| Stamford Health Medical Group, Inc. | |
|
One Omega Drive Building 3, 2nd Floor Stamford CT 06907 | |
| (203) 276-7447 | |
| (203) 276-4350 |
| Full Name | Stamford Health Medical Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | One Omega Drive, Stamford, Connecticut |
| Authorized Official Name and Position | Rodrigo Acosta (PRESIDENT) |
| Authorized Official Contact | 2039772566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stamford Health Medical Group, Inc. One Omega Drive Building 3, 2nd Floor Stamford CT 06907-2336 Ph: (203) 276-7447 | Stamford Health Medical Group, Inc. One Omega Drive Building 3, 2nd Floor Stamford CT 06907 Ph: (203) 276-7447 |
| NPI Number | 1154633980 |
|---|---|
| Provider Enumeration Date | 07/09/2010 |
| Last Update Date | 06/29/2022 |
| Medicare PECOS PAC ID | 6901099746 |
|---|---|
| Medicare Enrollment ID | O20101025000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154633980 | NPI | - | NPPES |
| Provider Name | Joseph J Elassal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336479898 PECOS PAC ID: 1355245127 Enrollment ID: I20031124000013 |
| Provider Name | Peter J Tenicki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609888668 PECOS PAC ID: 8224932009 Enrollment ID: I20031124000071 |
| Provider Name | Hiren I Mody |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487745022 PECOS PAC ID: 7113821901 Enrollment ID: I20031124000087 |
| Provider Name | Kirsten Butkovsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497851281 PECOS PAC ID: 5294621892 Enrollment ID: I20040223000180 |
| Provider Name | Enenge Abodjedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952310666 PECOS PAC ID: 1254222110 Enrollment ID: I20040322001087 |
| Provider Name | Draupathi E Nambudiri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881607687 PECOS PAC ID: 3072404854 Enrollment ID: I20040322001325 |
| Provider Name | Aurora O Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699796524 PECOS PAC ID: 7214920412 Enrollment ID: I20040406001517 |
| Provider Name | Brian A Timko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659352946 PECOS PAC ID: 5193718831 Enrollment ID: I20040407000628 |
| Provider Name | Brenda S Chan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760588198 PECOS PAC ID: 5496741035 Enrollment ID: I20040421000414 |
| Provider Name | Terence W Hughes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053307421 PECOS PAC ID: 8628069762 Enrollment ID: I20040519000381 |
| Provider Name | Charles Miner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487689170 PECOS PAC ID: 4385620863 Enrollment ID: I20040625000475 |
| Provider Name | Meltem Seli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922081009 PECOS PAC ID: 3870569346 Enrollment ID: I20040907000441 |
| Provider Name | Carol A Fucigna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669542999 PECOS PAC ID: 3779543483 Enrollment ID: I20041018000303 |
| Provider Name | Rashma Jhunja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417052382 PECOS PAC ID: 4981664547 Enrollment ID: I20041018000769 |
| Provider Name | Forugh F Homayounrooz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346276912 PECOS PAC ID: 8123083755 Enrollment ID: I20041123000668 |
| Provider Name | Maria C Restrepo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386607265 PECOS PAC ID: 7911964663 Enrollment ID: I20041214000599 |
| Provider Name | Russell F Turk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366474959 PECOS PAC ID: 5799743506 Enrollment ID: I20041228000015 |
| Provider Name | Eva A Olah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508821331 PECOS PAC ID: 4981692464 Enrollment ID: I20050124000775 |
| Provider Name | Stephen S Gallousis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730196460 PECOS PAC ID: 6204749146 Enrollment ID: I20050216000704 |
| Provider Name | James S Bauman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669445250 PECOS PAC ID: 2668427675 Enrollment ID: I20050314000011 |
| Provider Name | Richard Mark Slutsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497761282 PECOS PAC ID: 0547203283 Enrollment ID: I20050603000778 |
| Provider Name | Ravi K Thakur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760448559 PECOS PAC ID: 0749271641 Enrollment ID: I20050628001292 |
| Provider Name | Lu Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568556637 PECOS PAC ID: 9931190261 Enrollment ID: I20051114000966 |
| Provider Name | Philip E Negus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629003413 PECOS PAC ID: 7618998311 Enrollment ID: I20051209000105 |
| Provider Name | Susan M Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306877626 PECOS PAC ID: 3577584275 Enrollment ID: I20051209000137 |
| Provider Name | Mary E Fedor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730110388 PECOS PAC ID: 0446214613 Enrollment ID: I20060310000630 |
| Provider Name | Tomas J Vietorisz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760594386 PECOS PAC ID: 8729098884 Enrollment ID: I20060503000653 |
| Provider Name | Maher I Madhoun |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790731768 PECOS PAC ID: 8729081039 Enrollment ID: I20060804000301 |
| Provider Name | Jon J Ernstoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598789653 PECOS PAC ID: 3274446927 Enrollment ID: I20061013000377 |
| Provider Name | Doreen B Chimblo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174610653 PECOS PAC ID: 0244237188 Enrollment ID: I20061107000088 |
| Provider Name | Elisabeth A Aronow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831127109 PECOS PAC ID: 5597762450 Enrollment ID: I20061107000306 |
| Provider Name | Brian J Hines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982613659 PECOS PAC ID: 6406854819 Enrollment ID: I20061122000241 |
| Provider Name | Steven Bernstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699756023 PECOS PAC ID: 4688650674 Enrollment ID: I20070130000536 |
| Provider Name | Vernetta D Gallop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811981202 PECOS PAC ID: 2365490471 Enrollment ID: I20070131000594 |
| Provider Name | Janet W Karpiak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821057761 PECOS PAC ID: 9335241371 Enrollment ID: I20070222000399 |
| Provider Name | Craig H Olin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588776173 PECOS PAC ID: 6305854084 Enrollment ID: I20070222000591 |
| Provider Name | Chinenye H Kalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700928124 PECOS PAC ID: 4880797364 Enrollment ID: I20070321000655 |
| Provider Name | Shira B Vadel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336235597 PECOS PAC ID: 9133223027 Enrollment ID: I20070403000047 |
| Provider Name | Alka S Popli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700970514 PECOS PAC ID: 9436158144 Enrollment ID: I20070612000761 |
| Provider Name | Barry C Melton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255380267 PECOS PAC ID: 8123129087 Enrollment ID: I20070721000016 |
| Provider Name | Joseph V Connelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346261120 PECOS PAC ID: 6901907872 Enrollment ID: I20070721000063 |
| Provider Name | Kevin D Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245367937 PECOS PAC ID: 4981705258 Enrollment ID: I20070731000353 |
| Provider Name | Eric Kung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639262686 PECOS PAC ID: 9931290632 Enrollment ID: I20070809000694 |
| Provider Name | Shara P Israel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962549675 PECOS PAC ID: 1951495365 Enrollment ID: I20070917000192 |
| Provider Name | Maura L Sparks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124020516 PECOS PAC ID: 0840252383 Enrollment ID: I20071025000575 |
| Provider Name | Shahrzad Mohammadi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821001728 PECOS PAC ID: 6608965694 Enrollment ID: I20071128000455 |
| Provider Name | Anna Jamrozik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720071665 PECOS PAC ID: 8729177191 Enrollment ID: I20071207000753 |
| Provider Name | Henry H Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790786259 PECOS PAC ID: 6002857802 Enrollment ID: I20080204000360 |
| Provider Name | Sara L S Coca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538388608 PECOS PAC ID: 5799861985 Enrollment ID: I20080328000199 |
| Provider Name | Joonun Choi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053583914 PECOS PAC ID: 8022188028 Enrollment ID: I20080603000287 |
| Provider Name | Howard S Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548434434 PECOS PAC ID: 6002988987 Enrollment ID: I20080709000623 |
| Provider Name | Denis Tereb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457493751 PECOS PAC ID: 7517927882 Enrollment ID: I20080719000113 |
| Provider Name | Adnan S Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306012000 PECOS PAC ID: 5092888289 Enrollment ID: I20080722000100 |
| Provider Name | Bridget Patterson-marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043208739 PECOS PAC ID: 5698842755 Enrollment ID: I20080916000345 |
| Provider Name | James M Feeney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184646978 PECOS PAC ID: 5395744106 Enrollment ID: I20080920000012 |
| Provider Name | Michael Monaco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851577399 PECOS PAC ID: 9032287933 Enrollment ID: I20081006000211 |
| Provider Name | Marc E Brodsky |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1295769685 PECOS PAC ID: 0547320921 Enrollment ID: I20081114000337 |
| Provider Name | Raul A Arguello |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093736423 PECOS PAC ID: 9234215641 Enrollment ID: I20081203000634 |
| Provider Name | Kirsten B Hohmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912017989 PECOS PAC ID: 6507877586 Enrollment ID: I20081206000103 |
| Provider Name | Evelyn J Cusack |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700874435 PECOS PAC ID: 7618919697 Enrollment ID: I20081208000681 |
| Provider Name | Resul Dalipi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295994127 PECOS PAC ID: 8123180890 Enrollment ID: I20081215000673 |
| Provider Name | Rebecca B Newman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548481740 PECOS PAC ID: 5395807812 Enrollment ID: I20081217000494 |
| Provider Name | Miroslav Radulovic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770687428 PECOS PAC ID: 7416019773 Enrollment ID: I20081219000371 |
| Provider Name | Kevin M Dwyer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417923210 PECOS PAC ID: 4183788987 Enrollment ID: I20090122000468 |
| Provider Name | Arghiris N Barbadimos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104829415 PECOS PAC ID: 0345283370 Enrollment ID: I20090217000514 |
| Provider Name | Russell J Cavallo |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1023011327 PECOS PAC ID: 6406836246 Enrollment ID: I20090217000543 |
| Provider Name | Marilee L Freitas |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023285343 PECOS PAC ID: 0547326589 Enrollment ID: I20090312000223 |
| Provider Name | Janine M Popot |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104847821 PECOS PAC ID: 4082659644 Enrollment ID: I20090320000311 |
| Provider Name | Lisa Panzini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821132432 PECOS PAC ID: 5597813709 Enrollment ID: I20090428000162 |
| Provider Name | Katherine S Shaio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114007770 PECOS PAC ID: 5193727485 Enrollment ID: I20090804000458 |
| Provider Name | Erik Beger |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992801989 PECOS PAC ID: 8123049152 Enrollment ID: I20090806000317 |
| Provider Name | Bismruta Misra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205883790 PECOS PAC ID: 0345274924 Enrollment ID: I20090821000152 |
| Provider Name | Rolando Ruiz Santos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760689061 PECOS PAC ID: 5991850687 Enrollment ID: I20090901000683 |
| Provider Name | Andrea F Douglas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184656779 PECOS PAC ID: 6002829033 Enrollment ID: I20091111000601 |
| Provider Name | Chinyelu E Oraedu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932357548 PECOS PAC ID: 3971642000 Enrollment ID: I20091203000337 |
| Provider Name | Clive Lloyd Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053500447 PECOS PAC ID: 4183713142 Enrollment ID: I20100111000634 |
| Provider Name | William Hines |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174629588 PECOS PAC ID: 1052221884 Enrollment ID: I20100119000019 |
| Provider Name | Angelo Mallozzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689768558 PECOS PAC ID: 2466354311 Enrollment ID: I20100309000818 |
| Provider Name | Rodrigo Acosta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023102092 PECOS PAC ID: 6507964129 Enrollment ID: I20100310000513 |
| Provider Name | Edward B Strauss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982678421 PECOS PAC ID: 8224163936 Enrollment ID: I20100319000750 |
| Provider Name | David S Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427021021 PECOS PAC ID: 3072648799 Enrollment ID: I20100319000807 |
| Provider Name | Sally R Bergwerk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205863560 PECOS PAC ID: 8426184623 Enrollment ID: I20100326000658 |
| Provider Name | Jeremiah J Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497747968 PECOS PAC ID: 9931298015 Enrollment ID: I20100331000071 |
| Provider Name | Michael Argenziano |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1922042332 PECOS PAC ID: 3971532268 Enrollment ID: I20100524000002 |
| Provider Name | Robert H Fryer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821006636 PECOS PAC ID: 9537051750 Enrollment ID: I20100622000441 |
| Provider Name | Satish K Deshpande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255399960 PECOS PAC ID: 2769424738 Enrollment ID: I20100629000281 |
| Provider Name | Michael A Coady |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427094267 PECOS PAC ID: 7618993015 Enrollment ID: I20100629000356 |
| Provider Name | Andrew C Shih |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902029119 PECOS PAC ID: 4789735002 Enrollment ID: I20100812000353 |
| Provider Name | Jenifer Drummond |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548425085 PECOS PAC ID: 8628102282 Enrollment ID: I20100818000160 |
| Provider Name | Cathrine L Troy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396847851 PECOS PAC ID: 6204950934 Enrollment ID: I20100901000319 |
| Provider Name | Joshua B Herbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457451551 PECOS PAC ID: 1759405368 Enrollment ID: I20100903000435 |
| Provider Name | Neil P Dreyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386741817 PECOS PAC ID: 2264557545 Enrollment ID: I20100909000641 |
| Provider Name | Laurie A Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174635759 PECOS PAC ID: 0244355519 Enrollment ID: I20100910000482 |
| Provider Name | Remi M. Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932204203 PECOS PAC ID: 6103941059 Enrollment ID: I20100915000577 |
| Provider Name | Gregory R Donofrio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255304796 PECOS PAC ID: 5698890424 Enrollment ID: I20100916000299 |
| Provider Name | Michael D. Zucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225140874 PECOS PAC ID: 1759406580 Enrollment ID: I20100916000335 |
| Provider Name | Melindy M Ciulla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073740882 PECOS PAC ID: 4981720265 Enrollment ID: I20100923000879 |
| Provider Name | Robert Leslie Plansky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780635888 PECOS PAC ID: 9638270473 Enrollment ID: I20101008000565 |
| Provider Name | Edward H Schuster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881798429 PECOS PAC ID: 9537051099 Enrollment ID: I20101018001042 |
| Provider Name | Kathleen Rocio Nurena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437191954 PECOS PAC ID: 3577756824 Enrollment ID: I20101020000084 |
| Provider Name | Lynn J Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407807522 PECOS PAC ID: 6901907740 Enrollment ID: I20101022000263 |
| Provider Name | Deborah L Pinto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629233036 PECOS PAC ID: 3779776794 Enrollment ID: I20101022000826 |
| Provider Name | Lynda S Streett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992777114 PECOS PAC ID: 6709971443 Enrollment ID: I20101025001180 |
| Provider Name | Michael F Parry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578535431 PECOS PAC ID: 3072608710 Enrollment ID: I20101029000244 |
| Provider Name | Dominic J Roca |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871521518 PECOS PAC ID: 1850430117 Enrollment ID: I20101103001424 |
| Provider Name | Scott H Weiss |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376720169 PECOS PAC ID: 3173717956 Enrollment ID: I20101105000512 |
| Provider Name | Michael A Bernstein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538376793 PECOS PAC ID: 0648465336 Enrollment ID: I20101108000746 |
| Provider Name | Louise D Resor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669540613 PECOS PAC ID: 7810182094 Enrollment ID: I20101112001140 |
| Provider Name | Paul Sachs |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649232356 PECOS PAC ID: 3779622030 Enrollment ID: I20101207000079 |
| Provider Name | Inga K Tuluca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619924057 PECOS PAC ID: 4082715826 Enrollment ID: I20110307000211 |
| Provider Name | Charles C Rosenstein |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952310245 PECOS PAC ID: 0345338604 Enrollment ID: I20110419000603 |
| Provider Name | Iulian C Giuran Benetato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568691152 PECOS PAC ID: 7012050958 Enrollment ID: I20110421000186 |
| Provider Name | Evan S Wasserman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699749135 PECOS PAC ID: 2769669324 Enrollment ID: I20110607000837 |
| Provider Name | Ronald P Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073587820 PECOS PAC ID: 8921285586 Enrollment ID: I20110607000845 |
| Provider Name | Milton F Armm |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679683965 PECOS PAC ID: 1557548922 Enrollment ID: I20110613000174 |
| Provider Name | Wayne Henry Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609083005 PECOS PAC ID: 1951589381 Enrollment ID: I20110707000008 |
| Provider Name | David D Yuh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609806124 PECOS PAC ID: 8022146711 Enrollment ID: I20110720000278 |
| Provider Name | Theresa Mahon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831256916 PECOS PAC ID: 2567553613 Enrollment ID: I20110815000762 |
| Provider Name | Kuntal P Pujara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245532696 PECOS PAC ID: 9638349418 Enrollment ID: I20110906000166 |
| Provider Name | Sasha Cobotic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750544292 PECOS PAC ID: 0941471569 Enrollment ID: I20110912000399 |
| Provider Name | Jennifer Bendl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548425952 PECOS PAC ID: 8628249596 Enrollment ID: I20110926000563 |
| Provider Name | Sarah Kahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043385743 PECOS PAC ID: 7416122304 Enrollment ID: I20111205000137 |
| Provider Name | Joseph V Costanzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093810368 PECOS PAC ID: 5890794143 Enrollment ID: I20111212000331 |
| Provider Name | Neil N Boside |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720168347 PECOS PAC ID: 8820265218 Enrollment ID: I20120126000233 |
| Provider Name | Barry I Kerner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205059417 PECOS PAC ID: 7719146554 Enrollment ID: I20120524000416 |
| Provider Name | Michael Marchese |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427287564 PECOS PAC ID: 2264696426 Enrollment ID: I20120620000005 |
| Provider Name | Asha K Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881896215 PECOS PAC ID: 4587849047 Enrollment ID: I20120919000003 |
| Provider Name | Courtney D Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689925034 PECOS PAC ID: 4688826332 Enrollment ID: I20121204000396 |
| Provider Name | Kwen R Ortega-lingiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124399035 PECOS PAC ID: 5698927283 Enrollment ID: I20121205000411 |
| Provider Name | Patricia A Garst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639482268 PECOS PAC ID: 6901059708 Enrollment ID: I20130103000095 |
| Provider Name | Tzivia R Moreen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447417795 PECOS PAC ID: 4587817903 Enrollment ID: I20130116000196 |
| Provider Name | Sandhya Dhruvakumar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952336091 PECOS PAC ID: 7719036243 Enrollment ID: I20130416000001 |
| Provider Name | Pamela Rose Blanchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629304142 PECOS PAC ID: 6608014105 Enrollment ID: I20130522000440 |
| Provider Name | Kathryn S Mitra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255598629 PECOS PAC ID: 4789822040 Enrollment ID: I20130528000061 |
| Provider Name | Elizabeth A Gaary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447202684 PECOS PAC ID: 4183613714 Enrollment ID: I20130603000182 |
| Provider Name | Salvatore Carbonaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821141805 PECOS PAC ID: 5294975140 Enrollment ID: I20130717000439 |
| Provider Name | Maria Cecilia C Asnis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437475688 PECOS PAC ID: 9032391289 Enrollment ID: I20130726000048 |
| Provider Name | Praveen K Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457663338 PECOS PAC ID: 5890938708 Enrollment ID: I20130826000080 |
| Provider Name | Melissa K Goldstein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689835878 PECOS PAC ID: 9830332774 Enrollment ID: I20130826000420 |
| Provider Name | Corinne Vanbeek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255590154 PECOS PAC ID: 2466695085 Enrollment ID: I20130830000050 |
| Provider Name | Courtney M Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336571371 PECOS PAC ID: 1254565930 Enrollment ID: I20131011001243 |
| Provider Name | Maryana German |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023440633 PECOS PAC ID: 0648406124 Enrollment ID: I20131112001779 |
| Provider Name | Bryan M Lazzara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033408836 PECOS PAC ID: 1557599107 Enrollment ID: I20140106001319 |
| Provider Name | Josef Noga |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1184888075 PECOS PAC ID: 7214165695 Enrollment ID: I20140109001184 |
| Provider Name | Michael I Ebright |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366571424 PECOS PAC ID: 0840399028 Enrollment ID: I20140131000289 |
| Provider Name | Deena R Ebright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346202371 PECOS PAC ID: 6002901998 Enrollment ID: I20140307000976 |
| Provider Name | Lauren E Drysdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881724110 PECOS PAC ID: 9032379730 Enrollment ID: I20140311000020 |
| Provider Name | Maria A Digiovanni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891874251 PECOS PAC ID: 0042441214 Enrollment ID: I20140401001658 |
| Provider Name | Kathleen Stuart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164857249 PECOS PAC ID: 8022231281 Enrollment ID: I20140516000486 |
| Provider Name | Kang Sook Suh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467612200 PECOS PAC ID: 4183798705 Enrollment ID: I20140617000008 |
| Provider Name | Christiana Famodimu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740573849 PECOS PAC ID: 2769609460 Enrollment ID: I20140804000623 |
| Provider Name | Yiannis Apergis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104176122 PECOS PAC ID: 1153548219 Enrollment ID: I20140813001473 |
| Provider Name | Thomas Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972881050 PECOS PAC ID: 3779709654 Enrollment ID: I20140924000729 |
| Provider Name | David H Hsi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588616312 PECOS PAC ID: 4385547033 Enrollment ID: I20141010002401 |
| Provider Name | Shahzad Zafar |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1780793711 PECOS PAC ID: 1456357110 Enrollment ID: I20141028000758 |
| Provider Name | Suja Abraham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568537090 PECOS PAC ID: 0244553584 Enrollment ID: I20141218000175 |
| Provider Name | Romulo Vicente Vasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164867347 PECOS PAC ID: 1254561640 Enrollment ID: I20141218001703 |
| Provider Name | Gopalakrishna K Upadhya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871631440 PECOS PAC ID: 3375507924 Enrollment ID: I20150203001196 |
| Provider Name | Allison B Levey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023261336 PECOS PAC ID: 5890845366 Enrollment ID: I20150205000080 |
| Provider Name | Nicole A Guanco-murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871851311 PECOS PAC ID: 9032435334 Enrollment ID: I20150304000848 |
| Provider Name | Michael S Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124091269 PECOS PAC ID: 7810011087 Enrollment ID: I20150312001093 |
| Provider Name | Michael K Adusei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043560287 PECOS PAC ID: 3779800271 Enrollment ID: I20150321000288 |
| Provider Name | Alfred Bircaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154568707 PECOS PAC ID: 8527253863 Enrollment ID: I20150407000824 |
| Provider Name | Bethany C Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568876043 PECOS PAC ID: 4880610971 Enrollment ID: I20150618000966 |
| Provider Name | Dmitry Meyerovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841585452 PECOS PAC ID: 2769794916 Enrollment ID: I20150701001234 |
| Provider Name | Brianna S Siegel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063711554 PECOS PAC ID: 3274845094 Enrollment ID: I20150708001914 |
| Provider Name | Revekka Babayev |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992022008 PECOS PAC ID: 9537472550 Enrollment ID: I20150721000457 |
| Provider Name | Matthew D Juriga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760781785 PECOS PAC ID: 0941514186 Enrollment ID: I20150803000254 |
| Provider Name | Eileen Madsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407937824 PECOS PAC ID: 2961596259 Enrollment ID: I20150806011030 |
| Provider Name | Kamilah M. Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366704199 PECOS PAC ID: 0547575219 Enrollment ID: I20150811004116 |
| Provider Name | Jennifer Kostela |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952656779 PECOS PAC ID: 2860700572 Enrollment ID: I20150930000548 |
| Provider Name | Paul W Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396835195 PECOS PAC ID: 0547298622 Enrollment ID: I20151002001447 |
| Provider Name | Carolyn M Kasov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487851564 PECOS PAC ID: 1052403128 Enrollment ID: I20151028002158 |
| Provider Name | Donna E. O'hara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790101269 PECOS PAC ID: 2860618261 Enrollment ID: I20151106002088 |
| Provider Name | Setul R Pardanani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851471338 PECOS PAC ID: 9739071499 Enrollment ID: I20151201000077 |
| Provider Name | Scott R Martin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366527251 PECOS PAC ID: 3476523168 Enrollment ID: I20151201000498 |
| Provider Name | Sylvie Rosenbloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831249234 PECOS PAC ID: 2769580240 Enrollment ID: I20160407000209 |
| Provider Name | Alison L Mcelhone |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730169483 PECOS PAC ID: 7618981457 Enrollment ID: I20160425001329 |
| Provider Name | Michael S Kelleher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518253418 PECOS PAC ID: 2860782380 Enrollment ID: I20160610001833 |
| Provider Name | William J Symons |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063618395 PECOS PAC ID: 9638311822 Enrollment ID: I20160622000323 |
| Provider Name | Vaagn Andikyan |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1881985414 PECOS PAC ID: 6204127129 Enrollment ID: I20160624000359 |
| Provider Name | Maja Simic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245579630 PECOS PAC ID: 8325332356 Enrollment ID: I20160812001979 |
| Provider Name | Sarah E Buckingham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447549639 PECOS PAC ID: 6507150570 Enrollment ID: I20160815000907 |
| Provider Name | Mia Kazanjian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538456793 PECOS PAC ID: 1658684287 Enrollment ID: I20160830001905 |
| Provider Name | Arzhang Fallahi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679734800 PECOS PAC ID: 0244526549 Enrollment ID: I20160913001995 |
| Provider Name | Richard Culver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144511924 PECOS PAC ID: 2567764509 Enrollment ID: I20160913002618 |
| Provider Name | Rebekah M. Gospin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528367026 PECOS PAC ID: 5890082606 Enrollment ID: I20160922000618 |
| Provider Name | Ilnaz Salehi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356684740 PECOS PAC ID: 7719265594 Enrollment ID: I20161028001962 |
| Provider Name | Yana Krmic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316170269 PECOS PAC ID: 5991846743 Enrollment ID: I20161111000077 |
| Provider Name | Litchia L Weber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184852030 PECOS PAC ID: 9931358207 Enrollment ID: I20161121001095 |
| Provider Name | John Francis Ciannella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689972085 PECOS PAC ID: 2163702705 Enrollment ID: I20161216001733 |
| Provider Name | Caroline Marie Gulati |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427210053 PECOS PAC ID: 0042596835 Enrollment ID: I20170410001880 |
| Provider Name | Desh S Nandedkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326209941 PECOS PAC ID: 6507044328 Enrollment ID: I20170418000900 |
| Provider Name | Alex Ortega |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083877708 PECOS PAC ID: 5092984278 Enrollment ID: I20170424000007 |
| Provider Name | Ofer M Wellisch |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1114189578 PECOS PAC ID: 1557500535 Enrollment ID: I20170502000936 |
| Provider Name | Lizabeth M Sachs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083007686 PECOS PAC ID: 4385911676 Enrollment ID: I20170516002012 |
| Provider Name | Juan Carlos Estupinan Beltran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841446002 PECOS PAC ID: 3971669425 Enrollment ID: I20170718000663 |
| Provider Name | Mina Owlia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477872372 PECOS PAC ID: 2365714821 Enrollment ID: I20170817002057 |
| Provider Name | Ilya Fatakhov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508286576 PECOS PAC ID: 5294007548 Enrollment ID: I20170821002782 |
| Provider Name | Alphonse D Osinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043324387 PECOS PAC ID: 2163489436 Enrollment ID: I20170915000341 |
| Provider Name | Kaitlin Corbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346765559 PECOS PAC ID: 5698049567 Enrollment ID: I20170918000110 |
| Provider Name | Seun Adeyemi-jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811335821 PECOS PAC ID: 5698061216 Enrollment ID: I20170927002196 |
| Provider Name | Sherry Ng |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528401288 PECOS PAC ID: 7416222955 Enrollment ID: I20171009002286 |
| Provider Name | Paule C Couture |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295828549 PECOS PAC ID: 2668738899 Enrollment ID: I20171103002134 |
| Provider Name | Sanford L Swidler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124092523 PECOS PAC ID: 6002172277 Enrollment ID: I20171106000735 |
| Provider Name | Monique Francine Gagnon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740255785 PECOS PAC ID: 1850657511 Enrollment ID: I20171113002646 |
| Provider Name | Susan E Lasky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669449252 PECOS PAC ID: 2062779259 Enrollment ID: I20171124000053 |
| Provider Name | Girija Narayanaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629079116 PECOS PAC ID: 4082644364 Enrollment ID: I20171129003011 |
| Provider Name | Sabina Mary Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639604226 PECOS PAC ID: 7810255361 Enrollment ID: I20171211002384 |
| Provider Name | Lidya A Bal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457761512 PECOS PAC ID: 1153689435 Enrollment ID: I20171214000005 |
| Provider Name | Ernest Lee Retland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295173078 PECOS PAC ID: 5092017624 Enrollment ID: I20180122000115 |
| Provider Name | Edward F Lin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1184864621 PECOS PAC ID: 8123278876 Enrollment ID: I20180206001720 |
| Provider Name | Necla Kudrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346528114 PECOS PAC ID: 5799957171 Enrollment ID: I20180213002271 |
| Provider Name | Steven Changsuk Oh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891084380 PECOS PAC ID: 3375845324 Enrollment ID: I20180221003077 |
| Provider Name | Arlene E Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013421015 PECOS PAC ID: 1254692890 Enrollment ID: I20180223000105 |
| Provider Name | Shruti Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497918742 PECOS PAC ID: 2567724503 Enrollment ID: I20180403000016 |
| Provider Name | Gerard Weinberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700968963 PECOS PAC ID: 3375580418 Enrollment ID: I20180403000154 |
| Provider Name | Margot A Laedlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184641060 PECOS PAC ID: 0042573941 Enrollment ID: I20180405002050 |
| Provider Name | Jennifer L Teichman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013326867 PECOS PAC ID: 2668794918 Enrollment ID: I20180411001576 |
| Provider Name | Georgette Katsetos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770694192 PECOS PAC ID: 2163785791 Enrollment ID: I20180413000679 |
| Provider Name | Yogangi Malhotra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578570834 PECOS PAC ID: 6406021419 Enrollment ID: I20180424001816 |
| Provider Name | Barrie G Suskin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720376494 PECOS PAC ID: 0345482196 Enrollment ID: I20180426001781 |
| Provider Name | Vasudeva M Kamath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326063058 PECOS PAC ID: 6406003979 Enrollment ID: I20180430002556 |
| Provider Name | Josephine L Parisot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770082554 PECOS PAC ID: 9032474705 Enrollment ID: I20180530000806 |
| Provider Name | Cigdem I Akman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487600953 PECOS PAC ID: 8426112780 Enrollment ID: I20180606000308 |
| Provider Name | Sarah S Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093895427 PECOS PAC ID: 6507953189 Enrollment ID: I20180614002028 |
| Provider Name | Si Zhang |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1306282652 PECOS PAC ID: 2264713221 Enrollment ID: I20180622000254 |
| Provider Name | Bibek Koirala |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356581177 PECOS PAC ID: 8123269230 Enrollment ID: I20180705000556 |
| Provider Name | Nwanneka V Ndubuaku |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386852903 PECOS PAC ID: 8628324183 Enrollment ID: I20180713000880 |
| Provider Name | Kenneth Munnerlyn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316172513 PECOS PAC ID: 8921246786 Enrollment ID: I20180713002410 |
| Provider Name | Joshua M Lader |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699909580 PECOS PAC ID: 5092074021 Enrollment ID: I20180719002503 |
| Provider Name | Felix Xavier De Jesus Roman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386055069 PECOS PAC ID: 6901104330 Enrollment ID: I20180726000573 |
| Provider Name | Jason S Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902036122 PECOS PAC ID: 1658511985 Enrollment ID: I20180730002743 |
| Provider Name | Jennifer Chovitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689058695 PECOS PAC ID: 8820346299 Enrollment ID: I20180801000584 |
| Provider Name | Derek Cheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013356716 PECOS PAC ID: 3274881289 Enrollment ID: I20180808001573 |
| Provider Name | Nikko Dunlevy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669889705 PECOS PAC ID: 4587913041 Enrollment ID: I20180817000062 |
| Provider Name | Kevin O Traille |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013401157 PECOS PAC ID: 0345599502 Enrollment ID: I20180821002129 |
| Provider Name | Anahita Fallahi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235490434 PECOS PAC ID: 7416260658 Enrollment ID: I20180904001771 |
| Provider Name | Daniel J Bal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275976680 PECOS PAC ID: 1759631922 Enrollment ID: I20180910000793 |
| Provider Name | Kathleen M Berchelmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376565416 PECOS PAC ID: 2860684693 Enrollment ID: I20180910003006 |
| Provider Name | Paul Eugene Palomar Lleva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649416280 PECOS PAC ID: 6103004247 Enrollment ID: I20180911002048 |
| Provider Name | Sanjay Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326433707 PECOS PAC ID: 6103122007 Enrollment ID: I20180913001430 |
| Provider Name | Daniela Vezmar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801287461 PECOS PAC ID: 1759633563 Enrollment ID: I20181005000998 |
| Provider Name | Joann Lodescar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710372172 PECOS PAC ID: 8224380423 Enrollment ID: I20181017001027 |
| Provider Name | Nicholas Henry Fiebach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679669675 PECOS PAC ID: 8325947674 Enrollment ID: I20190125002659 |
| Provider Name | Natalia Zaika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639649502 PECOS PAC ID: 4587902002 Enrollment ID: I20190207002610 |
| Provider Name | Helena Gerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225511017 PECOS PAC ID: 7810235785 Enrollment ID: I20190219002249 |
| Provider Name | Todd Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982797122 PECOS PAC ID: 0547215360 Enrollment ID: I20190220003419 |
| Provider Name | James Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245278498 PECOS PAC ID: 8325081854 Enrollment ID: I20190228000314 |
| Provider Name | Frantz C Hastrup |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912975459 PECOS PAC ID: 4587658851 Enrollment ID: I20190617001586 |
| Provider Name | Michael Yiu Hung Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013910488 PECOS PAC ID: 1850497827 Enrollment ID: I20190627001739 |
| Provider Name | Christian Lokko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871948539 PECOS PAC ID: 5991091480 Enrollment ID: I20190703000236 |
| Provider Name | Anna I Koulova |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174967145 PECOS PAC ID: 2264767524 Enrollment ID: I20190710000890 |
| Provider Name | Rachel H Albright |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790172930 PECOS PAC ID: 6204131824 Enrollment ID: I20190718000451 |
| Provider Name | Brett A Carroll |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740634112 PECOS PAC ID: 3375870611 Enrollment ID: I20190809001260 |
| Provider Name | Chi-son Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366840498 PECOS PAC ID: 4385980556 Enrollment ID: I20190814001236 |
| Provider Name | Kiger M Lau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700263316 PECOS PAC ID: 0941538714 Enrollment ID: I20190819001984 |
| Provider Name | Danielle Lasalandra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114381464 PECOS PAC ID: 2860739638 Enrollment ID: I20190829000945 |
| Provider Name | Anton Shimanovsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164884219 PECOS PAC ID: 6608160031 Enrollment ID: I20191001000996 |
| Provider Name | Timothy H Kenefick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063413854 PECOS PAC ID: 3274858881 Enrollment ID: I20191113002282 |
| Provider Name | Frances F Hsieh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629399290 PECOS PAC ID: 1355619693 Enrollment ID: I20200120000797 |
| Provider Name | Lisa C Schlussel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538564323 PECOS PAC ID: 6901175892 Enrollment ID: I20200227000800 |
| Provider Name | Charlie Zhao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497140214 PECOS PAC ID: 1759671035 Enrollment ID: I20200305001613 |
| Provider Name | Heather A Demassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609388560 PECOS PAC ID: 8628406535 Enrollment ID: I20200306001299 |
| Provider Name | Frances Denu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124427042 PECOS PAC ID: 1658631619 Enrollment ID: I20200408004256 |
| Provider Name | Terry L Levin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073606216 PECOS PAC ID: 3173619319 Enrollment ID: I20200414002111 |
| Provider Name | Lisa Rho |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477668705 PECOS PAC ID: 0547368953 Enrollment ID: I20200428002010 |
| Provider Name | Shilpi Jain Aggarwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992067367 PECOS PAC ID: 9436466851 Enrollment ID: I20200430002109 |
| Provider Name | Gregg Zoarski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215929948 PECOS PAC ID: 3173536810 Enrollment ID: I20200508000639 |
| Provider Name | Yesha Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457887200 PECOS PAC ID: 9931521044 Enrollment ID: I20200618001544 |
| Provider Name | Antonio I Picon |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154353100 PECOS PAC ID: 6305940800 Enrollment ID: I20200625003180 |
| Provider Name | Karen Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376926824 PECOS PAC ID: 2264710698 Enrollment ID: I20200629000709 |
| Provider Name | Catherine M Mcmanus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407299050 PECOS PAC ID: 9133466279 Enrollment ID: I20200710001254 |
| Provider Name | Elana Peck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043669955 PECOS PAC ID: 6002230711 Enrollment ID: I20200727002874 |
| Provider Name | Raghav Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093244378 PECOS PAC ID: 8820415508 Enrollment ID: I20200826001295 |
| Provider Name | Kethia Eliezer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285168328 PECOS PAC ID: 5294074183 Enrollment ID: I20200827002386 |
| Provider Name | Mitchell Brent Clark |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1669817854 PECOS PAC ID: 6002234473 Enrollment ID: I20200916002622 |
| Provider Name | Vivek Alaigh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740675818 PECOS PAC ID: 1850603192 Enrollment ID: I20200921002350 |
| Provider Name | Aziez Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821438326 PECOS PAC ID: 6002059045 Enrollment ID: I20201021002053 |
| Provider Name | Alecia M Thompson-branch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992930796 PECOS PAC ID: 2567654908 Enrollment ID: I20201026001051 |
| Provider Name | Punam Dass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205265840 PECOS PAC ID: 7113141714 Enrollment ID: I20201130002815 |
| Provider Name | John W Liang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720387764 PECOS PAC ID: 9335427400 Enrollment ID: I20201214002718 |
| Provider Name | Anne D Sebastian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699180042 PECOS PAC ID: 2163714627 Enrollment ID: I20201224000648 |
| Provider Name | Maksim Shapiro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558523902 PECOS PAC ID: 1658416078 Enrollment ID: I20201224000661 |
| Provider Name | Kussay Nassr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316942022 PECOS PAC ID: 8820079684 Enrollment ID: I20210123000015 |
| Provider Name | Christen Rose Vogel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023375839 PECOS PAC ID: 7214341700 Enrollment ID: I20210125000688 |
| Provider Name | Christopher Janowiecki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548457229 PECOS PAC ID: 9739373895 Enrollment ID: I20210310000579 |
| Provider Name | Yaojie Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114280088 PECOS PAC ID: 1456622513 Enrollment ID: I20210421000729 |
| Provider Name | Devesh Dalmia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104314160 PECOS PAC ID: 0345641205 Enrollment ID: I20210629002635 |
| Provider Name | Moussa H. Takla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750709283 PECOS PAC ID: 9537461124 Enrollment ID: I20210713003382 |
| Provider Name | Kathryn Colelli Chiarolanzio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477059996 PECOS PAC ID: 5193127173 Enrollment ID: I20210713003529 |
| Provider Name | Colin A Klenk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487004024 PECOS PAC ID: 5597035501 Enrollment ID: I20210713003728 |
| Provider Name | Shehzeen Kamil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831628502 PECOS PAC ID: 7911309927 Enrollment ID: I20210714000635 |
| Provider Name | Jessica L Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255838819 PECOS PAC ID: 6002218021 Enrollment ID: I20210714001113 |
| Provider Name | Firas Al-ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891775268 PECOS PAC ID: 3375535123 Enrollment ID: I20210714001567 |
| Provider Name | Marie Pauline Mendoza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043738354 PECOS PAC ID: 4587921846 Enrollment ID: I20210806000504 |
| Provider Name | Daniel Tylee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194284109 PECOS PAC ID: 4082948682 Enrollment ID: I20210809002464 |
| Provider Name | Sudha Parashar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942409289 PECOS PAC ID: 2860666245 Enrollment ID: I20210812003463 |
| Provider Name | Shanika R Uduwana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740548593 PECOS PAC ID: 9032338538 Enrollment ID: I20210815000040 |
| Provider Name | Shannon J Morales |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215371208 PECOS PAC ID: 2163784448 Enrollment ID: I20210818002710 |
| Provider Name | Angela Pereira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285796805 PECOS PAC ID: 3375553555 Enrollment ID: I20210901002357 |
| Provider Name | Lifan Hsu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952807026 PECOS PAC ID: 9931505773 Enrollment ID: I20210902002133 |
| Provider Name | Jessica Li |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194171447 PECOS PAC ID: 5395141139 Enrollment ID: I20210902002151 |
| Provider Name | Hillary Way |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780017467 PECOS PAC ID: 0941434484 Enrollment ID: I20210902002323 |
| Provider Name | Cristina M Mallozzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700312451 PECOS PAC ID: 4981972122 Enrollment ID: I20210902002338 |
| Provider Name | Margaret Baran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285623843 PECOS PAC ID: 2961586797 Enrollment ID: I20210902003046 |
| Provider Name | Lite Wu |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1609225705 PECOS PAC ID: 1355689241 Enrollment ID: I20210903002561 |
| Provider Name | Tanya M Madrid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578553707 PECOS PAC ID: 4082796875 Enrollment ID: I20210903002627 |
| Provider Name | Scott A Cole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003840992 PECOS PAC ID: 1658427380 Enrollment ID: I20210904000029 |
| Provider Name | Radhika Sreeram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427342575 PECOS PAC ID: 0042432288 Enrollment ID: I20210907003470 |
| Provider Name | Angelica M. Arteaga-blasio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477165041 PECOS PAC ID: 8123426202 Enrollment ID: I20211004001311 |
| Provider Name | Nneka L Mowatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285274779 PECOS PAC ID: 6709284409 Enrollment ID: I20211011002428 |
| Provider Name | Eleina Sapoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073164059 PECOS PAC ID: 7214369933 Enrollment ID: I20211028000554 |
| Provider Name | Catherine Lucero |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881899615 PECOS PAC ID: 7416257365 Enrollment ID: I20211111002378 |
| Provider Name | Isaac George |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1457430837 PECOS PAC ID: 7618150855 Enrollment ID: I20211111002528 |
| Provider Name | Yuji Kaku |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518408962 PECOS PAC ID: 0143564971 Enrollment ID: I20211111002628 |
| Provider Name | Ricardo Benenstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740470459 PECOS PAC ID: 9234229766 Enrollment ID: I20211111002672 |
| Provider Name | Farooq Mirza |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1396039368 PECOS PAC ID: 9133530611 Enrollment ID: I20211112000160 |
| Provider Name | Anatoliy Tsirlin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366603078 PECOS PAC ID: 8325263130 Enrollment ID: I20211201003055 |
| Provider Name | Hiroo Takayama |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063522001 PECOS PAC ID: 2769535350 Enrollment ID: I20211221001680 |
| Provider Name | Rachel T Redlich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093002677 PECOS PAC ID: 1759538127 Enrollment ID: I20211221001840 |
| Provider Name | Miguel Filipe Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548933765 PECOS PAC ID: 3476945452 Enrollment ID: I20220125001724 |
| Provider Name | Zhaohui Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093034761 PECOS PAC ID: 1951425990 Enrollment ID: I20220309001560 |
| Provider Name | Chisom Egwuatu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619352614 PECOS PAC ID: 9931443686 Enrollment ID: I20220309002588 |
| Provider Name | Nisha A Vyas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295936540 PECOS PAC ID: 9335377647 Enrollment ID: I20220328000515 |
| Provider Name | Krishnan Narasimhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922035450 PECOS PAC ID: 6406864164 Enrollment ID: I20220328001649 |
| Provider Name | Rochak Pradhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033793658 PECOS PAC ID: 4486031309 Enrollment ID: I20220516001482 |
| Provider Name | Mohammad U Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205360682 PECOS PAC ID: 8527302439 Enrollment ID: I20220705000070 |
| Provider Name | Slobodan Pilipovic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861054983 PECOS PAC ID: 3678953957 Enrollment ID: I20220705000292 |
| Provider Name | Anna Belman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699006221 PECOS PAC ID: 4587831318 Enrollment ID: I20220713003049 |
| Provider Name | Raphael J Rosen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215390307 PECOS PAC ID: 7113251828 Enrollment ID: I20220718001636 |
| Provider Name | Bret K Sohn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982994836 PECOS PAC ID: 9739401902 Enrollment ID: I20220816003799 |
| Provider Name | Raviv B Berlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851619902 PECOS PAC ID: 7517111396 Enrollment ID: I20220818003144 |
| Provider Name | Andrew W Smith |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861924938 PECOS PAC ID: 9739426305 Enrollment ID: I20220829003499 |
| Provider Name | Paul B Tobias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558894386 PECOS PAC ID: 6507137692 Enrollment ID: I20220829003564 |
| Provider Name | Chanoa Medina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588161541 PECOS PAC ID: 4385032358 Enrollment ID: I20220908000279 |
| Provider Name | Avielle Movsas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538728571 PECOS PAC ID: 0042545394 Enrollment ID: I20220908001053 |
| Provider Name | Camile Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366181067 PECOS PAC ID: 5890170617 Enrollment ID: I20220915000576 |
| Provider Name | Joshua D Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427586304 PECOS PAC ID: 9537589544 Enrollment ID: I20220928001804 |
| Provider Name | Gilbert Z Herzberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184624157 PECOS PAC ID: 6002808599 Enrollment ID: I20221005002743 |
| Provider Name | Donald L Price |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386738813 PECOS PAC ID: 2466556451 Enrollment ID: I20221012004147 |
| Provider Name | Meky E Bernadel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801357363 PECOS PAC ID: 2567790991 Enrollment ID: I20221014002755 |
| Provider Name | Lauren H Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194337287 PECOS PAC ID: 0840694006 Enrollment ID: I20221020001879 |
| Provider Name | Cindy Perry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679865398 PECOS PAC ID: 0446627848 Enrollment ID: I20221027000982 |
| Provider Name | Traci Umbreit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528642873 PECOS PAC ID: 3375910235 Enrollment ID: I20221104002306 |
| Provider Name | Michelle T Kladakis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902896616 PECOS PAC ID: 9234108796 Enrollment ID: I20221115002463 |
| Provider Name | Lyudmila Ganatra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366939977 PECOS PAC ID: 0941545271 Enrollment ID: I20221208002239 |
| Provider Name | Jane W Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477502433 PECOS PAC ID: 6608931365 Enrollment ID: I20221220000329 |
| Provider Name | Jennifer M Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194447318 PECOS PAC ID: 5698145316 Enrollment ID: I20221221001186 |
| Provider Name | Kimberly L Daros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215674676 PECOS PAC ID: 1850761180 Enrollment ID: I20230103001887 |
| Provider Name | Delvyann Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285373266 PECOS PAC ID: 5597136374 Enrollment ID: I20230116000493 |
| Provider Name | Yves Anthony Gauvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861524829 PECOS PAC ID: 2668735937 Enrollment ID: I20230120002676 |
| Provider Name | Alanna Kavanaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912448937 PECOS PAC ID: 8820367717 Enrollment ID: I20230217000567 |
| Provider Name | Swapna Ghanta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205151248 PECOS PAC ID: 6901157981 Enrollment ID: I20230228000307 |
| Provider Name | Lisa Stout |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548263213 PECOS PAC ID: 5294776944 Enrollment ID: I20230302000317 |
| Provider Name | Amalia Dorelien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952740268 PECOS PAC ID: 4486934411 Enrollment ID: I20230308000690 |
| Provider Name | Julie Lynn Sweeney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518191055 PECOS PAC ID: 7416321658 Enrollment ID: I20230329003140 |
| Provider Name | Tiffany Dawn Labella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659401735 PECOS PAC ID: 4688049810 Enrollment ID: I20230331000941 |
| Provider Name | Tawfik A Zein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265775308 PECOS PAC ID: 8325273147 Enrollment ID: I20230403001526 |
| Provider Name | Caroline Andrew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134461338 PECOS PAC ID: 5991080962 Enrollment ID: I20230412001817 |
| Provider Name | Tara Cechnicki |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992068001 PECOS PAC ID: 4880833425 Enrollment ID: I20230412002446 |
| Provider Name | Lisa Dornick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831789080 PECOS PAC ID: 8527468735 Enrollment ID: I20230413000954 |
| Provider Name | Hugh Lavery |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326265281 PECOS PAC ID: 3173658572 Enrollment ID: I20230419000206 |
| Provider Name | Christine A Silkowitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336840164 PECOS PAC ID: 2264807528 Enrollment ID: I20230419000805 |
| Provider Name | Jacquelyn N Copeland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083932404 PECOS PAC ID: 3577870724 Enrollment ID: I20230426000601 |
| Provider Name | Siobhan M Dolan |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1891875373 PECOS PAC ID: 5799675641 Enrollment ID: I20230427002403 |
| Provider Name | Luciana Vieira |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326339177 PECOS PAC ID: 9931458288 Enrollment ID: I20230504002255 |
| Provider Name | Jerry Greenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780643015 PECOS PAC ID: 9133213887 Enrollment ID: I20230508000936 |
| Provider Name | Nicole Gendreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043701998 PECOS PAC ID: 6608107214 Enrollment ID: I20230508001134 |
| Provider Name | Nitin K Yerram |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063858595 PECOS PAC ID: 6305137860 Enrollment ID: I20230522000950 |
| Provider Name | Edward Martinez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578983524 PECOS PAC ID: 9739304478 Enrollment ID: I20230524001997 |
| Provider Name | Melissa Schwedhelm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689124042 PECOS PAC ID: 4981953064 Enrollment ID: I20230601003207 |
| Provider Name | Amy Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417480930 PECOS PAC ID: 9638407034 Enrollment ID: I20230607003444 |
| Provider Name | Marco Michael |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316431612 PECOS PAC ID: 5991042970 Enrollment ID: I20230629001618 |
| Provider Name | Gretchen B Crist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922135474 PECOS PAC ID: 8325064397 Enrollment ID: I20230630000550 |
| Provider Name | Mario Gioia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285098830 PECOS PAC ID: 0941533319 Enrollment ID: I20230706001592 |
| Provider Name | Hamed Emami |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649650490 PECOS PAC ID: 6608181656 Enrollment ID: I20230710000640 |
| Provider Name | Mark D Steuerwald |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740713320 PECOS PAC ID: 2264891027 Enrollment ID: I20230711003607 |
| Provider Name | Ariel Levy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538518121 PECOS PAC ID: 1153754536 Enrollment ID: I20230720003507 |
| Provider Name | Virginia Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972535771 PECOS PAC ID: 6406808526 Enrollment ID: I20230720003944 |
| Provider Name | Erik K Nielsen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669904942 PECOS PAC ID: 7113388273 Enrollment ID: I20230804002819 |
| Provider Name | Mahmoud Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932725389 PECOS PAC ID: 8426410978 Enrollment ID: I20230815002250 |
| Provider Name | Jeanette A Kusi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841827466 PECOS PAC ID: 2163884586 Enrollment ID: I20230817001083 |
| Provider Name | Katherine Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144859711 PECOS PAC ID: 9830551068 Enrollment ID: I20230818002734 |
| Provider Name | Katherine Vaillancourt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770112260 PECOS PAC ID: 8729441423 Enrollment ID: I20230829001043 |
| Provider Name | Colleen Delaney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013470129 PECOS PAC ID: 5698138113 Enrollment ID: I20230831002122 |
| Provider Name | Rebecca Earle Scherr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841816360 PECOS PAC ID: 0143622761 Enrollment ID: I20230912003630 |
| Provider Name | Keriann Potter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972997864 PECOS PAC ID: 0648517060 Enrollment ID: I20230914000139 |
| Provider Name | Archadhaa Sivakanthan-adhikari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477039311 PECOS PAC ID: 4880930411 Enrollment ID: I20230914001263 |
| Provider Name | Paula Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629748777 PECOS PAC ID: 1850783036 Enrollment ID: I20230915002212 |
| Provider Name | Devorah Hertzberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780230383 PECOS PAC ID: 4880028679 Enrollment ID: I20231004003389 |
| Provider Name | Maria Josefina Antonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134809866 PECOS PAC ID: 4789039850 Enrollment ID: I20231010000315 |
| Provider Name | Nicholas Arthur Heliotis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922636158 PECOS PAC ID: 5294182739 Enrollment ID: I20231106001917 |
| Provider Name | Luigi Pirelli |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376749606 PECOS PAC ID: 8527201748 Enrollment ID: I20231109001880 |
| Provider Name | Robert Henry Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801501721 PECOS PAC ID: 4082062161 Enrollment ID: I20231130000227 |
| Provider Name | Max Shutran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508278227 PECOS PAC ID: 0547559205 Enrollment ID: I20231227002140 |
| Provider Name | Ivanna Bodnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669259420 PECOS PAC ID: 4789034703 Enrollment ID: I20240103000479 |
| Provider Name | Amanda R Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194229112 PECOS PAC ID: 6204170194 Enrollment ID: I20240104001092 |
| Provider Name | Lauren Novy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871365023 PECOS PAC ID: 4486006053 Enrollment ID: I20240118004239 |
| Provider Name | Caroline Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952939670 PECOS PAC ID: 3779936695 Enrollment ID: I20240126003433 |
| Provider Name | Sarah Cate |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104182518 PECOS PAC ID: 2466686407 Enrollment ID: I20240202002207 |
| Provider Name | Hannah Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205504511 PECOS PAC ID: 8426426420 Enrollment ID: I20240208004208 |
| Provider Name | Jenna Lodebole |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730797903 PECOS PAC ID: 4486097896 Enrollment ID: I20240213000609 |
| Provider Name | Jillian E Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891315081 PECOS PAC ID: 0244642478 Enrollment ID: I20240306000762 |
| Provider Name | Conner C Brown |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548791544 PECOS PAC ID: 7810234200 Enrollment ID: I20240306003898 |
| Provider Name | Alina I Tsouristakis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841826773 PECOS PAC ID: 1153768676 Enrollment ID: I20240320001123 |
| Provider Name | Samuel David Feldshon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861464547 PECOS PAC ID: 3375531619 Enrollment ID: I20240321003684 |
| Provider Name | Ali Syed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023436037 PECOS PAC ID: 4587962055 Enrollment ID: I20240326000873 |
| Provider Name | Amanda P Taglienti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073375465 PECOS PAC ID: 1052759172 Enrollment ID: I20240409000394 |
| Provider Name | Jessica Andraszek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124880505 PECOS PAC ID: 7012356827 Enrollment ID: I20240412001855 |
| Provider Name | Eduardo J Perez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326400508 PECOS PAC ID: 0042503708 Enrollment ID: I20240417003254 |
| Provider Name | Karol Samman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144085135 PECOS PAC ID: 5496297665 Enrollment ID: I20240604002147 |
| Provider Name | Mitchel Dean Krieger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912921644 PECOS PAC ID: 3173680428 Enrollment ID: I20240605002965 |
| Provider Name | Anne Mary Chadrys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962102681 PECOS PAC ID: 5294277968 Enrollment ID: I20240610001442 |
| Provider Name | Tiffany Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487410643 PECOS PAC ID: 1052853413 Enrollment ID: I20240613000404 |
Preferred Mdcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Turn Of River Rd, Suite 8c, Stamford, CT 06905 Phone: 203-820-7224 Fax: 203-355-9808 | |
Bruce R. Baron, M.d., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 583 High Ridge Rd., Stamford, CT 06905 Phone: 203-329-8651 Fax: 203-968-2635 | |
The Personalized Medicine Group Of Connecticut Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2015 W Main St, Suite 100, Stamford, CT 06902 Phone: 203-617-0742 Fax: 212-918-9394 | |
Gastroenterology Consultants, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 778 Long Ridge Rd, Suite 101, Stamford, CT 06902 Phone: 203-967-2100 Fax: 203-967-4872 | |
Gastroenterology Hepatology Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32 Strawberry Hill Ct, Stamford, CT 06902 Phone: 203-883-9437 Fax: 203-348-3445 | |
Wellness Stamford, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Tresser Blvd, Stamford, CT 06901 Phone: 646-894-3881 | |
Stamford Internal Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1351 Washington Blvd, Stamford, CT 06902 Phone: 203-322-9472 Fax: 203-322-1264 |