| St Vincent Healthcare | |
|
1233 N 30th St Billings MT 59101-0127 | |
| (406) 237-7700 | |
| Not Available |
| Full Name | St Vincent Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1233 N 30th St, Billings, Montana |
| 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 |
|---|---|
| St Vincent Healthcare 1233 N 30th St Billings MT 59101-0127 Ph: (406) 237-7700 | St Vincent Healthcare 1233 N 30th St Billings MT 59101-0127 Ph: (406) 237-7700 |
| NPI Number | 1508289703 |
|---|---|
| Provider Enumeration Date | 01/24/2014 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 9638491574 |
|---|---|
| Medicare Enrollment ID | O20141204001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508289703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | 13258 (Montana) | Primary |
| Provider Name | Arturo Echeverri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932169232 PECOS PAC ID: 4587568340 Enrollment ID: I20031122000139 |
| Provider Name | George M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154347854 PECOS PAC ID: 6709781107 Enrollment ID: I20031126000550 |
| Provider Name | Annette C Comes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346247087 PECOS PAC ID: 4789581190 Enrollment ID: I20031217001094 |
| Provider Name | Corby C Freitag |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376576504 PECOS PAC ID: 0042107989 Enrollment ID: I20040303001301 |
| Provider Name | Thomas R James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831183482 PECOS PAC ID: 4082506860 Enrollment ID: I20040326000556 |
| Provider Name | Grace E Kim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891745899 PECOS PAC ID: 6507849916 Enrollment ID: I20040611001227 |
| Provider Name | Marjorie T Tevlin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790734382 PECOS PAC ID: 9133103773 Enrollment ID: I20040616001011 |
| Provider Name | Stephen E Baum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083650485 PECOS PAC ID: 9234117490 Enrollment ID: I20040715000959 |
| Provider Name | Timothy A Dernbach |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1962440800 PECOS PAC ID: 5092780874 Enrollment ID: I20041214001219 |
| Provider Name | Erica L Seas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558410100 PECOS PAC ID: 4587612890 Enrollment ID: I20050104000267 |
| Provider Name | Trent D Mihalick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942306063 PECOS PAC ID: 6103876990 Enrollment ID: I20050128000886 |
| Provider Name | Christopher K Schreiber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689614695 PECOS PAC ID: 9739131350 Enrollment ID: I20050211000343 |
| Provider Name | James M Bentler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962435198 PECOS PAC ID: 8820040744 Enrollment ID: I20050218000218 |
| Provider Name | Thomas B Fouts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760425995 PECOS PAC ID: 9739134214 Enrollment ID: I20050317000366 |
| Provider Name | Kari L Barrett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114963485 PECOS PAC ID: 5193766640 Enrollment ID: I20050516000519 |
| Provider Name | Michael R Butz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497795694 PECOS PAC ID: 6002850070 Enrollment ID: I20050614000543 |
| Provider Name | Neal B Sorensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669419057 PECOS PAC ID: 9436187655 Enrollment ID: I20050729000335 |
| Provider Name | Stuart G Goodman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154432425 PECOS PAC ID: 4486668217 Enrollment ID: I20060201000415 |
| Provider Name | Lynette K Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295773182 PECOS PAC ID: 3072524156 Enrollment ID: I20060606000311 |
| Provider Name | Keri L Hill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528095155 PECOS PAC ID: 1456364470 Enrollment ID: I20060717000110 |
| Provider Name | Joseph C Apostol |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497781512 PECOS PAC ID: 8224076971 Enrollment ID: I20060725000400 |
| Provider Name | Justen W Rudolph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780609610 PECOS PAC ID: 5890731194 Enrollment ID: I20060725000407 |
| Provider Name | Michael H Schabacker |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1407852312 PECOS PAC ID: 5496759961 Enrollment ID: I20060914000470 |
| Provider Name | Edwin J Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538162003 PECOS PAC ID: 1254318710 Enrollment ID: I20061019000633 |
| Provider Name | Samuel J Reck |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790832756 PECOS PAC ID: 3375545023 Enrollment ID: I20070208000349 |
| Provider Name | Alison Craib Rentz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356332621 PECOS PAC ID: 2860423613 Enrollment ID: I20070326000049 |
| Provider Name | Samuel L Paczkowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124139597 PECOS PAC ID: 8022017250 Enrollment ID: I20070628000623 |
| Provider Name | Blackshear Bryan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013086198 PECOS PAC ID: 5294834487 Enrollment ID: I20070629000106 |
| Provider Name | Frederick William Kahn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942295134 PECOS PAC ID: 7113027954 Enrollment ID: I20070710000435 |
| Provider Name | Daniel J Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346442753 PECOS PAC ID: 3577654326 Enrollment ID: I20070808000208 |
| Provider Name | Michael D Geurin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073726048 PECOS PAC ID: 8729179437 Enrollment ID: I20070809000750 |
| Provider Name | Dianne M Nagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366551087 PECOS PAC ID: 3072607183 Enrollment ID: I20070920000353 |
| Provider Name | Deirdre K Mcnamer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801081559 PECOS PAC ID: 5294820791 Enrollment ID: I20070928000113 |
| Provider Name | Jeffrey S Zavala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477596609 PECOS PAC ID: 3678463460 Enrollment ID: I20080108000134 |
| Provider Name | Lisa A Malody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134224967 PECOS PAC ID: 1254317092 Enrollment ID: I20080131000377 |
| Provider Name | Carlin L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811008089 PECOS PAC ID: 2264515857 Enrollment ID: I20080205000419 |
| Provider Name | Carla Marie Kingsley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174523849 PECOS PAC ID: 9032160544 Enrollment ID: I20080707000139 |
| Provider Name | Sarah M Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932372943 PECOS PAC ID: 8921166414 Enrollment ID: I20081028000521 |
| Provider Name | Stephen R Shaub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467495853 PECOS PAC ID: 5698836567 Enrollment ID: I20081210000622 |
| Provider Name | Mohan Reddi Nandalur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447295324 PECOS PAC ID: 0143223305 Enrollment ID: I20090408000258 |
| Provider Name | Douglas A Woerner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649437328 PECOS PAC ID: 8325112493 Enrollment ID: I20090803000045 |
| Provider Name | Benjamin E Beasley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952450280 PECOS PAC ID: 7618070491 Enrollment ID: I20090819000078 |
| Provider Name | Lisa G Bland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427279546 PECOS PAC ID: 0143375972 Enrollment ID: I20090831000662 |
| Provider Name | Robert T Terry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588669071 PECOS PAC ID: 8022033059 Enrollment ID: I20100118000120 |
| Provider Name | Roy Kohler |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1215933676 PECOS PAC ID: 0749259042 Enrollment ID: I20100216000752 |
| Provider Name | Dennis W Maier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497787725 PECOS PAC ID: 6709801913 Enrollment ID: I20100315000426 |
| Provider Name | Jeffrey S Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841232766 PECOS PAC ID: 2062547029 Enrollment ID: I20100316000241 |
| Provider Name | Robert J Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538102983 PECOS PAC ID: 1153456165 Enrollment ID: I20100316000767 |
| Provider Name | Frank C Michels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215971155 PECOS PAC ID: 7517093560 Enrollment ID: I20100329000771 |
| Provider Name | Jon M Bullman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255373411 PECOS PAC ID: 8022144070 Enrollment ID: I20100329000810 |
| Provider Name | Susan J Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861434037 PECOS PAC ID: 8729114772 Enrollment ID: I20100329000833 |
| Provider Name | Edward C Malters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841237237 PECOS PAC ID: 0749317394 Enrollment ID: I20100429001157 |
| Provider Name | William L Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831190685 PECOS PAC ID: 7113069535 Enrollment ID: I20100818000737 |
| Provider Name | Kevin Bruen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427221886 PECOS PAC ID: 3072637792 Enrollment ID: I20100902000337 |
| Provider Name | Jordan B Teller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851603294 PECOS PAC ID: 7618093501 Enrollment ID: I20100928001676 |
| Provider Name | Paolo F Gerbasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134166622 PECOS PAC ID: 4082806690 Enrollment ID: I20101013001189 |
| Provider Name | Kathi H Theade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922024629 PECOS PAC ID: 5799978391 Enrollment ID: I20101014001168 |
| Provider Name | John M Kominsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275566416 PECOS PAC ID: 3678766201 Enrollment ID: I20101015000085 |
| Provider Name | Douglas J Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134137045 PECOS PAC ID: 0648465393 Enrollment ID: I20101108001429 |
| Provider Name | Sheldon R Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932125630 PECOS PAC ID: 0446445894 Enrollment ID: I20101110001120 |
| Provider Name | Robert C Ulrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730120718 PECOS PAC ID: 7719175330 Enrollment ID: I20101227000528 |
| Provider Name | Gary A Ostahowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316994692 PECOS PAC ID: 3274531751 Enrollment ID: I20110127000236 |
| Provider Name | Erica R Bruen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689891806 PECOS PAC ID: 6103991948 Enrollment ID: I20110204000762 |
| Provider Name | Christopher J Cancro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275796997 PECOS PAC ID: 9537340732 Enrollment ID: I20110222000150 |
| Provider Name | Sheila R Horton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659439065 PECOS PAC ID: 0648457945 Enrollment ID: I20110615000068 |
| Provider Name | Tisha K Fujii |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720092596 PECOS PAC ID: 4880675339 Enrollment ID: I20111012000854 |
| Provider Name | Christopher A Yen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770702300 PECOS PAC ID: 2961674197 Enrollment ID: I20111012000855 |
| Provider Name | Helen L Laferriere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215225990 PECOS PAC ID: 2567634546 Enrollment ID: I20111017000789 |
| Provider Name | Mark Schulke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922211341 PECOS PAC ID: 1951576099 Enrollment ID: I20111219000594 |
| Provider Name | Kimberly K Larue |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538432398 PECOS PAC ID: 2860652583 Enrollment ID: I20120404000293 |
| Provider Name | David N Trickey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881718666 PECOS PAC ID: 1759432628 Enrollment ID: I20120809000569 |
| Provider Name | Tish A Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023371929 PECOS PAC ID: 6800042698 Enrollment ID: I20120810000029 |
| Provider Name | William J Spire |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740396621 PECOS PAC ID: 8123275138 Enrollment ID: I20120827000682 |
| Provider Name | Alana C Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114282498 PECOS PAC ID: 4789834763 Enrollment ID: I20121029000519 |
| Provider Name | Judith Mctaggart |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144342346 PECOS PAC ID: 0749371722 Enrollment ID: I20121213000483 |
| Provider Name | Jeffrey F Mosser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891778148 PECOS PAC ID: 7719998319 Enrollment ID: I20130211000522 |
| Provider Name | James Vandenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932182326 PECOS PAC ID: 2567538572 Enrollment ID: I20130307000446 |
| Provider Name | Lori G Byron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992731566 PECOS PAC ID: 2769538818 Enrollment ID: I20130313000547 |
| Provider Name | Kristian F French |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841433034 PECOS PAC ID: 6406095207 Enrollment ID: I20130626000406 |
| Provider Name | Michael B Ganz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356399257 PECOS PAC ID: 3173506698 Enrollment ID: I20130719000384 |
| Provider Name | Lisa G Stricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558515650 PECOS PAC ID: 8123180379 Enrollment ID: I20130814000196 |
| Provider Name | Janice M Fordham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609197433 PECOS PAC ID: 4183867120 Enrollment ID: I20130823000673 |
| Provider Name | Adam M Zelka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528388873 PECOS PAC ID: 4284878406 Enrollment ID: I20130910000114 |
| Provider Name | Andrew B Gentry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922072560 PECOS PAC ID: 4789822206 Enrollment ID: I20131025001489 |
| Provider Name | Ronald G Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093726259 PECOS PAC ID: 0143259432 Enrollment ID: I20131031000602 |
| Provider Name | Andrew Gordon Lashus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366535452 PECOS PAC ID: 4981668613 Enrollment ID: I20140409001492 |
| Provider Name | Jared R Heaton |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457666562 PECOS PAC ID: 9234357997 Enrollment ID: I20140821002843 |
| Provider Name | Molly E Biehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902079965 PECOS PAC ID: 1254501521 Enrollment ID: I20141003002307 |
| Provider Name | Christopher Nathan Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467744797 PECOS PAC ID: 7810127768 Enrollment ID: I20141016001837 |
| Provider Name | Tracy L Hylland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225447477 PECOS PAC ID: 9739300252 Enrollment ID: I20141027002635 |
| Provider Name | Robert Wagenaar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841287570 PECOS PAC ID: 3173559085 Enrollment ID: I20141117001502 |
| Provider Name | Edward Sutliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972602563 PECOS PAC ID: 6507182136 Enrollment ID: I20150226000392 |
| Provider Name | Bjorn Sauerwein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457443251 PECOS PAC ID: 6608877733 Enrollment ID: I20150512001103 |
| Provider Name | Jon M Carling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932484151 PECOS PAC ID: 6709107816 Enrollment ID: I20150601002921 |
| Provider Name | Katherine L Dietrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619188216 PECOS PAC ID: 4688846017 Enrollment ID: I20150701002750 |
| Provider Name | Victor P Yapuncich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881664191 PECOS PAC ID: 4880590744 Enrollment ID: I20150717002563 |
| Provider Name | Kyle Debenham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225067325 PECOS PAC ID: 1759341183 Enrollment ID: I20150721001284 |
| Provider Name | Dale C Stapler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306136494 PECOS PAC ID: 5698907608 Enrollment ID: I20150722003699 |
| Provider Name | Stephanie K Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093071789 PECOS PAC ID: 1658500533 Enrollment ID: I20150724012043 |
| Provider Name | Colin Brett Fitterer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538424684 PECOS PAC ID: 1557599602 Enrollment ID: I20150804006153 |
| Provider Name | Anna Marie Hein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528472503 PECOS PAC ID: 4385959840 Enrollment ID: I20150813010260 |
| Provider Name | Daniel Adam Dernbach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477757458 PECOS PAC ID: 8729393012 Enrollment ID: I20150814014803 |
| Provider Name | Chantielle Ann Blackwell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518364058 PECOS PAC ID: 6608183876 Enrollment ID: I20150921001933 |
| Provider Name | Emily Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417397548 PECOS PAC ID: 0042454910 Enrollment ID: I20151211001859 |
| Provider Name | Don R Dickerson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194825935 PECOS PAC ID: 0749261006 Enrollment ID: I20160201002373 |
| Provider Name | David Mclean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447282074 PECOS PAC ID: 2062466014 Enrollment ID: I20160211000722 |
| Provider Name | Gregory Hubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568798973 PECOS PAC ID: 2264737394 Enrollment ID: I20160226000818 |
| Provider Name | Buup Justin Kim |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346255650 PECOS PAC ID: 8426960949 Enrollment ID: I20160331001117 |
| Provider Name | Hugh Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881774313 PECOS PAC ID: 5193740199 Enrollment ID: I20160428002375 |
| Provider Name | Richard Lammers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063771814 PECOS PAC ID: 7214153758 Enrollment ID: I20160715001028 |
| Provider Name | Kevin Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437451168 PECOS PAC ID: 2860785151 Enrollment ID: I20160725001279 |
| Provider Name | Bonnie J Kerr |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235241548 PECOS PAC ID: 5991988123 Enrollment ID: I20160809002564 |
| Provider Name | Anne M Stevens |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376842567 PECOS PAC ID: 6507089596 Enrollment ID: I20160815002134 |
| Provider Name | Michelle Trost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770936031 PECOS PAC ID: 1456646140 Enrollment ID: I20160819000345 |
| Provider Name | Chelsi Hayter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790137974 PECOS PAC ID: 7416243217 Enrollment ID: I20160902001178 |
| Provider Name | Anastasios Saliaris |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982673885 PECOS PAC ID: 8022915040 Enrollment ID: I20160914002272 |
| Provider Name | Mark Mccubbin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831322932 PECOS PAC ID: 4082868997 Enrollment ID: I20160930000361 |
| Provider Name | Megan Marie Clute Petersen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1215181029 PECOS PAC ID: 7113167842 Enrollment ID: I20161013000665 |
| Provider Name | Michael D Eisenhauer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821064510 PECOS PAC ID: 3476678996 Enrollment ID: I20170110003164 |
| Provider Name | Brittany Silvers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810026 PECOS PAC ID: 0143507616 Enrollment ID: I20170510002071 |
| Provider Name | Michael C Gordon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609842053 PECOS PAC ID: 9638173446 Enrollment ID: I20170519001673 |
| Provider Name | Ronald B Henckel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750510624 PECOS PAC ID: 6901035807 Enrollment ID: I20170720001330 |
| Provider Name | Trevor Mccotter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851528517 PECOS PAC ID: 5395057830 Enrollment ID: I20170801003306 |
| Provider Name | Kristen Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154846798 PECOS PAC ID: 8729351267 Enrollment ID: I20170906001324 |
| Provider Name | Daniel Loren Faaborg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265724470 PECOS PAC ID: 2860764115 Enrollment ID: I20170915002215 |
| Provider Name | Kellie Depuydt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801314075 PECOS PAC ID: 4284908518 Enrollment ID: I20170925002668 |
| Provider Name | Robert D Stewart |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659350668 PECOS PAC ID: 2365536505 Enrollment ID: I20171031001259 |
| Provider Name | Patricia Rubin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942244520 PECOS PAC ID: 9638061765 Enrollment ID: I20171120001223 |
| Provider Name | Desiree Cavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386161966 PECOS PAC ID: 8022376102 Enrollment ID: I20171219000846 |
| Provider Name | Frank R Lamm |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417949033 PECOS PAC ID: 3072575323 Enrollment ID: I20180126000750 |
| Provider Name | James E Cameron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669524732 PECOS PAC ID: 9931099082 Enrollment ID: I20180319002060 |
| Provider Name | Douglas Kent Boehm |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215923172 PECOS PAC ID: 6608914601 Enrollment ID: I20180412002989 |
| Provider Name | Francis M Filloux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942389515 PECOS PAC ID: 6608819107 Enrollment ID: I20180523002856 |
| Provider Name | Adriane Haragan |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1679868558 PECOS PAC ID: 0749501377 Enrollment ID: I20180618001199 |
| Provider Name | David Paul Sims |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528013778 PECOS PAC ID: 3577512383 Enrollment ID: I20180712003305 |
| Provider Name | Michael J Bradshaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255774105 PECOS PAC ID: 3173825106 Enrollment ID: I20180719002107 |
| Provider Name | Robert M Lynagh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477814648 PECOS PAC ID: 6002163664 Enrollment ID: I20180727001828 |
| Provider Name | Louis Voelkel Ross |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487920948 PECOS PAC ID: 1850693961 Enrollment ID: I20180808003614 |
| Provider Name | Leslie Ann Ruybal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457612921 PECOS PAC ID: 8426281957 Enrollment ID: I20180823002218 |
| Provider Name | Amanda M Abrams-buerkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710471495 PECOS PAC ID: 2264781145 Enrollment ID: I20180827001590 |
| Provider Name | Jodi Gilligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164913307 PECOS PAC ID: 6507116258 Enrollment ID: I20180830001592 |
| Provider Name | Karen Saling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154377422 PECOS PAC ID: 8426074683 Enrollment ID: I20180906002491 |
| Provider Name | Kyle R Brekke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063891059 PECOS PAC ID: 1850605379 Enrollment ID: I20180907001135 |
| Provider Name | Marcus Nicola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730672866 PECOS PAC ID: 8325941149 Enrollment ID: I20181017001258 |
| Provider Name | Amanda Wiley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487133203 PECOS PAC ID: 3971856642 Enrollment ID: I20181025002372 |
| Provider Name | Brandon Propper |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033320213 PECOS PAC ID: 9931358868 Enrollment ID: I20181031003183 |
| Provider Name | Shane Paul Mcentire |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932224912 PECOS PAC ID: 3476876855 Enrollment ID: I20181206001170 |
| Provider Name | Claire Buckingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598230724 PECOS PAC ID: 1456697440 Enrollment ID: I20190111002186 |
| Provider Name | Melissa K Walton-shirley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245203355 PECOS PAC ID: 0042297343 Enrollment ID: I20190201001814 |
| Provider Name | John H Braxton |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1073568655 PECOS PAC ID: 0648214320 Enrollment ID: I20190305002692 |
| Provider Name | Jeffrey S Horn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487864666 PECOS PAC ID: 7911158738 Enrollment ID: I20190306001332 |
| Provider Name | Jennifer Gunnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386611234 PECOS PAC ID: 2860457264 Enrollment ID: I20190320003403 |
| Provider Name | Katherine Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679045603 PECOS PAC ID: 8022358498 Enrollment ID: I20190321000976 |
| Provider Name | Melissa F Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194001602 PECOS PAC ID: 1456691856 Enrollment ID: I20190321002054 |
| Provider Name | Michael Demetrios Pappas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518966407 PECOS PAC ID: 0345339883 Enrollment ID: I20190401001779 |
| Provider Name | Emma Peterson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801361183 PECOS PAC ID: 5698016640 Enrollment ID: I20190401002209 |
| Provider Name | Debbie Jo Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861995524 PECOS PAC ID: 7416202122 Enrollment ID: I20190411002301 |
| Provider Name | Matthew M Grinsell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346364429 PECOS PAC ID: 3870678469 Enrollment ID: I20190422000970 |
| Provider Name | Frederick E Dixon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023079613 PECOS PAC ID: 2961447727 Enrollment ID: I20190423002775 |
| Provider Name | Stephanie Maughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356808356 PECOS PAC ID: 2668714510 Enrollment ID: I20190425001653 |
| Provider Name | David Y Gaitonde |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902964638 PECOS PAC ID: 9638309479 Enrollment ID: I20190606001609 |
| Provider Name | Bethany Doran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619261641 PECOS PAC ID: 6709006026 Enrollment ID: I20190628002127 |
| Provider Name | James E Miller |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992758148 PECOS PAC ID: 3971661471 Enrollment ID: I20190703001111 |
| Provider Name | Laura Forcella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093372963 PECOS PAC ID: 4385979285 Enrollment ID: I20190715003220 |
| Provider Name | Elizabeth Connor |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1003179581 PECOS PAC ID: 2668778218 Enrollment ID: I20190726001330 |
| Provider Name | Thomas L Wolford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669439071 PECOS PAC ID: 8426063322 Enrollment ID: I20190729003019 |
| Provider Name | Ashley Nicole Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255992830 PECOS PAC ID: 8628304565 Enrollment ID: I20190730002113 |
| Provider Name | John Cameron King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528044831 PECOS PAC ID: 7113254244 Enrollment ID: I20190812002134 |
| Provider Name | Jennifer A Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386206936 PECOS PAC ID: 7214264357 Enrollment ID: I20190812002561 |
| Provider Name | Mark David Schaefer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043664022 PECOS PAC ID: 1153658232 Enrollment ID: I20190813000226 |
| Provider Name | Eden Woodward Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326468851 PECOS PAC ID: 2466673793 Enrollment ID: I20190813003131 |
| Provider Name | Tyler Slyngstad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134495104 PECOS PAC ID: 5597054494 Enrollment ID: I20190814000284 |
| Provider Name | Thomas Joseph Desmarais |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972918639 PECOS PAC ID: 5496976912 Enrollment ID: I20190814002041 |
| Provider Name | Michael Fitch |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1750630117 PECOS PAC ID: 7810253473 Enrollment ID: I20190827000057 |
| Provider Name | Alexis Hokenstad |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174818819 PECOS PAC ID: 0446408694 Enrollment ID: I20190913002018 |
| Provider Name | Dekrisha Lew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437544657 PECOS PAC ID: 0244534220 Enrollment ID: I20190918001289 |
| Provider Name | Lauren Pokomo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790135069 PECOS PAC ID: 2264727676 Enrollment ID: I20190920001720 |
| Provider Name | Kyanne Wear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083910772 PECOS PAC ID: 4486985421 Enrollment ID: I20191007000664 |
| Provider Name | Pamela Julianna Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487151320 PECOS PAC ID: 7911238100 Enrollment ID: I20191021001177 |
| Provider Name | Jenna Olds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699325746 PECOS PAC ID: 4385976653 Enrollment ID: I20191106001385 |
| Provider Name | Ashley Novakovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346882677 PECOS PAC ID: 6305278268 Enrollment ID: I20191114000567 |
| Provider Name | Jacqueline F Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073156956 PECOS PAC ID: 7517390875 Enrollment ID: I20191127002238 |
| Provider Name | Abigail N Weight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144866948 PECOS PAC ID: 7719312610 Enrollment ID: I20200123001488 |
| Provider Name | Kristen Barrett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538455704 PECOS PAC ID: 1153692090 Enrollment ID: I20200204003036 |
| Provider Name | Anita Azam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437367398 PECOS PAC ID: 4688810476 Enrollment ID: I20200312000231 |
| Provider Name | Taylor H Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871132712 PECOS PAC ID: 5597194894 Enrollment ID: I20200408001617 |
| Provider Name | Kierston Christian Popp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912534892 PECOS PAC ID: 2668803636 Enrollment ID: I20200506001809 |
| Provider Name | Julie Paddock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316984222 PECOS PAC ID: 2961315536 Enrollment ID: I20200601002627 |
| Provider Name | Christopher Stockdale |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528453594 PECOS PAC ID: 8628382819 Enrollment ID: I20200707000198 |
| Provider Name | Abdallah Abboud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912314824 PECOS PAC ID: 5799080370 Enrollment ID: I20200707000336 |
| Provider Name | Evan Romrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861853822 PECOS PAC ID: 2769720069 Enrollment ID: I20200707002370 |
| Provider Name | Tiffany Chaloux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164954038 PECOS PAC ID: 7911276506 Enrollment ID: I20200708002018 |
| Provider Name | Maggie Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083825509 PECOS PAC ID: 1658463351 Enrollment ID: I20200727001146 |
| Provider Name | Courtney Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295258507 PECOS PAC ID: 8921370594 Enrollment ID: I20200807001986 |
| Provider Name | Douglas Brian Chapman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619944238 PECOS PAC ID: 5395641864 Enrollment ID: I20200820003113 |
| Provider Name | Pamela Alejandra Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144834599 PECOS PAC ID: 7719305028 Enrollment ID: I20200918001601 |
| Provider Name | Uchenna Agbim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649505124 PECOS PAC ID: 9335303023 Enrollment ID: I20201012002511 |
| Provider Name | Christopher Sickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790186799 PECOS PAC ID: 4284856766 Enrollment ID: I20201022003987 |
| Provider Name | Cady Peters |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831706860 PECOS PAC ID: 3678993003 Enrollment ID: I20201023000279 |
| Provider Name | Anjum Ismail |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518056464 PECOS PAC ID: 1153397427 Enrollment ID: I20201023000603 |
| Provider Name | Callie Puls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962981068 PECOS PAC ID: 8022438464 Enrollment ID: I20201023000794 |
| Provider Name | Douglas M Guy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508827692 PECOS PAC ID: 9830094135 Enrollment ID: I20201023003000 |
| Provider Name | Anissa Avanesyan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184227431 PECOS PAC ID: 0648681593 Enrollment ID: I20201124002947 |
| Provider Name | Lauren Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144823329 PECOS PAC ID: 3072924646 Enrollment ID: I20201203000820 |
| Provider Name | Ashley R Group |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558528406 PECOS PAC ID: 1153583125 Enrollment ID: I20201209000627 |
| Provider Name | Meagan Pate |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902240112 PECOS PAC ID: 0749576742 Enrollment ID: I20201214003051 |
| Provider Name | Nazmul Huda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609076777 PECOS PAC ID: 4981786175 Enrollment ID: I20210119002145 |
| Provider Name | Tara T Bellamkonda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841435211 PECOS PAC ID: 2163640319 Enrollment ID: I20210125000903 |
| Provider Name | Blair Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518509777 PECOS PAC ID: 1153755632 Enrollment ID: I20210225001021 |
| Provider Name | Santa Bartholomew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316925787 PECOS PAC ID: 6103831557 Enrollment ID: I20210225002016 |
| Provider Name | Caitlin Marie Re |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568055085 PECOS PAC ID: 3779991617 Enrollment ID: I20210414001751 |
| Provider Name | Leslie Glen Massoglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992780712 PECOS PAC ID: 1254379159 Enrollment ID: I20210630003748 |
| Provider Name | Yevgeniy Arefiev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609290253 PECOS PAC ID: 9739442377 Enrollment ID: I20210706003259 |
| Provider Name | Daniel Edward Hillman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184100299 PECOS PAC ID: 9537561949 Enrollment ID: I20210707003963 |
| Provider Name | Scott Bradley Mutchler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942236419 PECOS PAC ID: 5294762035 Enrollment ID: I20210708001566 |
| Provider Name | Carine Basmadjian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477937241 PECOS PAC ID: 6608278908 Enrollment ID: I20210708003304 |
| Provider Name | Menard D Barruga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477546414 PECOS PAC ID: 2062461973 Enrollment ID: I20210721004271 |
| Provider Name | Julia Robison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477057982 PECOS PAC ID: 9638425630 Enrollment ID: I20210727001286 |
| Provider Name | Sharae L Bischoff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801205885 PECOS PAC ID: 6901027457 Enrollment ID: I20210812001071 |
| Provider Name | Ashley N Clausen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477194900 PECOS PAC ID: 9335543321 Enrollment ID: I20210812003669 |
| Provider Name | Summanther Kaviratne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154555811 PECOS PAC ID: 9537387915 Enrollment ID: I20210907002368 |
| Provider Name | Brian Peterson Reidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376047258 PECOS PAC ID: 6800141094 Enrollment ID: I20210909003149 |
| Provider Name | Cindy H Swan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922677533 PECOS PAC ID: 3375949621 Enrollment ID: I20210910002850 |
| Provider Name | Kristen M. Scaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811258007 PECOS PAC ID: 3173762929 Enrollment ID: I20210914002500 |
| Provider Name | Alicia Berve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043989809 PECOS PAC ID: 5799182614 Enrollment ID: I20210920003390 |
| Provider Name | Nicholas Alexander Anzalone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982192019 PECOS PAC ID: 5890128128 Enrollment ID: I20210923001475 |
| Provider Name | Sydney Malone Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336714997 PECOS PAC ID: 3870990310 Enrollment ID: I20210924002759 |
| Provider Name | Heather Jan Matthies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457794646 PECOS PAC ID: 4880834472 Enrollment ID: I20211005000143 |
| Provider Name | Se Kon Won |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881633865 PECOS PAC ID: 4688607062 Enrollment ID: I20211008002038 |
| Provider Name | Paige Helmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699447946 PECOS PAC ID: 4284022658 Enrollment ID: I20211104001109 |
| Provider Name | Simon Maltais |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457665911 PECOS PAC ID: 0840486510 Enrollment ID: I20211104002666 |
| Provider Name | Mildred Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750464673 PECOS PAC ID: 1850302589 Enrollment ID: I20211111000138 |
| Provider Name | Richard Bayer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336346527 PECOS PAC ID: 4789717554 Enrollment ID: I20211206001881 |
| Provider Name | Khaled Rikabi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851375489 PECOS PAC ID: 4284895905 Enrollment ID: I20211207000977 |
| Provider Name | Katelyn Dawn Gaskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699365619 PECOS PAC ID: 6103216965 Enrollment ID: I20211209001693 |
| Provider Name | Joy Samantha Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255093522 PECOS PAC ID: 6608266234 Enrollment ID: I20211214000708 |
| Provider Name | Syed A Samee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548311814 PECOS PAC ID: 2668576034 Enrollment ID: I20211227000997 |
| Provider Name | Theresa A Scholz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578555637 PECOS PAC ID: 9739070921 Enrollment ID: I20220124002664 |
| Provider Name | Thomas Anders Brevik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700268224 PECOS PAC ID: 5597188367 Enrollment ID: I20220125002267 |
| Provider Name | Mohammed A Osman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124403456 PECOS PAC ID: 5092004713 Enrollment ID: I20220126000845 |
| Provider Name | Tara L Taylor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912931213 PECOS PAC ID: 7810073665 Enrollment ID: I20220305000160 |
| Provider Name | Brian Medley |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1437221629 PECOS PAC ID: 4587663067 Enrollment ID: I20220311001697 |
| Provider Name | Kristie D Nowak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275598781 PECOS PAC ID: 3779579230 Enrollment ID: I20220426002351 |
| Provider Name | Dirk S Sypherd |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073593638 PECOS PAC ID: 8729176151 Enrollment ID: I20220504001929 |
| Provider Name | John B Gill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487737177 PECOS PAC ID: 9032139555 Enrollment ID: I20220506001509 |
| Provider Name | Theresa Marie Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013689488 PECOS PAC ID: 5193103943 Enrollment ID: I20220607000647 |
| Provider Name | Duane E Teerink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043255441 PECOS PAC ID: 6002829348 Enrollment ID: I20220609002002 |
| Provider Name | Anna M Lee |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447782107 PECOS PAC ID: 6507132693 Enrollment ID: I20220613002394 |
| Provider Name | Tamara J Little |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760872766 PECOS PAC ID: 9739406919 Enrollment ID: I20220613002570 |
| Provider Name | Alfred W Mazur |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255311619 PECOS PAC ID: 0042220451 Enrollment ID: I20220614000936 |
| Provider Name | Veronika M Tapia Giron |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780242610 PECOS PAC ID: 4284013764 Enrollment ID: I20220614002899 |
| Provider Name | Alyssa M Seidel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689334955 PECOS PAC ID: 9032504782 Enrollment ID: I20220615002609 |
| Provider Name | Hafiz G Hussain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467770925 PECOS PAC ID: 4981983210 Enrollment ID: I20220622001214 |
| Provider Name | Ernest M Sussman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932294980 PECOS PAC ID: 3971540188 Enrollment ID: I20220623000718 |
| Provider Name | Kevyn Stroebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740623248 PECOS PAC ID: 5890011522 Enrollment ID: I20220707001760 |
| Provider Name | Anne Marie Teerink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942211941 PECOS PAC ID: 7012913957 Enrollment ID: I20220708000652 |
| Provider Name | Christopher M Anzalone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346604865 PECOS PAC ID: 6204164403 Enrollment ID: I20220715001625 |
| Provider Name | Paige Woods |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962063263 PECOS PAC ID: 6002141231 Enrollment ID: I20220720002232 |
| Provider Name | Sara Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487150595 PECOS PAC ID: 4385032069 Enrollment ID: I20220804000361 |
| Provider Name | Sagar R Vadhar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972953438 PECOS PAC ID: 3971895236 Enrollment ID: I20221019002770 |
| Provider Name | Benjamin Wilde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295997013 PECOS PAC ID: 4981891371 Enrollment ID: I20221020001939 |
| Provider Name | Bryan Blumell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376926543 PECOS PAC ID: 5991040750 Enrollment ID: I20221021000428 |
| Provider Name | Thomas James North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932762275 PECOS PAC ID: 4284962887 Enrollment ID: I20221027002598 |
| Provider Name | Randy Everett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285680306 PECOS PAC ID: 4587665492 Enrollment ID: I20221102000786 |
| Provider Name | Shayla Christine Daschle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841605169 PECOS PAC ID: 9638416779 Enrollment ID: I20221108002042 |
| Provider Name | Ibrahim Hammad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811263866 PECOS PAC ID: 8729388731 Enrollment ID: I20221122002836 |
| Provider Name | Carole Ruth Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255617742 PECOS PAC ID: 8729456389 Enrollment ID: I20221201002968 |
| Provider Name | Juliann Lazzaro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841512688 PECOS PAC ID: 6204974033 Enrollment ID: I20221222002214 |
| Provider Name | J Francis Turner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114948528 PECOS PAC ID: 3072502491 Enrollment ID: I20221223000277 |
| Provider Name | Atman Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033138557 PECOS PAC ID: 9830196856 Enrollment ID: I20230104001033 |
| Provider Name | Claudia Tellier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336879360 PECOS PAC ID: 7012387244 Enrollment ID: I20230105000703 |
| Provider Name | Bruce Lee Whitaker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790923969 PECOS PAC ID: 0446437131 Enrollment ID: I20230116000658 |
| Provider Name | Amelia Jo Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073244596 PECOS PAC ID: 2264803618 Enrollment ID: I20230120002330 |
| Provider Name | Aaron Killpack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457588212 PECOS PAC ID: 4183910326 Enrollment ID: I20230123000335 |
| Provider Name | Mohammad I Akhtar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942294897 PECOS PAC ID: 0446158562 Enrollment ID: I20230123001744 |
| Provider Name | Eric Mehlberg |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1447577168 PECOS PAC ID: 6406163047 Enrollment ID: I20230124002549 |
| Provider Name | Kelsie Craighead |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760193437 PECOS PAC ID: 0244601318 Enrollment ID: I20230127001818 |
| Provider Name | Jennifer Vance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376291831 PECOS PAC ID: 3678944659 Enrollment ID: I20230131000327 |
| Provider Name | Debby Chuang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518100460 PECOS PAC ID: 9133431315 Enrollment ID: I20230203001626 |
| Provider Name | Dena Lheureux |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033320437 PECOS PAC ID: 6608960232 Enrollment ID: I20230213001454 |
| Provider Name | Shirley Van |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063530749 PECOS PAC ID: 6507941580 Enrollment ID: I20230221001272 |
| Provider Name | Takor Arrey-mbi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740522127 PECOS PAC ID: 2062737950 Enrollment ID: I20230223000234 |
| Provider Name | Gwynn Marie Pehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093412249 PECOS PAC ID: 7113390758 Enrollment ID: I20230302001196 |
| Provider Name | Meeri Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467081513 PECOS PAC ID: 9739590068 Enrollment ID: I20230303000276 |
| Provider Name | Shane C Dangerfield |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457685919 PECOS PAC ID: 2466612486 Enrollment ID: I20230309000480 |
| Provider Name | Jb Fenix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922392877 PECOS PAC ID: 2769749803 Enrollment ID: I20230330001586 |
| Provider Name | Dylan Jon Wiebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295435840 PECOS PAC ID: 7416322102 Enrollment ID: I20230411002403 |
| Provider Name | Lloyd Tani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326127994 PECOS PAC ID: 2860436714 Enrollment ID: I20230417000647 |
| Provider Name | John Colquitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912226721 PECOS PAC ID: 3476968124 Enrollment ID: I20230420002355 |
| Provider Name | Kimberly Mae Molina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053494963 PECOS PAC ID: 6709919053 Enrollment ID: I20230428001680 |
| Provider Name | Jason Jameson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902865116 PECOS PAC ID: 0446294508 Enrollment ID: I20230502001864 |
| Provider Name | Kelsie Catherine Groff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194426759 PECOS PAC ID: 2860857273 Enrollment ID: I20230508000543 |
| Provider Name | Mimi T Van |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801298294 PECOS PAC ID: 0244528024 Enrollment ID: I20230510000118 |
| Provider Name | Benedict Painter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154314839 PECOS PAC ID: 6305831769 Enrollment ID: I20230519001904 |
| Provider Name | Chan M Ma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487642120 PECOS PAC ID: 8325026917 Enrollment ID: I20230523001758 |
| Provider Name | Aimee Ogden Hersh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497960900 PECOS PAC ID: 4688746001 Enrollment ID: I20230630002902 |
| Provider Name | Taylor Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508594078 PECOS PAC ID: 2365801461 Enrollment ID: I20230707001938 |
| Provider Name | Susan Renee Garwood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053381921 PECOS PAC ID: 0840399309 Enrollment ID: I20230717001888 |
| Provider Name | Nimrit Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861886822 PECOS PAC ID: 9931413929 Enrollment ID: I20230721000776 |
| Provider Name | Mackenzie Nicole Zier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639641806 PECOS PAC ID: 4183085988 Enrollment ID: I20230726001665 |
| Provider Name | Anjelika Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649923509 PECOS PAC ID: 5991167686 Enrollment ID: I20230811001864 |
| Provider Name | Thomas Debauche |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437248044 PECOS PAC ID: 0345395612 Enrollment ID: I20230811002866 |
| Provider Name | Mohamad El Zaru |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366440794 PECOS PAC ID: 0244128577 Enrollment ID: I20230822003536 |
| Provider Name | Robert Swendiman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457765919 PECOS PAC ID: 1456643006 Enrollment ID: I20230823003383 |
| Provider Name | Hugh F Bigg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164795381 PECOS PAC ID: 3779704440 Enrollment ID: I20230824002161 |
| Provider Name | Michael Lloyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497753354 PECOS PAC ID: 2062440738 Enrollment ID: I20230825001911 |
| Provider Name | John Konow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033731161 PECOS PAC ID: 5698195857 Enrollment ID: I20230828001334 |
| Provider Name | Stephen Fannin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023129038 PECOS PAC ID: 7416853684 Enrollment ID: I20230830001238 |
| Provider Name | Heidi Scherr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841989670 PECOS PAC ID: 1052775145 Enrollment ID: I20230907002404 |
| Provider Name | Hannah Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386358968 PECOS PAC ID: 0345695763 Enrollment ID: I20231004003239 |
| Provider Name | Regina Ommen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699200451 PECOS PAC ID: 9638443690 Enrollment ID: I20231009001356 |
| Provider Name | Erika Mendoza Plaut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346452729 PECOS PAC ID: 1456523067 Enrollment ID: I20231009002109 |
| Provider Name | Rebekah Lee Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003566142 PECOS PAC ID: 9335594498 Enrollment ID: I20231009003345 |
| Provider Name | Lauren Baumann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891113254 PECOS PAC ID: 9335366798 Enrollment ID: I20231011004261 |
| Provider Name | Kayla Anne Schweigert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134906449 PECOS PAC ID: 8022463785 Enrollment ID: I20231016002398 |
| Provider Name | Michelle Cherie Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043095391 PECOS PAC ID: 6800242298 Enrollment ID: I20231020001213 |
| Provider Name | Anthony De Mory |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316944572 PECOS PAC ID: 0042117673 Enrollment ID: I20231101002803 |
| Provider Name | Wendy Michelle Gomendi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366196446 PECOS PAC ID: 3678920105 Enrollment ID: I20231106001401 |
| Provider Name | Robert M Simonds |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952806317 PECOS PAC ID: 0749536456 Enrollment ID: I20231107000759 |
| Provider Name | Kirstin Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386020287 PECOS PAC ID: 1052620549 Enrollment ID: I20231115000111 |
| Provider Name | Cheryl Lyson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770522104 PECOS PAC ID: 9638520604 Enrollment ID: I20240104001329 |
| Provider Name | Rami Alharethi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851306369 PECOS PAC ID: 3779504931 Enrollment ID: I20240108004697 |
| Provider Name | Henry Quevedo Diaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679708374 PECOS PAC ID: 8325337686 Enrollment ID: I20240116003670 |
| Provider Name | Keven Vernon Kailey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245016104 PECOS PAC ID: 9638521297 Enrollment ID: I20240118003633 |
| Provider Name | Jimmy Morrison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881782654 PECOS PAC ID: 5193637742 Enrollment ID: I20240212000151 |
| Provider Name | Amina Adil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336482314 PECOS PAC ID: 7911206461 Enrollment ID: I20240216003723 |
| Provider Name | Astghik Poghosyan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992280416 PECOS PAC ID: 6406290287 Enrollment ID: I20240220003593 |
| Provider Name | Alicia Sharon Hettel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013778893 PECOS PAC ID: 8022453661 Enrollment ID: I20240305001852 |
| Provider Name | Wilfredo Vergara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366435398 PECOS PAC ID: 7416926910 Enrollment ID: I20240305004241 |
| Provider Name | Jason Edling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912983206 PECOS PAC ID: 3971565052 Enrollment ID: I20240306002392 |
| Provider Name | Kaylee Finchum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922765288 PECOS PAC ID: 7214321058 Enrollment ID: I20240326000985 |
| Provider Name | Robert Piotrowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134382898 PECOS PAC ID: 0547442212 Enrollment ID: I20240403002738 |
| Provider Name | Thomas Pulliam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205898103 PECOS PAC ID: 0244260982 Enrollment ID: I20240423003000 |
| Provider Name | Elizabeth Buisker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922262450 PECOS PAC ID: 8325174006 Enrollment ID: I20240510000726 |
| Provider Name | Megan Ringle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508271990 PECOS PAC ID: 3577912724 Enrollment ID: I20240513001501 |
| Provider Name | Rakesh M Suri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1952373003 PECOS PAC ID: 5890798789 Enrollment ID: I20240516002014 |
| Provider Name | Joel Ament |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861425456 PECOS PAC ID: 0446351118 Enrollment ID: I20240522002115 |
| Provider Name | Kalpana Hughes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063455624 PECOS PAC ID: 2163548348 Enrollment ID: I20240523002010 |
| Provider Name | Irina Ten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477675932 PECOS PAC ID: 2961582754 Enrollment ID: I20240523002388 |
| Provider Name | Michael M Zhadkevich |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598724882 PECOS PAC ID: 4082718176 Enrollment ID: I20240607002479 |
| Provider Name | Stephanie Freeman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497732135 PECOS PAC ID: 8729989918 Enrollment ID: I20240610001389 |
Riverstone Health Lil Anderson Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 1st Ave S, Billings, MT 59101 Phone: 406-247-3200 Fax: 406-247-3202 | |
St Vincent Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 12th Ave N, Suite 130w, Billings, MT 59101 Phone: 406-237-3620 | |
Pediatric Therapy Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Poly Dr, Billings, MT 59102 Phone: 406-259-1680 | |
Circle 7 Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3737 Grand Ave Ste 2, Billings, MT 59102 Phone: 406-861-5517 | |
Yellostone Neurosurgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 12th Ave N, Suite 340w, Billings, MT 59101 Phone: 406-237-4050 Fax: 406-237-4004 | |
Intensivist Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 N 30th St, Billings, MT 59101 Phone: 406-237-7250 | |
St. Vincent Physician Network, Broadwater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2019 Broadwater Ave, Billings, MT 59102 Phone: 406-237-5200 Fax: 406-237-5205 |