| Singing River Health System | |
|
2101 Highway 90 Gautier MS 39553-5340 | |
| (228) 497-8874 | |
| Not Available |
| Full Name | Singing River Health System |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 Highway 90, Gautier, Mississippi |
| Authorized Official Name and Position | Tiffany Murdock (COO) |
| Authorized Official Contact | 2288181195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Singing River Health System 2101 Highway 90 Gautier MS 39553-5340 Ph: () - | Singing River Health System 2101 Highway 90 Gautier MS 39553-5340 Ph: (228) 497-8874 |
| NPI Number | 1083893937 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 11/02/2022 |
| Medicare PECOS PAC ID | 3870405194 |
|---|---|
| Medicare Enrollment ID | O20031104000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083893937 | NPI | - | NPPES |
| Provider Name | Eric D Lucas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639220270 PECOS PAC ID: 6507770336 Enrollment ID: I20031117000434 |
| Provider Name | Corey S Mcnamee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841341492 PECOS PAC ID: 9638072432 Enrollment ID: I20040129000521 |
| Provider Name | William L Mcmahan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316002587 PECOS PAC ID: 8820986995 Enrollment ID: I20040309001237 |
| Provider Name | Gregory Patino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548311103 PECOS PAC ID: 3577452242 Enrollment ID: I20040311000747 |
| Provider Name | Ronald E Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184751844 PECOS PAC ID: 5799677068 Enrollment ID: I20040330000291 |
| Provider Name | Steven L Demetropoulos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932259546 PECOS PAC ID: 1456345800 Enrollment ID: I20040409000343 |
| Provider Name | Michael A Wilson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093790032 PECOS PAC ID: 6103815501 Enrollment ID: I20040511000337 |
| Provider Name | Darren Cuevas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396896130 PECOS PAC ID: 5890776884 Enrollment ID: I20040526000511 |
| Provider Name | Charles W Chaney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548395833 PECOS PAC ID: 2567432388 Enrollment ID: I20040729000253 |
| Provider Name | William W Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093759722 PECOS PAC ID: 5698746964 Enrollment ID: I20040802001327 |
| Provider Name | Benjamin W Hudson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447301072 PECOS PAC ID: 3173595923 Enrollment ID: I20040811000832 |
| Provider Name | Hugo A Quintana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124043641 PECOS PAC ID: 6204801897 Enrollment ID: I20040827000466 |
| Provider Name | Pavel Khimenko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548241904 PECOS PAC ID: 7810962453 Enrollment ID: I20040827000839 |
| Provider Name | Jerrod Taylor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427154327 PECOS PAC ID: 4486632155 Enrollment ID: I20040907001163 |
| Provider Name | Oliver Lee Kesterson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306997515 PECOS PAC ID: 9335116300 Enrollment ID: I20040910000735 |
| Provider Name | Lennon E Bowen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619919156 PECOS PAC ID: 2163487174 Enrollment ID: I20041201000214 |
| Provider Name | Michelle Leigh Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578639548 PECOS PAC ID: 9830147966 Enrollment ID: I20050105000925 |
| Provider Name | James E Clarkson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285711978 PECOS PAC ID: 9133177678 Enrollment ID: I20050111000582 |
| Provider Name | John D Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194880419 PECOS PAC ID: 9638120249 Enrollment ID: I20050201000445 |
| Provider Name | Stephen W Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578639183 PECOS PAC ID: 7719939032 Enrollment ID: I20050215000816 |
| Provider Name | Eva Magiros |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033168091 PECOS PAC ID: 7214977834 Enrollment ID: I20050506000503 |
| Provider Name | Brian E Persing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538189543 PECOS PAC ID: 5294778668 Enrollment ID: I20050607000226 |
| Provider Name | Tricia K Aultman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346322880 PECOS PAC ID: 9335183029 Enrollment ID: I20050614000486 |
| Provider Name | John H Montgomery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821027368 PECOS PAC ID: 6305872136 Enrollment ID: I20050713000646 |
| Provider Name | Rene Chinn-lang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215992623 PECOS PAC ID: 5193776748 Enrollment ID: I20051110000246 |
| Provider Name | Timothy R Ivey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902802333 PECOS PAC ID: 2062433261 Enrollment ID: I20051215000533 |
| Provider Name | Michael Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912032897 PECOS PAC ID: 3971527466 Enrollment ID: I20060124000285 |
| Provider Name | Ronald Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023127966 PECOS PAC ID: 1658393442 Enrollment ID: I20060418000479 |
| Provider Name | William Evans |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619913761 PECOS PAC ID: 0648274639 Enrollment ID: I20060906000057 |
| Provider Name | Oliver Waldrop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205879475 PECOS PAC ID: 9537163530 Enrollment ID: I20060906000185 |
| Provider Name | Patrick C Mcguire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801809124 PECOS PAC ID: 2567467293 Enrollment ID: I20061002000176 |
| Provider Name | Charles A Stanich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356424576 PECOS PAC ID: 3577563139 Enrollment ID: I20070104000171 |
| Provider Name | Simon G Rizk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720092877 PECOS PAC ID: 1850391020 Enrollment ID: I20070111000519 |
| Provider Name | Clinton E Hull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437232717 PECOS PAC ID: 8729021670 Enrollment ID: I20070123000189 |
| Provider Name | Okechukwu Ekenna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578678868 PECOS PAC ID: 0345343638 Enrollment ID: I20070306000650 |
| Provider Name | Juanita S Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902961055 PECOS PAC ID: 9638272230 Enrollment ID: I20070320000654 |
| Provider Name | Muzaffar Piracha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912950320 PECOS PAC ID: 2961500228 Enrollment ID: I20070611000101 |
| Provider Name | Michael C Cunningham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821219106 PECOS PAC ID: 5698874717 Enrollment ID: I20070629000457 |
| Provider Name | Susan T Bankston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982663209 PECOS PAC ID: 9234125642 Enrollment ID: I20071009000586 |
| Provider Name | Lisa Kay Bond |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700890498 PECOS PAC ID: 2769394790 Enrollment ID: I20080107000752 |
| Provider Name | Stephen T Mcdavid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013958644 PECOS PAC ID: 9032115969 Enrollment ID: I20080225000342 |
| Provider Name | Jordan M Pastorek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265400634 PECOS PAC ID: 2163498569 Enrollment ID: I20080303000466 |
| Provider Name | Richard S Eubanks |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518995521 PECOS PAC ID: 0648162461 Enrollment ID: I20080325000155 |
| Provider Name | Patricia M Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972608479 PECOS PAC ID: 6507942018 Enrollment ID: I20080325000184 |
| Provider Name | Sera K Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497959100 PECOS PAC ID: 7517044779 Enrollment ID: I20080411000523 |
| Provider Name | Richard Huff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487708756 PECOS PAC ID: 4789762766 Enrollment ID: I20080416000071 |
| Provider Name | Valerie R Lenox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164589388 PECOS PAC ID: 0941306658 Enrollment ID: I20080418000273 |
| Provider Name | Scott F Sanders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063463420 PECOS PAC ID: 4284732322 Enrollment ID: I20080423000086 |
| Provider Name | Leah Mcmahan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023287349 PECOS PAC ID: 3173693801 Enrollment ID: I20080605000890 |
| Provider Name | John Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770794190 PECOS PAC ID: 9133290687 Enrollment ID: I20080611000477 |
| Provider Name | Iva N Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881801132 PECOS PAC ID: 2163591371 Enrollment ID: I20080612000855 |
| Provider Name | Tabitha S Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578734166 PECOS PAC ID: 4587736624 Enrollment ID: I20080707000055 |
| Provider Name | Nancy A Buckheister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396922423 PECOS PAC ID: 0941373047 Enrollment ID: I20080723000297 |
| Provider Name | William Wenstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013170653 PECOS PAC ID: 1658448287 Enrollment ID: I20080924000428 |
| Provider Name | Tamela D Gartman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366592990 PECOS PAC ID: 0244395283 Enrollment ID: I20090209000125 |
| Provider Name | Stephen R Sumrall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477756153 PECOS PAC ID: 6305901885 Enrollment ID: I20090217000401 |
| Provider Name | Jeremy Wayne Owens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639246739 PECOS PAC ID: 1557427929 Enrollment ID: I20090310000328 |
| Provider Name | John Webster |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598811374 PECOS PAC ID: 5395893531 Enrollment ID: I20090428000356 |
| Provider Name | Allyson Perez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588803225 PECOS PAC ID: 7315096138 Enrollment ID: I20090527000079 |
| Provider Name | James Thomas Steen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679551857 PECOS PAC ID: 6204844111 Enrollment ID: I20090528000370 |
| Provider Name | Joel Kavanagh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740391390 PECOS PAC ID: 7315098530 Enrollment ID: I20090630000188 |
| Provider Name | Martin B Bydalek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609926211 PECOS PAC ID: 7618013111 Enrollment ID: I20091015000177 |
| Provider Name | Bret A Waters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740415074 PECOS PAC ID: 6305983263 Enrollment ID: I20091026000303 |
| Provider Name | Thomas E Stevens |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124067368 PECOS PAC ID: 0345231577 Enrollment ID: I20091109000434 |
| Provider Name | Teresa A Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710989678 PECOS PAC ID: 0042359341 Enrollment ID: I20091130000162 |
| Provider Name | Robert L Donald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770585630 PECOS PAC ID: 4183763493 Enrollment ID: I20091130000207 |
| Provider Name | Mahmoud H Zayed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699790196 PECOS PAC ID: 2062506652 Enrollment ID: I20100104000419 |
| Provider Name | Tana K Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174730519 PECOS PAC ID: 0244366888 Enrollment ID: I20100407000328 |
| Provider Name | Jennifer L Jurich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366774879 PECOS PAC ID: 5597896456 Enrollment ID: I20100622000331 |
| Provider Name | Deanna S Fernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477876811 PECOS PAC ID: 4082745823 Enrollment ID: I20100623000514 |
| Provider Name | Matthew L Emerick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861542482 PECOS PAC ID: 7719019108 Enrollment ID: I20100721000143 |
| Provider Name | Stephen Nunenmacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487705042 PECOS PAC ID: 8022140334 Enrollment ID: I20100722000611 |
| Provider Name | Andrew A Ragula |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578615001 PECOS PAC ID: 5597897702 Enrollment ID: I20100722000727 |
| Provider Name | Michael Renicks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144371725 PECOS PAC ID: 0547392722 Enrollment ID: I20100723000471 |
| Provider Name | Mark Mauldin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508917147 PECOS PAC ID: 5092848119 Enrollment ID: I20100727000037 |
| Provider Name | John P Pavlov |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124179791 PECOS PAC ID: 1759414766 Enrollment ID: I20100728000252 |
| Provider Name | Michael Seymour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033260625 PECOS PAC ID: 0648303693 Enrollment ID: I20100728000712 |
| Provider Name | Jeremy J Simpler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528249554 PECOS PAC ID: 5890849319 Enrollment ID: I20100803001088 |
| Provider Name | Robert M Cromer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609831650 PECOS PAC ID: 3476678822 Enrollment ID: I20100909000203 |
| Provider Name | Christopher P Karcher |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1194810408 PECOS PAC ID: 4789740754 Enrollment ID: I20101020000780 |
| Provider Name | Sardar I Babar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821194713 PECOS PAC ID: 1355302894 Enrollment ID: I20101027000335 |
| Provider Name | Michael Scott Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093860355 PECOS PAC ID: 6406863158 Enrollment ID: I20101027000738 |
| Provider Name | Victor I Calcote |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770635229 PECOS PAC ID: 0840484341 Enrollment ID: I20101028001027 |
| Provider Name | Charles Louis Collins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972655439 PECOS PAC ID: 3779777883 Enrollment ID: I20101103000183 |
| Provider Name | Edward I Dvorak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902820525 PECOS PAC ID: 0345434171 Enrollment ID: I20101104001624 |
| Provider Name | John D Bailey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427063791 PECOS PAC ID: 1951595784 Enrollment ID: I20101104001648 |
| Provider Name | William T Avara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326062969 PECOS PAC ID: 0941494793 Enrollment ID: I20101105000123 |
| Provider Name | Edgar W Hull |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063628808 PECOS PAC ID: 1850586108 Enrollment ID: I20101111001059 |
| Provider Name | Martin Senitko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396952271 PECOS PAC ID: 0749371086 Enrollment ID: I20101201000239 |
| Provider Name | Gary Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861527293 PECOS PAC ID: 5991992927 Enrollment ID: I20101203000030 |
| Provider Name | Lisa L Wilkerson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366579047 PECOS PAC ID: 2860689890 Enrollment ID: I20101203000080 |
| Provider Name | Marchalee Caroldean Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891950242 PECOS PAC ID: 8729275649 Enrollment ID: I20101203001209 |
| Provider Name | Gregory P Greer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871628180 PECOS PAC ID: 5698962280 Enrollment ID: I20101208000871 |
| Provider Name | Kevin Hendry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417148917 PECOS PAC ID: 6204023807 Enrollment ID: I20101208000919 |
| Provider Name | Ronald D Rinker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740226117 PECOS PAC ID: 9133132913 Enrollment ID: I20101209000672 |
| Provider Name | Catherine Pearl Hirsch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598795171 PECOS PAC ID: 8224041009 Enrollment ID: I20101216000483 |
| Provider Name | William S Pearson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578746384 PECOS PAC ID: 6305914078 Enrollment ID: I20101229000794 |
| Provider Name | Jeffrey Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316257116 PECOS PAC ID: 9830388776 Enrollment ID: I20110107000881 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20110128000153 |
| Provider Name | Robert D Hickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851426175 PECOS PAC ID: 9234319732 Enrollment ID: I20110215000504 |
| Provider Name | Joseph Lasserre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982731733 PECOS PAC ID: 9032399530 Enrollment ID: I20110215000527 |
| Provider Name | Michel R Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114052552 PECOS PAC ID: 9032390323 Enrollment ID: I20110218000872 |
| Provider Name | Melissa Costello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164434239 PECOS PAC ID: 0547286023 Enrollment ID: I20110222001022 |
| Provider Name | William L Striegel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205947843 PECOS PAC ID: 4486836566 Enrollment ID: I20110310000509 |
| Provider Name | Thomas L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437192911 PECOS PAC ID: 8426022161 Enrollment ID: I20110314000777 |
| Provider Name | Lawrence Leake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124179767 PECOS PAC ID: 5395829980 Enrollment ID: I20110315000023 |
| Provider Name | Richard Andrew Seigler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134180615 PECOS PAC ID: 3476562927 Enrollment ID: I20110323000089 |
| Provider Name | Joseph A Pocreva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669420238 PECOS PAC ID: 4082671722 Enrollment ID: I20110325000283 |
| Provider Name | Donna M Dean |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033394978 PECOS PAC ID: 1850470881 Enrollment ID: I20110405000276 |
| Provider Name | Kelly C Almond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679882286 PECOS PAC ID: 0143405092 Enrollment ID: I20110419000991 |
| Provider Name | Bradley Alan Paetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770634966 PECOS PAC ID: 0042495228 Enrollment ID: I20110503000753 |
| Provider Name | Randy C Roth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013068212 PECOS PAC ID: 7911810056 Enrollment ID: I20110503000773 |
| Provider Name | John Swetnam Weldon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538210737 PECOS PAC ID: 2365628195 Enrollment ID: I20110512000344 |
| Provider Name | Jillian M Strayham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356646772 PECOS PAC ID: 9234315599 Enrollment ID: I20110520000600 |
| Provider Name | Matthew B Carroll |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124247341 PECOS PAC ID: 4981880168 Enrollment ID: I20110524000601 |
| Provider Name | Edwina I Roland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194017509 PECOS PAC ID: 7810174661 Enrollment ID: I20110606000216 |
| Provider Name | Suzanne Ayers Iodice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013069020 PECOS PAC ID: 5597942961 Enrollment ID: I20110613000244 |
| Provider Name | Matthew Alan Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609865682 PECOS PAC ID: 8123206398 Enrollment ID: I20110617000490 |
| Provider Name | Gary Blake Steward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003146689 PECOS PAC ID: 6204964299 Enrollment ID: I20110622000433 |
| Provider Name | Jason Payne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477723252 PECOS PAC ID: 5698943868 Enrollment ID: I20110714000665 |
| Provider Name | John Ryan Logan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801059381 PECOS PAC ID: 5597933176 Enrollment ID: I20110726000641 |
| Provider Name | Amy Vanderbeck Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417249053 PECOS PAC ID: 5799956249 Enrollment ID: I20110914000393 |
| Provider Name | Edward M Gaber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962406298 PECOS PAC ID: 0143201871 Enrollment ID: I20110914000474 |
| Provider Name | Rolando S Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295970721 PECOS PAC ID: 5395916431 Enrollment ID: I20110921000042 |
| Provider Name | Matthew C Hann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275749541 PECOS PAC ID: 9133392517 Enrollment ID: I20111031000423 |
| Provider Name | Santrise Goree |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770760357 PECOS PAC ID: 1456524305 Enrollment ID: I20111109000540 |
| Provider Name | Jack W Brand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689678674 PECOS PAC ID: 4385545128 Enrollment ID: I20111121000589 |
| Provider Name | Tracey R Hammack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710144571 PECOS PAC ID: 4082785985 Enrollment ID: I20111206000674 |
| Provider Name | Dawn Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912967795 PECOS PAC ID: 1658385869 Enrollment ID: I20111221000302 |
| Provider Name | Francesco Simeone |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851482855 PECOS PAC ID: 2961508288 Enrollment ID: I20120123000234 |
| Provider Name | Domonique Nikki Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861761348 PECOS PAC ID: 6305013756 Enrollment ID: I20120125000741 |
| Provider Name | Diana D Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346402617 PECOS PAC ID: 1153588330 Enrollment ID: I20120130000749 |
| Provider Name | Christine C Bowman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134425044 PECOS PAC ID: 9931366762 Enrollment ID: I20120207000503 |
| Provider Name | Chad H Cochran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609157502 PECOS PAC ID: 1850558586 Enrollment ID: I20120207000609 |
| Provider Name | Jason Sanders Fontan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124170451 PECOS PAC ID: 5698932028 Enrollment ID: I20120213000603 |
| Provider Name | Charles R Frye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740331099 PECOS PAC ID: 7214194661 Enrollment ID: I20120213000750 |
| Provider Name | Siddeeqah D Bilal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225234164 PECOS PAC ID: 3173782943 Enrollment ID: I20120316000270 |
| Provider Name | Robert Johnson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114021722 PECOS PAC ID: 5597848887 Enrollment ID: I20120319000239 |
| Provider Name | Stuart L Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275763823 PECOS PAC ID: 1456547975 Enrollment ID: I20120327000425 |
| Provider Name | Robin G Viglianco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275891699 PECOS PAC ID: 9739345935 Enrollment ID: I20120716000215 |
| Provider Name | Nicholas J Fayard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114126042 PECOS PAC ID: 6800052275 Enrollment ID: I20120730000712 |
| Provider Name | Candace Pendowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487919957 PECOS PAC ID: 8123274826 Enrollment ID: I20120813000472 |
| Provider Name | Michael Darin |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1285855973 PECOS PAC ID: 6406941095 Enrollment ID: I20120926000516 |
| Provider Name | Monica Ellen Townsend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104029453 PECOS PAC ID: 2365591047 Enrollment ID: I20121126000569 |
| Provider Name | Roger D Ridgeway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427219799 PECOS PAC ID: 9234381898 Enrollment ID: I20121205000049 |
| Provider Name | Brittain Cross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699086918 PECOS PAC ID: 5193961787 Enrollment ID: I20130427000022 |
| Provider Name | Amity M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750621900 PECOS PAC ID: 3476792870 Enrollment ID: I20130614000560 |
| Provider Name | Anthony T Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275804270 PECOS PAC ID: 4385805100 Enrollment ID: I20130723000319 |
| Provider Name | Ashley N Hilsabeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134495443 PECOS PAC ID: 8921264177 Enrollment ID: I20130913000389 |
| Provider Name | Nicole R Walton |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013115906 PECOS PAC ID: 2062543234 Enrollment ID: I20130924000737 |
| Provider Name | Jatinder Pal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245499953 PECOS PAC ID: 2466686068 Enrollment ID: I20131015001372 |
| Provider Name | Kathy L Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902927809 PECOS PAC ID: 6002041241 Enrollment ID: I20131024001381 |
| Provider Name | Allison M Bolton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245544550 PECOS PAC ID: 6709025646 Enrollment ID: I20131029000432 |
| Provider Name | Camille Elkins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699981639 PECOS PAC ID: 8527293455 Enrollment ID: I20131031001456 |
| Provider Name | Jillian Kimbrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275892705 PECOS PAC ID: 1254567605 Enrollment ID: I20131113002140 |
| Provider Name | Joseph Chance Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639510142 PECOS PAC ID: 4486880754 Enrollment ID: I20131114000703 |
| Provider Name | Marsha E Vyverberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770915795 PECOS PAC ID: 1951537588 Enrollment ID: I20131204000060 |
| Provider Name | Julie M Messenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275792848 PECOS PAC ID: 1052541943 Enrollment ID: I20140219001710 |
| Provider Name | Shawnna Marie Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174949010 PECOS PAC ID: 4789816968 Enrollment ID: I20140423000327 |
| Provider Name | Raymond P Blythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700210432 PECOS PAC ID: 3577786706 Enrollment ID: I20140515001570 |
| Provider Name | Ashleigh Teates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467799494 PECOS PAC ID: 7618190786 Enrollment ID: I20140516001195 |
| Provider Name | Angela N Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679815609 PECOS PAC ID: 5092939074 Enrollment ID: I20140612002043 |
| Provider Name | Kit Chase Melton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851688162 PECOS PAC ID: 6901020361 Enrollment ID: I20140624002013 |
| Provider Name | Gregory Ryan Culpepper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598077059 PECOS PAC ID: 4789824327 Enrollment ID: I20140627001442 |
| Provider Name | Dave Seecharan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174789416 PECOS PAC ID: 0042435406 Enrollment ID: I20140627001459 |
| Provider Name | Andrea Logan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407019375 PECOS PAC ID: 3072730407 Enrollment ID: I20140808001045 |
| Provider Name | Chanel O Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972912897 PECOS PAC ID: 1153541214 Enrollment ID: I20141013002139 |
| Provider Name | Syed B Sadiq |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639309685 PECOS PAC ID: 8224250147 Enrollment ID: I20141110000900 |
| Provider Name | Melinda Auxier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083945497 PECOS PAC ID: 9335386796 Enrollment ID: I20141125001014 |
| Provider Name | Carla Ann Rushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023417938 PECOS PAC ID: 8325361504 Enrollment ID: I20141218001914 |
| Provider Name | Jeanette Shabazz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073916771 PECOS PAC ID: 9537483458 Enrollment ID: I20150126001369 |
| Provider Name | Jami D Lechner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992105191 PECOS PAC ID: 0446575104 Enrollment ID: I20150221000081 |
| Provider Name | Amanda Yawn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760884373 PECOS PAC ID: 1456677475 Enrollment ID: I20150310000144 |
| Provider Name | Kim A Tumminello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649548892 PECOS PAC ID: 2860642998 Enrollment ID: I20150408000780 |
| Provider Name | Christopher A Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073851689 PECOS PAC ID: 3971748401 Enrollment ID: I20150413001715 |
| Provider Name | Timothy M Haffey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871751412 PECOS PAC ID: 6901124486 Enrollment ID: I20150413001861 |
| Provider Name | Kelsy Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154712248 PECOS PAC ID: 6901125798 Enrollment ID: I20150429000106 |
| Provider Name | Tyler Dean Sexton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356607857 PECOS PAC ID: 5799925129 Enrollment ID: I20150730013338 |
| Provider Name | Laura Blanks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306192612 PECOS PAC ID: 6507170578 Enrollment ID: I20150804005432 |
| Provider Name | James Harwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053345157 PECOS PAC ID: 0840252938 Enrollment ID: I20150911001103 |
| Provider Name | Nicholas Louis Pendleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518342963 PECOS PAC ID: 0749598100 Enrollment ID: I20151005000735 |
| Provider Name | James M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659757870 PECOS PAC ID: 4981912185 Enrollment ID: I20151008001264 |
| Provider Name | Andrew Zielinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073558185 PECOS PAC ID: 3678754322 Enrollment ID: I20151216002512 |
| Provider Name | James L Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437523958 PECOS PAC ID: 2668777889 Enrollment ID: I20160226000343 |
| Provider Name | Jamie Damico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982062170 PECOS PAC ID: 1850696725 Enrollment ID: I20160302000150 |
| Provider Name | Sidney Wayne Rushing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902101330 PECOS PAC ID: 5395920607 Enrollment ID: I20160323000762 |
| Provider Name | Gregory Sullivan Mcgee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1831197672 PECOS PAC ID: 1052447067 Enrollment ID: I20160407000094 |
| Provider Name | Laura Ann Brandle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114385721 PECOS PAC ID: 7113226853 Enrollment ID: I20160429001591 |
| Provider Name | Laura B Okeefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639552490 PECOS PAC ID: 6800186206 Enrollment ID: I20160525003032 |
| Provider Name | Evelyn M Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629442249 PECOS PAC ID: 2961792007 Enrollment ID: I20160602000979 |
| Provider Name | Padam Hirachan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528215019 PECOS PAC ID: 5890934723 Enrollment ID: I20160620001789 |
| Provider Name | Brad Joseph Greenfield |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336431436 PECOS PAC ID: 1355632282 Enrollment ID: I20160623000054 |
| Provider Name | Cory B Carter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609188911 PECOS PAC ID: 7315261914 Enrollment ID: I20160624000108 |
| Provider Name | Renee Shiao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548586399 PECOS PAC ID: 0941592174 Enrollment ID: I20160708001503 |
| Provider Name | Christopher Bowen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720344583 PECOS PAC ID: 2365682622 Enrollment ID: I20160808000859 |
| Provider Name | Michael Knotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912359415 PECOS PAC ID: 7416242888 Enrollment ID: I20160824001233 |
| Provider Name | Jason A Williams |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1568424851 PECOS PAC ID: 5597732628 Enrollment ID: I20160906000656 |
| Provider Name | David N Johnston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417400896 PECOS PAC ID: 5193011427 Enrollment ID: I20160913000073 |
| Provider Name | Gregg Onyemachi Anazia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497045512 PECOS PAC ID: 4183844236 Enrollment ID: I20160916001040 |
| Provider Name | Melody Horton-drummond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174908420 PECOS PAC ID: 9234423450 Enrollment ID: I20160926000604 |
| Provider Name | Lacondra J Malcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487012043 PECOS PAC ID: 2961783931 Enrollment ID: I20170105001561 |
| Provider Name | Jared Seymour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639620883 PECOS PAC ID: 8426330762 Enrollment ID: I20170123001339 |
| Provider Name | Kenyada Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619419900 PECOS PAC ID: 7810279809 Enrollment ID: I20170127000705 |
| Provider Name | Amy Pontius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083159099 PECOS PAC ID: 9234412487 Enrollment ID: I20170213002387 |
| Provider Name | Tracie D George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629514286 PECOS PAC ID: 5698059657 Enrollment ID: I20170313000440 |
| Provider Name | Maggie E Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942747266 PECOS PAC ID: 7214212166 Enrollment ID: I20170316001025 |
| Provider Name | Joshua L Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154568988 PECOS PAC ID: 4587729892 Enrollment ID: I20170317000609 |
| Provider Name | Jennifer Delaney-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821537200 PECOS PAC ID: 9335425131 Enrollment ID: I20170410002242 |
| Provider Name | Alvin Joseph Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790224871 PECOS PAC ID: 4183991490 Enrollment ID: I20170608000456 |
| Provider Name | Anna S Kahlmus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366989253 PECOS PAC ID: 3173895927 Enrollment ID: I20170815000818 |
| Provider Name | Traci White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316483084 PECOS PAC ID: 3870865504 Enrollment ID: I20170816000187 |
| Provider Name | Jody Juneau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588623250 PECOS PAC ID: 3375559172 Enrollment ID: I20170816003829 |
| Provider Name | Jennifer R Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093224446 PECOS PAC ID: 6709152358 Enrollment ID: I20171025003388 |
| Provider Name | Ramon A Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407148935 PECOS PAC ID: 2062644883 Enrollment ID: I20171120000647 |
| Provider Name | Donna Marie Burks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629589643 PECOS PAC ID: 0042577306 Enrollment ID: I20171122001129 |
| Provider Name | Michael A Mccormick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922423532 PECOS PAC ID: 2769601210 Enrollment ID: I20171205001250 |
| Provider Name | Philip Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356781132 PECOS PAC ID: 5496054330 Enrollment ID: I20171205002912 |
| Provider Name | Daniel L Hollowell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710499751 PECOS PAC ID: 3577821834 Enrollment ID: I20171215000249 |
| Provider Name | Joshua Coker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457795684 PECOS PAC ID: 0941519284 Enrollment ID: I20171227002905 |
| Provider Name | Maegan Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730454802 PECOS PAC ID: 6305105495 Enrollment ID: I20180118000114 |
| Provider Name | Ashley Cox Petty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699273490 PECOS PAC ID: 6709146970 Enrollment ID: I20180207002942 |
| Provider Name | Ashley Williams Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730694662 PECOS PAC ID: 7315207479 Enrollment ID: I20180209001031 |
| Provider Name | Angela Bevill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801284633 PECOS PAC ID: 3577824507 Enrollment ID: I20180307002062 |
| Provider Name | Glenda Darlene Balius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497262943 PECOS PAC ID: 0446512990 Enrollment ID: I20180320002838 |
| Provider Name | Jennie Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871096859 PECOS PAC ID: 6709141369 Enrollment ID: I20180531001799 |
| Provider Name | John J Hall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700132545 PECOS PAC ID: 8628349040 Enrollment ID: I20180625003391 |
| Provider Name | Rae R Quigley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952795403 PECOS PAC ID: 7315253341 Enrollment ID: I20180627001336 |
| Provider Name | Katelyn S Johnston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669965505 PECOS PAC ID: 9335495258 Enrollment ID: I20180709000684 |
| Provider Name | Mary Lindsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508208992 PECOS PAC ID: 5698061653 Enrollment ID: I20180720002821 |
| Provider Name | Subhas Sitaula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104175546 PECOS PAC ID: 0143577924 Enrollment ID: I20180725001553 |
| Provider Name | Asma Khader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235511874 PECOS PAC ID: 9032429949 Enrollment ID: I20180813000596 |
| Provider Name | John H Bechtel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407844715 PECOS PAC ID: 9133016710 Enrollment ID: I20180813002085 |
| Provider Name | Mahmud Samra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558743062 PECOS PAC ID: 3678883055 Enrollment ID: I20180817002670 |
| Provider Name | William Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790079325 PECOS PAC ID: 6002048758 Enrollment ID: I20180821001135 |
| Provider Name | Courtney Leigh Ponder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568948016 PECOS PAC ID: 8224387113 Enrollment ID: I20180827001755 |
| Provider Name | Techksell Mcknight Washington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609070283 PECOS PAC ID: 7214107341 Enrollment ID: I20180924002688 |
| Provider Name | Priyanka Srivastav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679956973 PECOS PAC ID: 7719239698 Enrollment ID: I20181003001743 |
| Provider Name | Nedal Matani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275997959 PECOS PAC ID: 5890047153 Enrollment ID: I20181015002084 |
| Provider Name | Windy Dean-colomb |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1821047465 PECOS PAC ID: 6305840976 Enrollment ID: I20181016000177 |
| Provider Name | Grant Gardner Gallimore |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750672234 PECOS PAC ID: 6709042401 Enrollment ID: I20181107000806 |
| Provider Name | Shamier Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043657950 PECOS PAC ID: 8527312016 Enrollment ID: I20181120001484 |
| Provider Name | Kayla A Morano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669949350 PECOS PAC ID: 2264777994 Enrollment ID: I20181227000289 |
| Provider Name | Ashley Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720573959 PECOS PAC ID: 0648518183 Enrollment ID: I20190208000643 |
| Provider Name | Ellis Rupert Easterling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508286931 PECOS PAC ID: 1153631858 Enrollment ID: I20190214002556 |
| Provider Name | Nhung Thi Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720550221 PECOS PAC ID: 2567700586 Enrollment ID: I20190215001999 |
| Provider Name | Wassem Juakiem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508177387 PECOS PAC ID: 1759525900 Enrollment ID: I20190307001013 |
| Provider Name | Bradford Thomas Margherio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598238578 PECOS PAC ID: 6002155926 Enrollment ID: I20190401001179 |
| Provider Name | Matthew Jensen Hubbard |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528401015 PECOS PAC ID: 5395973960 Enrollment ID: I20190502002798 |
| Provider Name | Brooke N Dees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912469156 PECOS PAC ID: 9234472275 Enrollment ID: I20190515001311 |
| Provider Name | Peaches Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235612706 PECOS PAC ID: 1052645827 Enrollment ID: I20190627002213 |
| Provider Name | Erik Rasmussen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376868158 PECOS PAC ID: 4183950157 Enrollment ID: I20190729002708 |
| Provider Name | Bobby Swinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528421484 PECOS PAC ID: 3173859915 Enrollment ID: I20190731002251 |
| Provider Name | Michael John Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891354114 PECOS PAC ID: 1557697232 Enrollment ID: I20190802000393 |
| Provider Name | Cyrena Nerissa Muffley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164983060 PECOS PAC ID: 0840528097 Enrollment ID: I20190826002299 |
| Provider Name | Andrew J. Barfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750793253 PECOS PAC ID: 9032448667 Enrollment ID: I20190907000104 |
| Provider Name | Dipti Baral |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275966137 PECOS PAC ID: 0446545438 Enrollment ID: I20190916000639 |
| Provider Name | Anganatte Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124586086 PECOS PAC ID: 4880923861 Enrollment ID: I20190917002450 |
| Provider Name | Syed Abdullah Waheed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306286737 PECOS PAC ID: 3072815562 Enrollment ID: I20190917003651 |
| Provider Name | Jonathan White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073865762 PECOS PAC ID: 5496906125 Enrollment ID: I20191016003720 |
| Provider Name | Lashaunda Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295382828 PECOS PAC ID: 0244561579 Enrollment ID: I20191017000281 |
| Provider Name | Kyla Austin Richburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366083040 PECOS PAC ID: 8820420904 Enrollment ID: I20191111001838 |
| Provider Name | Amir Ali Emami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295049260 PECOS PAC ID: 2264602515 Enrollment ID: I20191210002784 |
| Provider Name | Taylor Kathleen Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376186734 PECOS PAC ID: 4880027440 Enrollment ID: I20191212001198 |
| Provider Name | Benjamin Dahlberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700231032 PECOS PAC ID: 7517238074 Enrollment ID: I20200122003107 |
| Provider Name | Huiling Wolff-koo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710346366 PECOS PAC ID: 7719279728 Enrollment ID: I20200131001108 |
| Provider Name | Darrah Amanda Norsworthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508404831 PECOS PAC ID: 2062849268 Enrollment ID: I20200228000918 |
| Provider Name | Chutney E Walley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952870974 PECOS PAC ID: 2365874161 Enrollment ID: I20200330001556 |
| Provider Name | Michael A Finan |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1508813825 PECOS PAC ID: 6305879701 Enrollment ID: I20200330003736 |
| Provider Name | Adrian Reyes Bersabe |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336432756 PECOS PAC ID: 6406179464 Enrollment ID: I20200401000809 |
| Provider Name | Trinh Thu Weatherly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083265185 PECOS PAC ID: 4981033586 Enrollment ID: I20200402001740 |
| Provider Name | Caleb Andrew Peyton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760914246 PECOS PAC ID: 8729354139 Enrollment ID: I20200408004134 |
| Provider Name | Talha Nawaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639585094 PECOS PAC ID: 4789995655 Enrollment ID: I20200522001804 |
| Provider Name | Ahmad Agha |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730520768 PECOS PAC ID: 7517268212 Enrollment ID: I20200612000590 |
| Provider Name | Chelsey Lynn Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598299786 PECOS PAC ID: 6305115320 Enrollment ID: I20200618002488 |
| Provider Name | Matthew Bosarge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336674803 PECOS PAC ID: 4688096654 Enrollment ID: I20200619001546 |
| Provider Name | Hajra S Cheema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609322361 PECOS PAC ID: 4789913211 Enrollment ID: I20200710000152 |
| Provider Name | Amy Lynn Scheller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255770558 PECOS PAC ID: 8921242140 Enrollment ID: I20200720001521 |
| Provider Name | Jacob Christopher Bessler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801329131 PECOS PAC ID: 3173899176 Enrollment ID: I20200727000599 |
| Provider Name | Christina Marie Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811425945 PECOS PAC ID: 9931525086 Enrollment ID: I20200819002916 |
| Provider Name | Joshua Mark Tate |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467899120 PECOS PAC ID: 4789815762 Enrollment ID: I20200929000882 |
| Provider Name | Rebekah N Stallworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376157487 PECOS PAC ID: 3971923806 Enrollment ID: I20201015000774 |
| Provider Name | Scott Drennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467078220 PECOS PAC ID: 1456771252 Enrollment ID: I20201016000725 |
| Provider Name | Mohammed W Kaashmiri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184614992 PECOS PAC ID: 7012053242 Enrollment ID: I20201016001277 |
| Provider Name | Courtney Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457958910 PECOS PAC ID: 1052731668 Enrollment ID: I20201021000688 |
| Provider Name | Hillary Paige Saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811502628 PECOS PAC ID: 1759701097 Enrollment ID: I20201026001917 |
| Provider Name | Joseph M Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700315686 PECOS PAC ID: 4284908328 Enrollment ID: I20201110002715 |
| Provider Name | Ariel N Fore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023629847 PECOS PAC ID: 1951711399 Enrollment ID: I20201113001028 |
| Provider Name | Bradley Goldenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477595239 PECOS PAC ID: 8729121280 Enrollment ID: I20201123000475 |
| Provider Name | Michael Anthony Errico |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770897522 PECOS PAC ID: 0547480808 Enrollment ID: I20201124000131 |
| Provider Name | Lisa A Umphrey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164622486 PECOS PAC ID: 8426273921 Enrollment ID: I20201207002247 |
| Provider Name | William Berglind |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518228741 PECOS PAC ID: 6709041338 Enrollment ID: I20201217000548 |
| Provider Name | Kayla Grace Bosco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972109429 PECOS PAC ID: 1355754169 Enrollment ID: I20210114002160 |
| Provider Name | Kathan Mehta |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427391887 PECOS PAC ID: 6305064775 Enrollment ID: I20210414000651 |
| Provider Name | Krishna P Joshi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164808168 PECOS PAC ID: 2769799097 Enrollment ID: I20210621003349 |
| Provider Name | Christal Sareda Fairley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073180063 PECOS PAC ID: 6103227400 Enrollment ID: I20210624000164 |
| Provider Name | Solly S. Chedid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972586188 PECOS PAC ID: 3072540921 Enrollment ID: I20210706002584 |
| Provider Name | Jennifer Hebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174849269 PECOS PAC ID: 2860633120 Enrollment ID: I20210712002589 |
| Provider Name | Arica Q Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518535319 PECOS PAC ID: 0244633980 Enrollment ID: I20210719003427 |
| Provider Name | Cadi Samantha Atwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972173540 PECOS PAC ID: 0446654958 Enrollment ID: I20210805001880 |
| Provider Name | Muhammad Umar Razzaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891287561 PECOS PAC ID: 9436480928 Enrollment ID: I20210814000226 |
| Provider Name | Zachary R Eagle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689166290 PECOS PAC ID: 7315281730 Enrollment ID: I20210818003577 |
| Provider Name | Shauna Brooke Stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477125169 PECOS PAC ID: 8527463645 Enrollment ID: I20210826002653 |
| Provider Name | Cynthia Dees Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467128553 PECOS PAC ID: 3870990146 Enrollment ID: I20210929002026 |
| Provider Name | Paul A Rogers |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1598926420 PECOS PAC ID: 5092939231 Enrollment ID: I20211026002118 |
| Provider Name | Christopher Benton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518322098 PECOS PAC ID: 0446556781 Enrollment ID: I20211026003012 |
| Provider Name | Jason Keith Ely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104595396 PECOS PAC ID: 4082002548 Enrollment ID: I20211102002819 |
| Provider Name | Justin Ross Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215543756 PECOS PAC ID: 0042608408 Enrollment ID: I20211104000404 |
| Provider Name | Jacquelyn Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306518477 PECOS PAC ID: 0042609877 Enrollment ID: I20211116001422 |
| Provider Name | Jonathan D Sadler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932738119 PECOS PAC ID: 8325442320 Enrollment ID: I20211203000143 |
| Provider Name | Aejaz Ul Haq |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649652595 PECOS PAC ID: 2365832359 Enrollment ID: I20211206002896 |
| Provider Name | Jarrod Anthony Howell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770250334 PECOS PAC ID: 1951792647 Enrollment ID: I20220107001065 |
| Provider Name | Matthew J Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104238153 PECOS PAC ID: 0042513673 Enrollment ID: I20220122000084 |
| Provider Name | Gina Marie Guillotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063163012 PECOS PAC ID: 3173915907 Enrollment ID: I20220127002340 |
| Provider Name | John Devin Watson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386969137 PECOS PAC ID: 5496040214 Enrollment ID: I20220202000191 |
| Provider Name | Charles Edward Jacocks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104321967 PECOS PAC ID: 0446501902 Enrollment ID: I20220211000157 |
| Provider Name | Susan M. Carbajal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376138859 PECOS PAC ID: 7113311879 Enrollment ID: I20220223002746 |
| Provider Name | Stephanie Denise Toche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720747256 PECOS PAC ID: 7012301203 Enrollment ID: I20220304000632 |
| Provider Name | Haleigh West Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982356929 PECOS PAC ID: 6103211735 Enrollment ID: I20220318000043 |
| Provider Name | Andrew Michael Wishy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619389939 PECOS PAC ID: 8527332337 Enrollment ID: I20220321000037 |
| Provider Name | Haley L Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225787740 PECOS PAC ID: 9739575325 Enrollment ID: I20220407001262 |
| Provider Name | Ryan T Layman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871947846 PECOS PAC ID: 2163717919 Enrollment ID: I20220409000105 |
| Provider Name | Rachael Courtney Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821745233 PECOS PAC ID: 6507252087 Enrollment ID: I20220410000072 |
| Provider Name | Adam M Peterson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659724177 PECOS PAC ID: 1951695691 Enrollment ID: I20220412000438 |
| Provider Name | Sheridan L Skarl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467487488 PECOS PAC ID: 3779589411 Enrollment ID: I20220413000446 |
| Provider Name | Stephanie Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437805538 PECOS PAC ID: 2769879188 Enrollment ID: I20220503001200 |
| Provider Name | Victor-mauricio Ordaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255893756 PECOS PAC ID: 3779813852 Enrollment ID: I20220713002690 |
| Provider Name | Marjorie Grace Mccoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467081497 PECOS PAC ID: 3375932627 Enrollment ID: I20220718003888 |
| Provider Name | Lindsay Dianne Buono |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780115238 PECOS PAC ID: 3779831128 Enrollment ID: I20220719003494 |
| Provider Name | Chelsea Russell Eure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972232734 PECOS PAC ID: 3173905999 Enrollment ID: I20220726003124 |
| Provider Name | Eliezer Kinberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336370121 PECOS PAC ID: 6709122823 Enrollment ID: I20220818002922 |
| Provider Name | Jordan C Kirkland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962974022 PECOS PAC ID: 0244570844 Enrollment ID: I20220826001991 |
| Provider Name | Christopher Carey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932604022 PECOS PAC ID: 0749532919 Enrollment ID: I20220915001528 |
| Provider Name | Pamela Rawdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750338703 PECOS PAC ID: 5092889113 Enrollment ID: I20220916002652 |
| Provider Name | Courtney C Shouse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962004481 PECOS PAC ID: 6608280094 Enrollment ID: I20220917000344 |
| Provider Name | Lance Lavon Philyaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902300023 PECOS PAC ID: 5799016457 Enrollment ID: I20220924000209 |
| Provider Name | Perry Morgan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982167359 PECOS PAC ID: 9234460106 Enrollment ID: I20220928000296 |
| Provider Name | Lori Michelle Goodnight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649990144 PECOS PAC ID: 4284010356 Enrollment ID: I20220928000660 |
| Provider Name | Priya Priyambada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649535519 PECOS PAC ID: 6204129760 Enrollment ID: I20221007001564 |
| Provider Name | Yazan Abu Qwaider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356377816 PECOS PAC ID: 4587699707 Enrollment ID: I20221216002706 |
| Provider Name | Tabitha Shavonne Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124736038 PECOS PAC ID: 2668842576 Enrollment ID: I20230110000567 |
| Provider Name | Haley Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649993262 PECOS PAC ID: 3971974494 Enrollment ID: I20230120000867 |
| Provider Name | George Michael Shahin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1508278912 PECOS PAC ID: 3274855515 Enrollment ID: I20230126002813 |
| Provider Name | Erin Rae Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982326120 PECOS PAC ID: 5991176075 Enrollment ID: I20230127002192 |
| Provider Name | Jennifer Bosarge Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275256521 PECOS PAC ID: 2961874268 Enrollment ID: I20230215000712 |
| Provider Name | Jyothi Dodlapati |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1467402602 PECOS PAC ID: 3274421219 Enrollment ID: I20230322001288 |
| Provider Name | Sally Jo Anna Covington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336862440 PECOS PAC ID: 5294109781 Enrollment ID: I20230323003194 |
| Provider Name | Mohammed Al-nufal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295155869 PECOS PAC ID: 7416322763 Enrollment ID: I20230419000444 |
| Provider Name | Cherie Champagne |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720432107 PECOS PAC ID: 2567822893 Enrollment ID: I20230719000668 |
| Provider Name | Erum Zafar Malik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770969453 PECOS PAC ID: 0547517989 Enrollment ID: I20230901001811 |
| Provider Name | Olga V Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720418726 PECOS PAC ID: 0648494153 Enrollment ID: I20231130000265 |
| Provider Name | Jasmine Renee Padgett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932668068 PECOS PAC ID: 5890026827 Enrollment ID: I20231214001324 |
| Provider Name | Christine Tracey Balius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073207817 PECOS PAC ID: 1850742594 Enrollment ID: I20240108003386 |
| Provider Name | Michael Turner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245764562 PECOS PAC ID: 5193096360 Enrollment ID: I20240112000377 |
| Provider Name | Rosalie Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851154033 PECOS PAC ID: 7517303431 Enrollment ID: I20240313002166 |
| Provider Name | Benjamin Walters |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588165542 PECOS PAC ID: 1052776994 Enrollment ID: I20240401001092 |
| Provider Name | Crystal Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295219632 PECOS PAC ID: 1759626211 Enrollment ID: I20240425002443 |
| Provider Name | Sarah Brannan Pierce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225776958 PECOS PAC ID: 6305288630 Enrollment ID: I20240531001281 |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2105 Old Spanish Trl, Gautier, MS 39553 Phone: 414-566-8000 | |
Gautier Internal Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2105 Old Spanish Trl, Gautier, MS 39553 Phone: 228-497-7980 | |
Coastal Preventative Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Ladnier Rd, Gautier, MS 39553 Phone: 228-497-2652 Fax: 228-497-3667 | |
Preventative Medicine And Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Ladnier Rd, Gautier, MS 39553 Phone: 228-497-2652 | |
Children's International, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 Us 90, Ste A, Gautier, MS 39553 Phone: 228-400-0098 Fax: 833-518-1886 | |
Gautier Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3300 Ladnier Rd, Gautier, MS 39553 Phone: 228-497-2652 Fax: 228-497-6253 |