| Sjhp Gastroenterology | |
|
630 W Maple St Farmington NM 87401-6113 | |
| (505) 609-6349 | |
| (505) 599-4679 |
| Full Name | Sjhp Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 630 W Maple St, Farmington, New Mexico |
| Authorized Official Name and Position | Kim R Hipsher-byrd (DIRECTOR) |
| Authorized Official Contact | 5056092258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjhp Gastroenterology Po Box 6210 Farmington NM 87499-6210 Ph: (505) 609-2258 | Sjhp Gastroenterology 630 W Maple St Farmington NM 87401-6113 Ph: (505) 609-6349 |
| NPI Number | 1639662901 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 06/02/2023 |
| Medicare PECOS PAC ID | 4587559505 |
|---|---|
| Medicare Enrollment ID | O20040218000865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639662901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Melania Yeats |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508992355 PECOS PAC ID: 5991617011 Enrollment ID: I20031105000516 |
| Provider Name | Richard L Breeden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598785826 PECOS PAC ID: 6800798240 Enrollment ID: I20040124000405 |
| Provider Name | Carletta Thompson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770509044 PECOS PAC ID: 5294620977 Enrollment ID: I20040220000465 |
| Provider Name | Jonathan L Marinaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356358311 PECOS PAC ID: 2668364605 Enrollment ID: I20040325001372 |
| Provider Name | Charles Wilkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225091937 PECOS PAC ID: 0547172835 Enrollment ID: I20040405001232 |
| Provider Name | Luther Basel Weathers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144283805 PECOS PAC ID: 2163335191 Enrollment ID: I20040415000746 |
| Provider Name | Bradley J Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043284243 PECOS PAC ID: 6901888551 Enrollment ID: I20040607000388 |
| Provider Name | Daniel W Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225094808 PECOS PAC ID: 3577545078 Enrollment ID: I20040611000358 |
| Provider Name | Joseph C Szekely |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003872516 PECOS PAC ID: 5294717799 Enrollment ID: I20040611000558 |
| Provider Name | Charles Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104887132 PECOS PAC ID: 8628055332 Enrollment ID: I20040701000182 |
| Provider Name | Daniel B Westbury |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477599744 PECOS PAC ID: 0143290718 Enrollment ID: I20040729001511 |
| Provider Name | Eric M Ketcham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134193352 PECOS PAC ID: 7911800164 Enrollment ID: I20040823001422 |
| Provider Name | Charles R Braun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841278231 PECOS PAC ID: 4981668670 Enrollment ID: I20041112000624 |
| Provider Name | Isaac Tawil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205930575 PECOS PAC ID: 6204888399 Enrollment ID: I20050404001046 |
| Provider Name | Brett G Ziercher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235103979 PECOS PAC ID: 5395784201 Enrollment ID: I20050624000510 |
| Provider Name | Brad H Greenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801802517 PECOS PAC ID: 9739122151 Enrollment ID: I20050725001168 |
| Provider Name | Shazia Rafiq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548354939 PECOS PAC ID: 5799711545 Enrollment ID: I20050823000027 |
| Provider Name | Manish Pandya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326145392 PECOS PAC ID: 6002848900 Enrollment ID: I20050831000270 |
| Provider Name | Graham D Tull |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336258664 PECOS PAC ID: 4183652878 Enrollment ID: I20050920000990 |
| Provider Name | John H Koewler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811907553 PECOS PAC ID: 2668406307 Enrollment ID: I20050922000561 |
| Provider Name | Frank W Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417982679 PECOS PAC ID: 0840235115 Enrollment ID: I20060306000352 |
| Provider Name | Michael B West |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902829021 PECOS PAC ID: 1456369966 Enrollment ID: I20060324000438 |
| Provider Name | Chad S Houghton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518902055 PECOS PAC ID: 3779587910 Enrollment ID: I20060831000164 |
| Provider Name | Zachary M Weiss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720183734 PECOS PAC ID: 9931104171 Enrollment ID: I20060922000110 |
| Provider Name | Uche N Obisike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265465884 PECOS PAC ID: 9739182148 Enrollment ID: I20061011000715 |
| Provider Name | Villa Auleen A Del Carmen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114937984 PECOS PAC ID: 7113924358 Enrollment ID: I20061031000264 |
| Provider Name | Francisco J Melo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316980758 PECOS PAC ID: 0749288256 Enrollment ID: I20061117000150 |
| Provider Name | Yosef Raskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336169663 PECOS PAC ID: 8628084753 Enrollment ID: I20061222000018 |
| Provider Name | Denise Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689604274 PECOS PAC ID: 3173625845 Enrollment ID: I20070227000209 |
| Provider Name | Nancy Irene Brooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982704441 PECOS PAC ID: 5395760102 Enrollment ID: I20070313000266 |
| Provider Name | Shermann S Singleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265593552 PECOS PAC ID: 2961506308 Enrollment ID: I20070326000037 |
| Provider Name | Sodaran P Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376568717 PECOS PAC ID: 5799754891 Enrollment ID: I20070421000035 |
| Provider Name | William F Palko Schraa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487674818 PECOS PAC ID: 9537268024 Enrollment ID: I20070625000343 |
| Provider Name | Christopher A Gutierrez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053419374 PECOS PAC ID: 9537256102 Enrollment ID: I20071029000488 |
| Provider Name | Kathleen M Colleran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659386118 PECOS PAC ID: 4587746714 Enrollment ID: I20080128000326 |
| Provider Name | Barbara M Zimmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437355377 PECOS PAC ID: 7810948122 Enrollment ID: I20080604000412 |
| Provider Name | Jude Gabaldon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235252370 PECOS PAC ID: 3870660640 Enrollment ID: I20080919000325 |
| Provider Name | Daniel C Erwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346389368 PECOS PAC ID: 4587723895 Enrollment ID: I20081031000239 |
| Provider Name | Janet M Wilmes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396719134 PECOS PAC ID: 8022172865 Enrollment ID: I20090123000023 |
| Provider Name | Dwayne L Gibbs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316073141 PECOS PAC ID: 5294647392 Enrollment ID: I20090202000242 |
| Provider Name | Allegra Jayne Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992756985 PECOS PAC ID: 3577620285 Enrollment ID: I20090325000270 |
| Provider Name | Maria Elena Arizaga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841339843 PECOS PAC ID: 3274681580 Enrollment ID: I20090424000278 |
| Provider Name | Ann Rhien Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891728424 PECOS PAC ID: 2062563265 Enrollment ID: I20090630000074 |
| Provider Name | Jenny R Hargrove |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558400051 PECOS PAC ID: 2062455827 Enrollment ID: I20090717000365 |
| Provider Name | Ronald A Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295919140 PECOS PAC ID: 0941352876 Enrollment ID: I20090723000347 |
| Provider Name | Angela Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073652079 PECOS PAC ID: 8224181078 Enrollment ID: I20090728000052 |
| Provider Name | Ranjit Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790982114 PECOS PAC ID: 1456404979 Enrollment ID: I20090731000287 |
| Provider Name | David G Devitre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851595912 PECOS PAC ID: 5890895692 Enrollment ID: I20100302000634 |
| Provider Name | James J Spence |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336244607 PECOS PAC ID: 9032210737 Enrollment ID: I20100616000580 |
| Provider Name | Peter Andreas Boehringer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235230988 PECOS PAC ID: 2961501739 Enrollment ID: I20100706000478 |
| Provider Name | Jonathan O Jones |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1518178763 PECOS PAC ID: 4385769884 Enrollment ID: I20100920001205 |
| Provider Name | Angela M Mize |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659583730 PECOS PAC ID: 6901955111 Enrollment ID: I20100922001192 |
| Provider Name | Paul B Warfield |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841206422 PECOS PAC ID: 6901908813 Enrollment ID: I20101008000235 |
| Provider Name | Christine Boehringer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376545848 PECOS PAC ID: 5799673109 Enrollment ID: I20101026001086 |
| Provider Name | Eric W Stoltzfus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104817782 PECOS PAC ID: 9830223908 Enrollment ID: I20101029000655 |
| Provider Name | Ariadna Sadzine-bessinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689633893 PECOS PAC ID: 3678767811 Enrollment ID: I20101101001152 |
| Provider Name | Edward A Kompare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396790150 PECOS PAC ID: 7113111006 Enrollment ID: I20101104000981 |
| Provider Name | Joseph Feagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457381394 PECOS PAC ID: 0042311581 Enrollment ID: I20101207001243 |
| Provider Name | David A Dunworth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245341635 PECOS PAC ID: 4284732314 Enrollment ID: I20101208000105 |
| Provider Name | Kristean P Thorpe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518040476 PECOS PAC ID: 4082809405 Enrollment ID: I20101216000812 |
| Provider Name | Faraz Sandhu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245385947 PECOS PAC ID: 0244410199 Enrollment ID: I20110209000538 |
| Provider Name | Teresa M Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609995612 PECOS PAC ID: 2961486550 Enrollment ID: I20110311000355 |
| Provider Name | Markus E Garard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619950326 PECOS PAC ID: 6901933472 Enrollment ID: I20110406000952 |
| Provider Name | Philip Snyder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740486133 PECOS PAC ID: 0648448431 Enrollment ID: I20110721000673 |
| Provider Name | Todd S Dettmer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750589727 PECOS PAC ID: 7911178280 Enrollment ID: I20110916000150 |
| Provider Name | James M Boyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770734576 PECOS PAC ID: 5294907317 Enrollment ID: I20111017000041 |
| Provider Name | Brian A Rike |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144429812 PECOS PAC ID: 2466543442 Enrollment ID: I20111020000274 |
| Provider Name | Janet R Thelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851675417 PECOS PAC ID: 6406021492 Enrollment ID: I20111201000701 |
| Provider Name | Rahul Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497910186 PECOS PAC ID: 3870768385 Enrollment ID: I20111212000877 |
| Provider Name | Catherine A Ambrose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093927162 PECOS PAC ID: 4183777873 Enrollment ID: I20111230000546 |
| Provider Name | Kristine Punohu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700164209 PECOS PAC ID: 4486821428 Enrollment ID: I20120319000704 |
| Provider Name | Virginia N Mouras |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770552697 PECOS PAC ID: 9133033525 Enrollment ID: I20120504000428 |
| Provider Name | Jaqueline R Stefek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750317467 PECOS PAC ID: 8224102793 Enrollment ID: I20120606000566 |
| Provider Name | Carl J Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932341211 PECOS PAC ID: 3476709353 Enrollment ID: I20120808000586 |
| Provider Name | Damon T Kalcich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558571851 PECOS PAC ID: 7911154133 Enrollment ID: I20120823000231 |
| Provider Name | Jarrad F Maiers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801024088 PECOS PAC ID: 2264689801 Enrollment ID: I20120904000353 |
| Provider Name | Francis Q Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164702809 PECOS PAC ID: 5294983474 Enrollment ID: I20120912000839 |
| Provider Name | Megan Ewing Grotefend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861552960 PECOS PAC ID: 7012907686 Enrollment ID: I20120925000498 |
| Provider Name | Jessie Janel Jameson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710179247 PECOS PAC ID: 7517116916 Enrollment ID: I20120928000290 |
| Provider Name | Michael J Roehlk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750515615 PECOS PAC ID: 6406005271 Enrollment ID: I20121106000429 |
| Provider Name | Amylia Black |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881947372 PECOS PAC ID: 4981858164 Enrollment ID: I20130218000390 |
| Provider Name | Karen A Lecomte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487636056 PECOS PAC ID: 7214902089 Enrollment ID: I20130502000375 |
| Provider Name | Nasser Saffarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073684122 PECOS PAC ID: 7517009459 Enrollment ID: I20130621000049 |
| Provider Name | Vanessa Alvarez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023034196 PECOS PAC ID: 3971506072 Enrollment ID: I20130712000023 |
| Provider Name | Abdo Maroun Saad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518149830 PECOS PAC ID: 6800038977 Enrollment ID: I20130820000749 |
| Provider Name | Virginia Harvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174757934 PECOS PAC ID: 7911155429 Enrollment ID: I20130917000606 |
| Provider Name | Patrick Harvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285868927 PECOS PAC ID: 1052555885 Enrollment ID: I20130918000306 |
| Provider Name | Giselle D Ferreira |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881891216 PECOS PAC ID: 1254560899 Enrollment ID: I20140131001039 |
| Provider Name | Narain K Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467770982 PECOS PAC ID: 3678709748 Enrollment ID: I20140131001261 |
| Provider Name | Bronwyn Kathleen Radcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588683213 PECOS PAC ID: 0345427563 Enrollment ID: I20140218000928 |
| Provider Name | Shawna Mae Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396010799 PECOS PAC ID: 4183854748 Enrollment ID: I20140226001321 |
| Provider Name | Sabrina J Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710077631 PECOS PAC ID: 5395633507 Enrollment ID: I20140306001362 |
| Provider Name | David Michael Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003896408 PECOS PAC ID: 9133193477 Enrollment ID: I20140328000863 |
| Provider Name | Jean-philippe Langevin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902047228 PECOS PAC ID: 8729139118 Enrollment ID: I20140612000294 |
| Provider Name | Biatris A Barrera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245556513 PECOS PAC ID: 1254557226 Enrollment ID: I20140728002042 |
| Provider Name | Mark B Hazuka |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750361259 PECOS PAC ID: 2769516830 Enrollment ID: I20140904001148 |
| Provider Name | Charles E Page |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013020460 PECOS PAC ID: 4587687041 Enrollment ID: I20140909000624 |
| Provider Name | Laura Waymire |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104141233 PECOS PAC ID: 7113151275 Enrollment ID: I20141024000980 |
| Provider Name | Sudhakar V Girotra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710184163 PECOS PAC ID: 5092936385 Enrollment ID: I20141030001728 |
| Provider Name | Kimberlee A Yeargin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952465841 PECOS PAC ID: 3173582467 Enrollment ID: I20141119002420 |
| Provider Name | Kiran N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477867513 PECOS PAC ID: 2567649965 Enrollment ID: I20150113001206 |
| Provider Name | Darcy Rumberger Denegre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659683548 PECOS PAC ID: 8123269990 Enrollment ID: I20150317001824 |
| Provider Name | Ludner Confident |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528175825 PECOS PAC ID: 8527254713 Enrollment ID: I20150520002092 |
| Provider Name | Rachel Charity Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548648900 PECOS PAC ID: 6800108325 Enrollment ID: I20150710002179 |
| Provider Name | Michael R Bowen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245335736 PECOS PAC ID: 3072408244 Enrollment ID: I20150716000072 |
| Provider Name | Themis Ntalageorgos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740535897 PECOS PAC ID: 3274848197 Enrollment ID: I20150820010896 |
| Provider Name | Ravi Chopra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801059472 PECOS PAC ID: 7214108802 Enrollment ID: I20150917001575 |
| Provider Name | Seth J Keiser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780970590 PECOS PAC ID: 6901114669 Enrollment ID: I20150929002098 |
| Provider Name | Sundeep S Guliani |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871790188 PECOS PAC ID: 3870733215 Enrollment ID: I20151109000744 |
| Provider Name | Ryan D Ellis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861878522 PECOS PAC ID: 7719287036 Enrollment ID: I20151118001130 |
| Provider Name | Peter Witt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255319877 PECOS PAC ID: 9830126614 Enrollment ID: I20151215002429 |
| Provider Name | David Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760555882 PECOS PAC ID: 3072506922 Enrollment ID: I20151228000060 |
| Provider Name | Olusola Kolade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639497779 PECOS PAC ID: 0648592147 Enrollment ID: I20151228000122 |
| Provider Name | Guy M Zublin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770648719 PECOS PAC ID: 7113081449 Enrollment ID: I20160104000538 |
| Provider Name | Christopher Taylor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871813964 PECOS PAC ID: 9436452521 Enrollment ID: I20160123000192 |
| Provider Name | Martha I Luhrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962878157 PECOS PAC ID: 8527364488 Enrollment ID: I20160303000469 |
| Provider Name | Peter Razma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609867183 PECOS PAC ID: 7911992672 Enrollment ID: I20160404000291 |
| Provider Name | Milton Randall Dalbow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972561314 PECOS PAC ID: 7012070683 Enrollment ID: I20160407000061 |
| Provider Name | Rachael Horner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508200551 PECOS PAC ID: 3072803667 Enrollment ID: I20160610000679 |
| Provider Name | Taffeta Elina Troutner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205280096 PECOS PAC ID: 5799075230 Enrollment ID: I20160613000389 |
| Provider Name | John Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265891295 PECOS PAC ID: 5395038319 Enrollment ID: I20160727002407 |
| Provider Name | Thad Hollist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639521024 PECOS PAC ID: 9830483296 Enrollment ID: I20160808001104 |
| Provider Name | Sanjay S. Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356505192 PECOS PAC ID: 2163655697 Enrollment ID: I20160812000372 |
| Provider Name | Bill Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215044540 PECOS PAC ID: 0042408320 Enrollment ID: I20160824000428 |
| Provider Name | Courtney M Lapham-simpson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245674563 PECOS PAC ID: 4880980762 Enrollment ID: I20160831002298 |
| Provider Name | Ryan Freestone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588014989 PECOS PAC ID: 0941588156 Enrollment ID: I20161022000192 |
| Provider Name | Alfred A Van Baak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528355153 PECOS PAC ID: 5698909992 Enrollment ID: I20161027002244 |
| Provider Name | Daniel Mannas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811287782 PECOS PAC ID: 2769615889 Enrollment ID: I20161029000017 |
| Provider Name | Jared R Fuller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669649117 PECOS PAC ID: 4183869258 Enrollment ID: I20161103002003 |
| Provider Name | Vitina M Cosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790032787 PECOS PAC ID: 1850699117 Enrollment ID: I20161122002146 |
| Provider Name | Nicole M Stivers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326595851 PECOS PAC ID: 4688954845 Enrollment ID: I20161205000654 |
| Provider Name | Jacquelynn Victoria Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710431432 PECOS PAC ID: 6901186162 Enrollment ID: I20161205000812 |
| Provider Name | Eric Buffington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922542380 PECOS PAC ID: 8325329766 Enrollment ID: I20161227000634 |
| Provider Name | Laprincess Tso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669921003 PECOS PAC ID: 9537440680 Enrollment ID: I20170103000935 |
| Provider Name | Rachel K Chaney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871513887 PECOS PAC ID: 6204936537 Enrollment ID: I20170119000429 |
| Provider Name | Janet Wenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316306210 PECOS PAC ID: 8729386750 Enrollment ID: I20170124000864 |
| Provider Name | Tara C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780136085 PECOS PAC ID: 4486937034 Enrollment ID: I20170207000046 |
| Provider Name | Fatma A Reda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043238934 PECOS PAC ID: 0345227336 Enrollment ID: I20170310000630 |
| Provider Name | Shireen Jindani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285810598 PECOS PAC ID: 5991863235 Enrollment ID: I20170411000357 |
| Provider Name | Catherine M Bjerum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275616021 PECOS PAC ID: 2365441524 Enrollment ID: I20170502000717 |
| Provider Name | Jeanne M Cabeza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598716227 PECOS PAC ID: 1052350188 Enrollment ID: I20170522002309 |
| Provider Name | Gregory T Sherr |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013061084 PECOS PAC ID: 4183657604 Enrollment ID: I20170711000188 |
| Provider Name | Enoch E Agunanne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679576565 PECOS PAC ID: 5193639581 Enrollment ID: I20170712000693 |
| Provider Name | Victor Rivera-santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659500791 PECOS PAC ID: 0648540120 Enrollment ID: I20170717000224 |
| Provider Name | Rebekah Leann French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871023044 PECOS PAC ID: 5890065320 Enrollment ID: I20170717001850 |
| Provider Name | Heather Sherwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982016572 PECOS PAC ID: 7214235571 Enrollment ID: I20170728002563 |
| Provider Name | Anthony V Aspesi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902210560 PECOS PAC ID: 4587889811 Enrollment ID: I20170804001225 |
| Provider Name | Andra Kofahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265774533 PECOS PAC ID: 2163706631 Enrollment ID: I20170811000422 |
| Provider Name | Kevin J Peine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649541301 PECOS PAC ID: 5597913574 Enrollment ID: I20170908000376 |
| Provider Name | Brian Walcott |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093975500 PECOS PAC ID: 7416115118 Enrollment ID: I20170908001135 |
| Provider Name | Tomas X Villarreal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558781765 PECOS PAC ID: 5991924292 Enrollment ID: I20170929001017 |
| Provider Name | Samad Siraz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710278270 PECOS PAC ID: 2961634522 Enrollment ID: I20171009002600 |
| Provider Name | Jorge Humberto Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891711685 PECOS PAC ID: 9234135450 Enrollment ID: I20171011003198 |
| Provider Name | Melissa Maxey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801182902 PECOS PAC ID: 3072809938 Enrollment ID: I20171025002887 |
| Provider Name | Priscilla L Roth-wall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457386963 PECOS PAC ID: 5991699688 Enrollment ID: I20171027002092 |
| Provider Name | Cody Randy Charlton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720182710 PECOS PAC ID: 8224349279 Enrollment ID: I20171030002168 |
| Provider Name | Johanna Byrd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215371927 PECOS PAC ID: 6002172707 Enrollment ID: I20171114000718 |
| Provider Name | Dominic Cannella |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336191477 PECOS PAC ID: 5395841589 Enrollment ID: I20171114002442 |
| Provider Name | Brent C Butner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629440938 PECOS PAC ID: 6901702042 Enrollment ID: I20171220000947 |
| Provider Name | Erin Kealey Philpott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023435443 PECOS PAC ID: 1456672526 Enrollment ID: I20171220002143 |
| Provider Name | Nicholas John Pacione |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740652791 PECOS PAC ID: 0941503510 Enrollment ID: I20180111002752 |
| Provider Name | William Krause |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659395697 PECOS PAC ID: 5193711224 Enrollment ID: I20180316000197 |
| Provider Name | Russell Walston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235648916 PECOS PAC ID: 8224390547 Enrollment ID: I20180327001414 |
| Provider Name | Paul Francis Davis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225020894 PECOS PAC ID: 5294865002 Enrollment ID: I20180416001218 |
| Provider Name | John Stephan Nichols |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306856752 PECOS PAC ID: 6901851567 Enrollment ID: I20180508002319 |
| Provider Name | Randall G Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114942653 PECOS PAC ID: 4183626823 Enrollment ID: I20180514000805 |
| Provider Name | Donatus M Egbonim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962440875 PECOS PAC ID: 7719931476 Enrollment ID: I20180619002472 |
| Provider Name | Todd A Mcgrath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811251317 PECOS PAC ID: 2567774508 Enrollment ID: I20180625003622 |
| Provider Name | Michael T Osborne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093091944 PECOS PAC ID: 7810155330 Enrollment ID: I20180703002408 |
| Provider Name | Michael Ray Vandusen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205062742 PECOS PAC ID: 1850533589 Enrollment ID: I20180710001728 |
| Provider Name | Dmitry Garmaev |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1720321532 PECOS PAC ID: 0345597829 Enrollment ID: I20180716002953 |
| Provider Name | Zachery Dee Scanlan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871086744 PECOS PAC ID: 0042569824 Enrollment ID: I20180828002151 |
| Provider Name | Alexis Maguin Fenton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891802880 PECOS PAC ID: 1456333871 Enrollment ID: I20180829003293 |
| Provider Name | Philip Keith Ernest |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780024174 PECOS PAC ID: 4587914130 Enrollment ID: I20180904000159 |
| Provider Name | Joseph Gordon Edelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598766255 PECOS PAC ID: 0143329573 Enrollment ID: I20180907001824 |
| Provider Name | Thomas Spiers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952313843 PECOS PAC ID: 8426020488 Enrollment ID: I20180928000769 |
| Provider Name | Christen M Janney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659857902 PECOS PAC ID: 5294087748 Enrollment ID: I20181010002670 |
| Provider Name | Thomas M Janney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255819611 PECOS PAC ID: 3678825023 Enrollment ID: I20181012000039 |
| Provider Name | Anita Christine Burge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952545204 PECOS PAC ID: 2264581487 Enrollment ID: I20181024001583 |
| Provider Name | Daniel Herring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093295578 PECOS PAC ID: 6507119708 Enrollment ID: I20181105000696 |
| Provider Name | Darlene K Mullon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558315952 PECOS PAC ID: 8426094962 Enrollment ID: I20181106002080 |
| Provider Name | Lynndi M Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477036572 PECOS PAC ID: 8921352964 Enrollment ID: I20181112000209 |
| Provider Name | Mindy E Tittiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023350501 PECOS PAC ID: 1456661008 Enrollment ID: I20181120001419 |
| Provider Name | Robert Schuyler Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497980742 PECOS PAC ID: 5890935258 Enrollment ID: I20181204001415 |
| Provider Name | Karl Alaric Duncan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265465017 PECOS PAC ID: 4789680547 Enrollment ID: I20181222000221 |
| Provider Name | David Andrew Philips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629040480 PECOS PAC ID: 8325261415 Enrollment ID: I20190115003459 |
| Provider Name | Tiyonnoh Monje Cash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114053550 PECOS PAC ID: 6608091723 Enrollment ID: I20190206001008 |
| Provider Name | Molly Burell Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376019448 PECOS PAC ID: 4688912819 Enrollment ID: I20190214000751 |
| Provider Name | Sujatha Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386600625 PECOS PAC ID: 2961452578 Enrollment ID: I20190225002078 |
| Provider Name | Stephen Thomas Bernard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306896246 PECOS PAC ID: 0345261053 Enrollment ID: I20190312001665 |
| Provider Name | Charles Owen Wood |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528064144 PECOS PAC ID: 3678650371 Enrollment ID: I20190404002616 |
| Provider Name | Lynda M Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356323588 PECOS PAC ID: 1658536131 Enrollment ID: I20190417001142 |
| Provider Name | Laura Chase |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174088280 PECOS PAC ID: 0547502957 Enrollment ID: I20190506001924 |
| Provider Name | Chaojie Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275823700 PECOS PAC ID: 2163651589 Enrollment ID: I20190510000704 |
| Provider Name | Ryan Sturges Bozzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447722657 PECOS PAC ID: 1355684382 Enrollment ID: I20190515001156 |
| Provider Name | Robert Underwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881636785 PECOS PAC ID: 6709917958 Enrollment ID: I20190626000928 |
| Provider Name | Michael M Steele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497770788 PECOS PAC ID: 4880718709 Enrollment ID: I20190709000540 |
| Provider Name | Ava A Boswell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679969497 PECOS PAC ID: 5193039618 Enrollment ID: I20190730001108 |
| Provider Name | Amanda Jernigan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669860441 PECOS PAC ID: 1850619875 Enrollment ID: I20190812001955 |
| Provider Name | Sunil P Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285847996 PECOS PAC ID: 7416856950 Enrollment ID: I20190813003763 |
| Provider Name | Ethan Walter Scott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225251820 PECOS PAC ID: 1951564376 Enrollment ID: I20190820004199 |
| Provider Name | Charles Lewis Fein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538217872 PECOS PAC ID: 3476659822 Enrollment ID: I20190826002798 |
| Provider Name | Melissa A Gladden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174175087 PECOS PAC ID: 0042540353 Enrollment ID: I20191001000006 |
| Provider Name | Joshua Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083078661 PECOS PAC ID: 3173854726 Enrollment ID: I20191011001064 |
| Provider Name | Christine Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982253449 PECOS PAC ID: 5799110466 Enrollment ID: I20200128000353 |
| Provider Name | Kelsey Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801441647 PECOS PAC ID: 1759717952 Enrollment ID: I20200206002386 |
| Provider Name | Christopher S Overman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598042541 PECOS PAC ID: 8325215965 Enrollment ID: I20200212000724 |
| Provider Name | Anna Victoria Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730723560 PECOS PAC ID: 2567899974 Enrollment ID: I20200225001233 |
| Provider Name | Evan Whipple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699306977 PECOS PAC ID: 5799112900 Enrollment ID: I20200228000979 |
| Provider Name | Michael Paikal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508058371 PECOS PAC ID: 9133316706 Enrollment ID: I20200318000568 |
| Provider Name | Clay T Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083264592 PECOS PAC ID: 6103254586 Enrollment ID: I20200318000679 |
| Provider Name | Benton James Lunt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790320307 PECOS PAC ID: 2567890809 Enrollment ID: I20200319001231 |
| Provider Name | Kathryn Okeefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659930758 PECOS PAC ID: 3173952512 Enrollment ID: I20200406001032 |
| Provider Name | Jocelyne Klasen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063854263 PECOS PAC ID: 1759622335 Enrollment ID: I20200413001544 |
| Provider Name | Lauretha Uzoamaka Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295129179 PECOS PAC ID: 6800199233 Enrollment ID: I20200507000981 |
| Provider Name | Sean Michael Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386902062 PECOS PAC ID: 7719293216 Enrollment ID: I20200507002236 |
| Provider Name | Michael Dandy Patz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972869949 PECOS PAC ID: 0840584405 Enrollment ID: I20200511001575 |
| Provider Name | Sean P Rooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316478274 PECOS PAC ID: 3577834662 Enrollment ID: I20200511002578 |
| Provider Name | Erin Tinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003477969 PECOS PAC ID: 0648691055 Enrollment ID: I20200610001438 |
| Provider Name | Roberta L Vickery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619297348 PECOS PAC ID: 0446376552 Enrollment ID: I20200630003373 |
| Provider Name | Alberto Nenninger Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750809968 PECOS PAC ID: 9335563550 Enrollment ID: I20200721003654 |
| Provider Name | Hannah Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396898664 PECOS PAC ID: 5799095444 Enrollment ID: I20200722003803 |
| Provider Name | Benjamin Amirebrahimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770018384 PECOS PAC ID: 4082978564 Enrollment ID: I20200727000046 |
| Provider Name | Emily Dana Epstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720566953 PECOS PAC ID: 5294159018 Enrollment ID: I20200727000272 |
| Provider Name | Mario Campos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508217928 PECOS PAC ID: 8426342155 Enrollment ID: I20200730000313 |
| Provider Name | Nicole L Pinkerton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104895481 PECOS PAC ID: 7113952995 Enrollment ID: I20200731000419 |
| Provider Name | Edomias Desta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124549266 PECOS PAC ID: 2567716202 Enrollment ID: I20200731001561 |
| Provider Name | Scott David Loss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215964952 PECOS PAC ID: 5698678357 Enrollment ID: I20200810001750 |
| Provider Name | Laura Marcu Buck |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1255562005 PECOS PAC ID: 9739317884 Enrollment ID: I20200824003740 |
| Provider Name | Akshu Balwan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831404136 PECOS PAC ID: 8527200724 Enrollment ID: I20200825001471 |
| Provider Name | Darcy Ernat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679107007 PECOS PAC ID: 3971921149 Enrollment ID: I20200921001505 |
| Provider Name | Ernesto Antonio Blanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235669649 PECOS PAC ID: 9032539705 Enrollment ID: I20201019001544 |
| Provider Name | Jose Miguel Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922535590 PECOS PAC ID: 9739509357 Enrollment ID: I20201021001262 |
| Provider Name | Lauren Ashley Hutson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245762327 PECOS PAC ID: 0648540138 Enrollment ID: I20201022002363 |
| Provider Name | Stamatina Zoi Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740720788 PECOS PAC ID: 4486074994 Enrollment ID: I20201022002578 |
| Provider Name | Arati K C |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841710233 PECOS PAC ID: 6305105354 Enrollment ID: I20201026000113 |
| Provider Name | Michael Ting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689103608 PECOS PAC ID: 3173897071 Enrollment ID: I20201027000281 |
| Provider Name | Stephen Mackerrow |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225075526 PECOS PAC ID: 5698865970 Enrollment ID: I20201027002019 |
| Provider Name | Jason Andrew Slate |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275648586 PECOS PAC ID: 4587636956 Enrollment ID: I20201028000875 |
| Provider Name | Shivkumar Jha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881751204 PECOS PAC ID: 7214031988 Enrollment ID: I20201109000741 |
| Provider Name | Jessica A Conklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275981557 PECOS PAC ID: 2163834953 Enrollment ID: I20201221000999 |
| Provider Name | Quincy Sa'ena |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1316485246 PECOS PAC ID: 4183059330 Enrollment ID: I20201229000044 |
| Provider Name | Kristen Denise Scatliffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194086694 PECOS PAC ID: 4183977473 Enrollment ID: I20210223000806 |
| Provider Name | Genevieve Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437741238 PECOS PAC ID: 8628484995 Enrollment ID: I20210311000206 |
| Provider Name | Devin Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659832426 PECOS PAC ID: 4082022611 Enrollment ID: I20210421000888 |
| Provider Name | Erin Lea Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699373886 PECOS PAC ID: 1355740895 Enrollment ID: I20210603000245 |
| Provider Name | James Martin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316021488 PECOS PAC ID: 6406769504 Enrollment ID: I20210622002750 |
| Provider Name | April Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265983019 PECOS PAC ID: 5799068482 Enrollment ID: I20210719003682 |
| Provider Name | Riemer Charles Praamsma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336645613 PECOS PAC ID: 9032465273 Enrollment ID: I20210723001365 |
| Provider Name | Jason Glass |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336534528 PECOS PAC ID: 9830593078 Enrollment ID: I20210810001465 |
| Provider Name | Christopher Payne |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477962876 PECOS PAC ID: 5991084337 Enrollment ID: I20210811001162 |
| Provider Name | Linda Gail Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790895001 PECOS PAC ID: 4284600925 Enrollment ID: I20210817000088 |
| Provider Name | Jennifer Lynn Ruth Beaupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437823143 PECOS PAC ID: 1759787112 Enrollment ID: I20210909003016 |
| Provider Name | Steven Malarchick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427724640 PECOS PAC ID: 2264830272 Enrollment ID: I20211005003652 |
| Provider Name | Joel Ryan Palmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780354043 PECOS PAC ID: 9830587112 Enrollment ID: I20211020000578 |
| Provider Name | Tina Biberdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346910148 PECOS PAC ID: 8426446337 Enrollment ID: I20211026002976 |
| Provider Name | Christopher Reitmeier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013689652 PECOS PAC ID: 8820486335 Enrollment ID: I20211102000890 |
| Provider Name | Savanna Dru Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104599471 PECOS PAC ID: 3971992090 Enrollment ID: I20211111001055 |
| Provider Name | Felicia Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841712288 PECOS PAC ID: 7810268935 Enrollment ID: I20211217002060 |
| Provider Name | Joseph Korah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396940813 PECOS PAC ID: 5890967566 Enrollment ID: I20211229000817 |
| Provider Name | Sheetal Dhoke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144457243 PECOS PAC ID: 2365673589 Enrollment ID: I20220202000070 |
| Provider Name | Laberta Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023774783 PECOS PAC ID: 2860885290 Enrollment ID: I20220208001743 |
| Provider Name | Ryan Patrick Starr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235659756 PECOS PAC ID: 9739452848 Enrollment ID: I20220210001192 |
| Provider Name | Adam Penrose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215401948 PECOS PAC ID: 5294076774 Enrollment ID: I20220317000883 |
| Provider Name | Joseph Davidson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609001270 PECOS PAC ID: 9638311277 Enrollment ID: I20220322002423 |
| Provider Name | Suselina H Acosta-goldstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841557683 PECOS PAC ID: 7315231511 Enrollment ID: I20220324002238 |
| Provider Name | Darren Ramoutar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578706172 PECOS PAC ID: 1456580356 Enrollment ID: I20220324002706 |
| Provider Name | Steven F Kendell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295763795 PECOS PAC ID: 4082515044 Enrollment ID: I20220331002622 |
| Provider Name | Cary Rose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548244122 PECOS PAC ID: 2365427184 Enrollment ID: I20220518000638 |
| Provider Name | Erika M Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538803697 PECOS PAC ID: 3870971575 Enrollment ID: I20220608003257 |
| Provider Name | Lori B Golzar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194468199 PECOS PAC ID: 1254710650 Enrollment ID: I20220615000624 |
| Provider Name | Tejwant Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356395800 PECOS PAC ID: 8022069715 Enrollment ID: I20220801000069 |
| Provider Name | Judy Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417903329 PECOS PAC ID: 4385675958 Enrollment ID: I20220819002209 |
| Provider Name | Chase Hamilton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972007227 PECOS PAC ID: 8426380940 Enrollment ID: I20220823001324 |
| Provider Name | Spencer T Debauche |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780143818 PECOS PAC ID: 0446687099 Enrollment ID: I20220825002095 |
| Provider Name | Haiyan Zhou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922769249 PECOS PAC ID: 1456735018 Enrollment ID: I20220830004449 |
| Provider Name | Shay K Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215590526 PECOS PAC ID: 0143640540 Enrollment ID: I20220929004064 |
| Provider Name | Stephen Mannas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528598000 PECOS PAC ID: 7416323605 Enrollment ID: I20221012003369 |
| Provider Name | Patrice Zigrossi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124559513 PECOS PAC ID: 1557638996 Enrollment ID: I20221017002690 |
| Provider Name | Maureen L Mannas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275060329 PECOS PAC ID: 3779858659 Enrollment ID: I20221022000247 |
| Provider Name | Patrick Ray Oglesby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225764475 PECOS PAC ID: 5698142834 Enrollment ID: I20221101002150 |
| Provider Name | Mark Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003852716 PECOS PAC ID: 4587638358 Enrollment ID: I20221103003103 |
| Provider Name | Emily Militzer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962431007 PECOS PAC ID: 8628006723 Enrollment ID: I20221129001940 |
| Provider Name | Mohammad N Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295778215 PECOS PAC ID: 3476538760 Enrollment ID: I20221129002554 |
| Provider Name | Tiffany Meyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487309415 PECOS PAC ID: 2062808777 Enrollment ID: I20221205002055 |
| Provider Name | Darlene Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689641755 PECOS PAC ID: 0345399671 Enrollment ID: I20221210000466 |
| Provider Name | Melissa Villars |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720434509 PECOS PAC ID: 2062708217 Enrollment ID: I20221213000103 |
| Provider Name | Hagos Zeferu Aymut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922548890 PECOS PAC ID: 3476976275 Enrollment ID: I20221221000041 |
| Provider Name | Gurkiran Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194967216 PECOS PAC ID: 9931425915 Enrollment ID: I20230103001314 |
| Provider Name | Samuel Bergener |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780724419 PECOS PAC ID: 9537252069 Enrollment ID: I20230112002564 |
| Provider Name | Kwadwo Darko-yeboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457080772 PECOS PAC ID: 8820469505 Enrollment ID: I20230116001013 |
| Provider Name | Andrew James Tembrock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659891414 PECOS PAC ID: 0446523567 Enrollment ID: I20230213000466 |
| Provider Name | James Edward Egan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457346041 PECOS PAC ID: 8820131048 Enrollment ID: I20230215000523 |
| Provider Name | Craig Kubik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821102617 PECOS PAC ID: 8426128034 Enrollment ID: I20230220001726 |
| Provider Name | Jacob Sypher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831518554 PECOS PAC ID: 3476979352 Enrollment ID: I20230307002475 |
| Provider Name | Vatsal Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447696745 PECOS PAC ID: 1951631779 Enrollment ID: I20230328000867 |
| Provider Name | Jacqueline Kraus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417994401 PECOS PAC ID: 0345149381 Enrollment ID: I20230331000211 |
| Provider Name | Charles Volk |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417297912 PECOS PAC ID: 7719205970 Enrollment ID: I20230413000796 |
| Provider Name | Robert Jacoby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518961531 PECOS PAC ID: 9032003462 Enrollment ID: I20230425002581 |
| Provider Name | Robert Trentacosta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619338712 PECOS PAC ID: 4183910391 Enrollment ID: I20230426000995 |
| Provider Name | Kaitlin Mcintyre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851898696 PECOS PAC ID: 7810385960 Enrollment ID: I20230426002135 |
| Provider Name | Kent Winkler |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972506277 PECOS PAC ID: 9032195094 Enrollment ID: I20230429000060 |
| Provider Name | William Mccray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912989781 PECOS PAC ID: 4183614399 Enrollment ID: I20230504002368 |
| Provider Name | Benedette Ogindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568113322 PECOS PAC ID: 3779987250 Enrollment ID: I20230509002329 |
| Provider Name | Carole Nighswander |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114104106 PECOS PAC ID: 2769848779 Enrollment ID: I20230517002518 |
| Provider Name | Janet Gorham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265604557 PECOS PAC ID: 3971674490 Enrollment ID: I20230517003243 |
| Provider Name | Reece Boyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871020529 PECOS PAC ID: 6406125046 Enrollment ID: I20230602001953 |
| Provider Name | Soyini Fraser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225737745 PECOS PAC ID: 3971960063 Enrollment ID: I20230605003198 |
| Provider Name | Patricia Hogan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700104783 PECOS PAC ID: 4486664083 Enrollment ID: I20230607003094 |
| Provider Name | Cynthia Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386079234 PECOS PAC ID: 3476826975 Enrollment ID: I20230621002744 |
| Provider Name | Drew Swasey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992915425 PECOS PAC ID: 1456498484 Enrollment ID: I20230621002842 |
| Provider Name | Samuel E Aikele |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407817984 PECOS PAC ID: 4880692912 Enrollment ID: I20230801001024 |
| Provider Name | Chandan S Sapkota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881200368 PECOS PAC ID: 0840602173 Enrollment ID: I20230816002374 |
| Provider Name | Yinka Tosho Alayande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770283921 PECOS PAC ID: 3173986387 Enrollment ID: I20230905002850 |
| Provider Name | Daniel Nygren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245684075 PECOS PAC ID: 0648563106 Enrollment ID: I20230907002236 |
| Provider Name | Robert C Courtney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639732704 PECOS PAC ID: 2466786447 Enrollment ID: I20230915000649 |
| Provider Name | Carriefrances Counley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538842240 PECOS PAC ID: 6103271739 Enrollment ID: I20231017001192 |
| Provider Name | Chad Bidart |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720061450 PECOS PAC ID: 6305849498 Enrollment ID: I20231025001678 |
| Provider Name | Mary S Baker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932360450 PECOS PAC ID: 2567644990 Enrollment ID: I20231102001705 |
| Provider Name | Amber C Reiss-holt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386678159 PECOS PAC ID: 6800821372 Enrollment ID: I20231103000130 |
| Provider Name | Meho Jasarevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194090498 PECOS PAC ID: 6305089822 Enrollment ID: I20231107003576 |
| Provider Name | Catherine Cantway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871906974 PECOS PAC ID: 1658670435 Enrollment ID: I20231109001099 |
| Provider Name | Jennifer S Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649052143 PECOS PAC ID: 0941657019 Enrollment ID: I20231128003858 |
| Provider Name | Ilan Y Kaye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437512639 PECOS PAC ID: 0547552531 Enrollment ID: I20231209000367 |
| Provider Name | Mikelle Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255828042 PECOS PAC ID: 8426485855 Enrollment ID: I20231212001058 |
| Provider Name | Anysha Ambrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497523963 PECOS PAC ID: 5092165613 Enrollment ID: I20231222001254 |
| Provider Name | Jacob Carmichael |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568502136 PECOS PAC ID: 9335469352 Enrollment ID: I20231228000465 |
| Provider Name | Brian Fuller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396834412 PECOS PAC ID: 0749289643 Enrollment ID: I20240106000745 |
| Provider Name | Rhonnie Geyrozaga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134824980 PECOS PAC ID: 6204295918 Enrollment ID: I20240111000087 |
| Provider Name | Richard Blankenbaker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639273253 PECOS PAC ID: 0547269649 Enrollment ID: I20240112000704 |
| Provider Name | Ronnie J Mignella |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073567764 PECOS PAC ID: 3072585371 Enrollment ID: I20240121000033 |
| Provider Name | Ajay Bhatnagar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417161704 PECOS PAC ID: 0042303695 Enrollment ID: I20240125004682 |
| Provider Name | Herman Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285131391 PECOS PAC ID: 0547512394 Enrollment ID: I20240205000569 |
| Provider Name | Waiki V Cora |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356513865 PECOS PAC ID: 3476631417 Enrollment ID: I20240314004180 |
| Provider Name | Asif Husain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578591160 PECOS PAC ID: 9931194867 Enrollment ID: I20240319001010 |
| Provider Name | Michelle Martin-thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730306705 PECOS PAC ID: 4880867829 Enrollment ID: I20240326003523 |
| Provider Name | Shanelle Lindo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063142016 PECOS PAC ID: 2668848623 Enrollment ID: I20240404000689 |
| Provider Name | June Kwark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154428415 PECOS PAC ID: 9830124577 Enrollment ID: I20240422001933 |
Chevannes Clinic Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Broadway Ste A, Farmington, NM 87401 Phone: 505-258-4867 Fax: 505-398-8748 | |
Presbyterian Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796 | |
Marie Rousseau Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 E Navajo St, Farmington, NM 87401 Phone: 505-327-5336 Fax: 505-326-9120 | |
Fchc Substance Abuse Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 744 W Animas St, Farmington, NM 87401 Phone: 505-327-4796 Fax: 505-325-9113 | |
Advanced Gastroenterology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4801 N Butler Ave, Suite 13102, Farmington, NM 87401 Phone: 505-436-2906 Fax: 505-436-2197 | |
Health Center Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 E 20th St, Farmington, NM 87401 Phone: 505-564-3628 Fax: 505-325-9228 | |
Sjrmc Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 S. Schwartz Ave, Suite 201, Farmington, NM 87401 Phone: 505-609-6730 Fax: 505-609-6749 |