| Southwest General Medical Group Inc | |
|
7255 Old Oak Blvd Ste C202 Cleveland OH 44130-3300 | |
| (440) 816-5390 | |
| Not Available |
| Full Name | Southwest General Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7255 Old Oak Blvd Ste C202, Cleveland, Ohio |
| Authorized Official Name and Position | Heather Wagner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4408164906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest General Medical Group Inc Po Box 638269 Cincinnati OH 45263-0001 Ph: (440) 816-5390 | Southwest General Medical Group Inc 7255 Old Oak Blvd Ste C202 Cleveland OH 44130-3300 Ph: (440) 816-5390 |
| NPI Number | 1134239676 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 8527964550 |
|---|---|
| Medicare Enrollment ID | O20031210000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134239676 | NPI | - | NPPES |
| 2238144 | Medicaid | OH |
| Provider Name | Kimberly W Biglow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801995907 PECOS PAC ID: 9032023205 Enrollment ID: I20031113000257 |
| Provider Name | Jose A Bocanegra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316033475 PECOS PAC ID: 4880508399 Enrollment ID: I20031118000939 |
| Provider Name | Shahzad M Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689644114 PECOS PAC ID: 8022919778 Enrollment ID: I20040116000155 |
| Provider Name | Joline M Cornell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821060989 PECOS PAC ID: 7214838390 Enrollment ID: I20040120000999 |
| Provider Name | Jai Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1861467037 PECOS PAC ID: 1355243114 Enrollment ID: I20040127000815 |
| Provider Name | Mirela Roxana Rossi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932194768 PECOS PAC ID: 6709779564 Enrollment ID: I20040205000268 |
| Provider Name | Michael F Deucher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962432518 PECOS PAC ID: 8022902204 Enrollment ID: I20040210000045 |
| Provider Name | Trilok C Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144258401 PECOS PAC ID: 0143114330 Enrollment ID: I20040210000101 |
| Provider Name | Touraj Taghizadeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316976483 PECOS PAC ID: 8123912342 Enrollment ID: I20040210000240 |
| Provider Name | Sabino Dominic Velloze |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427084870 PECOS PAC ID: 3577457704 Enrollment ID: I20040210000315 |
| Provider Name | Firas Seffo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366440778 PECOS PAC ID: 1658265889 Enrollment ID: I20040210000326 |
| Provider Name | Bradley A Blackburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033102124 PECOS PAC ID: 9335033810 Enrollment ID: I20040214000214 |
| Provider Name | Gregory P Warren |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154309243 PECOS PAC ID: 9133015571 Enrollment ID: I20040224000433 |
| Provider Name | Anita Mary Maximin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689624330 PECOS PAC ID: 3072403146 Enrollment ID: I20040319001363 |
| Provider Name | Samuel P Miranda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467496489 PECOS PAC ID: 3072505338 Enrollment ID: I20040330000963 |
| Provider Name | Mazen Issa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598755464 PECOS PAC ID: 8729072335 Enrollment ID: I20040414000970 |
| Provider Name | Gina M Haber |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1740202605 PECOS PAC ID: 6305831611 Enrollment ID: I20040416000735 |
| Provider Name | Genevieve Jenny Mccaslin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780783357 PECOS PAC ID: 7315920543 Enrollment ID: I20040609001135 |
| Provider Name | Rafik Massouh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639274038 PECOS PAC ID: 8022092246 Enrollment ID: I20040615001779 |
| Provider Name | Lee Donald Zalud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609877893 PECOS PAC ID: 1951389477 Enrollment ID: I20040712000386 |
| Provider Name | Anita M Bellante |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437153806 PECOS PAC ID: 7719966571 Enrollment ID: I20040715000570 |
| Provider Name | David M Sfeir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245274257 PECOS PAC ID: 6608848106 Enrollment ID: I20040806000109 |
| Provider Name | Jason Frederick Vollweiler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760565857 PECOS PAC ID: 9638142771 Enrollment ID: I20040817000340 |
| Provider Name | Jeffrey Paul Riskin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073599379 PECOS PAC ID: 0648244079 Enrollment ID: I20040823000534 |
| Provider Name | Bartolomeo Giannattasio |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1174552251 PECOS PAC ID: 4486620523 Enrollment ID: I20040909000411 |
| Provider Name | John Joseph Staszak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154365179 PECOS PAC ID: 0547237174 Enrollment ID: I20040914000345 |
| Provider Name | Jonathan Adam Dubsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427092436 PECOS PAC ID: 9335101237 Enrollment ID: I20041102001141 |
| Provider Name | Karyn Lyn Abdallah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477652816 PECOS PAC ID: 0941263883 Enrollment ID: I20041110001264 |
| Provider Name | Johanna R Oneill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730162710 PECOS PAC ID: 1850341835 Enrollment ID: I20050127000382 |
| Provider Name | Mary Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306848114 PECOS PAC ID: 8123070133 Enrollment ID: I20050218000008 |
| Provider Name | Jason Louis Bartal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730123753 PECOS PAC ID: 9335196971 Enrollment ID: I20050405001198 |
| Provider Name | Craig Michael Eyman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508824483 PECOS PAC ID: 5597701219 Enrollment ID: I20050705000432 |
| Provider Name | Pasha Saeed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639267297 PECOS PAC ID: 2961431580 Enrollment ID: I20050804000386 |
| Provider Name | Jamie Neil Cohen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376576215 PECOS PAC ID: 7618902321 Enrollment ID: I20050930000804 |
| Provider Name | William K Hahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073556205 PECOS PAC ID: 4385669613 Enrollment ID: I20051006000019 |
| Provider Name | Dennis Benjamin Repenning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790753432 PECOS PAC ID: 0446275291 Enrollment ID: I20051011000211 |
| Provider Name | Alexis Alers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285772079 PECOS PAC ID: 2466344148 Enrollment ID: I20051115001210 |
| Provider Name | Dejan Zivkovic |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1255333282 PECOS PAC ID: 1355360652 Enrollment ID: I20051116000329 |
| Provider Name | Roy H Haber |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1104867993 PECOS PAC ID: 7517984800 Enrollment ID: I20060315000127 |
| Provider Name | Lauren Elizabeth Mcdowell-jacobs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801836424 PECOS PAC ID: 4587619705 Enrollment ID: I20060428000040 |
| Provider Name | Joseph R Bartal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306887930 PECOS PAC ID: 0547273955 Enrollment ID: I20060801000017 |
| Provider Name | David C Ludwig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629034970 PECOS PAC ID: 2365446002 Enrollment ID: I20060911000571 |
| Provider Name | James R Holfinger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417997016 PECOS PAC ID: 3274570627 Enrollment ID: I20060912000150 |
| Provider Name | Arina M Gliga |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811097207 PECOS PAC ID: 7416955786 Enrollment ID: I20061121000086 |
| Provider Name | Sandra M Podolan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720188824 PECOS PAC ID: 9133128804 Enrollment ID: I20061206000204 |
| Provider Name | Jie Zang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710048293 PECOS PAC ID: 3870592918 Enrollment ID: I20061219000041 |
| Provider Name | Jason A Stern |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215005319 PECOS PAC ID: 9133120165 Enrollment ID: I20070118000191 |
| Provider Name | Sanjit S Bindra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003985078 PECOS PAC ID: 7214035450 Enrollment ID: I20070612000098 |
| Provider Name | Natalya Dubchuk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417147166 PECOS PAC ID: 8426138231 Enrollment ID: I20080107000526 |
| Provider Name | Timothy J Fetterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427035583 PECOS PAC ID: 9335222975 Enrollment ID: I20080206000111 |
| Provider Name | Poornanand Palaparty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982704375 PECOS PAC ID: 4385728351 Enrollment ID: I20080228000733 |
| Provider Name | Meghan J Foote |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205054632 PECOS PAC ID: 9335223262 Enrollment ID: I20080229000574 |
| Provider Name | Nitin Davessar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871592568 PECOS PAC ID: 7214014299 Enrollment ID: I20080402000459 |
| Provider Name | Leonard Luke Brzozowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366546905 PECOS PAC ID: 7810075942 Enrollment ID: I20080415000451 |
| Provider Name | Daniel S Polster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902897887 PECOS PAC ID: 5799863304 Enrollment ID: I20080423000258 |
| Provider Name | David L Fox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265423834 PECOS PAC ID: 5597834333 Enrollment ID: I20080520000007 |
| Provider Name | David A Ryan |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1245434786 PECOS PAC ID: 1658442827 Enrollment ID: I20080616000294 |
| Provider Name | Newton P Muthunayagam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043367105 PECOS PAC ID: 3476624396 Enrollment ID: I20080620000380 |
| Provider Name | Suresh Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972581874 PECOS PAC ID: 7517030893 Enrollment ID: I20080719000003 |
| Provider Name | Aparna Nukala Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255528279 PECOS PAC ID: 7517032063 Enrollment ID: I20080818000373 |
| Provider Name | Nicoletta Putaturo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497910681 PECOS PAC ID: 3375619638 Enrollment ID: I20080910000321 |
| Provider Name | Irena C Kodz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669431276 PECOS PAC ID: 2769559707 Enrollment ID: I20080917000495 |
| Provider Name | Judy A Yakunich |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851556047 PECOS PAC ID: 7113085929 Enrollment ID: I20081023000308 |
| Provider Name | Amy Skabar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790937035 PECOS PAC ID: 0840353561 Enrollment ID: I20090107000148 |
| Provider Name | Mary L Spencer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346496148 PECOS PAC ID: 7517028764 Enrollment ID: I20090130000613 |
| Provider Name | Robert Thall |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346273257 PECOS PAC ID: 0749345791 Enrollment ID: I20090209000179 |
| Provider Name | W David Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326077066 PECOS PAC ID: 4981671278 Enrollment ID: I20090209000198 |
| Provider Name | Brian J Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952330698 PECOS PAC ID: 6709853096 Enrollment ID: I20090209000233 |
| Provider Name | Thomas J Maulorico |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336183342 PECOS PAC ID: 4789749755 Enrollment ID: I20090209000322 |
| Provider Name | Joel Hegarty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649211434 PECOS PAC ID: 9436126711 Enrollment ID: I20090209000499 |
| Provider Name | John J Petrus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730151846 PECOS PAC ID: 3870527252 Enrollment ID: I20090416000129 |
| Provider Name | John F Bologna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659315653 PECOS PAC ID: 7618868027 Enrollment ID: I20090505000069 |
| Provider Name | Guangxiang Yu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902007008 PECOS PAC ID: 1658420443 Enrollment ID: I20090528000003 |
| Provider Name | Freedom Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215128996 PECOS PAC ID: 0042381741 Enrollment ID: I20090806000064 |
| Provider Name | Julie M Such |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487880290 PECOS PAC ID: 1658427778 Enrollment ID: I20090915000345 |
| Provider Name | Ayman Dahman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548364086 PECOS PAC ID: 3173422516 Enrollment ID: I20091016000413 |
| Provider Name | Christine M Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1609102763 PECOS PAC ID: 1355480096 Enrollment ID: I20091209000333 |
| Provider Name | John A Alton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326024233 PECOS PAC ID: 8820139132 Enrollment ID: I20100108000665 |
| Provider Name | Shirley L Bennett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235115148 PECOS PAC ID: 1254472566 Enrollment ID: I20100108000685 |
| Provider Name | Robert P Blankfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245339175 PECOS PAC ID: 5597809343 Enrollment ID: I20100218000055 |
| Provider Name | Grace Song |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891870911 PECOS PAC ID: 0749325116 Enrollment ID: I20100310000250 |
| Provider Name | Ramesh C Gundapaneni |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1831282813 PECOS PAC ID: 4284761362 Enrollment ID: I20100421000510 |
| Provider Name | Ila R Tamaskar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487828646 PECOS PAC ID: 8325176456 Enrollment ID: I20100512000007 |
| Provider Name | Than Mal Jain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427085570 PECOS PAC ID: 0042298309 Enrollment ID: I20100608000350 |
| Provider Name | Sampath K Ramanavarapu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104856236 PECOS PAC ID: 3779561030 Enrollment ID: I20100610000249 |
| Provider Name | Ghassan Abdallah Abdallah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265531859 PECOS PAC ID: 0547352122 Enrollment ID: I20100730000028 |
| Provider Name | Janeen M Drazdik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164530879 PECOS PAC ID: 5496889156 Enrollment ID: I20100817000479 |
| Provider Name | Christopher Jordan Dolega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467551952 PECOS PAC ID: 7416071899 Enrollment ID: I20100908000368 |
| Provider Name | David C Lash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992804363 PECOS PAC ID: 7517871783 Enrollment ID: I20100928001022 |
| Provider Name | Rajani V Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245434638 PECOS PAC ID: 7517151996 Enrollment ID: I20101029000556 |
| Provider Name | Cynthia L Aron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760538755 PECOS PAC ID: 7618074303 Enrollment ID: I20101118000477 |
| Provider Name | Jillian R Wessel |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1205144193 PECOS PAC ID: 2264628064 Enrollment ID: I20101118001082 |
| Provider Name | Ferdinand M Plecha |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366402968 PECOS PAC ID: 5597890467 Enrollment ID: I20110311000024 |
| Provider Name | Gregory J Rogers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437110632 PECOS PAC ID: 3779618640 Enrollment ID: I20110311000049 |
| Provider Name | Aasia K Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487858841 PECOS PAC ID: 2365610961 Enrollment ID: I20110726000952 |
| Provider Name | Rima Bachuwa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740480300 PECOS PAC ID: 2769654128 Enrollment ID: I20111006000305 |
| Provider Name | Mark E Mehle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760574982 PECOS PAC ID: 8527044577 Enrollment ID: I20111114000102 |
| Provider Name | Shelley A Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013915321 PECOS PAC ID: 0042485799 Enrollment ID: I20111208000590 |
| Provider Name | Cynthia L Toncler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275824740 PECOS PAC ID: 6608035233 Enrollment ID: I20120316000537 |
| Provider Name | Costas A Apostolis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700020138 PECOS PAC ID: 2062565468 Enrollment ID: I20120713000345 |
| Provider Name | Oksana Farro |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124381256 PECOS PAC ID: 4981850443 Enrollment ID: I20120816000160 |
| Provider Name | Bledar Kovaci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447493002 PECOS PAC ID: 4789831900 Enrollment ID: I20120823000286 |
| Provider Name | Andrea B Novak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093791782 PECOS PAC ID: 2668413949 Enrollment ID: I20121016000168 |
| Provider Name | Riki L Darke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861743684 PECOS PAC ID: 5799936910 Enrollment ID: I20121117000019 |
| Provider Name | Donald Reed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427041391 PECOS PAC ID: 6901830041 Enrollment ID: I20130625000467 |
| Provider Name | Laura E Veale |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1841622859 PECOS PAC ID: 2062655152 Enrollment ID: I20130820001051 |
| Provider Name | Olumuyiwa Sowunmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235454414 PECOS PAC ID: 6709020829 Enrollment ID: I20130911000479 |
| Provider Name | Jennifer Anne Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063840213 PECOS PAC ID: 1759518624 Enrollment ID: I20131220001668 |
| Provider Name | Cortney A. Kohberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326109976 PECOS PAC ID: 3870588643 Enrollment ID: I20140611002083 |
| Provider Name | Jessica K Budde |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1871901447 PECOS PAC ID: 5698993947 Enrollment ID: I20140827002434 |
| Provider Name | Sultan D Zaidan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013121755 PECOS PAC ID: 9335398429 Enrollment ID: I20141027001087 |
| Provider Name | Jessica A Siegferth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215346002 PECOS PAC ID: 8123249448 Enrollment ID: I20141029001688 |
| Provider Name | Nicole A Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366844649 PECOS PAC ID: 3173744406 Enrollment ID: I20141029001949 |
| Provider Name | Gail J Beriswill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851709190 PECOS PAC ID: 8729300645 Enrollment ID: I20141204000735 |
| Provider Name | Amanda L Price |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376949198 PECOS PAC ID: 7416279823 Enrollment ID: I20141212001699 |
| Provider Name | Lucy K O'brien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487911814 PECOS PAC ID: 5496079345 Enrollment ID: I20150123001313 |
| Provider Name | Alison L Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932483104 PECOS PAC ID: 3476870635 Enrollment ID: I20150326001954 |
| Provider Name | Monika Demko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225368053 PECOS PAC ID: 5698933042 Enrollment ID: I20150415001442 |
| Provider Name | Sonia Praful Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376702506 PECOS PAC ID: 4587980503 Enrollment ID: I20150417000257 |
| Provider Name | Faisal Adhami |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649405549 PECOS PAC ID: 6709029333 Enrollment ID: I20150609002434 |
| Provider Name | Sarpreet Bindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740541820 PECOS PAC ID: 8426360793 Enrollment ID: I20150630001562 |
| Provider Name | Suzanne Marie Staraitis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346537735 PECOS PAC ID: 2365759438 Enrollment ID: I20150922002438 |
| Provider Name | Michael P Brown |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811079379 PECOS PAC ID: 4880787548 Enrollment ID: I20151006003032 |
| Provider Name | Raisa Dyachuk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831566439 PECOS PAC ID: 8022327170 Enrollment ID: I20151012002405 |
| Provider Name | Rhonda L Verb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881991602 PECOS PAC ID: 9739361510 Enrollment ID: I20151209001144 |
| Provider Name | Alison R Henton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235503954 PECOS PAC ID: 0749581817 Enrollment ID: I20151214002347 |
| Provider Name | Alicia K Blacksmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952776817 PECOS PAC ID: 5395046916 Enrollment ID: I20151223001063 |
| Provider Name | Laura Sprague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174995054 PECOS PAC ID: 6709188568 Enrollment ID: I20160111001881 |
| Provider Name | Britney Ann Dobroka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962868430 PECOS PAC ID: 0446556997 Enrollment ID: I20160309000364 |
| Provider Name | Fahad Bin Zulfiqar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194144840 PECOS PAC ID: 0648560458 Enrollment ID: I20160607002421 |
| Provider Name | Linda Carmellini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659827335 PECOS PAC ID: 2769761782 Enrollment ID: I20161115002644 |
| Provider Name | Yazid Hussein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407275027 PECOS PAC ID: 9234439696 Enrollment ID: I20161116002365 |
| Provider Name | Bianca M Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861944209 PECOS PAC ID: 6608156229 Enrollment ID: I20161216000932 |
| Provider Name | Jacqulyn Stachowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073068896 PECOS PAC ID: 3072894237 Enrollment ID: I20161229001464 |
| Provider Name | Mohammed Salman Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922361773 PECOS PAC ID: 5496986747 Enrollment ID: I20170104001456 |
| Provider Name | Dalia Shibeika |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831486711 PECOS PAC ID: 3577877596 Enrollment ID: I20170421001303 |
| Provider Name | Leah J Tunningley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902255565 PECOS PAC ID: 1759667934 Enrollment ID: I20170425000924 |
| Provider Name | Dawn A Cupach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952840217 PECOS PAC ID: 2668749342 Enrollment ID: I20170531000808 |
| Provider Name | Giovanna Cantor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144777350 PECOS PAC ID: 6204104599 Enrollment ID: I20170608002652 |
| Provider Name | Lindsey M Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851779581 PECOS PAC ID: 2062726649 Enrollment ID: I20170710002798 |
| Provider Name | Vikram Bisen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568625523 PECOS PAC ID: 8921266958 Enrollment ID: I20170824001969 |
| Provider Name | Emily Lasota |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215373550 PECOS PAC ID: 2769626068 Enrollment ID: I20170907002778 |
| Provider Name | Heather Kuo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073933081 PECOS PAC ID: 0749599603 Enrollment ID: I20170915001922 |
| Provider Name | Ashley C Fuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780043430 PECOS PAC ID: 8820380199 Enrollment ID: I20170927000331 |
| Provider Name | Saissy E Kendig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811418619 PECOS PAC ID: 8123393246 Enrollment ID: I20170928004166 |
| Provider Name | Brandi Hanchosky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396264040 PECOS PAC ID: 1456626142 Enrollment ID: I20171005001838 |
| Provider Name | Rebecca A Deweese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831649904 PECOS PAC ID: 7416223334 Enrollment ID: I20171020002042 |
| Provider Name | Jamie J Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972014264 PECOS PAC ID: 9133485964 Enrollment ID: I20171113000422 |
| Provider Name | Katherine Mcdowell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467890483 PECOS PAC ID: 6305074956 Enrollment ID: I20171114002692 |
| Provider Name | Jeevan Sekhar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1598802852 PECOS PAC ID: 5092984179 Enrollment ID: I20171122002157 |
| Provider Name | Andrew Mcgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982117719 PECOS PAC ID: 6608130620 Enrollment ID: I20180427001513 |
| Provider Name | Susan Dover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700389038 PECOS PAC ID: 2769747526 Enrollment ID: I20180525001181 |
| Provider Name | Hillary Greer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780063834 PECOS PAC ID: 8820353535 Enrollment ID: I20180530002299 |
| Provider Name | Leslie Pristas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194951624 PECOS PAC ID: 2961727797 Enrollment ID: I20180718000962 |
| Provider Name | Mohammad F Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184007643 PECOS PAC ID: 0648527820 Enrollment ID: I20180718003647 |
| Provider Name | Rachael Bator |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093201618 PECOS PAC ID: 4183973233 Enrollment ID: I20180822001914 |
| Provider Name | Jessica Lynn Woloszyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609352392 PECOS PAC ID: 8820349780 Enrollment ID: I20180917001638 |
| Provider Name | Stephanie Siverd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083196760 PECOS PAC ID: 7618229980 Enrollment ID: I20181015002609 |
| Provider Name | Ashley Ann Jasinsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659888675 PECOS PAC ID: 1355606963 Enrollment ID: I20181017002776 |
| Provider Name | Oleg Golota |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083199947 PECOS PAC ID: 6103170394 Enrollment ID: I20181106001942 |
| Provider Name | Nancy E Macha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225506140 PECOS PAC ID: 4981948007 Enrollment ID: I20181130000802 |
| Provider Name | Michele L Prezenkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285100115 PECOS PAC ID: 1052655560 Enrollment ID: I20181210001579 |
| Provider Name | Corrine L Adler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780634485 PECOS PAC ID: 2668550583 Enrollment ID: I20190102000320 |
| Provider Name | Kevin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770947707 PECOS PAC ID: 4082908264 Enrollment ID: I20190422001959 |
| Provider Name | Angel Amado Lazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518329754 PECOS PAC ID: 8921340167 Enrollment ID: I20190508001877 |
| Provider Name | Amanda Vitek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649737487 PECOS PAC ID: 1456685403 Enrollment ID: I20190625001065 |
| Provider Name | James P Cappello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134574304 PECOS PAC ID: 6305170994 Enrollment ID: I20190702001663 |
| Provider Name | Victor Kairouz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457606287 PECOS PAC ID: 1951617042 Enrollment ID: I20190715003457 |
| Provider Name | Neal Majumdar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508228693 PECOS PAC ID: 3577856152 Enrollment ID: I20190726002041 |
| Provider Name | Kaitlyn C Korn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801242177 PECOS PAC ID: 0840582862 Enrollment ID: I20190726002241 |
| Provider Name | Michael D Gabor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871064147 PECOS PAC ID: 2264760222 Enrollment ID: I20190828004263 |
| Provider Name | Emily F Chau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477915122 PECOS PAC ID: 4183997273 Enrollment ID: I20190905001010 |
| Provider Name | Edward M Saliba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710451232 PECOS PAC ID: 8820328909 Enrollment ID: I20191003000427 |
| Provider Name | Sidrah Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821524794 PECOS PAC ID: 1850726266 Enrollment ID: I20200113002195 |
| Provider Name | Kimberly Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922649235 PECOS PAC ID: 1759716525 Enrollment ID: I20200124001348 |
| Provider Name | Shilpkumar Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699194365 PECOS PAC ID: 8921379264 Enrollment ID: I20200527003208 |
| Provider Name | Matthew James Laubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255966057 PECOS PAC ID: 1658793799 Enrollment ID: I20200618003052 |
| Provider Name | Kyle M Damron |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649633306 PECOS PAC ID: 0143512921 Enrollment ID: I20200713002339 |
| Provider Name | Alexandria Beetler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902433824 PECOS PAC ID: 3476972167 Enrollment ID: I20200929003695 |
| Provider Name | Staci Ann Cortelezzi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760089411 PECOS PAC ID: 7315367430 Enrollment ID: I20201012001321 |
| Provider Name | Kristina Lasko Popelas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184221731 PECOS PAC ID: 2860812773 Enrollment ID: I20201014003854 |
| Provider Name | Erica L Casto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912501677 PECOS PAC ID: 5890107304 Enrollment ID: I20201207001537 |
| Provider Name | Alexandra Christine Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588209639 PECOS PAC ID: 0345657276 Enrollment ID: I20210322000562 |
| Provider Name | Muhammad Awais Aftab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538573035 PECOS PAC ID: 0345544722 Enrollment ID: I20210512000236 |
| Provider Name | Amanda Berlekamp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538520176 PECOS PAC ID: 0840586053 Enrollment ID: I20210623002865 |
| Provider Name | Asha Mendpara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578155297 PECOS PAC ID: 4789087909 Enrollment ID: I20210726003528 |
| Provider Name | Stuart Mclean Reynolds |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1861069577 PECOS PAC ID: 8022411859 Enrollment ID: I20210730001136 |
| Provider Name | Nicole M Genske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346812583 PECOS PAC ID: 9537563879 Enrollment ID: I20210809000566 |
| Provider Name | Erica Lough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316548795 PECOS PAC ID: 5991100737 Enrollment ID: I20210817003698 |
| Provider Name | Rammy Korkor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356846711 PECOS PAC ID: 2860897568 Enrollment ID: I20210818002398 |
| Provider Name | Michael Cornelius Mcmanus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396107363 PECOS PAC ID: 2163717331 Enrollment ID: I20210825004197 |
| Provider Name | Cheryl Taunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801465380 PECOS PAC ID: 8820494891 Enrollment ID: I20210831002498 |
| Provider Name | Emily Nicole Havens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487019592 PECOS PAC ID: 2365747136 Enrollment ID: I20211202001183 |
| Provider Name | Nathan Rossi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134616774 PECOS PAC ID: 3476802828 Enrollment ID: I20220216001696 |
| Provider Name | Linda Florian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659964021 PECOS PAC ID: 6608263868 Enrollment ID: I20220419000822 |
| Provider Name | Christopher Salzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861935926 PECOS PAC ID: 2365839172 Enrollment ID: I20220426002039 |
| Provider Name | Parker James Leduc |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629717954 PECOS PAC ID: 7618356239 Enrollment ID: I20220628000581 |
| Provider Name | Eric Paul Brzozowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336644806 PECOS PAC ID: 1052793833 Enrollment ID: I20220727001567 |
| Provider Name | Katie Rundle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821737529 PECOS PAC ID: 9537541636 Enrollment ID: I20220805002961 |
| Provider Name | Alyssa Rene Cole |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376279836 PECOS PAC ID: 8729463435 Enrollment ID: I20220916000602 |
| Provider Name | Sapna Dhawan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255656419 PECOS PAC ID: 2264703529 Enrollment ID: I20221028001050 |
| Provider Name | Alexandra Jennifer Beard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992264980 PECOS PAC ID: 8628304763 Enrollment ID: I20230602000702 |
| Provider Name | Oluchukwu Evaristus Oluoha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760822449 PECOS PAC ID: 4981900925 Enrollment ID: I20230725003786 |
| Provider Name | Timothy Gerard Petrie |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1578959946 PECOS PAC ID: 8628382587 Enrollment ID: I20230809001342 |
| Provider Name | Aparna Baranwal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912567272 PECOS PAC ID: 6305172859 Enrollment ID: I20230824003369 |
| Provider Name | Sanjay Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114453842 PECOS PAC ID: 5890055354 Enrollment ID: I20231007000381 |
| Provider Name | Felicia Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205612249 PECOS PAC ID: 7214384338 Enrollment ID: I20231111000589 |
| Provider Name | Shantell Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043086242 PECOS PAC ID: 1153763602 Enrollment ID: I20240529002490 |
Alok Bhaiji, Md, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7055 Engle Rd Ste 503, Cleveland, OH 44130 Phone: 440-816-2556 Fax: 440-816-2557 | |
Good Nature Therapy Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Superior Ave. East, Suite 1618, Cleveland, OH 44114 Phone: 440-836-3838 | |
Circle Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11401 Lorain Ave, Cleveland, OH 44111 Phone: 216-416-4277 | |
Northeast Ohio Neighborhood Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13301 Miles Ave, Cleveland, OH 44105 Phone: 216-751-3100 Fax: 216-751-2480 | |
Cleveland State University Health And Wellness Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 Euclid Ave, Un 263, Cleveland, OH 44115 Phone: 216-687-3649 Fax: 216-687-9319 | |
Care Alliance Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1530 Saint Clair Ave Ne, Cleveland, OH 44114 Phone: 216-535-9100 Fax: 216-298-5015 | |
Premier Physicians Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2709 Franklin Blvd Fl 2e, Cleveland, OH 44113 Phone: 216-696-4140 |