |
| Provider Name | Stephen J Rith Najarian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306955521 PECOS PAC ID: 7810189115 Enrollment ID: I20131205000375 |
| Provider Name | Carissa R Arens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962830026 PECOS PAC ID: 9537396072 Enrollment ID: I20131209000859 |
| Provider Name | Eric R Promersberger |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669490264 PECOS PAC ID: 7012101892 Enrollment ID: I20140109001337 |
| Provider Name | Jennifer A Tinkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982790242 PECOS PAC ID: 4183671779 Enrollment ID: I20140116001211 |
| Provider Name | Tania M Hassler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225012057 PECOS PAC ID: 4385638725 Enrollment ID: I20140122000917 |
| Provider Name | Craig H Stevens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093136343 PECOS PAC ID: 5799914172 Enrollment ID: I20140205000711 |
| Provider Name | Amanda J Pederson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457452187 PECOS PAC ID: 5092996884 Enrollment ID: I20140220001519 |
| Provider Name | Todd S Kessler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366453011 PECOS PAC ID: 0547413411 Enrollment ID: I20140226000058 |
| Provider Name | Adam Wesley Jackson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881801694 PECOS PAC ID: 0244481042 Enrollment ID: I20140306000675 |
| Provider Name | Nathalie Jean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700134293 PECOS PAC ID: 2264663186 Enrollment ID: I20140320000269 |
| Provider Name | Myles W Brandt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275955767 PECOS PAC ID: 1052542750 Enrollment ID: I20140321001519 |
| Provider Name | Kirstin S Lesage |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255658985 PECOS PAC ID: 0840451605 Enrollment ID: I20140714001300 |
| Provider Name | Hani Snounou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861741431 PECOS PAC ID: 7810113800 Enrollment ID: I20140729000049 |
| Provider Name | Randall J Ambroz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174939300 PECOS PAC ID: 6103042965 Enrollment ID: I20140731000454 |
| Provider Name | Alex Jaymes Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639518442 PECOS PAC ID: 0941441992 Enrollment ID: I20140804002484 |
| Provider Name | Elizabeth Bernice Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649614413 PECOS PAC ID: 5193942670 Enrollment ID: I20140806001732 |
| Provider Name | Mark P Suojanen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013233840 PECOS PAC ID: 2567689300 Enrollment ID: I20140819000339 |
| Provider Name | Giridhar Guntreddi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467706846 PECOS PAC ID: 8921227364 Enrollment ID: I20140916002583 |
| Provider Name | Staci Lynn Collison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588949648 PECOS PAC ID: 6002036589 Enrollment ID: I20141003002230 |
| Provider Name | Pamela Skon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912325713 PECOS PAC ID: 8820210727 Enrollment ID: I20141110000222 |
| Provider Name | Aaron T Jagelski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548261357 PECOS PAC ID: 8527045764 Enrollment ID: I20141111000707 |
| Provider Name | Cody C Honl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942644901 PECOS PAC ID: 1052533890 Enrollment ID: I20141112000935 |
| Provider Name | Maria Caroline Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174529929 PECOS PAC ID: 0941102024 Enrollment ID: I20141125000063 |
| Provider Name | Eric Scott Conner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164442257 PECOS PAC ID: 4789640574 Enrollment ID: I20150116001344 |
| Provider Name | Eram Shahira |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578762548 PECOS PAC ID: 1052403672 Enrollment ID: I20150127001824 |
| Provider Name | Megan H Askelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740692482 PECOS PAC ID: 2264757442 Enrollment ID: I20150210001640 |
| Provider Name | Kruti J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043574262 PECOS PAC ID: 7012232218 Enrollment ID: I20150210002426 |
| Provider Name | Prabha Nanjundamurthy Dakshayini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265842199 PECOS PAC ID: 9931425428 Enrollment ID: I20150227000427 |
| Provider Name | John J Loffarelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194728329 PECOS PAC ID: 5890770259 Enrollment ID: I20150304001695 |
| Provider Name | Mohammad Sarraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851447528 PECOS PAC ID: 5496817983 Enrollment ID: I20150401001739 |
| Provider Name | Victor M Rostapshov |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548315435 PECOS PAC ID: 9638239627 Enrollment ID: I20150409000770 |
| Provider Name | Natalee H Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023400355 PECOS PAC ID: 2466772314 Enrollment ID: I20150518001343 |
| Provider Name | Vijay Jayanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003112657 PECOS PAC ID: 4688828742 Enrollment ID: I20150518002078 |
| Provider Name | Roger M Macklis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457315103 PECOS PAC ID: 3476552266 Enrollment ID: I20150604001828 |
| Provider Name | Sean Thomas O'brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134411192 PECOS PAC ID: 0042437618 Enrollment ID: I20150625001929 |
| Provider Name | Anders K Osthus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043654643 PECOS PAC ID: 7416269642 Enrollment ID: I20150701000790 |
| Provider Name | Kirk D Wyatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699181495 PECOS PAC ID: 7214153980 Enrollment ID: I20150723008735 |
| Provider Name | Jarrett J Failing |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063828861 PECOS PAC ID: 7911123328 Enrollment ID: I20150723008770 |
| Provider Name | Tabrez Sheriff Ameerjan Nayaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467700930 PECOS PAC ID: 9830402460 Enrollment ID: I20150724011298 |
| Provider Name | Micah Richard Treuer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285994517 PECOS PAC ID: 0648584870 Enrollment ID: I20150803000005 |
| Provider Name | Christine M Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336527258 PECOS PAC ID: 6204140346 Enrollment ID: I20150803000615 |
| Provider Name | Katherine Ann Lees |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740697689 PECOS PAC ID: 6901023613 Enrollment ID: I20150804003328 |
| Provider Name | Tokunbo C Akande |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801151006 PECOS PAC ID: 1355655358 Enrollment ID: I20150805006325 |
| Provider Name | Shahid Nafees Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205182284 PECOS PAC ID: 5991019705 Enrollment ID: I20150806010236 |
| Provider Name | Ashley M Lundin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457649048 PECOS PAC ID: 4587887419 Enrollment ID: I20150825004218 |
| Provider Name | Eric David Hyun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831450170 PECOS PAC ID: 8527374388 Enrollment ID: I20150825004478 |
| Provider Name | Manit Singla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356605968 PECOS PAC ID: 7113233255 Enrollment ID: I20150903001230 |
| Provider Name | Ngozi O Nwakamma-okoro |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134147713 PECOS PAC ID: 6608876560 Enrollment ID: I20150918001989 |
| Provider Name | Matthew J Nielsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235442575 PECOS PAC ID: 0547577751 Enrollment ID: I20150921003276 |
| Provider Name | Mohamed Samir Toumeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598920969 PECOS PAC ID: 1052485125 Enrollment ID: I20151111000103 |
| Provider Name | Katherine M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629448139 PECOS PAC ID: 5294036604 Enrollment ID: I20151209000100 |
| Provider Name | Scott A Engum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194705806 PECOS PAC ID: 9133133572 Enrollment ID: I20151228001488 |
| Provider Name | Alicia L Van Den Heuvel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518334903 PECOS PAC ID: 8426350182 Enrollment ID: I20160112002319 |
| Provider Name | Matthew B Singh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487029765 PECOS PAC ID: 9638473861 Enrollment ID: I20160209002539 |
| Provider Name | Terence Noah Mukonje |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497044705 PECOS PAC ID: 0547571515 Enrollment ID: I20160225000969 |
| Provider Name | Teresa Marie Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487957890 PECOS PAC ID: 4385941160 Enrollment ID: I20160322001004 |
| Provider Name | Alison Elizabeth Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205297512 PECOS PAC ID: 3476851171 Enrollment ID: I20160413001319 |
| Provider Name | Howard L Russell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013938752 PECOS PAC ID: 9335313469 Enrollment ID: I20160420000686 |
| Provider Name | John Jk Loh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114197472 PECOS PAC ID: 8325119332 Enrollment ID: I20160517001185 |
| Provider Name | Matthew A Hallanger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023451689 PECOS PAC ID: 4789998246 Enrollment ID: I20160803002320 |
| Provider Name | Jayten L Shook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518227073 PECOS PAC ID: 2466755038 Enrollment ID: I20160809001499 |
| Provider Name | Michael David Haarstad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164860318 PECOS PAC ID: 9133363864 Enrollment ID: I20160811000014 |
| Provider Name | Steven Taylor Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700222064 PECOS PAC ID: 9234433434 Enrollment ID: I20160906000492 |
| Provider Name | Rachael Dekker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033423322 PECOS PAC ID: 7719003565 Enrollment ID: I20160920001898 |
| Provider Name | John D Kolstoe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124043229 PECOS PAC ID: 9830192095 Enrollment ID: I20161013000003 |
| Provider Name | Joseph J Rubash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336255132 PECOS PAC ID: 7911148085 Enrollment ID: I20161025003082 |
| Provider Name | Samrat V Bhat |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053503607 PECOS PAC ID: 1254595903 Enrollment ID: I20161201000720 |
| Provider Name | Sumit Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336452572 PECOS PAC ID: 2264627553 Enrollment ID: I20161208002529 |
| Provider Name | Aneesuddin S Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164464962 PECOS PAC ID: 9830369602 Enrollment ID: I20161212000891 |
| Provider Name | Krystal K Enger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558791145 PECOS PAC ID: 5294015053 Enrollment ID: I20161213001860 |
| Provider Name | Kristin R Hanson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205110574 PECOS PAC ID: 9436374741 Enrollment ID: I20161219000165 |
| Provider Name | Jeremy Lee Gagola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538603535 PECOS PAC ID: 5395027643 Enrollment ID: I20170120001187 |
| Provider Name | Mohan Ravindra Gadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356509004 PECOS PAC ID: 2769668573 Enrollment ID: I20170222001172 |
| Provider Name | Samy M Heshmat |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124218664 PECOS PAC ID: 9234370354 Enrollment ID: I20170316002134 |
| Provider Name | Joel H Blanchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356368021 PECOS PAC ID: 2365449311 Enrollment ID: I20170420000933 |
| Provider Name | Jill M Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063824266 PECOS PAC ID: 7810118817 Enrollment ID: I20170510001750 |
| Provider Name | Charles Shaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235450982 PECOS PAC ID: 1658674809 Enrollment ID: I20170512001873 |
| Provider Name | By Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407821663 PECOS PAC ID: 9830172360 Enrollment ID: I20170619001847 |
| Provider Name | Hari Raman Pokhrel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063820918 PECOS PAC ID: 5890065775 Enrollment ID: I20170726000681 |
| Provider Name | Shahed M Jameel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902002850 PECOS PAC ID: 0648466631 Enrollment ID: I20170802002689 |
| Provider Name | Dawn Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124557103 PECOS PAC ID: 5294006581 Enrollment ID: I20170804000796 |
| Provider Name | Alexandra Gonzalez Juarrero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700240389 PECOS PAC ID: 8123310224 Enrollment ID: I20170807002885 |
| Provider Name | Michael Alexander Milshteyn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427318005 PECOS PAC ID: 2567734064 Enrollment ID: I20170817003349 |
| Provider Name | Nida Junaid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053678755 PECOS PAC ID: 5597037986 Enrollment ID: I20170819000175 |
| Provider Name | Abbey Lee Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891215836 PECOS PAC ID: 7719250497 Enrollment ID: I20170830003760 |
| Provider Name | Tracy L Chalgren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164883708 PECOS PAC ID: 3779872502 Enrollment ID: I20170831002738 |
| Provider Name | Francis L Moraleda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588074124 PECOS PAC ID: 4385864537 Enrollment ID: I20170905000944 |
| Provider Name | Brenda Kaye Thurlow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033130372 PECOS PAC ID: 7719048537 Enrollment ID: I20170918001334 |
| Provider Name | Ruth D Hoover |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598801516 PECOS PAC ID: 2961488747 Enrollment ID: I20170920003251 |
| Provider Name | Megan S Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568861607 PECOS PAC ID: 5991071276 Enrollment ID: I20171101002068 |
| Provider Name | James Christopher Braunwarth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053725440 PECOS PAC ID: 9931403573 Enrollment ID: I20171121003545 |
| Provider Name | Kelley B Olsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891214466 PECOS PAC ID: 9032477252 Enrollment ID: I20171218000660 |
| Provider Name | Dharmesh R Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992918023 PECOS PAC ID: 0840328167 Enrollment ID: I20171219000701 |
| Provider Name | Michael Lockheart |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1275727257 PECOS PAC ID: 9537228242 Enrollment ID: I20171219003021 |
| Provider Name | Arvydas Urbonas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649312208 PECOS PAC ID: 2062594054 Enrollment ID: I20180103002291 |
| Provider Name | Thomas A Haldis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588681449 PECOS PAC ID: 6305748260 Enrollment ID: I20180112000669 |
| Provider Name | Nichole J Hassebroek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407131063 PECOS PAC ID: 2365608031 Enrollment ID: I20180130002650 |
| Provider Name | Alexander Robert Spitzer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770525776 PECOS PAC ID: 4385708122 Enrollment ID: I20180202000430 |
| Provider Name | Bertil W Lindquist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033625561 PECOS PAC ID: 5597025619 Enrollment ID: I20180212000798 |
| Provider Name | Conrad G Hanstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972544369 PECOS PAC ID: 2567493299 Enrollment ID: I20180214001747 |
| Provider Name | Daniel J Lund |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104362219 PECOS PAC ID: 7315208006 Enrollment ID: I20180220001843 |
| Provider Name | Dimitriy Yevgenivich Yezhikov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598142424 PECOS PAC ID: 9537210604 Enrollment ID: I20180223002195 |
| Provider Name | Andrea M Lucca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386142818 PECOS PAC ID: 7618230087 Enrollment ID: I20180417002280 |
| Provider Name | Daniel B Janiczak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295198539 PECOS PAC ID: 0941592711 Enrollment ID: I20180417002493 |
| Provider Name | Clifford T Mauriello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366604878 PECOS PAC ID: 7517107428 Enrollment ID: I20180629001860 |
| Provider Name | Lori Dobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225549132 PECOS PAC ID: 5890041958 Enrollment ID: I20180702002844 |
| Provider Name | Molly T Ries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992129811 PECOS PAC ID: 6103049861 Enrollment ID: I20180711000693 |
| Provider Name | Paul K Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043448095 PECOS PAC ID: 4284888462 Enrollment ID: I20180807002336 |
| Provider Name | Calvin Tsogmo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063894293 PECOS PAC ID: 0446550248 Enrollment ID: I20180814001608 |
| Provider Name | Ramy Abdelfattah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437525748 PECOS PAC ID: 2062761158 Enrollment ID: I20180822003824 |
| Provider Name | Shenjing Li |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568892586 PECOS PAC ID: 0446480149 Enrollment ID: I20180828003035 |
| Provider Name | Mitchell L Wyffels |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265875405 PECOS PAC ID: 8224334347 Enrollment ID: I20180829003573 |
| Provider Name | Mark J Zarzycki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215972930 PECOS PAC ID: 9830156991 Enrollment ID: I20180830003528 |
| Provider Name | Timothy Edmiston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982021549 PECOS PAC ID: 7517267313 Enrollment ID: I20180831001024 |
| Provider Name | Jennifer J Pirkl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104008424 PECOS PAC ID: 1052661402 Enrollment ID: I20180905001492 |
| Provider Name | Jordan Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194215830 PECOS PAC ID: 5092066654 Enrollment ID: I20180920000676 |
| Provider Name | Charles O Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174609432 PECOS PAC ID: 2466438270 Enrollment ID: I20180925002639 |
| Provider Name | Jens Masters Olsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699169698 PECOS PAC ID: 0840576252 Enrollment ID: I20180926001627 |
| Provider Name | James A Clay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194165886 PECOS PAC ID: 9335462670 Enrollment ID: I20180927001253 |
| Provider Name | Billie Jo Dressing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780175752 PECOS PAC ID: 5395096499 Enrollment ID: I20181001000483 |
| Provider Name | Peter Van Eerden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851397509 PECOS PAC ID: 6901894849 Enrollment ID: I20181003002281 |
| Provider Name | Patrick F Wichmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134611544 PECOS PAC ID: 9335491943 Enrollment ID: I20181010000426 |
| Provider Name | Mouhamad Mansour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851523500 PECOS PAC ID: 7012132038 Enrollment ID: I20181017000694 |
| Provider Name | Andrew Rook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356859979 PECOS PAC ID: 1850644683 Enrollment ID: I20181025000151 |
| Provider Name | Lindsey M Whiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518443530 PECOS PAC ID: 5395098933 Enrollment ID: I20181029000463 |
| Provider Name | Johnna F Nynas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033538822 PECOS PAC ID: 3072739226 Enrollment ID: I20181030000234 |
| Provider Name | Janet J Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699257261 PECOS PAC ID: 3577817873 Enrollment ID: I20181126000496 |
| Provider Name | Parveen Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558522003 PECOS PAC ID: 0143498550 Enrollment ID: I20181127001487 |
| Provider Name | Walter J Wales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225453426 PECOS PAC ID: 4789928680 Enrollment ID: I20181204001723 |
| Provider Name | Michele M Pasierb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023308632 PECOS PAC ID: 9436461340 Enrollment ID: I20190103000772 |
| Provider Name | Pedro Isaac Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851335855 PECOS PAC ID: 6103724919 Enrollment ID: I20190108002005 |
| Provider Name | Merri P Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518276229 PECOS PAC ID: 9133468457 Enrollment ID: I20190305000803 |
| Provider Name | Katlyn Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588145270 PECOS PAC ID: 8022359801 Enrollment ID: I20190403002843 |
| Provider Name | Tawnia A Netland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477702645 PECOS PAC ID: 1951642651 Enrollment ID: I20190405002247 |
| Provider Name | Brandon Boyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467926691 PECOS PAC ID: 8022351626 Enrollment ID: I20190523000141 |
| Provider Name | Ethan Meier Axtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407419419 PECOS PAC ID: 6204161136 Enrollment ID: I20190715000749 |
| Provider Name | Akuffo Quarde |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295132751 PECOS PAC ID: 0345514832 Enrollment ID: I20190724001799 |
| Provider Name | Keary Lee Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417335050 PECOS PAC ID: 9234448010 Enrollment ID: I20190801002035 |
| Provider Name | Todd Edmund Duppong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083078281 PECOS PAC ID: 5496082547 Enrollment ID: I20190812003064 |
| Provider Name | Shannon C Pitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093377640 PECOS PAC ID: 0941538607 Enrollment ID: I20190820002245 |
| Provider Name | Michael R Schuster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689667909 PECOS PAC ID: 2567498496 Enrollment ID: I20190820003284 |
| Provider Name | Lisa B Hay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144872383 PECOS PAC ID: 7719215748 Enrollment ID: I20190828002578 |
| Provider Name | Andrea L Patten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073856100 PECOS PAC ID: 4587958392 Enrollment ID: I20190913000942 |
| Provider Name | Angela D Halvorson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649824996 PECOS PAC ID: 1456681733 Enrollment ID: I20190930002154 |
| Provider Name | Peter M Fliss |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811308828 PECOS PAC ID: 7719203900 Enrollment ID: I20190930002407 |
| Provider Name | Lauren Carlson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578856746 PECOS PAC ID: 1850523796 Enrollment ID: I20191016000924 |
| Provider Name | Jessica L Stay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124476049 PECOS PAC ID: 8022301761 Enrollment ID: I20191022002029 |
| Provider Name | Laura C Orgon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366900938 PECOS PAC ID: 5496087553 Enrollment ID: I20191023001553 |
| Provider Name | Rachel M Vesta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114589348 PECOS PAC ID: 9638401599 Enrollment ID: I20191025000119 |
| Provider Name | Alice Luknic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598798191 PECOS PAC ID: 6406851104 Enrollment ID: I20191107000690 |
| Provider Name | Kyle Templin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205198157 PECOS PAC ID: 7618298928 Enrollment ID: I20200115000436 |
| Provider Name | Colleen M Salscheider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245756089 PECOS PAC ID: 9739454992 Enrollment ID: I20200203001547 |
| Provider Name | Tulio Figarola |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457357691 PECOS PAC ID: 8224934393 Enrollment ID: I20200210001807 |
| Provider Name | Janet R Moris |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295117240 PECOS PAC ID: 9436586914 Enrollment ID: I20200221001687 |
| Provider Name | Ashley M Wavrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679129555 PECOS PAC ID: 1456781426 Enrollment ID: I20200416000095 |
| Provider Name | Jonas Dravland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134164502 PECOS PAC ID: 0042645244 Enrollment ID: I20200423003018 |
| Provider Name | Derek David Czywczynski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427281583 PECOS PAC ID: 0648316646 Enrollment ID: I20200521000589 |
| Provider Name | Jeffery D Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043248701 PECOS PAC ID: 8123259256 Enrollment ID: I20200521001926 |
| Provider Name | Bradley W Kohoutek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649406703 PECOS PAC ID: 4688823388 Enrollment ID: I20200529002623 |
| Provider Name | Amy J Donnan Neppl |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1184731689 PECOS PAC ID: 1052732674 Enrollment ID: I20200605000879 |
| Provider Name | Heather Ann Czywczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285920587 PECOS PAC ID: 1456529833 Enrollment ID: I20200629003242 |
| Provider Name | Shelly Marie Mahowald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336775717 PECOS PAC ID: 9931523511 Enrollment ID: I20200716001413 |
| Provider Name | Timothy Arthur Markgraf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780217190 PECOS PAC ID: 7618391475 Enrollment ID: I20200727001574 |
| Provider Name | Norberto Schechtmann |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457336984 PECOS PAC ID: 7911070685 Enrollment ID: I20200731000120 |
| Provider Name | Christopher Jon Failing |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275946733 PECOS PAC ID: 7315253606 Enrollment ID: I20200811001918 |
| Provider Name | John Kelsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992169403 PECOS PAC ID: 4082908181 Enrollment ID: I20200818000340 |
| Provider Name | Marcus J Mittelsteadt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215347117 PECOS PAC ID: 5092019810 Enrollment ID: I20200819002566 |
| Provider Name | David Jt Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104347426 PECOS PAC ID: 8123398765 Enrollment ID: I20200820001971 |
| Provider Name | Thomas Michael Kalinoski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881128957 PECOS PAC ID: 7810319910 Enrollment ID: I20200901001324 |
| Provider Name | Emmanuel O Erestain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982055661 PECOS PAC ID: 2163715608 Enrollment ID: I20200903003054 |
| Provider Name | Melissa R Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467063297 PECOS PAC ID: 6103245709 Enrollment ID: I20201001000472 |
| Provider Name | Jamie Lund Olsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518300573 PECOS PAC ID: 5597906990 Enrollment ID: I20201026000755 |
| Provider Name | Carol L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578956702 PECOS PAC ID: 9830509827 Enrollment ID: I20201103000411 |
| Provider Name | Julie Trouy Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295771863 PECOS PAC ID: 6709770175 Enrollment ID: I20201109002298 |
| Provider Name | Gregory H Schuchard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881669810 PECOS PAC ID: 0345150215 Enrollment ID: I20201112001187 |
| Provider Name | Katie M English |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386030542 PECOS PAC ID: 9830479542 Enrollment ID: I20201125000474 |
| Provider Name | Tiffany A Axtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699397042 PECOS PAC ID: 3678991759 Enrollment ID: I20201216001107 |
| Provider Name | Cynthia M Kantos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780023556 PECOS PAC ID: 0547674129 Enrollment ID: I20210121001995 |
| Provider Name | Craig D Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275602740 PECOS PAC ID: 7214021864 Enrollment ID: I20210125000117 |
| Provider Name | Sarah Branham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619275658 PECOS PAC ID: 5698189009 Enrollment ID: I20210126003040 |
| Provider Name | Kelly Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336217900 PECOS PAC ID: 4385817691 Enrollment ID: I20210204000116 |
| Provider Name | Tyler Zinnecker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952752891 PECOS PAC ID: 1153651062 Enrollment ID: I20210204001091 |
| Provider Name | Paul A Berger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699921163 PECOS PAC ID: 7810295409 Enrollment ID: I20210216000708 |
| Provider Name | Emily M Westover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104336288 PECOS PAC ID: 4880954890 Enrollment ID: I20210219002383 |
| Provider Name | Stephanie J Else |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124312863 PECOS PAC ID: 7113197021 Enrollment ID: I20210222000066 |
| Provider Name | Rakesh Chawla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023082278 PECOS PAC ID: 6002703188 Enrollment ID: I20210224001420 |
| Provider Name | Jamie Morrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912413444 PECOS PAC ID: 1254691207 Enrollment ID: I20210330000517 |
| Provider Name | Nicole C Pink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598321994 PECOS PAC ID: 8729497995 Enrollment ID: I20210429002832 |
| Provider Name | Melissa Kae Mattson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396337796 PECOS PAC ID: 0042629388 Enrollment ID: I20210517002364 |
| Provider Name | Yasser M Said |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710195904 PECOS PAC ID: 3375635154 Enrollment ID: I20210520000284 |
| Provider Name | Lawrence Page |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699770941 PECOS PAC ID: 5890894919 Enrollment ID: I20210601000039 |
| Provider Name | Charly Candas Vangrinsven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982077541 PECOS PAC ID: 2961801675 Enrollment ID: I20210601000712 |
| Provider Name | John R Weis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912097502 PECOS PAC ID: 1658311394 Enrollment ID: I20210701000550 |
| Provider Name | Christopher Mullet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629631866 PECOS PAC ID: 0547595654 Enrollment ID: I20210714001829 |
| Provider Name | Stephen L Blonsky |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497855126 PECOS PAC ID: 9830272970 Enrollment ID: I20210802001295 |
| Provider Name | Ludmil Lazarov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285826404 PECOS PAC ID: 1254407729 Enrollment ID: I20210816003909 |
| Provider Name | Thanh Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992237770 PECOS PAC ID: 6002157377 Enrollment ID: I20210819000046 |
| Provider Name | Jessica I Hublit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750743795 PECOS PAC ID: 5092111302 Enrollment ID: I20210913002175 |
| Provider Name | Alfredo Fernando Valdez Valencia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841785334 PECOS PAC ID: 7517364672 Enrollment ID: I20210916002413 |
| Provider Name | Tucker John Carlson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083110738 PECOS PAC ID: 9234537192 Enrollment ID: I20211006002138 |
| Provider Name | Ramtin Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225244221 PECOS PAC ID: 8325193527 Enrollment ID: I20211007003342 |
| Provider Name | Felicia Balzano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467830711 PECOS PAC ID: 4688952328 Enrollment ID: I20211112002168 |
| Provider Name | Karalynn E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588266530 PECOS PAC ID: 2961814611 Enrollment ID: I20211123002337 |
| Provider Name | Jake Neal Tarnowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922597707 PECOS PAC ID: 2062802762 Enrollment ID: I20211213001893 |
| Provider Name | Syed Shafqat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750345617 PECOS PAC ID: 1658313929 Enrollment ID: I20211215000517 |
| Provider Name | Peter Joachim Niemann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669602918 PECOS PAC ID: 1557517950 Enrollment ID: I20220112002651 |
| Provider Name | Briana Rose Bruce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346694023 PECOS PAC ID: 8729326905 Enrollment ID: I20220129000352 |
| Provider Name | Michael Sabatino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851560460 PECOS PAC ID: 9133297807 Enrollment ID: I20220217002656 |
| Provider Name | Jessica Collins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821443524 PECOS PAC ID: 9335437961 Enrollment ID: I20220310001379 |
| Provider Name | Chukwuma S Ogugua |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326086968 PECOS PAC ID: 5890964050 Enrollment ID: I20220314002264 |
| Provider Name | Esma F Etan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720446578 PECOS PAC ID: 9830481308 Enrollment ID: I20220318002209 |
| Provider Name | Rachel Mae Jaeger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780350272 PECOS PAC ID: 6507251014 Enrollment ID: I20220321000682 |
| Provider Name | Cassandra Pm Rendon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568956183 PECOS PAC ID: 0941623706 Enrollment ID: I20220324000606 |
| Provider Name | Sara Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205502028 PECOS PAC ID: 1254727001 Enrollment ID: I20220405000889 |
| Provider Name | Mohamed Hassan Halane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639306442 PECOS PAC ID: 3971738725 Enrollment ID: I20220408000707 |
| Provider Name | Saeed Zamir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134113400 PECOS PAC ID: 9931145620 Enrollment ID: I20220419000930 |
| Provider Name | Sheila D Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366943334 PECOS PAC ID: 8729342381 Enrollment ID: I20220422000536 |
| Provider Name | Scott Norton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497745541 PECOS PAC ID: 2264569359 Enrollment ID: I20220426002421 |
| Provider Name | Samuel J Milanovich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669682837 PECOS PAC ID: 2264579408 Enrollment ID: I20220506001851 |
| Provider Name | Lindsey D Goddard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639565872 PECOS PAC ID: 1557693025 Enrollment ID: I20220517001498 |
| Provider Name | Daniel Almquist |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134533805 PECOS PAC ID: 3274754247 Enrollment ID: I20220517002614 |
| Provider Name | Tabassum Saba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427067230 PECOS PAC ID: 5890790042 Enrollment ID: I20220525001628 |
| Provider Name | Travis Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922257500 PECOS PAC ID: 5890964019 Enrollment ID: I20220630002798 |
| Provider Name | Simon Ritchie |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922257146 PECOS PAC ID: 7012284201 Enrollment ID: I20220705000050 |
| Provider Name | Tanya D Schnell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427029800 PECOS PAC ID: 4183632995 Enrollment ID: I20220705000582 |
| Provider Name | Serena Jo Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184399396 PECOS PAC ID: 2365825098 Enrollment ID: I20220812003058 |
| Provider Name | Susanna Joy Rairdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790417814 PECOS PAC ID: 8022491620 Enrollment ID: I20220815001785 |
| Provider Name | Angela Jean Splettstoeszer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043826605 PECOS PAC ID: 5597149005 Enrollment ID: I20220901001846 |
| Provider Name | Katherine S Kuefler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750842712 PECOS PAC ID: 5597098590 Enrollment ID: I20220907001529 |
| Provider Name | Mark Dietrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427127190 PECOS PAC ID: 1658372982 Enrollment ID: I20220909002650 |
| Provider Name | Jenise Nicole Ropp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548802721 PECOS PAC ID: 9234564907 Enrollment ID: I20220923001744 |
| Provider Name | Amy C Roy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629274493 PECOS PAC ID: 4880744465 Enrollment ID: I20220929003903 |
| Provider Name | Alexander J Adami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780180968 PECOS PAC ID: 0648526087 Enrollment ID: I20220930000745 |
| Provider Name | Brian Gooley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013478437 PECOS PAC ID: 5597191536 Enrollment ID: I20221003002460 |
| Provider Name | Vincent J Vilasi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205853728 PECOS PAC ID: 4587657390 Enrollment ID: I20221005003600 |
| Provider Name | Idiris Abdirahman Esse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457813420 PECOS PAC ID: 8628458932 Enrollment ID: I20221005003716 |
| Provider Name | Christian Lee Horn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114317492 PECOS PAC ID: 0042506966 Enrollment ID: I20221006002864 |
| Provider Name | John G Alexander |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477541100 PECOS PAC ID: 1658328489 Enrollment ID: I20221006003362 |
| Provider Name | William Cody Sessions |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710412945 PECOS PAC ID: 0749559607 Enrollment ID: I20221027000643 |
| Provider Name | Eric A Ogle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356753727 PECOS PAC ID: 2961758560 Enrollment ID: I20221029000053 |
| Provider Name | Michael Robert Noonan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790886901 PECOS PAC ID: 6305838814 Enrollment ID: I20221031001449 |
| Provider Name | Mary Krupich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730106402 PECOS PAC ID: 2961697768 Enrollment ID: I20221031002995 |
| Provider Name | Alexandria Thompson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275296329 PECOS PAC ID: 9638546526 Enrollment ID: I20221107000585 |
| Provider Name | Kayla N Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023633096 PECOS PAC ID: 5496174682 Enrollment ID: I20221111000331 |
| Provider Name | Tyler Junttila |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447772991 PECOS PAC ID: 0648516955 Enrollment ID: I20221117000943 |
| Provider Name | Megan Wetzel Vesterfelt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770946196 PECOS PAC ID: 2264726520 Enrollment ID: I20221123002464 |
| Provider Name | Mary J Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396469946 PECOS PAC ID: 6800265224 Enrollment ID: I20221207000977 |
| Provider Name | Mitchell Austin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639288749 PECOS PAC ID: 5698861094 Enrollment ID: I20221213001499 |
| Provider Name | Dagmawe A Ayalew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215363668 PECOS PAC ID: 9133407380 Enrollment ID: I20221214002628 |
| Provider Name | Gregson Oghafua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740363761 PECOS PAC ID: 0042106155 Enrollment ID: I20221215000376 |
| Provider Name | Yauheni Aleksandrovich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417591975 PECOS PAC ID: 1658740451 Enrollment ID: I20221219001365 |
| Provider Name | Gregory C Tyler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871695452 PECOS PAC ID: 3971603176 Enrollment ID: I20221228000907 |
| Provider Name | Mohammed Waseemuddin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609396985 PECOS PAC ID: 2264822345 Enrollment ID: I20230112002224 |
| Provider Name | Michael Joannides |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720475858 PECOS PAC ID: 8628491123 Enrollment ID: I20230124002795 |
| Provider Name | Carrie Laituri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942451687 PECOS PAC ID: 0345460267 Enrollment ID: I20230131001542 |
| Provider Name | Roberto Andres Corpus |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417995432 PECOS PAC ID: 7416937982 Enrollment ID: I20230201001358 |
| Provider Name | Boris Shklyar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144253857 PECOS PAC ID: 1759394364 Enrollment ID: I20230206000551 |
| Provider Name | Ghassan Kabbach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730596040 PECOS PAC ID: 1759653710 Enrollment ID: I20230216000436 |
| Provider Name | Rachel Leigh Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306384029 PECOS PAC ID: 5092082396 Enrollment ID: I20230217000087 |
| Provider Name | Dipesh K C Ghimire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295106169 PECOS PAC ID: 4880941848 Enrollment ID: I20230301002671 |
| Provider Name | Antony Chu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063573764 PECOS PAC ID: 4880792530 Enrollment ID: I20230302002390 |
| Provider Name | Katherine S Zimmerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093211062 PECOS PAC ID: 3678976446 Enrollment ID: I20230303001493 |
| Provider Name | Daryl Goh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538681929 PECOS PAC ID: 5991136368 Enrollment ID: I20230308000795 |
| Provider Name | Frederick Westreich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801814207 PECOS PAC ID: 2062544398 Enrollment ID: I20230314002465 |
| Provider Name | Lindamulage S Devaadithiya-appuhamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366151615 PECOS PAC ID: 5395119648 Enrollment ID: I20230328001226 |
| Provider Name | Edward Chartrand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710291257 PECOS PAC ID: 3678798865 Enrollment ID: I20230328002362 |
| Provider Name | Nancy Phan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144727850 PECOS PAC ID: 1658775218 Enrollment ID: I20230407001879 |
| Provider Name | Alexandria A Sweeney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659937662 PECOS PAC ID: 8325413776 Enrollment ID: I20230417002126 |
| Provider Name | Nicole Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144930389 PECOS PAC ID: 2668847922 Enrollment ID: I20230419000643 |
| Provider Name | Ronald Devore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619078201 PECOS PAC ID: 8820992324 Enrollment ID: I20230425002922 |
| Provider Name | Scott Douglas Stahle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508846312 PECOS PAC ID: 9335172212 Enrollment ID: I20230426000214 |
| Provider Name | Stuart Craig Jarvis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467415067 PECOS PAC ID: 4789629262 Enrollment ID: I20230502001131 |
| Provider Name | Joanne Heins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497773592 PECOS PAC ID: 2466483664 Enrollment ID: I20230505002089 |
| Provider Name | Andres Sobrado |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700308699 PECOS PAC ID: 7113313883 Enrollment ID: I20230512000470 |
| Provider Name | Jennifer A Harrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033200837 PECOS PAC ID: 1658361852 Enrollment ID: I20230517001260 |
| Provider Name | Lilian Li Lian Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205122405 PECOS PAC ID: 3476787490 Enrollment ID: I20230521000139 |
| Provider Name | Lance Aaron Schell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548766223 PECOS PAC ID: 1254683675 Enrollment ID: I20230531002667 |
| Provider Name | Carrie Bailey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730529546 PECOS PAC ID: 4981969557 Enrollment ID: I20230605002206 |
| Provider Name | Moacyr Ribeiro De Oliveira |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235219346 PECOS PAC ID: 1355240409 Enrollment ID: I20230606002109 |
| Provider Name | Katherine Elisabeth Hoekstra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699858225 PECOS PAC ID: 2466433743 Enrollment ID: I20230606003125 |
| Provider Name | Cassandra Whitney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760118939 PECOS PAC ID: 9436516234 Enrollment ID: I20230609002591 |
| Provider Name | Natalia Alexeevna Shcherbinina |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992054589 PECOS PAC ID: 8022382795 Enrollment ID: I20230613002443 |
| Provider Name | Tochi Umunakwe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609119577 PECOS PAC ID: 4688993223 Enrollment ID: I20230620002283 |
| Provider Name | Neal M Carlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245626670 PECOS PAC ID: 6608128244 Enrollment ID: I20230620003013 |
| Provider Name | Jhonstanley Searcy Schnaeidr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104160357 PECOS PAC ID: 0941426993 Enrollment ID: I20230622002359 |
| Provider Name | Cameron S Thorpe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972039782 PECOS PAC ID: 5395014377 Enrollment ID: I20230706001526 |
| Provider Name | Michael Nesmith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417934431 PECOS PAC ID: 3476536996 Enrollment ID: I20230714002570 |
| Provider Name | Ethan Bruehl Foster |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679693147 PECOS PAC ID: 5496925570 Enrollment ID: I20230720002639 |
| Provider Name | Sommer R Nurkic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205247913 PECOS PAC ID: 7911212758 Enrollment ID: I20230731001850 |
| Provider Name | Jordan Lynn Doss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922539501 PECOS PAC ID: 4981065232 Enrollment ID: I20230802002487 |
| Provider Name | David Shapiro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760452452 PECOS PAC ID: 6103910062 Enrollment ID: I20230810004120 |
| Provider Name | Nicholas Bennett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659725752 PECOS PAC ID: 6002102001 Enrollment ID: I20230811000618 |
| Provider Name | Muhammad Siyab Panhwar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851742522 PECOS PAC ID: 3476915851 Enrollment ID: I20230816003972 |
| Provider Name | Troy James Storer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780359521 PECOS PAC ID: 7214322981 Enrollment ID: I20230817002429 |
| Provider Name | Amanda E Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205067345 PECOS PAC ID: 3577601897 Enrollment ID: I20230817003567 |
| Provider Name | Zabrina L Ebert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518427145 PECOS PAC ID: 5597195099 Enrollment ID: I20230822001816 |
| Provider Name | Cesar A Martinez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740212042 PECOS PAC ID: 5890744833 Enrollment ID: I20230829003465 |
| Provider Name | Ivan Fomitchev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699742312 PECOS PAC ID: 8325060239 Enrollment ID: I20230830000345 |
| Provider Name | Chisom Nwoye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841780806 PECOS PAC ID: 3375899826 Enrollment ID: I20230901002763 |
| Provider Name | Hillary Renae Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063118719 PECOS PAC ID: 5294199311 Enrollment ID: I20230907003539 |
| Provider Name | Corey Wells |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437687779 PECOS PAC ID: 0547538712 Enrollment ID: I20230908003276 |
| Provider Name | April M Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285165621 PECOS PAC ID: 8123384286 Enrollment ID: I20230911000473 |
| Provider Name | Andrew C Bland |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467582775 PECOS PAC ID: 7416946009 Enrollment ID: I20230918004048 |
| Provider Name | Elizabeth Rose Jonckowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356022982 PECOS PAC ID: 3577927938 Enrollment ID: I20230919000151 |
| Provider Name | Jessica Antoinette Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740502293 PECOS PAC ID: 8527412691 Enrollment ID: I20230922001008 |
| Provider Name | Linda Gossett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306985338 PECOS PAC ID: 3274685052 Enrollment ID: I20230929001621 |
| Provider Name | Shelby Potkin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184184277 PECOS PAC ID: 2769849900 Enrollment ID: I20231004002569 |
| Provider Name | Keith Schulze |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174625693 PECOS PAC ID: 1759300635 Enrollment ID: I20231009002338 |
| Provider Name | Steven R Geisler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811949506 PECOS PAC ID: 6406747682 Enrollment ID: I20231027003395 |
| Provider Name | Latoshia E Donald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023617016 PECOS PAC ID: 9931513058 Enrollment ID: I20231030002500 |
| Provider Name | Sanggyu Bae |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831485077 PECOS PAC ID: 3779808399 Enrollment ID: I20231108002020 |
| Provider Name | David Carey Gichtin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194779405 PECOS PAC ID: 4183537988 Enrollment ID: I20231108002828 |
| Provider Name | David Faugno-fusci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467983528 PECOS PAC ID: 2163793084 Enrollment ID: I20231108003274 |
| Provider Name | Shazia Raza |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831176189 PECOS PAC ID: 7113915851 Enrollment ID: I20231109003626 |
| Provider Name | Porntip Kiatsimkul |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205099082 PECOS PAC ID: 4284804576 Enrollment ID: I20231113000097 |
| Provider Name | Kayla Jean Schenheit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104323765 PECOS PAC ID: 6800225269 Enrollment ID: I20231201000596 |
| Provider Name | Cassandra Daella King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740846534 PECOS PAC ID: 2466780283 Enrollment ID: I20231213002395 |
| Provider Name | Susan A Derry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023109030 PECOS PAC ID: 7214903632 Enrollment ID: I20231222002110 |
| Provider Name | Deepak Reddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518087568 PECOS PAC ID: 0840356028 Enrollment ID: I20231226000700 |
| Provider Name | Charles Ock Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801823398 PECOS PAC ID: 7719878180 Enrollment ID: I20231226000934 |
| Provider Name | Amanda Willis-martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265147623 PECOS PAC ID: 9739539974 Enrollment ID: I20231229001080 |
| Provider Name | Barbara G Bielska |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801864251 PECOS PAC ID: 0345383931 Enrollment ID: I20240103003071 |
| Provider Name | Patrick Ignacio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255542536 PECOS PAC ID: 7416071931 Enrollment ID: I20240104000538 |
| Provider Name | Amanda Ogdahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346768496 PECOS PAC ID: 0345691226 Enrollment ID: I20240104001835 |
| Provider Name | Melinda Lynn Broden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669759825 PECOS PAC ID: 7012368723 Enrollment ID: I20240108000208 |
| Provider Name | Nikki Bowman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679224992 PECOS PAC ID: 4183075823 Enrollment ID: I20240108003531 |
| Provider Name | Rebecca C Secore |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346402179 PECOS PAC ID: 9234369653 Enrollment ID: I20240108004351 |
| Provider Name | Michelle Marie Noffze |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689264178 PECOS PAC ID: 8123479334 Enrollment ID: I20240111002198 |
| Provider Name | Ann Steidler Nygard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710637079 PECOS PAC ID: 6305297425 Enrollment ID: I20240112001576 |
| Provider Name | Hannah Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043783574 PECOS PAC ID: 4183075252 Enrollment ID: I20240112003207 |
| Provider Name | Angela Rae Hiebsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992239628 PECOS PAC ID: 9537511548 Enrollment ID: I20240116000645 |
| Provider Name | Robb Dent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407411374 PECOS PAC ID: 5799137600 Enrollment ID: I20240116004133 |
| Provider Name | Jonathan Friedt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033657846 PECOS PAC ID: 6406208289 Enrollment ID: I20240117002156 |
| Provider Name | Carol L Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518011287 PECOS PAC ID: 4284759176 Enrollment ID: I20240117002923 |
| Provider Name | Katie Luther |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265932800 PECOS PAC ID: 4789034711 Enrollment ID: I20240124000979 |
| Provider Name | Anna Chock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114461258 PECOS PAC ID: 3870946866 Enrollment ID: I20240125003346 |
| Provider Name | Richard Nass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316018153 PECOS PAC ID: 8628256120 Enrollment ID: I20240131001920 |
| Provider Name | Elizabeth Christenson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538716519 PECOS PAC ID: 6204225089 Enrollment ID: I20240202001710 |
| Provider Name | Charly Candas Vangrinsven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982077541 PECOS PAC ID: 2961801675 Enrollment ID: I20240207000536 |
| Provider Name | Kalee Browne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215610621 PECOS PAC ID: 4688017338 Enrollment ID: I20240209000177 |
| Provider Name | Kirsten Ruth Craft |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093242646 PECOS PAC ID: 2466895180 Enrollment ID: I20240209002532 |
| Provider Name | David Mcnaul |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144262668 PECOS PAC ID: 2163318189 Enrollment ID: I20240209003284 |
| Provider Name | Joginder Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538113907 PECOS PAC ID: 1951452713 Enrollment ID: I20240213001841 |
| Provider Name | Ashlea Megen Mcmartin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134555857 PECOS PAC ID: 7315381530 Enrollment ID: I20240215003073 |
| Provider Name | Amanda Kay Rohloff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598199119 PECOS PAC ID: 6204270234 Enrollment ID: I20240219001109 |
| Provider Name | Gabrielle Sharrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316257025 PECOS PAC ID: 8628258936 Enrollment ID: I20240220000158 |
| Provider Name | Jaclyn Michelle Spencer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336716869 PECOS PAC ID: 4981005675 Enrollment ID: I20240221002710 |
| Provider Name | Ahmer Younas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396754289 PECOS PAC ID: 7012019664 Enrollment ID: I20240223000491 |
| Provider Name | Sudhir Pasham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306332663 PECOS PAC ID: 2163846734 Enrollment ID: I20240227002745 |
| Provider Name | Alicia V. Holley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144437575 PECOS PAC ID: 6406291665 Enrollment ID: I20240227002806 |
| Provider Name | Dane Furfaro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710303805 PECOS PAC ID: 8022453158 Enrollment ID: I20240228004387 |
| Provider Name | Jeffrey Dann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174574180 PECOS PAC ID: 8426042490 Enrollment ID: I20240229002557 |
| Provider Name | Laura Jean Bromenshenkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144093204 PECOS PAC ID: 8729423306 Enrollment ID: I20240305003647 |
| Provider Name | Tiffany Grace Rundquist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285419614 PECOS PAC ID: 1658717863 Enrollment ID: I20240311001979 |
| Provider Name | Ariel Schwarzrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497424204 PECOS PAC ID: 5890173157 Enrollment ID: I20240315001880 |
| Provider Name | Laura Macnow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578610937 PECOS PAC ID: 6305923806 Enrollment ID: I20240322003803 |
| Provider Name | David Christopher Roska |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467551861 PECOS PAC ID: 2769748698 Enrollment ID: I20240328002137 |
| Provider Name | Peter Weber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225029150 PECOS PAC ID: 0547281966 Enrollment ID: I20240403001901 |
| Provider Name | Michael Stennis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538192836 PECOS PAC ID: 0143259960 Enrollment ID: I20240430000950 |
| Provider Name | Steven E Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669477287 PECOS PAC ID: 1951492248 Enrollment ID: I20240503003197 |
| Provider Name | Ashley Marie Huerd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649774191 PECOS PAC ID: 7618374109 Enrollment ID: I20240508002459 |
| Provider Name | Joshua Faucher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407206188 PECOS PAC ID: 1456647718 Enrollment ID: I20240509000564 |
| Provider Name | Samantha O'hern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225895923 PECOS PAC ID: 8527400761 Enrollment ID: I20240520003478 |
| Provider Name | Shirley Tetteh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114210473 PECOS PAC ID: 9638318504 Enrollment ID: I20240521003105 |
| Provider Name | Chad Andrew Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891185229 PECOS PAC ID: 0042652836 Enrollment ID: I20240524001108 |
| Provider Name | Kory Bodily |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215135215 PECOS PAC ID: 8921292368 Enrollment ID: I20240524003086 |
| Provider Name | Carmen Gota |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568427052 PECOS PAC ID: 9537147434 Enrollment ID: I20240530001377 |
| Provider Name | Azima Rasiwala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003253378 PECOS PAC ID: 9436452554 Enrollment ID: I20240611000293 |
| Provider Name | Benjamin Chaney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871019182 PECOS PAC ID: 0345591822 Enrollment ID: I20240611003914 |
| Provider Name | Ashley Ryan Mcphaul |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073567152 PECOS PAC ID: 5193729903 Enrollment ID: I20240614001036 |