| Intermountain Medical Group Grand Junction, Llc | |
|
2635 N 7th St Grand Junction CO 81501 | |
| (970) 298-2273 | |
| (970) 298-1809 |
| Full Name | Intermountain Medical Group Grand Junction, Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 2635 N 7th St, Grand Junction, Colorado |
| Authorized Official Name and Position | Jon Mcdaniel (VP FINANCE) |
| Authorized Official Contact | 3032720231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Medical Group Grand Junction, Llc 2635 N 7th St Grand Junction CO 81501-8209 Ph: (970) 298-2273 | Intermountain Medical Group Grand Junction, Llc 2635 N 7th St Grand Junction CO 81501 Ph: (970) 298-2273 |
| NPI Number | 1356765556 |
|---|---|
| Provider Enumeration Date | 02/07/2014 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 3779707856 |
|---|---|
| Medicare Enrollment ID | O20140611000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356765556 | NPI | - | NPPES |
| Provider Name | James S Rich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780612226 PECOS PAC ID: 8022907294 Enrollment ID: I20040315000491 |
| Provider Name | Gayathri J Sekharan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669585790 PECOS PAC ID: 3375433642 Enrollment ID: I20040318001613 |
| Provider Name | Daniel R Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093775728 PECOS PAC ID: 5092707190 Enrollment ID: I20040408000358 |
| Provider Name | Terri S Schmitt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861441321 PECOS PAC ID: 3375537624 Enrollment ID: I20040412000330 |
| Provider Name | Brian P Witwer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982698148 PECOS PAC ID: 6901892348 Enrollment ID: I20040422000057 |
| Provider Name | Merrilynn Artman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114086220 PECOS PAC ID: 5294725495 Enrollment ID: I20040518000322 |
| Provider Name | Nathan W Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346377355 PECOS PAC ID: 8527048628 Enrollment ID: I20040721000046 |
| Provider Name | John S Bratteli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245213925 PECOS PAC ID: 7416937040 Enrollment ID: I20040723000059 |
| Provider Name | Henry L Galan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184727026 PECOS PAC ID: 9436139086 Enrollment ID: I20040723000201 |
| Provider Name | Daniel I Slater |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801880679 PECOS PAC ID: 1254390750 Enrollment ID: I20041008001317 |
| Provider Name | Joann C Piburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730282732 PECOS PAC ID: 4688638125 Enrollment ID: I20041115001212 |
| Provider Name | Charles William Tate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376583526 PECOS PAC ID: 5294799748 Enrollment ID: I20041115001317 |
| Provider Name | Glenda M Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740394808 PECOS PAC ID: 7012966005 Enrollment ID: I20050117000503 |
| Provider Name | Mori J Krantz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922016088 PECOS PAC ID: 6103876966 Enrollment ID: I20050128000646 |
| Provider Name | Paula Marica Pook |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1710953112 PECOS PAC ID: 1153368071 Enrollment ID: I20050412001451 |
| Provider Name | Robert Frazho |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235122482 PECOS PAC ID: 4587631197 Enrollment ID: I20050511000954 |
| Provider Name | Dennis P Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235199803 PECOS PAC ID: 5496797615 Enrollment ID: I20050527000476 |
| Provider Name | Joshua D Pearson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114936374 PECOS PAC ID: 1658309935 Enrollment ID: I20050728000393 |
| Provider Name | Mary Beth Deering |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659362549 PECOS PAC ID: 9739157363 Enrollment ID: I20050914001332 |
| Provider Name | Carol C Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710044961 PECOS PAC ID: 1153354212 Enrollment ID: I20050919000282 |
| Provider Name | James Robert Singer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407843204 PECOS PAC ID: 8527003326 Enrollment ID: I20060222000296 |
| Provider Name | Todd A Kinnick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265452817 PECOS PAC ID: 6709893308 Enrollment ID: I20060307000315 |
| Provider Name | Omar A Mubarak |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740222322 PECOS PAC ID: 9638173487 Enrollment ID: I20060908000307 |
| Provider Name | Randall K Oldroyd |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407814965 PECOS PAC ID: 3870598337 Enrollment ID: I20060916000003 |
| Provider Name | Lukasz S Muniga |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538234406 PECOS PAC ID: 4880695394 Enrollment ID: I20070126000106 |
| Provider Name | Kevin E Keller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083645824 PECOS PAC ID: 2062458524 Enrollment ID: I20070430000119 |
| Provider Name | Matthew Paul Cyphers |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437110954 PECOS PAC ID: 7517906290 Enrollment ID: I20070816000884 |
| Provider Name | James R Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760472641 PECOS PAC ID: 0749372811 Enrollment ID: I20070821000141 |
| Provider Name | Brittany Matsumura |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730117573 PECOS PAC ID: 2365467065 Enrollment ID: I20070910000110 |
| Provider Name | John P Flanagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326097106 PECOS PAC ID: 3072600188 Enrollment ID: I20071106000149 |
| Provider Name | Michael J Ash |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528022365 PECOS PAC ID: 5496825705 Enrollment ID: I20080529000359 |
| Provider Name | Teyen P. Shiao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538326152 PECOS PAC ID: 3072680420 Enrollment ID: I20080926000142 |
| Provider Name | Mitchell J Gershten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104881077 PECOS PAC ID: 1759274400 Enrollment ID: I20090211000176 |
| Provider Name | George C Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700918034 PECOS PAC ID: 6901953918 Enrollment ID: I20090408000643 |
| Provider Name | Kurt D Spriggs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851337802 PECOS PAC ID: 1153471230 Enrollment ID: I20090611000175 |
| Provider Name | Cody A Skinner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629046750 PECOS PAC ID: 9436186723 Enrollment ID: I20090804000033 |
| Provider Name | Cody N Hogeston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366613440 PECOS PAC ID: 3274686290 Enrollment ID: I20090807000469 |
| Provider Name | Caleb J Stepan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023137940 PECOS PAC ID: 7214080209 Enrollment ID: I20090810000299 |
| Provider Name | Angela M Pennell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124242177 PECOS PAC ID: 8224183215 Enrollment ID: I20090826000801 |
| Provider Name | Charles W Breaux |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407844301 PECOS PAC ID: 1759436553 Enrollment ID: I20090831000403 |
| Provider Name | Wade G Laudenschlager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831176510 PECOS PAC ID: 0345387833 Enrollment ID: I20091103000172 |
| Provider Name | Dana Dwyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376554493 PECOS PAC ID: 8921004227 Enrollment ID: I20091110000076 |
| Provider Name | Amir Zaher Beshai |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588611149 PECOS PAC ID: 7517997901 Enrollment ID: I20100209000287 |
| Provider Name | Michael J Murray |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467484147 PECOS PAC ID: 0345270732 Enrollment ID: I20100303000063 |
| Provider Name | Mark G Luker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780676114 PECOS PAC ID: 9739110008 Enrollment ID: I20100405000395 |
| Provider Name | Elizabeth Buisker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922262450 PECOS PAC ID: 8325174006 Enrollment ID: I20100406000036 |
| Provider Name | James W Thompson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053414243 PECOS PAC ID: 3375671928 Enrollment ID: I20100503000475 |
| Provider Name | Glenn M Madrid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982687620 PECOS PAC ID: 3870674757 Enrollment ID: I20100702000388 |
| Provider Name | Marshall T Steel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245213842 PECOS PAC ID: 0941381826 Enrollment ID: I20100708000703 |
| Provider Name | Alan Y Synn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912984386 PECOS PAC ID: 6406757244 Enrollment ID: I20100830000739 |
| Provider Name | Sheila G Neese |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306066063 PECOS PAC ID: 9133229180 Enrollment ID: I20100907001080 |
| Provider Name | Daniel P Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508849043 PECOS PAC ID: 1850472739 Enrollment ID: I20100915000543 |
| Provider Name | David S Robbins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982706321 PECOS PAC ID: 5496749731 Enrollment ID: I20101014000491 |
| Provider Name | Craig H Andersen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164535340 PECOS PAC ID: 6103019138 Enrollment ID: I20101021001220 |
| Provider Name | Joel W Schaefer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558474676 PECOS PAC ID: 5799830451 Enrollment ID: I20101021001259 |
| Provider Name | Bryan P. Whitesides |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316028129 PECOS PAC ID: 4284820358 Enrollment ID: I20101201000691 |
| Provider Name | Douglas B Rock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275531725 PECOS PAC ID: 4880882950 Enrollment ID: I20101216000609 |
| Provider Name | Vernon J King |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649278003 PECOS PAC ID: 7416145446 Enrollment ID: I20101217000320 |
| Provider Name | Andrea S Thornton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629178512 PECOS PAC ID: 4183611155 Enrollment ID: I20110121000764 |
| Provider Name | Brian T Dimarzio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922132075 PECOS PAC ID: 6608969225 Enrollment ID: I20110128000648 |
| Provider Name | Gregory Reicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326049321 PECOS PAC ID: 3476554999 Enrollment ID: I20110209000718 |
| Provider Name | Philip J. Bowen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831159557 PECOS PAC ID: 6406036177 Enrollment ID: I20110212000098 |
| Provider Name | Amy Lynn Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679559546 PECOS PAC ID: 1951582964 Enrollment ID: I20110224000177 |
| Provider Name | Eileen Margaret Reardon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437102472 PECOS PAC ID: 5496656316 Enrollment ID: I20110311000604 |
| Provider Name | Eric J Hanly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447305818 PECOS PAC ID: 0547311383 Enrollment ID: I20110503000383 |
| Provider Name | Laurel A Bartholomay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396718557 PECOS PAC ID: 6103851829 Enrollment ID: I20110504000553 |
| Provider Name | April D Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487960092 PECOS PAC ID: 9830375385 Enrollment ID: I20110517000672 |
| Provider Name | Barry Sobel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326145038 PECOS PAC ID: 3678463635 Enrollment ID: I20110610000158 |
| Provider Name | Teresa C Harper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164488045 PECOS PAC ID: 2466458872 Enrollment ID: I20110909002816 |
| Provider Name | Amber C Reiss-holt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386678159 PECOS PAC ID: 6800821372 Enrollment ID: I20110915000413 |
| Provider Name | Sudy Md Jahangiri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841454048 PECOS PAC ID: 6608047816 Enrollment ID: I20110920000593 |
| Provider Name | Adam J Hunninghake |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982858379 PECOS PAC ID: 1456523117 Enrollment ID: I20111003000201 |
| Provider Name | Leonard Lapkin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437131455 PECOS PAC ID: 4688570047 Enrollment ID: I20111101000698 |
| Provider Name | Patricia Lapkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851308993 PECOS PAC ID: 1153319199 Enrollment ID: I20111109000339 |
| Provider Name | Sarah K Rieves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033204474 PECOS PAC ID: 8426947888 Enrollment ID: I20111216000037 |
| Provider Name | Heather Bourkovski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730147000 PECOS PAC ID: 9234106162 Enrollment ID: I20120110000441 |
| Provider Name | David Morris Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013200872 PECOS PAC ID: 5496912586 Enrollment ID: I20120201000249 |
| Provider Name | Logan M. Mcdaneld |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619001633 PECOS PAC ID: 6608033352 Enrollment ID: I20120207000828 |
| Provider Name | Sharon J Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366718017 PECOS PAC ID: 2769645720 Enrollment ID: I20120531000555 |
| Provider Name | Stephen J Frank |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013991736 PECOS PAC ID: 3173787272 Enrollment ID: I20120620000482 |
| Provider Name | Seth Andrew Kareus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639354376 PECOS PAC ID: 2769508522 Enrollment ID: I20120817000142 |
| Provider Name | Richard K Inman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356583421 PECOS PAC ID: 8022264464 Enrollment ID: I20120817000175 |
| Provider Name | Surbhi Tchida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922207653 PECOS PAC ID: 9436338407 Enrollment ID: I20120821000977 |
| Provider Name | Saketh Ram Guntupalli |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1922232172 PECOS PAC ID: 0244360253 Enrollment ID: I20120906000417 |
| Provider Name | Steven Gammon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356552657 PECOS PAC ID: 3375712557 Enrollment ID: I20120910000374 |
| Provider Name | Lori M Wittman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790946200 PECOS PAC ID: 1850542408 Enrollment ID: I20121108000357 |
| Provider Name | Nicholas J Behrendt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023224177 PECOS PAC ID: 8628127065 Enrollment ID: I20130821000340 |
| Provider Name | Michael V Zaretsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134198161 PECOS PAC ID: 9234156704 Enrollment ID: I20130905000082 |
| Provider Name | Edward Maurin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730112772 PECOS PAC ID: 4486676111 Enrollment ID: I20140528000502 |
| Provider Name | Chuen-fu Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043328818 PECOS PAC ID: 2365695624 Enrollment ID: I20140930001960 |
| Provider Name | Basheal M Agrawal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154365153 PECOS PAC ID: 2062654072 Enrollment ID: I20141020000699 |
| Provider Name | Emanuel Petroulakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801953310 PECOS PAC ID: 4789633025 Enrollment ID: I20141028001102 |
| Provider Name | Maria Tsangaridou Petroulakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316004831 PECOS PAC ID: 1254502842 Enrollment ID: I20141028001872 |
| Provider Name | Steven Oday |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487881017 PECOS PAC ID: 2668693862 Enrollment ID: I20141030002505 |
| Provider Name | Andrea Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649557950 PECOS PAC ID: 2668694241 Enrollment ID: I20141114001616 |
| Provider Name | Craig D Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043306525 PECOS PAC ID: 6002843216 Enrollment ID: I20141122000153 |
| Provider Name | Bethany S Peckler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245460500 PECOS PAC ID: 8022207984 Enrollment ID: I20141204000148 |
| Provider Name | Kelley R Lockhart |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033192679 PECOS PAC ID: 6507881299 Enrollment ID: I20141224001160 |
| Provider Name | Mark Joseph Mcginley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457324733 PECOS PAC ID: 0840287686 Enrollment ID: I20141230001292 |
| Provider Name | Katie J Ramsden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659775047 PECOS PAC ID: 1951625227 Enrollment ID: I20150114001025 |
| Provider Name | Emmett Ratigan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003079583 PECOS PAC ID: 3072781806 Enrollment ID: I20150528000121 |
| Provider Name | Katherine Dott O Reilly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902290588 PECOS PAC ID: 3678736378 Enrollment ID: I20150602002822 |
| Provider Name | Michael Jay White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609878248 PECOS PAC ID: 7315970456 Enrollment ID: I20150701001697 |
| Provider Name | Anne Morse Chamberlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699038315 PECOS PAC ID: 2466766225 Enrollment ID: I20150806012182 |
| Provider Name | Julie Ann Weintraub |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689993115 PECOS PAC ID: 3678709128 Enrollment ID: I20150817001233 |
| Provider Name | Amy J Archer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205800208 PECOS PAC ID: 7315913241 Enrollment ID: I20151007002926 |
| Provider Name | Carolyn J Lefkowits |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1487889168 PECOS PAC ID: 6103135132 Enrollment ID: I20151014001316 |
| Provider Name | John W Winward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861607632 PECOS PAC ID: 4880748391 Enrollment ID: I20151028002265 |
| Provider Name | Brandon Tyler Roy-garland |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235454497 PECOS PAC ID: 1759361702 Enrollment ID: I20151029001232 |
| Provider Name | Gina Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114281169 PECOS PAC ID: 0648580761 Enrollment ID: I20151102001730 |
| Provider Name | Lisa K Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366704181 PECOS PAC ID: 9133439698 Enrollment ID: I20151112002132 |
| Provider Name | Ruth Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841554375 PECOS PAC ID: 2264743772 Enrollment ID: I20151116001688 |
| Provider Name | Roseanna M Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801267133 PECOS PAC ID: 9133420425 Enrollment ID: I20151210000328 |
| Provider Name | Joseph Ramharack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174878219 PECOS PAC ID: 8729389994 Enrollment ID: I20151211001056 |
| Provider Name | Connie Ela Lupe Joy Billones Bongar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174997290 PECOS PAC ID: 0042512527 Enrollment ID: I20151230002168 |
| Provider Name | Christopher M Upton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336403328 PECOS PAC ID: 1052534625 Enrollment ID: I20160119000054 |
| Provider Name | Robert Edward Replogle |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780649590 PECOS PAC ID: 1254337504 Enrollment ID: I20160210000437 |
| Provider Name | Renee G Lockey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447265509 PECOS PAC ID: 6709959372 Enrollment ID: I20160301001875 |
| Provider Name | Jennifer E Forte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700224664 PECOS PAC ID: 0547402331 Enrollment ID: I20160721001029 |
| Provider Name | Justin A Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265792238 PECOS PAC ID: 6103142120 Enrollment ID: I20160728000361 |
| Provider Name | Patricia Ann Bernal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295111300 PECOS PAC ID: 4385937184 Enrollment ID: I20160801000338 |
| Provider Name | Ann Collier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487898458 PECOS PAC ID: 0042442915 Enrollment ID: I20160804000563 |
| Provider Name | Joshua M Hulst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669818498 PECOS PAC ID: 0143529859 Enrollment ID: I20160920000867 |
| Provider Name | Bradley R Corr |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1255566964 PECOS PAC ID: 8325282049 Enrollment ID: I20160928001375 |
| Provider Name | Adam G Cota |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265820914 PECOS PAC ID: 1658684956 Enrollment ID: I20161111001833 |
| Provider Name | Kara A Danner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245251339 PECOS PAC ID: 9436252939 Enrollment ID: I20161117000203 |
| Provider Name | Beth A Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265462808 PECOS PAC ID: 5799923017 Enrollment ID: I20170118000209 |
| Provider Name | Karee Byram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821401936 PECOS PAC ID: 9537468319 Enrollment ID: I20170610000030 |
| Provider Name | Karyll Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548553795 PECOS PAC ID: 2769618826 Enrollment ID: I20170615001353 |
| Provider Name | Rachael Marie Randall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881039857 PECOS PAC ID: 1850670282 Enrollment ID: I20170626000188 |
| Provider Name | Aric J Rastrelli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699111492 PECOS PAC ID: 5294976999 Enrollment ID: I20170803003226 |
| Provider Name | Nicholas James Westfall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538458575 PECOS PAC ID: 1557595311 Enrollment ID: I20170810002703 |
| Provider Name | Duncan Mcgregor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144409483 PECOS PAC ID: 8820147416 Enrollment ID: I20170817001998 |
| Provider Name | Lyrad Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356318216 PECOS PAC ID: 2163676388 Enrollment ID: I20170822002103 |
| Provider Name | Sara B Winsor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558881060 PECOS PAC ID: 5799059044 Enrollment ID: I20170925003360 |
| Provider Name | Kirk Blais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437593803 PECOS PAC ID: 3072824648 Enrollment ID: I20170926000914 |
| Provider Name | Megan Kristina Huemoller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316456049 PECOS PAC ID: 6204102494 Enrollment ID: I20171016000984 |
| Provider Name | Barbara Md Melendez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598076572 PECOS PAC ID: 4486877065 Enrollment ID: I20171025003030 |
| Provider Name | Michael Magill-collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962814855 PECOS PAC ID: 1052537198 Enrollment ID: I20171120002962 |
| Provider Name | Anita B Venkataramana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528003191 PECOS PAC ID: 6608807847 Enrollment ID: I20171204001789 |
| Provider Name | Alero Nanna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588898761 PECOS PAC ID: 1254552409 Enrollment ID: I20171209000060 |
| Provider Name | Emily Duethman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295096162 PECOS PAC ID: 5395994818 Enrollment ID: I20171214000839 |
| Provider Name | Taysir Shash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750349734 PECOS PAC ID: 1456447481 Enrollment ID: I20171215000914 |
| Provider Name | Anna Kanopsic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962921510 PECOS PAC ID: 9032479423 Enrollment ID: I20180202001427 |
| Provider Name | Thomas Michael Scupp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447593553 PECOS PAC ID: 6002058906 Enrollment ID: I20180209000183 |
| Provider Name | Diane M Janowicz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881604874 PECOS PAC ID: 4789684739 Enrollment ID: I20180216000810 |
| Provider Name | Thomas J Fitzgerald |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336134766 PECOS PAC ID: 2567567126 Enrollment ID: I20180219000431 |
| Provider Name | Hoang Chau Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295742005 PECOS PAC ID: 4385652700 Enrollment ID: I20180222002547 |
| Provider Name | Leslie Ann Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235470840 PECOS PAC ID: 4284935412 Enrollment ID: I20180531000345 |
| Provider Name | Laura J Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083607014 PECOS PAC ID: 0749240158 Enrollment ID: I20180531002150 |
| Provider Name | Erin Reynolds |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659633477 PECOS PAC ID: 4880991967 Enrollment ID: I20180622000853 |
| Provider Name | Sheri V Kembel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225529324 PECOS PAC ID: 6901152883 Enrollment ID: I20180706001950 |
| Provider Name | Douglas August Hirth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164865978 PECOS PAC ID: 9830410364 Enrollment ID: I20180709000546 |
| Provider Name | Muhammad Soubhi Azzouz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417238270 PECOS PAC ID: 5092019349 Enrollment ID: I20180725003799 |
| Provider Name | Christopher Meinzen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821477613 PECOS PAC ID: 8921307604 Enrollment ID: I20180828001510 |
| Provider Name | Tawny Rachel Redd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871828541 PECOS PAC ID: 2860629870 Enrollment ID: I20181110000138 |
| Provider Name | John Whitney Mercer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205988540 PECOS PAC ID: 5193610897 Enrollment ID: I20181121000053 |
| Provider Name | Kyle Andrew Work |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770848632 PECOS PAC ID: 9537466727 Enrollment ID: I20181126001981 |
| Provider Name | Michael D Forte |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588002604 PECOS PAC ID: 1456593383 Enrollment ID: I20181203001724 |
| Provider Name | Melinda Beth Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609280882 PECOS PAC ID: 0446477897 Enrollment ID: I20181218001750 |
| Provider Name | Katherine Marie Zybach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275769325 PECOS PAC ID: 7315282225 Enrollment ID: I20181221000338 |
| Provider Name | Randal Lester Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073082038 PECOS PAC ID: 3678810884 Enrollment ID: I20190125002230 |
| Provider Name | Neha Balmoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962848366 PECOS PAC ID: 7517267842 Enrollment ID: I20190315000576 |
| Provider Name | Alexi Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396219184 PECOS PAC ID: 5698015253 Enrollment ID: I20190318001001 |
| Provider Name | Danielle Ann Cataxinos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295964310 PECOS PAC ID: 5092965806 Enrollment ID: I20190322001533 |
| Provider Name | Meagan E Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528524758 PECOS PAC ID: 7911248794 Enrollment ID: I20190403002929 |
| Provider Name | Dawn Sipes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679944870 PECOS PAC ID: 8628360344 Enrollment ID: I20190422000527 |
| Provider Name | Elizabeth Rook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881878759 PECOS PAC ID: 9234309618 Enrollment ID: I20190508002386 |
| Provider Name | Linda Matthews |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609801646 PECOS PAC ID: 7618949330 Enrollment ID: I20190607000526 |
| Provider Name | John William Moore |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1548462385 PECOS PAC ID: 4486731544 Enrollment ID: I20190702001651 |
| Provider Name | Leah Tatum Maulding |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720443500 PECOS PAC ID: 2365732682 Enrollment ID: I20190716001833 |
| Provider Name | Scott R Geraghty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871715995 PECOS PAC ID: 8022286343 Enrollment ID: I20190731000898 |
| Provider Name | Lucas Gilbride |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891109559 PECOS PAC ID: 7618199043 Enrollment ID: I20190801000730 |
| Provider Name | Simon Willis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356761191 PECOS PAC ID: 3476805060 Enrollment ID: I20190806001655 |
| Provider Name | Shannon Melissa Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528455375 PECOS PAC ID: 6204147622 Enrollment ID: I20190812001696 |
| Provider Name | Daniel Belatti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841644341 PECOS PAC ID: 8628369089 Enrollment ID: I20190812003817 |
| Provider Name | Tanner Crosby Spees |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477895548 PECOS PAC ID: 5193044584 Enrollment ID: I20190812003940 |
| Provider Name | Alicia Swink |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235573270 PECOS PAC ID: 4688901564 Enrollment ID: I20190815000868 |
| Provider Name | Trent Milligan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982099545 PECOS PAC ID: 1951611094 Enrollment ID: I20190816001164 |
| Provider Name | Thomas Caudill Githens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841636917 PECOS PAC ID: 3678863891 Enrollment ID: I20190829003842 |
| Provider Name | Linda D Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700447455 PECOS PAC ID: 3678802337 Enrollment ID: I20190906000436 |
| Provider Name | Katie Ann Chmielowiec |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699155960 PECOS PAC ID: 4284963752 Enrollment ID: I20190909001619 |
| Provider Name | Kathryn Anne Spangler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528413853 PECOS PAC ID: 4183979438 Enrollment ID: I20190918001444 |
| Provider Name | Kenneth Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770136988 PECOS PAC ID: 3274863162 Enrollment ID: I20190918003256 |
| Provider Name | Alexandra Marie Berguer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811343270 PECOS PAC ID: 5597056606 Enrollment ID: I20191001001016 |
| Provider Name | Jamie Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003464934 PECOS PAC ID: 5597096511 Enrollment ID: I20191007000102 |
| Provider Name | Noemi Romano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508874173 PECOS PAC ID: 3173515335 Enrollment ID: I20191209000735 |
| Provider Name | Dawna Crick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528619178 PECOS PAC ID: 6709219439 Enrollment ID: I20191210002030 |
| Provider Name | Muhammad Ammar Hussieno |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922112531 PECOS PAC ID: 5395741490 Enrollment ID: I20200103000345 |
| Provider Name | Hannah Elizabeth Maue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184268278 PECOS PAC ID: 6507291655 Enrollment ID: I20200117000324 |
| Provider Name | Thomas B Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275528382 PECOS PAC ID: 7012012677 Enrollment ID: I20200210000219 |
| Provider Name | Yogesh R Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235157876 PECOS PAC ID: 0547262818 Enrollment ID: I20200212000364 |
| Provider Name | James Treadwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023089299 PECOS PAC ID: 9830345479 Enrollment ID: I20200213000568 |
| Provider Name | Michael B Walery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639531833 PECOS PAC ID: 4183909807 Enrollment ID: I20200326003179 |
| Provider Name | Melissa Anne Schenkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831723360 PECOS PAC ID: 9133558463 Enrollment ID: I20200407002155 |
| Provider Name | Lori A Wenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679961783 PECOS PAC ID: 1254602626 Enrollment ID: I20200428000169 |
| Provider Name | Katherine Shepherd Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730710641 PECOS PAC ID: 2961833181 Enrollment ID: I20200504000139 |
| Provider Name | Shefta Akhunji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477937811 PECOS PAC ID: 8527316827 Enrollment ID: I20200630002324 |
| Provider Name | Shahrear Zaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265859128 PECOS PAC ID: 1153541883 Enrollment ID: I20200701000093 |
| Provider Name | Cole J Seifers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669903365 PECOS PAC ID: 4587901350 Enrollment ID: I20200716000761 |
| Provider Name | Jonathan M Belk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508213786 PECOS PAC ID: 3173818226 Enrollment ID: I20200728000281 |
| Provider Name | Eric Momin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225357940 PECOS PAC ID: 1355684820 Enrollment ID: I20200909000259 |
| Provider Name | Miguel Molina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881056778 PECOS PAC ID: 8022302819 Enrollment ID: I20201013000113 |
| Provider Name | Carl L Rouch |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124099650 PECOS PAC ID: 0042257669 Enrollment ID: I20201023001359 |
| Provider Name | Rhoda Leichter |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548286958 PECOS PAC ID: 5799794103 Enrollment ID: I20201027000987 |
| Provider Name | Brandon Propper |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033320213 PECOS PAC ID: 9931358868 Enrollment ID: I20201103000059 |
| Provider Name | Kathryn A Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205452141 PECOS PAC ID: 3072924356 Enrollment ID: I20201117001093 |
| Provider Name | Tina Welker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316031701 PECOS PAC ID: 8921105222 Enrollment ID: I20201124000557 |
| Provider Name | Catherine Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316442403 PECOS PAC ID: 4486919305 Enrollment ID: I20201210000331 |
| Provider Name | Jennifer Springer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407122823 PECOS PAC ID: 7214169218 Enrollment ID: I20201228001595 |
| Provider Name | Miranda N Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215376710 PECOS PAC ID: 8426379272 Enrollment ID: I20201229002088 |
| Provider Name | Peter Weigel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043272768 PECOS PAC ID: 4284660283 Enrollment ID: I20210226000315 |
| Provider Name | Kimberly K Jeffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730517095 PECOS PAC ID: 0840429932 Enrollment ID: I20210407000199 |
| Provider Name | Sarah A. Bajorek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275823247 PECOS PAC ID: 9638398803 Enrollment ID: I20210503002264 |
| Provider Name | Patricia Ruggeri-weigel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366404527 PECOS PAC ID: 1658532304 Enrollment ID: I20210518001423 |
| Provider Name | Ryan C Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760972285 PECOS PAC ID: 8527317627 Enrollment ID: I20210614000235 |
| Provider Name | Kishan Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972092088 PECOS PAC ID: 1850640897 Enrollment ID: I20210621001421 |
| Provider Name | Jessica Q Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467969188 PECOS PAC ID: 7810259777 Enrollment ID: I20210624000015 |
| Provider Name | Brady J Holdaway |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093212920 PECOS PAC ID: 5698029239 Enrollment ID: I20210624000561 |
| Provider Name | Ryan Gillum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316437833 PECOS PAC ID: 7113276239 Enrollment ID: I20210810002935 |
| Provider Name | Joseph Ben Salganik |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841726999 PECOS PAC ID: 2365711561 Enrollment ID: I20210817001924 |
| Provider Name | Joann Ikenyei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235636333 PECOS PAC ID: 8123423530 Enrollment ID: I20210824001010 |
| Provider Name | Jeffrey Adam Shenfeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205330594 PECOS PAC ID: 7214271899 Enrollment ID: I20210830000424 |
| Provider Name | Louis-bassett Porter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689105652 PECOS PAC ID: 5193096246 Enrollment ID: I20210909000763 |
| Provider Name | Marc Stauffer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912913971 PECOS PAC ID: 0244244952 Enrollment ID: I20210913000597 |
| Provider Name | Jordan Mccoy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023498458 PECOS PAC ID: 0648565986 Enrollment ID: I20210929003836 |
| Provider Name | Devam Pareshkumar Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104164367 PECOS PAC ID: 1456659044 Enrollment ID: I20211027000554 |
| Provider Name | Spencer Olsen |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1962412767 PECOS PAC ID: 5698906832 Enrollment ID: I20211101002802 |
| Provider Name | Lindsay Gates |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285952085 PECOS PAC ID: 7416259510 Enrollment ID: I20211108000024 |
| Provider Name | James G Roberts |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356346936 PECOS PAC ID: 0941255061 Enrollment ID: I20211108000698 |
| Provider Name | Katherine Summerville Donoher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205505245 PECOS PAC ID: 4688063506 Enrollment ID: I20211116000515 |
| Provider Name | Ashley Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619403961 PECOS PAC ID: 5092105015 Enrollment ID: I20211207001187 |
| Provider Name | Meghan Schoenfelder Kimmel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447803283 PECOS PAC ID: 7810387420 Enrollment ID: I20211213002643 |
| Provider Name | Kathryn Anne Sarnoski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275876864 PECOS PAC ID: 0345546594 Enrollment ID: I20211214000602 |
| Provider Name | William Stellar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053397182 PECOS PAC ID: 7113831215 Enrollment ID: I20211220000036 |
| Provider Name | Deborah Ruhlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083019483 PECOS PAC ID: 7113240326 Enrollment ID: I20220111000116 |
| Provider Name | James Rasmussen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770661712 PECOS PAC ID: 9133114788 Enrollment ID: I20220111002050 |
| Provider Name | Rishi Kundi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174740559 PECOS PAC ID: 9133357395 Enrollment ID: I20220127000203 |
| Provider Name | Daniel Lopez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801087093 PECOS PAC ID: 1759537533 Enrollment ID: I20220214000230 |
| Provider Name | Logan Daniel Cutts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144661752 PECOS PAC ID: 1951545193 Enrollment ID: I20220221000139 |
| Provider Name | Carlos Donayre |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134191752 PECOS PAC ID: 1254369390 Enrollment ID: I20220221000288 |
| Provider Name | Steven Kagan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508804303 PECOS PAC ID: 7113822990 Enrollment ID: I20220224001873 |
| Provider Name | Adrian Medina |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669929246 PECOS PAC ID: 8820350820 Enrollment ID: I20220321000486 |
| Provider Name | Sharon Eskam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629095310 PECOS PAC ID: 1153379367 Enrollment ID: I20220325001111 |
| Provider Name | Kevin Sun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093154635 PECOS PAC ID: 9931440997 Enrollment ID: I20220331002984 |
| Provider Name | Megan Callahan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275084782 PECOS PAC ID: 9931480381 Enrollment ID: I20220404002143 |
| Provider Name | Linda Ellen Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861443376 PECOS PAC ID: 3870594559 Enrollment ID: I20220420002509 |
| Provider Name | Andrew Clarke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972565257 PECOS PAC ID: 0345148995 Enrollment ID: I20220420003024 |
| Provider Name | Casey Yossa |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225331184 PECOS PAC ID: 6406096916 Enrollment ID: I20220420003197 |
| Provider Name | Desarom Teso |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558579565 PECOS PAC ID: 4880773951 Enrollment ID: I20220530000165 |
| Provider Name | Leah E Coffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508482936 PECOS PAC ID: 0648685156 Enrollment ID: I20220608001603 |
| Provider Name | Jan-michael Andresen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356757421 PECOS PAC ID: 1951623966 Enrollment ID: I20220627002609 |
| Provider Name | David Ling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881936722 PECOS PAC ID: 9537386339 Enrollment ID: I20220710000072 |
| Provider Name | Tejaswini Vasamsetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588043426 PECOS PAC ID: 1254630213 Enrollment ID: I20220711000392 |
| Provider Name | Margaret J Magill Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477085066 PECOS PAC ID: 4082985338 Enrollment ID: I20220714003491 |
| Provider Name | Andra Kofahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265774533 PECOS PAC ID: 2163706631 Enrollment ID: I20220714004180 |
| Provider Name | Kevin A West |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821478603 PECOS PAC ID: 0042519076 Enrollment ID: I20220721001843 |
| Provider Name | Sara Edeiken |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164740221 PECOS PAC ID: 8527204155 Enrollment ID: I20220729002507 |
| Provider Name | Rachel Clara Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912358425 PECOS PAC ID: 3870886369 Enrollment ID: I20220804000069 |
| Provider Name | Brian F Simpson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316357544 PECOS PAC ID: 6901195510 Enrollment ID: I20220805001896 |
| Provider Name | Kayla L Toennis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023542412 PECOS PAC ID: 4486981263 Enrollment ID: I20220809000050 |
| Provider Name | Danielle Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679863542 PECOS PAC ID: 1951606979 Enrollment ID: I20220818002119 |
| Provider Name | Christopher Bernard Komanapalli |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194894519 PECOS PAC ID: 8022201789 Enrollment ID: I20220824003549 |
| Provider Name | Katherine L Stephens-bogard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528575776 PECOS PAC ID: 9739563800 Enrollment ID: I20220908003357 |
| Provider Name | Grant Allen Henderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447592159 PECOS PAC ID: 2961795901 Enrollment ID: I20220912000158 |
| Provider Name | Vinu S Abraham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336123249 PECOS PAC ID: 7012960305 Enrollment ID: I20220920000617 |
| Provider Name | Scott A Emsley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598099616 PECOS PAC ID: 2961887484 Enrollment ID: I20220920002715 |
| Provider Name | Marcella Jo Tatarka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902473630 PECOS PAC ID: 7517342918 Enrollment ID: I20220924000358 |
| Provider Name | Rachael Gollub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295393767 PECOS PAC ID: 3375878119 Enrollment ID: I20220926000992 |
| Provider Name | Creed M Ott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720646292 PECOS PAC ID: 2668707480 Enrollment ID: I20220926001535 |
| Provider Name | Monica L Mcdonald |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548222011 PECOS PAC ID: 7012932494 Enrollment ID: I20220927000914 |
| Provider Name | Kent Winkler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972506277 PECOS PAC ID: 9032195094 Enrollment ID: I20221024000854 |
| Provider Name | Bao Nhi Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528521655 PECOS PAC ID: 6103205752 Enrollment ID: I20221031000412 |
| Provider Name | Colton Hickman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164954954 PECOS PAC ID: 4688920432 Enrollment ID: I20221031000414 |
| Provider Name | Zane Byron Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124513973 PECOS PAC ID: 5193121697 Enrollment ID: I20221114003112 |
| Provider Name | Karen Kathryne Shuman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538801907 PECOS PAC ID: 4981072345 Enrollment ID: I20221116002579 |
| Provider Name | James Rielly |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386638005 PECOS PAC ID: 3577564228 Enrollment ID: I20221118000220 |
| Provider Name | Joyce Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942654702 PECOS PAC ID: 3678872041 Enrollment ID: I20221121001006 |
| Provider Name | Michael Weinblatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841289683 PECOS PAC ID: 4587741574 Enrollment ID: I20221123002368 |
| Provider Name | Chatt Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184605347 PECOS PAC ID: 5092816306 Enrollment ID: I20221203000515 |
| Provider Name | Tamara Hopkins |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144226465 PECOS PAC ID: 9133160286 Enrollment ID: I20221220000891 |
| Provider Name | Kylie Alyssa Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457984361 PECOS PAC ID: 3476946997 Enrollment ID: I20230106002491 |
| Provider Name | Brittany Nicole Viar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215664826 PECOS PAC ID: 0345611679 Enrollment ID: I20230125001288 |
| Provider Name | Amber Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740631969 PECOS PAC ID: 2365737277 Enrollment ID: I20230206000517 |
| Provider Name | Paul C Peterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902805518 PECOS PAC ID: 2668453564 Enrollment ID: I20230207002647 |
| Provider Name | John Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043251648 PECOS PAC ID: 0840294773 Enrollment ID: I20230207003017 |
| Provider Name | Teresa Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326071176 PECOS PAC ID: 0446201925 Enrollment ID: I20230211000075 |
| Provider Name | Osman S Kozak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003861733 PECOS PAC ID: 0143247338 Enrollment ID: I20230315001227 |
| Provider Name | Arianna Odom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477259604 PECOS PAC ID: 7810362514 Enrollment ID: I20230411002690 |
| Provider Name | Steve M Cordina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972777290 PECOS PAC ID: 6002084498 Enrollment ID: I20230417001951 |
| Provider Name | Madeleine Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609946342 PECOS PAC ID: 3870534639 Enrollment ID: I20230420003015 |
| Provider Name | Edward Greenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780836528 PECOS PAC ID: 2163686320 Enrollment ID: I20230502000558 |
| Provider Name | Tej Singh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366548901 PECOS PAC ID: 4688680408 Enrollment ID: I20230508002324 |
| Provider Name | Zachary Kistka |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760671044 PECOS PAC ID: 4981838893 Enrollment ID: I20230510003534 |
| Provider Name | Kathleen B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730370719 PECOS PAC ID: 7113016510 Enrollment ID: I20230517001764 |
| Provider Name | Maureen A Maher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518915784 PECOS PAC ID: 2860464260 Enrollment ID: I20230616001257 |
| Provider Name | Yu Zhou |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215420427 PECOS PAC ID: 6507114527 Enrollment ID: I20230629003817 |
| Provider Name | Truc Ta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114459831 PECOS PAC ID: 4688947484 Enrollment ID: I20230807002844 |
| Provider Name | Rebecca Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518318070 PECOS PAC ID: 9638462039 Enrollment ID: I20230809000484 |
| Provider Name | Tasha Prock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639861842 PECOS PAC ID: 5496117285 Enrollment ID: I20230810001921 |
| Provider Name | Katherine Dugan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588284905 PECOS PAC ID: 8123442167 Enrollment ID: I20230907002746 |
| Provider Name | Verlyn Jon Nykamp |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629075031 PECOS PAC ID: 5698816528 Enrollment ID: I20231020002608 |
| Provider Name | Brianne Michelle Bernal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679259873 PECOS PAC ID: 6608224225 Enrollment ID: I20231121000404 |
| Provider Name | Eli Quinn Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861928699 PECOS PAC ID: 7517204498 Enrollment ID: I20231208002115 |
| Provider Name | Thomas M Buchanan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710162227 PECOS PAC ID: 7517141088 Enrollment ID: I20240110002938 |
| Provider Name | Henry Quevedo Diaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679708374 PECOS PAC ID: 8325337686 Enrollment ID: I20240110004144 |
| Provider Name | Saurabh Aggarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396032751 PECOS PAC ID: 6608017835 Enrollment ID: I20240130001366 |
| Provider Name | Isaac Elie Akkad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992190813 PECOS PAC ID: 5890174734 Enrollment ID: I20240206000755 |
| Provider Name | Siamak Karimian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225091812 PECOS PAC ID: 7719933258 Enrollment ID: I20240214002523 |
| Provider Name | Rebecca Marie Adcock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457905408 PECOS PAC ID: 2466784004 Enrollment ID: I20240328001999 |
| Provider Name | Michael Henry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558685198 PECOS PAC ID: 6406984632 Enrollment ID: I20240410001234 |
| Provider Name | Jesus Mendiolaza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437294881 PECOS PAC ID: 3971690520 Enrollment ID: I20240412000565 |
| Provider Name | Walter Myer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467964072 PECOS PAC ID: 3072877083 Enrollment ID: I20240415001499 |
| Provider Name | Tracy Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912137860 PECOS PAC ID: 7719025998 Enrollment ID: I20240416001464 |
| Provider Name | Jayme Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467119693 PECOS PAC ID: 4284027814 Enrollment ID: I20240416002442 |
| Provider Name | Zachary Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326614934 PECOS PAC ID: 5991103020 Enrollment ID: I20240430002136 |
| Provider Name | Andrea Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013489269 PECOS PAC ID: 6608118104 Enrollment ID: I20240501000089 |
| Provider Name | Nicole Piccirillo Tweedy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962933028 PECOS PAC ID: 1254603004 Enrollment ID: I20240530004247 |
| Provider Name | Michelle Bekono Nsahlai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366962060 PECOS PAC ID: 9335505494 Enrollment ID: I20240605001414 |
Western Slope Geriatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2754 Compass Dr, #170, Grand Junction, CO 81506 Phone: 303-912-7064 | |
Grand Junction Family Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 North Ave, Suite 104, Grand Junction, CO 81501 Phone: 970-424-5030 | |
Internal Medicine Associates Of The Grand Valley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 607 28 1/4 Rd, Grand Junction, CO 81506 Phone: 970-243-3300 | |
Hopewest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3090 N 12th St Unit B, Grand Junction, CO 81506 Phone: 970-241-2212 Fax: 970-257-2401 | |
Marillac Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3150 N 12th St, Grand Junction, CO 81506 Phone: 970-298-1782 Fax: 970-298-1711 | |
Aspen Grove Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3096 I-70 Business Loop, Unit D, Grand Junction, CO 81504 Phone: 970-314-2805 Fax: 970-314-7919 | |
St. Mary's Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2698 Patterson Rd Unit 42, Grand Junction, CO 81506 Phone: 970-298-2800 Fax: 970-298-6902 |