| Strong Memorial Hospital Primary Care | |
|
601 Elmwood Ave Box 684 Rochester NY 14642-0002 | |
| (585) 784-1017 | |
| Not Available |
| Full Name | Strong Memorial Hospital Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 Elmwood Ave, Rochester, New York |
| Authorized Official Name and Position | Adam Anolik (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5852753033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strong Memorial Hospital Primary Care 601 Elmwood Ave Box 684 Rochester NY 14642-0002 Ph: (585) 784-1017 | Strong Memorial Hospital Primary Care 601 Elmwood Ave Box 684 Rochester NY 14642-0002 Ph: (585) 784-1017 |
| NPI Number | 1710226824 |
|---|---|
| Provider Enumeration Date | 02/08/2013 |
| Last Update Date | 07/06/2015 |
| Medicare PECOS PAC ID | 5799699088 |
|---|---|
| Medicare Enrollment ID | O20031201000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710226824 | NPI | - | NPPES |
| 03787684 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2701005H (New York) | Primary |
| Provider Name | Muhammad Iqbal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366479511 PECOS PAC ID: 4587561493 Enrollment ID: I20031218000172 |
| Provider Name | Marc H Schieber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376570143 PECOS PAC ID: 4880592971 Enrollment ID: I20031229000247 |
| Provider Name | John A Orsini |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760405807 PECOS PAC ID: 9032017082 Enrollment ID: I20031229000638 |
| Provider Name | George S Nasra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336146182 PECOS PAC ID: 5890693873 Enrollment ID: I20031229000773 |
| Provider Name | Alexandra Fotiou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801804505 PECOS PAC ID: 7719885540 Enrollment ID: I20031230000582 |
| Provider Name | Julietta Fiscella |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205952801 PECOS PAC ID: 4385545037 Enrollment ID: I20040116000154 |
| Provider Name | Nicole A Stassen-wagner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417984519 PECOS PAC ID: 8224939467 Enrollment ID: I20040120000296 |
| Provider Name | Michael A Scharf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942216056 PECOS PAC ID: 5698678894 Enrollment ID: I20040127000675 |
| Provider Name | Xiaolan Ou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013952241 PECOS PAC ID: 0749173730 Enrollment ID: I20040204000322 |
| Provider Name | Kathy M England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396841557 PECOS PAC ID: 7618862236 Enrollment ID: I20040220000777 |
| Provider Name | David M Kleinman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568457752 PECOS PAC ID: 6204722960 Enrollment ID: I20040227000601 |
| Provider Name | Michael Stanton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598874158 PECOS PAC ID: 1951298116 Enrollment ID: I20040302000859 |
| Provider Name | Giovanni Schifitto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730297516 PECOS PAC ID: 7416844485 Enrollment ID: I20040303000844 |
| Provider Name | Luis A Rosario Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497783401 PECOS PAC ID: 9830087436 Enrollment ID: I20040305000786 |
| Provider Name | Linda M Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134202914 PECOS PAC ID: 6507754769 Enrollment ID: I20040309000503 |
| Provider Name | Sonal S Munsiff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649491705 PECOS PAC ID: 9335038207 Enrollment ID: I20040311000067 |
| Provider Name | Tracey Q Davidoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164510251 PECOS PAC ID: 6002705050 Enrollment ID: I20040315001194 |
| Provider Name | Cynthia J Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164533824 PECOS PAC ID: 9133112477 Enrollment ID: I20040405000489 |
| Provider Name | Anil P Pisharoty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689782443 PECOS PAC ID: 9335052240 Enrollment ID: I20040421001889 |
| Provider Name | Sue K Digiovanni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417985961 PECOS PAC ID: 7618964263 Enrollment ID: I20040427000865 |
| Provider Name | Erin E Duecy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770510067 PECOS PAC ID: 2264429273 Enrollment ID: I20040429001108 |
| Provider Name | Christine M Hay |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073546990 PECOS PAC ID: 5092703116 Enrollment ID: I20040505001208 |
| Provider Name | Taura A Blyth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326067893 PECOS PAC ID: 6305836073 Enrollment ID: I20040514000498 |
| Provider Name | Jonathan W Mink |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689680217 PECOS PAC ID: 5799775326 Enrollment ID: I20040515000365 |
| Provider Name | Cynthia M Rand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487685152 PECOS PAC ID: 1658354154 Enrollment ID: I20040607001536 |
| Provider Name | Bernard L Sussman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871520569 PECOS PAC ID: 2163409442 Enrollment ID: I20040706000170 |
| Provider Name | Robert G Holloway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336171727 PECOS PAC ID: 8628055894 Enrollment ID: I20040706000817 |
| Provider Name | David N Korones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841225620 PECOS PAC ID: 4385621325 Enrollment ID: I20040707000639 |
| Provider Name | Zsuzsanna Marchl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558375923 PECOS PAC ID: 2062490196 Enrollment ID: I20040713001336 |
| Provider Name | Allen P Anandarajah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366469710 PECOS PAC ID: 5597743633 Enrollment ID: I20040713001411 |
| Provider Name | Emma Ciafaloni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578590436 PECOS PAC ID: 5799765442 Enrollment ID: I20040722000979 |
| Provider Name | Asli Saba Abaci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538100961 PECOS PAC ID: 8426021049 Enrollment ID: I20040812001420 |
| Provider Name | Lauren B Bruckner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053346841 PECOS PAC ID: 0042283798 Enrollment ID: I20040819000646 |
| Provider Name | Cheri R Cranston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790760718 PECOS PAC ID: 3375518137 Enrollment ID: I20040826000785 |
| Provider Name | Michelle Shayne |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841210796 PECOS PAC ID: 4385610211 Enrollment ID: I20040902000600 |
| Provider Name | Bingren Liu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255461729 PECOS PAC ID: 5890761076 Enrollment ID: I20040908001572 |
| Provider Name | Priscilla S Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275545048 PECOS PAC ID: 0648247072 Enrollment ID: I20040914001137 |
| Provider Name | Daniel William Sheehan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881777225 PECOS PAC ID: 1951378371 Enrollment ID: I20040915000357 |
| Provider Name | Mark J Utell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952336620 PECOS PAC ID: 2961479043 Enrollment ID: I20040916001034 |
| Provider Name | Margaret M Mraz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457369225 PECOS PAC ID: 6002884186 Enrollment ID: I20040917000534 |
| Provider Name | Richard J Looney |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1669492799 PECOS PAC ID: 3577531300 Enrollment ID: I20040920001091 |
| Provider Name | Salah A Bahralilom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740213230 PECOS PAC ID: 0749258127 Enrollment ID: I20040923000133 |
| Provider Name | Ellen L Poleshuck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356385926 PECOS PAC ID: 1254300452 Enrollment ID: I20040924000730 |
| Provider Name | Shahida S Rehmani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508966839 PECOS PAC ID: 5193784676 Enrollment ID: I20041008001202 |
| Provider Name | Steven J Novak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225136443 PECOS PAC ID: 5193785962 Enrollment ID: I20041015000360 |
| Provider Name | David Garrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639107154 PECOS PAC ID: 2163485665 Enrollment ID: I20041105000518 |
| Provider Name | Steven M Scofield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316913593 PECOS PAC ID: 1456318153 Enrollment ID: I20041214000992 |
| Provider Name | Mary E Andolsek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235166232 PECOS PAC ID: 4082672480 Enrollment ID: I20050104000485 |
| Provider Name | Kevin J Mudd |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881644722 PECOS PAC ID: 4688622152 Enrollment ID: I20050111000739 |
| Provider Name | Robin Langmaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316081854 PECOS PAC ID: 9739138942 Enrollment ID: I20050114000219 |
| Provider Name | John C Glantz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316971732 PECOS PAC ID: 3577513829 Enrollment ID: I20050125000779 |
| Provider Name | Aniko Fellegi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457343667 PECOS PAC ID: 7315997558 Enrollment ID: I20050128000744 |
| Provider Name | Robin L Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063421477 PECOS PAC ID: 2668424193 Enrollment ID: I20050214000180 |
| Provider Name | Dianne L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356354872 PECOS PAC ID: 1052363595 Enrollment ID: I20050214000244 |
| Provider Name | Therese M Cottrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851313175 PECOS PAC ID: 5991757445 Enrollment ID: I20050214000369 |
| Provider Name | Angela E Fenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407865801 PECOS PAC ID: 9436101995 Enrollment ID: I20050214000383 |
| Provider Name | Dolores A Krebs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043232366 PECOS PAC ID: 4789636242 Enrollment ID: I20050214000396 |
| Provider Name | Mary A Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144426255 PECOS PAC ID: 9436101805 Enrollment ID: I20050214000570 |
| Provider Name | Gary J Horwitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598753063 PECOS PAC ID: 7214981273 Enrollment ID: I20050311000660 |
| Provider Name | David R Trawick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659302909 PECOS PAC ID: 4587619085 Enrollment ID: I20050317000494 |
| Provider Name | Michael F Kamali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912925132 PECOS PAC ID: 4284671371 Enrollment ID: I20050411000566 |
| Provider Name | Nanda Kerkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841251139 PECOS PAC ID: 3375580129 Enrollment ID: I20050413000271 |
| Provider Name | Khalid Hubeishy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306930391 PECOS PAC ID: 1052350923 Enrollment ID: I20050429000365 |
| Provider Name | Nnamdi Emd Maduekwe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659424398 PECOS PAC ID: 1254370802 Enrollment ID: I20050503000456 |
| Provider Name | Phyllis Ruetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174625701 PECOS PAC ID: 9234170895 Enrollment ID: I20050513000609 |
| Provider Name | Brian J Blyth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629002605 PECOS PAC ID: 1355382615 Enrollment ID: I20050517000437 |
| Provider Name | Michael J Larj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679507099 PECOS PAC ID: 0648212662 Enrollment ID: I20050531000622 |
| Provider Name | Albert James Fessler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790700920 PECOS PAC ID: 1557304003 Enrollment ID: I20050606000641 |
| Provider Name | Prakash P Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376595223 PECOS PAC ID: 4385687383 Enrollment ID: I20050609000643 |
| Provider Name | Loralei L Thornburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518993294 PECOS PAC ID: 0446293476 Enrollment ID: I20050609000859 |
| Provider Name | Syed I Mustafa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255349932 PECOS PAC ID: 8527001551 Enrollment ID: I20050609000867 |
| Provider Name | Michael T Milano |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164452314 PECOS PAC ID: 0749224517 Enrollment ID: I20050613000892 |
| Provider Name | Nancy S Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538198866 PECOS PAC ID: 5991798712 Enrollment ID: I20050614000110 |
| Provider Name | Jennifer S Giorgianni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437171774 PECOS PAC ID: 1254375926 Enrollment ID: I20050614000327 |
| Provider Name | Matthew T Spencer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437177748 PECOS PAC ID: 6709821887 Enrollment ID: I20050621000230 |
| Provider Name | Lisa M Slimmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467410399 PECOS PAC ID: 8628013364 Enrollment ID: I20050623000386 |
| Provider Name | Carol-lynn Petronaci |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912938465 PECOS PAC ID: 1850337965 Enrollment ID: I20050629000462 |
| Provider Name | Lawrence J Saubermann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740210939 PECOS PAC ID: 0042252041 Enrollment ID: I20050629000572 |
| Provider Name | Ralph A Brasacchio |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093745903 PECOS PAC ID: 3971549957 Enrollment ID: I20050629001008 |
| Provider Name | Supriya G Mohile |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871672816 PECOS PAC ID: 0244276095 Enrollment ID: I20050630001181 |
| Provider Name | Kevin A Coffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457388902 PECOS PAC ID: 3375589997 Enrollment ID: I20050706000909 |
| Provider Name | Kanakadurga Poduri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285612184 PECOS PAC ID: 9830125822 Enrollment ID: I20050712000034 |
| Provider Name | Elizabeth W Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154306942 PECOS PAC ID: 1355377078 Enrollment ID: I20050714000265 |
| Provider Name | Jeremy D Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629011952 PECOS PAC ID: 4082642327 Enrollment ID: I20050728000896 |
| Provider Name | Susan M Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366451858 PECOS PAC ID: 4486683737 Enrollment ID: I20050808000644 |
| Provider Name | Deborah A Mulford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649204777 PECOS PAC ID: 9234168378 Enrollment ID: I20050809000275 |
| Provider Name | Myra W Wiener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265468938 PECOS PAC ID: 6800825993 Enrollment ID: I20050809000714 |
| Provider Name | Rajbala Thakur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790701712 PECOS PAC ID: 3971533753 Enrollment ID: I20050822000512 |
| Provider Name | Carolyn R Stern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154436756 PECOS PAC ID: 4385675727 Enrollment ID: I20050825000836 |
| Provider Name | David J Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124043302 PECOS PAC ID: 7911938170 Enrollment ID: I20050826000669 |
| Provider Name | Douglas R Fetkenhour |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326023128 PECOS PAC ID: 5597796151 Enrollment ID: I20050829000054 |
| Provider Name | Billie Jo Woodworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710922794 PECOS PAC ID: 4385676956 Enrollment ID: I20050902000530 |
| Provider Name | Stanley J Schaffer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518992338 PECOS PAC ID: 8527090109 Enrollment ID: I20050902000574 |
| Provider Name | Adrienne Diane Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225176803 PECOS PAC ID: 6002848215 Enrollment ID: I20050908000925 |
| Provider Name | Michael E Yurcheshen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861591547 PECOS PAC ID: 7911932249 Enrollment ID: I20051005000501 |
| Provider Name | David L Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174550891 PECOS PAC ID: 2264457126 Enrollment ID: I20051010000694 |
| Provider Name | Louis J Papa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881624443 PECOS PAC ID: 6305861220 Enrollment ID: I20051011000089 |
| Provider Name | Arthur J Decross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851327647 PECOS PAC ID: 6406871060 Enrollment ID: I20051012000808 |
| Provider Name | Jeffrey J Bazarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063430239 PECOS PAC ID: 5698791077 Enrollment ID: I20051017000053 |
| Provider Name | Marc H Eigg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063477404 PECOS PAC ID: 7416973896 Enrollment ID: I20051017000055 |
| Provider Name | Chad R Heatwole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245255322 PECOS PAC ID: 7214953199 Enrollment ID: I20051020000158 |
| Provider Name | Peter W Crane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255446761 PECOS PAC ID: 0244256097 Enrollment ID: I20051020000593 |
| Provider Name | Wendy M Dwyer Albano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316902653 PECOS PAC ID: 9638196199 Enrollment ID: I20051025000355 |
| Provider Name | Damian J Krysan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942237763 PECOS PAC ID: 9335167634 Enrollment ID: I20051104000526 |
| Provider Name | Marc N Berliant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154324317 PECOS PAC ID: 0345260980 Enrollment ID: I20051129000253 |
| Provider Name | Denise A Bilsback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497758528 PECOS PAC ID: 3476573023 Enrollment ID: I20051129000303 |
| Provider Name | Brian D Yirinec |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154356616 PECOS PAC ID: 8325068281 Enrollment ID: I20051207000123 |
| Provider Name | Yuhchyau Chen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730119603 PECOS PAC ID: 7012938293 Enrollment ID: I20051215000390 |
| Provider Name | Lior J Greenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073560033 PECOS PAC ID: 3173545662 Enrollment ID: I20051227000603 |
| Provider Name | Howard N Langstein |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417986738 PECOS PAC ID: 7416979802 Enrollment ID: I20051229000146 |
| Provider Name | Telva E Olivares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912943416 PECOS PAC ID: 1557383643 Enrollment ID: I20060104000196 |
| Provider Name | Eva K Pressman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336173723 PECOS PAC ID: 8224051198 Enrollment ID: I20060105000712 |
| Provider Name | Stephanie Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770592412 PECOS PAC ID: 9830112515 Enrollment ID: I20060109000789 |
| Provider Name | David G Hicks |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386617157 PECOS PAC ID: 7911921036 Enrollment ID: I20060117000354 |
| Provider Name | Janet M Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144263070 PECOS PAC ID: 7517999659 Enrollment ID: I20060117000798 |
| Provider Name | Michael W Becker |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1689692691 PECOS PAC ID: 8022032937 Enrollment ID: I20060119000375 |
| Provider Name | Steven M Fine |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780682351 PECOS PAC ID: 5395759120 Enrollment ID: I20060201000387 |
| Provider Name | Francisco A Tausk |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235174251 PECOS PAC ID: 0345236204 Enrollment ID: I20060201000724 |
| Provider Name | Anne F Calvaruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144293440 PECOS PAC ID: 7315951803 Enrollment ID: I20060206000040 |
| Provider Name | Rebecca Ann Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528084308 PECOS PAC ID: 6800801929 Enrollment ID: I20060210000477 |
| Provider Name | Marilyn N Ling |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821022369 PECOS PAC ID: 2860407509 Enrollment ID: I20060216000137 |
| Provider Name | Elizabeth J Santos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588689343 PECOS PAC ID: 1951317817 Enrollment ID: I20060301000606 |
| Provider Name | Michael L Christie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306844691 PECOS PAC ID: 2163438839 Enrollment ID: I20060306000068 |
| Provider Name | Pradeep S Sharda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992799837 PECOS PAC ID: 6800803909 Enrollment ID: I20060315000182 |
| Provider Name | Kathleen F Courtney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912992116 PECOS PAC ID: 9830106855 Enrollment ID: I20060316000375 |
| Provider Name | Timothy G Malia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376681056 PECOS PAC ID: 4880602648 Enrollment ID: I20060405000337 |
| Provider Name | R James White |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366477044 PECOS PAC ID: 3072522572 Enrollment ID: I20060413000471 |
| Provider Name | Everett Francis Porter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851349377 PECOS PAC ID: 0042289043 Enrollment ID: I20060419000162 |
| Provider Name | Michael A Nead |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144288572 PECOS PAC ID: 0547220337 Enrollment ID: I20060428000554 |
| Provider Name | Irene B Perillo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487685921 PECOS PAC ID: 6406867282 Enrollment ID: I20060509000702 |
| Provider Name | Jan Dombrowski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275587859 PECOS PAC ID: 0345228987 Enrollment ID: I20060627000253 |
| Provider Name | Sunil K Bansal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770530818 PECOS PAC ID: 7618980269 Enrollment ID: I20060727000033 |
| Provider Name | Steve N Georas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720032154 PECOS PAC ID: 3678579307 Enrollment ID: I20061019000545 |
| Provider Name | Dirk M Bernold |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659346294 PECOS PAC ID: 7214849538 Enrollment ID: I20061024000197 |
| Provider Name | Ralf G Thiele |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164433249 PECOS PAC ID: 0547161135 Enrollment ID: I20061103000177 |
| Provider Name | Lisa A Beck |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780649681 PECOS PAC ID: 8022015007 Enrollment ID: I20061106000092 |
| Provider Name | Susan E Zumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821010232 PECOS PAC ID: 8123025947 Enrollment ID: I20061108000431 |
| Provider Name | Theresa A Bingemann |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1851377824 PECOS PAC ID: 7113992777 Enrollment ID: I20061108000457 |
| Provider Name | Monique Ho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699702902 PECOS PAC ID: 0244238954 Enrollment ID: I20061113000299 |
| Provider Name | Lisa F Wallin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114933421 PECOS PAC ID: 9830197243 Enrollment ID: I20061120000193 |
| Provider Name | Judith L Cavanaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568572303 PECOS PAC ID: 0244238657 Enrollment ID: I20061120000226 |
| Provider Name | Deborah R Orloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558307058 PECOS PAC ID: 5799783734 Enrollment ID: I20061129000297 |
| Provider Name | Antoinette M Jakobi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710911730 PECOS PAC ID: 0840298881 Enrollment ID: I20061129000342 |
| Provider Name | Hong Zhang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639109549 PECOS PAC ID: 7012916919 Enrollment ID: I20061204000049 |
| Provider Name | Annie G Philip |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952414120 PECOS PAC ID: 4183623168 Enrollment ID: I20061221000096 |
| Provider Name | Ralph A Manchester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053340927 PECOS PAC ID: 1759381312 Enrollment ID: I20070104000179 |
| Provider Name | Alissa J Huston |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1124086467 PECOS PAC ID: 8426151770 Enrollment ID: I20070307000439 |
| Provider Name | Erik A Rueckmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992739825 PECOS PAC ID: 3072616002 Enrollment ID: I20070313000381 |
| Provider Name | Mita Moorthi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306829692 PECOS PAC ID: 2466556543 Enrollment ID: I20070329000236 |
| Provider Name | Maryana Konyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891731824 PECOS PAC ID: 5092819987 Enrollment ID: I20070403000085 |
| Provider Name | Brendan F Boyce |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801807656 PECOS PAC ID: 9436253226 Enrollment ID: I20070404000246 |
| Provider Name | Philip J Katzman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275556557 PECOS PAC ID: 9133223936 Enrollment ID: I20070404000287 |
| Provider Name | Laura J Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548356629 PECOS PAC ID: 8527163922 Enrollment ID: I20070413000032 |
| Provider Name | Bruce I Goldman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871581827 PECOS PAC ID: 1951406925 Enrollment ID: I20070419000471 |
| Provider Name | Charlotte K Ryan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669583142 PECOS PAC ID: 6709981780 Enrollment ID: I20070419000532 |
| Provider Name | Xi Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588761043 PECOS PAC ID: 1951406933 Enrollment ID: I20070419000561 |
| Provider Name | Jeffrey M Lyness |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912933052 PECOS PAC ID: 9133224918 Enrollment ID: I20070424000263 |
| Provider Name | Emily Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255341087 PECOS PAC ID: 1456457183 Enrollment ID: I20070426000193 |
| Provider Name | Mahlon D Johnson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306805288 PECOS PAC ID: 7416924584 Enrollment ID: I20070507000141 |
| Provider Name | Linda M Schiffhauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700990348 PECOS PAC ID: 5496851552 Enrollment ID: I20070507000191 |
| Provider Name | Amanda L Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518075399 PECOS PAC ID: 4587762604 Enrollment ID: I20070613000077 |
| Provider Name | Jainulabdeen J Ifthikharuddin |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1578597787 PECOS PAC ID: 6204936883 Enrollment ID: I20070711000733 |
| Provider Name | Leon A Metlay |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508976457 PECOS PAC ID: 9436259678 Enrollment ID: I20070717000378 |
| Provider Name | Jeremy T Cushman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073541546 PECOS PAC ID: 7012992027 Enrollment ID: I20070721000080 |
| Provider Name | Lisa G Mccollum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477566297 PECOS PAC ID: 2365533478 Enrollment ID: I20070803000238 |
| Provider Name | Kelly I Monachino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528171931 PECOS PAC ID: 1759473192 Enrollment ID: I20070815000490 |
| Provider Name | Robert M Kottmann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073620738 PECOS PAC ID: 0840382974 Enrollment ID: I20070822000237 |
| Provider Name | Gail A Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700908811 PECOS PAC ID: 3375634629 Enrollment ID: I20070822000353 |
| Provider Name | Marc S Greenstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346354404 PECOS PAC ID: 6406948454 Enrollment ID: I20070822000782 |
| Provider Name | Eugenio Contreras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053523308 PECOS PAC ID: 8628161460 Enrollment ID: I20070910000619 |
| Provider Name | Rajeev S Ramchandran |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669699518 PECOS PAC ID: 1456445691 Enrollment ID: I20070919000731 |
| Provider Name | Ellen J Giampoli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447261920 PECOS PAC ID: 2860586914 Enrollment ID: I20070919000869 |
| Provider Name | Anthony M Maroldo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467464131 PECOS PAC ID: 0547354409 Enrollment ID: I20070922000050 |
| Provider Name | Miriam T Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588757975 PECOS PAC ID: 3971698697 Enrollment ID: I20070926000780 |
| Provider Name | Adam G Kelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104839190 PECOS PAC ID: 6800981960 Enrollment ID: I20071004000051 |
| Provider Name | David H Adler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477534923 PECOS PAC ID: 5799742177 Enrollment ID: I20071005000582 |
| Provider Name | Bryce J Yerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114021854 PECOS PAC ID: 2264528298 Enrollment ID: I20071022000443 |
| Provider Name | Mark R Cloninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548465354 PECOS PAC ID: 9931295987 Enrollment ID: I20071022000603 |
| Provider Name | Olga Selioutski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992813703 PECOS PAC ID: 0941397335 Enrollment ID: I20071101000256 |
| Provider Name | Nimish A Mohile |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487857967 PECOS PAC ID: 9436246824 Enrollment ID: I20071101000293 |
| Provider Name | Mary T Caserta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861427569 PECOS PAC ID: 3971691668 Enrollment ID: I20071113000744 |
| Provider Name | Heidi V Connolly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538196274 PECOS PAC ID: 8123116696 Enrollment ID: I20071116000212 |
| Provider Name | Flavia Nobay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306826219 PECOS PAC ID: 3678661048 Enrollment ID: I20071119000322 |
| Provider Name | Walter R Burack |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467478776 PECOS PAC ID: 0042308371 Enrollment ID: I20071120000110 |
| Provider Name | Meredith Moroff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417136052 PECOS PAC ID: 1658460043 Enrollment ID: I20071207000873 |
| Provider Name | Ayodele Tolulope Sangosanya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073705182 PECOS PAC ID: 5092805895 Enrollment ID: I20071217000733 |
| Provider Name | Colin A Poulter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831125590 PECOS PAC ID: 1759461932 Enrollment ID: I20071228000380 |
| Provider Name | Vivek Kaul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659311074 PECOS PAC ID: 9537171475 Enrollment ID: I20080109000669 |
| Provider Name | Joel L Kent |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790728939 PECOS PAC ID: 7416037841 Enrollment ID: I20080110000262 |
| Provider Name | Mary A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538353164 PECOS PAC ID: 8628159761 Enrollment ID: I20080115000670 |
| Provider Name | Heidi M Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285815514 PECOS PAC ID: 6901987908 Enrollment ID: I20080116000210 |
| Provider Name | Marcia A Dinsmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982702007 PECOS PAC ID: 4486743135 Enrollment ID: I20080129000052 |
| Provider Name | Sandhya Khurana |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588678874 PECOS PAC ID: 5193807923 Enrollment ID: I20080131000531 |
| Provider Name | Geoffrey A Weinberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255366951 PECOS PAC ID: 1850474289 Enrollment ID: I20080208000183 |
| Provider Name | Kacie Cook |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285820829 PECOS PAC ID: 2264515592 Enrollment ID: I20080211000295 |
| Provider Name | Colleen Hill Sober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255366084 PECOS PAC ID: 4284717307 Enrollment ID: I20080213000372 |
| Provider Name | Shawn D Newlands |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710063581 PECOS PAC ID: 5890879902 Enrollment ID: I20080228000260 |
| Provider Name | Alison F Carletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245429117 PECOS PAC ID: 2860577236 Enrollment ID: I20080310000247 |
| Provider Name | Joel S Pasternack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639191026 PECOS PAC ID: 1052498722 Enrollment ID: I20080404000348 |
| Provider Name | Shahid S Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376573733 PECOS PAC ID: 9133206782 Enrollment ID: I20080407000177 |
| Provider Name | Linda L Spillane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467479329 PECOS PAC ID: 1153409560 Enrollment ID: I20080425000417 |
| Provider Name | Roma Fortuna Dwulit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477565315 PECOS PAC ID: 8224117031 Enrollment ID: I20080506000067 |
| Provider Name | Jason H Mendler |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1932211620 PECOS PAC ID: 2466531959 Enrollment ID: I20080508000759 |
| Provider Name | Aurelian N Niculescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598790131 PECOS PAC ID: 5890874382 Enrollment ID: I20080508000780 |
| Provider Name | Mark W Nickels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417990748 PECOS PAC ID: 8325127749 Enrollment ID: I20080509000170 |
| Provider Name | Mary K Marrocco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942238464 PECOS PAC ID: 3173602448 Enrollment ID: I20080512000555 |
| Provider Name | Anne S Keefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003087933 PECOS PAC ID: 2860561032 Enrollment ID: I20080514000812 |
| Provider Name | Makiko Ban Hoefen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972600492 PECOS PAC ID: 3870662828 Enrollment ID: I20080517000003 |
| Provider Name | Julie A Berkhof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477575751 PECOS PAC ID: 1759450703 Enrollment ID: I20080517000032 |
| Provider Name | Anne M Mattingly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417069204 PECOS PAC ID: 8820168149 Enrollment ID: I20080529000395 |
| Provider Name | Dorothy L Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376715540 PECOS PAC ID: 2961572821 Enrollment ID: I20080604000050 |
| Provider Name | Christina Eadie Taddeo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154488161 PECOS PAC ID: 6406940568 Enrollment ID: I20080605000792 |
| Provider Name | Michael A Ladrigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841308210 PECOS PAC ID: 8426129974 Enrollment ID: I20080611000553 |
| Provider Name | Anatole K Kleiner |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1144326133 PECOS PAC ID: 5193896348 Enrollment ID: I20080617000185 |
| Provider Name | Karen S Genett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093987430 PECOS PAC ID: 5193896199 Enrollment ID: I20080619000032 |
| Provider Name | Mary Anne M Morgan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639286313 PECOS PAC ID: 9537231667 Enrollment ID: I20080708000118 |
| Provider Name | Tiffany L Pulcino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912919341 PECOS PAC ID: 8022181627 Enrollment ID: I20080715000578 |
| Provider Name | Jacquelyn G Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497952717 PECOS PAC ID: 6002989373 Enrollment ID: I20080718000599 |
| Provider Name | Diane S Morse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770552341 PECOS PAC ID: 1850465303 Enrollment ID: I20080801000327 |
| Provider Name | Bridget L Platania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174631501 PECOS PAC ID: 4789759648 Enrollment ID: I20080812000804 |
| Provider Name | Archibald S Perkins |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285823633 PECOS PAC ID: 6901971936 Enrollment ID: I20080826000366 |
| Provider Name | John M Bennett |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619996253 PECOS PAC ID: 1456427467 Enrollment ID: I20080827000313 |
| Provider Name | Donald W Greenblatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639109705 PECOS PAC ID: 8325114358 Enrollment ID: I20080827000554 |
| Provider Name | Colby Ah Previte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801805320 PECOS PAC ID: 9638238058 Enrollment ID: I20081030000101 |
| Provider Name | David A Diloreto |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144253154 PECOS PAC ID: 7911066030 Enrollment ID: I20081104000752 |
| Provider Name | Jacob Moalem |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003914987 PECOS PAC ID: 1759489800 Enrollment ID: I20081119000519 |
| Provider Name | Sarah J Betstadt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205882859 PECOS PAC ID: 2163427873 Enrollment ID: I20081120000658 |
| Provider Name | Jessica M Kleiner |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1477567527 PECOS PAC ID: 4385704212 Enrollment ID: I20081121000097 |
| Provider Name | Jeffery A Burdett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316957004 PECOS PAC ID: 4385704121 Enrollment ID: I20081124000326 |
| Provider Name | Michelle Steffers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215000435 PECOS PAC ID: 4486714177 Enrollment ID: I20081126000103 |
| Provider Name | Ann F Fricke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295760965 PECOS PAC ID: 6305907965 Enrollment ID: I20081202000267 |
| Provider Name | Sheila A Geen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184701518 PECOS PAC ID: 8527129022 Enrollment ID: I20081202000695 |
| Provider Name | Robert L Weisman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710914965 PECOS PAC ID: 1850452079 Enrollment ID: I20081206000010 |
| Provider Name | Imran N Chaudhary |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154361509 PECOS PAC ID: 1850452749 Enrollment ID: I20081210000736 |
| Provider Name | Craig A Mullen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477588168 PECOS PAC ID: 3971664632 Enrollment ID: I20081212000677 |
| Provider Name | Lila N Inouye |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992746572 PECOS PAC ID: 9133021645 Enrollment ID: I20081215000486 |
| Provider Name | Erin L Bodekor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013052240 PECOS PAC ID: 9133281637 Enrollment ID: I20081217000401 |
| Provider Name | Matthew C Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407052061 PECOS PAC ID: 5193888949 Enrollment ID: I20090106000351 |
| Provider Name | Alrabi N Tawil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588761092 PECOS PAC ID: 1951464478 Enrollment ID: I20090109000437 |
| Provider Name | Mark L Gestring |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962438853 PECOS PAC ID: 5395809222 Enrollment ID: I20090121000516 |
| Provider Name | Julius D Cheng |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114953908 PECOS PAC ID: 6406910330 Enrollment ID: I20090121000596 |
| Provider Name | Paul E Bankey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770510836 PECOS PAC ID: 2264595156 Enrollment ID: I20090121000631 |
| Provider Name | Steven E Feldon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396763967 PECOS PAC ID: 6608842604 Enrollment ID: I20090122000105 |
| Provider Name | Elise P Kayson Rubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073624490 PECOS PAC ID: 8426112749 Enrollment ID: I20090202000373 |
| Provider Name | Harold D Lesser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073529772 PECOS PAC ID: 9335177369 Enrollment ID: I20090211000143 |
| Provider Name | Katherine E Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528095148 PECOS PAC ID: 5698832830 Enrollment ID: I20090316000335 |
| Provider Name | Gloria J Fluellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447280235 PECOS PAC ID: 0547327942 Enrollment ID: I20090331000136 |
| Provider Name | Caren C Douenias |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114009958 PECOS PAC ID: 1153479571 Enrollment ID: I20090423000187 |
| Provider Name | Tiffany C Main |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801036405 PECOS PAC ID: 8325196439 Enrollment ID: I20090429000517 |
| Provider Name | Pamela J Wigent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538197603 PECOS PAC ID: 5496803520 Enrollment ID: I20090429000613 |
| Provider Name | Marguerite A Urban |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164447066 PECOS PAC ID: 0345398822 Enrollment ID: I20090512000137 |
| Provider Name | Lisa M Augostini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235144767 PECOS PAC ID: 7315096559 Enrollment ID: I20090519000383 |
| Provider Name | Gary J Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063428548 PECOS PAC ID: 2365591286 Enrollment ID: I20090527000035 |
| Provider Name | Gopal A. Ramaraju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801822846 PECOS PAC ID: 6507815909 Enrollment ID: I20090603000546 |
| Provider Name | Anne M Weisbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477724334 PECOS PAC ID: 2567512908 Enrollment ID: I20090605000532 |
| Provider Name | Ann M Leonhardt-caprio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811092158 PECOS PAC ID: 1052461365 Enrollment ID: I20090609000037 |
| Provider Name | Joseph E Modrak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801820162 PECOS PAC ID: 0749330488 Enrollment ID: I20090618000104 |
| Provider Name | Jennifer M Kwon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851306450 PECOS PAC ID: 8729139480 Enrollment ID: I20090619000538 |
| Provider Name | Deborah R Pittinaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205858529 PECOS PAC ID: 7719038371 Enrollment ID: I20090623000148 |
| Provider Name | Amy L Garrison-lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932220985 PECOS PAC ID: 3779634241 Enrollment ID: I20090623000311 |
| Provider Name | John Turner Langfitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336254978 PECOS PAC ID: 2163573676 Enrollment ID: I20090623000690 |
| Provider Name | Amy R Benjamin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295744969 PECOS PAC ID: 1355492349 Enrollment ID: I20090702000533 |
| Provider Name | Marcia L Krebs |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225071988 PECOS PAC ID: 8820028798 Enrollment ID: I20090714000516 |
| Provider Name | Peter R Mariuz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992737829 PECOS PAC ID: 7012069164 Enrollment ID: I20090721000147 |
| Provider Name | Michelle S Circe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194830687 PECOS PAC ID: 4082767611 Enrollment ID: I20090730000005 |
| Provider Name | Anitha V Shrikhande |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1770788911 PECOS PAC ID: 8123171501 Enrollment ID: I20090803000280 |
| Provider Name | Katrina F Nicandri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316056286 PECOS PAC ID: 9739286469 Enrollment ID: I20090807000241 |
| Provider Name | Derek E Bell |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366636458 PECOS PAC ID: 0749334845 Enrollment ID: I20090824000281 |
| Provider Name | Farah Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083820104 PECOS PAC ID: 3375697451 Enrollment ID: I20090825000278 |
| Provider Name | Hiroshi Miyamoto |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255424396 PECOS PAC ID: 0648325365 Enrollment ID: I20090902000227 |
| Provider Name | Majed A Refaai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730383274 PECOS PAC ID: 6204983059 Enrollment ID: I20090902000274 |
| Provider Name | Christa L Whitney-miller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093893562 PECOS PAC ID: 1355349663 Enrollment ID: I20090902000364 |
| Provider Name | Christina Cellini |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1538324561 PECOS PAC ID: 5294880878 Enrollment ID: I20090903000111 |
| Provider Name | Eun Ha Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063524619 PECOS PAC ID: 2062568132 Enrollment ID: I20090915000777 |
| Provider Name | Deepinder P Singh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053428748 PECOS PAC ID: 2365598950 Enrollment ID: I20090923000533 |
| Provider Name | Diane M Hartmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114951555 PECOS PAC ID: 5799831202 Enrollment ID: I20090925000062 |
| Provider Name | Todd M Holmquist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932111697 PECOS PAC ID: 9739225921 Enrollment ID: I20091001000068 |
| Provider Name | Wilhelmina Sizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689851164 PECOS PAC ID: 1153499140 Enrollment ID: I20091015000518 |
| Provider Name | Aram F Hezel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144202607 PECOS PAC ID: 0042227811 Enrollment ID: I20091019000596 |
| Provider Name | Kevin M Biglan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306880125 PECOS PAC ID: 1052302189 Enrollment ID: I20091020000361 |
| Provider Name | Kathryn B Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033131354 PECOS PAC ID: 8123165107 Enrollment ID: I20091023000247 |
| Provider Name | Michael W Chilungu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205042769 PECOS PAC ID: 3274671383 Enrollment ID: I20091110000731 |
| Provider Name | Zoe R Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730287236 PECOS PAC ID: 9234277294 Enrollment ID: I20091111000471 |
| Provider Name | Joel L May |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679593768 PECOS PAC ID: 3375681984 Enrollment ID: I20091118000528 |
| Provider Name | Dorota S Gardy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710922364 PECOS PAC ID: 6103965926 Enrollment ID: I20091208000024 |
| Provider Name | John Queenan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720012826 PECOS PAC ID: 3971643578 Enrollment ID: I20091211000455 |
| Provider Name | John P Risolo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861411639 PECOS PAC ID: 1557401502 Enrollment ID: I20091222000711 |
| Provider Name | Jefferson S Svengsouk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134153729 PECOS PAC ID: 0547300451 Enrollment ID: I20091224000086 |
| Provider Name | Mary A Pugliese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568575983 PECOS PAC ID: 0446309470 Enrollment ID: I20100104000013 |
| Provider Name | Amanda M Ohearn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629013990 PECOS PAC ID: 9537200910 Enrollment ID: I20100107000240 |
| Provider Name | Kenneth Y Usuki |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023125747 PECOS PAC ID: 0648311985 Enrollment ID: I20100108000081 |
| Provider Name | Heather A Muxworthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417911256 PECOS PAC ID: 7315089448 Enrollment ID: I20100127000543 |
| Provider Name | Katherine P Duffy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740216357 PECOS PAC ID: 2769526524 Enrollment ID: I20100217000083 |
| Provider Name | Bruce A Yirinec |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1497791727 PECOS PAC ID: 1759285612 Enrollment ID: I20100226000216 |
| Provider Name | Margaret M Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225007933 PECOS PAC ID: 4981749975 Enrollment ID: I20100302000372 |
| Provider Name | Patricia J Sime |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003841768 PECOS PAC ID: 4587709431 Enrollment ID: I20100303001018 |
| Provider Name | Mark W Frampton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710917877 PECOS PAC ID: 1355486119 Enrollment ID: I20100304000021 |
| Provider Name | Michael J Apostolakos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528098647 PECOS PAC ID: 9032254867 Enrollment ID: I20100304000732 |
| Provider Name | Brenda H Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114933728 PECOS PAC ID: 8820133572 Enrollment ID: I20100305000000 |
| Provider Name | Rajeev K Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841213998 PECOS PAC ID: 0749315034 Enrollment ID: I20100311000602 |
| Provider Name | A Andrew Rudmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912930579 PECOS PAC ID: 3375678675 Enrollment ID: I20100311000689 |
| Provider Name | Catherine F Gracey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336185917 PECOS PAC ID: 4385779370 Enrollment ID: I20100316000491 |
| Provider Name | John C Grable |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427090026 PECOS PAC ID: 8921133844 Enrollment ID: I20100317000836 |
| Provider Name | Maureen B Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881861656 PECOS PAC ID: 0941335400 Enrollment ID: I20100323000299 |
| Provider Name | Suzanne Brendze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316904899 PECOS PAC ID: 9931235959 Enrollment ID: I20100330000240 |
| Provider Name | David R Lambert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043254071 PECOS PAC ID: 9436285210 Enrollment ID: I20100331000594 |
| Provider Name | Patricia A Mangarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275797524 PECOS PAC ID: 4385770833 Enrollment ID: I20100413000005 |
| Provider Name | Robert J Panzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184668212 PECOS PAC ID: 9739215294 Enrollment ID: I20100414000003 |
| Provider Name | Robert F Asbury |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164491841 PECOS PAC ID: 4880688027 Enrollment ID: I20100414000794 |
| Provider Name | Clifford R Everett |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952342685 PECOS PAC ID: 6507993052 Enrollment ID: I20100415000201 |
| Provider Name | Joann Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518976695 PECOS PAC ID: 6103953583 Enrollment ID: I20100415000668 |
| Provider Name | Alexander J Solky |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295704591 PECOS PAC ID: 2567599988 Enrollment ID: I20100416000072 |
| Provider Name | Linda J Alpert Gillis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023045895 PECOS PAC ID: 3678600939 Enrollment ID: I20100420000087 |
| Provider Name | Deborah A Horst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982615332 PECOS PAC ID: 3173650900 Enrollment ID: I20100427000201 |
| Provider Name | David P Speach |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003850660 PECOS PAC ID: 5890823561 Enrollment ID: I20100518000087 |
| Provider Name | Gloria J Baciewicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700829504 PECOS PAC ID: 7214068113 Enrollment ID: I20100621000644 |
| Provider Name | Kathryn Comella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225067739 PECOS PAC ID: 4688705015 Enrollment ID: I20100629000856 |
| Provider Name | Catherine A Moore |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184740458 PECOS PAC ID: 6709917081 Enrollment ID: I20100630000579 |
| Provider Name | Paul C Levy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629002084 PECOS PAC ID: 1254462211 Enrollment ID: I20100708000605 |
| Provider Name | Johann Marie Piquion-joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508838269 PECOS PAC ID: 7719019710 Enrollment ID: I20100709000055 |
| Provider Name | Alexandra V Yamshchikov |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760666770 PECOS PAC ID: 1850424722 Enrollment ID: I20100728001082 |
| Provider Name | Justin M Weis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245356468 PECOS PAC ID: 8022141324 Enrollment ID: I20100807000032 |
| Provider Name | Virginia A Hanchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891724233 PECOS PAC ID: 1052445046 Enrollment ID: I20100812000491 |
| Provider Name | Michael Y Lu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790989242 PECOS PAC ID: 3274667035 Enrollment ID: I20100816000231 |
| Provider Name | Varsha Sharda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134113079 PECOS PAC ID: 7315071826 Enrollment ID: I20100819000786 |
| Provider Name | Marc D. Brown |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508893165 PECOS PAC ID: 2365566858 Enrollment ID: I20100907000416 |
| Provider Name | Mary Gail Mercurio |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447287008 PECOS PAC ID: 6709900293 Enrollment ID: I20100907000444 |
| Provider Name | Peter A Knight |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1336177310 PECOS PAC ID: 2062537368 Enrollment ID: I20100909000954 |
| Provider Name | Kristen M O Dwyer |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1417286501 PECOS PAC ID: 3779608971 Enrollment ID: I20100910001063 |
| Provider Name | Louis S Constine |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407883739 PECOS PAC ID: 4880719095 Enrollment ID: I20100911000010 |
| Provider Name | Rabih M Salloum |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1497782304 PECOS PAC ID: 7315062528 Enrollment ID: I20100911000025 |
| Provider Name | Luke O Schoeniger |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1780611772 PECOS PAC ID: 8224153432 Enrollment ID: I20100911000028 |
| Provider Name | Arthur Papier |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366478745 PECOS PAC ID: 7618092651 Enrollment ID: I20100915000248 |
| Provider Name | Alan W Katz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861410961 PECOS PAC ID: 3577688191 Enrollment ID: I20100920000098 |
| Provider Name | Anh Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891996336 PECOS PAC ID: 1557486032 Enrollment ID: I20100921000987 |
| Provider Name | Ralph F Jozefowicz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427073535 PECOS PAC ID: 0446376974 Enrollment ID: I20100922000141 |
| Provider Name | Lawrence M Samkoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407882541 PECOS PAC ID: 9830215300 Enrollment ID: I20100922000628 |
| Provider Name | Robert A Gross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700801875 PECOS PAC ID: 8628194198 Enrollment ID: I20100922000667 |
| Provider Name | Frederick J Marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710906391 PECOS PAC ID: 3375669856 Enrollment ID: I20100922000784 |
| Provider Name | Eric L Logigian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922113471 PECOS PAC ID: 5799801171 Enrollment ID: I20100922000846 |
| Provider Name | Debra J Guntrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194836767 PECOS PAC ID: 9638295025 Enrollment ID: I20100922000944 |
| Provider Name | William H Livingston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104915636 PECOS PAC ID: 7618093022 Enrollment ID: I20100922001236 |
| Provider Name | Larissa J Temple |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1417932922 PECOS PAC ID: 7315063591 Enrollment ID: I20100924000640 |
| Provider Name | Janet A Pennella-vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982613881 PECOS PAC ID: 2163548231 Enrollment ID: I20100927000116 |
| Provider Name | Paul M Barr |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1407946460 PECOS PAC ID: 5294829578 Enrollment ID: I20100928000388 |
| Provider Name | Bethany A Marston |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386656783 PECOS PAC ID: 1557487410 Enrollment ID: I20100928001249 |
| Provider Name | Charles A Thornton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659480226 PECOS PAC ID: 9739205584 Enrollment ID: I20100929000683 |
| Provider Name | Anton P Porsteinsson |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1740225028 PECOS PAC ID: 7810189180 Enrollment ID: I20101005000436 |
| Provider Name | Eva Galka |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1588878953 PECOS PAC ID: 5294927067 Enrollment ID: I20101012000626 |
| Provider Name | Michelle Herron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336104520 PECOS PAC ID: 2668402025 Enrollment ID: I20101013000004 |
| Provider Name | David N Herrmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558386623 PECOS PAC ID: 5890987549 Enrollment ID: I20101013000356 |
| Provider Name | Manoj J Mammen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770778045 PECOS PAC ID: 9234322868 Enrollment ID: I20101015000054 |
| Provider Name | Muammer Tasbas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932139177 PECOS PAC ID: 4082807235 Enrollment ID: I20101020000133 |
| Provider Name | Lynn Cecilia Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376657726 PECOS PAC ID: 1254524457 Enrollment ID: I20101020000879 |
| Provider Name | Gary D Paige |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790882249 PECOS PAC ID: 9537352760 Enrollment ID: I20101020001316 |
| Provider Name | Andrew D Goodman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346265568 PECOS PAC ID: 1658564760 Enrollment ID: I20101021000798 |
| Provider Name | Asad Ullah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275563470 PECOS PAC ID: 1254524374 Enrollment ID: I20101021001006 |
| Provider Name | Anthony P Pietropaoli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982639647 PECOS PAC ID: 3375736242 Enrollment ID: I20101023000132 |
| Provider Name | Richard L Barbano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114953924 PECOS PAC ID: 1951595545 Enrollment ID: I20101027001130 |
| Provider Name | Heidi B Schwarz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538176938 PECOS PAC ID: 5092909143 Enrollment ID: I20101102001037 |
| Provider Name | Irene H Richard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023126943 PECOS PAC ID: 3375737356 Enrollment ID: I20101103001029 |
| Provider Name | Sarah Kathleen Collins-mcgowan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972627339 PECOS PAC ID: 8729272604 Enrollment ID: I20101104000866 |
| Provider Name | Sherrif F Ibrahim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508975731 PECOS PAC ID: 5890980395 Enrollment ID: I20101110000464 |
| Provider Name | Dzhamala Gilmandyar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609016815 PECOS PAC ID: 0345435764 Enrollment ID: I20101111000534 |
| Provider Name | Lucy A Wedow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083624803 PECOS PAC ID: 3476749391 Enrollment ID: I20101117001642 |
| Provider Name | Serban A Staicu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184740391 PECOS PAC ID: 7719173327 Enrollment ID: I20101122000927 |
| Provider Name | Lynn M Sievert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265482400 PECOS PAC ID: 6305032640 Enrollment ID: I20101129000227 |
| Provider Name | Sharlin Varghese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487747671 PECOS PAC ID: 1153517479 Enrollment ID: I20101130000032 |
| Provider Name | Charles J Duffy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376578179 PECOS PAC ID: 5193911352 Enrollment ID: I20101130000626 |
| Provider Name | Ann R Falsey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093740532 PECOS PAC ID: 8527254655 Enrollment ID: I20101201000145 |
| Provider Name | Jonathan A Marcus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255344099 PECOS PAC ID: 0143416107 Enrollment ID: I20101202000435 |
| Provider Name | Nancy A Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639295165 PECOS PAC ID: 0648467613 Enrollment ID: I20101203000563 |
| Provider Name | Robert C Griggs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487686937 PECOS PAC ID: 6507053238 Enrollment ID: I20101207001286 |
| Provider Name | Alan D Lorenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568499176 PECOS PAC ID: 9739376468 Enrollment ID: I20101207001337 |
| Provider Name | Lynn N Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396975017 PECOS PAC ID: 7618164344 Enrollment ID: I20101207001370 |
| Provider Name | Deepak M Sahasrabudhe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750301263 PECOS PAC ID: 0749477222 Enrollment ID: I20101209000594 |
| Provider Name | Glynis A Scott |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497782056 PECOS PAC ID: 8820285307 Enrollment ID: I20101209000607 |
| Provider Name | Jennifer H Anolik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245257617 PECOS PAC ID: 0749477248 Enrollment ID: I20101209000908 |
| Provider Name | Jonathan W Friedberg |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1821016833 PECOS PAC ID: 7810184322 Enrollment ID: I20101209001072 |
| Provider Name | Jennifer H Richman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861404857 PECOS PAC ID: 9931396322 Enrollment ID: I20101210000705 |
| Provider Name | Derek J Tenhoopen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033176045 PECOS PAC ID: 7517997976 Enrollment ID: I20101211000000 |
| Provider Name | Nancy L Amell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770591448 PECOS PAC ID: 8921296062 Enrollment ID: I20101216000270 |
| Provider Name | Wendy L Pettit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205871589 PECOS PAC ID: 4284822255 Enrollment ID: I20101217000820 |
| Provider Name | Christopher T Ritchlin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497775472 PECOS PAC ID: 5294923066 Enrollment ID: I20101221000113 |
| Provider Name | Charles W Francis |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1750309761 PECOS PAC ID: 8022206804 Enrollment ID: I20101221000225 |
| Provider Name | Julie A Frisa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326359340 PECOS PAC ID: 8729276514 Enrollment ID: I20101221000281 |
| Provider Name | Yeates Conwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407891583 PECOS PAC ID: 9436347242 Enrollment ID: I20101221000553 |
| Provider Name | Edward E Walsh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407881097 PECOS PAC ID: 2062600893 Enrollment ID: I20101221000792 |
| Provider Name | Samuel J Huber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972645026 PECOS PAC ID: 3173711736 Enrollment ID: I20101223000071 |
| Provider Name | Jason A Koutcher |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659477743 PECOS PAC ID: 7810185360 Enrollment ID: I20101228000047 |
| Provider Name | Suzanne Marie Piotrowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639266372 PECOS PAC ID: 6709074172 Enrollment ID: I20101229000647 |
| Provider Name | Jane L Liesveld |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1851319610 PECOS PAC ID: 7517156581 Enrollment ID: I20110106000011 |
| Provider Name | Darren A Tabechian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417977489 PECOS PAC ID: 3870520174 Enrollment ID: I20110106001220 |
| Provider Name | Wendy J Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225299100 PECOS PAC ID: 6002095379 Enrollment ID: I20110119001105 |
| Provider Name | Carol W Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285952838 PECOS PAC ID: 5890974794 Enrollment ID: I20110125000310 |
| Provider Name | Lisa D Corigliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841209335 PECOS PAC ID: 2264611193 Enrollment ID: I20110125000667 |
| Provider Name | Elaine G Philipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972516862 PECOS PAC ID: 2163601741 Enrollment ID: I20110128000171 |
| Provider Name | Curtis G Benesch |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1124062211 PECOS PAC ID: 8325227796 Enrollment ID: I20110201000404 |
| Provider Name | William H Watson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235165069 PECOS PAC ID: 3476733858 Enrollment ID: I20110203000058 |
| Provider Name | Carrie Ann Wiechmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104133933 PECOS PAC ID: 5698955573 Enrollment ID: I20110209000964 |
| Provider Name | Raissa Villanueva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013027135 PECOS PAC ID: 1658551171 Enrollment ID: I20110215000797 |
| Provider Name | Kelly M Likly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790706679 PECOS PAC ID: 8527249440 Enrollment ID: I20110225000416 |
| Provider Name | Amy M Quinlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255651667 PECOS PAC ID: 7618158247 Enrollment ID: I20110302000033 |
| Provider Name | Michel J Berg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639113723 PECOS PAC ID: 1557543170 Enrollment ID: I20110303000081 |
| Provider Name | Jennifer M Timm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912018938 PECOS PAC ID: 5395928600 Enrollment ID: I20110324000192 |
| Provider Name | Thomas E Werth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477501849 PECOS PAC ID: 7810883469 Enrollment ID: I20110328000203 |
| Provider Name | Alice P Pentland |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215966718 PECOS PAC ID: 4486837317 Enrollment ID: I20110330000368 |
| Provider Name | Kamaljit K Sidhu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285854182 PECOS PAC ID: 9133303720 Enrollment ID: I20110406000021 |
| Provider Name | Elizabeth H Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225045420 PECOS PAC ID: 6002090297 Enrollment ID: I20110413000258 |
| Provider Name | Harris A Gelbard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760414528 PECOS PAC ID: 7113101270 Enrollment ID: I20110414000063 |
| Provider Name | Karen E Mead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003915612 PECOS PAC ID: 1658358890 Enrollment ID: I20110418000006 |
| Provider Name | Marsha S Pulhamus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477584050 PECOS PAC ID: 1557546124 Enrollment ID: I20110425000680 |
| Provider Name | Marsha N Wittink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124054630 PECOS PAC ID: 6608905385 Enrollment ID: I20110426000319 |
| Provider Name | Jose G Christiano Neto |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1336317031 PECOS PAC ID: 2769667138 Enrollment ID: I20110428000420 |
| Provider Name | Bradley M Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184790669 PECOS PAC ID: 1951390830 Enrollment ID: I20110505000106 |
| Provider Name | Brian D Smith |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1548270069 PECOS PAC ID: 1658557558 Enrollment ID: I20110510000642 |
| Provider Name | Jeffrey R Andolina |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1639333149 PECOS PAC ID: 7719163138 Enrollment ID: I20110520000003 |
| Provider Name | Laura H Cardella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194887802 PECOS PAC ID: 2062698335 Enrollment ID: I20110523000003 |
| Provider Name | Lee M Marks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366523540 PECOS PAC ID: 3072656693 Enrollment ID: I20110526000137 |
| Provider Name | Anne F Brayer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508885070 PECOS PAC ID: 5193902138 Enrollment ID: I20110531000619 |
| Provider Name | Matthew D Capuano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649445925 PECOS PAC ID: 1153508932 Enrollment ID: I20110603000015 |
| Provider Name | Thomas M Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902078413 PECOS PAC ID: 9335326180 Enrollment ID: I20110606000140 |
| Provider Name | Jonathan C Huang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487711743 PECOS PAC ID: 3375677057 Enrollment ID: I20110610000563 |
| Provider Name | Ryan J Magnuson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750542684 PECOS PAC ID: 6901083310 Enrollment ID: I20110613000668 |
| Provider Name | Scott M Tripler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174609184 PECOS PAC ID: 0840477196 Enrollment ID: I20110614000266 |
| Provider Name | Deborah M Rib |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124083381 PECOS PAC ID: 4284722968 Enrollment ID: I20110616000074 |
| Provider Name | Jean L Nickels |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285779157 PECOS PAC ID: 6507044575 Enrollment ID: I20110621000558 |
| Provider Name | Jason M Rotoli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689816795 PECOS PAC ID: 9335327113 Enrollment ID: I20110627000169 |
| Provider Name | Elizabeth B Murray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962581926 PECOS PAC ID: 0244418077 Enrollment ID: I20110627000673 |
| Provider Name | Dawn R D'agostino |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669539847 PECOS PAC ID: 2567640303 Enrollment ID: I20110628000022 |
| Provider Name | Heather A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235457532 PECOS PAC ID: 9234317850 Enrollment ID: I20110630000535 |
| Provider Name | Sharon E Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114248747 PECOS PAC ID: 6709064280 Enrollment ID: I20110705000359 |
| Provider Name | Rae B Insalaco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366563363 PECOS PAC ID: 8123206612 Enrollment ID: I20110705000409 |
| Provider Name | Laurie E Seltzer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033248588 PECOS PAC ID: 9436337730 Enrollment ID: I20110708000147 |
| Provider Name | Mani A Kurien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396943809 PECOS PAC ID: 3476721358 Enrollment ID: I20110720000168 |
| Provider Name | Ryan P Bodkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023283140 PECOS PAC ID: 5092983924 Enrollment ID: I20110720000806 |
| Provider Name | Darren C Houpt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497764922 PECOS PAC ID: 3476644790 Enrollment ID: I20110721000564 |
| Provider Name | Carolina Z Marcus |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1902812738 PECOS PAC ID: 0547438186 Enrollment ID: I20110726000192 |
| Provider Name | Robert I Thompson-stone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831206747 PECOS PAC ID: 2264600865 Enrollment ID: I20110727000001 |
| Provider Name | M Colleen O Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467468835 PECOS PAC ID: 0446428916 Enrollment ID: I20110728000084 |
| Provider Name | Rachel Roca Paulino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770731416 PECOS PAC ID: 5294904223 Enrollment ID: I20110809000554 |
| Provider Name | Albert S Koh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578852778 PECOS PAC ID: 6709055627 Enrollment ID: I20110811000109 |
| Provider Name | Joseph S Lamberti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407891765 PECOS PAC ID: 8527237387 Enrollment ID: I20110811000574 |
| Provider Name | Ummara H Shah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114194164 PECOS PAC ID: 1052580669 Enrollment ID: I20110816000017 |
| Provider Name | Michelle S Swanger-gagne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982982690 PECOS PAC ID: 5395915797 Enrollment ID: I20110823000014 |
| Provider Name | Amit S. Dhamoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104021278 PECOS PAC ID: 7012187271 Enrollment ID: I20110825000110 |
| Provider Name | Stella O King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528032646 PECOS PAC ID: 0941394415 Enrollment ID: I20110825000549 |
| Provider Name | Neil S Seligman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497961767 PECOS PAC ID: 3577733443 Enrollment ID: I20110901000126 |
| Provider Name | Amanda Rose Gorman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821249251 PECOS PAC ID: 0042480964 Enrollment ID: I20110901000733 |
| Provider Name | Christine Marie Wille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316227127 PECOS PAC ID: 0446421077 Enrollment ID: I20110912000477 |
| Provider Name | Andrew L Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538392154 PECOS PAC ID: 5991976557 Enrollment ID: I20110913000109 |
| Provider Name | Radha Ramachandran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285730135 PECOS PAC ID: 9537161872 Enrollment ID: I20110915000025 |
| Provider Name | Matthew J Bellizzi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659585297 PECOS PAC ID: 7517138951 Enrollment ID: I20110915000643 |
| Provider Name | Danielle K Feerick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023161155 PECOS PAC ID: 6507037439 Enrollment ID: I20110926000072 |
| Provider Name | Amy R Harrington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437151354 PECOS PAC ID: 1951345263 Enrollment ID: I20111005000318 |
| Provider Name | Alan E Curle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164455192 PECOS PAC ID: 8729251525 Enrollment ID: I20111021000384 |
| Provider Name | Kristine L Ferrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518069095 PECOS PAC ID: 5395918080 Enrollment ID: I20111025000176 |
| Provider Name | Chunkit Fung |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063575447 PECOS PAC ID: 7416053590 Enrollment ID: I20111103000764 |
| Provider Name | Margo K Mckenna |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538375910 PECOS PAC ID: 7012102551 Enrollment ID: I20111130000359 |
| Provider Name | Sarah J Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801175849 PECOS PAC ID: 3870768278 Enrollment ID: I20111214000153 |
| Provider Name | Ann E Magnussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467737163 PECOS PAC ID: 2860668936 Enrollment ID: I20111221000056 |
| Provider Name | Thomas R Adler |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154361442 PECOS PAC ID: 0042334070 Enrollment ID: I20111223000054 |
| Provider Name | Julie R Pasternack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750558110 PECOS PAC ID: 6406022920 Enrollment ID: I20120105000360 |
| Provider Name | Patricia Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174691307 PECOS PAC ID: 9830365147 Enrollment ID: I20120106000647 |
| Provider Name | Karen Z Voter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316950272 PECOS PAC ID: 1153598297 Enrollment ID: I20120113000001 |
| Provider Name | Jaime I Navarrete-faubla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285884841 PECOS PAC ID: 1759549017 Enrollment ID: I20120216000474 |
| Provider Name | Bernadette Malaret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205947900 PECOS PAC ID: 6103084074 Enrollment ID: I20120223000164 |
| Provider Name | Cheryl A Lustik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356450993 PECOS PAC ID: 5991963720 Enrollment ID: I20120223000894 |
| Provider Name | Tammy A Pangrazio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053697284 PECOS PAC ID: 8921268038 Enrollment ID: I20120328000113 |
| Provider Name | Cynthia M Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457670457 PECOS PAC ID: 0042471518 Enrollment ID: I20120410000063 |
| Provider Name | Keri L Comerford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750667721 PECOS PAC ID: 0143482083 Enrollment ID: I20120510000228 |
| Provider Name | Ahmed Ghazi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710280904 PECOS PAC ID: 8729241757 Enrollment ID: I20120531000284 |
| Provider Name | Richard F Dunne |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528200300 PECOS PAC ID: 2860656485 Enrollment ID: I20120612000256 |
| Provider Name | Inna Hughes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255455648 PECOS PAC ID: 1456516491 Enrollment ID: I20120626000209 |
| Provider Name | Monika Kuwahara Birklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578822003 PECOS PAC ID: 7315102233 Enrollment ID: I20120627000424 |
| Provider Name | Thomas Wychowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710191275 PECOS PAC ID: 8426213265 Enrollment ID: I20120629000265 |
| Provider Name | Laura E Tomaselli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447266283 PECOS PAC ID: 3375708712 Enrollment ID: I20120710000034 |
| Provider Name | Melissa A Mroz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013181072 PECOS PAC ID: 7214192566 Enrollment ID: I20120711000567 |
| Provider Name | Mitchell A Linder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225201957 PECOS PAC ID: 0648436022 Enrollment ID: I20120731000009 |
| Provider Name | Marcus S Noel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568634814 PECOS PAC ID: 7214183417 Enrollment ID: I20120803000088 |
| Provider Name | Benjamin Ostrovsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366549180 PECOS PAC ID: 7618079666 Enrollment ID: I20120803000254 |
| Provider Name | Jessica F Robb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023280906 PECOS PAC ID: 1759537855 Enrollment ID: I20120806000386 |
| Provider Name | Purba Gupta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811182272 PECOS PAC ID: 0446406599 Enrollment ID: I20120806000937 |
| Provider Name | Carla Casulo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942338629 PECOS PAC ID: 1557460516 Enrollment ID: I20120810000057 |
| Provider Name | Jorge F Carrillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255592945 PECOS PAC ID: 8426204181 Enrollment ID: I20120813000046 |
| Provider Name | Jennifer H Paul |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376715623 PECOS PAC ID: 0042466708 Enrollment ID: I20120813000074 |
| Provider Name | Marjorie S Gloff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285806877 PECOS PAC ID: 5890941207 Enrollment ID: I20120816000839 |
| Provider Name | Alexander R Paciorkowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245206606 PECOS PAC ID: 9032138912 Enrollment ID: I20120824000183 |
| Provider Name | Ben L Laplante |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336342088 PECOS PAC ID: 5193902427 Enrollment ID: I20120912000012 |
| Provider Name | Emily S Dicesare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255574257 PECOS PAC ID: 9032367222 Enrollment ID: I20120913000005 |
| Provider Name | Kalin A Warshof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477809721 PECOS PAC ID: 9830348184 Enrollment ID: I20121003000006 |
| Provider Name | Pamela J Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174756712 PECOS PAC ID: 9436308111 Enrollment ID: I20121015000016 |
| Provider Name | Mithra O Gonzalez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396859682 PECOS PAC ID: 9537284476 Enrollment ID: I20121016000455 |
| Provider Name | Sasha D Massachi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336326180 PECOS PAC ID: 9739339672 Enrollment ID: I20121030000323 |
| Provider Name | Shivangi T Kothari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588829089 PECOS PAC ID: 6709036528 Enrollment ID: I20121101000002 |
| Provider Name | Kristieanna B Kieffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902154099 PECOS PAC ID: 6002067808 Enrollment ID: I20121102000399 |
| Provider Name | Megan H Hyland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588778955 PECOS PAC ID: 7012168727 Enrollment ID: I20121106000172 |
| Provider Name | Jennifer J Findeis-hosey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669574760 PECOS PAC ID: 9830340843 Enrollment ID: I20121120000543 |
| Provider Name | Suzie A Noronha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417001165 PECOS PAC ID: 1456401389 Enrollment ID: I20130201000121 |
| Provider Name | Linda L Grinnell Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225063886 PECOS PAC ID: 3476707944 Enrollment ID: I20130208000375 |
| Provider Name | Davender S Khera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225165657 PECOS PAC ID: 1254510886 Enrollment ID: I20130307000117 |
| Provider Name | Elizabeth A. Guancial |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124155569 PECOS PAC ID: 0446439889 Enrollment ID: I20130314000358 |
| Provider Name | Angela R. Branche |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568766731 PECOS PAC ID: 4587837265 Enrollment ID: I20130320000473 |
| Provider Name | Jessica C Shand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265449581 PECOS PAC ID: 2961647797 Enrollment ID: I20130328000048 |
| Provider Name | Mary S Vetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710154901 PECOS PAC ID: 8123263811 Enrollment ID: I20130329000132 |
| Provider Name | John T Schueckler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386962470 PECOS PAC ID: 3173763505 Enrollment ID: I20130709000322 |
| Provider Name | Emily L Weis |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1972627313 PECOS PAC ID: 0840430948 Enrollment ID: I20130715000219 |
| Provider Name | Julie C Socha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699871871 PECOS PAC ID: 7517108129 Enrollment ID: I20130724000628 |
| Provider Name | Alfred D Belen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386776847 PECOS PAC ID: 5597810499 Enrollment ID: I20130802000762 |
| Provider Name | Katherine Michele Nacca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841519576 PECOS PAC ID: 4880836642 Enrollment ID: I20130808000071 |
| Provider Name | Nicolas E Nacca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255650263 PECOS PAC ID: 3173765641 Enrollment ID: I20130813000245 |
| Provider Name | Timothy P O'connor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316169238 PECOS PAC ID: 8123171220 Enrollment ID: I20130814000426 |
| Provider Name | Karen J Odrzywolski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184898595 PECOS PAC ID: 4284877390 Enrollment ID: I20130821000160 |
| Provider Name | Kevin C Bylund |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497919302 PECOS PAC ID: 3476796517 Enrollment ID: I20130821000532 |
| Provider Name | Adam Paul Juersivich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154593028 PECOS PAC ID: 6608019682 Enrollment ID: I20130822000020 |
| Provider Name | Bogachan Sahin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952569493 PECOS PAC ID: 0941459895 Enrollment ID: I20130823000012 |
| Provider Name | Joseph C Konwinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851534010 PECOS PAC ID: 3173788395 Enrollment ID: I20130829000069 |
| Provider Name | Jerome Jean Gilles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295931467 PECOS PAC ID: 7810130432 Enrollment ID: I20130830000057 |
| Provider Name | Emily E Carmody |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821172388 PECOS PAC ID: 9830385525 Enrollment ID: I20130905000008 |
| Provider Name | Frank Akwaa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932302932 PECOS PAC ID: 8123261435 Enrollment ID: I20130905000038 |
| Provider Name | Mark A Lusco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407847858 PECOS PAC ID: 1153361027 Enrollment ID: I20130905000125 |
| Provider Name | Melisande J Ploutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487091617 PECOS PAC ID: 5395988687 Enrollment ID: I20130906000005 |
| Provider Name | Paritosh Prasad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033245741 PECOS PAC ID: 9931250503 Enrollment ID: I20130911000001 |
| Provider Name | Lorraine J Ndusha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811068513 PECOS PAC ID: 8022252006 Enrollment ID: I20130912000391 |
| Provider Name | Caroline M Quill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134283062 PECOS PAC ID: 0648425488 Enrollment ID: I20130920000792 |
| Provider Name | Christina M Sande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995348 PECOS PAC ID: 7618111055 Enrollment ID: I20130925000035 |
| Provider Name | Susan Koomen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346313467 PECOS PAC ID: 2365676665 Enrollment ID: I20130927000222 |
| Provider Name | Ann M Kalkbrenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396088894 PECOS PAC ID: 7214161512 Enrollment ID: I20130927000302 |
| Provider Name | Sullafa Kadura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720303118 PECOS PAC ID: 0547494866 Enrollment ID: I20130927000507 |
| Provider Name | Iduvina D Earner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295966422 PECOS PAC ID: 2466686613 Enrollment ID: I20131002000172 |
| Provider Name | Kristina L Galton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346536851 PECOS PAC ID: 9032343298 Enrollment ID: I20131002000265 |
| Provider Name | Gretchen L Birbeck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497796148 PECOS PAC ID: 1153451356 Enrollment ID: I20131002000394 |
| Provider Name | Carolyn E Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932545720 PECOS PAC ID: 0749414910 Enrollment ID: I20131002000430 |
| Provider Name | Lori J Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598820284 PECOS PAC ID: 5496989394 Enrollment ID: I20131008001746 |
| Provider Name | William M Gassmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033390885 PECOS PAC ID: 2961636378 Enrollment ID: I20131017000950 |
| Provider Name | Danielle E Marino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043496854 PECOS PAC ID: 4981759719 Enrollment ID: I20131018001121 |
| Provider Name | Lauren N Decaporale-ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497187736 PECOS PAC ID: 1850526245 Enrollment ID: I20131018001527 |
| Provider Name | Brenda A Seaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790710523 PECOS PAC ID: 0042445462 Enrollment ID: I20131021000368 |
| Provider Name | Maria S Romana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477673911 PECOS PAC ID: 1850545013 Enrollment ID: I20131106000039 |
| Provider Name | Aekta A Miglani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497073589 PECOS PAC ID: 1355577560 Enrollment ID: I20131118001314 |
| Provider Name | Deana L Stefko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700227295 PECOS PAC ID: 5698901825 Enrollment ID: I20131118001838 |
| Provider Name | Kristin E Palladino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548600059 PECOS PAC ID: 5092941039 Enrollment ID: I20131121000073 |
| Provider Name | Clive S Zent |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1225015662 PECOS PAC ID: 7315089828 Enrollment ID: I20131216001116 |
| Provider Name | Miranda Caccamise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831539436 PECOS PAC ID: 3476782095 Enrollment ID: I20140131000097 |
| Provider Name | Thomas James Fountaine |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1306160106 PECOS PAC ID: 5294964755 Enrollment ID: I20140203000134 |
| Provider Name | Kristi M Royko |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881015808 PECOS PAC ID: 9638300536 Enrollment ID: I20140318000228 |
| Provider Name | Ellen J Tourtelot |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720049158 PECOS PAC ID: 4284802042 Enrollment ID: I20140407001937 |
| Provider Name | Aaron Huber |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407901234 PECOS PAC ID: 8628202033 Enrollment ID: I20140411000724 |
| Provider Name | Dawn A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154501997 PECOS PAC ID: 3971735127 Enrollment ID: I20140422001916 |
| Provider Name | Gagandeep S Jattana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497988216 PECOS PAC ID: 1153554035 Enrollment ID: I20140429002257 |
| Provider Name | Ann M Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770848137 PECOS PAC ID: 6608009154 Enrollment ID: I20140507001549 |
| Provider Name | Andrew G Evans |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730322660 PECOS PAC ID: 6406079771 Enrollment ID: I20140514001827 |
| Provider Name | Patricia R Mallaber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851610026 PECOS PAC ID: 3476776485 Enrollment ID: I20140520001961 |
| Provider Name | John Horan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649224502 PECOS PAC ID: 1759520331 Enrollment ID: I20140523000487 |
| Provider Name | Shannon M Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255659637 PECOS PAC ID: 8628291341 Enrollment ID: I20140528001255 |
| Provider Name | Valerie M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033459037 PECOS PAC ID: 8527281088 Enrollment ID: I20140602001343 |
| Provider Name | Gregory J Zimmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174594329 PECOS PAC ID: 8325230246 Enrollment ID: I20140610001740 |
| Provider Name | Katherine Blumoff Greenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497929806 PECOS PAC ID: 2860616315 Enrollment ID: I20140624001422 |
| Provider Name | Karin S Chase |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962609024 PECOS PAC ID: 8123243235 Enrollment ID: I20140703001404 |
| Provider Name | Hugo E Valencia |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265721344 PECOS PAC ID: 7618192758 Enrollment ID: I20140707000189 |
| Provider Name | Bruce R Smoller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144310632 PECOS PAC ID: 4082755624 Enrollment ID: I20140715002301 |
| Provider Name | Amy K Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942481981 PECOS PAC ID: 1658452602 Enrollment ID: I20140717000050 |
| Provider Name | Ruth B Schneider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053636654 PECOS PAC ID: 6406072727 Enrollment ID: I20140723000457 |
| Provider Name | Michael N Grizzanti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306073382 PECOS PAC ID: 6002032273 Enrollment ID: I20140723002452 |
| Provider Name | Paula J Doyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669663845 PECOS PAC ID: 9032335252 Enrollment ID: I20140724001341 |
| Provider Name | Christopher Montgomery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700175965 PECOS PAC ID: 0840416913 Enrollment ID: I20140725000820 |
| Provider Name | Courtney Olson Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366768202 PECOS PAC ID: 3779709571 Enrollment ID: I20140731001823 |
| Provider Name | Truptesh H Kothari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811159338 PECOS PAC ID: 4587806450 Enrollment ID: I20140806001864 |
| Provider Name | Kyung Ji |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144509803 PECOS PAC ID: 9335366772 Enrollment ID: I20140808001085 |
| Provider Name | Allison M Magnuson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437327624 PECOS PAC ID: 2163649187 Enrollment ID: I20140814000569 |
| Provider Name | Deana M Bonno |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780826198 PECOS PAC ID: 7113144106 Enrollment ID: I20140815000048 |
| Provider Name | Andrew Mietz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144545658 PECOS PAC ID: 6507085263 Enrollment ID: I20140912000307 |
| Provider Name | Timothy B Salib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609165034 PECOS PAC ID: 5092934265 Enrollment ID: I20140920000174 |
| Provider Name | Robin A Kiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679987986 PECOS PAC ID: 2668692427 Enrollment ID: I20140930002035 |
| Provider Name | Marina R. Connolly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285932517 PECOS PAC ID: 1658591029 Enrollment ID: I20141007000800 |
| Provider Name | Jennifer L Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366856791 PECOS PAC ID: 3173743465 Enrollment ID: I20141009000364 |
| Provider Name | Michelle Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154676880 PECOS PAC ID: 5395966303 Enrollment ID: I20141016000588 |
| Provider Name | Megan A Baumgart |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1881896157 PECOS PAC ID: 6103950266 Enrollment ID: I20141022000745 |
| Provider Name | Maria R Cordisco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700217544 PECOS PAC ID: 5799918017 Enrollment ID: I20141107000730 |
| Provider Name | John Deangelis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255625745 PECOS PAC ID: 4688896301 Enrollment ID: I20141113001561 |
| Provider Name | Jocelyn E Bushart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528461035 PECOS PAC ID: 4082936125 Enrollment ID: I20141201001345 |
| Provider Name | Lauren M Newson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043612401 PECOS PAC ID: 7618299371 Enrollment ID: I20141208001315 |
| Provider Name | Yilmaz Yildirim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669665998 PECOS PAC ID: 3274671102 Enrollment ID: I20141212000841 |
| Provider Name | David Charles Linehan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659398287 PECOS PAC ID: 7416085832 Enrollment ID: I20150107001998 |
| Provider Name | Laura Kriwox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982000246 PECOS PAC ID: 4183948318 Enrollment ID: I20150119000048 |
| Provider Name | Alexandra C Adams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922124270 PECOS PAC ID: 3476788696 Enrollment ID: I20150204001670 |
| Provider Name | Jahaira C Capellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689927790 PECOS PAC ID: 4385962091 Enrollment ID: I20150409000277 |
| Provider Name | Anne B Leitten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942563119 PECOS PAC ID: 1456679968 Enrollment ID: I20150414000498 |
| Provider Name | Megan E Dierks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853275 PECOS PAC ID: 7012236367 Enrollment ID: I20150507001730 |
| Provider Name | Elizabeth A Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205240801 PECOS PAC ID: 3971824335 Enrollment ID: I20150610001922 |
| Provider Name | Nayana R Kamath |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386886364 PECOS PAC ID: 5890006118 Enrollment ID: I20150612000924 |
| Provider Name | Matthew D Wolanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063616365 PECOS PAC ID: 5799096855 Enrollment ID: I20150617000159 |
| Provider Name | Jenna N Podlucky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407261555 PECOS PAC ID: 3476864364 Enrollment ID: I20150618001814 |
| Provider Name | Linda M Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073627279 PECOS PAC ID: 9739491937 Enrollment ID: I20150630002781 |
| Provider Name | Sara Z Salim |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508090143 PECOS PAC ID: 8527370600 Enrollment ID: I20150701002465 |
| Provider Name | Amy P Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750538120 PECOS PAC ID: 9931262219 Enrollment ID: I20150707001396 |
| Provider Name | Xiangyun He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225269236 PECOS PAC ID: 0749438489 Enrollment ID: I20150709000347 |
| Provider Name | Mary C Desain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134485352 PECOS PAC ID: 8820301252 Enrollment ID: I20150714002655 |
| Provider Name | Natalie Whaley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164664249 PECOS PAC ID: 5799919130 Enrollment ID: I20150721000526 |
| Provider Name | Jason G Zittel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437425469 PECOS PAC ID: 7416260054 Enrollment ID: I20150724011864 |
| Provider Name | Yanjie Qi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003829110 PECOS PAC ID: 7416262076 Enrollment ID: I20150812006937 |
| Provider Name | Patrick M Reagan |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1467686659 PECOS PAC ID: 6002061082 Enrollment ID: I20150813010751 |
| Provider Name | Jamie L Adams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922307149 PECOS PAC ID: 6002121266 Enrollment ID: I20150817002106 |
| Provider Name | Heather L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205216850 PECOS PAC ID: 5799090874 Enrollment ID: I20150819006449 |
| Provider Name | Annabel S Fu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386943702 PECOS PAC ID: 9830404839 Enrollment ID: I20150820010222 |
| Provider Name | Kathleen T. Baynes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922323427 PECOS PAC ID: 8022323948 Enrollment ID: I20150820011079 |
| Provider Name | David R. Szulgit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255759809 PECOS PAC ID: 7416263157 Enrollment ID: I20150826001698 |
| Provider Name | Sarah R Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225315500 PECOS PAC ID: 0547576290 Enrollment ID: I20150826001932 |
| Provider Name | Aaron N Farney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114217726 PECOS PAC ID: 6800022500 Enrollment ID: I20150903000941 |
| Provider Name | Kristen E Burhans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134418544 PECOS PAC ID: 4082920145 Enrollment ID: I20150903001751 |
| Provider Name | Kathryn A Drogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215324678 PECOS PAC ID: 1951617901 Enrollment ID: I20150904002038 |
| Provider Name | Jeanne M Lomas |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1366684557 PECOS PAC ID: 8527374503 Enrollment ID: I20150908000300 |
| Provider Name | Kelly M Farrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730560103 PECOS PAC ID: 8022325976 Enrollment ID: I20150910000223 |
| Provider Name | Michael J Gavin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467741686 PECOS PAC ID: 4587971957 Enrollment ID: I20150917000274 |
| Provider Name | Mohammad Mahdee E Sobhanie |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497983647 PECOS PAC ID: 0143447433 Enrollment ID: I20150917002013 |
| Provider Name | Luis Guillermo Leon-alvarado |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538447974 PECOS PAC ID: 9830406842 Enrollment ID: I20150923000882 |
| Provider Name | Henry Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730447616 PECOS PAC ID: 3779890769 Enrollment ID: I20150924000244 |
| Provider Name | Arpan A Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962761353 PECOS PAC ID: 2769790518 Enrollment ID: I20150929001181 |
| Provider Name | Jenna A Gonillo-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942680590 PECOS PAC ID: 7214245901 Enrollment ID: I20150929003237 |
| Provider Name | Valerie Lou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023376001 PECOS PAC ID: 8628386372 Enrollment ID: I20150930001944 |
| Provider Name | Neil Blumberg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417977695 PECOS PAC ID: 1254437312 Enrollment ID: I20151001001797 |
| Provider Name | Joseph J Poli |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1073871927 PECOS PAC ID: 9133437478 Enrollment ID: I20151006001466 |
| Provider Name | Justin A Mazzillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487924304 PECOS PAC ID: 3072755842 Enrollment ID: I20151016000768 |
| Provider Name | Jessica Anne Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245467174 PECOS PAC ID: 8628388709 Enrollment ID: I20151102000233 |
| Provider Name | Daniel C. Mcfarland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598911547 PECOS PAC ID: 5799095774 Enrollment ID: I20151103001315 |
| Provider Name | Elena Kapilevich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922394204 PECOS PAC ID: 3375853179 Enrollment ID: I20151106001344 |
| Provider Name | Steven L Rolleri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780797993 PECOS PAC ID: 4789741992 Enrollment ID: I20151119000301 |
| Provider Name | Andrew D. Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053600072 PECOS PAC ID: 8022318914 Enrollment ID: I20151125000851 |
| Provider Name | Carla A Scheiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407223654 PECOS PAC ID: 5991005738 Enrollment ID: I20151130000637 |
| Provider Name | Theodor I Kaufman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821061086 PECOS PAC ID: 1153463716 Enrollment ID: I20151201001848 |
| Provider Name | Michael T Witt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710927199 PECOS PAC ID: 1759311442 Enrollment ID: I20151207000456 |
| Provider Name | Jacqueline M Behr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912932872 PECOS PAC ID: 3274834262 Enrollment ID: I20151216001618 |
| Provider Name | Jacqueline Marie Doucette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174991590 PECOS PAC ID: 6901107853 Enrollment ID: I20151217001230 |
| Provider Name | Vineeth P John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851305627 PECOS PAC ID: 9830122050 Enrollment ID: I20151222001597 |
| Provider Name | Christine K Lavorato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851761241 PECOS PAC ID: 3870895139 Enrollment ID: I20160105000511 |
| Provider Name | Debra E Roberts |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861621948 PECOS PAC ID: 8123261559 Enrollment ID: I20160114000042 |
| Provider Name | Melihat Fidan Nowak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982995726 PECOS PAC ID: 9739482142 Enrollment ID: I20160119001597 |
| Provider Name | Eve I Andersen Buescher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558744045 PECOS PAC ID: 1355651639 Enrollment ID: I20160125001254 |
| Provider Name | Julia H Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669880217 PECOS PAC ID: 4587967484 Enrollment ID: I20160127001578 |
| Provider Name | Christopher L Harmon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881952869 PECOS PAC ID: 0244533073 Enrollment ID: I20160128000062 |
| Provider Name | Ania C Busza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043521610 PECOS PAC ID: 4082846605 Enrollment ID: I20160128000238 |
| Provider Name | Alma Guerra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194040600 PECOS PAC ID: 1759684558 Enrollment ID: I20160128002166 |
| Provider Name | Karen L Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992027437 PECOS PAC ID: 9436454881 Enrollment ID: I20160223000058 |
| Provider Name | Cathy J. Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578816963 PECOS PAC ID: 0648400499 Enrollment ID: I20160229002110 |
| Provider Name | Nicole M Stagnitta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366827776 PECOS PAC ID: 9133424195 Enrollment ID: I20160229002692 |
| Provider Name | Tania M Orzol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879817 PECOS PAC ID: 3971809773 Enrollment ID: I20160303002094 |
| Provider Name | Margaret M Odhner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558471128 PECOS PAC ID: 2769608090 Enrollment ID: I20160317000606 |
| Provider Name | Susan Azzolino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245653088 PECOS PAC ID: 3779889753 Enrollment ID: I20160317001096 |
| Provider Name | Lynn I Wasserbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306855911 PECOS PAC ID: 9537463187 Enrollment ID: I20160325000437 |
| Provider Name | Nadine Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962871236 PECOS PAC ID: 8527366327 Enrollment ID: I20160412000643 |
| Provider Name | George D Heeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316225287 PECOS PAC ID: 6901105139 Enrollment ID: I20160422000243 |
| Provider Name | Candi L Capozzi Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033416599 PECOS PAC ID: 8325279680 Enrollment ID: I20160509001309 |
| Provider Name | Bethany A Brockway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154734978 PECOS PAC ID: 6305137878 Enrollment ID: I20160614001908 |
| Provider Name | Howard H Lin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336582949 PECOS PAC ID: 2365731965 Enrollment ID: I20160620000001 |
| Provider Name | Lara Lynn Busch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750577888 PECOS PAC ID: 8224329362 Enrollment ID: I20160621002495 |
| Provider Name | Thomas D Rodgers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033452362 PECOS PAC ID: 7810286184 Enrollment ID: I20160623001821 |
| Provider Name | Rickinder S Grewal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508109836 PECOS PAC ID: 3870882939 Enrollment ID: I20160628000849 |
| Provider Name | Peter E Morrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679849632 PECOS PAC ID: 4880986264 Enrollment ID: I20160705001126 |
| Provider Name | Haoming Qiu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235469032 PECOS PAC ID: 2567754948 Enrollment ID: I20160705001239 |
| Provider Name | Rachael Skeldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528426848 PECOS PAC ID: 1153613039 Enrollment ID: I20160713002197 |
| Provider Name | Dawn M Pruett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689012080 PECOS PAC ID: 2668798927 Enrollment ID: I20160725000238 |
| Provider Name | Heather J. Busick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023374196 PECOS PAC ID: 3173816444 Enrollment ID: I20160725000519 |
| Provider Name | Matthew M Brockway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003251976 PECOS PAC ID: 0648563841 Enrollment ID: I20160726001649 |
| Provider Name | Christopher Steevens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992094064 PECOS PAC ID: 1951607555 Enrollment ID: I20160728000610 |
| Provider Name | Christopher R Palma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811286032 PECOS PAC ID: 1759674625 Enrollment ID: I20160729001425 |
| Provider Name | Kathryn Elizabeth Somers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558637314 PECOS PAC ID: 9931498730 Enrollment ID: I20160801002368 |
| Provider Name | Brandon Scott Sprung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538484308 PECOS PAC ID: 8527362680 Enrollment ID: I20160801002494 |
| Provider Name | Tara A Lynch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316203763 PECOS PAC ID: 0143514653 Enrollment ID: I20160805001859 |
| Provider Name | Brea C Lipe |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1760542088 PECOS PAC ID: 1153519491 Enrollment ID: I20160805001942 |
| Provider Name | Christopher G Tarolli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316213291 PECOS PAC ID: 3476847880 Enrollment ID: I20160808002641 |
| Provider Name | Omar S Aljitawi |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1013018415 PECOS PAC ID: 6305939323 Enrollment ID: I20160819001815 |
| Provider Name | Gregory W Sherman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619276045 PECOS PAC ID: 3173818838 Enrollment ID: I20160822000086 |
| Provider Name | Elizabeth A Westen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447576319 PECOS PAC ID: 3971722117 Enrollment ID: I20160826000548 |
| Provider Name | Heather M. Link |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023376472 PECOS PAC ID: 5294020467 Enrollment ID: I20160826001294 |
| Provider Name | Yolianne A Lozada Capriles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144584012 PECOS PAC ID: 5496040677 Enrollment ID: I20160826001553 |
| Provider Name | Aaron Fields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518300110 PECOS PAC ID: 3577856939 Enrollment ID: I20160907001269 |
| Provider Name | Nathan A Garton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154764751 PECOS PAC ID: 8820384571 Enrollment ID: I20160907001620 |
| Provider Name | Christopher G Zammit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740442276 PECOS PAC ID: 1052556834 Enrollment ID: I20160912000529 |
| Provider Name | Joseph R Pereira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417390022 PECOS PAC ID: 0648578518 Enrollment ID: I20160912001648 |
| Provider Name | John J Faria |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407172174 PECOS PAC ID: 6608162763 Enrollment ID: I20160915002498 |
| Provider Name | Angela R Girvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508177510 PECOS PAC ID: 0143516229 Enrollment ID: I20160916000216 |
| Provider Name | Jennifer L Netkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598115297 PECOS PAC ID: 3779870837 Enrollment ID: I20160919000274 |
| Provider Name | Jennifer Thomson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023487261 PECOS PAC ID: 0244527992 Enrollment ID: I20160922002069 |
| Provider Name | Sachiko Kaizuka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588854798 PECOS PAC ID: 6103098348 Enrollment ID: I20160923000406 |
| Provider Name | Erika E Ramsdale |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013191733 PECOS PAC ID: 8224270178 Enrollment ID: I20160926000725 |
| Provider Name | Sarai H. Odai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881140168 PECOS PAC ID: 3375830680 Enrollment ID: I20160929000975 |
| Provider Name | Sydney N Chamberlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467895060 PECOS PAC ID: 5193014793 Enrollment ID: I20161005000307 |
| Provider Name | Collen B Tomcik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295949964 PECOS PAC ID: 1557453669 Enrollment ID: I20161007000209 |
| Provider Name | Megan M Schlagman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548503873 PECOS PAC ID: 9032407085 Enrollment ID: I20161007000483 |
| Provider Name | Mara C Weinstein Velez |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447549993 PECOS PAC ID: 7012225667 Enrollment ID: I20161011000900 |
| Provider Name | Mary V Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184076457 PECOS PAC ID: 0446548192 Enrollment ID: I20161012000616 |
| Provider Name | Joclyn R Gaston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992818314 PECOS PAC ID: 8224326954 Enrollment ID: I20161013000657 |
| Provider Name | Bradley W Bastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326497090 PECOS PAC ID: 5597053033 Enrollment ID: I20161017000006 |
| Provider Name | Todd B Chennell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649451154 PECOS PAC ID: 4688962145 Enrollment ID: I20161017000642 |
| Provider Name | Lindsay C Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922450626 PECOS PAC ID: 9739477233 Enrollment ID: I20161017001941 |
| Provider Name | Jessica L Stern |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1134443864 PECOS PAC ID: 4789962242 Enrollment ID: I20161103001628 |
| Provider Name | Jamie L Wooldridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902989783 PECOS PAC ID: 1456424019 Enrollment ID: I20161104001385 |
| Provider Name | Sarah A Kralovic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811253354 PECOS PAC ID: 0042503427 Enrollment ID: I20161108000429 |
| Provider Name | David R Bearden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295927937 PECOS PAC ID: 1254501703 Enrollment ID: I20161109000347 |
| Provider Name | Kristine Reinhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548611460 PECOS PAC ID: 4385923556 Enrollment ID: I20161110000748 |
| Provider Name | Laura M Paytash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568868982 PECOS PAC ID: 2668751843 Enrollment ID: I20161110001100 |
| Provider Name | Stephanie H Santa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225480379 PECOS PAC ID: 5395024434 Enrollment ID: I20161114001659 |
| Provider Name | Elizabeth C Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598116121 PECOS PAC ID: 9032498647 Enrollment ID: I20161122000372 |
| Provider Name | Katie M Rauber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922436765 PECOS PAC ID: 2860772811 Enrollment ID: I20161208000552 |
| Provider Name | Julie S Mariuz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881147072 PECOS PAC ID: 2466733845 Enrollment ID: I20161222001088 |
| Provider Name | Ronald Maggiore |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1609834977 PECOS PAC ID: 8022251487 Enrollment ID: I20170111000268 |
| Provider Name | Barbara C Dahlberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689804304 PECOS PAC ID: 2769764489 Enrollment ID: I20170112002464 |
| Provider Name | Nancy Baehr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740368075 PECOS PAC ID: 8426330176 Enrollment ID: I20170113000241 |
| Provider Name | Kathryn J Drennan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770792251 PECOS PAC ID: 8022162700 Enrollment ID: I20170119000222 |
| Provider Name | Michelle R Gerringer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619421039 PECOS PAC ID: 0143502542 Enrollment ID: I20170119001956 |
| Provider Name | Catherine D Tredwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811340110 PECOS PAC ID: 6406138601 Enrollment ID: I20170124001102 |
| Provider Name | Julia Anne Pilat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922556273 PECOS PAC ID: 8628350634 Enrollment ID: I20170127001728 |
| Provider Name | Elizabeth C Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578931762 PECOS PAC ID: 0446532287 Enrollment ID: I20170131001169 |
| Provider Name | Igor Gosev |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1598033649 PECOS PAC ID: 0840449674 Enrollment ID: I20170208001208 |
| Provider Name | Mark A Levstik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639628068 PECOS PAC ID: 9436432978 Enrollment ID: I20170208001224 |
| Provider Name | Theodore G Mayer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194732958 PECOS PAC ID: 8224068770 Enrollment ID: I20170216000368 |
| Provider Name | Holly J Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699149096 PECOS PAC ID: 0648572495 Enrollment ID: I20170220002379 |
| Provider Name | Amy R Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740731710 PECOS PAC ID: 6709160427 Enrollment ID: I20170224000992 |
| Provider Name | Seth Kolkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760439632 PECOS PAC ID: 5395787923 Enrollment ID: I20170306001268 |
| Provider Name | Maria Louella L Vivino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205887791 PECOS PAC ID: 8527075332 Enrollment ID: I20170310001036 |
| Provider Name | Kristen Holderle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356420939 PECOS PAC ID: 7416231477 Enrollment ID: I20170313000406 |
| Provider Name | Renee L Madathil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639595879 PECOS PAC ID: 8123303872 Enrollment ID: I20170321001997 |
| Provider Name | Elizabeth A Doll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508302258 PECOS PAC ID: 6204111420 Enrollment ID: I20170330000100 |
| Provider Name | Alyssa M Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699133405 PECOS PAC ID: 8527344035 Enrollment ID: I20170418002191 |
| Provider Name | Alexis A Lizarraga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922327725 PECOS PAC ID: 6800105438 Enrollment ID: I20170511000690 |
| Provider Name | Peter D Creigh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740556794 PECOS PAC ID: 4981999448 Enrollment ID: I20170512000793 |
| Provider Name | Jared Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619395274 PECOS PAC ID: 2860783461 Enrollment ID: I20170516001047 |
| Provider Name | Marialaina Chennell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740386929 PECOS PAC ID: 7911220447 Enrollment ID: I20170516002346 |
| Provider Name | Beth A Rulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598133183 PECOS PAC ID: 9638476633 Enrollment ID: I20170517000639 |
| Provider Name | Trenton J Tollefson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770872707 PECOS PAC ID: 1557656980 Enrollment ID: I20170517001635 |
| Provider Name | Janice M Cheong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962820324 PECOS PAC ID: 9133428519 Enrollment ID: I20170518000746 |
| Provider Name | Shari M Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699834523 PECOS PAC ID: 8123395399 Enrollment ID: I20170519000618 |
| Provider Name | Patricia Stoughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063522118 PECOS PAC ID: 7517103872 Enrollment ID: I20170522000271 |
| Provider Name | Lee Castellano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801136601 PECOS PAC ID: 0143440008 Enrollment ID: I20170522001092 |
| Provider Name | Derek Paul Bergsma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467728428 PECOS PAC ID: 3375810328 Enrollment ID: I20170524000338 |
| Provider Name | Darla M Darby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851319388 PECOS PAC ID: 1557381829 Enrollment ID: I20170526001437 |
| Provider Name | Christina A Dony |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144519307 PECOS PAC ID: 8123310679 Enrollment ID: I20170601001391 |
| Provider Name | Megan N Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952762270 PECOS PAC ID: 0446545990 Enrollment ID: I20170601002685 |
| Provider Name | Stewart C Mahler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952644270 PECOS PAC ID: 1355632050 Enrollment ID: I20170602000532 |
| Provider Name | Ahmed Ahmed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366770554 PECOS PAC ID: 8820396963 Enrollment ID: I20170602001412 |
| Provider Name | Daniel P Croft |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699066779 PECOS PAC ID: 5991004517 Enrollment ID: I20170602002255 |
| Provider Name | Eric V Heintz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104184209 PECOS PAC ID: 4183992001 Enrollment ID: I20170619001700 |
| Provider Name | Daniel Lachant |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558650713 PECOS PAC ID: 5799084349 Enrollment ID: I20170623000994 |
| Provider Name | Bhavpreet S Dham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124276084 PECOS PAC ID: 6709155120 Enrollment ID: I20170628001724 |
| Provider Name | Dana L Heusler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356756902 PECOS PAC ID: 2769751874 Enrollment ID: I20170705003077 |
| Provider Name | Rachael Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417256868 PECOS PAC ID: 8527358506 Enrollment ID: I20170714000884 |
| Provider Name | Augusto A Litonjua |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558318253 PECOS PAC ID: 2264431295 Enrollment ID: I20170720002819 |
| Provider Name | Chinazom U Ibegbu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720346125 PECOS PAC ID: 5890091771 Enrollment ID: I20170721001565 |
| Provider Name | Shannon L Dean |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376803577 PECOS PAC ID: 6507093150 Enrollment ID: I20170721001724 |
| Provider Name | Eric J. Morrison |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033557178 PECOS PAC ID: 4082912365 Enrollment ID: I20170727002024 |
| Provider Name | Christopher T Richardson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245573575 PECOS PAC ID: 7810268562 Enrollment ID: I20170731000654 |
| Provider Name | Alison L O'brien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604093 PECOS PAC ID: 1951605856 Enrollment ID: I20170731003357 |
| Provider Name | Peter A Prieto |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1033348891 PECOS PAC ID: 6406073105 Enrollment ID: I20170803001272 |
| Provider Name | Imad R Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801188669 PECOS PAC ID: 6901105006 Enrollment ID: I20170803001636 |
| Provider Name | Frank C Passero |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1982928636 PECOS PAC ID: 4385887454 Enrollment ID: I20170803002370 |
| Provider Name | Adam C Simning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447592415 PECOS PAC ID: 8022308949 Enrollment ID: I20170803002512 |
| Provider Name | Stefanie J Hollenbach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306289376 PECOS PAC ID: 9931470135 Enrollment ID: I20170807001767 |
| Provider Name | Jennifer A Vermilion |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548536998 PECOS PAC ID: 1557652641 Enrollment ID: I20170807002980 |
| Provider Name | Johanna I Hamel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760737829 PECOS PAC ID: 8325319247 Enrollment ID: I20170810000851 |
| Provider Name | Joshua James Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124445440 PECOS PAC ID: 8426341918 Enrollment ID: I20170814000101 |
| Provider Name | Mongkae Siripornsawan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922237221 PECOS PAC ID: 9537430319 Enrollment ID: I20170814000948 |
| Provider Name | Kayla J Dewey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760825673 PECOS PAC ID: 1850685686 Enrollment ID: I20170814001921 |
| Provider Name | Megan C Lytle-flint |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982013744 PECOS PAC ID: 3577835461 Enrollment ID: I20170828003379 |
| Provider Name | Bindiya Stancampiano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134119431 PECOS PAC ID: 4587665096 Enrollment ID: I20170829000240 |
| Provider Name | Sarah Ann Vengal |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1518300094 PECOS PAC ID: 8022381573 Enrollment ID: I20170905000908 |
| Provider Name | Bryan J Burroughs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457784647 PECOS PAC ID: 7517230006 Enrollment ID: I20170905002470 |
| Provider Name | Michelle L Diraddo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851821060 PECOS PAC ID: 4587937081 Enrollment ID: I20170905002687 |
| Provider Name | Sigrid Kersten Nasser Julsrud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962841908 PECOS PAC ID: 7113216508 Enrollment ID: I20170907003683 |
| Provider Name | Holly L Pranaat |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851674808 PECOS PAC ID: 9032344148 Enrollment ID: I20170908000931 |
| Provider Name | Andrew Scott Udkovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215467675 PECOS PAC ID: 9638442957 Enrollment ID: I20170908001781 |
| Provider Name | Phebe J Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447415682 PECOS PAC ID: 5193893253 Enrollment ID: I20170908002256 |
| Provider Name | Aspen M. Ainsworth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669714630 PECOS PAC ID: 6305136888 Enrollment ID: I20170911000284 |
| Provider Name | Colleen M Burgoyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799281 PECOS PAC ID: 1951674084 Enrollment ID: I20170912000363 |
| Provider Name | Donna A Kreher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235573494 PECOS PAC ID: 7315210408 Enrollment ID: I20170912002620 |
| Provider Name | Enaame L Farrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649539594 PECOS PAC ID: 8921375205 Enrollment ID: I20170918000113 |
| Provider Name | Colleen J Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033561576 PECOS PAC ID: 4385918036 Enrollment ID: I20170920000720 |
| Provider Name | Cynthia L Monaco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366670499 PECOS PAC ID: 6406084490 Enrollment ID: I20170920001348 |
| Provider Name | Amy K Niertit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699944629 PECOS PAC ID: 2466646096 Enrollment ID: I20170921001213 |
| Provider Name | Erik Kvamme |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659798965 PECOS PAC ID: 8527355171 Enrollment ID: I20170922000314 |
| Provider Name | Kathleen A Mannava |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427284488 PECOS PAC ID: 1153565890 Enrollment ID: I20170926000880 |
| Provider Name | Lisa M Cardamone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457880106 PECOS PAC ID: 3577838234 Enrollment ID: I20171005000801 |
| Provider Name | Maia Dorsett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720341092 PECOS PAC ID: 8224267760 Enrollment ID: I20171005003632 |
| Provider Name | April Marie Ho |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184176166 PECOS PAC ID: 0648545822 Enrollment ID: I20171016000118 |
| Provider Name | Lindsay E Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457878316 PECOS PAC ID: 0547536799 Enrollment ID: I20171017000051 |
| Provider Name | Lauren K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588186381 PECOS PAC ID: 0941576912 Enrollment ID: I20171018001677 |
| Provider Name | Ngao Nalungwe Semrau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710408018 PECOS PAC ID: 2466728431 Enrollment ID: I20171018001828 |
| Provider Name | Joshua J Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093080483 PECOS PAC ID: 5092005520 Enrollment ID: I20171101000622 |
| Provider Name | Moises J Velez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861782757 PECOS PAC ID: 6103192471 Enrollment ID: I20171101001451 |
| Provider Name | Meghan K Train |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689998312 PECOS PAC ID: 3779801444 Enrollment ID: I20171110000740 |
| Provider Name | Lindsay M Deleo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568982619 PECOS PAC ID: 9739445453 Enrollment ID: I20171114001647 |
| Provider Name | Renee L Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033131313 PECOS PAC ID: 4385869098 Enrollment ID: I20171115000485 |
| Provider Name | Brittany F Duheme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164931465 PECOS PAC ID: 3577829936 Enrollment ID: I20171117001949 |
| Provider Name | Marie A Laryea |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255841086 PECOS PAC ID: 8426315615 Enrollment ID: I20171124000047 |
| Provider Name | Andrea M Garroway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811330483 PECOS PAC ID: 5597022780 Enrollment ID: I20171124000162 |
| Provider Name | Mark A Oldham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841420726 PECOS PAC ID: 1052537701 Enrollment ID: I20171127001901 |
| Provider Name | Susan M Mcdowell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750549143 PECOS PAC ID: 8527205475 Enrollment ID: I20171205001749 |
| Provider Name | Paul R Hosking |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376702274 PECOS PAC ID: 0749414613 Enrollment ID: I20171215001639 |
| Provider Name | Joanne E Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740502525 PECOS PAC ID: 6002174042 Enrollment ID: I20171220000794 |
| Provider Name | Kulwant K Buttar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366486789 PECOS PAC ID: 3870597628 Enrollment ID: I20171222000566 |
| Provider Name | Katherine E Joyce |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265958383 PECOS PAC ID: 2264790989 Enrollment ID: I20171228002695 |
| Provider Name | Hochang B Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649212754 PECOS PAC ID: 8921090986 Enrollment ID: I20180105000906 |
| Provider Name | Adam J Carinci |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336285790 PECOS PAC ID: 1456497890 Enrollment ID: I20180109002615 |
| Provider Name | Lauren O Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023353661 PECOS PAC ID: 9436418746 Enrollment ID: I20180112000796 |
| Provider Name | Taryn E Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598202020 PECOS PAC ID: 8921367061 Enrollment ID: I20180117001098 |
| Provider Name | Robyn B Reis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396322 PECOS PAC ID: 3072872092 Enrollment ID: I20180122000691 |
| Provider Name | Diana Agostini-vulaj |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518301647 PECOS PAC ID: 6103187794 Enrollment ID: I20180222000699 |
| Provider Name | Sarah L Rector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699274878 PECOS PAC ID: 2466714092 Enrollment ID: I20180320001369 |
| Provider Name | Jennifer L Nayak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326054883 PECOS PAC ID: 3375805773 Enrollment ID: I20180323000510 |
| Provider Name | Benjamin D Korman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689907859 PECOS PAC ID: 4385869304 Enrollment ID: I20180326001053 |
| Provider Name | Carla C Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346757648 PECOS PAC ID: 6507129509 Enrollment ID: I20180404000521 |
| Provider Name | Jessica D'acquisto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982102026 PECOS PAC ID: 1850654831 Enrollment ID: I20180405000738 |
| Provider Name | Carla J Spooner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013427996 PECOS PAC ID: 5496018244 Enrollment ID: I20180410000962 |
| Provider Name | Abigail R Raynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588690945 PECOS PAC ID: 8426147919 Enrollment ID: I20180411002190 |
| Provider Name | Timothy J Nervina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720593999 PECOS PAC ID: 5890058457 Enrollment ID: I20180412000379 |
| Provider Name | Abby N Acey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700384898 PECOS PAC ID: 4688937287 Enrollment ID: I20180412002443 |
| Provider Name | Yeliam E Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134636442 PECOS PAC ID: 9436412970 Enrollment ID: I20180413001179 |
| Provider Name | Christina M Cruickshank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083112619 PECOS PAC ID: 3072876408 Enrollment ID: I20180417000409 |
| Provider Name | Rosalyn B Ruckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740738822 PECOS PAC ID: 5597046920 Enrollment ID: I20180419000919 |
| Provider Name | Mickaela Marichal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467836569 PECOS PAC ID: 3971891284 Enrollment ID: I20180419002421 |
| Provider Name | Kelsey H. Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548782808 PECOS PAC ID: 7214293802 Enrollment ID: I20180425002679 |
| Provider Name | Molly A Krygowski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124561139 PECOS PAC ID: 5193089274 Enrollment ID: I20180426002142 |
| Provider Name | Robert F Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164920617 PECOS PAC ID: 4688938368 Enrollment ID: I20180504000407 |
| Provider Name | Hillary E Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902190481 PECOS PAC ID: 3274826714 Enrollment ID: I20180504002035 |
| Provider Name | Caitlin B.m. Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902304132 PECOS PAC ID: 3678837291 Enrollment ID: I20180508001317 |
| Provider Name | David M Dobrzynski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851659155 PECOS PAC ID: 1355652165 Enrollment ID: I20180508002743 |
| Provider Name | Ponnila S Marinescu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497044754 PECOS PAC ID: 8527297209 Enrollment ID: I20180509001366 |
| Provider Name | Giampaolo Gallo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770534380 PECOS PAC ID: 4789789033 Enrollment ID: I20180511000839 |
| Provider Name | Xiaoyan Liao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467836205 PECOS PAC ID: 4385908516 Enrollment ID: I20180515002899 |
| Provider Name | Mark G Ettel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649614520 PECOS PAC ID: 3173892718 Enrollment ID: I20180516003042 |
| Provider Name | Jennifer E Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972555498 PECOS PAC ID: 2466531744 Enrollment ID: I20180521000663 |
| Provider Name | Michael V Hannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043607195 PECOS PAC ID: 1052676194 Enrollment ID: I20180521001619 |
| Provider Name | Dominick Roto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366838468 PECOS PAC ID: 5294090940 Enrollment ID: I20180530000174 |
| Provider Name | Rosaleen Petroccione |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255727335 PECOS PAC ID: 3476841438 Enrollment ID: I20180530001461 |
| Provider Name | David J Nagel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023300654 PECOS PAC ID: 5092934596 Enrollment ID: I20180613000261 |
| Provider Name | Jennifer L Marsella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790128908 PECOS PAC ID: 3072868140 Enrollment ID: I20180613000493 |
| Provider Name | Ajay Dhakal |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1235493594 PECOS PAC ID: 7113272253 Enrollment ID: I20180614000033 |
| Provider Name | Jorge R Risco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487997672 PECOS PAC ID: 4385999341 Enrollment ID: I20180614001573 |
| Provider Name | Carolyn E Zyloney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831517416 PECOS PAC ID: 4183995327 Enrollment ID: I20180618002928 |
| Provider Name | Jennifer M Boehly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336378363 PECOS PAC ID: 7113234477 Enrollment ID: I20180619003070 |
| Provider Name | Marie P Vitale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558445726 PECOS PAC ID: 9537188735 Enrollment ID: I20180621001620 |
| Provider Name | Huina Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427492362 PECOS PAC ID: 7911278718 Enrollment ID: I20180622000852 |
| Provider Name | Francis W Coyne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528488517 PECOS PAC ID: 5597010066 Enrollment ID: I20180625001966 |
| Provider Name | Bo Hoon Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316280878 PECOS PAC ID: 4981950383 Enrollment ID: I20180627000780 |
| Provider Name | Eric J Huselton |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1104171388 PECOS PAC ID: 3173762812 Enrollment ID: I20180628001982 |
| Provider Name | Kenneth T Chin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134516289 PECOS PAC ID: 9931490570 Enrollment ID: I20180705001942 |
| Provider Name | Jeffrey M Iler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144563677 PECOS PAC ID: 1153629654 Enrollment ID: I20180706001776 |
| Provider Name | Tara Elizabeth Holter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740522713 PECOS PAC ID: 4082905310 Enrollment ID: I20180709000675 |
| Provider Name | Karl Nelson Knights |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962817130 PECOS PAC ID: 2466742127 Enrollment ID: I20180709001606 |
| Provider Name | Jennifer L Barnas |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1851657027 PECOS PAC ID: 7315240181 Enrollment ID: I20180712003411 |
| Provider Name | Michael A Cummings |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942646450 PECOS PAC ID: 9234485707 Enrollment ID: I20180713001066 |
| Provider Name | Ammar Alzoubi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1386720340 PECOS PAC ID: 1355383936 Enrollment ID: I20180713001774 |
| Provider Name | Jacqueline P Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801209275 PECOS PAC ID: 9830413806 Enrollment ID: I20180716000319 |
| Provider Name | Ariadne G Lie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245243484 PECOS PAC ID: 6608069331 Enrollment ID: I20180720001576 |
| Provider Name | Matthew J Mcintosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992116826 PECOS PAC ID: 3274880232 Enrollment ID: I20180720002949 |
| Provider Name | Angela M Kristan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1518386226 PECOS PAC ID: 8426305111 Enrollment ID: I20180726001757 |
| Provider Name | Matthew Louis Behrman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407234743 PECOS PAC ID: 7113221177 Enrollment ID: I20180731000123 |
| Provider Name | Layne Dylla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376938712 PECOS PAC ID: 3870886393 Enrollment ID: I20180802001597 |
| Provider Name | Tina M Parmenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750803086 PECOS PAC ID: 3971877358 Enrollment ID: I20180803000926 |
| Provider Name | Jade J Malcho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033504386 PECOS PAC ID: 5193019602 Enrollment ID: I20180807002558 |
| Provider Name | Christine M Johnstone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225423676 PECOS PAC ID: 5092008144 Enrollment ID: I20180808002530 |
| Provider Name | Roxana Pourdeyhimi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720321219 PECOS PAC ID: 3870841711 Enrollment ID: I20180808003060 |
| Provider Name | Laura Toribio Halpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760930614 PECOS PAC ID: 2466739974 Enrollment ID: I20180809000325 |
| Provider Name | Tanya S Bruckel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063731537 PECOS PAC ID: 5496997710 Enrollment ID: I20180810000263 |
| Provider Name | Rahul Gosain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932455391 PECOS PAC ID: 8022246313 Enrollment ID: I20180815001871 |
| Provider Name | Paolo Nicholas Grenga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699160044 PECOS PAC ID: 8426341892 Enrollment ID: I20180817001371 |
| Provider Name | Jennifer T Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306191119 PECOS PAC ID: 3072862473 Enrollment ID: I20180817002257 |
| Provider Name | Rachael B Turner |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013250232 PECOS PAC ID: 4981953304 Enrollment ID: I20180817003177 |
| Provider Name | Valarie L Schiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659864643 PECOS PAC ID: 8729337746 Enrollment ID: I20180823001767 |
| Provider Name | Angela Barskaya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124413562 PECOS PAC ID: 6901199462 Enrollment ID: I20180828003679 |
| Provider Name | Adrienne I Victor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144584772 PECOS PAC ID: 6800188640 Enrollment ID: I20180829002914 |
| Provider Name | Katherine N Phouthavong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033669726 PECOS PAC ID: 7214219922 Enrollment ID: I20180905003290 |
| Provider Name | Julia Maccallum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730445131 PECOS PAC ID: 0143586834 Enrollment ID: I20180910000432 |
| Provider Name | Darcie C Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225528201 PECOS PAC ID: 4981954039 Enrollment ID: I20180911001624 |
| Provider Name | Bohdan M Klymochko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346628930 PECOS PAC ID: 7315297371 Enrollment ID: I20180912002648 |
| Provider Name | Alana M Osinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538647425 PECOS PAC ID: 7618227554 Enrollment ID: I20180913002362 |
| Provider Name | Pamela L Mapstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144530635 PECOS PAC ID: 9537410436 Enrollment ID: I20180914001652 |
| Provider Name | Ajay K Rana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609019942 PECOS PAC ID: 3173833175 Enrollment ID: I20180914002663 |
| Provider Name | Anna Dabroski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588150700 PECOS PAC ID: 6709137367 Enrollment ID: I20180920000273 |
| Provider Name | Paige C Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780178475 PECOS PAC ID: 8921359589 Enrollment ID: I20180920000534 |
| Provider Name | Ginel C Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891288551 PECOS PAC ID: 2668723198 Enrollment ID: I20180924000612 |
| Provider Name | Kayla O Luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184117319 PECOS PAC ID: 2163773508 Enrollment ID: I20180924001382 |
| Provider Name | Alexandra I Skwirz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497241475 PECOS PAC ID: 5991056277 Enrollment ID: I20180926000315 |
| Provider Name | Traci C Terrance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205163094 PECOS PAC ID: 2264783265 Enrollment ID: I20181001000655 |
| Provider Name | Heather M Ma |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982946489 PECOS PAC ID: 7911202080 Enrollment ID: I20181003002054 |
| Provider Name | Stacey Michne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548755127 PECOS PAC ID: 9032461801 Enrollment ID: I20181004002536 |
| Provider Name | Hollie E Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659868487 PECOS PAC ID: 8921350794 Enrollment ID: I20181004002637 |
| Provider Name | Keisha L Bell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306221171 PECOS PAC ID: 7810249687 Enrollment ID: I20181004002734 |
| Provider Name | Puja Sood Rajani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669715413 PECOS PAC ID: 1052601283 Enrollment ID: I20181008002488 |
| Provider Name | Margaret R Waterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104839448 PECOS PAC ID: 0244377034 Enrollment ID: I20181019002018 |
| Provider Name | Stephanie Lynn Maia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700377439 PECOS PAC ID: 8426301227 Enrollment ID: I20181024002448 |
| Provider Name | Heather L. Lander |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336481654 PECOS PAC ID: 3173757044 Enrollment ID: I20181101001541 |
| Provider Name | Nadia Begum Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043792419 PECOS PAC ID: 5092068486 Enrollment ID: I20181101001670 |
| Provider Name | Kelli R Wilder-outlaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952897779 PECOS PAC ID: 3274886502 Enrollment ID: I20181102000176 |
| Provider Name | Cara Lynn Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558845917 PECOS PAC ID: 6406100478 Enrollment ID: I20181109000501 |
| Provider Name | Rishi Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043405244 PECOS PAC ID: 5294977971 Enrollment ID: I20181116000120 |
| Provider Name | Grace B Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538643572 PECOS PAC ID: 4082968417 Enrollment ID: I20181121000269 |
| Provider Name | Sara Forsythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376027409 PECOS PAC ID: 6406100726 Enrollment ID: I20181126001248 |
| Provider Name | Leona A Oakes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821579350 PECOS PAC ID: 8628312816 Enrollment ID: I20181128002294 |
| Provider Name | Jenna M Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962926048 PECOS PAC ID: 4082971874 Enrollment ID: I20181130000324 |
| Provider Name | Sarah Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386023141 PECOS PAC ID: 8729378294 Enrollment ID: I20181224000454 |
| Provider Name | Rajnish Bharadwaj |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588074777 PECOS PAC ID: 5193034247 Enrollment ID: I20190103002569 |
| Provider Name | Bryan S Zeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255824488 PECOS PAC ID: 8325384563 Enrollment ID: I20190109002294 |
| Provider Name | Laura C Eckert-davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902373434 PECOS PAC ID: 2163768102 Enrollment ID: I20190111000141 |
| Provider Name | Sean E Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255825634 PECOS PAC ID: 8325384373 Enrollment ID: I20190111000606 |
| Provider Name | Carnel Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336523257 PECOS PAC ID: 0345504734 Enrollment ID: I20190116000516 |
| Provider Name | Colleen Feeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275041162 PECOS PAC ID: 8426313495 Enrollment ID: I20190117000876 |
| Provider Name | Julie Marie Hammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831674183 PECOS PAC ID: 3577800143 Enrollment ID: I20190122000910 |
| Provider Name | Nathalie Dougoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619370954 PECOS PAC ID: 3375831332 Enrollment ID: I20190122002271 |
| Provider Name | Wenjia Wang |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1932475837 PECOS PAC ID: 2163769852 Enrollment ID: I20190204002421 |
| Provider Name | Sandra B Mitzner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093844334 PECOS PAC ID: 5092053744 Enrollment ID: I20190205002508 |
| Provider Name | Denise M Gerken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629522511 PECOS PAC ID: 3375823560 Enrollment ID: I20190207002457 |
| Provider Name | Bandar M Aljudaibi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033682083 PECOS PAC ID: 5991043895 Enrollment ID: I20190220000513 |
| Provider Name | Renee L Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407261191 PECOS PAC ID: 2668711151 Enrollment ID: I20190227002720 |
| Provider Name | Mary E Burdick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831203504 PECOS PAC ID: 2567701790 Enrollment ID: I20190305001907 |
| Provider Name | Shadefai Zsalinn Goldsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760622807 PECOS PAC ID: 6406195353 Enrollment ID: I20190312000187 |
| Provider Name | Taylor M Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720542160 PECOS PAC ID: 0941540488 Enrollment ID: I20190320002494 |
| Provider Name | Scott J Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093289761 PECOS PAC ID: 3072853472 Enrollment ID: I20190321002178 |
| Provider Name | Stephanie M Volo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639637267 PECOS PAC ID: 7315287471 Enrollment ID: I20190327002707 |
| Provider Name | Sacora L Chatman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073084976 PECOS PAC ID: 0749521797 Enrollment ID: I20190401001915 |
| Provider Name | Ondrea Marie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003374000 PECOS PAC ID: 7719228477 Enrollment ID: I20190405000153 |
| Provider Name | Megan E Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942766373 PECOS PAC ID: 4284975566 Enrollment ID: I20190415001906 |
| Provider Name | Elise N Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538623814 PECOS PAC ID: 9638410921 Enrollment ID: I20190415002484 |
| Provider Name | Jessica Lynn Dunne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033557970 PECOS PAC ID: 0941541023 Enrollment ID: I20190418001578 |
| Provider Name | Timothy S Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326530676 PECOS PAC ID: 3971845231 Enrollment ID: I20190507001498 |
| Provider Name | Lorraine E Schild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417041427 PECOS PAC ID: 4688893175 Enrollment ID: I20190509000291 |
| Provider Name | Shachi K Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538441779 PECOS PAC ID: 0749523918 Enrollment ID: I20190510001701 |
| Provider Name | Marika Toscano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811383987 PECOS PAC ID: 3476898313 Enrollment ID: I20190513001502 |
| Provider Name | Cheryl P Rozario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932553252 PECOS PAC ID: 2668725060 Enrollment ID: I20190513001884 |
| Provider Name | Phillip C Mongiovi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033537311 PECOS PAC ID: 2769725738 Enrollment ID: I20190514001700 |
| Provider Name | Jaclyn E Burch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275951659 PECOS PAC ID: 7618210691 Enrollment ID: I20190514001994 |
| Provider Name | Helen B Jahna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336601632 PECOS PAC ID: 6103169180 Enrollment ID: I20190514002348 |
| Provider Name | Francis M Manzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144738949 PECOS PAC ID: 8426014614 Enrollment ID: I20190516000223 |
| Provider Name | Yoshimi Hisamoto |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1639411226 PECOS PAC ID: 2769733989 Enrollment ID: I20190516002566 |
| Provider Name | Ted Louie |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700856093 PECOS PAC ID: 7810011897 Enrollment ID: I20190516002594 |
| Provider Name | Kimberly C Trombly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780849521 PECOS PAC ID: 5092037333 Enrollment ID: I20190517001818 |
| Provider Name | Danielle S Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982058293 PECOS PAC ID: 2668716762 Enrollment ID: I20190521000163 |
| Provider Name | Patrick A Donohue |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487000626 PECOS PAC ID: 5597009878 Enrollment ID: I20190521000548 |
| Provider Name | Kah Poh Loh |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1700133360 PECOS PAC ID: 8022242114 Enrollment ID: I20190528001535 |
| Provider Name | Benjamin P George |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932527421 PECOS PAC ID: 8820333891 Enrollment ID: I20190529000650 |
| Provider Name | Colin M Mchugh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659614972 PECOS PAC ID: 4880937127 Enrollment ID: I20190530000246 |
| Provider Name | Nathan G Barford |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124447057 PECOS PAC ID: 0547560955 Enrollment ID: I20190530000859 |
| Provider Name | Blanca Y Valdovinos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255728143 PECOS PAC ID: 7810231230 Enrollment ID: I20190531000209 |
| Provider Name | Patrick L Reavey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144454687 PECOS PAC ID: 9436467982 Enrollment ID: I20190531001926 |
| Provider Name | Ellie M Garbade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902250590 PECOS PAC ID: 0840543237 Enrollment ID: I20190604002132 |
| Provider Name | Franki L Lambert Smith |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629205562 PECOS PAC ID: 9830315423 Enrollment ID: I20190612003002 |
| Provider Name | Alok Gupta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285044685 PECOS PAC ID: 3971840125 Enrollment ID: I20190614000816 |
| Provider Name | Ashley L Hendershot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003473067 PECOS PAC ID: 9133453178 Enrollment ID: I20190626000471 |
| Provider Name | Aaron J Lampkin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619298171 PECOS PAC ID: 1759521438 Enrollment ID: I20190627001862 |
| Provider Name | Karlo J Lizarraga Mendoza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891059259 PECOS PAC ID: 8628302239 Enrollment ID: I20190701001354 |
| Provider Name | Brittany E Mott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982090999 PECOS PAC ID: 4880944792 Enrollment ID: I20190715001662 |
| Provider Name | Leah Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770141087 PECOS PAC ID: 9739415274 Enrollment ID: I20190722003267 |
| Provider Name | Tayler R Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124688908 PECOS PAC ID: 6406182617 Enrollment ID: I20190725002569 |
| Provider Name | Nathan D Vandjelovic |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396086286 PECOS PAC ID: 3274834973 Enrollment ID: I20190801001540 |
| Provider Name | Christy J Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285950378 PECOS PAC ID: 5890021588 Enrollment ID: I20190802000567 |
| Provider Name | Daniela E Dimarco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124463682 PECOS PAC ID: 8123346228 Enrollment ID: I20190802001966 |
| Provider Name | Michelle M Marks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699060723 PECOS PAC ID: 3375782832 Enrollment ID: I20190807001954 |
| Provider Name | Bushra Tbakhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760832844 PECOS PAC ID: 4880980150 Enrollment ID: I20190808001257 |
| Provider Name | Laura M Iafrati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750728796 PECOS PAC ID: 4981828191 Enrollment ID: I20190808002703 |
| Provider Name | Tharenie Sivarajah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891040630 PECOS PAC ID: 2062656499 Enrollment ID: I20190808003197 |
| Provider Name | Angela Sandell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346688702 PECOS PAC ID: 5496082638 Enrollment ID: I20190809001564 |
| Provider Name | Michael Antonio Vella |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144546995 PECOS PAC ID: 5193072189 Enrollment ID: I20190813001452 |
| Provider Name | Kevin P Brazill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003132788 PECOS PAC ID: 3072751536 Enrollment ID: I20190813001761 |
| Provider Name | Lauren Anne Baughman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730740358 PECOS PAC ID: 0345577367 Enrollment ID: I20190813002087 |
| Provider Name | Valerie L Kutzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558929331 PECOS PAC ID: 1355679812 Enrollment ID: I20190821002209 |
| Provider Name | Tracey A Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508427543 PECOS PAC ID: 9436487873 Enrollment ID: I20190823000708 |
| Provider Name | Marinda A Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942867635 PECOS PAC ID: 3072841394 Enrollment ID: I20190826000476 |
| Provider Name | Igor B Titoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447660220 PECOS PAC ID: 1759669724 Enrollment ID: I20190827002002 |
| Provider Name | Margaret-ann Carno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073843702 PECOS PAC ID: 3072841154 Enrollment ID: I20190828000253 |
| Provider Name | Caitlin P Curtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003474503 PECOS PAC ID: 5799014668 Enrollment ID: I20190903001786 |
| Provider Name | Molly Plovanich |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134532187 PECOS PAC ID: 9638391931 Enrollment ID: I20190903001987 |
| Provider Name | Megan M Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558923599 PECOS PAC ID: 2365771466 Enrollment ID: I20190916002564 |
| Provider Name | Kyle Alexander Long |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033525639 PECOS PAC ID: 7315262755 Enrollment ID: I20190916002946 |
| Provider Name | Melanie K Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811559115 PECOS PAC ID: 1153651146 Enrollment ID: I20190917003279 |
| Provider Name | Keighley G Loveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063066272 PECOS PAC ID: 6103156898 Enrollment ID: I20190923002626 |
| Provider Name | Jillian Poepsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326600560 PECOS PAC ID: 7911237649 Enrollment ID: I20190924000890 |
| Provider Name | Jyotsna Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396139077 PECOS PAC ID: 7810234796 Enrollment ID: I20190925002938 |
| Provider Name | Fedkencia Anis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457912891 PECOS PAC ID: 5799015137 Enrollment ID: I20190926002765 |
| Provider Name | Carol Fries Simpson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033485487 PECOS PAC ID: 8820388747 Enrollment ID: I20191001002221 |
| Provider Name | Samantha M Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073170825 PECOS PAC ID: 4284965914 Enrollment ID: I20191011000113 |
| Provider Name | Cheyenne J Thannikkotu-lombardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851742357 PECOS PAC ID: 6002151446 Enrollment ID: I20191014002628 |
| Provider Name | Caitlyn E Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568015691 PECOS PAC ID: 3173855194 Enrollment ID: I20191024001074 |
| Provider Name | Haroon Said Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447716279 PECOS PAC ID: 2769714658 Enrollment ID: I20191025001358 |
| Provider Name | Saeko Morita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942841598 PECOS PAC ID: 3678805207 Enrollment ID: I20191030002844 |
| Provider Name | Carla I Falkson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538103122 PECOS PAC ID: 1658545660 Enrollment ID: I20191031002521 |
| Provider Name | Pierre Gene Romulo Sinajon |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1831746445 PECOS PAC ID: 1557693967 Enrollment ID: I20191104001518 |
| Provider Name | Holly M Yeneralo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710537733 PECOS PAC ID: 0244662435 Enrollment ID: I20191108000561 |
| Provider Name | Jessica A G Gangaram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477991503 PECOS PAC ID: 1951531755 Enrollment ID: I20191114001258 |
| Provider Name | Vanessa S Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831550268 PECOS PAC ID: 9739511528 Enrollment ID: I20191115002714 |
| Provider Name | Alexa A Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639536238 PECOS PAC ID: 7719319466 Enrollment ID: I20191118002159 |
| Provider Name | Aubrey N Duncan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083033328 PECOS PAC ID: 4385076835 Enrollment ID: I20191121001002 |
| Provider Name | Betsy P Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578113262 PECOS PAC ID: 6800229204 Enrollment ID: I20191125001616 |
| Provider Name | Mary R Bugbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093191348 PECOS PAC ID: 4183057433 Enrollment ID: I20191127002102 |
| Provider Name | Benzi M Kluger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265508972 PECOS PAC ID: 7012075229 Enrollment ID: I20191129000020 |
| Provider Name | Amanda A Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881255420 PECOS PAC ID: 5496188443 Enrollment ID: I20191204002295 |
| Provider Name | Mary E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326060690 PECOS PAC ID: 2264865781 Enrollment ID: I20191213000687 |
| Provider Name | Zoltan Nagy Oltvai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679548374 PECOS PAC ID: 3971560137 Enrollment ID: I20191216002038 |
| Provider Name | Christine R Northrup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710912134 PECOS PAC ID: 1557795101 Enrollment ID: I20200107002167 |
| Provider Name | Roberto D Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760032940 PECOS PAC ID: 1658706205 Enrollment ID: I20200109000209 |
| Provider Name | Serina Marshe-ragland Tetenov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417288796 PECOS PAC ID: 8224463591 Enrollment ID: I20200114002289 |
| Provider Name | Ethan N Beaudett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205240835 PECOS PAC ID: 6406281609 Enrollment ID: I20200116001243 |
| Provider Name | Neha Pawar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558701425 PECOS PAC ID: 8022368075 Enrollment ID: I20200121001423 |
| Provider Name | Rondy M Lazaro |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699194167 PECOS PAC ID: 7315253168 Enrollment ID: I20200131001015 |
| Provider Name | Regina K Rowe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861791485 PECOS PAC ID: 1557609005 Enrollment ID: I20200131002673 |
| Provider Name | Elizabeth A Runnion |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912055278 PECOS PAC ID: 6204894439 Enrollment ID: I20200206000342 |
| Provider Name | Jamie A Pica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902131253 PECOS PAC ID: 5496181414 Enrollment ID: I20200210002521 |
| Provider Name | Kelly E Hanlon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366975062 PECOS PAC ID: 9830526581 Enrollment ID: I20200219001575 |
| Provider Name | Shalonda Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801206842 PECOS PAC ID: 6002243425 Enrollment ID: I20200225001679 |
| Provider Name | Darren R Carpizo |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1134377229 PECOS PAC ID: 6800944836 Enrollment ID: I20200226002827 |
| Provider Name | Leah R Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710521265 PECOS PAC ID: 1355778333 Enrollment ID: I20200304001354 |
| Provider Name | Amy L Luce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851942957 PECOS PAC ID: 4385072263 Enrollment ID: I20200309001568 |
| Provider Name | Junad Khan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689122988 PECOS PAC ID: 9537597174 Enrollment ID: I20200316000099 |
| Provider Name | Andrew G Tsavaris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801421110 PECOS PAC ID: 1456789882 Enrollment ID: I20200319000394 |
| Provider Name | Kathryn Roberts |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386095883 PECOS PAC ID: 9335577535 Enrollment ID: I20200323001366 |
| Provider Name | Brenda M Bagnato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083245013 PECOS PAC ID: 3072942051 Enrollment ID: I20200327000203 |
| Provider Name | Rosemary E Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558413930 PECOS PAC ID: 8921437831 Enrollment ID: I20200327002263 |
| Provider Name | Amulya V Penmetsa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104270115 PECOS PAC ID: 2264779883 Enrollment ID: I20200403001993 |
| Provider Name | Jordan L Coykendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013549682 PECOS PAC ID: 6608205786 Enrollment ID: I20200413000450 |
| Provider Name | Tina R Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932758257 PECOS PAC ID: 1254761455 Enrollment ID: I20200429002730 |
| Provider Name | Tracy L Natale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661162 PECOS PAC ID: 5193155349 Enrollment ID: I20200430002302 |
| Provider Name | Melanie K Braun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316391667 PECOS PAC ID: 9537404991 Enrollment ID: I20200518002364 |
| Provider Name | Michael D White |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871848853 PECOS PAC ID: 0648409870 Enrollment ID: I20200519002760 |
| Provider Name | Ying Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104189455 PECOS PAC ID: 6406126366 Enrollment ID: I20200520000369 |
| Provider Name | Nabeel J Badri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700298064 PECOS PAC ID: 3870914807 Enrollment ID: I20200529002731 |
| Provider Name | Hani Katerji |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225456551 PECOS PAC ID: 7911328802 Enrollment ID: I20200601002687 |
| Provider Name | Roula Katerji |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558717819 PECOS PAC ID: 6305267220 Enrollment ID: I20200602000850 |
| Provider Name | Kaitlin Kyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073049979 PECOS PAC ID: 4789937061 Enrollment ID: I20200605001050 |
| Provider Name | Brendan W Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528591195 PECOS PAC ID: 0042563447 Enrollment ID: I20200605001092 |
| Provider Name | Conrad D Gleber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235662065 PECOS PAC ID: 9133463425 Enrollment ID: I20200610002829 |
| Provider Name | Ehab Meselhy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730573643 PECOS PAC ID: 6901112812 Enrollment ID: I20200610003349 |
| Provider Name | Daryl C Mchugh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033569710 PECOS PAC ID: 3779823471 Enrollment ID: I20200615002053 |
| Provider Name | Amy J Seagroves |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689094120 PECOS PAC ID: 8628376118 Enrollment ID: I20200618001050 |
| Provider Name | Katherine S Hazen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740714880 PECOS PAC ID: 1658624036 Enrollment ID: I20200623001619 |
| Provider Name | Katherine Tuttle |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1053758201 PECOS PAC ID: 4981831088 Enrollment ID: I20200629000511 |
| Provider Name | Andrew Roscoe Mather |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518310994 PECOS PAC ID: 9032532908 Enrollment ID: I20200710000952 |
| Provider Name | Charlotte Orzolek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255781795 PECOS PAC ID: 0042634610 Enrollment ID: I20200716000974 |
| Provider Name | Peter J Van Veldhuizen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336163138 PECOS PAC ID: 9638176126 Enrollment ID: I20200721002899 |
| Provider Name | Meghan L Blazey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144414418 PECOS PAC ID: 7911271192 Enrollment ID: I20200722002408 |
| Provider Name | Myra L Mathis-uwanogho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962881128 PECOS PAC ID: 6800101668 Enrollment ID: I20200727000893 |
| Provider Name | Angela L Hewitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023497955 PECOS PAC ID: 2769793470 Enrollment ID: I20200727002230 |
| Provider Name | Joseph R Panza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578906129 PECOS PAC ID: 5193096139 Enrollment ID: I20200727002538 |
| Provider Name | Kurt M Hauber |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376997296 PECOS PAC ID: 4981997384 Enrollment ID: I20200728001473 |
| Provider Name | Luke Eastburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649626508 PECOS PAC ID: 7214222041 Enrollment ID: I20200807001071 |
| Provider Name | Paul M Vermilion |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1548648983 PECOS PAC ID: 0648565473 Enrollment ID: I20200811003807 |
| Provider Name | Mohammed Absar Ullah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336568534 PECOS PAC ID: 4587915657 Enrollment ID: I20200813003321 |
| Provider Name | Svetlana A Rubin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346695962 PECOS PAC ID: 9739426172 Enrollment ID: I20200827002242 |
| Provider Name | Stacy Sun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780096982 PECOS PAC ID: 5193940674 Enrollment ID: I20200903000509 |
| Provider Name | Lindsay C Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871875518 PECOS PAC ID: 2961750153 Enrollment ID: I20200903001971 |
| Provider Name | Ruhi B Sondhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043829047 PECOS PAC ID: 1355769019 Enrollment ID: I20200911000664 |
| Provider Name | Alexander Yoo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881012128 PECOS PAC ID: 5991099848 Enrollment ID: I20200914001443 |
| Provider Name | Alyssa E Jacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952924052 PECOS PAC ID: 0547688186 Enrollment ID: I20200915001021 |
| Provider Name | Michael J Nabozny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407134547 PECOS PAC ID: 4284867441 Enrollment ID: I20200915002110 |
| Provider Name | Jamie E Mehringer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922340330 PECOS PAC ID: 3274835616 Enrollment ID: I20200916002602 |
| Provider Name | Clayton B Green |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194942151 PECOS PAC ID: 3476679333 Enrollment ID: I20200917000949 |
| Provider Name | Rebecca N Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760005482 PECOS PAC ID: 1557789872 Enrollment ID: I20200917001696 |
| Provider Name | Maura E Tappen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740676766 PECOS PAC ID: 3577813401 Enrollment ID: I20200918001945 |
| Provider Name | Samantha S Deland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811549769 PECOS PAC ID: 3971833146 Enrollment ID: I20200922002737 |
| Provider Name | Sara J Hardy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629368998 PECOS PAC ID: 2567612435 Enrollment ID: I20200923002781 |
| Provider Name | Margaret L Welker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427676170 PECOS PAC ID: 9830518315 Enrollment ID: I20201001003421 |
| Provider Name | Samantha Kamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396107934 PECOS PAC ID: 1759631757 Enrollment ID: I20201009000453 |
| Provider Name | Ilana Abeles |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770963464 PECOS PAC ID: 3971811332 Enrollment ID: I20201012001831 |
| Provider Name | Nicholas Wodo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730749847 PECOS PAC ID: 1456771443 Enrollment ID: I20201013001161 |
| Provider Name | Katherine J Arden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538696794 PECOS PAC ID: 8426301763 Enrollment ID: I20201013002954 |
| Provider Name | Katherine B Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790395374 PECOS PAC ID: 7911317979 Enrollment ID: I20201102002032 |
| Provider Name | Lisa M Denmark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912528142 PECOS PAC ID: 6002226016 Enrollment ID: I20201103001334 |
| Provider Name | Allyson Elizabeth Hatfield |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386256204 PECOS PAC ID: 4688084502 Enrollment ID: I20201104002603 |
| Provider Name | Evelyn O Berman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689093445 PECOS PAC ID: 3375881618 Enrollment ID: I20201112001007 |
| Provider Name | Jessica Booher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992313811 PECOS PAC ID: 5092125575 Enrollment ID: I20201112001298 |
| Provider Name | Kristin C Calley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295345254 PECOS PAC ID: 3678983087 Enrollment ID: I20201112003030 |
| Provider Name | Naomi Schwartz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487205837 PECOS PAC ID: 2668883976 Enrollment ID: I20201117002902 |
| Provider Name | Sarah E Jaffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023626991 PECOS PAC ID: 6507277878 Enrollment ID: I20201118001818 |
| Provider Name | Maya Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114291333 PECOS PAC ID: 6002124351 Enrollment ID: I20201119000520 |
| Provider Name | Kasey L Weisbrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366054041 PECOS PAC ID: 4284045444 Enrollment ID: I20201119003456 |
| Provider Name | Jalisa J Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730702077 PECOS PAC ID: 0840601803 Enrollment ID: I20201123001932 |
| Provider Name | Courtney Marie Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760081087 PECOS PAC ID: 4183035017 Enrollment ID: I20201130000096 |
| Provider Name | Shelby D Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477199651 PECOS PAC ID: 4183035850 Enrollment ID: I20201201002996 |
| Provider Name | Alexandra J Strutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528667557 PECOS PAC ID: 1254743313 Enrollment ID: I20201214001629 |
| Provider Name | Deborah A Heinig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427671866 PECOS PAC ID: 5294147369 Enrollment ID: I20201214002398 |
| Provider Name | Adele Kibasumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215561568 PECOS PAC ID: 7012329972 Enrollment ID: I20201217000543 |
| Provider Name | Mohammadreza Feizi Lighvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699392894 PECOS PAC ID: 3678985587 Enrollment ID: I20201217003008 |
| Provider Name | Norman C Madsen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053923441 PECOS PAC ID: 7911319637 Enrollment ID: I20201221002813 |
| Provider Name | Maisa I Abdalla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669645222 PECOS PAC ID: 2961670476 Enrollment ID: I20201228000357 |
| Provider Name | Ashley Croft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104423060 PECOS PAC ID: 0446663058 Enrollment ID: I20201228001436 |
| Provider Name | Jennifer Ann Brooks |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730509316 PECOS PAC ID: 6103172721 Enrollment ID: I20201229001512 |
| Provider Name | Patricia M Reiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619576543 PECOS PAC ID: 2062825540 Enrollment ID: I20201229002406 |
| Provider Name | Carla Katherine Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013515568 PECOS PAC ID: 6800209727 Enrollment ID: I20210113000985 |
| Provider Name | Oscar J Manrique Mogollon |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1538336938 PECOS PAC ID: 6800104951 Enrollment ID: I20210118000507 |
| Provider Name | Cameron Houle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013511104 PECOS PAC ID: 1052725587 Enrollment ID: I20210125002462 |
| Provider Name | Emillie A Liddle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184240947 PECOS PAC ID: 1153735451 Enrollment ID: I20210128000151 |
| Provider Name | Tom Jacob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629464623 PECOS PAC ID: 1658621644 Enrollment ID: I20210201000293 |
| Provider Name | Laura C Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518287697 PECOS PAC ID: 3274893631 Enrollment ID: I20210203001442 |
| Provider Name | Ruth M O'regan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215981238 PECOS PAC ID: 0648254136 Enrollment ID: I20210209000686 |
| Provider Name | Thomas G Evans |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699733568 PECOS PAC ID: 8022023068 Enrollment ID: I20210211003180 |
| Provider Name | Katelyn Warth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225639370 PECOS PAC ID: 1850707670 Enrollment ID: I20210303000059 |
| Provider Name | Lyn A Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366030371 PECOS PAC ID: 1456767292 Enrollment ID: I20210303000570 |
| Provider Name | Yevgeniya L Rabinovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235504606 PECOS PAC ID: 4981010659 Enrollment ID: I20210303001963 |
| Provider Name | Megan E Wightman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407165483 PECOS PAC ID: 5294917043 Enrollment ID: I20210309002501 |
| Provider Name | Lauren E Heppner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851989396 PECOS PAC ID: 8123434495 Enrollment ID: I20210311000392 |
| Provider Name | Emily D Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588050587 PECOS PAC ID: 0648520544 Enrollment ID: I20210311001935 |
| Provider Name | Nicole Elizabeth Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801427869 PECOS PAC ID: 8022424142 Enrollment ID: I20210315001559 |
| Provider Name | U-cheng Leong |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841449022 PECOS PAC ID: 3476960287 Enrollment ID: I20210323001531 |
| Provider Name | Mark S Orlando |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437308525 PECOS PAC ID: 0547677387 Enrollment ID: I20210324000175 |
| Provider Name | Craig W Cypher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609043942 PECOS PAC ID: 5395068647 Enrollment ID: I20210325000791 |
| Provider Name | Iga Ntheketha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114511664 PECOS PAC ID: 3072920792 Enrollment ID: I20210325000798 |
| Provider Name | Leah Rothschild |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275017550 PECOS PAC ID: 7012324601 Enrollment ID: I20210326000950 |
| Provider Name | Alicia Catherine Ansbrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144819061 PECOS PAC ID: 7719394220 Enrollment ID: I20210330001524 |
| Provider Name | Carly M Vittozzi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811574700 PECOS PAC ID: 6800203175 Enrollment ID: I20210402000752 |
| Provider Name | David Bradley Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629676580 PECOS PAC ID: 6406263672 Enrollment ID: I20210406001052 |
| Provider Name | Jack Dorsey O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962016071 PECOS PAC ID: 8426465618 Enrollment ID: I20210406001765 |
| Provider Name | Brendan Patrick Fitzgerald |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588254346 PECOS PAC ID: 3678981941 Enrollment ID: I20210427000139 |
| Provider Name | Edward David Alten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598254708 PECOS PAC ID: 6709113277 Enrollment ID: I20210428002154 |
| Provider Name | Robert W Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033616487 PECOS PAC ID: 7719230119 Enrollment ID: I20210429000969 |
| Provider Name | Edward Shanley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467940122 PECOS PAC ID: 6002169414 Enrollment ID: I20210429001232 |
| Provider Name | Siobahn M Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467959924 PECOS PAC ID: 4880947233 Enrollment ID: I20210429001396 |
| Provider Name | Katlyn F Mcbride |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760989180 PECOS PAC ID: 7618220807 Enrollment ID: I20210429002174 |
| Provider Name | Kylie Bellis Ewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447895560 PECOS PAC ID: 0042629735 Enrollment ID: I20210510002340 |
| Provider Name | Jennifer Silverstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992293518 PECOS PAC ID: 8426481615 Enrollment ID: I20210511001654 |
| Provider Name | Judy Diep |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932634037 PECOS PAC ID: 1355619966 Enrollment ID: I20210512001051 |
| Provider Name | Shane A Stegen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215468657 PECOS PAC ID: 6608126651 Enrollment ID: I20210512002284 |
| Provider Name | Michelle P Kvalsund |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174766844 PECOS PAC ID: 2466696034 Enrollment ID: I20210514001151 |
| Provider Name | James M Snyder |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275989485 PECOS PAC ID: 4486905957 Enrollment ID: I20210518000174 |
| Provider Name | Kirk Andrew Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942456918 PECOS PAC ID: 6800062043 Enrollment ID: I20210518000184 |
| Provider Name | Dimitrios G Manou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184078461 PECOS PAC ID: 9335492495 Enrollment ID: I20210518001111 |
| Provider Name | Elaine Patricia Rigney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477041812 PECOS PAC ID: 6103179585 Enrollment ID: I20210520000060 |
| Provider Name | Justin Francis Rosati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831544337 PECOS PAC ID: 6709285786 Enrollment ID: I20210524002393 |
| Provider Name | Tiffany Ruth Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356926547 PECOS PAC ID: 4981003902 Enrollment ID: I20210525001296 |
| Provider Name | Nicole Elise Dominach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851916431 PECOS PAC ID: 5193124089 Enrollment ID: I20210526000541 |
| Provider Name | Diego A Grisales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154677854 PECOS PAC ID: 1850790635 Enrollment ID: I20210527001421 |
| Provider Name | Arash Lahoutiharahdashti |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831553189 PECOS PAC ID: 3072850676 Enrollment ID: I20210527003170 |
| Provider Name | Siba El Hussein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083003396 PECOS PAC ID: 0547669376 Enrollment ID: I20210528000307 |
| Provider Name | Yansheng Hao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417319518 PECOS PAC ID: 1658617352 Enrollment ID: I20210528000693 |
| Provider Name | Phillip Mcmullen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215384698 PECOS PAC ID: 3274825807 Enrollment ID: I20210528001119 |
| Provider Name | Paul Josef Blackcloud |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417319187 PECOS PAC ID: 8123440328 Enrollment ID: I20210608001001 |
| Provider Name | Eric Cheung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043672421 PECOS PAC ID: 8628364031 Enrollment ID: I20210608001773 |
| Provider Name | Tina Kathleen Sosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194144378 PECOS PAC ID: 1850668104 Enrollment ID: I20210608002251 |
| Provider Name | William Robert Small |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356872790 PECOS PAC ID: 8921358987 Enrollment ID: I20210608003408 |
| Provider Name | Maya Madhavan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275067829 PECOS PAC ID: 6901143890 Enrollment ID: I20210621000077 |
| Provider Name | Adrianna Hitchins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346625753 PECOS PAC ID: 0648565093 Enrollment ID: I20210621001107 |
| Provider Name | Samuel John Mackenzie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093193120 PECOS PAC ID: 8628384559 Enrollment ID: I20210621002597 |
| Provider Name | Sarah King-morgan Findeis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164886412 PECOS PAC ID: 4587956131 Enrollment ID: I20210623003039 |
| Provider Name | Fahad Laghari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750810404 PECOS PAC ID: 0648549006 Enrollment ID: I20210628000073 |
| Provider Name | Alexandra E Samborski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295260602 PECOS PAC ID: 9032454103 Enrollment ID: I20210628002449 |
| Provider Name | Susan Dressner Gasparino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962526343 PECOS PAC ID: 3870994882 Enrollment ID: I20210629000542 |
| Provider Name | Anna Debenedetto |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346658069 PECOS PAC ID: 2365757812 Enrollment ID: I20210629003667 |
| Provider Name | Khush S Aujla |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134582240 PECOS PAC ID: 6901192681 Enrollment ID: I20210630001720 |
| Provider Name | Kathleen Noe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801489356 PECOS PAC ID: 7214338904 Enrollment ID: I20210701002735 |
| Provider Name | Sindhuja Kadambi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760879050 PECOS PAC ID: 3870884489 Enrollment ID: I20210706002577 |
| Provider Name | Jordan Ross Adler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780038307 PECOS PAC ID: 5395030076 Enrollment ID: I20210707000423 |
| Provider Name | Margaret Ann Hasenauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780267302 PECOS PAC ID: 0547662900 Enrollment ID: I20210708001661 |
| Provider Name | Sara A Neimanis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174940225 PECOS PAC ID: 6204171895 Enrollment ID: I20210709002632 |
| Provider Name | Vektra L Casler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427435965 PECOS PAC ID: 1759694839 Enrollment ID: I20210709002798 |
| Provider Name | Donna Marie Brant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972177053 PECOS PAC ID: 6901208107 Enrollment ID: I20210712000099 |
| Provider Name | Amrita Roy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881949543 PECOS PAC ID: 3476787417 Enrollment ID: I20210714002291 |
| Provider Name | Tyler A Rehbein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417303702 PECOS PAC ID: 1254676588 Enrollment ID: I20210715002183 |
| Provider Name | Lisa Marie Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124696067 PECOS PAC ID: 7810399565 Enrollment ID: I20210716002479 |
| Provider Name | Alana Nicole Mary Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184290116 PECOS PAC ID: 1052714755 Enrollment ID: I20210719001813 |
| Provider Name | Julie Lynne Natale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992393995 PECOS PAC ID: 0345643755 Enrollment ID: I20210722002849 |
| Provider Name | Jodi J Lipof |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619364338 PECOS PAC ID: 1951704246 Enrollment ID: I20210723002372 |
| Provider Name | Alexandra Jacqueline Wilmot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043887508 PECOS PAC ID: 5193128338 Enrollment ID: I20210726000953 |
| Provider Name | Alicia J Kelleher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437725454 PECOS PAC ID: 9537562681 Enrollment ID: I20210727001263 |
| Provider Name | Megan Kennedy Burns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912265992 PECOS PAC ID: 3375885817 Enrollment ID: I20210728001586 |
| Provider Name | Aniruddha Sunit, Paranjpe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588185649 PECOS PAC ID: 9830468859 Enrollment ID: I20210728002799 |
| Provider Name | Meghan R Thorpe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669993036 PECOS PAC ID: 5991075426 Enrollment ID: I20210730002615 |
| Provider Name | Remi T Okwechime |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033566849 PECOS PAC ID: 8123356060 Enrollment ID: I20210731000007 |
| Provider Name | Victoria N Shevlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174191530 PECOS PAC ID: 9931503745 Enrollment ID: I20210802000715 |
| Provider Name | Andriana Farruggia Kobylanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184291544 PECOS PAC ID: 1456755297 Enrollment ID: I20210802001680 |
| Provider Name | Christina Ann Skifstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770159659 PECOS PAC ID: 4880098623 Enrollment ID: I20210802001868 |
| Provider Name | Sean Patrick Goonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760058648 PECOS PAC ID: 2567866940 Enrollment ID: I20210806001163 |
| Provider Name | Heather Amanda Romeiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063083517 PECOS PAC ID: 7315341716 Enrollment ID: I20210806002301 |
| Provider Name | Nicole J Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124697305 PECOS PAC ID: 1355745621 Enrollment ID: I20210809001868 |
| Provider Name | Zhaomin Xu |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1679815567 PECOS PAC ID: 9335436526 Enrollment ID: I20210812002549 |
| Provider Name | Daniel Lawrence Mulkerin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063473411 PECOS PAC ID: 7315003134 Enrollment ID: I20210813000300 |
| Provider Name | Allyson Zornow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306412291 PECOS PAC ID: 1153725064 Enrollment ID: I20210813000883 |
| Provider Name | Taylor Marie Malta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720659626 PECOS PAC ID: 0345644274 Enrollment ID: I20210813001810 |
| Provider Name | Lauryn E Hemminger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629503388 PECOS PAC ID: 2466706692 Enrollment ID: I20210817001754 |
| Provider Name | Emily Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528636370 PECOS PAC ID: 4082019559 Enrollment ID: I20210820002038 |
| Provider Name | Jenette Helen Dziezynski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497420467 PECOS PAC ID: 1153726591 Enrollment ID: I20210823001582 |
| Provider Name | Kaitlyn Marie Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902570336 PECOS PAC ID: 5092110445 Enrollment ID: I20210823001990 |
| Provider Name | Ramzi El-hassan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518498609 PECOS PAC ID: 4789928862 Enrollment ID: I20210825001752 |
| Provider Name | Bethany Lyn Lilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891460481 PECOS PAC ID: 2264837400 Enrollment ID: I20210825003329 |
| Provider Name | Heather Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659904233 PECOS PAC ID: 4981029246 Enrollment ID: I20210826001287 |
| Provider Name | Kari Marie Depoint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033885561 PECOS PAC ID: 3577968569 Enrollment ID: I20210830002373 |
| Provider Name | Lisa B Seltzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801465968 PECOS PAC ID: 9537564521 Enrollment ID: I20210830002569 |
| Provider Name | Karen L Sarosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588234157 PECOS PAC ID: 0345646246 Enrollment ID: I20210901000170 |
| Provider Name | Ryenn L Sanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568138543 PECOS PAC ID: 3072919828 Enrollment ID: I20210902002715 |
| Provider Name | Sierra Lynn Nye |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811560410 PECOS PAC ID: 1355747858 Enrollment ID: I20210909000124 |
| Provider Name | Elizabeth Thorndike Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588331029 PECOS PAC ID: 2769888981 Enrollment ID: I20210913002898 |
| Provider Name | Heather Lynn Wensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801182456 PECOS PAC ID: 6507262664 Enrollment ID: I20210915001532 |
| Provider Name | Hannah Canary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558939223 PECOS PAC ID: 3274930052 Enrollment ID: I20210921002181 |
| Provider Name | Sheronda Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154906303 PECOS PAC ID: 9335547926 Enrollment ID: I20211012003302 |
| Provider Name | Karen Marie Furnal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336715226 PECOS PAC ID: 4183022783 Enrollment ID: I20211013000060 |
| Provider Name | Christy Lynn Monczynski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255580320 PECOS PAC ID: 3476951948 Enrollment ID: I20211013003210 |
| Provider Name | Christina A. Babian |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871688622 PECOS PAC ID: 6901814938 Enrollment ID: I20211014001100 |
| Provider Name | Daniel Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629749718 PECOS PAC ID: 1658779947 Enrollment ID: I20211019000047 |
| Provider Name | Kari Leigh Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144992694 PECOS PAC ID: 4385032440 Enrollment ID: I20211022002108 |
| Provider Name | Elizabeth Ann Sabic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093480741 PECOS PAC ID: 7719375518 Enrollment ID: I20211028000099 |
| Provider Name | Miranda Renee Vander Horst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598437014 PECOS PAC ID: 7315335122 Enrollment ID: I20211028000246 |
| Provider Name | Allison Ann Cima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992468037 PECOS PAC ID: 1658769260 Enrollment ID: I20211102000432 |
| Provider Name | Kristen M Mark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871265546 PECOS PAC ID: 7911396361 Enrollment ID: I20211105001274 |
| Provider Name | Tieg Beazer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225680887 PECOS PAC ID: 0042609422 Enrollment ID: I20211105002530 |
| Provider Name | Alexandra M Danakas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073969085 PECOS PAC ID: 7618366758 Enrollment ID: I20211111001884 |
| Provider Name | Desiderio Pina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043206998 PECOS PAC ID: 2961305867 Enrollment ID: I20211112001813 |
| Provider Name | Amber Lea Seeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629644547 PECOS PAC ID: 0941699722 Enrollment ID: I20211117000026 |
| Provider Name | Jennifer Pasley Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891460150 PECOS PAC ID: 3577952357 Enrollment ID: I20211117000088 |
| Provider Name | Destiny Franzone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174198162 PECOS PAC ID: 0840689493 Enrollment ID: I20211119001214 |
| Provider Name | Donna Guardino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407393382 PECOS PAC ID: 9830589191 Enrollment ID: I20211201001844 |
| Provider Name | Melanie Ann Keltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225610413 PECOS PAC ID: 5395140909 Enrollment ID: I20211202000208 |
| Provider Name | Alison Moy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467024687 PECOS PAC ID: 0042600108 Enrollment ID: I20211203000198 |
| Provider Name | Daniel Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629363 PECOS PAC ID: 0042600934 Enrollment ID: I20211208002147 |
| Provider Name | Kathleen Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962096693 PECOS PAC ID: 3375933112 Enrollment ID: I20211209000883 |
| Provider Name | Divya Chhabra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508242215 PECOS PAC ID: 4486914538 Enrollment ID: I20211216001032 |
| Provider Name | Heather Lynn Gostling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306519178 PECOS PAC ID: 1951792498 Enrollment ID: I20211217000115 |
| Provider Name | Priya D Farooq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588007504 PECOS PAC ID: 4688972094 Enrollment ID: I20220106001143 |
| Provider Name | Caroline Frances Budnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962160242 PECOS PAC ID: 3274925938 Enrollment ID: I20220110001980 |
| Provider Name | Karyn Hartz-mandell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578926952 PECOS PAC ID: 7113271214 Enrollment ID: I20220126000052 |
| Provider Name | Michael Batek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790220358 PECOS PAC ID: 9032502505 Enrollment ID: I20220204000463 |
| Provider Name | Erika M Brownell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750042479 PECOS PAC ID: 1153714605 Enrollment ID: I20220207000806 |
| Provider Name | Brittney Margaret Gardner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982271011 PECOS PAC ID: 9931593811 Enrollment ID: I20220221000221 |
| Provider Name | David G Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932547569 PECOS PAC ID: 2365677333 Enrollment ID: I20220221000474 |
| Provider Name | Melinda Godfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255738555 PECOS PAC ID: 9032503479 Enrollment ID: I20220228002092 |
| Provider Name | Chelsea Claire Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528723608 PECOS PAC ID: 3678967023 Enrollment ID: I20220228002557 |
| Provider Name | Nicole S Riemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215688650 PECOS PAC ID: 2860886280 Enrollment ID: I20220301002188 |
| Provider Name | Lindsay Ruffo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265183404 PECOS PAC ID: 7517351844 Enrollment ID: I20220302000103 |
| Provider Name | Maria Patricia Rivera |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679634703 PECOS PAC ID: 7810026572 Enrollment ID: I20220315002352 |
| Provider Name | Leisha Jane Cuddihy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700173978 PECOS PAC ID: 4183891088 Enrollment ID: I20220328002541 |
| Provider Name | Kerri Anne Hugelmaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700244357 PECOS PAC ID: 8426444506 Enrollment ID: I20220330001343 |
| Provider Name | Paul R Bohjanen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235175449 PECOS PAC ID: 6901921386 Enrollment ID: I20220427002913 |
| Provider Name | Oner Gurkan Gonen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528598216 PECOS PAC ID: 3870980352 Enrollment ID: I20220502001860 |
| Provider Name | Mujtaba Soniwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902460454 PECOS PAC ID: 6103152822 Enrollment ID: I20220504002439 |
| Provider Name | Sarah Elizabeth Eichelberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487204871 PECOS PAC ID: 8921485020 Enrollment ID: I20220511000309 |
| Provider Name | Zimeng Gao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104314137 PECOS PAC ID: 4486900875 Enrollment ID: I20220511001035 |
| Provider Name | Quinn Watt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124552229 PECOS PAC ID: 8921485046 Enrollment ID: I20220511001160 |
| Provider Name | Sarah D Crimmins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033350947 PECOS PAC ID: 1456650324 Enrollment ID: I20220511001489 |
| Provider Name | Crystal Craig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851719819 PECOS PAC ID: 9335368257 Enrollment ID: I20220511001961 |
| Provider Name | James M Dupree |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699266171 PECOS PAC ID: 4385997600 Enrollment ID: I20220511002487 |
| Provider Name | Ahmed M.a. Dirweesh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619348430 PECOS PAC ID: 2062758477 Enrollment ID: I20220512000572 |
| Provider Name | Nicholas Bartell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679927446 PECOS PAC ID: 8820342074 Enrollment ID: I20220512002274 |
| Provider Name | Shaun Wesley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972036747 PECOS PAC ID: 2264702463 Enrollment ID: I20220513000127 |
| Provider Name | Lauren Kay Palicki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033774005 PECOS PAC ID: 9133458821 Enrollment ID: I20220513000353 |
| Provider Name | Sydney V Palka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225535370 PECOS PAC ID: 4385993179 Enrollment ID: I20220513000638 |
| Provider Name | Brendan John Guercio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508247735 PECOS PAC ID: 5193030898 Enrollment ID: I20220513001010 |
| Provider Name | Parker Gazda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235880949 PECOS PAC ID: 4880071836 Enrollment ID: I20220513001136 |
| Provider Name | Michael C Croix |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760846455 PECOS PAC ID: 3274870621 Enrollment ID: I20220516002410 |
| Provider Name | Sandy Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134784002 PECOS PAC ID: 0547647166 Enrollment ID: I20220519001134 |
| Provider Name | Kyle J Smith |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184111643 PECOS PAC ID: 2264784198 Enrollment ID: I20220520001032 |
| Provider Name | Paula M Horvath |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255546917 PECOS PAC ID: 6608905294 Enrollment ID: I20220523000522 |
| Provider Name | Emily Glenn Walsh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679929509 PECOS PAC ID: 4587041033 Enrollment ID: I20220523000932 |
| Provider Name | Sara E Gianfagna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679138713 PECOS PAC ID: 3870829518 Enrollment ID: I20220525001778 |
| Provider Name | Tiffany R Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306593801 PECOS PAC ID: 0042698243 Enrollment ID: I20220531001542 |
| Provider Name | Jennifer Kathleen Baxter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255996021 PECOS PAC ID: 2466884689 Enrollment ID: I20220531001943 |
| Provider Name | Sergio Angulo Castro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972009553 PECOS PAC ID: 3072850130 Enrollment ID: I20220607000451 |
| Provider Name | Natalie Kay Katz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871956896 PECOS PAC ID: 8527351717 Enrollment ID: I20220607002003 |
| Provider Name | Merielle Stephens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295882082 PECOS PAC ID: 7911065354 Enrollment ID: I20220608000057 |
| Provider Name | Tyler James Fleming |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568956811 PECOS PAC ID: 5597143214 Enrollment ID: I20220608000348 |
| Provider Name | Lauren N Zoghlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942798913 PECOS PAC ID: 6608290283 Enrollment ID: I20220609000382 |
| Provider Name | Numbereye P Numbere |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992229140 PECOS PAC ID: 0244618809 Enrollment ID: I20220609002937 |
| Provider Name | Rodolfo P Belen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992448799 PECOS PAC ID: 3971981531 Enrollment ID: I20220609002955 |
| Provider Name | Rafi Kazi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518386853 PECOS PAC ID: 8628493004 Enrollment ID: I20220610000151 |
| Provider Name | Silva Kristo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336660927 PECOS PAC ID: 7810231859 Enrollment ID: I20220610000408 |
| Provider Name | Benjamin James Briggs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932461803 PECOS PAC ID: 0345533261 Enrollment ID: I20220613001563 |
| Provider Name | David Sell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699262212 PECOS PAC ID: 7416294772 Enrollment ID: I20220617002436 |
| Provider Name | Paul Feingold |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285990499 PECOS PAC ID: 5597022806 Enrollment ID: I20220620000896 |
| Provider Name | Adem Fatih Aktas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811429715 PECOS PAC ID: 7214332428 Enrollment ID: I20220620001725 |
| Provider Name | Jenny L Schreiber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518523950 PECOS PAC ID: 4587990254 Enrollment ID: I20220622000506 |
| Provider Name | Shawnalle Guadalupe Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699372375 PECOS PAC ID: 9234518804 Enrollment ID: I20220628002389 |
| Provider Name | Maria Caroline Mcgreevy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659734366 PECOS PAC ID: 8729372453 Enrollment ID: I20220629000057 |
| Provider Name | Fatima Rumesa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487140463 PECOS PAC ID: 8729326731 Enrollment ID: I20220706000945 |
| Provider Name | Alison Elizabeth Moynihan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598258634 PECOS PAC ID: 3476933417 Enrollment ID: I20220707002887 |
| Provider Name | Nadine D Mills |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033506605 PECOS PAC ID: 2961752878 Enrollment ID: I20220711001718 |
| Provider Name | Meghan Rose Brunswick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700234788 PECOS PAC ID: 8820376817 Enrollment ID: I20220713002569 |
| Provider Name | Eran Tallis |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1164957437 PECOS PAC ID: 0547641128 Enrollment ID: I20220713002575 |
| Provider Name | David Albert Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013531938 PECOS PAC ID: 1658752266 Enrollment ID: I20220713003250 |
| Provider Name | Diego Hernandez-aranda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629455670 PECOS PAC ID: 0941681597 Enrollment ID: I20220714000356 |
| Provider Name | Aileen Aldalur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003397407 PECOS PAC ID: 6103207576 Enrollment ID: I20220715001892 |
| Provider Name | John M Carney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659614675 PECOS PAC ID: 9830456664 Enrollment ID: I20220719000656 |
| Provider Name | Marisa Jacob-leonce |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871880138 PECOS PAC ID: 6507009206 Enrollment ID: I20220719000757 |
| Provider Name | Zahraa Majeed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922534411 PECOS PAC ID: 7911245717 Enrollment ID: I20220719001995 |
| Provider Name | Nicholas Roy David Farris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861846719 PECOS PAC ID: 3870974959 Enrollment ID: I20220720003345 |
| Provider Name | Heather Kaminsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912432113 PECOS PAC ID: 7214318179 Enrollment ID: I20220722002898 |
| Provider Name | Jennifer Corcoran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528559762 PECOS PAC ID: 2567715626 Enrollment ID: I20220726001651 |
| Provider Name | Amy Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861137556 PECOS PAC ID: 5991187627 Enrollment ID: I20220727004224 |
| Provider Name | Caitlin M Metzger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508244245 PECOS PAC ID: 9537404421 Enrollment ID: I20220728002626 |
| Provider Name | Rebecca A Schie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942939467 PECOS PAC ID: 7315329646 Enrollment ID: I20220803002908 |
| Provider Name | Devyn Rochelle Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316671449 PECOS PAC ID: 0042692212 Enrollment ID: I20220804001016 |
| Provider Name | Brian Steven Finkelman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750812665 PECOS PAC ID: 7416292883 Enrollment ID: I20220804001142 |
| Provider Name | Jason Matthew Monahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659944932 PECOS PAC ID: 0749662963 Enrollment ID: I20220804003301 |
| Provider Name | Alexandra J Morell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083101331 PECOS PAC ID: 8729323886 Enrollment ID: I20220805002409 |
| Provider Name | Donald Mclawhorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457841595 PECOS PAC ID: 0244577856 Enrollment ID: I20220809002122 |
| Provider Name | Samantha Mae Trippi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811629470 PECOS PAC ID: 4789066630 Enrollment ID: I20220809002257 |
| Provider Name | Joseph Emanual Pittari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639668759 PECOS PAC ID: 5890032247 Enrollment ID: I20220810001616 |
| Provider Name | Kara E Cannarozzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316672793 PECOS PAC ID: 6305229238 Enrollment ID: I20220810001785 |
| Provider Name | Katelyn Marenus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013641901 PECOS PAC ID: 2567845407 Enrollment ID: I20220810001894 |
| Provider Name | Phuong-lan T Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063917466 PECOS PAC ID: 6204164502 Enrollment ID: I20220810002329 |
| Provider Name | Katherine A Krol |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184967325 PECOS PAC ID: 7719244326 Enrollment ID: I20220810003120 |
| Provider Name | Kathryn Wisnowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881329647 PECOS PAC ID: 3678956547 Enrollment ID: I20220810003144 |
| Provider Name | Benjamin Hill |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629501630 PECOS PAC ID: 2264706902 Enrollment ID: I20220810003538 |
| Provider Name | Anna Weiss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114183456 PECOS PAC ID: 8628357712 Enrollment ID: I20220810003562 |
| Provider Name | Annalyn M Gibson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699137232 PECOS PAC ID: 8123378106 Enrollment ID: I20220815001500 |
| Provider Name | Hannah Leigh Sherry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962906677 PECOS PAC ID: 6002145190 Enrollment ID: I20220817001074 |
| Provider Name | Rebecca Ann Copek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114454774 PECOS PAC ID: 5395128607 Enrollment ID: I20220819000860 |
| Provider Name | Tara A Derosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619603107 PECOS PAC ID: 5799168894 Enrollment ID: I20220823002416 |
| Provider Name | Anna Pettway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144650490 PECOS PAC ID: 0345623385 Enrollment ID: I20220824000306 |
| Provider Name | Cara A Lucas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922446244 PECOS PAC ID: 8022232248 Enrollment ID: I20220824000985 |
| Provider Name | Nicole Elizabeth Longo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003541673 PECOS PAC ID: 9638553613 Enrollment ID: I20220825002909 |
| Provider Name | Cecelia Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013640051 PECOS PAC ID: 7012391980 Enrollment ID: I20220826002684 |
| Provider Name | Lindy Marie Pescosolido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053771600 PECOS PAC ID: 6800270612 Enrollment ID: I20220829000652 |
| Provider Name | Robel Kamal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457845448 PECOS PAC ID: 7911242029 Enrollment ID: I20220830002949 |
| Provider Name | Abigail Franco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962931444 PECOS PAC ID: 5698159077 Enrollment ID: I20220902001608 |
| Provider Name | Emily S Holberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184276008 PECOS PAC ID: 5294164240 Enrollment ID: I20220905000289 |
| Provider Name | Shuhui Si |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609500198 PECOS PAC ID: 7214312255 Enrollment ID: I20220912003289 |
| Provider Name | Andrew J Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639802689 PECOS PAC ID: 3375928344 Enrollment ID: I20220913000877 |
| Provider Name | Cameron Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841927225 PECOS PAC ID: 3375928260 Enrollment ID: I20220913001844 |
| Provider Name | Kimberly Gergelis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336675180 PECOS PAC ID: 5698023828 Enrollment ID: I20220916000167 |
| Provider Name | Viki K Katsetos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740642388 PECOS PAC ID: 2567712409 Enrollment ID: I20220916002300 |
| Provider Name | Devon Bystrak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932748936 PECOS PAC ID: 1254717283 Enrollment ID: I20220928003561 |
| Provider Name | Jennifer E Shriver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861110603 PECOS PAC ID: 1153707187 Enrollment ID: I20220928003583 |
| Provider Name | Lauren M Paganin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952037905 PECOS PAC ID: 1355727306 Enrollment ID: I20220929000519 |
| Provider Name | Jaime Lynn Fordham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821726043 PECOS PAC ID: 6800272618 Enrollment ID: I20221003000682 |
| Provider Name | Daniella Nichole Penna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548991854 PECOS PAC ID: 8325424997 Enrollment ID: I20221005001082 |
| Provider Name | Naoki E Chiba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801517719 PECOS PAC ID: 9537545116 Enrollment ID: I20221005001477 |
| Provider Name | Abigail Laufer Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114424892 PECOS PAC ID: 3476939869 Enrollment ID: I20221010000361 |
| Provider Name | Erin Douthit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588391825 PECOS PAC ID: 8426424458 Enrollment ID: I20221017002386 |
| Provider Name | Anna-karoline Israel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629501499 PECOS PAC ID: 1951777598 Enrollment ID: I20221021002010 |
| Provider Name | Molly Jane Debacco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295406684 PECOS PAC ID: 9436526720 Enrollment ID: I20221028001614 |
| Provider Name | Tessa Christine Torchia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629705843 PECOS PAC ID: 0749657054 Enrollment ID: I20221028002409 |
| Provider Name | Katherine Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952040966 PECOS PAC ID: 7315314176 Enrollment ID: I20221108000606 |
| Provider Name | Alisa F Curlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265168082 PECOS PAC ID: 1557738028 Enrollment ID: I20221114001221 |
| Provider Name | Kristyn Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962137729 PECOS PAC ID: 6800264276 Enrollment ID: I20221116002966 |
| Provider Name | Akua A Asante |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366706483 PECOS PAC ID: 2264753102 Enrollment ID: I20221118002310 |
| Provider Name | Hannah Marie Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750904520 PECOS PAC ID: 4789052507 Enrollment ID: I20221128002325 |
| Provider Name | Rosalie Margaret Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003535816 PECOS PAC ID: 4981072774 Enrollment ID: I20221129002168 |
| Provider Name | Renata Wiktoria Lizak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750029443 PECOS PAC ID: 4789053182 Enrollment ID: I20221207000257 |
| Provider Name | Abigail Ruth Johanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710612544 PECOS PAC ID: 5294104535 Enrollment ID: I20221208002739 |
| Provider Name | Stacey M Perrotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174258966 PECOS PAC ID: 2365811528 Enrollment ID: I20221209000507 |
| Provider Name | Christiana Rose Anvelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366177511 PECOS PAC ID: 7911376082 Enrollment ID: I20221212002131 |
| Provider Name | Amanda Behan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083334130 PECOS PAC ID: 3678942562 Enrollment ID: I20221215002842 |
| Provider Name | Casey Ann Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225795875 PECOS PAC ID: 1759751365 Enrollment ID: I20221222002169 |
| Provider Name | Amy Marie Scalzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013559087 PECOS PAC ID: 7113397738 Enrollment ID: I20221222002221 |
| Provider Name | Elise M Carvel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235894163 PECOS PAC ID: 7810367448 Enrollment ID: I20221222002832 |
| Provider Name | Ashley Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851832547 PECOS PAC ID: 4981074374 Enrollment ID: I20221229000797 |
| Provider Name | Gabriele Agnes Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699413138 PECOS PAC ID: 6406226893 Enrollment ID: I20221229000961 |
| Provider Name | Irina R Statnikova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760987010 PECOS PAC ID: 5395095350 Enrollment ID: I20221229002309 |
| Provider Name | Alecia M Moodie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205318631 PECOS PAC ID: 8325418320 Enrollment ID: I20230109002402 |
| Provider Name | Allison Stiles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962024679 PECOS PAC ID: 3476924028 Enrollment ID: I20230119000572 |
| Provider Name | Segundo Sergio Robert-ibarra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871718130 PECOS PAC ID: 7416246699 Enrollment ID: I20230124002751 |
| Provider Name | Sara Elizabeth O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396461323 PECOS PAC ID: 6204207426 Enrollment ID: I20230126002590 |
| Provider Name | Grace Killian Schrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548991755 PECOS PAC ID: 8921479148 Enrollment ID: I20230126002622 |
| Provider Name | Emily M Payton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700504339 PECOS PAC ID: 1153792270 Enrollment ID: I20230126002937 |
| Provider Name | Helaine Sue Ross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114076270 PECOS PAC ID: 3870545650 Enrollment ID: I20230214000155 |
| Provider Name | Angela Catherine Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548980915 PECOS PAC ID: 5496127417 Enrollment ID: I20230220002440 |
| Provider Name | Amanda M Loitsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205563426 PECOS PAC ID: 6507235256 Enrollment ID: I20230310001908 |
| Provider Name | Jacqueline Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801502778 PECOS PAC ID: 6406221480 Enrollment ID: I20230404002562 |
| Provider Name | Dana Pulver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568979086 PECOS PAC ID: 7719352152 Enrollment ID: I20230417001499 |
| Provider Name | James A Budu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730695917 PECOS PAC ID: 7517322837 Enrollment ID: I20230420000878 |
| Provider Name | Andrea Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760901649 PECOS PAC ID: 4587939194 Enrollment ID: I20230421001149 |
| Provider Name | Karen M Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811207202 PECOS PAC ID: 6002172335 Enrollment ID: I20230502001798 |
| Provider Name | Jessica Marie Keith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306412382 PECOS PAC ID: 7012372675 Enrollment ID: I20230503002875 |
| Provider Name | William Barbosa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962068320 PECOS PAC ID: 1355678004 Enrollment ID: I20230511000338 |
| Provider Name | Jordan N Carrier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629633698 PECOS PAC ID: 7719214493 Enrollment ID: I20230511000479 |
| Provider Name | Richa Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053930826 PECOS PAC ID: 9931528031 Enrollment ID: I20230511001318 |
| Provider Name | Sarah E Rusnak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396364386 PECOS PAC ID: 4486078912 Enrollment ID: I20230512000860 |
| Provider Name | Claire Penny Wyman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811517337 PECOS PAC ID: 3779901947 Enrollment ID: I20230512001295 |
| Provider Name | Stacey Swinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750961017 PECOS PAC ID: 8123401908 Enrollment ID: I20230515001619 |
| Provider Name | Nathalia Moraes Figueiredo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215422464 PECOS PAC ID: 5698002772 Enrollment ID: I20230516000811 |
| Provider Name | Joylene W Sutton Aransevia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659619765 PECOS PAC ID: 4183869571 Enrollment ID: I20230516003376 |
| Provider Name | Piotr Karmilowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770102428 PECOS PAC ID: 3577988146 Enrollment ID: I20230519000846 |
| Provider Name | Shant Peter Afarian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295230472 PECOS PAC ID: 7416200951 Enrollment ID: I20230519001869 |
| Provider Name | Patrick Asselin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154825594 PECOS PAC ID: 6002272846 Enrollment ID: I20230519002175 |
| Provider Name | Anima Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043831944 PECOS PAC ID: 8527482199 Enrollment ID: I20230522000504 |
| Provider Name | Hope Elizabeth Kile |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457970980 PECOS PAC ID: 1254759566 Enrollment ID: I20230522001642 |
| Provider Name | Bethany D Corbin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063946473 PECOS PAC ID: 2264770338 Enrollment ID: I20230522001671 |
| Provider Name | Rachelle P Mendoza |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699290858 PECOS PAC ID: 8123428240 Enrollment ID: I20230523000575 |
| Provider Name | Chauncey R Syposs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720644065 PECOS PAC ID: 9436515145 Enrollment ID: I20230523001885 |
| Provider Name | Paige E Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710541503 PECOS PAC ID: 4789913419 Enrollment ID: I20230524002018 |
| Provider Name | Patrick J Rooney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063946762 PECOS PAC ID: 0840535134 Enrollment ID: I20230524003196 |
| Provider Name | Douglas Joel Alexander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639673452 PECOS PAC ID: 4385996511 Enrollment ID: I20230524003353 |
| Provider Name | Andrew P Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235620824 PECOS PAC ID: 5991058042 Enrollment ID: I20230531002322 |
| Provider Name | Virginia Ramos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871098665 PECOS PAC ID: 1850641812 Enrollment ID: I20230531002530 |
| Provider Name | Tejumola Olanihun Apata |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669932448 PECOS PAC ID: 3678930997 Enrollment ID: I20230601000654 |
| Provider Name | Erin E Good |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720643471 PECOS PAC ID: 1658601851 Enrollment ID: I20230601001365 |
| Provider Name | Nami R Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538725049 PECOS PAC ID: 4082941760 Enrollment ID: I20230602000387 |
| Provider Name | Annamarie G Fernandes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679147 PECOS PAC ID: 6103153069 Enrollment ID: I20230605001903 |
| Provider Name | Jozal Moore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780113449 PECOS PAC ID: 4587933049 Enrollment ID: I20230613003692 |
| Provider Name | Kyle Rodenbach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184088544 PECOS PAC ID: 9234552225 Enrollment ID: I20230614001648 |
| Provider Name | Cheng Chin Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952863300 PECOS PAC ID: 9537497250 Enrollment ID: I20230614003215 |
| Provider Name | Nathaniel W Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124715222 PECOS PAC ID: 6204294614 Enrollment ID: I20230616000875 |
| Provider Name | Moizz Syed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295295574 PECOS PAC ID: 0345635827 Enrollment ID: I20230620000528 |
| Provider Name | Taylor L Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265051296 PECOS PAC ID: 5890119473 Enrollment ID: I20230621002328 |
| Provider Name | Cindy C Hernandez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669960753 PECOS PAC ID: 2163751843 Enrollment ID: I20230623000658 |
| Provider Name | Abigail Naomi Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326630096 PECOS PAC ID: 4284092164 Enrollment ID: I20230626000777 |
| Provider Name | Logan Todhunter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265098727 PECOS PAC ID: 4880920545 Enrollment ID: I20230626002044 |
| Provider Name | Craig J Maguire |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659808087 PECOS PAC ID: 8820360860 Enrollment ID: I20230626002274 |
| Provider Name | James L Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508429374 PECOS PAC ID: 4284961574 Enrollment ID: I20230705002025 |
| Provider Name | Robert A Herbstsomer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528622305 PECOS PAC ID: 9537498274 Enrollment ID: I20230712003926 |
| Provider Name | Nicole Marie Terrana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073204368 PECOS PAC ID: 0840650784 Enrollment ID: I20230724002338 |
| Provider Name | Stella Deng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760915342 PECOS PAC ID: 9234505736 Enrollment ID: I20230724003890 |
| Provider Name | Stephen R Cook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144255969 PECOS PAC ID: 6800256793 Enrollment ID: I20230725000596 |
| Provider Name | Patrick A Twohig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407377955 PECOS PAC ID: 4183990781 Enrollment ID: I20230725002171 |
| Provider Name | Amanda J Battoglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780307892 PECOS PAC ID: 9537539267 Enrollment ID: I20230725002771 |
| Provider Name | Susan Jessica Wiener |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942737291 PECOS PAC ID: 8224499157 Enrollment ID: I20230725002856 |
| Provider Name | Margaret R Puelle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073019378 PECOS PAC ID: 0840651790 Enrollment ID: I20230725003413 |
| Provider Name | Heather Weber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952863730 PECOS PAC ID: 0042671901 Enrollment ID: I20230725003875 |
| Provider Name | Anthony Condo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235828716 PECOS PAC ID: 2062873391 Enrollment ID: I20230802001526 |
| Provider Name | Andy Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104317791 PECOS PAC ID: 8820478134 Enrollment ID: I20230808002494 |
| Provider Name | Chavonne I Kouassi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154772630 PECOS PAC ID: 1254793904 Enrollment ID: I20230814000833 |
| Provider Name | David James Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417643404 PECOS PAC ID: 3577925148 Enrollment ID: I20230814002480 |
| Provider Name | Callais Marie Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396422325 PECOS PAC ID: 9830551415 Enrollment ID: I20230814002531 |
| Provider Name | William Harris Hardy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780240127 PECOS PAC ID: 9739419896 Enrollment ID: I20230814003056 |
| Provider Name | Sarah G Thappa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265091623 PECOS PAC ID: 0749687523 Enrollment ID: I20230815001342 |
| Provider Name | Jinia El Feghaly |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689337677 PECOS PAC ID: 1456742386 Enrollment ID: I20230822003603 |
| Provider Name | Lauren Mutignani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023753498 PECOS PAC ID: 6709249782 Enrollment ID: I20230823002502 |
| Provider Name | Megan Alexandra Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396448437 PECOS PAC ID: 8628431616 Enrollment ID: I20230823002969 |
| Provider Name | Kelly Anne Nye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588231088 PECOS PAC ID: 1951764901 Enrollment ID: I20230824000861 |
| Provider Name | Rachel Ann Rodenbach |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700230323 PECOS PAC ID: 2961799119 Enrollment ID: I20230830002040 |
| Provider Name | Katherine M Riera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407266489 PECOS PAC ID: 2860794534 Enrollment ID: I20230830002219 |
| Provider Name | Lindsey Marie Kernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841986403 PECOS PAC ID: 3274996806 Enrollment ID: I20230830002714 |
| Provider Name | Thinzar Wai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124519574 PECOS PAC ID: 2466815964 Enrollment ID: I20230831001218 |
| Provider Name | Candice Leach |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1811124274 PECOS PAC ID: 0042512857 Enrollment ID: I20230901001454 |
| Provider Name | Jessica Lynn Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831808807 PECOS PAC ID: 8729442926 Enrollment ID: I20230906002465 |
| Provider Name | Aryn M Andrzejewski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881185031 PECOS PAC ID: 6305193848 Enrollment ID: I20230906003419 |
| Provider Name | Stella Savarimuthu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366978256 PECOS PAC ID: 0840549820 Enrollment ID: I20230907001833 |
| Provider Name | Amit K Chowdhry |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598252397 PECOS PAC ID: 4183960040 Enrollment ID: I20230908002583 |
| Provider Name | Ashley Elizabeth Vilkhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437847464 PECOS PAC ID: 0749644490 Enrollment ID: I20230913002354 |
| Provider Name | Clare Acquilano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245929439 PECOS PAC ID: 4587028105 Enrollment ID: I20230915001275 |
| Provider Name | Lisa Soo Im Houwers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073298758 PECOS PAC ID: 3870957350 Enrollment ID: I20230918000604 |
| Provider Name | Joseph Louis Ippolito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033894746 PECOS PAC ID: 8527422948 Enrollment ID: I20230918002526 |
| Provider Name | Jim C Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063917235 PECOS PAC ID: 7214324185 Enrollment ID: I20230923000131 |
| Provider Name | Michael Quinn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578083424 PECOS PAC ID: 1658725528 Enrollment ID: I20230926002778 |
| Provider Name | Shirita Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255564761 PECOS PAC ID: 1557715448 Enrollment ID: I20230926003382 |
| Provider Name | Bridget M Iafrati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093407835 PECOS PAC ID: 9032563770 Enrollment ID: I20230928001507 |
| Provider Name | Danette R Gress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942983564 PECOS PAC ID: 1355795766 Enrollment ID: I20231003002211 |
| Provider Name | Derek Bauer |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1508156324 PECOS PAC ID: 7113163056 Enrollment ID: I20231005002603 |
| Provider Name | Jennifer Boor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790937373 PECOS PAC ID: 0345695359 Enrollment ID: I20231011002850 |
| Provider Name | Adele Rose Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427740893 PECOS PAC ID: 9931554581 Enrollment ID: I20231017001679 |
| Provider Name | Timothy Theodore Flerlage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053603811 PECOS PAC ID: 8325298789 Enrollment ID: I20231020001874 |
| Provider Name | Benjamin Ryan Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588937593 PECOS PAC ID: 4385091800 Enrollment ID: I20231106001042 |
| Provider Name | Monaliben Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770820292 PECOS PAC ID: 3173804697 Enrollment ID: I20231106001291 |
| Provider Name | Jamie Ann Sanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063291128 PECOS PAC ID: 0143677252 Enrollment ID: I20231111000017 |
| Provider Name | Heidi Leigh Cropp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154965903 PECOS PAC ID: 8729435698 Enrollment ID: I20231114003458 |
| Provider Name | Keyla Reyes Denis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801579065 PECOS PAC ID: 5496102220 Enrollment ID: I20231115002691 |
| Provider Name | Madison Veleda Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548963762 PECOS PAC ID: 8022466754 Enrollment ID: I20231118000416 |
| Provider Name | Leah Elizabeth Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891438958 PECOS PAC ID: 7315392016 Enrollment ID: I20231120000879 |
| Provider Name | Kelly A Zodl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336838333 PECOS PAC ID: 0244688836 Enrollment ID: I20231120002520 |
| Provider Name | Courtney Fell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396518312 PECOS PAC ID: 9638527906 Enrollment ID: I20231127002310 |
| Provider Name | Jennifer Okwerekwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336502616 PECOS PAC ID: 7517396534 Enrollment ID: I20231128001162 |
| Provider Name | Nancy Angelica Pavlova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346936390 PECOS PAC ID: 9830547058 Enrollment ID: I20231129001465 |
| Provider Name | Jennifer Kristy Mcgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629763289 PECOS PAC ID: 9830547637 Enrollment ID: I20231204002123 |
| Provider Name | Jamie Elizabeth Flerlage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760625578 PECOS PAC ID: 1951549385 Enrollment ID: I20231211002860 |
| Provider Name | Amy Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518730118 PECOS PAC ID: 2466801634 Enrollment ID: I20231213001538 |
| Provider Name | Janisa Marie Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801678560 PECOS PAC ID: 4981055456 Enrollment ID: I20240109002483 |
| Provider Name | Kathleen M Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679348536 PECOS PAC ID: 1456704097 Enrollment ID: I20240130002395 |
| Provider Name | Mekenzie Ann Defone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669259362 PECOS PAC ID: 8123461274 Enrollment ID: I20240206003079 |
| Provider Name | Johanna Blythe Reske |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750948931 PECOS PAC ID: 2769888247 Enrollment ID: I20240208000621 |
| Provider Name | Irene Yi-ling Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235794868 PECOS PAC ID: 0345683058 Enrollment ID: I20240209002278 |
| Provider Name | Wei Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184119828 PECOS PAC ID: 3476996000 Enrollment ID: I20240209003236 |
| Provider Name | Laurie Minarich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104950708 PECOS PAC ID: 0941450928 Enrollment ID: I20240227002710 |
| Provider Name | Sanjog Rawtani |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750003950 PECOS PAC ID: 3678910494 Enrollment ID: I20240328000515 |
| Provider Name | Sarah Hayes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548044472 PECOS PAC ID: 8022456839 Enrollment ID: I20240329000228 |
| Provider Name | Jill Marie Greinert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912473398 PECOS PAC ID: 7416395108 Enrollment ID: I20240401000617 |
| Provider Name | Caroline J Easton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598162463 PECOS PAC ID: 7315385994 Enrollment ID: I20240402000631 |
| Provider Name | Jill Catherine Kauffmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720433667 PECOS PAC ID: 5890085179 Enrollment ID: I20240402002361 |
| Provider Name | Katelyn C Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225680903 PECOS PAC ID: 0042659708 Enrollment ID: I20240415003321 |
| Provider Name | Alex David O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609632470 PECOS PAC ID: 4688013105 Enrollment ID: I20240417001311 |
| Provider Name | Katherine Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326804899 PECOS PAC ID: 4981043361 Enrollment ID: I20240418000331 |
| Provider Name | Yehonatan Borenstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386063089 PECOS PAC ID: 2769762178 Enrollment ID: I20240418001731 |
| Provider Name | Laura Ashley Fugate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730930884 PECOS PAC ID: 3476993312 Enrollment ID: I20240425003086 |
| Provider Name | Erin Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497420780 PECOS PAC ID: 3577903160 Enrollment ID: I20240430001448 |
Jeffrey A Liberman Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 485 Titus Ave Ste H, Rochester, NY 14617 Phone: 585-544-5368 Fax: 585-287-5304 | |
Brown Square Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 322 Lake Ave, Brown Square Center, Rochester, NY 14608 Phone: 585-254-6480 Fax: 585-254-1092 | |
Diabetes Prevention Recognition Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2655 Ridgeway Ave Ste 220, Rochester, NY 14626 Phone: 585-368-6542 Fax: 585-368-4373 | |
Rekhi & Rekhi Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1561 Long Pond Rd, Suite 411, Rochester, NY 14626 Phone: 585-426-9930 Fax: 585-426-6242 | |
Highland Hospital Of Rochester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 South Ave, Rochester, NY 14620 Phone: 585-341-6895 Fax: 585-341-8401 | |
Joy Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 N Goodman St, Rochester, NY 14609 Phone: 585-697-0004 Fax: 585-697-0046 | |
Adult Complex Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Culver Rd, Rochester, NY 14609 Phone: 585-276-7900 Fax: 585-275-2352 |