| Sound Physicians Of Indiana, Llc | |
|
7950 W Jefferson Blvd Fort Wayne IN 46804-4140 | |
| (260) 435-7001 | |
| Not Available |
| Full Name | Sound Physicians Of Indiana, Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 7950 W Jefferson Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Melissa Harlan (DIRECTOR) |
| Authorized Official Contact | 6155776340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Physicians Of Indiana, Llc 1498 Pacific Ave Ste 400 Tacoma WA 98402-4208 Ph: (253) 682-1710 | Sound Physicians Of Indiana, Llc 7950 W Jefferson Blvd Fort Wayne IN 46804-4140 Ph: (260) 435-7001 |
| NPI Number | 1528311149 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 03/23/2021 |
| Medicare PECOS PAC ID | 4981841780 |
|---|---|
| Medicare Enrollment ID | O20130515000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528311149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Sirajabid Khatib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396737524 PECOS PAC ID: 0244133692 Enrollment ID: I20040202000060 |
| Provider Name | Husam A Baki |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1316129695 PECOS PAC ID: 3678464989 Enrollment ID: I20040324000428 |
| Provider Name | John Edwin Albrecht |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952414443 PECOS PAC ID: 0042203499 Enrollment ID: I20040403000148 |
| Provider Name | Vuppala V Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174612931 PECOS PAC ID: 2062497381 Enrollment ID: I20040622000045 |
| Provider Name | Dipen V Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093804874 PECOS PAC ID: 5799760021 Enrollment ID: I20040622000057 |
| Provider Name | Koshy Oommen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497844278 PECOS PAC ID: 3375528607 Enrollment ID: I20040622000077 |
| Provider Name | Ashish H Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306842026 PECOS PAC ID: 1254318082 Enrollment ID: I20040630000624 |
| Provider Name | Lori D Duggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457352635 PECOS PAC ID: 8921087172 Enrollment ID: I20040720000479 |
| Provider Name | Garry D Tinnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386649465 PECOS PAC ID: 4385627546 Enrollment ID: I20040721001471 |
| Provider Name | Marvin Roger Mcbride |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730189499 PECOS PAC ID: 4981684685 Enrollment ID: I20040722001293 |
| Provider Name | Rita A Mankus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982623120 PECOS PAC ID: 3375505290 Enrollment ID: I20041102000646 |
| Provider Name | John A Bolinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336138544 PECOS PAC ID: 2264498310 Enrollment ID: I20041209000676 |
| Provider Name | Anupama Mohanram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083679724 PECOS PAC ID: 2062479793 Enrollment ID: I20041214001206 |
| Provider Name | Sheila C Falloon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831166073 PECOS PAC ID: 4486601325 Enrollment ID: I20050603001011 |
| Provider Name | Renu Weiss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841411824 PECOS PAC ID: 8325084551 Enrollment ID: I20050628001168 |
| Provider Name | Lyle E Beard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093777427 PECOS PAC ID: 1951332345 Enrollment ID: I20050829000858 |
| Provider Name | Elizabeth M Lauber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053308551 PECOS PAC ID: 9133023369 Enrollment ID: I20050830000531 |
| Provider Name | Mahmoud Yassin Kassab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144281486 PECOS PAC ID: 6103858774 Enrollment ID: I20050902000532 |
| Provider Name | James Andrew Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245221522 PECOS PAC ID: 5991738536 Enrollment ID: I20050914001167 |
| Provider Name | Clive L Alonzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134190721 PECOS PAC ID: 7012935919 Enrollment ID: I20051109000701 |
| Provider Name | Keke Uzokwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629079488 PECOS PAC ID: 7810955739 Enrollment ID: I20060821000522 |
| Provider Name | Arthur Martin Schroeder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174507503 PECOS PAC ID: 8224035258 Enrollment ID: I20061103000268 |
| Provider Name | Mark J Mcgillem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700877339 PECOS PAC ID: 6002814803 Enrollment ID: I20061109000509 |
| Provider Name | Swapna Joseph |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710938592 PECOS PAC ID: 5597765842 Enrollment ID: I20070110000348 |
| Provider Name | Alexander Mathai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104856608 PECOS PAC ID: 1759483209 Enrollment ID: I20070301000269 |
| Provider Name | Thomas P Varied |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356345797 PECOS PAC ID: 8022112291 Enrollment ID: I20070327000728 |
| Provider Name | James D Pike |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366443400 PECOS PAC ID: 0143126110 Enrollment ID: I20070403000323 |
| Provider Name | Lisa A Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255422366 PECOS PAC ID: 4486648474 Enrollment ID: I20070426000475 |
| Provider Name | Arvindkumar N Jameria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306958285 PECOS PAC ID: 4385646330 Enrollment ID: I20070622000310 |
| Provider Name | Thomandram S Sekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295838464 PECOS PAC ID: 3678667615 Enrollment ID: I20070921000070 |
| Provider Name | Diana L Lackey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942341615 PECOS PAC ID: 6103911441 Enrollment ID: I20071002000688 |
| Provider Name | Jane P Blinzler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104822741 PECOS PAC ID: 3971698010 Enrollment ID: I20071003000778 |
| Provider Name | Abdul Moneim Saad Hasheesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912199654 PECOS PAC ID: 7911094784 Enrollment ID: I20071026000396 |
| Provider Name | Antwan Mardini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982678470 PECOS PAC ID: 7911095054 Enrollment ID: I20071126000686 |
| Provider Name | Ronald Cheek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356458095 PECOS PAC ID: 1557333127 Enrollment ID: I20080218000628 |
| Provider Name | Willette Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205901410 PECOS PAC ID: 4688628183 Enrollment ID: I20080703000542 |
| Provider Name | Joseph Z El Houjairy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932231388 PECOS PAC ID: 9638243264 Enrollment ID: I20080731000065 |
| Provider Name | Jonnelle C Sweetner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598776049 PECOS PAC ID: 2860567500 Enrollment ID: I20080815000004 |
| Provider Name | Zaher A Al Dik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891963344 PECOS PAC ID: 1052488004 Enrollment ID: I20080917000577 |
| Provider Name | Dahan H Al Fadhl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740235183 PECOS PAC ID: 8022186170 Enrollment ID: I20081002000648 |
| Provider Name | Motasem Afyouni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306011606 PECOS PAC ID: 6103994322 Enrollment ID: I20081007000733 |
| Provider Name | Richard J Bobay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881732881 PECOS PAC ID: 6406916238 Enrollment ID: I20081125000071 |
| Provider Name | Jeremy G Remus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467401794 PECOS PAC ID: 9537193602 Enrollment ID: I20081218000162 |
| Provider Name | Hosam N Khayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144271206 PECOS PAC ID: 0042285298 Enrollment ID: I20090108000004 |
| Provider Name | Melanie A Rodewald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750526794 PECOS PAC ID: 0840354403 Enrollment ID: I20090126000541 |
| Provider Name | Khaleelur Rehman Zackariya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306854203 PECOS PAC ID: 3779649207 Enrollment ID: I20090306000358 |
| Provider Name | Preeti N Dembla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346248051 PECOS PAC ID: 5991692675 Enrollment ID: I20090608000115 |
| Provider Name | David K Moore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720029911 PECOS PAC ID: 3173412038 Enrollment ID: I20090610000001 |
| Provider Name | Abdulateef O Aregbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972756245 PECOS PAC ID: 1254482763 Enrollment ID: I20090623000685 |
| Provider Name | Ujor Ude Eko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740446863 PECOS PAC ID: 9537210687 Enrollment ID: I20090630000550 |
| Provider Name | Barbara A Mclean |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215192208 PECOS PAC ID: 1355493925 Enrollment ID: I20090711000011 |
| Provider Name | Anju Varanasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407070162 PECOS PAC ID: 3971603622 Enrollment ID: I20090716000064 |
| Provider Name | Matous Pradny |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255535779 PECOS PAC ID: 9537212899 Enrollment ID: I20090804000254 |
| Provider Name | Laurie J Valera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790941086 PECOS PAC ID: 9234285412 Enrollment ID: I20090914000669 |
| Provider Name | Joel L Nagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619203692 PECOS PAC ID: 3971642810 Enrollment ID: I20091205000073 |
| Provider Name | Mark M Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427048099 PECOS PAC ID: 1153461447 Enrollment ID: I20091217000303 |
| Provider Name | Bradford J Bomba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265437057 PECOS PAC ID: 0143274456 Enrollment ID: I20100424000023 |
| Provider Name | Pamela Kinder Fountain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194955757 PECOS PAC ID: 3173651619 Enrollment ID: I20100504000806 |
| Provider Name | Albert L Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639155534 PECOS PAC ID: 5092737452 Enrollment ID: I20100601000539 |
| Provider Name | Susan E Stutes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144289430 PECOS PAC ID: 7618008095 Enrollment ID: I20100629000319 |
| Provider Name | Haidong Md Bao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578723573 PECOS PAC ID: 4183758287 Enrollment ID: I20100811000415 |
| Provider Name | Niranjan B Thothala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881813335 PECOS PAC ID: 8729271903 Enrollment ID: I20101020000539 |
| Provider Name | Tammy N Durham-boring |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023098639 PECOS PAC ID: 3779764592 Enrollment ID: I20110225000580 |
| Provider Name | Mahnaz A Qazi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275740169 PECOS PAC ID: 1850578378 Enrollment ID: I20110610000191 |
| Provider Name | Assem Sherieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356517395 PECOS PAC ID: 8921285230 Enrollment ID: I20110613000762 |
| Provider Name | Pragneshkumar N Radadiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548421985 PECOS PAC ID: 4880886621 Enrollment ID: I20110620000655 |
| Provider Name | Eric Djenge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437322567 PECOS PAC ID: 8820276538 Enrollment ID: I20110629000035 |
| Provider Name | Usman Y Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124280813 PECOS PAC ID: 8022296466 Enrollment ID: I20110707000136 |
| Provider Name | Eamonn M Keane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750558136 PECOS PAC ID: 7113195462 Enrollment ID: I20110713000047 |
| Provider Name | Khawaja Owais Omar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104077312 PECOS PAC ID: 0042488223 Enrollment ID: I20110713000507 |
| Provider Name | Naomi C Lightburn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104087311 PECOS PAC ID: 2769651207 Enrollment ID: I20110817000893 |
| Provider Name | Kristal Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699063248 PECOS PAC ID: 3971775628 Enrollment ID: I20111003000101 |
| Provider Name | Kimberly Lucaitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164705042 PECOS PAC ID: 0244497394 Enrollment ID: I20120201000781 |
| Provider Name | Brandi Leigh Ann Wash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811263940 PECOS PAC ID: 2961664073 Enrollment ID: I20120508000218 |
| Provider Name | Degesew A Bezza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487961397 PECOS PAC ID: 5991969602 Enrollment ID: I20120608000469 |
| Provider Name | Kiran K Burla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922206127 PECOS PAC ID: 8123283561 Enrollment ID: I20120710000123 |
| Provider Name | Ashraf Sami Abdelhafez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780977751 PECOS PAC ID: 6406012525 Enrollment ID: I20120718000233 |
| Provider Name | Dhanashri D Kohok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568623270 PECOS PAC ID: 8921264516 Enrollment ID: I20120726000154 |
| Provider Name | Kelly Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235498080 PECOS PAC ID: 1254589567 Enrollment ID: I20120911000735 |
| Provider Name | Ramesh C Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649458712 PECOS PAC ID: 9335214709 Enrollment ID: I20121011000794 |
| Provider Name | Jacob Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891957981 PECOS PAC ID: 8628240975 Enrollment ID: I20121017000483 |
| Provider Name | Hope Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801161013 PECOS PAC ID: 9133382062 Enrollment ID: I20121116000330 |
| Provider Name | Muhammad Fs Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336373364 PECOS PAC ID: 2668623869 Enrollment ID: I20121116000375 |
| Provider Name | Frank K Boateng |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609025527 PECOS PAC ID: 7719169713 Enrollment ID: I20121121000375 |
| Provider Name | Thomas Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336363373 PECOS PAC ID: 3577664481 Enrollment ID: I20130216000075 |
| Provider Name | Porscha D Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003153347 PECOS PAC ID: 4486899861 Enrollment ID: I20130408000356 |
| Provider Name | Debra S. Tague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760739130 PECOS PAC ID: 8820235799 Enrollment ID: I20130513000565 |
| Provider Name | Cynthia D Owens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437160512 PECOS PAC ID: 6002704335 Enrollment ID: I20130523000424 |
| Provider Name | Heather D Foxworthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639429103 PECOS PAC ID: 1153569462 Enrollment ID: I20130528000689 |
| Provider Name | Maddalithirumala S Charyalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760626063 PECOS PAC ID: 9830240225 Enrollment ID: I20130530000683 |
| Provider Name | Christopher C Brodkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083651004 PECOS PAC ID: 9739192089 Enrollment ID: I20130611000863 |
| Provider Name | Amie A Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104062124 PECOS PAC ID: 6709941982 Enrollment ID: I20130723000139 |
| Provider Name | Shimoga R Prakash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356485833 PECOS PAC ID: 2860584992 Enrollment ID: I20130829000038 |
| Provider Name | Nickolas R Frechette |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891010294 PECOS PAC ID: 6103069349 Enrollment ID: I20130906000755 |
| Provider Name | Mohamed H Morad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730481870 PECOS PAC ID: 3779723564 Enrollment ID: I20130916000098 |
| Provider Name | Justin B Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235459355 PECOS PAC ID: 3274771464 Enrollment ID: I20130917000018 |
| Provider Name | Jaswanth R Guntakandla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902036577 PECOS PAC ID: 1850563693 Enrollment ID: I20130926000873 |
| Provider Name | Louise M Chaperon Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225393887 PECOS PAC ID: 9537319496 Enrollment ID: I20131001000194 |
| Provider Name | Wendy N Wright Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871932756 PECOS PAC ID: 7315172699 Enrollment ID: I20131022000550 |
| Provider Name | Tony Limbil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356572473 PECOS PAC ID: 1658538145 Enrollment ID: I20131022001595 |
| Provider Name | Veronica O Abegunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740500826 PECOS PAC ID: 5294960357 Enrollment ID: I20131025000337 |
| Provider Name | Amir Ali Emami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295049260 PECOS PAC ID: 2264602515 Enrollment ID: I20131101000599 |
| Provider Name | Shahaab Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669784872 PECOS PAC ID: 1850526336 Enrollment ID: I20131109000440 |
| Provider Name | Donna L Defilippo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073626701 PECOS PAC ID: 6002918232 Enrollment ID: I20131112001203 |
| Provider Name | Grace George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760643167 PECOS PAC ID: 3779750120 Enrollment ID: I20131112001637 |
| Provider Name | Mini Sra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003122003 PECOS PAC ID: 2264668698 Enrollment ID: I20131113001394 |
| Provider Name | Ali Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770833147 PECOS PAC ID: 1850527920 Enrollment ID: I20131119001568 |
| Provider Name | Sameer Zia Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982723227 PECOS PAC ID: 8527128792 Enrollment ID: I20140127000255 |
| Provider Name | Brian F Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366567372 PECOS PAC ID: 6608974860 Enrollment ID: I20140131001246 |
| Provider Name | Rana K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518131085 PECOS PAC ID: 2264629237 Enrollment ID: I20140206000660 |
| Provider Name | Nwabundo I Anusim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144504408 PECOS PAC ID: 6204067119 Enrollment ID: I20140318000881 |
| Provider Name | James Brian Haering |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679664775 PECOS PAC ID: 5597656454 Enrollment ID: I20140331001956 |
| Provider Name | Musa Abdalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548552375 PECOS PAC ID: 5193957520 Enrollment ID: I20140416002392 |
| Provider Name | Carolyn M Whatley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487750022 PECOS PAC ID: 9335030154 Enrollment ID: I20140423001251 |
| Provider Name | Paul N Kuria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710210521 PECOS PAC ID: 0941485999 Enrollment ID: I20140610002418 |
| Provider Name | Ramesh Prajapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245661859 PECOS PAC ID: 7810112372 Enrollment ID: I20140626000411 |
| Provider Name | Steven Bruce Wehmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780874255 PECOS PAC ID: 1759577844 Enrollment ID: I20140630000916 |
| Provider Name | Breil J Schutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972914026 PECOS PAC ID: 6709001605 Enrollment ID: I20140709002192 |
| Provider Name | Thomas G Harralson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851559488 PECOS PAC ID: 8628118874 Enrollment ID: I20140804001767 |
| Provider Name | Augusta Uwah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205065471 PECOS PAC ID: 7618194614 Enrollment ID: I20140815000611 |
| Provider Name | Allen R Dennis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598866790 PECOS PAC ID: 7810928322 Enrollment ID: I20140818000410 |
| Provider Name | Khaled Mohamed Abou El-ezz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174802201 PECOS PAC ID: 0143448639 Enrollment ID: I20140825002272 |
| Provider Name | Chioma Ezeani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134402670 PECOS PAC ID: 7618196478 Enrollment ID: I20140910001564 |
| Provider Name | Casana R Siebert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457572596 PECOS PAC ID: 8325194343 Enrollment ID: I20140918000807 |
| Provider Name | Natalia Allison-bjoerloew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689936890 PECOS PAC ID: 6204086812 Enrollment ID: I20140919000338 |
| Provider Name | Himanshu Ohri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265702278 PECOS PAC ID: 7315166550 Enrollment ID: I20140919001490 |
| Provider Name | Kimberly Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982003687 PECOS PAC ID: 3476773078 Enrollment ID: I20141002001221 |
| Provider Name | Michael Johns |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710208178 PECOS PAC ID: 4284855495 Enrollment ID: I20141031000251 |
| Provider Name | Misty Michelle Woolever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740603810 PECOS PAC ID: 9436370657 Enrollment ID: I20141031000352 |
| Provider Name | Ramesh Adhikari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588001531 PECOS PAC ID: 7113149881 Enrollment ID: I20141113000115 |
| Provider Name | Cameron Gifford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396740874 PECOS PAC ID: 0143318220 Enrollment ID: I20141113000249 |
| Provider Name | Godson Nnamdi Aronu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104114552 PECOS PAC ID: 2062634405 Enrollment ID: I20141119001165 |
| Provider Name | Franklin U Njoku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518252386 PECOS PAC ID: 2668698002 Enrollment ID: I20141126001808 |
| Provider Name | Eric T Scheper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891746251 PECOS PAC ID: 5294623021 Enrollment ID: I20150309002316 |
| Provider Name | Kashif A Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20150316002377 |
| Provider Name | Patricia A Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528197803 PECOS PAC ID: 1951523976 Enrollment ID: I20150320000170 |
| Provider Name | Alexa Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629472840 PECOS PAC ID: 9931426186 Enrollment ID: I20150326001888 |
| Provider Name | Samer Hassna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477889889 PECOS PAC ID: 9234326661 Enrollment ID: I20150422001104 |
| Provider Name | Sangeeta Juloori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508121401 PECOS PAC ID: 7719100916 Enrollment ID: I20150527002848 |
| Provider Name | Arwa A Al-bedour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174810121 PECOS PAC ID: 2769632330 Enrollment ID: I20150608000212 |
| Provider Name | Augustine Nnadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003163932 PECOS PAC ID: 3870814395 Enrollment ID: I20150609000422 |
| Provider Name | Christiane N Mbianda |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255656138 PECOS PAC ID: 3870804123 Enrollment ID: I20150612002065 |
| Provider Name | Ali Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598025496 PECOS PAC ID: 7012229081 Enrollment ID: I20150706000111 |
| Provider Name | Carlos R Garrido |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609133255 PECOS PAC ID: 1052564127 Enrollment ID: I20150727001585 |
| Provider Name | Sharmaine Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053718825 PECOS PAC ID: 5991019804 Enrollment ID: I20150806010200 |
| Provider Name | Bobbi J Mehta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689050726 PECOS PAC ID: 4486968245 Enrollment ID: I20150806012116 |
| Provider Name | Tamara S Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114394426 PECOS PAC ID: 4880902741 Enrollment ID: I20150928000307 |
| Provider Name | Rabeah Rehman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689934689 PECOS PAC ID: 3779891981 Enrollment ID: I20151007001347 |
| Provider Name | Lindsay M Epps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487025904 PECOS PAC ID: 7113236845 Enrollment ID: I20151021000318 |
| Provider Name | Sumayya Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346275666 PECOS PAC ID: 1759301864 Enrollment ID: I20151103000203 |
| Provider Name | Matthew Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427429943 PECOS PAC ID: 8628388691 Enrollment ID: I20151103000772 |
| Provider Name | Ali Hazimeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437413721 PECOS PAC ID: 3375854052 Enrollment ID: I20151120000610 |
| Provider Name | John Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538257803 PECOS PAC ID: 4880584762 Enrollment ID: I20151208002549 |
| Provider Name | Steve Sikorevich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447489125 PECOS PAC ID: 7012158041 Enrollment ID: I20151216001558 |
| Provider Name | Megan R Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952778375 PECOS PAC ID: 6305147851 Enrollment ID: I20151229000695 |
| Provider Name | Shipeng Yu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063772150 PECOS PAC ID: 8325342397 Enrollment ID: I20160211001798 |
| Provider Name | Shaun Madahar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013213776 PECOS PAC ID: 3375777097 Enrollment ID: I20160218001349 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457791113 PECOS PAC ID: 0749585131 Enrollment ID: I20160223001208 |
| Provider Name | Ahmed S. Taleb Abdellah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427498518 PECOS PAC ID: 4082913835 Enrollment ID: I20160428000763 |
| Provider Name | Keith E Mahin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770928608 PECOS PAC ID: 5496076721 Enrollment ID: I20160504000361 |
| Provider Name | Kalyani Vangala |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588696918 PECOS PAC ID: 5991789711 Enrollment ID: I20160505000034 |
| Provider Name | Ricky Bhimani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760822365 PECOS PAC ID: 9335448646 Enrollment ID: I20160506001957 |
| Provider Name | Faysal Massarweh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851759922 PECOS PAC ID: 7517256506 Enrollment ID: I20160513001744 |
| Provider Name | George Hoyek |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255521092 PECOS PAC ID: 9638348543 Enrollment ID: I20160718000565 |
| Provider Name | Gaurav Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316234776 PECOS PAC ID: 9335376987 Enrollment ID: I20160726000811 |
| Provider Name | Soojung J Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083683320 PECOS PAC ID: 1153357371 Enrollment ID: I20160727002509 |
| Provider Name | Saroja Medidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346561669 PECOS PAC ID: 3779722400 Enrollment ID: I20160804000080 |
| Provider Name | Elias Salloum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356698120 PECOS PAC ID: 9032342399 Enrollment ID: I20160804002080 |
| Provider Name | Muhammad H. Hasan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508008517 PECOS PAC ID: 0749338879 Enrollment ID: I20160808000096 |
| Provider Name | Elizabeth R Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558712646 PECOS PAC ID: 1254625387 Enrollment ID: I20160811001477 |
| Provider Name | Karan Mathur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205277811 PECOS PAC ID: 8224330931 Enrollment ID: I20160815002384 |
| Provider Name | Rositsa I Byers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245494574 PECOS PAC ID: 3173690252 Enrollment ID: I20160824000073 |
| Provider Name | Javed S Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649614462 PECOS PAC ID: 2769609957 Enrollment ID: I20160915000090 |
| Provider Name | Sam Valid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912318783 PECOS PAC ID: 1456668185 Enrollment ID: I20161004000048 |
| Provider Name | Abby Emerick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356897383 PECOS PAC ID: 0244518686 Enrollment ID: I20161104002098 |
| Provider Name | Habiba Tariq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861730228 PECOS PAC ID: 2264742790 Enrollment ID: I20161207000225 |
| Provider Name | Stephanie A Didyk-horine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821540444 PECOS PAC ID: 9537449475 Enrollment ID: I20161209001478 |
| Provider Name | Masita Poray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386197770 PECOS PAC ID: 9931480225 Enrollment ID: I20161228001245 |
| Provider Name | Pamela Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538602214 PECOS PAC ID: 4688956642 Enrollment ID: I20170126002594 |
| Provider Name | Ernest Alexander Vera-vazquez |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1689968349 PECOS PAC ID: 2961625561 Enrollment ID: I20170214000270 |
| Provider Name | Lyndsey M Zajac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881131894 PECOS PAC ID: 2961786587 Enrollment ID: I20170228000227 |
| Provider Name | Tigist W Adugna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245659739 PECOS PAC ID: 1355568940 Enrollment ID: I20170316000788 |
| Provider Name | Arpana Neupane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780993568 PECOS PAC ID: 8426285362 Enrollment ID: I20170417000889 |
| Provider Name | Manish Gorasiya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386053825 PECOS PAC ID: 2860703998 Enrollment ID: I20170509001564 |
| Provider Name | George J. Moussally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013261973 PECOS PAC ID: 6507010600 Enrollment ID: I20170519002408 |
| Provider Name | Stacy L Halcomb-brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497293377 PECOS PAC ID: 5092082909 Enrollment ID: I20170525000241 |
| Provider Name | Shahzad Rahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962831438 PECOS PAC ID: 9335448224 Enrollment ID: I20170605001746 |
| Provider Name | Liping Guan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932167236 PECOS PAC ID: 3072594027 Enrollment ID: I20170605001761 |
| Provider Name | Farman Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396150686 PECOS PAC ID: 9335417609 Enrollment ID: I20170612000286 |
| Provider Name | Mohammed M Shaik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508980434 PECOS PAC ID: 7214023514 Enrollment ID: I20170612000408 |
| Provider Name | Bahadur Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912010547 PECOS PAC ID: 3870512270 Enrollment ID: I20170612000500 |
| Provider Name | Srinath Yadlapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740696541 PECOS PAC ID: 2365741550 Enrollment ID: I20170613001209 |
| Provider Name | David A Grunow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306812763 PECOS PAC ID: 8921136821 Enrollment ID: I20170725000239 |
| Provider Name | Brandon Mcintire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912420977 PECOS PAC ID: 9234400615 Enrollment ID: I20170803000138 |
| Provider Name | Deming Mi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275938870 PECOS PAC ID: 5597036715 Enrollment ID: I20170807002564 |
| Provider Name | Tatiana Denega |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124439864 PECOS PAC ID: 5395044317 Enrollment ID: I20170815000491 |
| Provider Name | Anny T Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891115564 PECOS PAC ID: 9739466087 Enrollment ID: I20170828003058 |
| Provider Name | Danielle M Cundiff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568878064 PECOS PAC ID: 7719103175 Enrollment ID: I20170914000246 |
| Provider Name | Brittney Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386174530 PECOS PAC ID: 5294000451 Enrollment ID: I20171013002666 |
| Provider Name | Aaron James Lehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871012732 PECOS PAC ID: 3072889161 Enrollment ID: I20171017002111 |
| Provider Name | Audreen Louis Singson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043575442 PECOS PAC ID: 8628217361 Enrollment ID: I20171018000132 |
| Provider Name | Ranbir Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134531072 PECOS PAC ID: 0143596288 Enrollment ID: I20171018000563 |
| Provider Name | Brandy Trader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255781050 PECOS PAC ID: 1254626963 Enrollment ID: I20171019000648 |
| Provider Name | Magdalena Kotseva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326313370 PECOS PAC ID: 8325369192 Enrollment ID: I20171120002603 |
| Provider Name | Hingwan Yu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861790487 PECOS PAC ID: 3072800366 Enrollment ID: I20171206002317 |
| Provider Name | Rohit Chappidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487911129 PECOS PAC ID: 8022325422 Enrollment ID: I20171220000045 |
| Provider Name | Halyna Prokopiv |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083844542 PECOS PAC ID: 8729242599 Enrollment ID: I20171228001103 |
| Provider Name | Justin Oneese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477693901 PECOS PAC ID: 2365755949 Enrollment ID: I20180201000080 |
| Provider Name | Stephanie A Clouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003314246 PECOS PAC ID: 1658631171 Enrollment ID: I20180201000808 |
| Provider Name | Doris C Okoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396245411 PECOS PAC ID: 7911268685 Enrollment ID: I20180221002299 |
| Provider Name | Kasey J Hollenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760864169 PECOS PAC ID: 8325354152 Enrollment ID: I20180222002191 |
| Provider Name | Bethann M Pradny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376051607 PECOS PAC ID: 4789947755 Enrollment ID: I20180405000247 |
| Provider Name | Karen Zakharian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942575725 PECOS PAC ID: 2860632940 Enrollment ID: I20180405000285 |
| Provider Name | Bobbie Nakole Jellison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023336443 PECOS PAC ID: 1557594264 Enrollment ID: I20180406000585 |
| Provider Name | Christopher D Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962881417 PECOS PAC ID: 3678884087 Enrollment ID: I20180413001969 |
| Provider Name | Timothy Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467949073 PECOS PAC ID: 6204190283 Enrollment ID: I20180426002577 |
| Provider Name | Scott David Hurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326380247 PECOS PAC ID: 4981837689 Enrollment ID: I20180523000520 |
| Provider Name | Tochukwu Nwabunike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821476185 PECOS PAC ID: 3779848601 Enrollment ID: I20180524001830 |
| Provider Name | Angela R Hatfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326427873 PECOS PAC ID: 4082925409 Enrollment ID: I20180619001709 |
| Provider Name | Hussain Shabbir Malbari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306228150 PECOS PAC ID: 0042566432 Enrollment ID: I20180627000386 |
| Provider Name | Samuel Eleanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730575200 PECOS PAC ID: 7517213606 Enrollment ID: I20180703000596 |
| Provider Name | Holly Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164912192 PECOS PAC ID: 1850647439 Enrollment ID: I20180712000913 |
| Provider Name | Julio C Galindo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508144064 PECOS PAC ID: 8820239601 Enrollment ID: I20180712002848 |
| Provider Name | Vaibhav Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538402565 PECOS PAC ID: 6800190695 Enrollment ID: I20180713000951 |
| Provider Name | Yugandhar Kandimalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982840336 PECOS PAC ID: 4981862901 Enrollment ID: I20180719003715 |
| Provider Name | Cody R Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346745619 PECOS PAC ID: 2264789866 Enrollment ID: I20180726002518 |
| Provider Name | Sarah K Shults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245721521 PECOS PAC ID: 2466700869 Enrollment ID: I20180801001361 |
| Provider Name | Najmul Hasan Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558527580 PECOS PAC ID: 1052587250 Enrollment ID: I20180803001546 |
| Provider Name | Tiffini Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093209348 PECOS PAC ID: 1850640400 Enrollment ID: I20180815002773 |
| Provider Name | Anayet Thakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467453936 PECOS PAC ID: 6103983101 Enrollment ID: I20180821000111 |
| Provider Name | Hendy Jean |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063823193 PECOS PAC ID: 7012287758 Enrollment ID: I20180830002739 |
| Provider Name | Ashwin Narayana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245624188 PECOS PAC ID: 4082989207 Enrollment ID: I20180925003675 |
| Provider Name | Patricia L Fick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457639361 PECOS PAC ID: 7911136973 Enrollment ID: I20180928001044 |
| Provider Name | John Sifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154433621 PECOS PAC ID: 5395711980 Enrollment ID: I20181008000822 |
| Provider Name | Nadeem Najam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982669495 PECOS PAC ID: 9032178934 Enrollment ID: I20181012000679 |
| Provider Name | Kelly Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396041679 PECOS PAC ID: 4082859459 Enrollment ID: I20181023000960 |
| Provider Name | Uzochukwu Amadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689961088 PECOS PAC ID: 7012226855 Enrollment ID: I20181026000399 |
| Provider Name | Binod Khatiwada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023365368 PECOS PAC ID: 2567783442 Enrollment ID: I20181031003188 |
| Provider Name | Zubair Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144640822 PECOS PAC ID: 1153693700 Enrollment ID: I20181107000704 |
| Provider Name | Avinish Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245625953 PECOS PAC ID: 1254631344 Enrollment ID: I20181115000054 |
| Provider Name | Nitin Sainani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952745093 PECOS PAC ID: 8123327921 Enrollment ID: I20181116000860 |
| Provider Name | Danny Akl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538576269 PECOS PAC ID: 6002184561 Enrollment ID: I20181121002842 |
| Provider Name | Jorge Capella-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093866808 PECOS PAC ID: 4688932635 Enrollment ID: I20181206000053 |
| Provider Name | Margaret Marie Spolnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134577851 PECOS PAC ID: 0547552127 Enrollment ID: I20181211002920 |
| Provider Name | Peter Y Shi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336569904 PECOS PAC ID: 6901178946 Enrollment ID: I20181212003108 |
| Provider Name | Crystal Trabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912480039 PECOS PAC ID: 8820341340 Enrollment ID: I20190124000627 |
| Provider Name | Chimalum Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982916763 PECOS PAC ID: 3476795410 Enrollment ID: I20190311001327 |
| Provider Name | Anurag Satsangi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881073708 PECOS PAC ID: 9537459870 Enrollment ID: I20190327001824 |
| Provider Name | Clinton Chinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902375215 PECOS PAC ID: 4880934934 Enrollment ID: I20190327002191 |
| Provider Name | Vincent Hinshaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346286671 PECOS PAC ID: 7517928385 Enrollment ID: I20190329000200 |
| Provider Name | Emem Idem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063741221 PECOS PAC ID: 5991957144 Enrollment ID: I20190409000829 |
| Provider Name | Papa Diop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568934271 PECOS PAC ID: 8527300490 Enrollment ID: I20190424000941 |
| Provider Name | Branko Grinfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356436976 PECOS PAC ID: 7012957699 Enrollment ID: I20190430000478 |
| Provider Name | Taarif Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770716680 PECOS PAC ID: 1153579818 Enrollment ID: I20190509001218 |
| Provider Name | Mohammed Nabhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861734469 PECOS PAC ID: 7810289444 Enrollment ID: I20190516000072 |
| Provider Name | Jenee Bhuju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578918108 PECOS PAC ID: 9830432632 Enrollment ID: I20190518000054 |
| Provider Name | Sheeba Anand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003131590 PECOS PAC ID: 0042553711 Enrollment ID: I20190521000744 |
| Provider Name | Sitara Kishore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831551993 PECOS PAC ID: 2668715244 Enrollment ID: I20190522002359 |
| Provider Name | Samreen Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497174486 PECOS PAC ID: 7618249350 Enrollment ID: I20190528000184 |
| Provider Name | Manohar Gajjela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942594106 PECOS PAC ID: 1557582087 Enrollment ID: I20190529000276 |
| Provider Name | Jametria Qwanice Howard-jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487064317 PECOS PAC ID: 7810256435 Enrollment ID: I20190529002377 |
| Provider Name | Phillip Eskander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649650185 PECOS PAC ID: 0648578153 Enrollment ID: I20190531000092 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20190605000275 |
| Provider Name | Shoaib Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275575581 PECOS PAC ID: 6709883325 Enrollment ID: I20190606002723 |
| Provider Name | Sanjay S. Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356505192 PECOS PAC ID: 2163655697 Enrollment ID: I20190621001634 |
| Provider Name | Michael Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518255488 PECOS PAC ID: 7214189604 Enrollment ID: I20190625002279 |
| Provider Name | Shivam P Kalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861781932 PECOS PAC ID: 8325264948 Enrollment ID: I20190626000689 |
| Provider Name | Ella Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20190710002266 |
| Provider Name | Issa Makki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295142131 PECOS PAC ID: 0941426258 Enrollment ID: I20190712000063 |
| Provider Name | George R Fritch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609223296 PECOS PAC ID: 4486945029 Enrollment ID: I20190715003373 |
| Provider Name | Mehrdad Eatesam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437604170 PECOS PAC ID: 6204161094 Enrollment ID: I20190716003496 |
| Provider Name | Jalaram Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366893539 PECOS PAC ID: 9032445697 Enrollment ID: I20190719002538 |
| Provider Name | Tania Jesmine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205299898 PECOS PAC ID: 4587901954 Enrollment ID: I20190724002863 |
| Provider Name | Isra Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659722460 PECOS PAC ID: 9234465352 Enrollment ID: I20190727000378 |
| Provider Name | Sarah K Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750844890 PECOS PAC ID: 0547596314 Enrollment ID: I20190731003626 |
| Provider Name | Amber Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104480235 PECOS PAC ID: 6305173253 Enrollment ID: I20190815000113 |
| Provider Name | Anup Kumar Trikannad Ashwini Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306226147 PECOS PAC ID: 8123305869 Enrollment ID: I20190820002438 |
| Provider Name | Ahmad Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033568316 PECOS PAC ID: 6901197631 Enrollment ID: I20190829001445 |
| Provider Name | Ali Ghasham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881894459 PECOS PAC ID: 9931379864 Enrollment ID: I20190830002625 |
| Provider Name | Muhammad Z Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902257504 PECOS PAC ID: 0749510709 Enrollment ID: I20190918001739 |
| Provider Name | Alex Onyemeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881046753 PECOS PAC ID: 3476848102 Enrollment ID: I20190918002884 |
| Provider Name | Kunal Dakshesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134672959 PECOS PAC ID: 0446580385 Enrollment ID: I20190919001775 |
| Provider Name | Michael W Saad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700870664 PECOS PAC ID: 3173554565 Enrollment ID: I20190925001942 |
| Provider Name | Rahul Ramesh Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477903326 PECOS PAC ID: 9537490610 Enrollment ID: I20191004001252 |
| Provider Name | Tishangi Kumar Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396003257 PECOS PAC ID: 4587962220 Enrollment ID: I20191021001130 |
| Provider Name | Amy Lee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528620044 PECOS PAC ID: 1951633965 Enrollment ID: I20191024000753 |
| Provider Name | Roofan Alsayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477841641 PECOS PAC ID: 6507098530 Enrollment ID: I20191029001245 |
| Provider Name | Adetola A. Otesile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982086161 PECOS PAC ID: 9032470976 Enrollment ID: I20191030003593 |
| Provider Name | Yang Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538573092 PECOS PAC ID: 1557664877 Enrollment ID: I20191104002192 |
| Provider Name | Wajdi N Bader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740622513 PECOS PAC ID: 1355647348 Enrollment ID: I20191108001548 |
| Provider Name | Ricky Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649633173 PECOS PAC ID: 7012254527 Enrollment ID: I20191108002568 |
| Provider Name | Sruthi Vellanki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851742084 PECOS PAC ID: 4284911942 Enrollment ID: I20191202001591 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225428584 PECOS PAC ID: 9436464724 Enrollment ID: I20191203000127 |
| Provider Name | Allan Paul Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578727335 PECOS PAC ID: 3476611260 Enrollment ID: I20191210000244 |
| Provider Name | Jose Angel Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598284820 PECOS PAC ID: 9133553563 Enrollment ID: I20191218001079 |
| Provider Name | Maksim Yuryevich Khayznikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659704963 PECOS PAC ID: 0648565754 Enrollment ID: I20191223002284 |
| Provider Name | Sogol Sara Amjadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730636457 PECOS PAC ID: 2163754466 Enrollment ID: I20191231000740 |
| Provider Name | Christopher Lynn Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366434896 PECOS PAC ID: 8022082759 Enrollment ID: I20200110000744 |
| Provider Name | Daniel M Freed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730157066 PECOS PAC ID: 3779481726 Enrollment ID: I20200110002610 |
| Provider Name | Riad Hassan Al Natour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891059077 PECOS PAC ID: 2365680600 Enrollment ID: I20200116000265 |
| Provider Name | Jeanna Tabrizi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922647205 PECOS PAC ID: 9436585809 Enrollment ID: I20200203001008 |
| Provider Name | Gerald Tomasek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073928149 PECOS PAC ID: 2365711686 Enrollment ID: I20200217002664 |
| Provider Name | Garrick Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487881439 PECOS PAC ID: 9234315409 Enrollment ID: I20200219001518 |
| Provider Name | Matthew Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558891812 PECOS PAC ID: 6608145875 Enrollment ID: I20200220002547 |
| Provider Name | Mandeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730390584 PECOS PAC ID: 2769539923 Enrollment ID: I20200227001476 |
| Provider Name | Stephen A Wursta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861922247 PECOS PAC ID: 6002185485 Enrollment ID: I20200303000649 |
| Provider Name | Michael P Salata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275538670 PECOS PAC ID: 2860444098 Enrollment ID: I20200320001710 |
| Provider Name | Omar Nabil Horani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962897264 PECOS PAC ID: 5294038501 Enrollment ID: I20200320002761 |
| Provider Name | Sandra Tarapasade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326461021 PECOS PAC ID: 9931482452 Enrollment ID: I20200323001334 |
| Provider Name | Brittany Shepherd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831588789 PECOS PAC ID: 0042501637 Enrollment ID: I20200323001599 |
| Provider Name | Pamela Carty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629438007 PECOS PAC ID: 4789981812 Enrollment ID: I20200324001670 |
| Provider Name | Eyad Rawhi El Far |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285084533 PECOS PAC ID: 7214360460 Enrollment ID: I20200411000496 |
| Provider Name | Daniel T Cheriye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225558208 PECOS PAC ID: 3274802459 Enrollment ID: I20200513001213 |
| Provider Name | Robert Koller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043659550 PECOS PAC ID: 4082843545 Enrollment ID: I20200601001173 |
| Provider Name | Joel Kalavelil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801234810 PECOS PAC ID: 3577796457 Enrollment ID: I20200608001102 |
| Provider Name | Benjamin D Lahood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275055709 PECOS PAC ID: 7012288350 Enrollment ID: I20200714002310 |
| Provider Name | Zoubair Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952817900 PECOS PAC ID: 9537582234 Enrollment ID: I20200714002580 |
| Provider Name | Rony Shabou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982131355 PECOS PAC ID: 5193094217 Enrollment ID: I20200804001251 |
| Provider Name | Sarfaraz Nayeem Hyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831620939 PECOS PAC ID: 1254602931 Enrollment ID: I20200810001077 |
| Provider Name | Kimberly M Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033601356 PECOS PAC ID: 3971920455 Enrollment ID: I20200828001446 |
| Provider Name | Mina S Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447783683 PECOS PAC ID: 3173893971 Enrollment ID: I20200831000709 |
| Provider Name | Tajinder Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336673375 PECOS PAC ID: 3577980952 Enrollment ID: I20200831001708 |
| Provider Name | Richard M Clapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316294580 PECOS PAC ID: 9436308236 Enrollment ID: I20200911000853 |
| Provider Name | Brooke Michelle Llewellyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528691433 PECOS PAC ID: 5698193381 Enrollment ID: I20200911002002 |
| Provider Name | Khaled Darwesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265963805 PECOS PAC ID: 0941573745 Enrollment ID: I20200911002044 |
| Provider Name | Barbara Fuessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950123 PECOS PAC ID: 1153611827 Enrollment ID: I20201014000359 |
| Provider Name | Leanna K Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215544952 PECOS PAC ID: 9931510328 Enrollment ID: I20201116000380 |
| Provider Name | Ljubomir Ilic |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750348843 PECOS PAC ID: 7113020439 Enrollment ID: I20201123001280 |
| Provider Name | Roozbeh Razmpour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447614771 PECOS PAC ID: 9830482140 Enrollment ID: I20201215000661 |
| Provider Name | Mhd Nawras Kordi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669620373 PECOS PAC ID: 9335332204 Enrollment ID: I20201215000717 |
| Provider Name | Zin M Than |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922547702 PECOS PAC ID: 8921410069 Enrollment ID: I20201215001940 |
| Provider Name | Sukhman Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043673494 PECOS PAC ID: 7416294798 Enrollment ID: I20201230002857 |
| Provider Name | Deepti Alluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376074955 PECOS PAC ID: 3971876715 Enrollment ID: I20210122000449 |
| Provider Name | Felicia Marie Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386232429 PECOS PAC ID: 1355755752 Enrollment ID: I20210126002360 |
| Provider Name | Brittney Koopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760084057 PECOS PAC ID: 0244644383 Enrollment ID: I20210201000420 |
| Provider Name | Owais Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184911695 PECOS PAC ID: 7810136769 Enrollment ID: I20210209001347 |
| Provider Name | Stephanie Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760855571 PECOS PAC ID: 1557662681 Enrollment ID: I20210212001091 |
| Provider Name | Farhan Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760593693 PECOS PAC ID: 2961502562 Enrollment ID: I20210217001321 |
| Provider Name | Jackie R Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518553403 PECOS PAC ID: 2466861331 Enrollment ID: I20210505000841 |
| Provider Name | Cheryl Ann Chand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124667647 PECOS PAC ID: 3678982154 Enrollment ID: I20210513000973 |
| Provider Name | Gina Marie Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275124919 PECOS PAC ID: 1153720727 Enrollment ID: I20210602000757 |
| Provider Name | Justin Dubreus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104320613 PECOS PAC ID: 5799024477 Enrollment ID: I20210708002215 |
| Provider Name | Peter J Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831194471 PECOS PAC ID: 1355326414 Enrollment ID: I20210708002575 |
| Provider Name | Shannon Renee Mccarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962079525 PECOS PAC ID: 3173925310 Enrollment ID: I20210712001777 |
| Provider Name | Manisha Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316443880 PECOS PAC ID: 3375945314 Enrollment ID: I20210713002105 |
| Provider Name | Venkatasai Boda Eswara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891138830 PECOS PAC ID: 3870892078 Enrollment ID: I20210803001423 |
| Provider Name | Narine Shirvanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558856187 PECOS PAC ID: 4183029952 Enrollment ID: I20210818000754 |
| Provider Name | Aamer Javed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346737491 PECOS PAC ID: 0840546073 Enrollment ID: I20210830002523 |
| Provider Name | Thang Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750884110 PECOS PAC ID: 1254737810 Enrollment ID: I20210907001435 |
| Provider Name | Satara Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104237379 PECOS PAC ID: 1254602071 Enrollment ID: I20211005001945 |
| Provider Name | Avijeet Kumar Dut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912303785 PECOS PAC ID: 8628339850 Enrollment ID: I20211007003299 |
| Provider Name | Mellissa Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295307437 PECOS PAC ID: 4789072885 Enrollment ID: I20211021003027 |
| Provider Name | Baha'a Abdel-fattah Al-azzam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477087369 PECOS PAC ID: 8022440429 Enrollment ID: I20211022000737 |
| Provider Name | Chen Ye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225490261 PECOS PAC ID: 1951694058 Enrollment ID: I20211208001188 |
| Provider Name | Sarah Enlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639838824 PECOS PAC ID: 8527459007 Enrollment ID: I20211216000847 |
| Provider Name | Kirubel Herano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902333743 PECOS PAC ID: 8628340320 Enrollment ID: I20211216000914 |
| Provider Name | Farman Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437520301 PECOS PAC ID: 1951694165 Enrollment ID: I20220301001812 |
| Provider Name | Lincoln Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598411829 PECOS PAC ID: 2466846647 Enrollment ID: I20220304000284 |
| Provider Name | Aaron Daniel Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942973888 PECOS PAC ID: 4082000187 Enrollment ID: I20220329001138 |
| Provider Name | Victoria Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093009748 PECOS PAC ID: 0042530586 Enrollment ID: I20220418000099 |
| Provider Name | Ashley Maureen Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447906755 PECOS PAC ID: 4284012105 Enrollment ID: I20220606002463 |
| Provider Name | Megan C Nonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861027641 PECOS PAC ID: 7911385539 Enrollment ID: I20220609001324 |
| Provider Name | Micahl Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942957535 PECOS PAC ID: 3971982588 Enrollment ID: I20220628000266 |
| Provider Name | Jessica Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487312021 PECOS PAC ID: 6709266612 Enrollment ID: I20220709000701 |
| Provider Name | Carmin M Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306593124 PECOS PAC ID: 6305226085 Enrollment ID: I20220712002521 |
| Provider Name | Ayman Abulawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932551348 PECOS PAC ID: 1850686551 Enrollment ID: I20220726001802 |
| Provider Name | Ali Hajj Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639673759 PECOS PAC ID: 7618232513 Enrollment ID: I20220726002030 |
| Provider Name | Haroon Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295298958 PECOS PAC ID: 4183953755 Enrollment ID: I20220728003200 |
| Provider Name | Glenda Prabu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720719065 PECOS PAC ID: 4587046107 Enrollment ID: I20220728003650 |
| Provider Name | Mallory Anslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386244176 PECOS PAC ID: 4880077957 Enrollment ID: I20220823001423 |
| Provider Name | Sean Hiett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174186480 PECOS PAC ID: 9436487030 Enrollment ID: I20220829001612 |
| Provider Name | Maher Musleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437717485 PECOS PAC ID: 9931431384 Enrollment ID: I20220906002485 |
| Provider Name | Miracris Pagulayan Calilung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891455200 PECOS PAC ID: 4789079997 Enrollment ID: I20220920001317 |
| Provider Name | Nabeel Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104273879 PECOS PAC ID: 3870885759 Enrollment ID: I20220926001984 |
| Provider Name | Sulaiman Mapara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538405998 PECOS PAC ID: 5395999502 Enrollment ID: I20220928001295 |
| Provider Name | Ameen A Masoodi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508429960 PECOS PAC ID: 5496089369 Enrollment ID: I20221004000684 |
| Provider Name | Stephanie Gleason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578026217 PECOS PAC ID: 3870828569 Enrollment ID: I20221006001939 |
| Provider Name | Mohammed Hamandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912563875 PECOS PAC ID: 0446636815 Enrollment ID: I20221008000233 |
| Provider Name | Samantha Blain Sisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295228427 PECOS PAC ID: 4082080643 Enrollment ID: I20221022000037 |
| Provider Name | Harrison Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720704745 PECOS PAC ID: 7214303817 Enrollment ID: I20221024001186 |
| Provider Name | Julian Bayati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538629266 PECOS PAC ID: 6406181239 Enrollment ID: I20221102000924 |
| Provider Name | Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073834693 PECOS PAC ID: 3072755651 Enrollment ID: I20221212001347 |
| Provider Name | Jessica Julie Pietras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417627563 PECOS PAC ID: 9335510445 Enrollment ID: I20230128000283 |
| Provider Name | Joann Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165989 PECOS PAC ID: 3577974674 Enrollment ID: I20230207001352 |
| Provider Name | Renuka Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720374051 PECOS PAC ID: 0840514030 Enrollment ID: I20230214002181 |
| Provider Name | Kenya Hanspard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932170305 PECOS PAC ID: 9739072984 Enrollment ID: I20230223001946 |
| Provider Name | Iren Marie Ortiz Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295140846 PECOS PAC ID: 7012274038 Enrollment ID: I20230224001705 |
| Provider Name | Irene M Nzuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285340455 PECOS PAC ID: 4981077047 Enrollment ID: I20230310001706 |
| Provider Name | Hope Michelle Belden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316644164 PECOS PAC ID: 0244603306 Enrollment ID: I20230310001721 |
| Provider Name | Daisy-scarlett Maccallum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508120924 PECOS PAC ID: 8628205705 Enrollment ID: I20230320001545 |
| Provider Name | Anne Petersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043398613 PECOS PAC ID: 9234264656 Enrollment ID: I20230403000240 |
| Provider Name | Ashleigh Denise Warburton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679274906 PECOS PAC ID: 3072988484 Enrollment ID: I20230417000357 |
| Provider Name | Mary Ellen Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437854643 PECOS PAC ID: 6608231170 Enrollment ID: I20230505001574 |
| Provider Name | Yousuf Baig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881957611 PECOS PAC ID: 2668610304 Enrollment ID: I20230525002237 |
| Provider Name | Nisar Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124124565 PECOS PAC ID: 1658320429 Enrollment ID: I20230607001150 |
| Provider Name | Meenalochani Narayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639213242 PECOS PAC ID: 9537243993 Enrollment ID: I20230921002834 |
| Provider Name | Shannon Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376035105 PECOS PAC ID: 7315279940 Enrollment ID: I20231005002162 |
| Provider Name | Lindsey Faye Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295517316 PECOS PAC ID: 2668828229 Enrollment ID: I20231102001481 |
| Provider Name | Sean Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841729449 PECOS PAC ID: 6305184342 Enrollment ID: I20240416002981 |
| Provider Name | Anant Vinjamoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689088999 PECOS PAC ID: 6406194315 Enrollment ID: I20240419001166 |
| Provider Name | Poyani Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902285141 PECOS PAC ID: 7113271438 Enrollment ID: I20240419002113 |
| Provider Name | Fernando Madero Gorostieta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720219637 PECOS PAC ID: 2365608916 Enrollment ID: I20240508001308 |
| Provider Name | Ifedolapo Sulyman Olanrewaju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033465893 PECOS PAC ID: 2668764077 Enrollment ID: I20240605002687 |
Aptcare In 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11718 Woodstream Ridge Ct, Fort Wayne, IN 46845 Phone: 260-602-9574 | |
Northeast Medical Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077 | |
Anthony Medical Associates P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1330 N Coliseum Blvd, Fort Wayne, IN 46805 Phone: 260-447-8982 Fax: 260-447-4483 | |
Brooklyn Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3534 Brooklyn Ave, Fort Wayne, IN 46809 Phone: 260-747-6171 Fax: 260-478-5125 | |
Community Open Mri Of Auburn Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2428 Lake Ave, Fort Wayne, IN 46805 Phone: 260-422-1491 Fax: 260-423-1421 | |
Ashraf H. Hanna, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4306 Lake Avenue, Fort Wayne, IN 46815 Phone: 260-422-1906 Fax: 260-422-1925 | |
Act 3 Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7309 Trier Rd, Fort Wayne, IN 46815 Phone: 260-515-3275 |