| Sound Physicians Of Florida Iv, Llc | |
|
60 Memorial Medical Pkwy Palm Coast FL 32164-5980 | |
| (615) 377-5658 | |
| Not Available |
| Full Name | Sound Physicians Of Florida Iv, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 Memorial Medical Pkwy, Palm Coast, Florida |
| Authorized Official Name and Position | Andrea Goff (VP) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Physicians Of Florida Iv, Llc 5410 Maryland Way Suite 100 Brentwood TN 37027-5064 Ph: () - | Sound Physicians Of Florida Iv, Llc 60 Memorial Medical Pkwy Palm Coast FL 32164-5980 Ph: (615) 377-5658 |
| NPI Number | 1740633635 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 07/15/2016 |
| Medicare PECOS PAC ID | 6002198082 |
|---|---|
| Medicare Enrollment ID | O20170127000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740633635 | NPI | - | NPPES |
| Provider Name | Magdy N Falestiny |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942421581 PECOS PAC ID: 8527954122 Enrollment ID: I20040223000147 |
| Provider Name | Ibrahim Ahmed Abdalla Wafik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699722827 PECOS PAC ID: 9234029646 Enrollment ID: I20040318001137 |
| Provider Name | Raj Karunakara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114980067 PECOS PAC ID: 4688661358 Enrollment ID: I20040427000145 |
| Provider Name | Kristal A Wolfe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821142126 PECOS PAC ID: 1456330489 Enrollment ID: I20040714001181 |
| Provider Name | Eugene Rost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700829470 PECOS PAC ID: 6507835063 Enrollment ID: I20040930000861 |
| Provider Name | Jack Haj Obeid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104808054 PECOS PAC ID: 9638139876 Enrollment ID: I20041013000203 |
| Provider Name | Perwaiz Hussain Rahim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629053988 PECOS PAC ID: 7517924434 Enrollment ID: I20041214000114 |
| Provider Name | Nagamanikkam Ravichandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871585521 PECOS PAC ID: 6305892274 Enrollment ID: I20050323001047 |
| Provider Name | Patrick Gonzalez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548278856 PECOS PAC ID: 0446297279 Enrollment ID: I20050413000925 |
| Provider Name | Anwaar H Randhawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851349898 PECOS PAC ID: 7113950585 Enrollment ID: I20050915000721 |
| Provider Name | Joseph M Gray |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760407951 PECOS PAC ID: 6507882966 Enrollment ID: I20051015000028 |
| Provider Name | Jocelyn A Soto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215928635 PECOS PAC ID: 8628095940 Enrollment ID: I20051026000820 |
| Provider Name | Chaker M Dahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003803412 PECOS PAC ID: 0840190823 Enrollment ID: I20051028000083 |
| Provider Name | Michael A Wilson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093790032 PECOS PAC ID: 6103815501 Enrollment ID: I20051110000191 |
| Provider Name | John E Prioleau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285613315 PECOS PAC ID: 1052333580 Enrollment ID: I20051228000270 |
| Provider Name | Dean Theodore Karampelas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356373336 PECOS PAC ID: 9133142813 Enrollment ID: I20060110000250 |
| Provider Name | Stuart J Newmark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073552360 PECOS PAC ID: 0042213886 Enrollment ID: I20060816000181 |
| Provider Name | Ernst B Michel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619961091 PECOS PAC ID: 5496751752 Enrollment ID: I20061010000054 |
| Provider Name | Robert L Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629008073 PECOS PAC ID: 4385642453 Enrollment ID: I20061128000255 |
| Provider Name | Stephanie Ann Salas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154332765 PECOS PAC ID: 9032102769 Enrollment ID: I20070207000424 |
| Provider Name | Todd Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669452264 PECOS PAC ID: 2668578329 Enrollment ID: I20070426000459 |
| Provider Name | Ryan Leigh Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134153018 PECOS PAC ID: 5698871630 Enrollment ID: I20070508000186 |
| Provider Name | Mohammed S Arzu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871552356 PECOS PAC ID: 6204935240 Enrollment ID: I20070615000488 |
| Provider Name | Chidi U Uche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891828448 PECOS PAC ID: 4587756135 Enrollment ID: I20070827000936 |
| Provider Name | Guillermo Sanchez De La Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598962490 PECOS PAC ID: 6103910047 Enrollment ID: I20070921000737 |
| Provider Name | Steven Khalil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245452606 PECOS PAC ID: 1052406345 Enrollment ID: I20071002000223 |
| Provider Name | Theresa N Huyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760675599 PECOS PAC ID: 2466548227 Enrollment ID: I20071010000298 |
| Provider Name | Tomislav Zeljko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629261102 PECOS PAC ID: 0345338588 Enrollment ID: I20071121000347 |
| Provider Name | Jacob Hyppolite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255302428 PECOS PAC ID: 2567421936 Enrollment ID: I20071208000027 |
| Provider Name | Mohiuddin A Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649342791 PECOS PAC ID: 6002910627 Enrollment ID: I20071215000239 |
| Provider Name | Alejandro Victoria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043200934 PECOS PAC ID: 2062502560 Enrollment ID: I20071220000601 |
| Provider Name | Rodrick Hurt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922074145 PECOS PAC ID: 8022027002 Enrollment ID: I20080403000213 |
| Provider Name | Eiad Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619153996 PECOS PAC ID: 4587733068 Enrollment ID: I20080523000371 |
| Provider Name | Elie Khouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558324442 PECOS PAC ID: 0547336968 Enrollment ID: I20080909000730 |
| Provider Name | May B Hamadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861666208 PECOS PAC ID: 1355407628 Enrollment ID: I20090311000724 |
| Provider Name | Saeid Behroozi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952415846 PECOS PAC ID: 2365415114 Enrollment ID: I20090504000528 |
| Provider Name | Alexander Zimilevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811156680 PECOS PAC ID: 2668527987 Enrollment ID: I20090909000634 |
| Provider Name | Tabarak A Qureshi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962674549 PECOS PAC ID: 4385781988 Enrollment ID: I20091031000019 |
| Provider Name | Merlyn S Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912130246 PECOS PAC ID: 3870631534 Enrollment ID: I20091117000691 |
| Provider Name | Bhavik M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730310137 PECOS PAC ID: 4789723727 Enrollment ID: I20091203000535 |
| Provider Name | Lisa Douthwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295989895 PECOS PAC ID: 3375686025 Enrollment ID: I20100203000936 |
| Provider Name | Shapour Steve Mirmanesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669407375 PECOS PAC ID: 4789661802 Enrollment ID: I20100512001008 |
| Provider Name | Sasha Boris Grek |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558438085 PECOS PAC ID: 4183753346 Enrollment ID: I20100526000405 |
| Provider Name | Walter B Frady |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255361382 PECOS PAC ID: 7416089115 Enrollment ID: I20100715000677 |
| Provider Name | Hassan Alkhatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952630105 PECOS PAC ID: 4789708827 Enrollment ID: I20100826000653 |
| Provider Name | Hector Farela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851542567 PECOS PAC ID: 9931223807 Enrollment ID: I20100830000224 |
| Provider Name | Bibi S. Roopchand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487986014 PECOS PAC ID: 7810011632 Enrollment ID: I20100901000050 |
| Provider Name | Saw F Po |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366402281 PECOS PAC ID: 6103941414 Enrollment ID: I20100909001037 |
| Provider Name | Yasser Hussain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821321134 PECOS PAC ID: 3870618408 Enrollment ID: I20100920000202 |
| Provider Name | Arshia Cottey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871562579 PECOS PAC ID: 2466645585 Enrollment ID: I20101021000965 |
| Provider Name | Deqing Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811048622 PECOS PAC ID: 4486849049 Enrollment ID: I20101109001431 |
| Provider Name | Dean Post |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629270632 PECOS PAC ID: 3072601186 Enrollment ID: I20101129000987 |
| Provider Name | Margaret R Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588891618 PECOS PAC ID: 2163605437 Enrollment ID: I20110323000826 |
| Provider Name | Herbert Goldwire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669772406 PECOS PAC ID: 2961685680 Enrollment ID: I20110411000191 |
| Provider Name | Lisa Jones |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538131842 PECOS PAC ID: 6507044138 Enrollment ID: I20110629000381 |
| Provider Name | Vijayarama R Vegesna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083877112 PECOS PAC ID: 2567630205 Enrollment ID: I20110722000516 |
| Provider Name | Charles Ayanleke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255573960 PECOS PAC ID: 0749336329 Enrollment ID: I20110825000393 |
| Provider Name | Cedric Emden Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356534994 PECOS PAC ID: 9931243128 Enrollment ID: I20110929000686 |
| Provider Name | Laura Carrizo Barber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982803631 PECOS PAC ID: 5496871519 Enrollment ID: I20111012000260 |
| Provider Name | Alyson Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790063246 PECOS PAC ID: 5698948529 Enrollment ID: I20111109000331 |
| Provider Name | Priyeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407139256 PECOS PAC ID: 7618144312 Enrollment ID: I20120120000555 |
| Provider Name | David Rochelin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093037632 PECOS PAC ID: 1355508532 Enrollment ID: I20120130000728 |
| Provider Name | Jaime S Solorzano Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609031442 PECOS PAC ID: 0941467468 Enrollment ID: I20120210000093 |
| Provider Name | Omar Khashaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942467576 PECOS PAC ID: 5294996492 Enrollment ID: I20120416000463 |
| Provider Name | Ruben Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295855401 PECOS PAC ID: 5294900445 Enrollment ID: I20120426000042 |
| Provider Name | Jyoti Pradhananga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518115047 PECOS PAC ID: 9133382450 Enrollment ID: I20120524000492 |
| Provider Name | Noah P Hoskins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780880484 PECOS PAC ID: 9931383791 Enrollment ID: I20120628000633 |
| Provider Name | Sari Nicole Fandel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619179587 PECOS PAC ID: 3678738259 Enrollment ID: I20120705000276 |
| Provider Name | Khadidja Koraibaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356451041 PECOS PAC ID: 0547268047 Enrollment ID: I20120717000307 |
| Provider Name | Jason Edward Szymala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851330807 PECOS PAC ID: 1557368818 Enrollment ID: I20120719000114 |
| Provider Name | Ravi George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033151873 PECOS PAC ID: 6103015532 Enrollment ID: I20120801000112 |
| Provider Name | Alexandre M Furman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477709632 PECOS PAC ID: 5890950745 Enrollment ID: I20120801000766 |
| Provider Name | Vinay Gagadam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437380797 PECOS PAC ID: 3476709510 Enrollment ID: I20120806000789 |
| Provider Name | Azmeena Laila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811290182 PECOS PAC ID: 3678720513 Enrollment ID: I20120828000272 |
| Provider Name | Fabian Rodas Ochoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972734234 PECOS PAC ID: 9133376809 Enrollment ID: I20120831000287 |
| Provider Name | Nathalie J Narcisse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255309001 PECOS PAC ID: 0749258788 Enrollment ID: I20120924000250 |
| Provider Name | Rajesh Chawla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750512828 PECOS PAC ID: 0244489631 Enrollment ID: I20120928000172 |
| Provider Name | Kelvin James Wiley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194810481 PECOS PAC ID: 3971604638 Enrollment ID: I20121011000564 |
| Provider Name | Francois R. Roche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760795108 PECOS PAC ID: 1557485877 Enrollment ID: I20121012000506 |
| Provider Name | Parveen B Makhni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669414090 PECOS PAC ID: 6103956255 Enrollment ID: I20121017000068 |
| Provider Name | Slavisa Markovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922305440 PECOS PAC ID: 3173799228 Enrollment ID: I20121022000055 |
| Provider Name | Nargiz Ruzmetova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700047396 PECOS PAC ID: 9436309713 Enrollment ID: I20121022000819 |
| Provider Name | Amy L Piper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316297633 PECOS PAC ID: 9335390079 Enrollment ID: I20121106000601 |
| Provider Name | Mitaben N Hajirawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144588310 PECOS PAC ID: 4385896869 Enrollment ID: I20121207000221 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20130123000057 |
| Provider Name | Kyle H Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790032530 PECOS PAC ID: 8820233984 Enrollment ID: I20130321000211 |
| Provider Name | Jessica R Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245584754 PECOS PAC ID: 9436395688 Enrollment ID: I20130415000254 |
| Provider Name | Federico Mariano Canavosio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679721393 PECOS PAC ID: 4587801576 Enrollment ID: I20130510000434 |
| Provider Name | Michael L Grobelny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790080422 PECOS PAC ID: 9335389089 Enrollment ID: I20130701000689 |
| Provider Name | Melissa Danielle Newman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659690089 PECOS PAC ID: 9830330703 Enrollment ID: I20130719000269 |
| Provider Name | Rachel M Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164861951 PECOS PAC ID: 7113169566 Enrollment ID: I20130814000362 |
| Provider Name | Aravind Babu Kadiyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437461282 PECOS PAC ID: 6507009610 Enrollment ID: I20130821000223 |
| Provider Name | Elvys Sacerio Valcarcel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467795252 PECOS PAC ID: 2668615485 Enrollment ID: I20130827000362 |
| Provider Name | Narsimha R Candula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932545175 PECOS PAC ID: 1254574650 Enrollment ID: I20130904000849 |
| Provider Name | Andres Montanez- Flores |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902039530 PECOS PAC ID: 3173772761 Enrollment ID: I20130918000299 |
| Provider Name | Huan Y Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386957405 PECOS PAC ID: 7911131719 Enrollment ID: I20131010000754 |
| Provider Name | Adrian A Salmon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528282456 PECOS PAC ID: 8123124807 Enrollment ID: I20131017001993 |
| Provider Name | Edmund G Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104854421 PECOS PAC ID: 1658458708 Enrollment ID: I20131021001846 |
| Provider Name | Raja Ramesh Gummalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952618951 PECOS PAC ID: 1456586635 Enrollment ID: I20131023001707 |
| Provider Name | Ari M Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386085264 PECOS PAC ID: 4082840392 Enrollment ID: I20131114001878 |
| Provider Name | Waqas Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700065091 PECOS PAC ID: 8820279581 Enrollment ID: I20131219001254 |
| Provider Name | Victor D Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861622060 PECOS PAC ID: 8527297381 Enrollment ID: I20140128000725 |
| Provider Name | Amy S Pleaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619285590 PECOS PAC ID: 0042463259 Enrollment ID: I20140226000553 |
| Provider Name | Jeyavarna Karthikeyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528188034 PECOS PAC ID: 9032245899 Enrollment ID: I20140326001301 |
| Provider Name | Jovan N Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245653153 PECOS PAC ID: 9830312743 Enrollment ID: I20140522000408 |
| Provider Name | Marius Laurinaitis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639174212 PECOS PAC ID: 2163439431 Enrollment ID: I20140715001732 |
| Provider Name | Omar Abumahfouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356621858 PECOS PAC ID: 8921224445 Enrollment ID: I20140718000799 |
| Provider Name | Natasha M Mckay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326205816 PECOS PAC ID: 0446444525 Enrollment ID: I20140721002170 |
| Provider Name | Dhanvantri Muttevi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245542703 PECOS PAC ID: 9638300858 Enrollment ID: I20140724000125 |
| Provider Name | Cletus Tanwi Moma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982998373 PECOS PAC ID: 0042446353 Enrollment ID: I20140811002599 |
| Provider Name | Rahul Gujarathi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487934568 PECOS PAC ID: 8527285600 Enrollment ID: I20140813002103 |
| Provider Name | Jose C Pinero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538468202 PECOS PAC ID: 0941422521 Enrollment ID: I20141114001584 |
| Provider Name | Jad Ghandour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659684272 PECOS PAC ID: 4183850316 Enrollment ID: I20141119000697 |
| Provider Name | Karthik Chakrala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043633233 PECOS PAC ID: 1456674530 Enrollment ID: I20141222000314 |
| Provider Name | Imran Humayun Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558500587 PECOS PAC ID: 5890947600 Enrollment ID: I20150126001852 |
| Provider Name | Gary Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053427690 PECOS PAC ID: 6103846282 Enrollment ID: I20150305001601 |
| Provider Name | Laurette Que Cornel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942691373 PECOS PAC ID: 4789900598 Enrollment ID: I20150312002380 |
| Provider Name | Naseem Suleman Paruk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255624490 PECOS PAC ID: 6103055876 Enrollment ID: I20150516000074 |
| Provider Name | Mohammad G Abu-farsakh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366755837 PECOS PAC ID: 2264743731 Enrollment ID: I20150624002739 |
| Provider Name | Christopher Chad Lankford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679869549 PECOS PAC ID: 1456663715 Enrollment ID: I20150630001432 |
| Provider Name | Maudeen C Scott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396149464 PECOS PAC ID: 0840503470 Enrollment ID: I20150724011603 |
| Provider Name | Muhammad Janjua |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265474068 PECOS PAC ID: 9931154325 Enrollment ID: I20150729008427 |
| Provider Name | Rosemary Drufke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619374162 PECOS PAC ID: 1557686227 Enrollment ID: I20150804005594 |
| Provider Name | Marvin A Lopez-medal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801158969 PECOS PAC ID: 5193039923 Enrollment ID: I20150806010915 |
| Provider Name | Karen D Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487904116 PECOS PAC ID: 3678713666 Enrollment ID: I20150812008073 |
| Provider Name | Daniel Korsah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538541321 PECOS PAC ID: 1254647092 Enrollment ID: I20150825003702 |
| Provider Name | Leor Azoulay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588922249 PECOS PAC ID: 3971745274 Enrollment ID: I20150923000648 |
| Provider Name | Yojana R Dange |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295808830 PECOS PAC ID: 6709988736 Enrollment ID: I20150924003173 |
| Provider Name | Earle Wendell Hayes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609080027 PECOS PAC ID: 6002991882 Enrollment ID: I20150928001814 |
| Provider Name | Askin Uysal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568441210 PECOS PAC ID: 0749220796 Enrollment ID: I20151026000685 |
| Provider Name | Robert Cornateanu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790944346 PECOS PAC ID: 5991006355 Enrollment ID: I20151209001992 |
| Provider Name | Aji V Achuthan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023489309 PECOS PAC ID: 0244533396 Enrollment ID: I20160122001153 |
| Provider Name | Umair Tariq |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285994863 PECOS PAC ID: 1951606243 Enrollment ID: I20160224002099 |
| Provider Name | David Kung |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669656922 PECOS PAC ID: 3971656356 Enrollment ID: I20160322000850 |
| Provider Name | Carolyn Mascho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376941799 PECOS PAC ID: 5991029985 Enrollment ID: I20160323001743 |
| Provider Name | Karen Ivette Ossa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801005418 PECOS PAC ID: 7315199569 Enrollment ID: I20160412001574 |
| Provider Name | Angeli A Niravel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053678805 PECOS PAC ID: 6507165396 Enrollment ID: I20160428002228 |
| Provider Name | Steve M Dorman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043519333 PECOS PAC ID: 1850680398 Enrollment ID: I20160523001473 |
| Provider Name | Betina Louis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891946117 PECOS PAC ID: 9133271976 Enrollment ID: I20160524000306 |
| Provider Name | Karim Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174613004 PECOS PAC ID: 7719029800 Enrollment ID: I20160628002891 |
| Provider Name | Michael N Peddycoart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950420 PECOS PAC ID: 7416240700 Enrollment ID: I20160725001239 |
| Provider Name | Leonardo Pena |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104125533 PECOS PAC ID: 9931348588 Enrollment ID: I20160810000137 |
| Provider Name | Kaira Tazabekova Kaplinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124280334 PECOS PAC ID: 9032384391 Enrollment ID: I20160825001445 |
| Provider Name | Fusun Soraya Devose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011508 PECOS PAC ID: 3779806849 Enrollment ID: I20161013000759 |
| Provider Name | Claudine J M Aguilera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417121138 PECOS PAC ID: 0840331146 Enrollment ID: I20161101002371 |
| Provider Name | Vikas Maan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871521070 PECOS PAC ID: 7113823642 Enrollment ID: I20161112000406 |
| Provider Name | Inelisse Otero-diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952735862 PECOS PAC ID: 1557640661 Enrollment ID: I20161114000564 |
| Provider Name | Azzat Abdulghani Ali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033344627 PECOS PAC ID: 8729227673 Enrollment ID: I20161117001559 |
| Provider Name | Jean Kopsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427288612 PECOS PAC ID: 7214217603 Enrollment ID: I20161130001559 |
| Provider Name | Padmaja Vasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699962639 PECOS PAC ID: 6103994330 Enrollment ID: I20161203000156 |
| Provider Name | Wallace Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831490432 PECOS PAC ID: 1052607108 Enrollment ID: I20161229000763 |
| Provider Name | Bryan Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164970364 PECOS PAC ID: 6103713946 Enrollment ID: I20161229001342 |
| Provider Name | Sura Jermanus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053755785 PECOS PAC ID: 6507171873 Enrollment ID: I20170103000128 |
| Provider Name | Bryant W Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639501265 PECOS PAC ID: 1850670050 Enrollment ID: I20170120002171 |
| Provider Name | Ayorinde Ogunbameru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134416522 PECOS PAC ID: 6901023514 Enrollment ID: I20170123000350 |
| Provider Name | Malvinder S Makhni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790729697 PECOS PAC ID: 4486781655 Enrollment ID: I20170131001119 |
| Provider Name | Rafael J Rolon Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233661 PECOS PAC ID: 1456570738 Enrollment ID: I20170221000837 |
| Provider Name | Braulio Mariano Mejia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396026167 PECOS PAC ID: 4981988946 Enrollment ID: I20170313000361 |
| Provider Name | Kenneth Scope |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982841961 PECOS PAC ID: 1153462353 Enrollment ID: I20170314001068 |
| Provider Name | Elmer J Pacheco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407844921 PECOS PAC ID: 9032006077 Enrollment ID: I20170424000916 |
| Provider Name | Samuel Saad Elias-ausi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639432156 PECOS PAC ID: 5092031377 Enrollment ID: I20170426000514 |
| Provider Name | Stefani Motkar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568817385 PECOS PAC ID: 8527357276 Enrollment ID: I20170426002598 |
| Provider Name | Jessica Teich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750821716 PECOS PAC ID: 5092092999 Enrollment ID: I20170502001520 |
| Provider Name | David E Sanchez Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619285798 PECOS PAC ID: 5991930786 Enrollment ID: I20170504001473 |
| Provider Name | Alia C Sommerville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023429222 PECOS PAC ID: 1951678002 Enrollment ID: I20170522001642 |
| Provider Name | John Ray Blevins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649438730 PECOS PAC ID: 0244354173 Enrollment ID: I20170526001999 |
| Provider Name | John E David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073596235 PECOS PAC ID: 0840180717 Enrollment ID: I20170613000123 |
| Provider Name | Sayed M Husain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780989376 PECOS PAC ID: 7214161603 Enrollment ID: I20170616000419 |
| Provider Name | David Maynoldi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144591249 PECOS PAC ID: 6002136934 Enrollment ID: I20170621000707 |
| Provider Name | Marian A Babalola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083026207 PECOS PAC ID: 9537385406 Enrollment ID: I20170726001969 |
| Provider Name | Abdalagani A Baher |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740206937 PECOS PAC ID: 0042312571 Enrollment ID: I20170809001787 |
| Provider Name | Marjan Rabbani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245650548 PECOS PAC ID: 6002037413 Enrollment ID: I20170815000394 |
| Provider Name | Samreen Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497174486 PECOS PAC ID: 7618249350 Enrollment ID: I20170816000553 |
| Provider Name | Muaz S Osman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992112304 PECOS PAC ID: 2062638075 Enrollment ID: I20170822001423 |
| Provider Name | Jason Oliver Johnson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376833681 PECOS PAC ID: 8628341005 Enrollment ID: I20170906003503 |
| Provider Name | Khine Swe Zin Min |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114210226 PECOS PAC ID: 3375866718 Enrollment ID: I20170918001546 |
| Provider Name | Jaya Buddineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376742312 PECOS PAC ID: 1850442997 Enrollment ID: I20170929001499 |
| Provider Name | Eva Villanueva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063829927 PECOS PAC ID: 2567749476 Enrollment ID: I20171006001687 |
| Provider Name | Antonio M Portilla Cintron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700204005 PECOS PAC ID: 2466673124 Enrollment ID: I20171010003525 |
| Provider Name | Ljubomir Ilic |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750348843 PECOS PAC ID: 7113020439 Enrollment ID: I20171017002332 |
| Provider Name | Casey Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760992317 PECOS PAC ID: 2264799600 Enrollment ID: I20171120002868 |
| Provider Name | Edward Orshansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285054460 PECOS PAC ID: 8820218548 Enrollment ID: I20171120003394 |
| Provider Name | Meenu Marie Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013321611 PECOS PAC ID: 9830318989 Enrollment ID: I20171128000050 |
| Provider Name | Iren Marie Ortiz Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295140846 PECOS PAC ID: 7012274038 Enrollment ID: I20171129003483 |
| Provider Name | Benjamin Solomon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982611729 PECOS PAC ID: 1658361514 Enrollment ID: I20171208001549 |
| Provider Name | Jametria Qwanice Howard-jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487064317 PECOS PAC ID: 7810256435 Enrollment ID: I20180104001968 |
| Provider Name | Rudra Beharrysingh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366726077 PECOS PAC ID: 0749405801 Enrollment ID: I20180129002364 |
| Provider Name | Wendy Phreud Edmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013458561 PECOS PAC ID: 8224398110 Enrollment ID: I20180214002910 |
| Provider Name | Amin Elfituri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568898732 PECOS PAC ID: 5597984039 Enrollment ID: I20180413000862 |
| Provider Name | Gregory Saint-fort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316358419 PECOS PAC ID: 2062776297 Enrollment ID: I20180515003115 |
| Provider Name | Carol L Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518011287 PECOS PAC ID: 4284759176 Enrollment ID: I20180611001093 |
| Provider Name | Jonathan Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386023463 PECOS PAC ID: 1557666302 Enrollment ID: I20180612001255 |
| Provider Name | Maher Homsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538554068 PECOS PAC ID: 8123376399 Enrollment ID: I20180803001053 |
| Provider Name | Abimael Jose Velez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376959742 PECOS PAC ID: 9830457837 Enrollment ID: I20180808000489 |
| Provider Name | Hardik Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760873400 PECOS PAC ID: 8123377728 Enrollment ID: I20180815000802 |
| Provider Name | Harry D Marty Vigo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609201334 PECOS PAC ID: 9335435940 Enrollment ID: I20180905000309 |
| Provider Name | Todd Jon Oswald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992750434 PECOS PAC ID: 8224289210 Enrollment ID: I20180907002239 |
| Provider Name | Joshua Steven Elder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144615725 PECOS PAC ID: 1759695059 Enrollment ID: I20180912000937 |
| Provider Name | Kamal Fadlalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679945380 PECOS PAC ID: 4587915368 Enrollment ID: I20180918000821 |
| Provider Name | Suhair Aldewairey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932428281 PECOS PAC ID: 3577787613 Enrollment ID: I20181009001797 |
| Provider Name | Samsor Y Mateen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407245608 PECOS PAC ID: 9931452851 Enrollment ID: I20181023002062 |
| Provider Name | Salman Farhat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356780274 PECOS PAC ID: 3072755073 Enrollment ID: I20181106002265 |
| Provider Name | Tania N Espinal-krane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447766068 PECOS PAC ID: 4183978802 Enrollment ID: I20181116000381 |
| Provider Name | Sarah Applewhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063990711 PECOS PAC ID: 2668726183 Enrollment ID: I20181119002056 |
| Provider Name | Pranav Wasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659634236 PECOS PAC ID: 8426360553 Enrollment ID: I20181121001683 |
| Provider Name | Danielle C Arriaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740773548 PECOS PAC ID: 8426392853 Enrollment ID: I20181211003513 |
| Provider Name | Robert Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063825511 PECOS PAC ID: 6901177690 Enrollment ID: I20181220001007 |
| Provider Name | Petrenia A Davis-jenkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710143128 PECOS PAC ID: 4486957123 Enrollment ID: I20190110002490 |
| Provider Name | Zoheb Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528453867 PECOS PAC ID: 8325384266 Enrollment ID: I20190114001352 |
| Provider Name | Bahishta Yaqubi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780061036 PECOS PAC ID: 7315283090 Enrollment ID: I20190117000738 |
| Provider Name | Daniyal Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962881896 PECOS PAC ID: 4688964307 Enrollment ID: I20190117001671 |
| Provider Name | Yatzmellie Lorraine Vega Bonet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417242868 PECOS PAC ID: 5193947992 Enrollment ID: I20190117001844 |
| Provider Name | Joseph Ralph Paonessa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720341696 PECOS PAC ID: 5092061291 Enrollment ID: I20190129003694 |
| Provider Name | Rashida Tharpe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255725503 PECOS PAC ID: 4587901236 Enrollment ID: I20190204000717 |
| Provider Name | Nicole Rosenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366950685 PECOS PAC ID: 5496000754 Enrollment ID: I20190208002992 |
| Provider Name | Salman Farsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720460397 PECOS PAC ID: 3274872072 Enrollment ID: I20190221001987 |
| Provider Name | Larry Joseph Manganello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215417068 PECOS PAC ID: 6507105046 Enrollment ID: I20190228001195 |
| Provider Name | Stephanie Lynn Cormier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639691843 PECOS PAC ID: 1759621436 Enrollment ID: I20190315000430 |
| Provider Name | Alia Abida Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699165944 PECOS PAC ID: 1658640180 Enrollment ID: I20190409000749 |
| Provider Name | Jerome Tuitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197366 PECOS PAC ID: 8921393075 Enrollment ID: I20190423000028 |
| Provider Name | Andrea Jean Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346717881 PECOS PAC ID: 5597008664 Enrollment ID: I20190514001228 |
| Provider Name | Chirag R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043497134 PECOS PAC ID: 1557411782 Enrollment ID: I20190607002376 |
| Provider Name | Hollie J Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477034775 PECOS PAC ID: 2668726159 Enrollment ID: I20190613000810 |
| Provider Name | Mohamad Hatahet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215381140 PECOS PAC ID: 2365778131 Enrollment ID: I20190731003633 |
| Provider Name | James Tyler Rigney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285096800 PECOS PAC ID: 2961738661 Enrollment ID: I20190801000845 |
| Provider Name | Anthony Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801451984 PECOS PAC ID: 9234466889 Enrollment ID: I20190806001147 |
| Provider Name | Janey Wong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649673773 PECOS PAC ID: 7113224882 Enrollment ID: I20190812001672 |
| Provider Name | Alex Balmir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093175770 PECOS PAC ID: 9234496258 Enrollment ID: I20190815001549 |
| Provider Name | John Raymond Dahdah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386984003 PECOS PAC ID: 5496059461 Enrollment ID: I20190819002613 |
| Provider Name | Ashish Ramesh Thakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538456124 PECOS PAC ID: 3274758263 Enrollment ID: I20190917003539 |
| Provider Name | Abdulaziz Alburaih |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033340906 PECOS PAC ID: 2567603665 Enrollment ID: I20190924003624 |
| Provider Name | Kelli Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801304357 PECOS PAC ID: 2860722451 Enrollment ID: I20190925000073 |
| Provider Name | Jose Enrique Bird-jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871979732 PECOS PAC ID: 3173854023 Enrollment ID: I20191008002682 |
| Provider Name | Aaron Jaffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922457894 PECOS PAC ID: 2769713056 Enrollment ID: I20191017002549 |
| Provider Name | Alain Anthony Chamoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821544230 PECOS PAC ID: 4082046123 Enrollment ID: I20191112001339 |
| Provider Name | Adam Andrew Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659913531 PECOS PAC ID: 0840623054 Enrollment ID: I20191202001524 |
| Provider Name | Sabine Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831515659 PECOS PAC ID: 9830462159 Enrollment ID: I20191212001158 |
| Provider Name | Renee Bridges Morledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912551664 PECOS PAC ID: 6204269780 Enrollment ID: I20191216000174 |
| Provider Name | Kimberly Mcphearson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396196937 PECOS PAC ID: 9436401767 Enrollment ID: I20191218001809 |
| Provider Name | Alice Pharies Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407490097 PECOS PAC ID: 3072948520 Enrollment ID: I20200110002333 |
| Provider Name | Ashley Jessica Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669017349 PECOS PAC ID: 8527493394 Enrollment ID: I20200124001550 |
| Provider Name | Darlene Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477101590 PECOS PAC ID: 4284602798 Enrollment ID: I20200205002002 |
| Provider Name | Matthew R Lozier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134578370 PECOS PAC ID: 6901155878 Enrollment ID: I20200211000085 |
| Provider Name | Irma I. Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700351053 PECOS PAC ID: 9830528546 Enrollment ID: I20200401000573 |
| Provider Name | Alma Mather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165708 PECOS PAC ID: 7719316322 Enrollment ID: I20200402002185 |
| Provider Name | Venkata Suresh Patthipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649706631 PECOS PAC ID: 6800227430 Enrollment ID: I20200514000122 |
| Provider Name | Janet Marie Goodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114557162 PECOS PAC ID: 0547681009 Enrollment ID: I20200609001626 |
| Provider Name | Matthew Barros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164886735 PECOS PAC ID: 9830461318 Enrollment ID: I20200626002347 |
| Provider Name | Alfonso David Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083097240 PECOS PAC ID: 9638422157 Enrollment ID: I20200701001988 |
| Provider Name | Richard James Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326484429 PECOS PAC ID: 4981993185 Enrollment ID: I20200723000057 |
| Provider Name | Satish V Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417024183 PECOS PAC ID: 1355612466 Enrollment ID: I20200724001332 |
| Provider Name | John Jay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710415021 PECOS PAC ID: 7911323399 Enrollment ID: I20200817000086 |
| Provider Name | Arun Varughese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114456985 PECOS PAC ID: 7810269032 Enrollment ID: I20200819002913 |
| Provider Name | Michael Shodeinde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285166157 PECOS PAC ID: 2769755149 Enrollment ID: I20200825002525 |
| Provider Name | Edgar L Bustamante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669992590 PECOS PAC ID: 7719236264 Enrollment ID: I20200901000199 |
| Provider Name | Nwamaka Onyeozili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972023836 PECOS PAC ID: 2163796103 Enrollment ID: I20200908002565 |
| Provider Name | Sokol Kalaveshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699209882 PECOS PAC ID: 7719318559 Enrollment ID: I20200914002034 |
| Provider Name | Cinthia Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821527599 PECOS PAC ID: 7416206479 Enrollment ID: I20200915001511 |
| Provider Name | Adebola Adesanya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124080288 PECOS PAC ID: 0244331775 Enrollment ID: I20200915001848 |
| Provider Name | Behrouz Ferdosiannajafabadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992183446 PECOS PAC ID: 0547506594 Enrollment ID: I20201019000360 |
| Provider Name | Sebastian U Perez- Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447707245 PECOS PAC ID: 0749539054 Enrollment ID: I20201020001480 |
| Provider Name | Jenna Elizabeth Almond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215400908 PECOS PAC ID: 3173937372 Enrollment ID: I20210129001467 |
| Provider Name | Evangeline Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710544911 PECOS PAC ID: 3779990437 Enrollment ID: I20210324001671 |
| Provider Name | Tysheena Lanee Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427590538 PECOS PAC ID: 8527338581 Enrollment ID: I20210326000227 |
| Provider Name | Bikramjit Malhotra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942243472 PECOS PAC ID: 0648248039 Enrollment ID: I20210331001291 |
| Provider Name | Christopher Izzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053816355 PECOS PAC ID: 9032462346 Enrollment ID: I20210428001440 |
| Provider Name | Abdulrahman Waleed Anwer Baban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134622954 PECOS PAC ID: 7416366356 Enrollment ID: I20210506000346 |
| Provider Name | Prabhdeep Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285131045 PECOS PAC ID: 6305193962 Enrollment ID: I20210713002770 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225428584 PECOS PAC ID: 9436464724 Enrollment ID: I20210722001747 |
| Provider Name | Kenneth Snell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174902233 PECOS PAC ID: 2567883754 Enrollment ID: I20210810004235 |
| Provider Name | Bilal Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225529894 PECOS PAC ID: 8527315233 Enrollment ID: I20210812003912 |
| Provider Name | Jennifer Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710482153 PECOS PAC ID: 4385049428 Enrollment ID: I20210826003406 |
| Provider Name | Abdullah Sarkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558890335 PECOS PAC ID: 4385998442 Enrollment ID: I20210910000521 |
| Provider Name | Elijah Kim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003045097 PECOS PAC ID: 0840500906 Enrollment ID: I20211006000335 |
| Provider Name | Haleem Shahnawaz Abdul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205369048 PECOS PAC ID: 5193113009 Enrollment ID: I20211026002803 |
| Provider Name | Pujan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497286363 PECOS PAC ID: 5698045557 Enrollment ID: I20211111000080 |
| Provider Name | Sinthia Samad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386173185 PECOS PAC ID: 2668721978 Enrollment ID: I20211122002687 |
| Provider Name | Christine Nobi Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568966794 PECOS PAC ID: 9133451610 Enrollment ID: I20211201001184 |
| Provider Name | Jacqueline Elizabeth Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619562147 PECOS PAC ID: 1355731985 Enrollment ID: I20211214000616 |
| Provider Name | Aliaksandr Savitski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053654863 PECOS PAC ID: 1658679170 Enrollment ID: I20211222001984 |
| Provider Name | Hesham Hassaballa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861440893 PECOS PAC ID: 7618915927 Enrollment ID: I20220217002794 |
| Provider Name | Amr Khalifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336700558 PECOS PAC ID: 6800128695 Enrollment ID: I20220419002925 |
| Provider Name | Eric D Micallef |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851821524 PECOS PAC ID: 7719251958 Enrollment ID: I20220706000473 |
| Provider Name | Robert Ondracek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104277557 PECOS PAC ID: 9133456254 Enrollment ID: I20220802000527 |
| Provider Name | Dmitry Aleks Drapach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669487542 PECOS PAC ID: 9032205331 Enrollment ID: I20220830000398 |
| Provider Name | Michael P Friters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205286481 PECOS PAC ID: 7012250798 Enrollment ID: I20220830000561 |
| Provider Name | Mahmoud Khalifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023660198 PECOS PAC ID: 2264817295 Enrollment ID: I20220912002997 |
| Provider Name | Dharti Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609364777 PECOS PAC ID: 5698174878 Enrollment ID: I20220929000427 |
| Provider Name | Alison Daly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588220727 PECOS PAC ID: 7416333794 Enrollment ID: I20221011000736 |
| Provider Name | Lu Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962063206 PECOS PAC ID: 4486020518 Enrollment ID: I20221014001301 |
| Provider Name | Carol Soler Luna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871159178 PECOS PAC ID: 5597131631 Enrollment ID: I20221014001598 |
| Provider Name | Victor Enrique Coba |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477761104 PECOS PAC ID: 2365528874 Enrollment ID: I20221018002773 |
| Provider Name | Pankaj Bansal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811108996 PECOS PAC ID: 0648333047 Enrollment ID: I20230208000904 |
| Provider Name | Muhammad Usman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841813383 PECOS PAC ID: 8729448410 Enrollment ID: I20230725000128 |
| Provider Name | Taylor J Bracco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104445766 PECOS PAC ID: 1759742075 Enrollment ID: I20230803000859 |
| Provider Name | Moazzam Shahzad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932653375 PECOS PAC ID: 6103160361 Enrollment ID: I20230831000557 |
| Provider Name | Anastasia Tambovtseva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417584970 PECOS PAC ID: 1355705419 Enrollment ID: I20230908000915 |
| Provider Name | Marissa M Calzada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093450363 PECOS PAC ID: 1557744224 Enrollment ID: I20230915001834 |
| Provider Name | Vlad Motoc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164462693 PECOS PAC ID: 5496715690 Enrollment ID: I20231003002338 |
| Provider Name | Achint A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154785111 PECOS PAC ID: 1456643519 Enrollment ID: I20231219003902 |
| Provider Name | Krishna Perumareddi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417069626 PECOS PAC ID: 7113050485 Enrollment ID: I20240122000701 |
| Provider Name | Samantha Ann Snowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508329780 PECOS PAC ID: 7719321900 Enrollment ID: I20240215001755 |
| Provider Name | Mohamed Elsayed Elmasry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457856791 PECOS PAC ID: 2668709619 Enrollment ID: I20240311000017 |
| Provider Name | Maxim Fayez Kamal Abu Joudeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003424631 PECOS PAC ID: 8527404698 Enrollment ID: I20240312000216 |
| Provider Name | Laura Suzanne Kapili Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639639214 PECOS PAC ID: 3072840461 Enrollment ID: I20240318002985 |
| Provider Name | Alison J Denzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629601687 PECOS PAC ID: 4486095734 Enrollment ID: I20240516004073 |
| Provider Name | Joan Recher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932575222 PECOS PAC ID: 8426368861 Enrollment ID: I20240529000616 |
Md Transformations Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Cypress Point Pkwy Ste B1, Palm Coast, FL 32164 Phone: 386-283-5668 Fax: 386-283-5670 | |
Medical Specialists Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4869 Palm Coast Pkwy Nw, Suite 2, Palm Coast, FL 32137 Phone: 386-445-2003 | |
Coastal Family Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Hospital Dr, Suite 280, Palm Coast, FL 32164 Phone: 386-437-4711 | |
Coastal Healthcare Partners, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Leanni Way, Suite D1, Palm Coast, FL 32137 Phone: 386-283-5997 Fax: 386-283-5652 | |
Solution 1 Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Utility Dr Ste 2f, Palm Coast, FL 32137 Phone: 386-359-7838 | |
Ardent Family Care Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 84 Pinnacles Dr Ste 200, Palm Coast, FL 32164 Phone: 386-439-9777 Fax: 386-206-0015 | |
Chandler Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Pine Lakes Pkwy N Ste 3, Palm Coast, FL 32137 Phone: 386-264-6036 Fax: 386-264-6037 |