| Southeastern Intensivist Services Pc | |
|
2100 N 7th St West Memphis AR 72301-2017 | |
| (870) 733-3020 | |
| Not Available |
| Full Name | Southeastern Intensivist Services Pc |
|---|---|
| Speciality | Hospitalist |
| Location | 2100 N 7th St, West Memphis, Arkansas |
| Authorized Official Name and Position | Randal L Dabbs (PRESIDENT) |
| Authorized Official Contact | 8656931000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Intensivist Services Pc Po Box 635134 Cincinnati OH 45263-5134 Ph: () - | Southeastern Intensivist Services Pc 2100 N 7th St West Memphis AR 72301-2017 Ph: (870) 733-3020 |
| NPI Number | 1912942665 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 11/28/2018 |
| Medicare PECOS PAC ID | 9335152107 |
|---|---|
| Medicare Enrollment ID | O20190131001122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912942665 | NPI | - | NPPES |
| 3733831 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Sakuntla Kondragunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184695843 PECOS PAC ID: 7517851439 Enrollment ID: I20040211000938 |
| Provider Name | Christine Daley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356514947 PECOS PAC ID: 9931197852 Enrollment ID: I20040430001260 |
| Provider Name | Niraj Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932145422 PECOS PAC ID: 8628069382 Enrollment ID: I20040520001316 |
| Provider Name | Gerard J Weeden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013908748 PECOS PAC ID: 0749261311 Enrollment ID: I20040528000445 |
| Provider Name | Nikunj D Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114918638 PECOS PAC ID: 0345227617 Enrollment ID: I20040706000087 |
| Provider Name | Michael Perini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841238045 PECOS PAC ID: 0345227435 Enrollment ID: I20040707000286 |
| Provider Name | Abdul L Amir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255315081 PECOS PAC ID: 1557349313 Enrollment ID: I20040709000274 |
| Provider Name | Kavitha Krottapalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134118144 PECOS PAC ID: 6103891221 Enrollment ID: I20040831001452 |
| Provider Name | Yemisrach Mulugeta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770675829 PECOS PAC ID: 5496720344 Enrollment ID: I20040901001482 |
| Provider Name | Nsekenene Kolongo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487685301 PECOS PAC ID: 0941277263 Enrollment ID: I20040915000436 |
| Provider Name | Farida M Izzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578630653 PECOS PAC ID: 6305806787 Enrollment ID: I20041012000500 |
| Provider Name | Sumac D Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225094253 PECOS PAC ID: 9638132483 Enrollment ID: I20041117000203 |
| Provider Name | Philip H Rizk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063497733 PECOS PAC ID: 5597715847 Enrollment ID: I20050125000764 |
| Provider Name | Evelyn M Parish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962573386 PECOS PAC ID: 1355399627 Enrollment ID: I20050207000291 |
| Provider Name | Annabel L Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033134499 PECOS PAC ID: 9830142876 Enrollment ID: I20050302000064 |
| Provider Name | Salman F Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528046026 PECOS PAC ID: 2769420801 Enrollment ID: I20050420000310 |
| Provider Name | Padmalatha Dharanikota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922099720 PECOS PAC ID: 6709821333 Enrollment ID: I20050624000010 |
| Provider Name | Thomas Ballou Pearsall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154355824 PECOS PAC ID: 3971549577 Enrollment ID: I20050706000106 |
| Provider Name | Marna T Lewis Prince |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750325049 PECOS PAC ID: 3476582776 Enrollment ID: I20050808000219 |
| Provider Name | Sridhar Madhunapantula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003821844 PECOS PAC ID: 3577597582 Enrollment ID: I20050920000536 |
| Provider Name | Mohamad El Masri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598756298 PECOS PAC ID: 4284668864 Enrollment ID: I20050922000954 |
| Provider Name | Anand Aravindakshakurup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356435663 PECOS PAC ID: 1951336601 Enrollment ID: I20051031000853 |
| Provider Name | Leo F Kenzakowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457342255 PECOS PAC ID: 9335167006 Enrollment ID: I20051110000904 |
| Provider Name | Shaun A Spadafora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497732143 PECOS PAC ID: 4587684808 Enrollment ID: I20051201000636 |
| Provider Name | Sami Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760416929 PECOS PAC ID: 2567485352 Enrollment ID: I20060106000683 |
| Provider Name | Muhammad Ishtiaq Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932190451 PECOS PAC ID: 6608899323 Enrollment ID: I20060109000950 |
| Provider Name | Stewart W Jennings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508809013 PECOS PAC ID: 5890798052 Enrollment ID: I20060809000262 |
| Provider Name | Michele A Irons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366402141 PECOS PAC ID: 0345246682 Enrollment ID: I20061010000761 |
| Provider Name | Brahim Elouardighi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598741191 PECOS PAC ID: 3678503869 Enrollment ID: I20061012000419 |
| Provider Name | Srinivasa C Bokkisam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336158096 PECOS PAC ID: 9537173026 Enrollment ID: I20061130000087 |
| Provider Name | Ruksana Jabeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376653600 PECOS PAC ID: 7810987823 Enrollment ID: I20061201000528 |
| Provider Name | Mathew Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750393930 PECOS PAC ID: 0648287094 Enrollment ID: I20061204000047 |
| Provider Name | Hitesh Kesha Vbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174571541 PECOS PAC ID: 2365547312 Enrollment ID: I20070419000247 |
| Provider Name | Syed N Ishaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588697668 PECOS PAC ID: 9133124175 Enrollment ID: I20070508000693 |
| Provider Name | Stephen Carter Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043263478 PECOS PAC ID: 1850391749 Enrollment ID: I20070511000341 |
| Provider Name | Edward Senu-oke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316990864 PECOS PAC ID: 1951317080 Enrollment ID: I20070911000421 |
| Provider Name | Tokzhan K Clay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164630299 PECOS PAC ID: 1658465265 Enrollment ID: I20070913000256 |
| Provider Name | Faizur Rahman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992724520 PECOS PAC ID: 6204850977 Enrollment ID: I20071012000418 |
| Provider Name | Danny Theia Kumar Avula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083823496 PECOS PAC ID: 1153402177 Enrollment ID: I20080116000373 |
| Provider Name | Mark W Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407060437 PECOS PAC ID: 2264515600 Enrollment ID: I20080208000257 |
| Provider Name | Eugene Chung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821164435 PECOS PAC ID: 2466535406 Enrollment ID: I20080213000620 |
| Provider Name | Sheron T Wyatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245422351 PECOS PAC ID: 0345323283 Enrollment ID: I20080214000576 |
| Provider Name | Ali Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871772756 PECOS PAC ID: 2769566264 Enrollment ID: I20080222000020 |
| Provider Name | Hammad Qureshy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689749368 PECOS PAC ID: 8123073780 Enrollment ID: I20080325000111 |
| Provider Name | Howis Yvette Aros |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033126156 PECOS PAC ID: 8628071214 Enrollment ID: I20080408000197 |
| Provider Name | Vishwas Jitendrabahai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174793335 PECOS PAC ID: 0143392803 Enrollment ID: I20080712000108 |
| Provider Name | Jacqueline L Laraway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093749343 PECOS PAC ID: 0143224238 Enrollment ID: I20080721000645 |
| Provider Name | Gauri Aggarwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356471114 PECOS PAC ID: 8123047750 Enrollment ID: I20080822000308 |
| Provider Name | Tahir H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942250378 PECOS PAC ID: 7517980345 Enrollment ID: I20080911000335 |
| Provider Name | Tae S Chung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417942566 PECOS PAC ID: 4880695212 Enrollment ID: I20081008000455 |
| Provider Name | Melvin L Pegram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083773089 PECOS PAC ID: 2264590132 Enrollment ID: I20081021000655 |
| Provider Name | Sujatha G Ramamurthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053525659 PECOS PAC ID: 5991863888 Enrollment ID: I20081021000842 |
| Provider Name | Kyong Un Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023225059 PECOS PAC ID: 6002975224 Enrollment ID: I20081103000592 |
| Provider Name | Anitha Subbanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851550453 PECOS PAC ID: 9234298829 Enrollment ID: I20081125000699 |
| Provider Name | Christine Cook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275665531 PECOS PAC ID: 7618040890 Enrollment ID: I20081126000501 |
| Provider Name | Ilona Ewa Kalka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669551263 PECOS PAC ID: 8426151622 Enrollment ID: I20090128000044 |
| Provider Name | Reena Manikkara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841408580 PECOS PAC ID: 6507920873 Enrollment ID: I20090131000050 |
| Provider Name | Brian William Hanrahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093920449 PECOS PAC ID: 3375609159 Enrollment ID: I20090303000189 |
| Provider Name | Asif Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205908324 PECOS PAC ID: 4688778400 Enrollment ID: I20090312000338 |
| Provider Name | Philip Cogan Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144216078 PECOS PAC ID: 8527079201 Enrollment ID: I20090312000505 |
| Provider Name | Khin K Thein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558564161 PECOS PAC ID: 2961553870 Enrollment ID: I20090706000109 |
| Provider Name | Abdelghaffar M Elobeid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922267582 PECOS PAC ID: 5991854580 Enrollment ID: I20091002000341 |
| Provider Name | Samreen Hameed Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801054333 PECOS PAC ID: 5991841645 Enrollment ID: I20091009000209 |
| Provider Name | Mesele Alemu Gebreyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114150067 PECOS PAC ID: 2062559206 Enrollment ID: I20091021000353 |
| Provider Name | John K Ampomah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275685166 PECOS PAC ID: 9537268297 Enrollment ID: I20100210000593 |
| Provider Name | Sok Yi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285655423 PECOS PAC ID: 3173689536 Enrollment ID: I20100223000893 |
| Provider Name | Alemayehu B Beze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124353859 PECOS PAC ID: 0042354201 Enrollment ID: I20100225000683 |
| Provider Name | Yogesh Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245498153 PECOS PAC ID: 8426184359 Enrollment ID: I20100330001347 |
| Provider Name | Fletcher Garrett Matthews |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437157633 PECOS PAC ID: 6901968734 Enrollment ID: I20100429000157 |
| Provider Name | Mark Mandichak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386849644 PECOS PAC ID: 9537292511 Enrollment ID: I20100727000906 |
| Provider Name | Brett L Montgomery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205033636 PECOS PAC ID: 1850425661 Enrollment ID: I20100816000807 |
| Provider Name | Carissa Dear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609195338 PECOS PAC ID: 0345364683 Enrollment ID: I20100824000499 |
| Provider Name | Diego F Martinez Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063483188 PECOS PAC ID: 4183726854 Enrollment ID: I20101102001018 |
| Provider Name | Jeffrey R Abrams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598768400 PECOS PAC ID: 9830384148 Enrollment ID: I20101112000218 |
| Provider Name | Fariah Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568774347 PECOS PAC ID: 5991993032 Enrollment ID: I20101216000327 |
| Provider Name | Vito A Capotorto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437163326 PECOS PAC ID: 2264573260 Enrollment ID: I20101221001210 |
| Provider Name | Thelma Ayensu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881883882 PECOS PAC ID: 7012102098 Enrollment ID: I20110216000561 |
| Provider Name | Ramesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083894604 PECOS PAC ID: 2365574837 Enrollment ID: I20110228000118 |
| Provider Name | Katie Del Pierro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487613410 PECOS PAC ID: 6103833751 Enrollment ID: I20110314000565 |
| Provider Name | Sally Ann Tracy Mcintosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003915851 PECOS PAC ID: 5193887214 Enrollment ID: I20110415000517 |
| Provider Name | Raziuddin Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568626166 PECOS PAC ID: 3375728496 Enrollment ID: I20110504000535 |
| Provider Name | Muhammad I Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629230073 PECOS PAC ID: 4880727221 Enrollment ID: I20110504000862 |
| Provider Name | Nurudeen S Lawani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689837700 PECOS PAC ID: 0042340002 Enrollment ID: I20110524000461 |
| Provider Name | Robert C Cajes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073776027 PECOS PAC ID: 2264619212 Enrollment ID: I20110531000756 |
| Provider Name | Jonathan C Blum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497915235 PECOS PAC ID: 6608053038 Enrollment ID: I20110610000440 |
| Provider Name | Mahmud Uzzaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578726014 PECOS PAC ID: 3476722737 Enrollment ID: I20110803000553 |
| Provider Name | Pauravi Harkisandas Sanghadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609946201 PECOS PAC ID: 0446357214 Enrollment ID: I20110804000511 |
| Provider Name | Punit Goel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073761565 PECOS PAC ID: 8426228966 Enrollment ID: I20110819000217 |
| Provider Name | Bogdan G Paraschiv |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790080786 PECOS PAC ID: 1759551336 Enrollment ID: I20110909002668 |
| Provider Name | Randy L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396047486 PECOS PAC ID: 2567633183 Enrollment ID: I20110912000308 |
| Provider Name | Ifiok Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427288174 PECOS PAC ID: 1153590682 Enrollment ID: I20110919000639 |
| Provider Name | Sasan Makipour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144540139 PECOS PAC ID: 5193996288 Enrollment ID: I20110921000568 |
| Provider Name | Dmitri Gagarin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114109089 PECOS PAC ID: 6608058672 Enrollment ID: I20111010000393 |
| Provider Name | Gabriella T Joffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992999874 PECOS PAC ID: 8820168917 Enrollment ID: I20111027000796 |
| Provider Name | Monica Amona Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20111110000578 |
| Provider Name | Shruthi M Chandrashekhar Vijayalakshmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497069702 PECOS PAC ID: 0042485914 Enrollment ID: I20111206000069 |
| Provider Name | Mohini Pandiri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699848945 PECOS PAC ID: 9830190313 Enrollment ID: I20120201000099 |
| Provider Name | Sabrina C Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609175116 PECOS PAC ID: 8729246731 Enrollment ID: I20120222000599 |
| Provider Name | Kurwa Nyigu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417925272 PECOS PAC ID: 7416928650 Enrollment ID: I20120225000178 |
| Provider Name | Angela P Blackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396029187 PECOS PAC ID: 3678731395 Enrollment ID: I20120225000182 |
| Provider Name | Saheed Ojo-oniyun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649333071 PECOS PAC ID: 1355433343 Enrollment ID: I20120514000441 |
| Provider Name | Emily B Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689801672 PECOS PAC ID: 6507029675 Enrollment ID: I20120530000276 |
| Provider Name | Iman Mohamoud Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932406816 PECOS PAC ID: 0143476218 Enrollment ID: I20120804000146 |
| Provider Name | Galen Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831352582 PECOS PAC ID: 6305016049 Enrollment ID: I20120910000901 |
| Provider Name | Muhammad Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710142245 PECOS PAC ID: 8224197710 Enrollment ID: I20120918000816 |
| Provider Name | Fatmeh Diab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942437249 PECOS PAC ID: 4284882978 Enrollment ID: I20120921000661 |
| Provider Name | Christy Fagg Medeus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669637682 PECOS PAC ID: 3971753187 Enrollment ID: I20121024000852 |
| Provider Name | Natalie Rae Mozingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518222884 PECOS PAC ID: 7113178385 Enrollment ID: I20121115000611 |
| Provider Name | Arielle M Tusing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730444324 PECOS PAC ID: 9931350139 Enrollment ID: I20121116000371 |
| Provider Name | Emem Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063741221 PECOS PAC ID: 5991957144 Enrollment ID: I20121214000276 |
| Provider Name | Margaret Olubunmi Daramola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114126117 PECOS PAC ID: 4789729278 Enrollment ID: I20130122000388 |
| Provider Name | Faullin Marshall Paletsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548383086 PECOS PAC ID: 9133160740 Enrollment ID: I20130221000313 |
| Provider Name | Kasey S Mcfarling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780925008 PECOS PAC ID: 4789820002 Enrollment ID: I20130515000426 |
| Provider Name | Aaron T Jagelski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548261357 PECOS PAC ID: 8527045764 Enrollment ID: I20130610000503 |
| Provider Name | Erica Green Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174841894 PECOS PAC ID: 2769624147 Enrollment ID: I20130814000630 |
| Provider Name | Om Samantray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477877439 PECOS PAC ID: 6901048156 Enrollment ID: I20130816000866 |
| Provider Name | Johnson Pereira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396064341 PECOS PAC ID: 6103078670 Enrollment ID: I20130823001280 |
| Provider Name | Jason Anthony Leone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518301050 PECOS PAC ID: 0143463976 Enrollment ID: I20130827000432 |
| Provider Name | Babar Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336377613 PECOS PAC ID: 5799928529 Enrollment ID: I20130827000541 |
| Provider Name | Asmeret G Girma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861703738 PECOS PAC ID: 0648413070 Enrollment ID: I20130903000815 |
| Provider Name | Kimberly Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932429099 PECOS PAC ID: 0446407183 Enrollment ID: I20130918000167 |
| Provider Name | Franz Albert Obusan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295054930 PECOS PAC ID: 0648404947 Enrollment ID: I20130927000341 |
| Provider Name | Christa Marie Thornberry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093798357 PECOS PAC ID: 1153555347 Enrollment ID: I20131001000124 |
| Provider Name | Timothy M Amato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518309285 PECOS PAC ID: 6204060270 Enrollment ID: I20131004000452 |
| Provider Name | Elie Khouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558324442 PECOS PAC ID: 0547336968 Enrollment ID: I20131023002219 |
| Provider Name | Ashish C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043521800 PECOS PAC ID: 2365677226 Enrollment ID: I20131030001106 |
| Provider Name | Sam C Rodd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134138548 PECOS PAC ID: 0446485320 Enrollment ID: I20131030001886 |
| Provider Name | Jenny So |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760788731 PECOS PAC ID: 9739315995 Enrollment ID: I20131115001734 |
| Provider Name | Adeola O Adeyeye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649432048 PECOS PAC ID: 7618149584 Enrollment ID: I20131125000511 |
| Provider Name | Laura Kharsa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598993552 PECOS PAC ID: 3870729775 Enrollment ID: I20131125000924 |
| Provider Name | Nana Yaw A Darkwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770607376 PECOS PAC ID: 0648354886 Enrollment ID: I20131226000741 |
| Provider Name | Rashmi Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285943720 PECOS PAC ID: 8527255777 Enrollment ID: I20140102001539 |
| Provider Name | Olatokunbo O Elemide |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609187848 PECOS PAC ID: 4981832789 Enrollment ID: I20140123001297 |
| Provider Name | Nadine Vidor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477747962 PECOS PAC ID: 4486883386 Enrollment ID: I20140218000687 |
| Provider Name | Dalia Saha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033311204 PECOS PAC ID: 9830344043 Enrollment ID: I20140225001642 |
| Provider Name | Saeed M Jadali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245526847 PECOS PAC ID: 2466683487 Enrollment ID: I20140314001401 |
| Provider Name | Madhavi Katukuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508175308 PECOS PAC ID: 6103057179 Enrollment ID: I20140317001046 |
| Provider Name | Margaret H Congdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477831659 PECOS PAC ID: 3072745116 Enrollment ID: I20140403002301 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20140410000021 |
| Provider Name | Noli Mayumi Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669894895 PECOS PAC ID: 5496987091 Enrollment ID: I20140414001632 |
| Provider Name | Sridevi Mannem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396066346 PECOS PAC ID: 7517190390 Enrollment ID: I20140501000699 |
| Provider Name | Amy M Scheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538477674 PECOS PAC ID: 9638341142 Enrollment ID: I20140607000011 |
| Provider Name | Lisa Mea Ashe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033364708 PECOS PAC ID: 3274790217 Enrollment ID: I20140613001188 |
| Provider Name | Stephen M Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205127859 PECOS PAC ID: 4981845948 Enrollment ID: I20140623000605 |
| Provider Name | Rudra Beharrysingh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366726077 PECOS PAC ID: 0749405801 Enrollment ID: I20140702002689 |
| Provider Name | Gamal Samir Gobraeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578988374 PECOS PAC ID: 9234357443 Enrollment ID: I20140902000152 |
| Provider Name | Linden E Foos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790078236 PECOS PAC ID: 4385885342 Enrollment ID: I20140916000194 |
| Provider Name | Lisa Stenabaugh Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154737153 PECOS PAC ID: 5193944577 Enrollment ID: I20140917000935 |
| Provider Name | Guita Ghadiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053304311 PECOS PAC ID: 6305873852 Enrollment ID: I20141009000990 |
| Provider Name | Yohannes Tilahun Mengistu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912292525 PECOS PAC ID: 0941522718 Enrollment ID: I20141205000341 |
| Provider Name | Nelson Enor Airewele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740546944 PECOS PAC ID: 8022331479 Enrollment ID: I20141216001818 |
| Provider Name | Tewodros B Teferra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700170552 PECOS PAC ID: 2668693060 Enrollment ID: I20141222002482 |
| Provider Name | Prashanta B Kolluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629353115 PECOS PAC ID: 7618291030 Enrollment ID: I20150113001279 |
| Provider Name | Yalemwork Yigzaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649677394 PECOS PAC ID: 9931423605 Enrollment ID: I20150129000454 |
| Provider Name | Dharmesh Ravjibhai Sanghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780977728 PECOS PAC ID: 0345565628 Enrollment ID: I20150207000457 |
| Provider Name | Betsy M Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497913651 PECOS PAC ID: 0345396453 Enrollment ID: I20150302001964 |
| Provider Name | Barryton Decruse Waanbah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962790808 PECOS PAC ID: 9739302779 Enrollment ID: I20150309000249 |
| Provider Name | Sushma Parvathi Banda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710154208 PECOS PAC ID: 0840451597 Enrollment ID: I20150330001884 |
| Provider Name | Margaret Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639575186 PECOS PAC ID: 3779800701 Enrollment ID: I20150331002029 |
| Provider Name | Don S Nicolas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417110370 PECOS PAC ID: 5294908877 Enrollment ID: I20150428000446 |
| Provider Name | Richard A Kolb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790045144 PECOS PAC ID: 3476700121 Enrollment ID: I20150609002450 |
| Provider Name | Nancy Fajardo Altamirano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932159159 PECOS PAC ID: 0143532499 Enrollment ID: I20150630000859 |
| Provider Name | Molly A Meek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376924332 PECOS PAC ID: 3870806813 Enrollment ID: I20150807014329 |
| Provider Name | Ali Al-saadoon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316209067 PECOS PAC ID: 3678714946 Enrollment ID: I20150813012282 |
| Provider Name | Morgan M Cheatham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346532264 PECOS PAC ID: 9830330349 Enrollment ID: I20150817000113 |
| Provider Name | Leticia Estela Helleby-hardy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528268851 PECOS PAC ID: 0941365498 Enrollment ID: I20150819006692 |
| Provider Name | Ardalan Enkeshafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003000126 PECOS PAC ID: 7517003643 Enrollment ID: I20150824000105 |
| Provider Name | Erica A Waddle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730526393 PECOS PAC ID: 1850533563 Enrollment ID: I20150917002836 |
| Provider Name | Bubu Banini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427320985 PECOS PAC ID: 9032343165 Enrollment ID: I20150918002764 |
| Provider Name | Desiree Marie Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861874596 PECOS PAC ID: 5496063497 Enrollment ID: I20150924001034 |
| Provider Name | Peter Okechukwu Nwafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477737740 PECOS PAC ID: 6406930056 Enrollment ID: I20151020000296 |
| Provider Name | Lori A Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124497037 PECOS PAC ID: 3173823986 Enrollment ID: I20151201001358 |
| Provider Name | Maryann Cheryl Partridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104297118 PECOS PAC ID: 5193026904 Enrollment ID: I20151221002601 |
| Provider Name | Shubhada Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194072090 PECOS PAC ID: 5496907305 Enrollment ID: I20160112003058 |
| Provider Name | Joseph P Vehouc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641465 PECOS PAC ID: 6901108505 Enrollment ID: I20160113000744 |
| Provider Name | Syed S Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477596104 PECOS PAC ID: 6709819832 Enrollment ID: I20160113001191 |
| Provider Name | Gracia W Smarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740321488 PECOS PAC ID: 4082504493 Enrollment ID: I20160126002171 |
| Provider Name | Rizwan A Kundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861757387 PECOS PAC ID: 3274753025 Enrollment ID: I20160127001530 |
| Provider Name | Keiko Hara Kuykendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346621976 PECOS PAC ID: 9739492513 Enrollment ID: I20160229002848 |
| Provider Name | Azhar M Shamas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720109994 PECOS PAC ID: 1658448691 Enrollment ID: I20160309000489 |
| Provider Name | Joyce N Ndubueze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740649169 PECOS PAC ID: 2062719586 Enrollment ID: I20160329001543 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20160516001507 |
| Provider Name | Omar S Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811263411 PECOS PAC ID: 7911159710 Enrollment ID: I20160516002187 |
| Provider Name | Mounika Tummala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437462413 PECOS PAC ID: 3072741636 Enrollment ID: I20160616001027 |
| Provider Name | Christian W Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073998498 PECOS PAC ID: 9436459815 Enrollment ID: I20160624001706 |
| Provider Name | Yinghao L Riffee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922361864 PECOS PAC ID: 9739328048 Enrollment ID: I20160714001307 |
| Provider Name | Bader Abu Ghalyoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740492214 PECOS PAC ID: 9830284165 Enrollment ID: I20160715002049 |
| Provider Name | Amish B Shah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598737389 PECOS PAC ID: 7719875103 Enrollment ID: I20160718000101 |
| Provider Name | Emily D Hodnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245675032 PECOS PAC ID: 5395961809 Enrollment ID: I20160720002227 |
| Provider Name | Furhan Rashid Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306194667 PECOS PAC ID: 7113233610 Enrollment ID: I20160805002349 |
| Provider Name | Nagesh Gollahalli Shivaramaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962715425 PECOS PAC ID: 3971731670 Enrollment ID: I20160914000324 |
| Provider Name | Kiran Tariq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528296779 PECOS PAC ID: 9133432982 Enrollment ID: I20160919001511 |
| Provider Name | Jafer Abidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356784102 PECOS PAC ID: 3072743400 Enrollment ID: I20160927003041 |
| Provider Name | Benedict Sales |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598931602 PECOS PAC ID: 5193996254 Enrollment ID: I20161006000009 |
| Provider Name | Uyen V Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124360995 PECOS PAC ID: 4789972530 Enrollment ID: I20161011000188 |
| Provider Name | Tara Lynn Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982158085 PECOS PAC ID: 5496043804 Enrollment ID: I20161017002716 |
| Provider Name | Aimee Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730566795 PECOS PAC ID: 6002194859 Enrollment ID: I20161028001185 |
| Provider Name | Maha Y Ghosn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700080470 PECOS PAC ID: 3476646290 Enrollment ID: I20161110000776 |
| Provider Name | Ruchi Bhargava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972050656 PECOS PAC ID: 3971883331 Enrollment ID: I20161201001149 |
| Provider Name | Amanda N Schlak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710325238 PECOS PAC ID: 5991947806 Enrollment ID: I20161208001591 |
| Provider Name | Abdul M Oseini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063617611 PECOS PAC ID: 7012090160 Enrollment ID: I20161216001634 |
| Provider Name | Oluwaseyi O Ajayi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871741108 PECOS PAC ID: 6002076619 Enrollment ID: I20161221000775 |
| Provider Name | Theodros H Gebremeskel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215367008 PECOS PAC ID: 6305127440 Enrollment ID: I20170103000763 |
| Provider Name | Victoria H Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528519451 PECOS PAC ID: 5395026447 Enrollment ID: I20170103001160 |
| Provider Name | Vanessa P Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902348121 PECOS PAC ID: 3971885096 Enrollment ID: I20170126000137 |
| Provider Name | Edwan T Kibot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508213398 PECOS PAC ID: 6608159363 Enrollment ID: I20170203001785 |
| Provider Name | Mohammed S Nabie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659661981 PECOS PAC ID: 9436334794 Enrollment ID: I20170330000322 |
| Provider Name | Zainab Shamma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164455101 PECOS PAC ID: 3678609948 Enrollment ID: I20170504001481 |
| Provider Name | Shiba Khorsandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710122940 PECOS PAC ID: 0042483349 Enrollment ID: I20170516000463 |
| Provider Name | Michele L Lattimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568904399 PECOS PAC ID: 6507133592 Enrollment ID: I20170523000778 |
| Provider Name | Christine Mary Lenore Curran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083834774 PECOS PAC ID: 8921160011 Enrollment ID: I20170621001990 |
| Provider Name | Vincent Nardone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720490683 PECOS PAC ID: 0143449090 Enrollment ID: I20170621003118 |
| Provider Name | Matthew H Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922331107 PECOS PAC ID: 4486976826 Enrollment ID: I20170712002268 |
| Provider Name | Jonathan T Schaaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033401294 PECOS PAC ID: 2668691510 Enrollment ID: I20170725000526 |
| Provider Name | Vihang Soni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639580368 PECOS PAC ID: 8527366582 Enrollment ID: I20170802003377 |
| Provider Name | Ashley L Langston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316350937 PECOS PAC ID: 1254603715 Enrollment ID: I20170817001748 |
| Provider Name | Yonis Geberemariam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558624619 PECOS PAC ID: 7618281270 Enrollment ID: I20170907000665 |
| Provider Name | Omer M Wali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275923906 PECOS PAC ID: 9537456082 Enrollment ID: I20170918000319 |
| Provider Name | Pascal Ngongmon |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1861739518 PECOS PAC ID: 9830463645 Enrollment ID: I20170918001879 |
| Provider Name | Habtamu D Giduma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316235906 PECOS PAC ID: 8123240058 Enrollment ID: I20170922001455 |
| Provider Name | Venkateswer R Addanki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851543409 PECOS PAC ID: 3971639485 Enrollment ID: I20170927003448 |
| Provider Name | Bertha Sanchez Valdivieso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356571236 PECOS PAC ID: 0042462947 Enrollment ID: I20171024003696 |
| Provider Name | Htet Htet Linn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942628284 PECOS PAC ID: 8921374356 Enrollment ID: I20171030001917 |
| Provider Name | Jui Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154734051 PECOS PAC ID: 6901172220 Enrollment ID: I20171031002574 |
| Provider Name | Andrew J Jarosz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063938744 PECOS PAC ID: 6507132826 Enrollment ID: I20171031002741 |
| Provider Name | Ibironke Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831471267 PECOS PAC ID: 9335308212 Enrollment ID: I20171118000005 |
| Provider Name | Rizwana K Zaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881037885 PECOS PAC ID: 3375775489 Enrollment ID: I20171204000935 |
| Provider Name | Deo Mulindwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881092385 PECOS PAC ID: 3476869587 Enrollment ID: I20171204001431 |
| Provider Name | Nidal N Babaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396150371 PECOS PAC ID: 6305102468 Enrollment ID: I20171228002724 |
| Provider Name | Ayaz Sahibzada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104055144 PECOS PAC ID: 4183880461 Enrollment ID: I20180111001606 |
| Provider Name | Jung-ah Dijamco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538678537 PECOS PAC ID: 2062779846 Enrollment ID: I20180125001230 |
| Provider Name | Scott A Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710400999 PECOS PAC ID: 1557621133 Enrollment ID: I20180130000479 |
| Provider Name | Sarah W Tiesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891130415 PECOS PAC ID: 1951542844 Enrollment ID: I20180130002869 |
| Provider Name | Mario Alberto Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013279926 PECOS PAC ID: 3779701131 Enrollment ID: I20180226000871 |
| Provider Name | Marwa M Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760801252 PECOS PAC ID: 1456659622 Enrollment ID: I20180308000224 |
| Provider Name | Ahmed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639560162 PECOS PAC ID: 1456667088 Enrollment ID: I20180410000841 |
| Provider Name | Kaung San |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922340058 PECOS PAC ID: 5395032031 Enrollment ID: I20180521000204 |
| Provider Name | Akhila R Sulemani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104238781 PECOS PAC ID: 6406075381 Enrollment ID: I20180523002408 |
| Provider Name | Thomas Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336363373 PECOS PAC ID: 3577664481 Enrollment ID: I20180606001815 |
| Provider Name | Mirza Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578586236 PECOS PAC ID: 3072595743 Enrollment ID: I20180613001935 |
| Provider Name | Fisseha Bayou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467848325 PECOS PAC ID: 9335464098 Enrollment ID: I20180616000062 |
| Provider Name | Andrew J Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366860462 PECOS PAC ID: 1658594908 Enrollment ID: I20180706001937 |
| Provider Name | Dipesh K C Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295106169 PECOS PAC ID: 4880941848 Enrollment ID: I20180720003060 |
| Provider Name | Oumoul Khairi Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619358942 PECOS PAC ID: 2466744180 Enrollment ID: I20180730002312 |
| Provider Name | Ashley Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912498577 PECOS PAC ID: 8224386545 Enrollment ID: I20180802002549 |
| Provider Name | Ahmad Javid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205832151 PECOS PAC ID: 0042443624 Enrollment ID: I20180820002198 |
| Provider Name | Abutaleb A. Ejaz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700827136 PECOS PAC ID: 2163415092 Enrollment ID: I20180914002423 |
| Provider Name | Susan P Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457837395 PECOS PAC ID: 6800147398 Enrollment ID: I20180921002470 |
| Provider Name | Seme Tabassum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942686282 PECOS PAC ID: 4486905478 Enrollment ID: I20181002001435 |
| Provider Name | Matthew Hays Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497142426 PECOS PAC ID: 5991026809 Enrollment ID: I20181017003300 |
| Provider Name | Janice T Ong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679968929 PECOS PAC ID: 5092004374 Enrollment ID: I20181019001250 |
| Provider Name | Siddhi Piyush Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609253889 PECOS PAC ID: 0941505374 Enrollment ID: I20181030002135 |
| Provider Name | Julia Brantham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578959219 PECOS PAC ID: 0547538589 Enrollment ID: I20181106002436 |
| Provider Name | Osman J Qaiyum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851774327 PECOS PAC ID: 1456657154 Enrollment ID: I20181203000146 |
| Provider Name | Anahita Shahnazi Okhchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912392416 PECOS PAC ID: 6901140888 Enrollment ID: I20181204000654 |
| Provider Name | Jennifer R Francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861944837 PECOS PAC ID: 0042555856 Enrollment ID: I20190123002539 |
| Provider Name | Jhonstanley Searcy Schnaeidr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104160357 PECOS PAC ID: 0941426993 Enrollment ID: I20190305002660 |
| Provider Name | Saraswati C Srikantiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659340073 PECOS PAC ID: 9931124773 Enrollment ID: I20190306000229 |
| Provider Name | Philip White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679046189 PECOS PAC ID: 8729326350 Enrollment ID: I20190312002738 |
| Provider Name | Umar Mohammed Hardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972680239 PECOS PAC ID: 7810947892 Enrollment ID: I20190313002455 |
| Provider Name | Dawn M Vanover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508392325 PECOS PAC ID: 2264709864 Enrollment ID: I20190319001500 |
| Provider Name | Jaimin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609261932 PECOS PAC ID: 5193027712 Enrollment ID: I20190328000020 |
| Provider Name | Cecilia Bacerdo Geralde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699979062 PECOS PAC ID: 7113088956 Enrollment ID: I20190503000059 |
| Provider Name | Lindsay Edwards Muncy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013322734 PECOS PAC ID: 4183942469 Enrollment ID: I20190507003067 |
| Provider Name | Fatima Z Aziz-ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922041649 PECOS PAC ID: 3870488992 Enrollment ID: I20190514000063 |
| Provider Name | Mark S Boutros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700992674 PECOS PAC ID: 6800080334 Enrollment ID: I20190523002521 |
| Provider Name | Ashif K Jethava |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669632782 PECOS PAC ID: 5193908879 Enrollment ID: I20190610002729 |
| Provider Name | Ivan A. Villalta-wehmeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932278181 PECOS PAC ID: 9739345539 Enrollment ID: I20190724004116 |
| Provider Name | Amer Aldamouk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083060404 PECOS PAC ID: 9739415076 Enrollment ID: I20190726001978 |
| Provider Name | Yolandas Thomason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417339565 PECOS PAC ID: 6204132038 Enrollment ID: I20190815003051 |
| Provider Name | Jaspreet Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205342896 PECOS PAC ID: 8224366950 Enrollment ID: I20190820001258 |
| Provider Name | David Christopher Ochs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700231024 PECOS PAC ID: 1850682576 Enrollment ID: I20190827001040 |
| Provider Name | Zachary Doegg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851745780 PECOS PAC ID: 3173810165 Enrollment ID: I20190904002210 |
| Provider Name | Ghanshyambhai Savani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396150553 PECOS PAC ID: 2365714334 Enrollment ID: I20190905003475 |
| Provider Name | Peter Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811316359 PECOS PAC ID: 3779873211 Enrollment ID: I20190916001722 |
| Provider Name | Judy Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659938520 PECOS PAC ID: 9436489424 Enrollment ID: I20190917003245 |
| Provider Name | Sharon B Craddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902213903 PECOS PAC ID: 7214234632 Enrollment ID: I20191009002517 |
| Provider Name | Michael Lucrezio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023382207 PECOS PAC ID: 5193957116 Enrollment ID: I20191118002737 |
| Provider Name | Nicholas Kevin Batchelor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831266956 PECOS PAC ID: 5597996942 Enrollment ID: I20191217002025 |
| Provider Name | Girmay Asgedom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699129213 PECOS PAC ID: 0345674982 Enrollment ID: I20200107001814 |
| Provider Name | Catherine Schutt Hurte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497390421 PECOS PAC ID: 6002243409 Enrollment ID: I20200225000888 |
| Provider Name | Fraol Adugna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134386519 PECOS PAC ID: 6709071129 Enrollment ID: I20200330000936 |
| Provider Name | Wondwossen Bekele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205221223 PECOS PAC ID: 8325396005 Enrollment ID: I20200331001396 |
| Provider Name | Olabisi Akanbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396004099 PECOS PAC ID: 1951604446 Enrollment ID: I20200408003685 |
| Provider Name | Sharon W Njuguna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841822194 PECOS PAC ID: 7517396633 Enrollment ID: I20200410000328 |
| Provider Name | Satara Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104237379 PECOS PAC ID: 1254602071 Enrollment ID: I20200513003148 |
| Provider Name | Dale K Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336798057 PECOS PAC ID: 4284055914 Enrollment ID: I20200604000392 |
| Provider Name | William Welch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528594991 PECOS PAC ID: 8729358486 Enrollment ID: I20200623002382 |
| Provider Name | Temitayo Akinsode Ogundipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053775148 PECOS PAC ID: 7012246887 Enrollment ID: I20200728003815 |
| Provider Name | Farah T Abdulaaima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235522186 PECOS PAC ID: 2466749676 Enrollment ID: I20200805000667 |
| Provider Name | Neel Mukesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467972679 PECOS PAC ID: 9234400904 Enrollment ID: I20200812003292 |
| Provider Name | Antoaneta Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679190441 PECOS PAC ID: 6204252158 Enrollment ID: I20200821002319 |
| Provider Name | Elizabeth Caffery Fleming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295265791 PECOS PAC ID: 2163793019 Enrollment ID: I20200903002879 |
| Provider Name | Peter Y Shi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336569904 PECOS PAC ID: 6901178946 Enrollment ID: I20200915001221 |
| Provider Name | Aaron Thomas Welly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154844306 PECOS PAC ID: 6406274596 Enrollment ID: I20200922003076 |
| Provider Name | Maria Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366967309 PECOS PAC ID: 3870912629 Enrollment ID: I20200929001711 |
| Provider Name | Panid Borhanjoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659801090 PECOS PAC ID: 5092058602 Enrollment ID: I20201001003276 |
| Provider Name | James B Seipp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255861647 PECOS PAC ID: 4587086194 Enrollment ID: I20201008000601 |
| Provider Name | Timothy Michael Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295738706 PECOS PAC ID: 9931131943 Enrollment ID: I20201104000925 |
| Provider Name | Michael June Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760846240 PECOS PAC ID: 6709117831 Enrollment ID: I20201104001102 |
| Provider Name | Courtney Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487270450 PECOS PAC ID: 6204247422 Enrollment ID: I20201119001078 |
| Provider Name | Rashid Mansur Kikhia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770920613 PECOS PAC ID: 8325280266 Enrollment ID: I20201218001737 |
| Provider Name | Rachal Michelle Crum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407385511 PECOS PAC ID: 5193145514 Enrollment ID: I20201221000413 |
| Provider Name | Paul Edmond Cowsar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245488410 PECOS PAC ID: 9032141106 Enrollment ID: I20210104000609 |
| Provider Name | Wael Aljishi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316105489 PECOS PAC ID: 3274773239 Enrollment ID: I20210111000099 |
| Provider Name | Kristoffer T Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740220946 PECOS PAC ID: 3779612908 Enrollment ID: I20210128001646 |
| Provider Name | Lauren Threatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366031387 PECOS PAC ID: 5799199857 Enrollment ID: I20210201001329 |
| Provider Name | Kurtis Moodie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346413424 PECOS PAC ID: 1254461908 Enrollment ID: I20210211001057 |
| Provider Name | Douglas Raymond Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376642322 PECOS PAC ID: 1052317864 Enrollment ID: I20210211003097 |
| Provider Name | Ahmadur R Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760866735 PECOS PAC ID: 4486942430 Enrollment ID: I20210316000507 |
| Provider Name | Hemapriya Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750582318 PECOS PAC ID: 2163560798 Enrollment ID: I20210322000429 |
| Provider Name | Syed J Noor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215185798 PECOS PAC ID: 9739374042 Enrollment ID: I20210323002373 |
| Provider Name | Gary Allen Summerfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588967533 PECOS PAC ID: 8224399654 Enrollment ID: I20210513001481 |
| Provider Name | D-ann Weller Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124013362 PECOS PAC ID: 3476522962 Enrollment ID: I20210514002032 |
| Provider Name | Zenebe Gedamu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114553898 PECOS PAC ID: 6406270461 Enrollment ID: I20210518003056 |
| Provider Name | Nicola S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477963833 PECOS PAC ID: 8224253919 Enrollment ID: I20210611002634 |
| Provider Name | Keith A Mayo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922595396 PECOS PAC ID: 3072867639 Enrollment ID: I20210625000297 |
| Provider Name | Admir Syla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871014324 PECOS PAC ID: 4688900426 Enrollment ID: I20210723001648 |
| Provider Name | Katherine Winder Turlington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477042521 PECOS PAC ID: 4183972250 Enrollment ID: I20210806001590 |
| Provider Name | Krishna G Vanam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841636305 PECOS PAC ID: 4789993296 Enrollment ID: I20210810002708 |
| Provider Name | Haresh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881140119 PECOS PAC ID: 1557648490 Enrollment ID: I20210816002763 |
| Provider Name | Gireesh Sadasivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841797933 PECOS PAC ID: 5890190490 Enrollment ID: I20210819002649 |
| Provider Name | Vincent P Ly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144729724 PECOS PAC ID: 2769887397 Enrollment ID: I20210819003928 |
| Provider Name | Ishan Bhovanbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710328505 PECOS PAC ID: 9133411754 Enrollment ID: I20210820000234 |
| Provider Name | Obioma Ikenna Ilouga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922591700 PECOS PAC ID: 9234480682 Enrollment ID: I20210820002262 |
| Provider Name | Ahmed F Abdulameer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295264166 PECOS PAC ID: 9830516137 Enrollment ID: I20210820002458 |
| Provider Name | Patience Agbonavbare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952651309 PECOS PAC ID: 4981844834 Enrollment ID: I20210907000463 |
| Provider Name | David N Willman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114912029 PECOS PAC ID: 1951336049 Enrollment ID: I20210917000335 |
| Provider Name | Rolando Santisteban Sosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033611082 PECOS PAC ID: 9638508674 Enrollment ID: I20210929000699 |
| Provider Name | Monisha Devnath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578053112 PECOS PAC ID: 3779981410 Enrollment ID: I20211009000119 |
| Provider Name | Talha A Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891280772 PECOS PAC ID: 9032452941 Enrollment ID: I20211012000828 |
| Provider Name | Margaret Anna Moser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932605102 PECOS PAC ID: 2062757172 Enrollment ID: I20211020002893 |
| Provider Name | Merle S Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114380821 PECOS PAC ID: 9335433242 Enrollment ID: I20211110002762 |
| Provider Name | Troy Sankford Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740669332 PECOS PAC ID: 5799098091 Enrollment ID: I20211209000547 |
| Provider Name | Karim Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174613004 PECOS PAC ID: 7719029800 Enrollment ID: I20220124002802 |
| Provider Name | Nathalie J Narcisse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255309001 PECOS PAC ID: 0749258788 Enrollment ID: I20220126000031 |
| Provider Name | Haydar Al-eid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306133780 PECOS PAC ID: 4082996863 Enrollment ID: I20220211000838 |
| Provider Name | Jessica Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972163582 PECOS PAC ID: 8426389552 Enrollment ID: I20220224002249 |
| Provider Name | Jon Wirshels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467076158 PECOS PAC ID: 2466865795 Enrollment ID: I20220314000743 |
| Provider Name | Kunal Ajmera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134548894 PECOS PAC ID: 6406075779 Enrollment ID: I20220316003284 |
| Provider Name | Ashok Kumar Ahuja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508048778 PECOS PAC ID: 7113312356 Enrollment ID: I20220324002214 |
| Provider Name | Saima Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487918363 PECOS PAC ID: 7517105604 Enrollment ID: I20220329000988 |
| Provider Name | Ali Khalofa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821484767 PECOS PAC ID: 5991007585 Enrollment ID: I20220415000067 |
| Provider Name | Barbara A Mcmains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538482260 PECOS PAC ID: 3476683442 Enrollment ID: I20220422001205 |
| Provider Name | Rachael Christina Awan Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720616972 PECOS PAC ID: 9032506910 Enrollment ID: I20220422001752 |
| Provider Name | Rakesh R Singasani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134534324 PECOS PAC ID: 3476811019 Enrollment ID: I20220503002432 |
| Provider Name | Michael N Metry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124187695 PECOS PAC ID: 7113818410 Enrollment ID: I20220526001491 |
| Provider Name | Ali Aldabbagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568843324 PECOS PAC ID: 2163752239 Enrollment ID: I20220628002206 |
| Provider Name | William T Engel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942706858 PECOS PAC ID: 7911309646 Enrollment ID: I20220802001466 |
| Provider Name | Keerthi Kiran Ponugoti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013228196 PECOS PAC ID: 4284852534 Enrollment ID: I20220815003266 |
| Provider Name | Rachel E. Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689136731 PECOS PAC ID: 4183007644 Enrollment ID: I20220816001016 |
| Provider Name | Sulakshana Barua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144673716 PECOS PAC ID: 3971843053 Enrollment ID: I20220824000826 |
| Provider Name | Mahwish Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871157495 PECOS PAC ID: 0941684765 Enrollment ID: I20220829000935 |
| Provider Name | Erika Beth Duerksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770258352 PECOS PAC ID: 8628452455 Enrollment ID: I20220829001563 |
| Provider Name | Anmoldeep Singh Ghuman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871054304 PECOS PAC ID: 6305176934 Enrollment ID: I20220912001376 |
| Provider Name | Brianna Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346701067 PECOS PAC ID: 8921484957 Enrollment ID: I20220928003403 |
| Provider Name | Vimarsh Raina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508177841 PECOS PAC ID: 9537315064 Enrollment ID: I20221004001327 |
| Provider Name | Shikshya Baral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447817762 PECOS PAC ID: 3072946763 Enrollment ID: I20221007002204 |
| Provider Name | Merari Cruz Colon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972886380 PECOS PAC ID: 1658590666 Enrollment ID: I20221018001994 |
| Provider Name | Paola M Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295169837 PECOS PAC ID: 3476832288 Enrollment ID: I20221026001475 |
| Provider Name | Kirsten Nathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033646757 PECOS PAC ID: 1759651862 Enrollment ID: I20221212000945 |
| Provider Name | Desiree Rivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003325721 PECOS PAC ID: 3779841697 Enrollment ID: I20221216002057 |
| Provider Name | Robert Miller Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235540824 PECOS PAC ID: 0244574523 Enrollment ID: I20221228001230 |
| Provider Name | Kathleen Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649908989 PECOS PAC ID: 0941670251 Enrollment ID: I20230103000945 |
| Provider Name | Farai Mutongwizo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356909378 PECOS PAC ID: 8820324494 Enrollment ID: I20230104000922 |
| Provider Name | Youngchan Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639632334 PECOS PAC ID: 9032446943 Enrollment ID: I20230112000825 |
| Provider Name | Nancy A Gulotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275502908 PECOS PAC ID: 0345210803 Enrollment ID: I20230113000632 |
| Provider Name | Morgan Lea Chapman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689133902 PECOS PAC ID: 8820328164 Enrollment ID: I20230130000004 |
| Provider Name | Gregory Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881856334 PECOS PAC ID: 7517146830 Enrollment ID: I20230202000153 |
| Provider Name | Mary Stirling Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144404153 PECOS PAC ID: 1658454814 Enrollment ID: I20230220000581 |
| Provider Name | Kasey Dawn Acklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114645132 PECOS PAC ID: 3375916257 Enrollment ID: I20230223000755 |
| Provider Name | Samantha Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326538083 PECOS PAC ID: 5395146914 Enrollment ID: I20230223001851 |
| Provider Name | Stephen Keith Funkhouser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154600633 PECOS PAC ID: 7214160936 Enrollment ID: I20230313000089 |
| Provider Name | Cesar Abraham Santillana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063974889 PECOS PAC ID: 9133508146 Enrollment ID: I20230406002290 |
| Provider Name | Huong Thien Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114452943 PECOS PAC ID: 0446587679 Enrollment ID: I20230418001398 |
| Provider Name | Jennifer Walker Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497451447 PECOS PAC ID: 1557720083 Enrollment ID: I20230630002630 |
| Provider Name | Mansoor Ahmad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639583321 PECOS PAC ID: 2365747862 Enrollment ID: I20230711002596 |
| Provider Name | Kassa Ayalew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962516179 PECOS PAC ID: 1658311972 Enrollment ID: I20230718003847 |
| Provider Name | Melissa Latoya Bradshaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801259536 PECOS PAC ID: 8729319579 Enrollment ID: I20230925000995 |
| Provider Name | Candace Francine Chumley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558892257 PECOS PAC ID: 8325302052 Enrollment ID: I20230926000011 |
| Provider Name | Meles Zereadawit Fanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932735271 PECOS PAC ID: 5698077402 Enrollment ID: I20231003000105 |
| Provider Name | Dereje H. Habitemichael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548780315 PECOS PAC ID: 8820368194 Enrollment ID: I20231019003817 |
| Provider Name | Philip Ontita Angwenyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760876874 PECOS PAC ID: 0345568911 Enrollment ID: I20231020002591 |
| Provider Name | Brandie Jo Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710692868 PECOS PAC ID: 4385090364 Enrollment ID: I20231026004045 |
| Provider Name | Mirala Sarza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639676588 PECOS PAC ID: 4981956125 Enrollment ID: I20231027000386 |
| Provider Name | Amanullah Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821659426 PECOS PAC ID: 5294111878 Enrollment ID: I20231102000625 |
| Provider Name | Jonathan Cedric Kovacs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639708795 PECOS PAC ID: 0143677328 Enrollment ID: I20231109000977 |
| Provider Name | Sara Shafqat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053807727 PECOS PAC ID: 0042608515 Enrollment ID: I20231120003331 |
| Provider Name | Shweta Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346537461 PECOS PAC ID: 1759503816 Enrollment ID: I20231122000084 |
| Provider Name | Merawi Adane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194353201 PECOS PAC ID: 1759739139 Enrollment ID: I20231122003431 |
| Provider Name | Clare D Shanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275250649 PECOS PAC ID: 9234587528 Enrollment ID: I20231127003501 |
| Provider Name | Mahreed Rahman Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326662214 PECOS PAC ID: 2668892456 Enrollment ID: I20231128003245 |
| Provider Name | Raafia Sajjad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942838313 PECOS PAC ID: 7618325895 Enrollment ID: I20231128003932 |
| Provider Name | Raja Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255488896 PECOS PAC ID: 9133270127 Enrollment ID: I20231212001535 |
| Provider Name | Erin Marie Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649963778 PECOS PAC ID: 6608226063 Enrollment ID: I20231227001467 |
| Provider Name | Raghu Mallapura Purushothama Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205124468 PECOS PAC ID: 5496049371 Enrollment ID: I20240111003488 |
| Provider Name | Muhammad Ehsan Faquih |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508216797 PECOS PAC ID: 1153673298 Enrollment ID: I20240117000128 |
| Provider Name | Manaye Ebabu Kebede |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811523152 PECOS PAC ID: 4183077860 Enrollment ID: I20240130000245 |
| Provider Name | Uma Rani Kasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326074964 PECOS PAC ID: 8224038849 Enrollment ID: I20240131000153 |
| Provider Name | Stephanie Victoria Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891470464 PECOS PAC ID: 0941653547 Enrollment ID: I20240131000777 |
| Provider Name | Jason Edward Szymala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851330807 PECOS PAC ID: 1557368818 Enrollment ID: I20240131002916 |
| Provider Name | Ehsan Jafree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235755851 PECOS PAC ID: 9234555004 Enrollment ID: I20240131004778 |
| Provider Name | Sarah E. Simerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033530209 PECOS PAC ID: 6204051550 Enrollment ID: I20240201001220 |
| Provider Name | Michal Gorski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205458213 PECOS PAC ID: 9335592674 Enrollment ID: I20240202000322 |
| Provider Name | Tatiana Chesnut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669588299 PECOS PAC ID: 6204833643 Enrollment ID: I20240213000920 |
| Provider Name | Robel Eyob Ghebrekristos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336768878 PECOS PAC ID: 6901250976 Enrollment ID: I20240215002435 |
| Provider Name | Joseph Shnouda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184818866 PECOS PAC ID: 8325135171 Enrollment ID: I20240216001275 |
| Provider Name | Emmanuel Obinna Ogbodo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336410190 PECOS PAC ID: 6709036650 Enrollment ID: I20240227002283 |
| Provider Name | Kevin Andrew Hinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619471182 PECOS PAC ID: 7214927565 Enrollment ID: I20240308003499 |
| Provider Name | James Clement |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588089106 PECOS PAC ID: 6103135694 Enrollment ID: I20240309000753 |
| Provider Name | Ebenezer Oloyede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528697976 PECOS PAC ID: 1951718519 Enrollment ID: I20240314003873 |
| Provider Name | Mohamed Ibrahim Ayash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346689742 PECOS PAC ID: 5193011757 Enrollment ID: I20240318001597 |
| Provider Name | Oluwakemi Fagbami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609005453 PECOS PAC ID: 6002063294 Enrollment ID: I20240326000070 |
| Provider Name | Sara Chappell Knabe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740501881 PECOS PAC ID: 4082870118 Enrollment ID: I20240328001303 |
| Provider Name | Brittany Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750887238 PECOS PAC ID: 1557766763 Enrollment ID: I20240403003398 |
| Provider Name | Angeli A Niravel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053678805 PECOS PAC ID: 6507165396 Enrollment ID: I20240425003227 |
| Provider Name | Ranjan V Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659667772 PECOS PAC ID: 2668647728 Enrollment ID: I20240521001532 |
| Provider Name | Tresa Lanelle Nesbitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609154483 PECOS PAC ID: 9638499817 Enrollment ID: I20240523004161 |
| Provider Name | Dragutin Loncar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497714810 PECOS PAC ID: 5698742153 Enrollment ID: I20240530004376 |
| Provider Name | Fatima Laura Mejia-connolly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477046183 PECOS PAC ID: 3173907359 Enrollment ID: I20240605003494 |
East Arkansas Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 W Polk Ave, West Memphis, AR 72301 Phone: 870-735-3842 | |
Sfmpe - Crittenden, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Rhodes St, West Memphis, AR 72301 Phone: 870-400-0433 Fax: 870-732-7765 | |
Diabetes Wellness Np, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 N Missouri St Ste 2, West Memphis, AR 72301 Phone: 870-551-4409 | |
Professional Drivers Medical Depots Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3902 Petro Road, I-40, Exit 280, West Memphis, AR 72301 Phone: 615-661-8929 Fax: 615-661-8977 | |
Arcare69 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 318 S Rhodes St, West Memphis, AR 72301 Phone: 870-394-3023 Fax: 870-551-4394 | |
James G Alexander Jr Dds Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 W Tyler Ave, Ste 307, West Memphis, AR 72301 Phone: 870-735-1152 Fax: 870-735-4098 | |
Hashmi Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 N Missouri St, West Memphis, AR 72301 Phone: 214-991-4259 |