| Springfield Clinic, Llp | |
|
1025 S 6th St Springfield IL 62703-2403 | |
| (217) 528-7541 | |
| (217) 210-9716 |
| Full Name | Springfield Clinic, Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1025 S 6th St, Springfield, Illinois |
| Authorized Official Name and Position | Betsy Butler (ASSOCIATE VICE PRESIDENT) |
| Authorized Official Contact | 2175287541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Clinic, Llp 1025 S 6th St Springfield IL 62703-2403 Ph: (217) 528-7541 | Springfield Clinic, Llp 1025 S 6th St Springfield IL 62703-2403 Ph: (217) 528-7541 |
| NPI Number | 1780638478 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 10/21/2024 |
| Medicare PECOS PAC ID | 0547166076 |
|---|---|
| Medicare Enrollment ID | O20040331000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780638478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jeremiah S Reedy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295786952 PECOS PAC ID: 0547164808 Enrollment ID: I20031120000085 |
| Provider Name | Jude A Clapper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245322445 PECOS PAC ID: 8527967330 Enrollment ID: I20031231000173 |
| Provider Name | Tamara Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144355215 PECOS PAC ID: 0244139939 Enrollment ID: I20031231000602 |
| Provider Name | Adrienne Y Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255382156 PECOS PAC ID: 3779483656 Enrollment ID: I20040109000103 |
| Provider Name | Robin Barry Valenti |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780677377 PECOS PAC ID: 6800796194 Enrollment ID: I20040114000285 |
| Provider Name | Judith A Aydt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114986486 PECOS PAC ID: 5597659995 Enrollment ID: I20040209000288 |
| Provider Name | Akhtar Khursheed Siddiqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124097951 PECOS PAC ID: 4183519150 Enrollment ID: I20040218000757 |
| Provider Name | Tracy R Hendricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619993565 PECOS PAC ID: 3779476262 Enrollment ID: I20040220000437 |
| Provider Name | Sandra C Roland |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659321545 PECOS PAC ID: 0446149868 Enrollment ID: I20040313000238 |
| Provider Name | Melissa Lynn Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871699603 PECOS PAC ID: 9234020306 Enrollment ID: I20040320000462 |
| Provider Name | Eswara R Kakarala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578551776 PECOS PAC ID: 4688566334 Enrollment ID: I20040326001038 |
| Provider Name | Robert Knudson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235170069 PECOS PAC ID: 1153318555 Enrollment ID: I20040428000383 |
| Provider Name | Richard M Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073604260 PECOS PAC ID: 9436148038 Enrollment ID: I20040510000352 |
| Provider Name | Harish Shownkeen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851311450 PECOS PAC ID: 6507856929 Enrollment ID: I20040517000601 |
| Provider Name | Mary E Atwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811945314 PECOS PAC ID: 0840273629 Enrollment ID: I20040611000666 |
| Provider Name | Christine M Bitzer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184725905 PECOS PAC ID: 1456337203 Enrollment ID: I20040624000894 |
| Provider Name | Lori A Teverbaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427037209 PECOS PAC ID: 1254318090 Enrollment ID: I20040706000253 |
| Provider Name | John Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316988694 PECOS PAC ID: 4688651664 Enrollment ID: I20040707000988 |
| Provider Name | Christopher B Ehrlich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134213820 PECOS PAC ID: 6608854294 Enrollment ID: I20040709001283 |
| Provider Name | James K Fullerton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760575229 PECOS PAC ID: 9537147905 Enrollment ID: I20040712000881 |
| Provider Name | John P Dimondo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518050095 PECOS PAC ID: 7416935895 Enrollment ID: I20040712000991 |
| Provider Name | Christopher E Wottowa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922195718 PECOS PAC ID: 2860471752 Enrollment ID: I20040715000038 |
| Provider Name | Gary B Western |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457462558 PECOS PAC ID: 4082693981 Enrollment ID: I20040715000091 |
| Provider Name | Diane C Hillard Sembell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972600294 PECOS PAC ID: 0345211009 Enrollment ID: I20040804001843 |
| Provider Name | Sailaja Mamilla Cheruku |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578659496 PECOS PAC ID: 6406828839 Enrollment ID: I20040806001083 |
| Provider Name | Cynthia D Marschner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194721571 PECOS PAC ID: 6608849302 Enrollment ID: I20040819000204 |
| Provider Name | Daniel P Lange |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972522720 PECOS PAC ID: 7618944513 Enrollment ID: I20040913000259 |
| Provider Name | Amit Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639395114 PECOS PAC ID: 5294702635 Enrollment ID: I20040914001206 |
| Provider Name | Jeffrey L Adkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992793954 PECOS PAC ID: 3870562937 Enrollment ID: I20040927000600 |
| Provider Name | Nicole L Rottinghaus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770544439 PECOS PAC ID: 5395714331 Enrollment ID: I20040928000058 |
| Provider Name | Sean P Valenti |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184761579 PECOS PAC ID: 0244290492 Enrollment ID: I20041013000255 |
| Provider Name | Alyce F Ferrill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740279439 PECOS PAC ID: 6709846389 Enrollment ID: I20041018000908 |
| Provider Name | Carla J Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588765820 PECOS PAC ID: 9234190166 Enrollment ID: I20041022001075 |
| Provider Name | Aleksandr Kagan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598728453 PECOS PAC ID: 3274594114 Enrollment ID: I20041022001116 |
| Provider Name | Jennifer A Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053402735 PECOS PAC ID: 6204897390 Enrollment ID: I20041023000032 |
| Provider Name | Craig Russo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790727659 PECOS PAC ID: 7214999457 Enrollment ID: I20041101000223 |
| Provider Name | Stanley E Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285631127 PECOS PAC ID: 3870555733 Enrollment ID: I20041102000920 |
| Provider Name | Heidi L Klemm Glatz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134208762 PECOS PAC ID: 3971566407 Enrollment ID: I20041105000761 |
| Provider Name | Kevin Coakley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033166418 PECOS PAC ID: 7911974852 Enrollment ID: I20041112000292 |
| Provider Name | Andrew Sherrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689615767 PECOS PAC ID: 1759358690 Enrollment ID: I20041112000391 |
| Provider Name | Kanchan Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972544526 PECOS PAC ID: 3072577154 Enrollment ID: I20041118000093 |
| Provider Name | Amy S Waschull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639264625 PECOS PAC ID: 9234194267 Enrollment ID: I20041201000390 |
| Provider Name | Sami Atassi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801830534 PECOS PAC ID: 0042276669 Enrollment ID: I20041207000100 |
| Provider Name | William L Peterson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174623854 PECOS PAC ID: 1658337134 Enrollment ID: I20041207000108 |
| Provider Name | Raj K Sinha |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1134229826 PECOS PAC ID: 1951359090 Enrollment ID: I20050105000993 |
| Provider Name | David J Kowalski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538194600 PECOS PAC ID: 2668433129 Enrollment ID: I20050211000218 |
| Provider Name | Tina M Rozene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467489807 PECOS PAC ID: 9739140294 Enrollment ID: I20050211000237 |
| Provider Name | Hope E Knauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376578492 PECOS PAC ID: 0648231100 Enrollment ID: I20050211000300 |
| Provider Name | Marilyn S Robins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083707921 PECOS PAC ID: 4981656352 Enrollment ID: I20050214000567 |
| Provider Name | Pavinderpal S Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245336148 PECOS PAC ID: 9234182288 Enrollment ID: I20050302000199 |
| Provider Name | Roger S Mcclintock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043318066 PECOS PAC ID: 1658324629 Enrollment ID: I20050302000324 |
| Provider Name | Ashley G Wurzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538197447 PECOS PAC ID: 8224083779 Enrollment ID: I20050317000143 |
| Provider Name | Thomas W Moll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053459503 PECOS PAC ID: 1557317419 Enrollment ID: I20050324000233 |
| Provider Name | Donald P Rayhill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487614939 PECOS PAC ID: 5395791164 Enrollment ID: I20050324000418 |
| Provider Name | Judy M Limper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942236773 PECOS PAC ID: 0648226423 Enrollment ID: I20050324000445 |
| Provider Name | Beth A Mccoy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487623021 PECOS PAC ID: 0345297479 Enrollment ID: I20050331001140 |
| Provider Name | Jeffrey Jenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740211390 PECOS PAC ID: 1658348420 Enrollment ID: I20050411000929 |
| Provider Name | Brenda Sue Tintori |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932175775 PECOS PAC ID: 8224076070 Enrollment ID: I20050421000709 |
| Provider Name | Scott Preusen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437151826 PECOS PAC ID: 3476537143 Enrollment ID: I20050509000139 |
| Provider Name | Christina M Branham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124001391 PECOS PAC ID: 1850334517 Enrollment ID: I20050603000946 |
| Provider Name | Peter M Hofmann |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1043317373 PECOS PAC ID: 6709829807 Enrollment ID: I20050609000532 |
| Provider Name | Cecile E Becker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750493540 PECOS PAC ID: 5092770586 Enrollment ID: I20050609000557 |
| Provider Name | Anwer Sheikh |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1982694261 PECOS PAC ID: 9032188396 Enrollment ID: I20050628000383 |
| Provider Name | Joshua A Croland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215916093 PECOS PAC ID: 1153351937 Enrollment ID: I20050822000519 |
| Provider Name | Mary Ludolph |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376580225 PECOS PAC ID: 8729011838 Enrollment ID: I20050917000449 |
| Provider Name | Christopher D Stortzum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124003843 PECOS PAC ID: 6103721006 Enrollment ID: I20050923000047 |
| Provider Name | Beth Anne Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740220771 PECOS PAC ID: 3870518137 Enrollment ID: I20051006000294 |
| Provider Name | Marc R Dejong |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1477549541 PECOS PAC ID: 2163447822 Enrollment ID: I20051011001142 |
| Provider Name | John E Nester |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386737435 PECOS PAC ID: 8921033168 Enrollment ID: I20051209000654 |
| Provider Name | Susan M Oneal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003916784 PECOS PAC ID: 7618999491 Enrollment ID: I20051221000158 |
| Provider Name | Orlando J Icaza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669579991 PECOS PAC ID: 6103846613 Enrollment ID: I20051221000202 |
| Provider Name | Ryan Lee Schallenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962463653 PECOS PAC ID: 3173545530 Enrollment ID: I20051228000648 |
| Provider Name | Dennis M Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396838835 PECOS PAC ID: 5395764583 Enrollment ID: I20060105000557 |
| Provider Name | Mary K Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891888426 PECOS PAC ID: 2769401959 Enrollment ID: I20060105000581 |
| Provider Name | Kristen Michelle Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235235052 PECOS PAC ID: 9931129541 Enrollment ID: I20060106000084 |
| Provider Name | Mark D Greatting |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457459570 PECOS PAC ID: 3577469972 Enrollment ID: I20060106000093 |
| Provider Name | Donald R Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508962366 PECOS PAC ID: 4183535867 Enrollment ID: I20060106000585 |
| Provider Name | Geoffrey Andrew Bland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629188958 PECOS PAC ID: 3577582758 Enrollment ID: I20060106000658 |
| Provider Name | Stephen Morgan Ryan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407949365 PECOS PAC ID: 0547280067 Enrollment ID: I20060106000699 |
| Provider Name | David A Gelber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669571113 PECOS PAC ID: 3577583186 Enrollment ID: I20060109000441 |
| Provider Name | James R Stegeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205936895 PECOS PAC ID: 9234159765 Enrollment ID: I20060109000473 |
| Provider Name | Philip Garcia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831295815 PECOS PAC ID: 1658277066 Enrollment ID: I20060109000611 |
| Provider Name | Dennis O Heim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891891636 PECOS PAC ID: 8921028531 Enrollment ID: I20060109000991 |
| Provider Name | Bryan J Albracht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568572931 PECOS PAC ID: 1456370691 Enrollment ID: I20060110000167 |
| Provider Name | Cassandra Claman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356380281 PECOS PAC ID: 3375562564 Enrollment ID: I20060110000295 |
| Provider Name | John E Kwedar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972601243 PECOS PAC ID: 2365462876 Enrollment ID: I20060110000425 |
| Provider Name | Larry M Sapetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811929177 PECOS PAC ID: 3173427283 Enrollment ID: I20060110000620 |
| Provider Name | Lynne Duren Barkmeier |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538262431 PECOS PAC ID: 7214956481 Enrollment ID: I20060111000121 |
| Provider Name | Jon Mann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477651479 PECOS PAC ID: 4789604299 Enrollment ID: I20060111000220 |
| Provider Name | Scott A Mink |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235239906 PECOS PAC ID: 1052331568 Enrollment ID: I20060111000236 |
| Provider Name | Windie C Mckay |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356424808 PECOS PAC ID: 5597788091 Enrollment ID: I20060111000269 |
| Provider Name | Mark Thomas Mckay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013015031 PECOS PAC ID: 9234159740 Enrollment ID: I20060111000608 |
| Provider Name | Scott A Morton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407956170 PECOS PAC ID: 5597785006 Enrollment ID: I20060111000741 |
| Provider Name | Toni M Quinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528151487 PECOS PAC ID: 0547283913 Enrollment ID: I20060111000965 |
| Provider Name | Koteswara Rao Narla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326131459 PECOS PAC ID: 1951321462 Enrollment ID: I20060111000989 |
| Provider Name | Don A Sielaff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144320839 PECOS PAC ID: 1254351778 Enrollment ID: I20060112000304 |
| Provider Name | Robert Mitchell Parker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407949571 PECOS PAC ID: 9133142466 Enrollment ID: I20060112000328 |
| Provider Name | Timothy G Drake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679679658 PECOS PAC ID: 7618996802 Enrollment ID: I20060112000341 |
| Provider Name | Steven D Omarro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467552133 PECOS PAC ID: 2860412376 Enrollment ID: I20060112000359 |
| Provider Name | Marten James Sikorski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811081177 PECOS PAC ID: 0446273783 Enrollment ID: I20060112000381 |
| Provider Name | William D Putman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386737237 PECOS PAC ID: 7214957737 Enrollment ID: I20060112000400 |
| Provider Name | Ernest E Ertmoed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710073382 PECOS PAC ID: 3375449762 Enrollment ID: I20060112000428 |
| Provider Name | Randal J Peterson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184724866 PECOS PAC ID: 5597785014 Enrollment ID: I20060112000794 |
| Provider Name | Samir Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811097595 PECOS PAC ID: 3072536366 Enrollment ID: I20060112000810 |
| Provider Name | Dennis J Rademacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679673354 PECOS PAC ID: 7113947631 Enrollment ID: I20060112000833 |
| Provider Name | Cheryl L Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548372097 PECOS PAC ID: 6800819095 Enrollment ID: I20060113000657 |
| Provider Name | Sarah Maureen Dietrich Yockey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265525737 PECOS PAC ID: 6901825199 Enrollment ID: I20060113000863 |
| Provider Name | Kenneth R Sagins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275633968 PECOS PAC ID: 2365462884 Enrollment ID: I20060116000112 |
| Provider Name | James W Thiele |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1659465813 PECOS PAC ID: 5496775926 Enrollment ID: I20060116000202 |
| Provider Name | Pramila R Venigalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093815680 PECOS PAC ID: 0648294801 Enrollment ID: I20060116000246 |
| Provider Name | Raymond L Castaldo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568558484 PECOS PAC ID: 6103845391 Enrollment ID: I20060116000298 |
| Provider Name | Veronica G Savage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447350137 PECOS PAC ID: 6800816323 Enrollment ID: I20060116000303 |
| Provider Name | Terry Lee Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265530612 PECOS PAC ID: 8921028432 Enrollment ID: I20060116000316 |
| Provider Name | Kim B Krager |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578664314 PECOS PAC ID: 9537183702 Enrollment ID: I20060116000345 |
| Provider Name | Judith P Knox |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467550772 PECOS PAC ID: 7911927421 Enrollment ID: I20060116000393 |
| Provider Name | Randy L Western |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760424584 PECOS PAC ID: 0840210373 Enrollment ID: I20060117000212 |
| Provider Name | Beth A Steh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669572251 PECOS PAC ID: 4688694110 Enrollment ID: I20060117000254 |
| Provider Name | James N White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861589103 PECOS PAC ID: 2668492190 Enrollment ID: I20060117000479 |
| Provider Name | Linda A Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205917697 PECOS PAC ID: 9739103870 Enrollment ID: I20060117000537 |
| Provider Name | Jeffrey R Horvath |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588761811 PECOS PAC ID: 6507886009 Enrollment ID: I20060117000671 |
| Provider Name | Casey Muehle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134167893 PECOS PAC ID: 9739156670 Enrollment ID: I20060117000913 |
| Provider Name | Michael A Pick |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861585846 PECOS PAC ID: 9234035635 Enrollment ID: I20060118000363 |
| Provider Name | Stephen J Pineda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528178654 PECOS PAC ID: 0042230567 Enrollment ID: I20060118000609 |
| Provider Name | Laura J Amidon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508967837 PECOS PAC ID: 3870517675 Enrollment ID: I20060119000630 |
| Provider Name | Constance L Esslinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477644656 PECOS PAC ID: 3577587385 Enrollment ID: I20060119000663 |
| Provider Name | John L Malcott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134227135 PECOS PAC ID: 2062432578 Enrollment ID: I20060123000055 |
| Provider Name | Melinda M Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598856023 PECOS PAC ID: 7618991274 Enrollment ID: I20060123000135 |
| Provider Name | Robert A Lowenthal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871509323 PECOS PAC ID: 1254351760 Enrollment ID: I20060123000355 |
| Provider Name | Christopher D Ryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467552158 PECOS PAC ID: 3274557871 Enrollment ID: I20060123000507 |
| Provider Name | Brenda K Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952492472 PECOS PAC ID: 3476577941 Enrollment ID: I20060124000060 |
| Provider Name | Maria E Rexroad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649361163 PECOS PAC ID: 8527082098 Enrollment ID: I20060124000093 |
| Provider Name | Mary Leona Sipes Saathoff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376524470 PECOS PAC ID: 2062426877 Enrollment ID: I20060201000322 |
| Provider Name | Vickie S Bushur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184710402 PECOS PAC ID: 3870507510 Enrollment ID: I20060201000543 |
| Provider Name | Cassandra Joan Maillet |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356398218 PECOS PAC ID: 3779590468 Enrollment ID: I20060322000020 |
| Provider Name | Fadi Annaba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154353217 PECOS PAC ID: 3375553043 Enrollment ID: I20060425000607 |
| Provider Name | Jamie F Yording |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639268535 PECOS PAC ID: 9830100866 Enrollment ID: I20060505000316 |
| Provider Name | Joseph D Conlon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831131697 PECOS PAC ID: 8224040787 Enrollment ID: I20060627000115 |
| Provider Name | Mary B Ditman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114920139 PECOS PAC ID: 3577576370 Enrollment ID: I20060721000063 |
| Provider Name | Jennifer C Maneja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194775064 PECOS PAC ID: 8729091400 Enrollment ID: I20060725000129 |
| Provider Name | Heather N Beal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912940545 PECOS PAC ID: 8325041395 Enrollment ID: I20060811000076 |
| Provider Name | Mindy L Hazard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609817543 PECOS PAC ID: 8820091895 Enrollment ID: I20060811000116 |
| Provider Name | Erica L Ashby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124042841 PECOS PAC ID: 3274536941 Enrollment ID: I20060818000116 |
| Provider Name | William D Payne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740282847 PECOS PAC ID: 0446291686 Enrollment ID: I20060821000367 |
| Provider Name | Rajesh G Govindaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245266766 PECOS PAC ID: 9638117880 Enrollment ID: I20060824000522 |
| Provider Name | Renu C Govindaiah |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1477553931 PECOS PAC ID: 8325013345 Enrollment ID: I20060831000081 |
| Provider Name | Jennifer A Choatie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720090772 PECOS PAC ID: 0648274878 Enrollment ID: I20060831000108 |
| Provider Name | Murty S Renduchintala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083661664 PECOS PAC ID: 0143225243 Enrollment ID: I20060925000103 |
| Provider Name | Philip J Abraham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548375629 PECOS PAC ID: 6406817717 Enrollment ID: I20061003000295 |
| Provider Name | Sarah J Fink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639193964 PECOS PAC ID: 9133125552 Enrollment ID: I20061009000024 |
| Provider Name | Gregory Maurer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699881227 PECOS PAC ID: 5698771491 Enrollment ID: I20061019000147 |
| Provider Name | Beth A Killam |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023104924 PECOS PAC ID: 2961409990 Enrollment ID: I20061103000267 |
| Provider Name | Piero Capecci |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154321222 PECOS PAC ID: 1759274111 Enrollment ID: I20070105000105 |
| Provider Name | Denise M Mammolito |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972604221 PECOS PAC ID: 2062515166 Enrollment ID: I20070309000471 |
| Provider Name | Gaylan W Moushon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548395049 PECOS PAC ID: 7618070343 Enrollment ID: I20070316000256 |
| Provider Name | Rajesh Srinivasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184779589 PECOS PAC ID: 3375647845 Enrollment ID: I20070323000124 |
| Provider Name | Robert C Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558419325 PECOS PAC ID: 4385741453 Enrollment ID: I20070524000270 |
| Provider Name | Molly J Baur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871677278 PECOS PAC ID: 4486752813 Enrollment ID: I20070608000471 |
| Provider Name | Leonard Giannone |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245297571 PECOS PAC ID: 2365452984 Enrollment ID: I20070703000479 |
| Provider Name | Daniel L Shekleton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699830174 PECOS PAC ID: 6507966983 Enrollment ID: I20070713000761 |
| Provider Name | Xinyan Huang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295862365 PECOS PAC ID: 0547361594 Enrollment ID: I20070720000759 |
| Provider Name | David T Cross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831301282 PECOS PAC ID: 5294836003 Enrollment ID: I20070724000349 |
| Provider Name | Richard T Eden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477589992 PECOS PAC ID: 0042314312 Enrollment ID: I20070813000659 |
| Provider Name | Grant W Su |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386723781 PECOS PAC ID: 2769573252 Enrollment ID: I20070813000732 |
| Provider Name | Jayaraj Salimath |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720020308 PECOS PAC ID: 3274546411 Enrollment ID: I20070822000214 |
| Provider Name | Brett W Wolters |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235177023 PECOS PAC ID: 7214934082 Enrollment ID: I20070824000795 |
| Provider Name | Parashar J Nanavati |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548359938 PECOS PAC ID: 8729089768 Enrollment ID: I20070904000366 |
| Provider Name | Alison E Bilyeu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568474823 PECOS PAC ID: 7214020940 Enrollment ID: I20070911000403 |
| Provider Name | Melinda K Barthelme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639104672 PECOS PAC ID: 8123112646 Enrollment ID: I20070914000328 |
| Provider Name | Steven J Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598763880 PECOS PAC ID: 6507760725 Enrollment ID: I20071006000007 |
| Provider Name | Heather C Ey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699962597 PECOS PAC ID: 8820184492 Enrollment ID: I20071011000565 |
| Provider Name | Ann M Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821284266 PECOS PAC ID: 0547340788 Enrollment ID: I20071231000255 |
| Provider Name | Julie Gottemoller-mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407043391 PECOS PAC ID: 6305927062 Enrollment ID: I20080118000593 |
| Provider Name | Sufyan Said |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982885257 PECOS PAC ID: 3476591298 Enrollment ID: I20080119000076 |
| Provider Name | Pamela S Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588852107 PECOS PAC ID: 8628150950 Enrollment ID: I20080125000373 |
| Provider Name | Stormy L Zwiefel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730366162 PECOS PAC ID: 1153407051 Enrollment ID: I20080318000313 |
| Provider Name | Erin M Stone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760505721 PECOS PAC ID: 3274619994 Enrollment ID: I20080320000586 |
| Provider Name | Lucinda A Hany |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063535029 PECOS PAC ID: 5890871511 Enrollment ID: I20080320000603 |
| Provider Name | Margaret A Knox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396915070 PECOS PAC ID: 9830269661 Enrollment ID: I20080604000746 |
| Provider Name | Mary E Royce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508070442 PECOS PAC ID: 5597707893 Enrollment ID: I20080618000491 |
| Provider Name | Joseph Baima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144380049 PECOS PAC ID: 7719058593 Enrollment ID: I20080623000234 |
| Provider Name | Scott C Morgan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679547947 PECOS PAC ID: 2860564804 Enrollment ID: I20080708000220 |
| Provider Name | Mariano V Tolentino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356315626 PECOS PAC ID: 0446323711 Enrollment ID: I20080718000620 |
| Provider Name | Kevin D Hazard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881652089 PECOS PAC ID: 7416021092 Enrollment ID: I20080730000522 |
| Provider Name | Andrew D Lambert |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942413026 PECOS PAC ID: 7113092586 Enrollment ID: I20080819000868 |
| Provider Name | Vladimir A Lytchakov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184617201 PECOS PAC ID: 9234188673 Enrollment ID: I20080820000490 |
| Provider Name | Praveen K Mullangi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508056987 PECOS PAC ID: 5294801163 Enrollment ID: I20080829000554 |
| Provider Name | Gaurav Sangwan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083820757 PECOS PAC ID: 2466529425 Enrollment ID: I20080917000713 |
| Provider Name | Robin J Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285893446 PECOS PAC ID: 3476620279 Enrollment ID: I20080919000516 |
| Provider Name | Patricia A Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033372396 PECOS PAC ID: 9830266634 Enrollment ID: I20080919000521 |
| Provider Name | Jeff P Thompson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588863195 PECOS PAC ID: 5092895904 Enrollment ID: I20080929000553 |
| Provider Name | Jason P Guthrie |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437299682 PECOS PAC ID: 0648347948 Enrollment ID: I20080929000694 |
| Provider Name | Jennifer E Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396909412 PECOS PAC ID: 2668540204 Enrollment ID: I20081008000821 |
| Provider Name | Stacey A. Graven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881840791 PECOS PAC ID: 4688732324 Enrollment ID: I20081023000668 |
| Provider Name | Cathy Lomelino Mcafee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154579308 PECOS PAC ID: 7214096163 Enrollment ID: I20081106000374 |
| Provider Name | Sanjay Y Bangarulingam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952408734 PECOS PAC ID: 0345229621 Enrollment ID: I20081202000535 |
| Provider Name | Delores A Gallo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013984889 PECOS PAC ID: 6103987698 Enrollment ID: I20081202000640 |
| Provider Name | Brittney A Veenstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710085998 PECOS PAC ID: 5193820017 Enrollment ID: I20081210000295 |
| Provider Name | Joanne F Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669447892 PECOS PAC ID: 2365504057 Enrollment ID: I20081213000264 |
| Provider Name | Katherine Stealey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841411188 PECOS PAC ID: 3779645346 Enrollment ID: I20081217000035 |
| Provider Name | Micca L Donohoo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093968273 PECOS PAC ID: 0042373623 Enrollment ID: I20090107000686 |
| Provider Name | David D Pittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124052030 PECOS PAC ID: 4385707942 Enrollment ID: I20090108000630 |
| Provider Name | Neha N Amin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619974532 PECOS PAC ID: 2668535667 Enrollment ID: I20090119000102 |
| Provider Name | Nicholas M Till |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770729469 PECOS PAC ID: 4486710993 Enrollment ID: I20090309000439 |
| Provider Name | Nicolas A Forero |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740264365 PECOS PAC ID: 0648189498 Enrollment ID: I20090414000669 |
| Provider Name | Margo S Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336381201 PECOS PAC ID: 3476601576 Enrollment ID: I20090429000358 |
| Provider Name | Farnaz Nani Moazzam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487669735 PECOS PAC ID: 1557410867 Enrollment ID: I20090515000410 |
| Provider Name | Didar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952563488 PECOS PAC ID: 5991856874 Enrollment ID: I20090707000078 |
| Provider Name | Paul W Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386850071 PECOS PAC ID: 7214089960 Enrollment ID: I20090710000334 |
| Provider Name | Mary Joelle Curry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093936627 PECOS PAC ID: 0840342358 Enrollment ID: I20090714000697 |
| Provider Name | Jason J Mcallaster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306874466 PECOS PAC ID: 3375546708 Enrollment ID: I20090722000469 |
| Provider Name | Aaron T Brewer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679794523 PECOS PAC ID: 9133272685 Enrollment ID: I20090730000246 |
| Provider Name | Leslie A Dignan-moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831311836 PECOS PAC ID: 9931252483 Enrollment ID: I20090730000264 |
| Provider Name | Rishi Sharma |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1801084736 PECOS PAC ID: 5092868281 Enrollment ID: I20090805000729 |
| Provider Name | Brad D Paris |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205057254 PECOS PAC ID: 8022162627 Enrollment ID: I20090817000457 |
| Provider Name | Bradford L West |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194969170 PECOS PAC ID: 3779638838 Enrollment ID: I20090826000351 |
| Provider Name | Ashley J Kaesebier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366673733 PECOS PAC ID: 2365597028 Enrollment ID: I20090901000356 |
| Provider Name | Megan Ann Klemm |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851529200 PECOS PAC ID: 9739235979 Enrollment ID: I20090914000287 |
| Provider Name | Tomasz P Srokowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174671937 PECOS PAC ID: 1658470398 Enrollment ID: I20090917000048 |
| Provider Name | Sudha G Prasad |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1417120189 PECOS PAC ID: 0648317503 Enrollment ID: I20091026000219 |
| Provider Name | Stephanie K Chabez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386877504 PECOS PAC ID: 1759428477 Enrollment ID: I20091028000419 |
| Provider Name | Jessica L Lightfoot |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548596471 PECOS PAC ID: 0547309270 Enrollment ID: I20091209000230 |
| Provider Name | Robert Greig Trapp |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841363751 PECOS PAC ID: 5092855783 Enrollment ID: I20091210000186 |
| Provider Name | Thomas J Duhig |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740448745 PECOS PAC ID: 3779623095 Enrollment ID: I20091217000514 |
| Provider Name | Lana Schmidt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245260082 PECOS PAC ID: 5092776559 Enrollment ID: I20100108000767 |
| Provider Name | Lisa A Kowalski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295766772 PECOS PAC ID: 8022079581 Enrollment ID: I20100108000778 |
| Provider Name | Julia Rosaria Rodrick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255462834 PECOS PAC ID: 1153463096 Enrollment ID: I20100115000229 |
| Provider Name | Michelle R Reeves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518942754 PECOS PAC ID: 9931235090 Enrollment ID: I20100327000399 |
| Provider Name | Robert B Nadler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982623401 PECOS PAC ID: 1052441938 Enrollment ID: I20100621000227 |
| Provider Name | Jonathan T Locke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982650990 PECOS PAC ID: 4385626613 Enrollment ID: I20100628000758 |
| Provider Name | Santhi B Arikati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073703393 PECOS PAC ID: 2365574316 Enrollment ID: I20100709000773 |
| Provider Name | Eileen Figuerres |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093936635 PECOS PAC ID: 6103958715 Enrollment ID: I20100717000124 |
| Provider Name | Marc A Apostol |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508081688 PECOS PAC ID: 6901938513 Enrollment ID: I20100717000145 |
| Provider Name | Becky L Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023349230 PECOS PAC ID: 0547393662 Enrollment ID: I20100727000028 |
| Provider Name | Thomas Howard Tarter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114913225 PECOS PAC ID: 4880728492 Enrollment ID: I20100818000805 |
| Provider Name | Alan Dale Bilyeu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417956798 PECOS PAC ID: 0042119414 Enrollment ID: I20100902000323 |
| Provider Name | Curt C Farr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700861937 PECOS PAC ID: 1557553799 Enrollment ID: I20101007000056 |
| Provider Name | Srinivasa R Kakumani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508988486 PECOS PAC ID: 3870787724 Enrollment ID: I20101104000544 |
| Provider Name | Daniel M Hallam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548479751 PECOS PAC ID: 9032304175 Enrollment ID: I20101115000482 |
| Provider Name | Dushyantkumar R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952631269 PECOS PAC ID: 5890981443 Enrollment ID: I20101122001378 |
| Provider Name | Benjamin W Stevens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295953172 PECOS PAC ID: 7113072596 Enrollment ID: I20101201000321 |
| Provider Name | Lynn Marie Kink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225255847 PECOS PAC ID: 4688861503 Enrollment ID: I20101203001280 |
| Provider Name | Swapna Nekkanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013108372 PECOS PAC ID: 8628265923 Enrollment ID: I20101213000998 |
| Provider Name | David L Crawford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306874128 PECOS PAC ID: 0941190490 Enrollment ID: I20101221000112 |
| Provider Name | Ashish Chopra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497727234 PECOS PAC ID: 7618930751 Enrollment ID: I20110113001221 |
| Provider Name | Timothy L Gillison |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710905906 PECOS PAC ID: 2062411572 Enrollment ID: I20110114000559 |
| Provider Name | Seetal Kakumani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134334022 PECOS PAC ID: 2163598111 Enrollment ID: I20110125000674 |
| Provider Name | Anna M Varvel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205149010 PECOS PAC ID: 7113106642 Enrollment ID: I20110128000871 |
| Provider Name | Aimee N Shane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841502549 PECOS PAC ID: 2365622529 Enrollment ID: I20110207000175 |
| Provider Name | Bryan J Kellenberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275733073 PECOS PAC ID: 8729268552 Enrollment ID: I20110210000525 |
| Provider Name | Brittany L Clayton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174834428 PECOS PAC ID: 7416138672 Enrollment ID: I20110221000729 |
| Provider Name | Angela Younker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891008140 PECOS PAC ID: 4789865718 Enrollment ID: I20110224000346 |
| Provider Name | Arun V Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508020546 PECOS PAC ID: 5698956209 Enrollment ID: I20110301000980 |
| Provider Name | Stephen J Smart |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1265429625 PECOS PAC ID: 6305949819 Enrollment ID: I20110303000067 |
| Provider Name | Penelope A Ewbank |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1558358911 PECOS PAC ID: 8123121639 Enrollment ID: I20110303000077 |
| Provider Name | Tara Z Bennett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194713024 PECOS PAC ID: 0042109456 Enrollment ID: I20110304000410 |
| Provider Name | Amy E Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508855479 PECOS PAC ID: 1951486323 Enrollment ID: I20110307000705 |
| Provider Name | Bernard H Habing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649586819 PECOS PAC ID: 2062694342 Enrollment ID: I20110308000387 |
| Provider Name | Matthew L Peecher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225009152 PECOS PAC ID: 2961684972 Enrollment ID: I20110312000113 |
| Provider Name | Jesecca E Titone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730485624 PECOS PAC ID: 6305029109 Enrollment ID: I20110331000194 |
| Provider Name | Abby Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568769420 PECOS PAC ID: 4880878164 Enrollment ID: I20110411000777 |
| Provider Name | Angelique S Rettig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649268509 PECOS PAC ID: 6406931872 Enrollment ID: I20110413000907 |
| Provider Name | Melissa L Pounders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295031128 PECOS PAC ID: 9931383890 Enrollment ID: I20110418000707 |
| Provider Name | Courtney B Krohe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861791758 PECOS PAC ID: 4486839156 Enrollment ID: I20110421000742 |
| Provider Name | James Brumit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306826052 PECOS PAC ID: 9931011145 Enrollment ID: I20110429000476 |
| Provider Name | Leslie Jr Acakpo-satchivi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821042680 PECOS PAC ID: 7113954504 Enrollment ID: I20110601000646 |
| Provider Name | Steven S Tsoraides |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760689764 PECOS PAC ID: 5991973851 Enrollment ID: I20110719000805 |
| Provider Name | Tina M Bowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326036302 PECOS PAC ID: 8224206677 Enrollment ID: I20110729000495 |
| Provider Name | Isha Tyagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487816161 PECOS PAC ID: 7214106491 Enrollment ID: I20110803000895 |
| Provider Name | Scott Bilyeu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053516971 PECOS PAC ID: 8224177902 Enrollment ID: I20110805000197 |
| Provider Name | Theodore J Paradowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720171804 PECOS PAC ID: 1153590799 Enrollment ID: I20110816000388 |
| Provider Name | Elizabeth L Meinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467745208 PECOS PAC ID: 9537339866 Enrollment ID: I20110824000576 |
| Provider Name | Matthew P Gardner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912123134 PECOS PAC ID: 9739374679 Enrollment ID: I20110902000593 |
| Provider Name | Xochitl L Garcia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881893212 PECOS PAC ID: 0143494054 Enrollment ID: I20111110000464 |
| Provider Name | Sonia Gajula |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417055989 PECOS PAC ID: 8325116726 Enrollment ID: I20111121000481 |
| Provider Name | Eric M Cox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821275074 PECOS PAC ID: 4284800749 Enrollment ID: I20120104000605 |
| Provider Name | Stephanie A Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578849097 PECOS PAC ID: 9436325602 Enrollment ID: I20120110000720 |
| Provider Name | Brian K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124180708 PECOS PAC ID: 9537335716 Enrollment ID: I20120110000819 |
| Provider Name | Mary L Tisdale |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992034532 PECOS PAC ID: 7810164738 Enrollment ID: I20120118000197 |
| Provider Name | Catherine Barteau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578521746 PECOS PAC ID: 7618079468 Enrollment ID: I20120215000266 |
| Provider Name | Ginger P Boehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699049874 PECOS PAC ID: 7012176894 Enrollment ID: I20120314000505 |
| Provider Name | Calvin Moy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154558732 PECOS PAC ID: 0446410906 Enrollment ID: I20120321000453 |
| Provider Name | David O Akerele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073887527 PECOS PAC ID: 5991965337 Enrollment ID: I20120322000383 |
| Provider Name | Brooke Y Trickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437423613 PECOS PAC ID: 1951561307 Enrollment ID: I20120322000438 |
| Provider Name | Michelle Lucas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679877401 PECOS PAC ID: 4183807092 Enrollment ID: I20120508000068 |
| Provider Name | Tami L Domescik Rink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356613590 PECOS PAC ID: 4789847591 Enrollment ID: I20120515000147 |
| Provider Name | Kristina M Rexroad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912263963 PECOS PAC ID: 6507029204 Enrollment ID: I20120516000382 |
| Provider Name | Abdul Safadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659544252 PECOS PAC ID: 5294998779 Enrollment ID: I20120521000088 |
| Provider Name | Heather Lynn Jefford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881906410 PECOS PAC ID: 6800050402 Enrollment ID: I20120612000120 |
| Provider Name | Eric Anthony Bloemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073742664 PECOS PAC ID: 6608068093 Enrollment ID: I20120726000235 |
| Provider Name | Akindele A Adaramola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548492200 PECOS PAC ID: 3678729753 Enrollment ID: I20120806000149 |
| Provider Name | Jianjun Ma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760679617 PECOS PAC ID: 8820244908 Enrollment ID: I20120806000174 |
| Provider Name | Amanda B Figge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982968285 PECOS PAC ID: 7214183219 Enrollment ID: I20120807000649 |
| Provider Name | Paul E Pacheco |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1689872905 PECOS PAC ID: 0345496162 Enrollment ID: I20120810000403 |
| Provider Name | Elizabeth D Woodward |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1962623827 PECOS PAC ID: 3072769470 Enrollment ID: I20120816000707 |
| Provider Name | Dustin J Stehling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033371125 PECOS PAC ID: 6103072517 Enrollment ID: I20120816000910 |
| Provider Name | Joel H Wietfeldt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497977888 PECOS PAC ID: 6305092735 Enrollment ID: I20120817000161 |
| Provider Name | Mehdi Shahidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538398508 PECOS PAC ID: 2567619810 Enrollment ID: I20120822000156 |
| Provider Name | Eric M High |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629299599 PECOS PAC ID: 4789831355 Enrollment ID: I20120904000770 |
| Provider Name | Melissa M Osowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295082261 PECOS PAC ID: 0941458251 Enrollment ID: I20120911000772 |
| Provider Name | Kelli C Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619222577 PECOS PAC ID: 1850540337 Enrollment ID: I20120926000576 |
| Provider Name | Dragica Milicevic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245344357 PECOS PAC ID: 3870540040 Enrollment ID: I20121003000588 |
| Provider Name | Bethany L Bitner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316173164 PECOS PAC ID: 3173773116 Enrollment ID: I20121026000749 |
| Provider Name | Phyllis I Eze |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609063106 PECOS PAC ID: 6709058449 Enrollment ID: I20121031000191 |
| Provider Name | Chaitanya Kumar Mamillapalli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710137930 PECOS PAC ID: 8022260728 Enrollment ID: I20121203000588 |
| Provider Name | Jody Lynn Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821341041 PECOS PAC ID: 4486808151 Enrollment ID: I20130205000104 |
| Provider Name | Ashley R Goetze |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104139864 PECOS PAC ID: 0446405047 Enrollment ID: I20130306000020 |
| Provider Name | Timothy Mark Biagini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568618544 PECOS PAC ID: 1951547512 Enrollment ID: I20130426000444 |
| Provider Name | Kristen L Wade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396084653 PECOS PAC ID: 1153560511 Enrollment ID: I20130614000119 |
| Provider Name | Shad D Beaty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538241591 PECOS PAC ID: 6103066998 Enrollment ID: I20130627000558 |
| Provider Name | Amanda M Connoyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114260551 PECOS PAC ID: 1153561931 Enrollment ID: I20130628000533 |
| Provider Name | Trupesh A Chanpura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760642151 PECOS PAC ID: 4385884048 Enrollment ID: I20130701000756 |
| Provider Name | Stephanie Swope |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164484846 PECOS PAC ID: 0547295164 Enrollment ID: I20130702000034 |
| Provider Name | Stephen Yuliang Chen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114060514 PECOS PAC ID: 1153423835 Enrollment ID: I20130717000371 |
| Provider Name | Jennifer Deluka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740591619 PECOS PAC ID: 4981842044 Enrollment ID: I20130801000413 |
| Provider Name | Ryan D Farris |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790124709 PECOS PAC ID: 5698917508 Enrollment ID: I20130806000186 |
| Provider Name | Ramanath Bhandari |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255594248 PECOS PAC ID: 3375714264 Enrollment ID: I20130816000360 |
| Provider Name | Nora Taylor Maczura |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1043338395 PECOS PAC ID: 8729221445 Enrollment ID: I20130828000756 |
| Provider Name | Vivianne C Beyer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619110038 PECOS PAC ID: 2264676964 Enrollment ID: I20130919000410 |
| Provider Name | Amanda M Obrien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184852162 PECOS PAC ID: 9335373422 Enrollment ID: I20131003000001 |
| Provider Name | Mirjam J. Naughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194158238 PECOS PAC ID: 5395733687 Enrollment ID: I20131008000430 |
| Provider Name | Brian D. Gazdziak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447686704 PECOS PAC ID: 9830323781 Enrollment ID: I20131008000481 |
| Provider Name | Rajan Kochar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851503692 PECOS PAC ID: 3870645518 Enrollment ID: I20131009001627 |
| Provider Name | Robin A Alley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659689461 PECOS PAC ID: 8325272834 Enrollment ID: I20131015001924 |
| Provider Name | Yuan Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508202045 PECOS PAC ID: 3274768643 Enrollment ID: I20131022000021 |
| Provider Name | Sarah L. Wilks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235563271 PECOS PAC ID: 6103051339 Enrollment ID: I20131024001065 |
| Provider Name | Christina M Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205263373 PECOS PAC ID: 2860627544 Enrollment ID: I20131105001365 |
| Provider Name | Kaitlin D Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003136276 PECOS PAC ID: 4284869868 Enrollment ID: I20131107000764 |
| Provider Name | Juan O. Ocasla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477705192 PECOS PAC ID: 7315173408 Enrollment ID: I20131120000168 |
| Provider Name | Purvi Patel Bhandari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649436809 PECOS PAC ID: 5496913212 Enrollment ID: I20131210001426 |
| Provider Name | Gwen Brooke Griffen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326215971 PECOS PAC ID: 0446421853 Enrollment ID: I20140114000706 |
| Provider Name | Shelley A Scaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801148416 PECOS PAC ID: 2769611334 Enrollment ID: I20140130000494 |
| Provider Name | Deidra N Bellm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942623665 PECOS PAC ID: 5193958189 Enrollment ID: I20140428000911 |
| Provider Name | Stacy A. Roher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316254287 PECOS PAC ID: 1153554159 Enrollment ID: I20140428001412 |
| Provider Name | Charlotte F Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073941670 PECOS PAC ID: 3577796820 Enrollment ID: I20140512001799 |
| Provider Name | Murali Veluru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932362928 PECOS PAC ID: 9638334105 Enrollment ID: I20140513001251 |
| Provider Name | Bhavani Adusumilli |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568792604 PECOS PAC ID: 9234352220 Enrollment ID: I20140520001352 |
| Provider Name | Jenna R. Pelc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730508300 PECOS PAC ID: 0042433922 Enrollment ID: I20140521002319 |
| Provider Name | Patrick David Rhoades |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487816765 PECOS PAC ID: 4284875790 Enrollment ID: I20140522001739 |
| Provider Name | Ashlee N Sloman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821409863 PECOS PAC ID: 0749404853 Enrollment ID: I20140611001326 |
| Provider Name | Robert E Weitzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669751996 PECOS PAC ID: 9234354051 Enrollment ID: I20140710000312 |
| Provider Name | Saurabh Jha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194979369 PECOS PAC ID: 2264678093 Enrollment ID: I20140717001434 |
| Provider Name | Sandipkumar M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386922706 PECOS PAC ID: 4688890833 Enrollment ID: I20140723001844 |
| Provider Name | Coral Jeanne Armour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083020903 PECOS PAC ID: 2365668167 Enrollment ID: I20140731001967 |
| Provider Name | Namita Vinayek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881637049 PECOS PAC ID: 2860424215 Enrollment ID: I20140801000657 |
| Provider Name | Alison C. Rinaberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821309790 PECOS PAC ID: 2668698325 Enrollment ID: I20140801001158 |
| Provider Name | Chinelo C Echeazu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922319839 PECOS PAC ID: 0749407161 Enrollment ID: I20140808000591 |
| Provider Name | Edward Price Odell Harter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841452463 PECOS PAC ID: 8426275744 Enrollment ID: I20140811001842 |
| Provider Name | Marisa Blitstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194914465 PECOS PAC ID: 1557527751 Enrollment ID: I20140813000079 |
| Provider Name | Anita Denise Schwab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376977371 PECOS PAC ID: 5597983064 Enrollment ID: I20140825001600 |
| Provider Name | Jessica B Moja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407069073 PECOS PAC ID: 4688892953 Enrollment ID: I20140828000281 |
| Provider Name | Aaron Konrad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114177102 PECOS PAC ID: 0840345401 Enrollment ID: I20140828001682 |
| Provider Name | Carrie Ann West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689092546 PECOS PAC ID: 4385863844 Enrollment ID: I20140915002150 |
| Provider Name | Jessi R. Prentice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710387154 PECOS PAC ID: 6709005093 Enrollment ID: I20140918001911 |
| Provider Name | Todd D Elmore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104854439 PECOS PAC ID: 0446341861 Enrollment ID: I20140922001039 |
| Provider Name | Desi L Dennis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588846588 PECOS PAC ID: 9032367842 Enrollment ID: I20140926001025 |
| Provider Name | Stephanie Adair Olysav |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225218647 PECOS PAC ID: 6406076082 Enrollment ID: I20141002000677 |
| Provider Name | Lynnette A Davis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225260920 PECOS PAC ID: 0749400844 Enrollment ID: I20141010002295 |
| Provider Name | Mary E Perlman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104036961 PECOS PAC ID: 2466673595 Enrollment ID: I20141014002413 |
| Provider Name | Terri E. Gustafson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841440575 PECOS PAC ID: 5193946788 Enrollment ID: I20141023002213 |
| Provider Name | Ashley R Frerichs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982024394 PECOS PAC ID: 0547481921 Enrollment ID: I20141028002789 |
| Provider Name | Brenda S Reiling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487823779 PECOS PAC ID: 4880816743 Enrollment ID: I20141107001239 |
| Provider Name | Heidi Wynell Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710137609 PECOS PAC ID: 7315169174 Enrollment ID: I20141111000486 |
| Provider Name | Darshan R Dhingani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053547968 PECOS PAC ID: 3274797196 Enrollment ID: I20141111001221 |
| Provider Name | Robin Afeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770984718 PECOS PAC ID: 6800018441 Enrollment ID: I20141114000178 |
| Provider Name | Julie A. Peacock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578825873 PECOS PAC ID: 7113149659 Enrollment ID: I20141117001506 |
| Provider Name | Sara M. Westlake |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366848061 PECOS PAC ID: 2860714185 Enrollment ID: I20141122000443 |
| Provider Name | David A. Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144522053 PECOS PAC ID: 5698097640 Enrollment ID: I20141203000571 |
| Provider Name | Kathleen M Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215376983 PECOS PAC ID: 6305160516 Enrollment ID: I20150116001592 |
| Provider Name | Sara D. Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053718700 PECOS PAC ID: 3577887512 Enrollment ID: I20150121001728 |
| Provider Name | Leslie Kristin Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316330582 PECOS PAC ID: 9830416239 Enrollment ID: I20150324001013 |
| Provider Name | Heather N. Rothert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740670736 PECOS PAC ID: 4981921970 Enrollment ID: I20150401001490 |
| Provider Name | Nicholas D Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679964514 PECOS PAC ID: 6709104532 Enrollment ID: I20150407002314 |
| Provider Name | Susan Nicole Lees |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700284973 PECOS PAC ID: 1355669607 Enrollment ID: I20150416000930 |
| Provider Name | Elizabeth L Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164814711 PECOS PAC ID: 6709106743 Enrollment ID: I20150514002713 |
| Provider Name | Amanda L. House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013303221 PECOS PAC ID: 2567782444 Enrollment ID: I20150515001282 |
| Provider Name | Bryan Macrie |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710299946 PECOS PAC ID: 7113247776 Enrollment ID: I20150521001206 |
| Provider Name | Heath Aaron Laughlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376854257 PECOS PAC ID: 7810216447 Enrollment ID: I20150604001600 |
| Provider Name | Jacob R Hopping |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538471099 PECOS PAC ID: 0244551539 Enrollment ID: I20150611003158 |
| Provider Name | Jillian Henry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003102773 PECOS PAC ID: 9436375003 Enrollment ID: I20150612000912 |
| Provider Name | Jacob Manoj Kitchener |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003818733 PECOS PAC ID: 9638100118 Enrollment ID: I20150622000702 |
| Provider Name | Tonya L. Heim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023382652 PECOS PAC ID: 6406167188 Enrollment ID: I20150622002353 |
| Provider Name | Justin Mark Brooks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659682524 PECOS PAC ID: 8921319419 Enrollment ID: I20150625000124 |
| Provider Name | Ronald Hidalgo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033352596 PECOS PAC ID: 7618192246 Enrollment ID: I20150625000213 |
| Provider Name | Brandon Snyder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528296167 PECOS PAC ID: 4587976972 Enrollment ID: I20150626000647 |
| Provider Name | Christopher Matthew Bradbury |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063723930 PECOS PAC ID: 9436388113 Enrollment ID: I20150708001619 |
| Provider Name | Daniel John Ferraro |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629237409 PECOS PAC ID: 4789814005 Enrollment ID: I20150721000755 |
| Provider Name | Abigail White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144455767 PECOS PAC ID: 0446565915 Enrollment ID: I20150812007596 |
| Provider Name | Braden G. Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497131072 PECOS PAC ID: 1850606013 Enrollment ID: I20150817002323 |
| Provider Name | Jessica A Gorsek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720468507 PECOS PAC ID: 9133436033 Enrollment ID: I20150909001906 |
| Provider Name | Richa Pandey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922312834 PECOS PAC ID: 2062640006 Enrollment ID: I20150911000802 |
| Provider Name | Angela Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912375353 PECOS PAC ID: 6709193576 Enrollment ID: I20150911001322 |
| Provider Name | Tiffany M Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538547591 PECOS PAC ID: 7911215744 Enrollment ID: I20150929000532 |
| Provider Name | Aubrie A Hubbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952786311 PECOS PAC ID: 8123336773 Enrollment ID: I20150930002176 |
| Provider Name | Ellen R. Heien |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194195297 PECOS PAC ID: 0547578056 Enrollment ID: I20151002001539 |
| Provider Name | Leah A. Bestudik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265801930 PECOS PAC ID: 2567771538 Enrollment ID: I20151014003078 |
| Provider Name | Elizabeth Kay Cheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396117867 PECOS PAC ID: 7517277502 Enrollment ID: I20151103001753 |
| Provider Name | Rachel Delong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356719736 PECOS PAC ID: 2264742162 Enrollment ID: I20151105000118 |
| Provider Name | Justin N Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104145747 PECOS PAC ID: 7517195191 Enrollment ID: I20160204000001 |
| Provider Name | Kathleen Lea Summers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750433611 PECOS PAC ID: 6709873334 Enrollment ID: I20160210001694 |
| Provider Name | Jennifer Leeann Toon Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225497639 PECOS PAC ID: 4486950391 Enrollment ID: I20160302001773 |
| Provider Name | Zachary Ragains |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316305949 PECOS PAC ID: 8921304742 Enrollment ID: I20160303002721 |
| Provider Name | Jodi Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497114029 PECOS PAC ID: 2769788868 Enrollment ID: I20160316001363 |
| Provider Name | Lindsey N Ostermeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003276189 PECOS PAC ID: 9032416029 Enrollment ID: I20160317001768 |
| Provider Name | Rachel E Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205293107 PECOS PAC ID: 9032416979 Enrollment ID: I20160321001828 |
| Provider Name | Timothy J Belden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891974481 PECOS PAC ID: 8325111438 Enrollment ID: I20160330000523 |
| Provider Name | Tara M. Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588027528 PECOS PAC ID: 2668779984 Enrollment ID: I20160330002696 |
| Provider Name | Angela L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528434222 PECOS PAC ID: 3577860857 Enrollment ID: I20160331001657 |
| Provider Name | Ashley L. Bodine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235590696 PECOS PAC ID: 6406153683 Enrollment ID: I20160404000420 |
| Provider Name | Kristin M King |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538537444 PECOS PAC ID: 7214235969 Enrollment ID: I20160412002662 |
| Provider Name | Ashlie L Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790146868 PECOS PAC ID: 2062710726 Enrollment ID: I20160413000006 |
| Provider Name | Kyle J Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730543703 PECOS PAC ID: 3971801317 Enrollment ID: I20160418002039 |
| Provider Name | Naim N Khoury |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437342870 PECOS PAC ID: 3577852557 Enrollment ID: I20160513001599 |
| Provider Name | Claudine Gillison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013126317 PECOS PAC ID: 5496834277 Enrollment ID: I20160518001336 |
| Provider Name | Misty Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053461657 PECOS PAC ID: 7911183561 Enrollment ID: I20160607001695 |
| Provider Name | Gretchen Gibbs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184795940 PECOS PAC ID: 2567752363 Enrollment ID: I20160607002082 |
| Provider Name | Prashant Jagtap |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619390846 PECOS PAC ID: 3274751177 Enrollment ID: I20160615002574 |
| Provider Name | Preet Singh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881859833 PECOS PAC ID: 1254501455 Enrollment ID: I20160620001862 |
| Provider Name | Rabia Asghar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033498266 PECOS PAC ID: 8921399023 Enrollment ID: I20160621001162 |
| Provider Name | Bhadreshkumar Mandani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386048502 PECOS PAC ID: 5991096695 Enrollment ID: I20160628002016 |
| Provider Name | Chadrick R Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588956635 PECOS PAC ID: 6305166364 Enrollment ID: I20160722002250 |
| Provider Name | Harshit D Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983882 PECOS PAC ID: 4981997004 Enrollment ID: I20160727001914 |
| Provider Name | Katherine S Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598031239 PECOS PAC ID: 5799078713 Enrollment ID: I20160727002287 |
| Provider Name | Dawn Patrice Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417300278 PECOS PAC ID: 4183917149 Enrollment ID: I20160728000458 |
| Provider Name | Sarah Katherine Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487098901 PECOS PAC ID: 5698915981 Enrollment ID: I20160805001736 |
| Provider Name | Jaclyn M Mcfadden |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619320207 PECOS PAC ID: 8527353424 Enrollment ID: I20160816002718 |
| Provider Name | Janelle Rb Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730525361 PECOS PAC ID: 7416197694 Enrollment ID: I20160825002642 |
| Provider Name | Lindsay Fairfax |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952512980 PECOS PAC ID: 7113157124 Enrollment ID: I20160826000199 |
| Provider Name | Reuben Mari Valenzuela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922328103 PECOS PAC ID: 4981828092 Enrollment ID: I20160826000539 |
| Provider Name | Sean David Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326337692 PECOS PAC ID: 1052530987 Enrollment ID: I20160826000846 |
| Provider Name | Ami Lynn Broughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376098749 PECOS PAC ID: 6901191030 Enrollment ID: I20160829000180 |
| Provider Name | Rohan Jain |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1295034478 PECOS PAC ID: 8224321120 Enrollment ID: I20160901001451 |
| Provider Name | Irtaza I Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538346200 PECOS PAC ID: 6709014889 Enrollment ID: I20160902002031 |
| Provider Name | Rukayatu Ibrahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861803595 PECOS PAC ID: 1355637034 Enrollment ID: I20160906002011 |
| Provider Name | Amy N Haefeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437603719 PECOS PAC ID: 0042506289 Enrollment ID: I20160914001105 |
| Provider Name | Irampelh R Ocasla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619253531 PECOS PAC ID: 8426346347 Enrollment ID: I20161010001261 |
| Provider Name | Lyndsay Bedwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518315811 PECOS PAC ID: 7113215062 Enrollment ID: I20161010002212 |
| Provider Name | Christi A. Sabatka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033668959 PECOS PAC ID: 9931497567 Enrollment ID: I20161013001099 |
| Provider Name | Kyle S Mundhenke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598198921 PECOS PAC ID: 3870727886 Enrollment ID: I20161018000145 |
| Provider Name | Kelly West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699224873 PECOS PAC ID: 0648568980 Enrollment ID: I20161019001399 |
| Provider Name | Agnes A Fenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528518602 PECOS PAC ID: 3375821655 Enrollment ID: I20161021000996 |
| Provider Name | Michelle Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588115497 PECOS PAC ID: 0042598757 Enrollment ID: I20161101001200 |
| Provider Name | Amanda L Rawdon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215263181 PECOS PAC ID: 0749569150 Enrollment ID: I20161107002608 |
| Provider Name | Kaitlyn Renee Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285184713 PECOS PAC ID: 9830479716 Enrollment ID: I20161212000723 |
| Provider Name | Jordan Paul Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427594167 PECOS PAC ID: 2860775558 Enrollment ID: I20170202001955 |
| Provider Name | Ashleigh J Sommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518403716 PECOS PAC ID: 3971886524 Enrollment ID: I20170206002833 |
| Provider Name | Megan A. Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154867034 PECOS PAC ID: 4486937968 Enrollment ID: I20170207001883 |
| Provider Name | Jennifer K Tinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780121756 PECOS PAC ID: 5991089146 Enrollment ID: I20170307001153 |
| Provider Name | Shannon L Fasig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972056869 PECOS PAC ID: 1850676479 Enrollment ID: I20170322002314 |
| Provider Name | Brittany Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073054979 PECOS PAC ID: 9032494141 Enrollment ID: I20170331000984 |
| Provider Name | Mallory Waltrip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780125278 PECOS PAC ID: 0042596116 Enrollment ID: I20170404002844 |
| Provider Name | Kaci N Havlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083155311 PECOS PAC ID: 7911283981 Enrollment ID: I20170406001883 |
| Provider Name | Mosam Bhailalbhai Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326458332 PECOS PAC ID: 4880985076 Enrollment ID: I20170421001954 |
| Provider Name | Amanda L Kierbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407397284 PECOS PAC ID: 1153608567 Enrollment ID: I20170511001062 |
| Provider Name | David M Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295268381 PECOS PAC ID: 7315224771 Enrollment ID: I20170512000465 |
| Provider Name | Christopher Martinek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568877876 PECOS PAC ID: 7113142969 Enrollment ID: I20170605002477 |
| Provider Name | Adam Christopher King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881905750 PECOS PAC ID: 8426340258 Enrollment ID: I20170606001140 |
| Provider Name | Adrienne M Stich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558776807 PECOS PAC ID: 3375769375 Enrollment ID: I20170606001886 |
| Provider Name | Stephen Michael Holland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508205147 PECOS PAC ID: 6103069125 Enrollment ID: I20170607000762 |
| Provider Name | Shyam Kiran Gandam Venkata |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629332754 PECOS PAC ID: 2163790387 Enrollment ID: I20170612003004 |
| Provider Name | Muhammad Qaseem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700208980 PECOS PAC ID: 3375846066 Enrollment ID: I20170630002648 |
| Provider Name | Digantkumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912319252 PECOS PAC ID: 6709155906 Enrollment ID: I20170703000015 |
| Provider Name | Katherine E Maggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336676303 PECOS PAC ID: 8325317142 Enrollment ID: I20170710001969 |
| Provider Name | Kara Lynn Mccoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629418454 PECOS PAC ID: 7113223462 Enrollment ID: I20170711000714 |
| Provider Name | Lindsey M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174930754 PECOS PAC ID: 6901175579 Enrollment ID: I20170713001530 |
| Provider Name | Dmitry Shuster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053623504 PECOS PAC ID: 1153621180 Enrollment ID: I20170719003954 |
| Provider Name | Kristina J Needham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801332366 PECOS PAC ID: 3678843521 Enrollment ID: I20170725003930 |
| Provider Name | Emily Suzzanne Prater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316467426 PECOS PAC ID: 4789955469 Enrollment ID: I20170731001809 |
| Provider Name | Abigail Maciolek Cochran |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1265743140 PECOS PAC ID: 1658510656 Enrollment ID: I20170801003767 |
| Provider Name | Justin Lee Fischer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1730456914 PECOS PAC ID: 0143514331 Enrollment ID: I20170801003819 |
| Provider Name | Alissa B Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396278255 PECOS PAC ID: 5193096576 Enrollment ID: I20170802003790 |
| Provider Name | Nathalie Dieudonne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235413972 PECOS PAC ID: 9739478231 Enrollment ID: I20170816003246 |
| Provider Name | Rahul Nayani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144515115 PECOS PAC ID: 5193950293 Enrollment ID: I20170821000992 |
| Provider Name | James Newman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1164783619 PECOS PAC ID: 6608016423 Enrollment ID: I20170831000098 |
| Provider Name | Elijah Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003045097 PECOS PAC ID: 0840500906 Enrollment ID: I20170922002305 |
| Provider Name | Brian C Baumann |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841559945 PECOS PAC ID: 2668745985 Enrollment ID: I20170925002404 |
| Provider Name | Chetan Narasanna Gowda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245402080 PECOS PAC ID: 3779850318 Enrollment ID: I20170925003443 |
| Provider Name | Elizabeth S Maricle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396269668 PECOS PAC ID: 6002180155 Enrollment ID: I20170928000220 |
| Provider Name | Jessica Sestak Winkleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043741234 PECOS PAC ID: 2365717436 Enrollment ID: I20170929001906 |
| Provider Name | Mary E Klunick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083130298 PECOS PAC ID: 0648545970 Enrollment ID: I20171012000099 |
| Provider Name | Amrita Shreeniwas Pandit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780905463 PECOS PAC ID: 7012230121 Enrollment ID: I20171013002006 |
| Provider Name | Patrick Scott Collier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538440573 PECOS PAC ID: 7719278027 Enrollment ID: I20171031002208 |
| Provider Name | Rebecca L. Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386154870 PECOS PAC ID: 7911264817 Enrollment ID: I20171201000310 |
| Provider Name | Joanne May Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255431128 PECOS PAC ID: 6608874870 Enrollment ID: I20171219002396 |
| Provider Name | Michelle Wernert-dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801308911 PECOS PAC ID: 1355600479 Enrollment ID: I20180118001746 |
| Provider Name | Jayne Mcalexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699163030 PECOS PAC ID: 2668770850 Enrollment ID: I20180214000687 |
| Provider Name | Megan J Forshee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336435296 PECOS PAC ID: 1557675634 Enrollment ID: I20180316001502 |
| Provider Name | Jeffrey A Koester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245480136 PECOS PAC ID: 3779847843 Enrollment ID: I20180426001562 |
| Provider Name | Erin Stephanie Hagerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891297842 PECOS PAC ID: 6305100264 Enrollment ID: I20180502000007 |
| Provider Name | Caitlyn A. Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487141446 PECOS PAC ID: 3971867268 Enrollment ID: I20180515000486 |
| Provider Name | Lisa Lenae Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790282937 PECOS PAC ID: 5698030583 Enrollment ID: I20180524000101 |
| Provider Name | Hannah J. Bettis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922596568 PECOS PAC ID: 6608131537 Enrollment ID: I20180524002262 |
| Provider Name | Sapna Siddharth |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538506357 PECOS PAC ID: 4082979935 Enrollment ID: I20180525000317 |
| Provider Name | Jacob Paul Scheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538540240 PECOS PAC ID: 1052623808 Enrollment ID: I20180604002379 |
| Provider Name | Rakshit Ramanath Shetty |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336586734 PECOS PAC ID: 9133425457 Enrollment ID: I20180613001129 |
| Provider Name | Sunil Kumar Agarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710204334 PECOS PAC ID: 8527313634 Enrollment ID: I20180613002190 |
| Provider Name | Bhuvnesh Aggarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760770101 PECOS PAC ID: 8426303884 Enrollment ID: I20180626002829 |
| Provider Name | Alecia Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750870051 PECOS PAC ID: 7214283043 Enrollment ID: I20180709001645 |
| Provider Name | Praveen Garg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760414437 PECOS PAC ID: 2365447299 Enrollment ID: I20180711001142 |
| Provider Name | Solmaz Bauk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285016915 PECOS PAC ID: 2264744416 Enrollment ID: I20180724002423 |
| Provider Name | Mateusz Serafin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851739684 PECOS PAC ID: 9234371139 Enrollment ID: I20180730002564 |
| Provider Name | Emily M Serafin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730528563 PECOS PAC ID: 0547404436 Enrollment ID: I20180731000842 |
| Provider Name | Jennifer Ann Schuermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487034716 PECOS PAC ID: 5597077115 Enrollment ID: I20180731002333 |
| Provider Name | Dylan Robert Afeld |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1205279353 PECOS PAC ID: 4981904182 Enrollment ID: I20180802000613 |
| Provider Name | Taylor Tennill |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801202833 PECOS PAC ID: 6204133705 Enrollment ID: I20180802000841 |
| Provider Name | Terra R. Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215434550 PECOS PAC ID: 2062761661 Enrollment ID: I20180815000686 |
| Provider Name | Ruchi Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558413302 PECOS PAC ID: 7113086166 Enrollment ID: I20180823000936 |
| Provider Name | Kathleen Elizabeth Bautista |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063836104 PECOS PAC ID: 2365791332 Enrollment ID: I20180823003625 |
| Provider Name | Chad Ryan Gonczy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487965356 PECOS PAC ID: 7911148200 Enrollment ID: I20180828000380 |
| Provider Name | Brenda M. Hemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699269654 PECOS PAC ID: 4486903234 Enrollment ID: I20180828000893 |
| Provider Name | Parth R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255727673 PECOS PAC ID: 4284936733 Enrollment ID: I20180828001465 |
| Provider Name | Archana Nayani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548524770 PECOS PAC ID: 1052548526 Enrollment ID: I20180828003673 |
| Provider Name | Andrew D. Lerch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942789144 PECOS PAC ID: 6204186034 Enrollment ID: I20180829000616 |
| Provider Name | Kolawole K Oyewole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891180451 PECOS PAC ID: 4688970106 Enrollment ID: I20180905000893 |
| Provider Name | Trenton L. Wiseman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053890392 PECOS PAC ID: 1850641143 Enrollment ID: I20180907000009 |
| Provider Name | Dhiren B Patel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619261062 PECOS PAC ID: 2062791759 Enrollment ID: I20180920000015 |
| Provider Name | Joshua Dale Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083109565 PECOS PAC ID: 3870844475 Enrollment ID: I20180920002098 |
| Provider Name | Jodi E Morse |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477047272 PECOS PAC ID: 7618229667 Enrollment ID: I20181003000329 |
| Provider Name | Stephanie Kanitsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659787893 PECOS PAC ID: 6406108125 Enrollment ID: I20181008003160 |
| Provider Name | Hayan Dayoub |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740322544 PECOS PAC ID: 3870779424 Enrollment ID: I20181010001564 |
| Provider Name | Shuja Ahmed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184816829 PECOS PAC ID: 0042468266 Enrollment ID: I20181010002193 |
| Provider Name | Samantha E. Dunkirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538640941 PECOS PAC ID: 1951653344 Enrollment ID: I20181012001478 |
| Provider Name | Kelly Eileen Crooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073925723 PECOS PAC ID: 2668743097 Enrollment ID: I20181015003502 |
| Provider Name | Emily M Nosbisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932686326 PECOS PAC ID: 2668726019 Enrollment ID: I20181121000869 |
| Provider Name | Philip R Jostes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124375928 PECOS PAC ID: 8325382344 Enrollment ID: I20181203001515 |
| Provider Name | Alison J Gerringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396229522 PECOS PAC ID: 9830433481 Enrollment ID: I20181207001674 |
| Provider Name | Ann M. Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528543105 PECOS PAC ID: 7719222926 Enrollment ID: I20181217001442 |
| Provider Name | Dagny Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366910424 PECOS PAC ID: 1557606506 Enrollment ID: I20181219000694 |
| Provider Name | Sherry L. Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508332453 PECOS PAC ID: 8426394925 Enrollment ID: I20190103001970 |
| Provider Name | Haylie M Stone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205376563 PECOS PAC ID: 5597049577 Enrollment ID: I20190201002596 |
| Provider Name | Candice White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104272079 PECOS PAC ID: 2668710138 Enrollment ID: I20190207000814 |
| Provider Name | Rachel Merideth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720401557 PECOS PAC ID: 1557584091 Enrollment ID: I20190222001871 |
| Provider Name | Stephanie T. Fanale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225592470 PECOS PAC ID: 7618216888 Enrollment ID: I20190306000059 |
| Provider Name | Linda S Hattemer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831663186 PECOS PAC ID: 0143561217 Enrollment ID: I20190418001043 |
| Provider Name | Megan E Nestrud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255418299 PECOS PAC ID: 7911249610 Enrollment ID: I20190429002842 |
| Provider Name | Mickey Steven Chabak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831359512 PECOS PAC ID: 1153548896 Enrollment ID: I20190501000125 |
| Provider Name | Ashley N Rees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063977627 PECOS PAC ID: 5698017143 Enrollment ID: I20190502000606 |
| Provider Name | Robert Pearson Schuh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689015141 PECOS PAC ID: 1850525585 Enrollment ID: I20190502000738 |
| Provider Name | Tejas Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619107554 PECOS PAC ID: 8426290859 Enrollment ID: I20190511000054 |
| Provider Name | Muhammad F Khan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114176708 PECOS PAC ID: 0547385262 Enrollment ID: I20190516000772 |
| Provider Name | Kruti Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063854404 PECOS PAC ID: 1557676012 Enrollment ID: I20190530002042 |
| Provider Name | Andrew James Stephenson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366478455 PECOS PAC ID: 3375563091 Enrollment ID: I20190531001212 |
| Provider Name | Nileshkumar J Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730425893 PECOS PAC ID: 1850653809 Enrollment ID: I20190603001232 |
| Provider Name | Anthonia Ngozi Ijeli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437502390 PECOS PAC ID: 9739472796 Enrollment ID: I20190603002549 |
| Provider Name | Hannah Purseglove |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427408459 PECOS PAC ID: 3678851276 Enrollment ID: I20190604003000 |
| Provider Name | Sreejith Mohan Velliyattikuzhi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518308493 PECOS PAC ID: 2961790027 Enrollment ID: I20190605000351 |
| Provider Name | Sierra Toney Jenks |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861849069 PECOS PAC ID: 3678851235 Enrollment ID: I20190607001202 |
| Provider Name | Idelle Maxine Woodson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770894669 PECOS PAC ID: 7719114149 Enrollment ID: I20190617000135 |
| Provider Name | Mary Dean |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407266745 PECOS PAC ID: 4183958465 Enrollment ID: I20190619003061 |
| Provider Name | Todd A Diebold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689081861 PECOS PAC ID: 3274759956 Enrollment ID: I20190628000270 |
| Provider Name | Ashley Rossi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659729002 PECOS PAC ID: 2163717729 Enrollment ID: I20190711000883 |
| Provider Name | Alexandra L Mathern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598149171 PECOS PAC ID: 5991011652 Enrollment ID: I20190731000240 |
| Provider Name | Jessica J. Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386208619 PECOS PAC ID: 2567798275 Enrollment ID: I20190801001392 |
| Provider Name | Arpan Shirish Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982947727 PECOS PAC ID: 4587952106 Enrollment ID: I20190805000107 |
| Provider Name | Kelsey J Giannuzzi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700432887 PECOS PAC ID: 1456689983 Enrollment ID: I20190822000728 |
| Provider Name | Natalie Anne Mahoney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538518709 PECOS PAC ID: 2668764531 Enrollment ID: I20190823000252 |
| Provider Name | Clint T Sestak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255987418 PECOS PAC ID: 7113255456 Enrollment ID: I20190823001255 |
| Provider Name | Mary R. Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912550468 PECOS PAC ID: 7113256314 Enrollment ID: I20190913001061 |
| Provider Name | Jessica L. Schnebly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194379412 PECOS PAC ID: 9032448113 Enrollment ID: I20190916001536 |
| Provider Name | Manasi Suhas Hulyalkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467803098 PECOS PAC ID: 1658666128 Enrollment ID: I20190919002340 |
| Provider Name | Gideon B Nkrumah |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992355812 PECOS PAC ID: 4486984101 Enrollment ID: I20190924000367 |
| Provider Name | Naudare Michael Shabandi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164865689 PECOS PAC ID: 2961733001 Enrollment ID: I20191003003529 |
| Provider Name | Kevin M Starkweather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275189565 PECOS PAC ID: 0042541104 Enrollment ID: I20191004000261 |
| Provider Name | Jessica L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003461831 PECOS PAC ID: 2163753146 Enrollment ID: I20191004001354 |
| Provider Name | Andrea Bushnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356904148 PECOS PAC ID: 8123359114 Enrollment ID: I20191004001997 |
| Provider Name | Stacy S. Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255985438 PECOS PAC ID: 1850622770 Enrollment ID: I20191008000822 |
| Provider Name | Morgan M Wiggs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346882412 PECOS PAC ID: 7911239165 Enrollment ID: I20191022000096 |
| Provider Name | Heather R Reimann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902447790 PECOS PAC ID: 5890027239 Enrollment ID: I20191104002655 |
| Provider Name | Patrick Joseph Florido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437505765 PECOS PAC ID: 0446541007 Enrollment ID: I20191107001989 |
| Provider Name | Deana L Stefko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700227295 PECOS PAC ID: 5698901825 Enrollment ID: I20191125001188 |
| Provider Name | Bridget E Mcilwee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982040069 PECOS PAC ID: 0244663532 Enrollment ID: I20191126002807 |
| Provider Name | Hannah R Torry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730724386 PECOS PAC ID: 0244664431 Enrollment ID: I20191220001903 |
| Provider Name | Abigail Lauren Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356806582 PECOS PAC ID: 5193150548 Enrollment ID: I20200114000917 |
| Provider Name | Ellen Michelle Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538708086 PECOS PAC ID: 1759717176 Enrollment ID: I20200204000265 |
| Provider Name | Brittany A Cromer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578194965 PECOS PAC ID: 0143657056 Enrollment ID: I20200304002764 |
| Provider Name | Aaron M Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265070494 PECOS PAC ID: 3476981903 Enrollment ID: I20200317001140 |
| Provider Name | Krystle Michelle Wisnasky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134753825 PECOS PAC ID: 5597193979 Enrollment ID: I20200318000969 |
| Provider Name | Ghanshyambhai Savani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396150553 PECOS PAC ID: 2365714334 Enrollment ID: I20200326001678 |
| Provider Name | Amanda Leigh Ruyle-ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295361533 PECOS PAC ID: 2668604208 Enrollment ID: I20200330003382 |
| Provider Name | Holly Diane Pennell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528690799 PECOS PAC ID: 1557790730 Enrollment ID: I20200409001810 |
| Provider Name | Andrea B. Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215563143 PECOS PAC ID: 0648600767 Enrollment ID: I20200413003265 |
| Provider Name | Sajedabanu Momin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427497726 PECOS PAC ID: 3678851268 Enrollment ID: I20200415002544 |
| Provider Name | Olaoluwatomi Lamikanra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710397781 PECOS PAC ID: 5395002109 Enrollment ID: I20200515002008 |
| Provider Name | Molly L Farrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013536093 PECOS PAC ID: 7618398587 Enrollment ID: I20200601001746 |
| Provider Name | Allison E Mayfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780099747 PECOS PAC ID: 7113211707 Enrollment ID: I20200603001100 |
| Provider Name | Amy N Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013536804 PECOS PAC ID: 2567883077 Enrollment ID: I20200608002878 |
| Provider Name | Maryna Popp |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326486515 PECOS PAC ID: 9335436583 Enrollment ID: I20200609002886 |
| Provider Name | Kelsey K Freitag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659808491 PECOS PAC ID: 0244665123 Enrollment ID: I20200610000263 |
| Provider Name | Daniel S Rossi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275946345 PECOS PAC ID: 7810114147 Enrollment ID: I20200701000560 |
| Provider Name | Maureen Brianne O'marro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396195988 PECOS PAC ID: 2860784055 Enrollment ID: I20200701001135 |
| Provider Name | Lyndsey R Heise |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700268216 PECOS PAC ID: 8325354657 Enrollment ID: I20200706000650 |
| Provider Name | Ali Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356759401 PECOS PAC ID: 5395017842 Enrollment ID: I20200709000968 |
| Provider Name | Andrew M Tomaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073045886 PECOS PAC ID: 9234401563 Enrollment ID: I20200710001313 |
| Provider Name | Jeave Reserva |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669731618 PECOS PAC ID: 5698031581 Enrollment ID: I20200716000399 |
| Provider Name | Jac Cooper |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1144583287 PECOS PAC ID: 0749429579 Enrollment ID: I20200729002586 |
| Provider Name | Tyler A Evans |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629416920 PECOS PAC ID: 8325282197 Enrollment ID: I20200831000625 |
| Provider Name | Bilal Saleh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871790998 PECOS PAC ID: 6608022876 Enrollment ID: I20200909001398 |
| Provider Name | Erica J Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164031803 PECOS PAC ID: 5890114581 Enrollment ID: I20200930000042 |
| Provider Name | Allyn Marie Checovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255743258 PECOS PAC ID: 9537450820 Enrollment ID: I20201013000020 |
| Provider Name | Adam Norton |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790166916 PECOS PAC ID: 8921315318 Enrollment ID: I20201014001337 |
| Provider Name | Mohsin Haseeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235496936 PECOS PAC ID: 6204154446 Enrollment ID: I20201015000564 |
| Provider Name | Sarah L Nunez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407460512 PECOS PAC ID: 8628498557 Enrollment ID: I20201015000646 |
| Provider Name | Ashlee D. Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770104960 PECOS PAC ID: 1355751215 Enrollment ID: I20201104000031 |
| Provider Name | Robin E Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831798933 PECOS PAC ID: 9931519857 Enrollment ID: I20201104002666 |
| Provider Name | Mary Ann Seagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316552524 PECOS PAC ID: 3072923838 Enrollment ID: I20201105001531 |
| Provider Name | Emily Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811538580 PECOS PAC ID: 7416367230 Enrollment ID: I20201106001090 |
| Provider Name | Chibuzo Enemchukwu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144529900 PECOS PAC ID: 8325399215 Enrollment ID: I20201110000740 |
| Provider Name | Alison Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588279731 PECOS PAC ID: 2769892181 Enrollment ID: I20201113000144 |
| Provider Name | Patrick Kohlitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962720482 PECOS PAC ID: 5395988620 Enrollment ID: I20201123000816 |
| Provider Name | Amy Lynn Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154931400 PECOS PAC ID: 1557772290 Enrollment ID: I20201201001499 |
| Provider Name | Chizoba Ezepue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568802148 PECOS PAC ID: 1850666520 Enrollment ID: I20201203003104 |
| Provider Name | Karen Ann Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356535645 PECOS PAC ID: 4385734680 Enrollment ID: I20201221001366 |
| Provider Name | Jordanna Wilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215538004 PECOS PAC ID: 8022422641 Enrollment ID: I20210122000035 |
| Provider Name | Erica Gail Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679182281 PECOS PAC ID: 9335553999 Enrollment ID: I20210122001688 |
| Provider Name | Katherine Marie Kelley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770926131 PECOS PAC ID: 8921308990 Enrollment ID: I20210128002063 |
| Provider Name | Holly A Shasteen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528657582 PECOS PAC ID: 8729493036 Enrollment ID: I20210219000168 |
| Provider Name | Mary T Samulevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013504414 PECOS PAC ID: 2567877897 Enrollment ID: I20210219000930 |
| Provider Name | Alyssa B. Kreiling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033715123 PECOS PAC ID: 4981019148 Enrollment ID: I20210220000029 |
| Provider Name | Audrey M Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386237659 PECOS PAC ID: 0345656815 Enrollment ID: I20210308001625 |
| Provider Name | Christine Ann Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437746716 PECOS PAC ID: 9436565967 Enrollment ID: I20210309001101 |
| Provider Name | Lori Ann Bick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669066551 PECOS PAC ID: 6406263458 Enrollment ID: I20210318002009 |
| Provider Name | Tiffany Winchester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427649185 PECOS PAC ID: 4183031008 Enrollment ID: I20210322000109 |
| Provider Name | Benjamin Fischer Valuck |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023351673 PECOS PAC ID: 3870736028 Enrollment ID: I20210419002496 |
| Provider Name | Maycen E Wiseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811581614 PECOS PAC ID: 4789092339 Enrollment ID: I20210420000742 |
| Provider Name | Wendy Elaine Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972180354 PECOS PAC ID: 7315355948 Enrollment ID: I20210421000664 |
| Provider Name | Shuchi Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992244164 PECOS PAC ID: 0547680902 Enrollment ID: I20210506002841 |
| Provider Name | Jeffrey Kurrus |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275561045 PECOS PAC ID: 1254231996 Enrollment ID: I20210527002540 |
| Provider Name | Ayub Suleiman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306287396 PECOS PAC ID: 6204125818 Enrollment ID: I20210601001868 |
| Provider Name | Kathleen Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346832011 PECOS PAC ID: 3870992456 Enrollment ID: I20210602001256 |
| Provider Name | Vaishali Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164786497 PECOS PAC ID: 4688955495 Enrollment ID: I20210616001738 |
| Provider Name | Stephanie Woolley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952332876 PECOS PAC ID: 0446264238 Enrollment ID: I20210621002085 |
| Provider Name | Andrew Mills |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497142194 PECOS PAC ID: 6901155977 Enrollment ID: I20210622001659 |
| Provider Name | Shafat Sirajee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376905794 PECOS PAC ID: 8325331747 Enrollment ID: I20210622002181 |
| Provider Name | Theodore J Gilbert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295231181 PECOS PAC ID: 9931456530 Enrollment ID: I20210707001651 |
| Provider Name | David Tapscott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255711370 PECOS PAC ID: 7719277888 Enrollment ID: I20210707002597 |
| Provider Name | Randall James Brenneman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366899841 PECOS PAC ID: 2365737939 Enrollment ID: I20210707003560 |
| Provider Name | Denville Myrie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588610539 PECOS PAC ID: 9638153992 Enrollment ID: I20210712003393 |
| Provider Name | Joseph Standard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609360205 PECOS PAC ID: 2163779638 Enrollment ID: I20210714000644 |
| Provider Name | Julie Anne Shepherd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104310457 PECOS PAC ID: 4981951951 Enrollment ID: I20210714000745 |
| Provider Name | Brooke Marie Wangen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770166894 PECOS PAC ID: 1850793704 Enrollment ID: I20210714002564 |
| Provider Name | Syed Ali Abbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891271904 PECOS PAC ID: 3274871850 Enrollment ID: I20210715002069 |
| Provider Name | Shailesh Simkhada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033695069 PECOS PAC ID: 2062814817 Enrollment ID: I20210715002847 |
| Provider Name | Aileen W Zhen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174985998 PECOS PAC ID: 7810280732 Enrollment ID: I20210719001440 |
| Provider Name | Randall C Edgell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912097817 PECOS PAC ID: 6305876137 Enrollment ID: I20210724000021 |
| Provider Name | Laura Raheb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417440942 PECOS PAC ID: 5092062943 Enrollment ID: I20210726001190 |
| Provider Name | Constantine Vlamis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699268128 PECOS PAC ID: 2860749785 Enrollment ID: I20210726002046 |
| Provider Name | Dakota Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023515921 PECOS PAC ID: 0244669943 Enrollment ID: I20210727001594 |
| Provider Name | Molly Etling Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669979456 PECOS PAC ID: 3072942754 Enrollment ID: I20210728003403 |
| Provider Name | Prasad Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487919502 PECOS PAC ID: 6002161601 Enrollment ID: I20210806000873 |
| Provider Name | Tracy L Hinz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316523285 PECOS PAC ID: 4385048768 Enrollment ID: I20210806001169 |
| Provider Name | Ratnam Kolluru Nookala Santoshi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033464698 PECOS PAC ID: 9436553773 Enrollment ID: I20210809000593 |
| Provider Name | Venkata Narla |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386801488 PECOS PAC ID: 8628296498 Enrollment ID: I20210818001848 |
| Provider Name | Gary Stover |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952833295 PECOS PAC ID: 6406125178 Enrollment ID: I20210820002482 |
| Provider Name | Pranav Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649652470 PECOS PAC ID: 5597018861 Enrollment ID: I20210830000335 |
| Provider Name | Zachary Bell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629661863 PECOS PAC ID: 0749696433 Enrollment ID: I20210901001509 |
| Provider Name | Rebecca Ann Baietto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477179927 PECOS PAC ID: 6002213139 Enrollment ID: I20210916000845 |
| Provider Name | Ashley M Stroot |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700450947 PECOS PAC ID: 1254738131 Enrollment ID: I20210920001473 |
| Provider Name | Kacey Caitlyn Zobrist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700377603 PECOS PAC ID: 8729338579 Enrollment ID: I20210923000582 |
| Provider Name | Benjamin A Brooks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851564470 PECOS PAC ID: 4981001542 Enrollment ID: I20210923002630 |
| Provider Name | Nicole R Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871268003 PECOS PAC ID: 9335546910 Enrollment ID: I20210923003567 |
| Provider Name | Mikeal A Capati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558934844 PECOS PAC ID: 7719384304 Enrollment ID: I20210924000032 |
| Provider Name | Elena Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700551520 PECOS PAC ID: 3779980370 Enrollment ID: I20210924000177 |
| Provider Name | Amanda Stovall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043605447 PECOS PAC ID: 9234441288 Enrollment ID: I20210924003066 |
| Provider Name | Jacob S Joslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548833197 PECOS PAC ID: 2668879131 Enrollment ID: I20210927000292 |
| Provider Name | Isaac C Beyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265001978 PECOS PAC ID: 4688071152 Enrollment ID: I20210927000610 |
| Provider Name | Jennifer Long-leckrone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902258122 PECOS PAC ID: 4688072549 Enrollment ID: I20211006002204 |
| Provider Name | Jessica L Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801560289 PECOS PAC ID: 5496153389 Enrollment ID: I20211007000033 |
| Provider Name | Colleen M Kirr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699178228 PECOS PAC ID: 1052709920 Enrollment ID: I20211026001166 |
| Provider Name | Samantha Craig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487199980 PECOS PAC ID: 9436415445 Enrollment ID: I20211101001220 |
| Provider Name | Tosha Nicole Donnals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265005102 PECOS PAC ID: 3072901586 Enrollment ID: I20211102000653 |
| Provider Name | Taylor A Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063085645 PECOS PAC ID: 6305235987 Enrollment ID: I20211120000296 |
| Provider Name | Christina M Hornback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073283131 PECOS PAC ID: 5597732701 Enrollment ID: I20211122001735 |
| Provider Name | Timothy Lenardo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598873499 PECOS PAC ID: 5092806257 Enrollment ID: I20211213002057 |
| Provider Name | Mary Wood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831393602 PECOS PAC ID: 9234302019 Enrollment ID: I20211214001115 |
| Provider Name | Michelle Coke-attewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255783908 PECOS PAC ID: 9830580299 Enrollment ID: I20211220002440 |
| Provider Name | Elaine E Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083378293 PECOS PAC ID: 7214328590 Enrollment ID: I20211221000852 |
| Provider Name | Abbie M Cagle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326704552 PECOS PAC ID: 9436541711 Enrollment ID: I20220118002106 |
| Provider Name | Abigail Buerkett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699428193 PECOS PAC ID: 2860886892 Enrollment ID: I20220308001366 |
| Provider Name | Jennifer Lee Wagoner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861785206 PECOS PAC ID: 2860887858 Enrollment ID: I20220309001004 |
| Provider Name | Pratish Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104142512 PECOS PAC ID: 1456630144 Enrollment ID: I20220315002416 |
| Provider Name | Nicholas M. Fenwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154082808 PECOS PAC ID: 6608261326 Enrollment ID: I20220316001672 |
| Provider Name | Ashley D Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306590088 PECOS PAC ID: 0143615898 Enrollment ID: I20220316003325 |
| Provider Name | Megan Parks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851913602 PECOS PAC ID: 9638592835 Enrollment ID: I20220318002057 |
| Provider Name | Jennifer B Deeb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285306654 PECOS PAC ID: 3971998212 Enrollment ID: I20220323000684 |
| Provider Name | Ben C Coyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407517394 PECOS PAC ID: 4486041415 Enrollment ID: I20220421002026 |
| Provider Name | Taylor A. Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902555758 PECOS PAC ID: 7315324563 Enrollment ID: I20220510000841 |
| Provider Name | Umar Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558802751 PECOS PAC ID: 3577897529 Enrollment ID: I20220524000935 |
| Provider Name | Katrina Dianne Howard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245653393 PECOS PAC ID: 0749667152 Enrollment ID: I20220524001012 |
| Provider Name | Matthew Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659756716 PECOS PAC ID: 3971899170 Enrollment ID: I20220524001390 |
| Provider Name | Tahnissa Means |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164910790 PECOS PAC ID: 0648657098 Enrollment ID: I20220524002431 |
| Provider Name | Ashley Norton-gregory |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255788865 PECOS PAC ID: 5092008789 Enrollment ID: I20220623001569 |
| Provider Name | Bailee A Hinds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144961673 PECOS PAC ID: 2961882238 Enrollment ID: I20220704000305 |
| Provider Name | Jennifer Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952721615 PECOS PAC ID: 0941426183 Enrollment ID: I20220706003013 |
| Provider Name | Aneesa D Gaffar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699153890 PECOS PAC ID: 1052606423 Enrollment ID: I20220714001823 |
| Provider Name | Cullen Hoos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154973436 PECOS PAC ID: 8325374879 Enrollment ID: I20220714003353 |
| Provider Name | Ahmad Mohamad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891071007 PECOS PAC ID: 2365684107 Enrollment ID: I20220801002625 |
| Provider Name | Colleen Silva |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841797735 PECOS PAC ID: 8426303173 Enrollment ID: I20220808002364 |
| Provider Name | Carlo Gammaitoni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871573501 PECOS PAC ID: 0446293245 Enrollment ID: I20220809001618 |
| Provider Name | Kathryn L Cervi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861130981 PECOS PAC ID: 6406239078 Enrollment ID: I20220815000818 |
| Provider Name | Bradley Stephens |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538470109 PECOS PAC ID: 2163654443 Enrollment ID: I20220829000934 |
| Provider Name | Kelsey Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659007318 PECOS PAC ID: 5294119012 Enrollment ID: I20220829001027 |
| Provider Name | Sabah Butty |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1770521445 PECOS PAC ID: 7911981006 Enrollment ID: I20220830003305 |
| Provider Name | Katie Chiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801515812 PECOS PAC ID: 2961888185 Enrollment ID: I20220926001792 |
| Provider Name | Emily B Waggener |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487275160 PECOS PAC ID: 4880016021 Enrollment ID: I20221004004022 |
| Provider Name | Diego F Tovar Quiroga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790099380 PECOS PAC ID: 6103040647 Enrollment ID: I20221013003058 |
| Provider Name | Jonathan Y Ji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477603504 PECOS PAC ID: 1456538172 Enrollment ID: I20221014001046 |
| Provider Name | Britney L Hoerbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598489148 PECOS PAC ID: 9830565266 Enrollment ID: I20221026000740 |
| Provider Name | Taylor N Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689393522 PECOS PAC ID: 2567838931 Enrollment ID: I20221026002772 |
| Provider Name | Megan Lynne Tuetken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255920989 PECOS PAC ID: 6002283173 Enrollment ID: I20221102000789 |
| Provider Name | Jose Mari-acevedo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952745440 PECOS PAC ID: 1850521543 Enrollment ID: I20221116001128 |
| Provider Name | Elizabeth Lambdin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467179986 PECOS PAC ID: 7618345554 Enrollment ID: I20221123002607 |
| Provider Name | Johara Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568417301 PECOS PAC ID: 9032136783 Enrollment ID: I20221130000137 |
| Provider Name | Donghong Zhang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477577435 PECOS PAC ID: 0143292052 Enrollment ID: I20221206002993 |
| Provider Name | Bridget Kistner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649652728 PECOS PAC ID: 9436462587 Enrollment ID: I20221224000023 |
| Provider Name | Taylor L Joslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255057295 PECOS PAC ID: 4183094741 Enrollment ID: I20221224000182 |
| Provider Name | Ashis M Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093160210 PECOS PAC ID: 0648640029 Enrollment ID: I20221229000208 |
| Provider Name | Erin K Srinivasaraghavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811612856 PECOS PAC ID: 1355712100 Enrollment ID: I20230113002496 |
| Provider Name | Rex Rizaldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053022202 PECOS PAC ID: 1557732963 Enrollment ID: I20230123002080 |
| Provider Name | Prachi Jain |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326333626 PECOS PAC ID: 0345500468 Enrollment ID: I20230128000111 |
| Provider Name | Frederick French |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326024092 PECOS PAC ID: 5395978316 Enrollment ID: I20230223000715 |
| Provider Name | Lindsey Anne Harden Atwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356879068 PECOS PAC ID: 3072881986 Enrollment ID: I20230307002851 |
| Provider Name | Vihang Soni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639580368 PECOS PAC ID: 8527366582 Enrollment ID: I20230314001886 |
| Provider Name | Brigitta E Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639878846 PECOS PAC ID: 8628442472 Enrollment ID: I20230320000663 |
| Provider Name | Allen Molloy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1720121684 PECOS PAC ID: 4284726449 Enrollment ID: I20230321002920 |
| Provider Name | Rachael Ashcraft |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912152125 PECOS PAC ID: 1658590302 Enrollment ID: I20230413002253 |
| Provider Name | Seth Bellister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891043956 PECOS PAC ID: 9537433727 Enrollment ID: I20230508001403 |
| Provider Name | Peyton Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619599651 PECOS PAC ID: 7012331655 Enrollment ID: I20230605002608 |
| Provider Name | Geela Jill Ruckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982394961 PECOS PAC ID: 5294194700 Enrollment ID: I20230630001876 |
| Provider Name | Jenna Taft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902551328 PECOS PAC ID: 4981090834 Enrollment ID: I20230705001616 |
| Provider Name | Shannon D Gray |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760168355 PECOS PAC ID: 4183085749 Enrollment ID: I20230728001523 |
| Provider Name | Samuel Capouch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326501750 PECOS PAC ID: 0143553842 Enrollment ID: I20230728002417 |
| Provider Name | Darci Marie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588246573 PECOS PAC ID: 5799146932 Enrollment ID: I20230803002140 |
| Provider Name | Afshan Iqbal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598241226 PECOS PAC ID: 5496086688 Enrollment ID: I20230803003420 |
| Provider Name | Brittany Sweet |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235662586 PECOS PAC ID: 0244564730 Enrollment ID: I20230814001962 |
| Provider Name | Chandra Anisha Pierson-rye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457898934 PECOS PAC ID: 0547623357 Enrollment ID: I20230828000690 |
| Provider Name | Daniel P Zhen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316478860 PECOS PAC ID: 6709122906 Enrollment ID: I20230830003154 |
| Provider Name | Elizabeth D. Talbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295427888 PECOS PAC ID: 5698138022 Enrollment ID: I20230831003122 |
| Provider Name | Megan Davlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831614916 PECOS PAC ID: 5799148169 Enrollment ID: I20230901000140 |
| Provider Name | Kirsten Carew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508482597 PECOS PAC ID: 6103240668 Enrollment ID: I20230901003377 |
| Provider Name | Jennifer L Soady |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801509443 PECOS PAC ID: 8022462126 Enrollment ID: I20230922002724 |
| Provider Name | Wesley Ferrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134833379 PECOS PAC ID: 6406200021 Enrollment ID: I20230929001332 |
| Provider Name | Crystal Wingerter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750036687 PECOS PAC ID: 9234583881 Enrollment ID: I20230929002867 |
| Provider Name | Luke Umana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972032969 PECOS PAC ID: 1254609308 Enrollment ID: I20231003001910 |
| Provider Name | Sadia Ilahi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760011100 PECOS PAC ID: 4880048214 Enrollment ID: I20231003003270 |
| Provider Name | Kaitlyn Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164068805 PECOS PAC ID: 8426403825 Enrollment ID: I20231004002262 |
| Provider Name | Elle Davis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245792084 PECOS PAC ID: 6608109145 Enrollment ID: I20231004002862 |
| Provider Name | Felicity Kras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124758313 PECOS PAC ID: 8921480500 Enrollment ID: I20231030002264 |
| Provider Name | Kimberley Kaye Armour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609553007 PECOS PAC ID: 3375999022 Enrollment ID: I20231101000352 |
| Provider Name | Rahul Kapoor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972166510 PECOS PAC ID: 3274861810 Enrollment ID: I20231109002038 |
| Provider Name | Joanne Marie Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083494256 PECOS PAC ID: 6800243890 Enrollment ID: I20231113003333 |
| Provider Name | Courtney Rianne Krofchick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225742448 PECOS PAC ID: 3971950643 Enrollment ID: I20231117001174 |
| Provider Name | Lechi Nkwocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740929413 PECOS PAC ID: 1456709393 Enrollment ID: I20231202000268 |
| Provider Name | Jumana Abdelkarim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154815363 PECOS PAC ID: 0840548699 Enrollment ID: I20231207000304 |
| Provider Name | Jennifer Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205221587 PECOS PAC ID: 6103103577 Enrollment ID: I20231213000301 |
| Provider Name | Edith Joy Classen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639945470 PECOS PAC ID: 8921443532 Enrollment ID: I20240305001096 |
| Provider Name | Prairie L Eigenmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720849888 PECOS PAC ID: 0749627693 Enrollment ID: I20240327001396 |
| Provider Name | Elizabeth A. Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881461770 PECOS PAC ID: 6901243872 Enrollment ID: I20240327002329 |
| Provider Name | Carrie L Sieren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407619828 PECOS PAC ID: 6709223548 Enrollment ID: I20240328001229 |
| Provider Name | Brandi Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770194789 PECOS PAC ID: 9638517790 Enrollment ID: I20240409001569 |
| Provider Name | Ellen Song |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215497888 PECOS PAC ID: 7012244973 Enrollment ID: I20240416002394 |
| Provider Name | Leighanne Bonnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083470983 PECOS PAC ID: 5890111496 Enrollment ID: I20240425001193 |
| Provider Name | Todd Sterling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982699849 PECOS PAC ID: 7012137060 Enrollment ID: I20240429003141 |
| Provider Name | Carley Campton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457844482 PECOS PAC ID: 8426306994 Enrollment ID: I20240520002249 |
| Provider Name | Ashley Swallow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811741028 PECOS PAC ID: 9234571902 Enrollment ID: I20240527000065 |
| Provider Name | Raeanne Dutz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669239760 PECOS PAC ID: 1456893049 Enrollment ID: I20240611002415 |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2833 S Grand Ave E, Springfield, IL 62703 Phone: 221-753-5310 Fax: 217-789-2069 | |
Professional Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
Hshs Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3215 Executive Park Dr, Springfield, IL 62703 Phone: 217-523-5406 | |
Michael Bova M D S C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Farragut Dr, Suite C, Springfield, IL 62704 Phone: 217-726-9346 | |
North Dirksen Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 | |
Siu Physicians & Surgeons, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, D235, Springfield, IL 62781 Phone: 217-545-7578 Fax: 217-545-1884 | |
B3 Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 E Madison St Ste 2d, Springfield, IL 62701 Phone: 217-508-5859 |