| Swedish Health Services | |
|
800 5th Ave Ste 600 Seattle WA 98104-3176 | |
| (206) 320-2700 | |
| (206) 320-3001 |
| Full Name | Swedish Health Services |
|---|---|
| Speciality | Family Medicine |
| Location | 800 5th Ave, Seattle, Washington |
| Authorized Official Name and Position | Donald Wayne Anderson (ASST SEC FOR ENROLLMENT / DIR REIMB) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swedish Health Services Po Box 25608 Salt Lake City UT 84125-0608 Ph: (206) 320-4476 | Swedish Health Services 800 5th Ave Ste 600 Seattle WA 98104-3176 Ph: (206) 320-2700 |
| NPI Number | 1831139724 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 07/30/2020 |
| Medicare PECOS PAC ID | 9537072814 |
|---|---|
| Medicare Enrollment ID | O20031112000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831139724 | NPI | - | NPPES |
| CI6665 | Other | WA | RR MEDICARE GROUP |
| 0125383 | Other | WA | L&I GROUP |
| 7094758 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Brian James Mccallie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003894999 PECOS PAC ID: 9335053198 Enrollment ID: I20031117000087 |
| Provider Name | David Burton Bork |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700864014 PECOS PAC ID: 8325952138 Enrollment ID: I20031117000366 |
| Provider Name | Ravi S Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699757112 PECOS PAC ID: 2365356771 Enrollment ID: I20031118001005 |
| Provider Name | Alan Dong Shing Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609863240 PECOS PAC ID: 3577468883 Enrollment ID: I20031201000330 |
| Provider Name | Milton Lowell Van Hise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841278306 PECOS PAC ID: 2466357702 Enrollment ID: I20031201000465 |
| Provider Name | David Arthur Atkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588651236 PECOS PAC ID: 1850296120 Enrollment ID: I20031201000590 |
| Provider Name | Maria Chong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295712396 PECOS PAC ID: 0648175836 Enrollment ID: I20031201000700 |
| Provider Name | Ben Hugh Harmon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467439398 PECOS PAC ID: 4688578180 Enrollment ID: I20031201000829 |
| Provider Name | Lloyd Edwin Stambaugh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568440089 PECOS PAC ID: 9234034463 Enrollment ID: I20031202000070 |
| Provider Name | Varun M Jhaveri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851332522 PECOS PAC ID: 6305744392 Enrollment ID: I20031229000804 |
| Provider Name | Jasmine L Patterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538143938 PECOS PAC ID: 6103724968 Enrollment ID: I20031230000733 |
| Provider Name | Robert S Hurlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417068446 PECOS PAC ID: 6800781352 Enrollment ID: I20040216000481 |
| Provider Name | Keith A Luther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912001652 PECOS PAC ID: 5991690166 Enrollment ID: I20040217000500 |
| Provider Name | Laura H Hudgings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457436263 PECOS PAC ID: 9830085414 Enrollment ID: I20040223000661 |
| Provider Name | Michael S Erickson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295703221 PECOS PAC ID: 3476449216 Enrollment ID: I20040226001074 |
| Provider Name | Britt A Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669583506 PECOS PAC ID: 7911895354 Enrollment ID: I20040308001113 |
| Provider Name | Elizabeth G Franklin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255520953 PECOS PAC ID: 8123918760 Enrollment ID: I20040317001490 |
| Provider Name | John S Milne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750313243 PECOS PAC ID: 4981594132 Enrollment ID: I20040319000399 |
| Provider Name | Jennifer Adams Spence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083637110 PECOS PAC ID: 8325939622 Enrollment ID: I20040324000998 |
| Provider Name | Frances E Broyles |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669454583 PECOS PAC ID: 0749170801 Enrollment ID: I20040401001652 |
| Provider Name | Cecilia V Beer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346358959 PECOS PAC ID: 4385636760 Enrollment ID: I20040402001261 |
| Provider Name | Kenneth H Kumasaka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467537704 PECOS PAC ID: 2163415142 Enrollment ID: I20040406000445 |
| Provider Name | Andrew G Szalay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679657381 PECOS PAC ID: 3577556018 Enrollment ID: I20040408000313 |
| Provider Name | Reginald D Duling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477598217 PECOS PAC ID: 0547253502 Enrollment ID: I20040408000822 |
| Provider Name | Joan E Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629070123 PECOS PAC ID: 9931193851 Enrollment ID: I20040413001398 |
| Provider Name | Sue M Hott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114000189 PECOS PAC ID: 3971599556 Enrollment ID: I20040421000070 |
| Provider Name | Thomas R Monk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861400970 PECOS PAC ID: 2860489853 Enrollment ID: I20040430000069 |
| Provider Name | Nicole C Marble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548476658 PECOS PAC ID: 5698763423 Enrollment ID: I20040503000278 |
| Provider Name | William A Mcfadden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366478448 PECOS PAC ID: 3779571948 Enrollment ID: I20040505000897 |
| Provider Name | Pedro Tomas Vieco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669450128 PECOS PAC ID: 6507855475 Enrollment ID: I20040507000323 |
| Provider Name | Catherine Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891704045 PECOS PAC ID: 8426047119 Enrollment ID: I20040507001299 |
| Provider Name | Juan Alejandro Millan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275511172 PECOS PAC ID: 7517957087 Enrollment ID: I20040517000186 |
| Provider Name | John David Mcgowan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962480897 PECOS PAC ID: 2769377456 Enrollment ID: I20040518000511 |
| Provider Name | Scott Michael Vanderheiden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750369211 PECOS PAC ID: 3678564572 Enrollment ID: I20040520000020 |
| Provider Name | Judith M Bokor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992763593 PECOS PAC ID: 3577554104 Enrollment ID: I20040521000283 |
| Provider Name | Chad Magnuson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265473102 PECOS PAC ID: 1658352117 Enrollment ID: I20040528001134 |
| Provider Name | Alice B Josafat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659359586 PECOS PAC ID: 7315929940 Enrollment ID: I20040607000265 |
| Provider Name | Helen Louie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053328906 PECOS PAC ID: 1456334986 Enrollment ID: I20040608000097 |
| Provider Name | Marci M Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629021043 PECOS PAC ID: 5890778104 Enrollment ID: I20040609000182 |
| Provider Name | Courtney A Canavera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639254576 PECOS PAC ID: 8426031279 Enrollment ID: I20040611000456 |
| Provider Name | Philip Neil Lowe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265406193 PECOS PAC ID: 9032005491 Enrollment ID: I20040616001174 |
| Provider Name | Diane E Engelbrecht |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275507105 PECOS PAC ID: 0345136792 Enrollment ID: I20040616001462 |
| Provider Name | Mark John Pfleger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629042346 PECOS PAC ID: 5991691354 Enrollment ID: I20040617000058 |
| Provider Name | Mark Steven Zobel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235103953 PECOS PAC ID: 1153217419 Enrollment ID: I20040617000175 |
| Provider Name | Daniel W Smoots |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427022359 PECOS PAC ID: 8123002029 Enrollment ID: I20040617000487 |
| Provider Name | Harold Wayne Prow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790759629 PECOS PAC ID: 0042294878 Enrollment ID: I20040617000809 |
| Provider Name | William B Crenshaw |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912971623 PECOS PAC ID: 0547156994 Enrollment ID: I20040617000883 |
| Provider Name | Christopher Krol |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114905007 PECOS PAC ID: 3274518261 Enrollment ID: I20040623000567 |
| Provider Name | Dobrina M Okorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316022650 PECOS PAC ID: 2062499346 Enrollment ID: I20040706000181 |
| Provider Name | David C Marlow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437137361 PECOS PAC ID: 9638076755 Enrollment ID: I20040712001049 |
| Provider Name | Ian Yen Ch'en |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174527121 PECOS PAC ID: 8820083967 Enrollment ID: I20040723000019 |
| Provider Name | Gregory P Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003972183 PECOS PAC ID: 6406820919 Enrollment ID: I20040820001055 |
| Provider Name | Mark A Deramo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205835576 PECOS PAC ID: 9931173721 Enrollment ID: I20040826000195 |
| Provider Name | Sarah K Pohlmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144222795 PECOS PAC ID: 5698735454 Enrollment ID: I20041015000315 |
| Provider Name | Carolyn C Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619039401 PECOS PAC ID: 5698723559 Enrollment ID: I20050106000920 |
| Provider Name | Keith Bernstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760446306 PECOS PAC ID: 3274522156 Enrollment ID: I20050121000225 |
| Provider Name | Randal D Bensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033141585 PECOS PAC ID: 7113977653 Enrollment ID: I20050124000253 |
| Provider Name | Suzanne C Madsen-kostopoulos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801855267 PECOS PAC ID: 6103877170 Enrollment ID: I20050207000909 |
| Provider Name | Darla M Klokeid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699745687 PECOS PAC ID: 0840241626 Enrollment ID: I20050209000537 |
| Provider Name | Nancy Jane Neubauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215915723 PECOS PAC ID: 7113970732 Enrollment ID: I20050223000723 |
| Provider Name | Mark Donald Mayhle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245218171 PECOS PAC ID: 7214980275 Enrollment ID: I20050302000219 |
| Provider Name | Elizabeth Jo Hayes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356328280 PECOS PAC ID: 3971556945 Enrollment ID: I20050302000365 |
| Provider Name | Jennifer L Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033227814 PECOS PAC ID: 1254385925 Enrollment ID: I20050304000664 |
| Provider Name | Benis P Babusis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669450979 PECOS PAC ID: 1052366929 Enrollment ID: I20050314001132 |
| Provider Name | Greta Tan Go |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578540480 PECOS PAC ID: 7719884493 Enrollment ID: I20050324000947 |
| Provider Name | Donna Richman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437234259 PECOS PAC ID: 5193772663 Enrollment ID: I20050406000819 |
| Provider Name | Rebecca L Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972604213 PECOS PAC ID: 8123065828 Enrollment ID: I20050414000184 |
| Provider Name | Jenny S Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427041102 PECOS PAC ID: 2062459449 Enrollment ID: I20050418000179 |
| Provider Name | Katherine K Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841205556 PECOS PAC ID: 7214976141 Enrollment ID: I20050429000012 |
| Provider Name | Carolyn E Sherman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720179609 PECOS PAC ID: 1153366158 Enrollment ID: I20050621000502 |
| Provider Name | Herbert W Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720038078 PECOS PAC ID: 9739124314 Enrollment ID: I20050623000726 |
| Provider Name | William J Brinkman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932162518 PECOS PAC ID: 6507802352 Enrollment ID: I20050630001178 |
| Provider Name | Bruce A Bonsack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225113566 PECOS PAC ID: 6800832379 Enrollment ID: I20050706000758 |
| Provider Name | Stacie E Maurer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881643666 PECOS PAC ID: 4486680097 Enrollment ID: I20050715000274 |
| Provider Name | Kathryn M Tonder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942218185 PECOS PAC ID: 9739118399 Enrollment ID: I20050804000710 |
| Provider Name | Charles W Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528004488 PECOS PAC ID: 4385675248 Enrollment ID: I20050830000877 |
| Provider Name | Neeti Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023069317 PECOS PAC ID: 1153353438 Enrollment ID: I20050907001092 |
| Provider Name | Linda A Chow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962498014 PECOS PAC ID: 6901821057 Enrollment ID: I20051007000868 |
| Provider Name | Lisa A Mohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669534459 PECOS PAC ID: 5991723595 Enrollment ID: I20051102000632 |
| Provider Name | Sharon B Grayson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700806734 PECOS PAC ID: 9830119163 Enrollment ID: I20051201000759 |
| Provider Name | Eduardo A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659355097 PECOS PAC ID: 1153342803 Enrollment ID: I20051209000502 |
| Provider Name | Kirsten M Garner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295778132 PECOS PAC ID: 8426079948 Enrollment ID: I20051213000335 |
| Provider Name | Clara Y Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740364462 PECOS PAC ID: 5395769442 Enrollment ID: I20060117000597 |
| Provider Name | Odhett Cojocaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134140171 PECOS PAC ID: 1153379953 Enrollment ID: I20060130000136 |
| Provider Name | Timothy R Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629058789 PECOS PAC ID: 6507870516 Enrollment ID: I20060130000381 |
| Provider Name | Nichole M Schroder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205916996 PECOS PAC ID: 3870508658 Enrollment ID: I20060215000547 |
| Provider Name | Cathrine J Wheeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316096597 PECOS PAC ID: 9335154012 Enrollment ID: I20060216000392 |
| Provider Name | Jack Mark Fields |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326016379 PECOS PAC ID: 2567478951 Enrollment ID: I20060222000331 |
| Provider Name | Jo M Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750440954 PECOS PAC ID: 1456369958 Enrollment ID: I20060324000323 |
| Provider Name | Steven E Dresang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427169713 PECOS PAC ID: 7214946862 Enrollment ID: I20060411000212 |
| Provider Name | Elizabeth K Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679684161 PECOS PAC ID: 5294744629 Enrollment ID: I20060413000157 |
| Provider Name | Flavia Constantin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942257951 PECOS PAC ID: 7315940061 Enrollment ID: I20060817000614 |
| Provider Name | Irina M Manole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750323200 PECOS PAC ID: 4082617436 Enrollment ID: I20060824000443 |
| Provider Name | Steven E Dagg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851311831 PECOS PAC ID: 0143225508 Enrollment ID: I20060919000298 |
| Provider Name | Monica L Mayhill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902858061 PECOS PAC ID: 1254336472 Enrollment ID: I20060922000117 |
| Provider Name | Jennifer M Leahy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982622213 PECOS PAC ID: 2860498417 Enrollment ID: I20061004000687 |
| Provider Name | Bart Patrick Keogh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669489472 PECOS PAC ID: 4880690700 Enrollment ID: I20061016000409 |
| Provider Name | Stephen W Bretz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174581573 PECOS PAC ID: 3072510783 Enrollment ID: I20061021000015 |
| Provider Name | Holly J Christoferson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639280191 PECOS PAC ID: 8729086814 Enrollment ID: I20061128000464 |
| Provider Name | David Gilbert Westman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922024306 PECOS PAC ID: 6305890203 Enrollment ID: I20070111000655 |
| Provider Name | Roderick N Saxey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881657302 PECOS PAC ID: 0648271593 Enrollment ID: I20070122000026 |
| Provider Name | Elaine B Roe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073506804 PECOS PAC ID: 3072615194 Enrollment ID: I20070220000778 |
| Provider Name | Brenna M Born |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225109424 PECOS PAC ID: 6507968450 Enrollment ID: I20070222000637 |
| Provider Name | Leena Chacko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639206139 PECOS PAC ID: 8921057357 Enrollment ID: I20070410000371 |
| Provider Name | Anita S Uppal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194851402 PECOS PAC ID: 0941305411 Enrollment ID: I20070412000357 |
| Provider Name | Kenneth E Mayeda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770519217 PECOS PAC ID: 3870698145 Enrollment ID: I20070414000095 |
| Provider Name | Dae Hee Bang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972515211 PECOS PAC ID: 8022115781 Enrollment ID: I20070515000368 |
| Provider Name | Ruben Krishnananthan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891807863 PECOS PAC ID: 0749387272 Enrollment ID: I20070517000694 |
| Provider Name | Kristine A Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992743082 PECOS PAC ID: 5395845697 Enrollment ID: I20070716000724 |
| Provider Name | Gloria Fann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750421806 PECOS PAC ID: 0244321339 Enrollment ID: I20070803000075 |
| Provider Name | Kevin S Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831308923 PECOS PAC ID: 7416048541 Enrollment ID: I20070803000451 |
| Provider Name | Nathanael R Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821299843 PECOS PAC ID: 3577655067 Enrollment ID: I20070829000191 |
| Provider Name | Zahra A Karmali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255479739 PECOS PAC ID: 2668564154 Enrollment ID: I20070829000200 |
| Provider Name | Mindy L Hsue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760415251 PECOS PAC ID: 5799878195 Enrollment ID: I20070830000320 |
| Provider Name | Elias R Benitez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124141924 PECOS PAC ID: 5092808261 Enrollment ID: I20070904000321 |
| Provider Name | Karen R Ting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649387275 PECOS PAC ID: 9830282532 Enrollment ID: I20070912000060 |
| Provider Name | Mark L Leek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326162439 PECOS PAC ID: 5698869287 Enrollment ID: I20070913000032 |
| Provider Name | Lawrence Chu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063436350 PECOS PAC ID: 8022105816 Enrollment ID: I20071025000423 |
| Provider Name | Amar Yeshwant Purandare |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063427565 PECOS PAC ID: 0547266462 Enrollment ID: I20071213000854 |
| Provider Name | Rebecca A Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447447743 PECOS PAC ID: 1052492840 Enrollment ID: I20080118000009 |
| Provider Name | Dieu-ha Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215118815 PECOS PAC ID: 9335221969 Enrollment ID: I20080204000669 |
| Provider Name | Janna B Chao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649376070 PECOS PAC ID: 7113009747 Enrollment ID: I20080204000705 |
| Provider Name | Eric Harrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124096102 PECOS PAC ID: 0547227225 Enrollment ID: I20080218000467 |
| Provider Name | Erin T Rajca |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407026966 PECOS PAC ID: 3577640390 Enrollment ID: I20080403000348 |
| Provider Name | Kristin A Manning |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831125889 PECOS PAC ID: 0648351643 Enrollment ID: I20080509000351 |
| Provider Name | Michael J Peters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356378129 PECOS PAC ID: 4082500368 Enrollment ID: I20080509000397 |
| Provider Name | Timothy Leigh Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679500433 PECOS PAC ID: 2567358831 Enrollment ID: I20080509000486 |
| Provider Name | Kimberly A Morrissette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689733057 PECOS PAC ID: 7618046293 Enrollment ID: I20080522000197 |
| Provider Name | Monika Schlamminger Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881806578 PECOS PAC ID: 7517039951 Enrollment ID: I20080701000092 |
| Provider Name | Dawn Marie Hastreiter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245339357 PECOS PAC ID: 0143311993 Enrollment ID: I20080716000740 |
| Provider Name | Roger S Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427116094 PECOS PAC ID: 3577637313 Enrollment ID: I20080728000807 |
| Provider Name | Richard Kwun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326036690 PECOS PAC ID: 5597703868 Enrollment ID: I20080730000210 |
| Provider Name | Leslianne E Yen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609923424 PECOS PAC ID: 6305930728 Enrollment ID: I20080806000613 |
| Provider Name | Benjamin M Starnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548345283 PECOS PAC ID: 1557303013 Enrollment ID: I20080811000724 |
| Provider Name | Lili A Sacks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932195070 PECOS PAC ID: 9032285283 Enrollment ID: I20080911000652 |
| Provider Name | Hema Nirmal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043468028 PECOS PAC ID: 4082781364 Enrollment ID: I20080929000521 |
| Provider Name | Jeanine Ann Sommerville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669467304 PECOS PAC ID: 9931276045 Enrollment ID: I20081016000288 |
| Provider Name | Hans M Vatheuer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831280684 PECOS PAC ID: 9335202225 Enrollment ID: I20090121000115 |
| Provider Name | Carter Fitzhugh Yeatman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780872564 PECOS PAC ID: 9931263985 Enrollment ID: I20090205000520 |
| Provider Name | Julie M Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558447276 PECOS PAC ID: 0042367989 Enrollment ID: I20090413000259 |
| Provider Name | Brandt C Mohr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134239965 PECOS PAC ID: 6002966009 Enrollment ID: I20090612000527 |
| Provider Name | Asmita Chaudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861695124 PECOS PAC ID: 6608926498 Enrollment ID: I20090617000274 |
| Provider Name | Kelsey D Hines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639309446 PECOS PAC ID: 7911050299 Enrollment ID: I20090804000441 |
| Provider Name | Sara E Benveniste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346403623 PECOS PAC ID: 4183777345 Enrollment ID: I20090805000461 |
| Provider Name | Jon-pierre Pazevic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932141900 PECOS PAC ID: 1557415544 Enrollment ID: I20090810000449 |
| Provider Name | Christopher R Shuhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841374550 PECOS PAC ID: 0143374173 Enrollment ID: I20090811000108 |
| Provider Name | Jigish S Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437289147 PECOS PAC ID: 1557415320 Enrollment ID: I20090812000833 |
| Provider Name | Jennifer K Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528221819 PECOS PAC ID: 6507910049 Enrollment ID: I20090818000179 |
| Provider Name | Brett D Neilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548497654 PECOS PAC ID: 2567517808 Enrollment ID: I20090909000758 |
| Provider Name | Margaux R Emanuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326155136 PECOS PAC ID: 6406901784 Enrollment ID: I20090910000303 |
| Provider Name | Brittney R Paisley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881825289 PECOS PAC ID: 4183770399 Enrollment ID: I20090914000005 |
| Provider Name | Erica L Esher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740360197 PECOS PAC ID: 0143376210 Enrollment ID: I20090915000782 |
| Provider Name | Rashno Davoodi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225289192 PECOS PAC ID: 5698821270 Enrollment ID: I20090923000468 |
| Provider Name | Laura B Bogh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245463793 PECOS PAC ID: 4587700703 Enrollment ID: I20091001000382 |
| Provider Name | Juliet Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982719076 PECOS PAC ID: 7113063777 Enrollment ID: I20091013000093 |
| Provider Name | Staci G Ellis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376543884 PECOS PAC ID: 9537206073 Enrollment ID: I20091102000378 |
| Provider Name | Jenna E Rooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568695534 PECOS PAC ID: 9032258496 Enrollment ID: I20091125000516 |
| Provider Name | Robert J Klem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275508491 PECOS PAC ID: 6305987728 Enrollment ID: I20100107000534 |
| Provider Name | Fauzia M Karmali |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598728008 PECOS PAC ID: 3375685910 Enrollment ID: I20100120000882 |
| Provider Name | Linda K Strong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215999826 PECOS PAC ID: 6305988759 Enrollment ID: I20100122000357 |
| Provider Name | Jill A Cook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134233604 PECOS PAC ID: 8921141573 Enrollment ID: I20100204000086 |
| Provider Name | Thi C Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306920012 PECOS PAC ID: 6204979784 Enrollment ID: I20100205000279 |
| Provider Name | Run Xue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265594162 PECOS PAC ID: 6002959582 Enrollment ID: I20100205000294 |
| Provider Name | Esther F Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801979836 PECOS PAC ID: 3971646456 Enrollment ID: I20100205000310 |
| Provider Name | Warren L Fein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659455376 PECOS PAC ID: 6507909082 Enrollment ID: I20100205000320 |
| Provider Name | Bich-khanh K Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124080734 PECOS PAC ID: 6305980954 Enrollment ID: I20100219000391 |
| Provider Name | Rebecca S Duke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104900828 PECOS PAC ID: 2961547161 Enrollment ID: I20100226000244 |
| Provider Name | Joanne L Beaubien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538157599 PECOS PAC ID: 6305981507 Enrollment ID: I20100226000265 |
| Provider Name | Michael A Kovar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740352228 PECOS PAC ID: 3971648007 Enrollment ID: I20100301000717 |
| Provider Name | Christina M Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790956985 PECOS PAC ID: 2365587375 Enrollment ID: I20100302000559 |
| Provider Name | Alex C Efird |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669469144 PECOS PAC ID: 9032254057 Enrollment ID: I20100302000620 |
| Provider Name | Margo M Kober |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083601561 PECOS PAC ID: 2466597489 Enrollment ID: I20100302000661 |
| Provider Name | Jaime Novais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396732863 PECOS PAC ID: 3072658772 Enrollment ID: I20100305000493 |
| Provider Name | Paul B Sytman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134116627 PECOS PAC ID: 1951446368 Enrollment ID: I20100309000548 |
| Provider Name | Robert T Hogg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831273556 PECOS PAC ID: 9133264567 Enrollment ID: I20100309000794 |
| Provider Name | Amy M Deans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568546281 PECOS PAC ID: 9931244365 Enrollment ID: I20100309000819 |
| Provider Name | Matthew P Yuskaitis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750465464 PECOS PAC ID: 7214072651 Enrollment ID: I20100309000922 |
| Provider Name | Jeffrey S Wolff Gee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780755785 PECOS PAC ID: 4789719022 Enrollment ID: I20100311001060 |
| Provider Name | Martha L Hyde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003991340 PECOS PAC ID: 2365577343 Enrollment ID: I20100316000404 |
| Provider Name | Naheed Esmail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609938885 PECOS PAC ID: 6103951066 Enrollment ID: I20100317000290 |
| Provider Name | Constance Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386706026 PECOS PAC ID: 9537294228 Enrollment ID: I20100319000578 |
| Provider Name | John A Moen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568547800 PECOS PAC ID: 4082749783 Enrollment ID: I20100319000697 |
| Provider Name | Bruce A Webster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770549008 PECOS PAC ID: 5193850600 Enrollment ID: I20100322000796 |
| Provider Name | Jill A Summerfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912082256 PECOS PAC ID: 1850428053 Enrollment ID: I20100420000660 |
| Provider Name | Gretchen A Weitkamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871664870 PECOS PAC ID: 1850429697 Enrollment ID: I20100514000470 |
| Provider Name | Robert H Bayles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235111220 PECOS PAC ID: 6305975368 Enrollment ID: I20100601000311 |
| Provider Name | Van N Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174859292 PECOS PAC ID: 2264574524 Enrollment ID: I20100712000735 |
| Provider Name | Pooja Ramnath Voria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891944260 PECOS PAC ID: 4486787322 Enrollment ID: I20100729000533 |
| Provider Name | Eva Kojnok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720075294 PECOS PAC ID: 6002949799 Enrollment ID: I20100802000520 |
| Provider Name | Daniel Susanto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144364605 PECOS PAC ID: 6507999299 Enrollment ID: I20100802000582 |
| Provider Name | Jeremy B Hammel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962404798 PECOS PAC ID: 1658404157 Enrollment ID: I20100804000909 |
| Provider Name | Bryan J Chow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639408024 PECOS PAC ID: 9436282944 Enrollment ID: I20100804001067 |
| Provider Name | Kendra G Gil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487824215 PECOS PAC ID: 6204999865 Enrollment ID: I20100813000907 |
| Provider Name | Trieu T Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376706739 PECOS PAC ID: 6709910235 Enrollment ID: I20100818001193 |
| Provider Name | Eric A Gil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891781746 PECOS PAC ID: 0547394967 Enrollment ID: I20100819000981 |
| Provider Name | Jody M Bockrath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336125715 PECOS PAC ID: 4284758731 Enrollment ID: I20100903000970 |
| Provider Name | Kim E Pruess Nevins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982684833 PECOS PAC ID: 7012809718 Enrollment ID: I20100914000266 |
| Provider Name | Susan Foster Zdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689902132 PECOS PAC ID: 5294851697 Enrollment ID: I20100922001174 |
| Provider Name | David J Leffmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841295276 PECOS PAC ID: 9830181379 Enrollment ID: I20100923001283 |
| Provider Name | Tie Wei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336264761 PECOS PAC ID: 9436341567 Enrollment ID: I20101007001268 |
| Provider Name | Joni C Simon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124087580 PECOS PAC ID: 4082806906 Enrollment ID: I20101011001150 |
| Provider Name | Jennifer M Jacob |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851416028 PECOS PAC ID: 2365635455 Enrollment ID: I20101021000539 |
| Provider Name | Hemant R Nayak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720118490 PECOS PAC ID: 7517059579 Enrollment ID: I20101101000452 |
| Provider Name | Marlon R Balauag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437479409 PECOS PAC ID: 9830383710 Enrollment ID: I20101104000833 |
| Provider Name | Shana Allred |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073826749 PECOS PAC ID: 7012102189 Enrollment ID: I20101115000797 |
| Provider Name | Abel Tewodros |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396892444 PECOS PAC ID: 5991991309 Enrollment ID: I20101124000942 |
| Provider Name | Paul S Moraski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568779619 PECOS PAC ID: 8224224456 Enrollment ID: I20101130000294 |
| Provider Name | David A Spiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447203864 PECOS PAC ID: 0749477644 Enrollment ID: I20101203001051 |
| Provider Name | Judith Babcock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326091638 PECOS PAC ID: 1658568563 Enrollment ID: I20101203001068 |
| Provider Name | Molina M Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275727778 PECOS PAC ID: 1355530619 Enrollment ID: I20110118001094 |
| Provider Name | Ankur M Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790959732 PECOS PAC ID: 2769663004 Enrollment ID: I20110221000374 |
| Provider Name | Kiley E Steinriede |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871620963 PECOS PAC ID: 2769666585 Enrollment ID: I20110401000771 |
| Provider Name | Leila Richelle Hepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356642672 PECOS PAC ID: 3779765839 Enrollment ID: I20110406000206 |
| Provider Name | Karen E Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720014707 PECOS PAC ID: 4880798883 Enrollment ID: I20110428000447 |
| Provider Name | Luann L Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578647285 PECOS PAC ID: 9436335577 Enrollment ID: I20110525000422 |
| Provider Name | Christina A Coulter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164715538 PECOS PAC ID: 1456521947 Enrollment ID: I20110818000592 |
| Provider Name | Lili Yao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407017510 PECOS PAC ID: 0244401511 Enrollment ID: I20110916000108 |
| Provider Name | San Sophie Wong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508054826 PECOS PAC ID: 3779643283 Enrollment ID: I20110927000327 |
| Provider Name | Naomi G Diggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184870644 PECOS PAC ID: 6305017146 Enrollment ID: I20110927000604 |
| Provider Name | Janet K Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881858850 PECOS PAC ID: 9931370707 Enrollment ID: I20110927000900 |
| Provider Name | Troy Nordyke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326336868 PECOS PAC ID: 9234301771 Enrollment ID: I20111005000835 |
| Provider Name | David K Mcfarland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497839104 PECOS PAC ID: 6507038932 Enrollment ID: I20111007000240 |
| Provider Name | Ashley D Darnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558640748 PECOS PAC ID: 0446423131 Enrollment ID: I20111025000098 |
| Provider Name | Li Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861648487 PECOS PAC ID: 1850564469 Enrollment ID: I20111026000914 |
| Provider Name | Anny C Soon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790948255 PECOS PAC ID: 8325212202 Enrollment ID: I20111111000380 |
| Provider Name | David L Ege |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295916559 PECOS PAC ID: 4981870847 Enrollment ID: I20111227000806 |
| Provider Name | Susan M Altemeier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184709420 PECOS PAC ID: 4385810712 Enrollment ID: I20120105000685 |
| Provider Name | Elizabeth H Meade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720287444 PECOS PAC ID: 0042486300 Enrollment ID: I20120109000380 |
| Provider Name | Michael S Shamseldin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629142922 PECOS PAC ID: 7810164761 Enrollment ID: I20120118000570 |
| Provider Name | Christopher E Etzkorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912154428 PECOS PAC ID: 7113184664 Enrollment ID: I20120210000366 |
| Provider Name | Kristy L Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629270129 PECOS PAC ID: 6305006347 Enrollment ID: I20120416000330 |
| Provider Name | Chandni K Virdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134493802 PECOS PAC ID: 3173786894 Enrollment ID: I20120516000576 |
| Provider Name | Luciana F De Oliveira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518125954 PECOS PAC ID: 2668639253 Enrollment ID: I20120524000475 |
| Provider Name | Jennifer Renae Mcevoy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508056482 PECOS PAC ID: 2668658758 Enrollment ID: I20120803000654 |
| Provider Name | Lanae K Miner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841432309 PECOS PAC ID: 6406002484 Enrollment ID: I20120807000421 |
| Provider Name | Holly A Lickwala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699912295 PECOS PAC ID: 3476617481 Enrollment ID: I20120821000167 |
| Provider Name | Sibyl Siegfried |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780827568 PECOS PAC ID: 0143477356 Enrollment ID: I20120823000174 |
| Provider Name | Arun Vijay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548416670 PECOS PAC ID: 4082861117 Enrollment ID: I20120824000611 |
| Provider Name | Bradley S Roter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528045705 PECOS PAC ID: 9931356912 Enrollment ID: I20120827000416 |
| Provider Name | Danielle A Paster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962708800 PECOS PAC ID: 1658528153 Enrollment ID: I20120905000372 |
| Provider Name | Jillene M Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013140508 PECOS PAC ID: 0840448296 Enrollment ID: I20120910000882 |
| Provider Name | Kori Noelle Cossey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598992695 PECOS PAC ID: 8820259823 Enrollment ID: I20120913000751 |
| Provider Name | Gholamreza R Zinati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669691424 PECOS PAC ID: 7719136290 Enrollment ID: I20120926000508 |
| Provider Name | Stephen G Pulido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699903153 PECOS PAC ID: 0840449880 Enrollment ID: I20121005000540 |
| Provider Name | Christen B Oskouian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417026030 PECOS PAC ID: 8022056183 Enrollment ID: I20121016000629 |
| Provider Name | Kimberly B Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912131913 PECOS PAC ID: 1658521877 Enrollment ID: I20121025000033 |
| Provider Name | Tiffany L Herr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184957367 PECOS PAC ID: 9335317270 Enrollment ID: I20121029000137 |
| Provider Name | Nora K Kovit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083851158 PECOS PAC ID: 1456501279 Enrollment ID: I20121031000678 |
| Provider Name | Kristopher Adam Spinning |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518161017 PECOS PAC ID: 5395996649 Enrollment ID: I20121113000763 |
| Provider Name | Ross Michael Ondersma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841403110 PECOS PAC ID: 8123279486 Enrollment ID: I20121114000090 |
| Provider Name | Alexandra Elizabeth Pipes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154619757 PECOS PAC ID: 2163674482 Enrollment ID: I20121213000427 |
| Provider Name | Marc G Koenig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164460358 PECOS PAC ID: 9931163276 Enrollment ID: I20130218000096 |
| Provider Name | Lidia Wiersum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558605071 PECOS PAC ID: 4880849363 Enrollment ID: I20130307000299 |
| Provider Name | Gregg Aaron Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386756807 PECOS PAC ID: 7810994076 Enrollment ID: I20130404000310 |
| Provider Name | Amy Beth V Virnig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174704464 PECOS PAC ID: 8224274865 Enrollment ID: I20130426000189 |
| Provider Name | Kimber Leigh Dines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487743456 PECOS PAC ID: 4587802400 Enrollment ID: I20130604000449 |
| Provider Name | Kristin Freedman Cernak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992808778 PECOS PAC ID: 5395983100 Enrollment ID: I20130605000627 |
| Provider Name | Raanan Susanne Odom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821263336 PECOS PAC ID: 4183862899 Enrollment ID: I20130607000053 |
| Provider Name | Frances W Gmur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356619134 PECOS PAC ID: 8224277454 Enrollment ID: I20130620000123 |
| Provider Name | Hsiang-hwa Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043539968 PECOS PAC ID: 2365682606 Enrollment ID: I20130709000594 |
| Provider Name | Philip H Chung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528263738 PECOS PAC ID: 3971743154 Enrollment ID: I20130711000516 |
| Provider Name | Justin W Reif |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336488618 PECOS PAC ID: 1355581232 Enrollment ID: I20130717000884 |
| Provider Name | Andrew J Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710299904 PECOS PAC ID: 5395985287 Enrollment ID: I20130718000044 |
| Provider Name | Anne W Egleston Gerich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316282411 PECOS PAC ID: 1456592179 Enrollment ID: I20130723000557 |
| Provider Name | Adrianna C Mickelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215240031 PECOS PAC ID: 5890937791 Enrollment ID: I20130806000032 |
| Provider Name | Emma L Swingle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245473933 PECOS PAC ID: 3476796178 Enrollment ID: I20130828000456 |
| Provider Name | Tuan-anh D Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487965307 PECOS PAC ID: 1355584673 Enrollment ID: I20130905000118 |
| Provider Name | Nona L Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962408815 PECOS PAC ID: 9234195942 Enrollment ID: I20130924000398 |
| Provider Name | Aubrey L Girolamo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902123623 PECOS PAC ID: 7911141304 Enrollment ID: I20130925000697 |
| Provider Name | Kimberly Nicole Scaia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700136462 PECOS PAC ID: 0648404970 Enrollment ID: I20130927000641 |
| Provider Name | Nicholas W Napoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275844201 PECOS PAC ID: 6800020702 Enrollment ID: I20131008001880 |
| Provider Name | Genevieve W Hann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801117494 PECOS PAC ID: 0648405852 Enrollment ID: I20131024000345 |
| Provider Name | Rupin R Thakkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164528790 PECOS PAC ID: 1850526880 Enrollment ID: I20131029002017 |
| Provider Name | Agnes Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982699393 PECOS PAC ID: 8820223860 Enrollment ID: I20131030000291 |
| Provider Name | Robert Neal Falconer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255569752 PECOS PAC ID: 9436306826 Enrollment ID: I20131031000068 |
| Provider Name | Melissa Jennings Fabry Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043643422 PECOS PAC ID: 8224264593 Enrollment ID: I20131114000618 |
| Provider Name | Sonal S Avasare |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1811196686 PECOS PAC ID: 0648407619 Enrollment ID: I20131218001815 |
| Provider Name | Jeannette C Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831526664 PECOS PAC ID: 9032347745 Enrollment ID: I20131231001788 |
| Provider Name | Stephen L Walston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578887519 PECOS PAC ID: 9830335363 Enrollment ID: I20140213000002 |
| Provider Name | Austen L Stutsman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376899054 PECOS PAC ID: 8123275682 Enrollment ID: I20140311000581 |
| Provider Name | Song Zhao |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346562816 PECOS PAC ID: 4082844162 Enrollment ID: I20140312000338 |
| Provider Name | Debra Marie Fixman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659713030 PECOS PAC ID: 4183855174 Enrollment ID: I20140314000524 |
| Provider Name | Ellen L Juhl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669566006 PECOS PAC ID: 7719079052 Enrollment ID: I20140314001915 |
| Provider Name | Traci L Hiegel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942238753 PECOS PAC ID: 5395637318 Enrollment ID: I20140329000362 |
| Provider Name | Michael E Janssen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194804161 PECOS PAC ID: 0749358869 Enrollment ID: I20140411000983 |
| Provider Name | Marie Christine Longo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790752913 PECOS PAC ID: 3870726755 Enrollment ID: I20140429002279 |
| Provider Name | Enrica X Basilico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053348896 PECOS PAC ID: 9133121155 Enrollment ID: I20140519001664 |
| Provider Name | Kellie Ann Bradfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659792430 PECOS PAC ID: 0840413670 Enrollment ID: I20140524000139 |
| Provider Name | Melissa N Genualdi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326336926 PECOS PAC ID: 0941424006 Enrollment ID: I20140610002087 |
| Provider Name | Daniel J Henning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811124720 PECOS PAC ID: 5597921346 Enrollment ID: I20140619002118 |
| Provider Name | Erin E Bembry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326465535 PECOS PAC ID: 1850516261 Enrollment ID: I20140626002695 |
| Provider Name | Boyon Yun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750708269 PECOS PAC ID: 8921223819 Enrollment ID: I20140709001556 |
| Provider Name | Khaled S Elghonemy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063790665 PECOS PAC ID: 7012132780 Enrollment ID: I20140714001397 |
| Provider Name | Anika M Tideman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538594833 PECOS PAC ID: 5698990232 Enrollment ID: I20140715001893 |
| Provider Name | Anna Coke Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396037834 PECOS PAC ID: 1052536646 Enrollment ID: I20140716000890 |
| Provider Name | Amber Farook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588958599 PECOS PAC ID: 0244453413 Enrollment ID: I20140719000106 |
| Provider Name | Jake Harley Choiniere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578882452 PECOS PAC ID: 4688890155 Enrollment ID: I20140721000051 |
| Provider Name | Aimee J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700171980 PECOS PAC ID: 5799902151 Enrollment ID: I20140807001469 |
| Provider Name | Aiman M Qannan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730234303 PECOS PAC ID: 8426143710 Enrollment ID: I20140815001311 |
| Provider Name | Johnny Shum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407140056 PECOS PAC ID: 4082832241 Enrollment ID: I20140829000848 |
| Provider Name | Rex R Villanueva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417244385 PECOS PAC ID: 2466697370 Enrollment ID: I20140912001215 |
| Provider Name | Andrew T Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477844991 PECOS PAC ID: 1759529712 Enrollment ID: I20140923000087 |
| Provider Name | Arjun A Bansal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457595662 PECOS PAC ID: 8325268394 Enrollment ID: I20140925002599 |
| Provider Name | Elizabeth M Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891128971 PECOS PAC ID: 4981824729 Enrollment ID: I20140930001481 |
| Provider Name | Sophia Conley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861759896 PECOS PAC ID: 7416179239 Enrollment ID: I20141112000019 |
| Provider Name | Anna B Quast |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215346770 PECOS PAC ID: 9830311430 Enrollment ID: I20141115000109 |
| Provider Name | David Alan Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538202528 PECOS PAC ID: 5991876369 Enrollment ID: I20141208000528 |
| Provider Name | Julia Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225388440 PECOS PAC ID: 6800118225 Enrollment ID: I20141212002079 |
| Provider Name | Wenjia Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871901546 PECOS PAC ID: 4385967504 Enrollment ID: I20141219000731 |
| Provider Name | Stephanie Irwin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437552569 PECOS PAC ID: 5092039263 Enrollment ID: I20150116000134 |
| Provider Name | Sarah L Stanos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700992591 PECOS PAC ID: 4880613447 Enrollment ID: I20150218001471 |
| Provider Name | Jessica Howell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417240987 PECOS PAC ID: 8123343977 Enrollment ID: I20150219000691 |
| Provider Name | Stephanie R Develle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447321070 PECOS PAC ID: 7012236896 Enrollment ID: I20150428002472 |
| Provider Name | Jennifer S O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336537612 PECOS PAC ID: 1052631660 Enrollment ID: I20150521002649 |
| Provider Name | Janani Kidambi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205107943 PECOS PAC ID: 9032332291 Enrollment ID: I20150521002780 |
| Provider Name | Alicia G Jorgenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134385719 PECOS PAC ID: 3971824970 Enrollment ID: I20150602002852 |
| Provider Name | Ursula V Melendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538568654 PECOS PAC ID: 6204157019 Enrollment ID: I20150604002985 |
| Provider Name | Ronald F Loch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386888410 PECOS PAC ID: 0143459628 Enrollment ID: I20150701002445 |
| Provider Name | Loren R Gorosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356585350 PECOS PAC ID: 8921261751 Enrollment ID: I20150724011966 |
| Provider Name | Kathryn H Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205222429 PECOS PAC ID: 3072827542 Enrollment ID: I20150729007313 |
| Provider Name | Agnes Borjal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760411557 PECOS PAC ID: 6507861614 Enrollment ID: I20150811004695 |
| Provider Name | Jessica A Ivers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831414077 PECOS PAC ID: 7416262001 Enrollment ID: I20150811004916 |
| Provider Name | Anuj Khattar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841550712 PECOS PAC ID: 3375863517 Enrollment ID: I20150813012395 |
| Provider Name | Maria D Fan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497020580 PECOS PAC ID: 8527373794 Enrollment ID: I20150817002527 |
| Provider Name | Rebecca England |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659615193 PECOS PAC ID: 7618282427 Enrollment ID: I20150821013820 |
| Provider Name | Emily N Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205190998 PECOS PAC ID: 7214255868 Enrollment ID: I20150821013860 |
| Provider Name | Annamarie Mackey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205193315 PECOS PAC ID: 9436470747 Enrollment ID: I20150902001904 |
| Provider Name | Briana L Rogers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356718969 PECOS PAC ID: 7012225428 Enrollment ID: I20151005003137 |
| Provider Name | Lida Celeste Turner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396035036 PECOS PAC ID: 3779891031 Enrollment ID: I20151006002309 |
| Provider Name | April E Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669773958 PECOS PAC ID: 6709195654 Enrollment ID: I20151016000746 |
| Provider Name | Shannon N Albert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891074159 PECOS PAC ID: 8123328481 Enrollment ID: I20151118002607 |
| Provider Name | Janelle J Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992922421 PECOS PAC ID: 4587964515 Enrollment ID: I20151124001336 |
| Provider Name | Rachel M King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902294515 PECOS PAC ID: 2163743667 Enrollment ID: I20151201002531 |
| Provider Name | Hannu Tapio Huhdanpaa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780903773 PECOS PAC ID: 0143473611 Enrollment ID: I20151208002998 |
| Provider Name | Julie B Foerster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073981775 PECOS PAC ID: 0648571273 Enrollment ID: I20151223001151 |
| Provider Name | Jacqueline L Hunziker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720340540 PECOS PAC ID: 5799087094 Enrollment ID: I20160104001415 |
| Provider Name | Katherine Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124394226 PECOS PAC ID: 5698095529 Enrollment ID: I20160118000927 |
| Provider Name | Rulon J Waite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750335626 PECOS PAC ID: 8921049131 Enrollment ID: I20160119002829 |
| Provider Name | Heather Roehrs Galgon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659699940 PECOS PAC ID: 7315167863 Enrollment ID: I20160122001776 |
| Provider Name | Karen Lynn Veliyev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821474735 PECOS PAC ID: 3678876588 Enrollment ID: I20160127001938 |
| Provider Name | Rebecca M Cronin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740454917 PECOS PAC ID: 2769552306 Enrollment ID: I20160201001431 |
| Provider Name | Emmy N Davison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124382676 PECOS PAC ID: 4284946872 Enrollment ID: I20160205000734 |
| Provider Name | Kimthuy Le |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194909077 PECOS PAC ID: 8325234099 Enrollment ID: I20160210002023 |
| Provider Name | Nwando Anyaoku |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144245960 PECOS PAC ID: 1254510936 Enrollment ID: I20160218000739 |
| Provider Name | Lindsay Marie Sellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255703963 PECOS PAC ID: 4981900602 Enrollment ID: I20160307001645 |
| Provider Name | Gary F Henkel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336160571 PECOS PAC ID: 8921172057 Enrollment ID: I20160405002494 |
| Provider Name | Kenneth J Hebert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982815296 PECOS PAC ID: 5698891703 Enrollment ID: I20160411000471 |
| Provider Name | Amy Lentz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164546842 PECOS PAC ID: 8729386461 Enrollment ID: I20160414000294 |
| Provider Name | Thomas J Swanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235456674 PECOS PAC ID: 8527283670 Enrollment ID: I20160708002029 |
| Provider Name | Elizabeth G Gillenwater |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730441817 PECOS PAC ID: 1456643451 Enrollment ID: I20160712002621 |
| Provider Name | Lawrence Jungho Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427272756 PECOS PAC ID: 1254498959 Enrollment ID: I20160719000474 |
| Provider Name | Adam Karz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992021281 PECOS PAC ID: 5597059683 Enrollment ID: I20160812000387 |
| Provider Name | Songyan Mao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235160474 PECOS PAC ID: 2961409263 Enrollment ID: I20160815002129 |
| Provider Name | Vivian S Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548526973 PECOS PAC ID: 0143449488 Enrollment ID: I20160817003222 |
| Provider Name | Arman Forouzannia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295878221 PECOS PAC ID: 5092847764 Enrollment ID: I20160825001215 |
| Provider Name | John Anthony Griffin |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1821014903 PECOS PAC ID: 2567366339 Enrollment ID: I20160830002072 |
| Provider Name | Mimi Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063754075 PECOS PAC ID: 2365760766 Enrollment ID: I20160831000339 |
| Provider Name | Fumi Obuse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730599572 PECOS PAC ID: 2365661006 Enrollment ID: I20160908001637 |
| Provider Name | Shamim H Nejad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124120761 PECOS PAC ID: 0345341400 Enrollment ID: I20160926001618 |
| Provider Name | Matthew Jared Fradkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013282581 PECOS PAC ID: 3870880362 Enrollment ID: I20160927002665 |
| Provider Name | Fengxia Qiao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881767507 PECOS PAC ID: 0749331072 Enrollment ID: I20160928002591 |
| Provider Name | Ashley E Steinmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932592409 PECOS PAC ID: 9032439039 Enrollment ID: I20160930001970 |
| Provider Name | Guozhen Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053354613 PECOS PAC ID: 3476690660 Enrollment ID: I20161003001514 |
| Provider Name | Emily Glenn Ferrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770825739 PECOS PAC ID: 3678892122 Enrollment ID: I20161003001939 |
| Provider Name | Teresa Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952739864 PECOS PAC ID: 0840599197 Enrollment ID: I20161005001097 |
| Provider Name | Kathryn George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801341870 PECOS PAC ID: 1951699966 Enrollment ID: I20161006001885 |
| Provider Name | Nicole Amber Berry Schick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720214513 PECOS PAC ID: 6406010792 Enrollment ID: I20161010000390 |
| Provider Name | Lynne Tempest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710330808 PECOS PAC ID: 9830487537 Enrollment ID: I20161012002583 |
| Provider Name | Kristina Marie Quick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235430208 PECOS PAC ID: 8224316302 Enrollment ID: I20161024002515 |
| Provider Name | Christina Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700332194 PECOS PAC ID: 2365720026 Enrollment ID: I20161031002189 |
| Provider Name | Hartley M Sirkis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659541449 PECOS PAC ID: 5890869200 Enrollment ID: I20161101001796 |
| Provider Name | Chandra C Maloney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720344245 PECOS PAC ID: 3678885811 Enrollment ID: I20161105000186 |
| Provider Name | David Andrew Gerrans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821445859 PECOS PAC ID: 5496034910 Enrollment ID: I20161128000295 |
| Provider Name | Kelly A Barton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265982904 PECOS PAC ID: 4688955321 Enrollment ID: I20170111002380 |
| Provider Name | Sean P Marley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497904304 PECOS PAC ID: 9436209715 Enrollment ID: I20170125000670 |
| Provider Name | Valerie A O'meara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982715520 PECOS PAC ID: 7214257682 Enrollment ID: I20170405002015 |
| Provider Name | Tamuna Chabra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922432335 PECOS PAC ID: 1052627064 Enrollment ID: I20170410002190 |
| Provider Name | Christopher G Zaleski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487760302 PECOS PAC ID: 9234207028 Enrollment ID: I20170421000793 |
| Provider Name | Jennie Chen Shang Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316936891 PECOS PAC ID: 9931170461 Enrollment ID: I20170509001866 |
| Provider Name | John Hardin Hawes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205102407 PECOS PAC ID: 0840509303 Enrollment ID: I20170622000681 |
| Provider Name | Mitchell Lawrence Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740523257 PECOS PAC ID: 5799005864 Enrollment ID: I20170626001644 |
| Provider Name | Andrew Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932491495 PECOS PAC ID: 2769759919 Enrollment ID: I20170628003207 |
| Provider Name | Garland H Mcquinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164714408 PECOS PAC ID: 0547406621 Enrollment ID: I20170629002522 |
| Provider Name | Ronan J Cahill |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871939520 PECOS PAC ID: 9234450313 Enrollment ID: I20170705003411 |
| Provider Name | Elliot R Twiggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396164851 PECOS PAC ID: 2365761947 Enrollment ID: I20170711002731 |
| Provider Name | Teresa Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952739864 PECOS PAC ID: 0840599197 Enrollment ID: I20170712003226 |
| Provider Name | Catherine Chen Dong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174934137 PECOS PAC ID: 6305115973 Enrollment ID: I20170713001358 |
| Provider Name | Meena N Somasundaram |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558450114 PECOS PAC ID: 4082984489 Enrollment ID: I20170718001334 |
| Provider Name | Katie Greger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811303324 PECOS PAC ID: 1557587839 Enrollment ID: I20170724000486 |
| Provider Name | Paul Doetsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255674776 PECOS PAC ID: 5092032516 Enrollment ID: I20170724000681 |
| Provider Name | Stephanie Hodges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255741419 PECOS PAC ID: 6305064221 Enrollment ID: I20170809002510 |
| Provider Name | Jonathon Hodges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467862581 PECOS PAC ID: 9335368265 Enrollment ID: I20170817004164 |
| Provider Name | Christine R Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942721071 PECOS PAC ID: 0941572846 Enrollment ID: I20170825003425 |
| Provider Name | Emily Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366967630 PECOS PAC ID: 2567735996 Enrollment ID: I20170907001236 |
| Provider Name | Bradley R Herrin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093006942 PECOS PAC ID: 7618191669 Enrollment ID: I20170908001927 |
| Provider Name | Mary G Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306377262 PECOS PAC ID: 9830464734 Enrollment ID: I20171003005066 |
| Provider Name | Kyle Mark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003334871 PECOS PAC ID: 5799050068 Enrollment ID: I20171012001970 |
| Provider Name | Carla Haney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982123782 PECOS PAC ID: 2668747874 Enrollment ID: I20171013000482 |
| Provider Name | Andrew L Eastman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972846475 PECOS PAC ID: 0648592014 Enrollment ID: I20171018003047 |
| Provider Name | Matthew Patterson Paletta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356756332 PECOS PAC ID: 4880903566 Enrollment ID: I20171114003424 |
| Provider Name | Alexandra Shipman Rackoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750656195 PECOS PAC ID: 0143535377 Enrollment ID: I20171207001671 |
| Provider Name | Bethany R Low |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073033320 PECOS PAC ID: 7618235532 Enrollment ID: I20171226001973 |
| Provider Name | Trevor L Souik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336652932 PECOS PAC ID: 1052679792 Enrollment ID: I20171229000972 |
| Provider Name | Anthony Guynes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285041137 PECOS PAC ID: 0446530810 Enrollment ID: I20180112001016 |
| Provider Name | Megan Marie Caraway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588015085 PECOS PAC ID: 9032478243 Enrollment ID: I20180116001782 |
| Provider Name | Juliana H Nam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972024529 PECOS PAC ID: 1456612944 Enrollment ID: I20180226000168 |
| Provider Name | Erin Santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225560741 PECOS PAC ID: 9830452291 Enrollment ID: I20180417001675 |
| Provider Name | Derrick Steven Lowery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205157666 PECOS PAC ID: 9335375773 Enrollment ID: I20180501002887 |
| Provider Name | Anna E Condino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346650017 PECOS PAC ID: 7214257708 Enrollment ID: I20180508001106 |
| Provider Name | Shaina Marie Gates Hakala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023548492 PECOS PAC ID: 3274897749 Enrollment ID: I20180509000907 |
| Provider Name | Christina L Gelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104349273 PECOS PAC ID: 5496019853 Enrollment ID: I20180510002518 |
| Provider Name | Yun J Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922471457 PECOS PAC ID: 4587937065 Enrollment ID: I20180524000894 |
| Provider Name | Carmen L Morales-litchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033534672 PECOS PAC ID: 5799071346 Enrollment ID: I20180618000703 |
| Provider Name | Susanne Elizabeth Weber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144549783 PECOS PAC ID: 6800142860 Enrollment ID: I20180704000027 |
| Provider Name | Robert Cruikshank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255821112 PECOS PAC ID: 9638426539 Enrollment ID: I20180724002053 |
| Provider Name | Elizabeth Kersten Wolpaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083034185 PECOS PAC ID: 7618298738 Enrollment ID: I20180724002576 |
| Provider Name | Natalie N Talbott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194102392 PECOS PAC ID: 8426363235 Enrollment ID: I20180810002885 |
| Provider Name | Chinonyelum Blessing Obih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174918965 PECOS PAC ID: 4789933474 Enrollment ID: I20180813003465 |
| Provider Name | Deanna M Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639612617 PECOS PAC ID: 2365791621 Enrollment ID: I20180820001407 |
| Provider Name | Jennifer B Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043717903 PECOS PAC ID: 3678822640 Enrollment ID: I20180823003492 |
| Provider Name | Thomas Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043663446 PECOS PAC ID: 9537457999 Enrollment ID: I20180824002123 |
| Provider Name | Clinton J Hobson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578908141 PECOS PAC ID: 0345546677 Enrollment ID: I20180827003451 |
| Provider Name | David W Ashmead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013495274 PECOS PAC ID: 7810240751 Enrollment ID: I20181023003150 |
| Provider Name | Margo Badman Fredericks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508311853 PECOS PAC ID: 3375823834 Enrollment ID: I20181024003338 |
| Provider Name | Jeremy Rt King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073000345 PECOS PAC ID: 4082958038 Enrollment ID: I20181203002876 |
| Provider Name | Christine Chon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962883488 PECOS PAC ID: 0345524419 Enrollment ID: I20181205002123 |
| Provider Name | Julie L Vieselmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780169334 PECOS PAC ID: 2062757313 Enrollment ID: I20181214002169 |
| Provider Name | Sydney J Osborne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205145224 PECOS PAC ID: 0941496798 Enrollment ID: I20181226001973 |
| Provider Name | Heather Kalafarski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952895989 PECOS PAC ID: 9537405535 Enrollment ID: I20190111002640 |
| Provider Name | Laura A Boucher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710397922 PECOS PAC ID: 8820335094 Enrollment ID: I20190125000538 |
| Provider Name | Ravneet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841647443 PECOS PAC ID: 3577855972 Enrollment ID: I20190320001464 |
| Provider Name | Dana R Mahmoud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922373216 PECOS PAC ID: 5799079117 Enrollment ID: I20190404000588 |
| Provider Name | Jessica Riah Ortiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447652219 PECOS PAC ID: 9032451232 Enrollment ID: I20190508000366 |
| Provider Name | Tiffany P Chiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538533740 PECOS PAC ID: 6608154851 Enrollment ID: I20190605002569 |
| Provider Name | Taylor N Malazdrewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831639848 PECOS PAC ID: 0244563070 Enrollment ID: I20190611002017 |
| Provider Name | Yu Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295122356 PECOS PAC ID: 1557694072 Enrollment ID: I20190614000679 |
| Provider Name | Alicia Marie Placko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780249466 PECOS PAC ID: 5092049700 Enrollment ID: I20190701001295 |
| Provider Name | Jennifer M Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578903373 PECOS PAC ID: 8022303924 Enrollment ID: I20190712002809 |
| Provider Name | Eric Lawrence Soriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194171041 PECOS PAC ID: 1850685447 Enrollment ID: I20190722002221 |
| Provider Name | Marissa C Hahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831518489 PECOS PAC ID: 6406177898 Enrollment ID: I20190815000796 |
| Provider Name | Kimberly K Liekweg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477909901 PECOS PAC ID: 1355678103 Enrollment ID: I20190816000573 |
| Provider Name | Sanh Huy Luu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518311703 PECOS PAC ID: 8224321914 Enrollment ID: I20190816001052 |
| Provider Name | Lauren E Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871058073 PECOS PAC ID: 1658609987 Enrollment ID: I20190826000767 |
| Provider Name | Minoo B Dcruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750731782 PECOS PAC ID: 3375837941 Enrollment ID: I20190827001827 |
| Provider Name | Benjamin Hamilton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437504677 PECOS PAC ID: 3173816766 Enrollment ID: I20191003003721 |
| Provider Name | Vivian Yu-en Hsiao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578055083 PECOS PAC ID: 8022349083 Enrollment ID: I20191007001621 |
| Provider Name | Adam J Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437708369 PECOS PAC ID: 6507197480 Enrollment ID: I20191007002967 |
| Provider Name | Taylor Nelp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306290994 PECOS PAC ID: 8022300102 Enrollment ID: I20191010002711 |
| Provider Name | David L Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144648148 PECOS PAC ID: 7012248479 Enrollment ID: I20191016000822 |
| Provider Name | Reena Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760836571 PECOS PAC ID: 6305131467 Enrollment ID: I20191022003281 |
| Provider Name | Harrison A Kalodimos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487016689 PECOS PAC ID: 3870872690 Enrollment ID: I20191022003753 |
| Provider Name | Jonathon E Sargent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316301930 PECOS PAC ID: 7911290333 Enrollment ID: I20191025001139 |
| Provider Name | Stephanie R Arguelles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104119908 PECOS PAC ID: 0749560316 Enrollment ID: I20191030003651 |
| Provider Name | Sophia Elizabeth Mallet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215467527 PECOS PAC ID: 2961734439 Enrollment ID: I20191101002478 |
| Provider Name | Peter Case Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649625955 PECOS PAC ID: 2264777861 Enrollment ID: I20191104000534 |
| Provider Name | Alicia Diane Chunn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578670519 PECOS PAC ID: 8426060120 Enrollment ID: I20191210001143 |
| Provider Name | Janet Morton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730722216 PECOS PAC ID: 1658704358 Enrollment ID: I20191211001524 |
| Provider Name | Christopher A Luckow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326422627 PECOS PAC ID: 1153754650 Enrollment ID: I20191212002980 |
| Provider Name | Elizabeth E Culliton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780109959 PECOS PAC ID: 7113290560 Enrollment ID: I20191227000113 |
| Provider Name | Kayleen M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134772148 PECOS PAC ID: 2961838438 Enrollment ID: I20200130003098 |
| Provider Name | Heather A De La Fuente |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861960890 PECOS PAC ID: 5597190793 Enrollment ID: I20200131002733 |
| Provider Name | Daniel S Gam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447515077 PECOS PAC ID: 7719315514 Enrollment ID: I20200309002618 |
| Provider Name | Susan Malatesta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720402142 PECOS PAC ID: 5698093383 Enrollment ID: I20200311002432 |
| Provider Name | Alana R Scheibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508419920 PECOS PAC ID: 7618305178 Enrollment ID: I20200316000954 |
| Provider Name | Lisa James Hammon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467921361 PECOS PAC ID: 8820427503 Enrollment ID: I20200331002940 |
| Provider Name | Samantha Rose Dowling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457916769 PECOS PAC ID: 8527497866 Enrollment ID: I20200407002686 |
| Provider Name | Jessica Lujan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992169262 PECOS PAC ID: 5294024774 Enrollment ID: I20200414002616 |
| Provider Name | Carol Venable |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285665760 PECOS PAC ID: 4880697861 Enrollment ID: I20200528000830 |
| Provider Name | Lindsay N Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003229121 PECOS PAC ID: 9931470002 Enrollment ID: I20200610000442 |
| Provider Name | Rachel M Ebeling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578036315 PECOS PAC ID: 6002239993 Enrollment ID: I20200710001642 |
| Provider Name | Helen Z Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053774000 PECOS PAC ID: 6103117619 Enrollment ID: I20200720000436 |
| Provider Name | Mustafa Burak Tunc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730617044 PECOS PAC ID: 3274801956 Enrollment ID: I20200722002479 |
| Provider Name | Patrick O Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093256927 PECOS PAC ID: 7416372990 Enrollment ID: I20200730002468 |
| Provider Name | Kisha M Clune |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356795363 PECOS PAC ID: 2163716721 Enrollment ID: I20200804002280 |
| Provider Name | Anna Eleanor Goebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003346271 PECOS PAC ID: 9537431291 Enrollment ID: I20200806000089 |
| Provider Name | Minh Hang Dao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205356276 PECOS PAC ID: 5890067557 Enrollment ID: I20200826002681 |
| Provider Name | Michelle Marie Happenny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366833147 PECOS PAC ID: 3476825472 Enrollment ID: I20200827003425 |
| Provider Name | Christopher Scodeller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417305137 PECOS PAC ID: 9436438371 Enrollment ID: I20200831002406 |
| Provider Name | Kyle Wills Hocquard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487186490 PECOS PAC ID: 7911325808 Enrollment ID: I20200909001274 |
| Provider Name | Hilary Joy Wirkkala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689619231 PECOS PAC ID: 5890113724 Enrollment ID: I20200909002676 |
| Provider Name | Diana Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720519374 PECOS PAC ID: 5698047017 Enrollment ID: I20200917001883 |
| Provider Name | Rajeshwari Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326675752 PECOS PAC ID: 7315365665 Enrollment ID: I20200917002865 |
| Provider Name | Lauren Hart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013395292 PECOS PAC ID: 6305144395 Enrollment ID: I20200925001194 |
| Provider Name | Christina Kay Choung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790210847 PECOS PAC ID: 3173893542 Enrollment ID: I20200929003708 |
| Provider Name | Blessy Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295268407 PECOS PAC ID: 4082034012 Enrollment ID: I20201013003013 |
| Provider Name | Brittany Kayla Willey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437769619 PECOS PAC ID: 7315367372 Enrollment ID: I20201014000534 |
| Provider Name | Acacia G Dyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861091688 PECOS PAC ID: 7517377385 Enrollment ID: I20201105002022 |
| Provider Name | Matthew Choi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922279314 PECOS PAC ID: 6709965460 Enrollment ID: I20201203000569 |
| Provider Name | Mark D Bouchard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316392517 PECOS PAC ID: 4981949690 Enrollment ID: I20210119001532 |
| Provider Name | Rachael Nkeiruka Banda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306378575 PECOS PAC ID: 6800200189 Enrollment ID: I20210127002798 |
| Provider Name | David M Vollan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841887080 PECOS PAC ID: 0749694073 Enrollment ID: I20210128001193 |
| Provider Name | Meghan G Nishinaga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790009132 PECOS PAC ID: 9436312931 Enrollment ID: I20210301001085 |
| Provider Name | Dmitry Natividad Machutes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912349051 PECOS PAC ID: 5597171686 Enrollment ID: I20210316001151 |
| Provider Name | April Degennaro Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967275 PECOS PAC ID: 7517374903 Enrollment ID: I20210331002596 |
| Provider Name | Shu-chin Tseng |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982299251 PECOS PAC ID: 2769891936 Enrollment ID: I20210429002689 |
| Provider Name | Hala Hazem Sabry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871738138 PECOS PAC ID: 6002957743 Enrollment ID: I20210505000958 |
| Provider Name | Evan Matthew Randall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952836132 PECOS PAC ID: 9234407230 Enrollment ID: I20210513001140 |
| Provider Name | Yonitte Kinsella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730476573 PECOS PAC ID: 0345479861 Enrollment ID: I20210601001146 |
| Provider Name | Caitlin Motte Cooney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821497264 PECOS PAC ID: 3375763774 Enrollment ID: I20210609002257 |
| Provider Name | Anthony Trinh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114404332 PECOS PAC ID: 6204167828 Enrollment ID: I20210614002287 |
| Provider Name | Kristin June Braden Thai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295226355 PECOS PAC ID: 0749539286 Enrollment ID: I20210719001553 |
| Provider Name | Mckenna N Cosottile |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326575960 PECOS PAC ID: 9830592237 Enrollment ID: I20210722002217 |
| Provider Name | Jenna H Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780719138 PECOS PAC ID: 4183640972 Enrollment ID: I20210723003348 |
| Provider Name | Emily A Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568034890 PECOS PAC ID: 3678976511 Enrollment ID: I20210729001362 |
| Provider Name | Brianna E Grinnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235620378 PECOS PAC ID: 9032467816 Enrollment ID: I20210804001896 |
| Provider Name | Jungeun Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255772505 PECOS PAC ID: 3375837396 Enrollment ID: I20210806001220 |
| Provider Name | Michael D Richter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982068235 PECOS PAC ID: 6103118021 Enrollment ID: I20210810002985 |
| Provider Name | Vanessa Maria Kopaniak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598337156 PECOS PAC ID: 3476958554 Enrollment ID: I20210827001434 |
| Provider Name | Karen Akasaka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053775601 PECOS PAC ID: 8022309301 Enrollment ID: I20210830000542 |
| Provider Name | Ping Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740777341 PECOS PAC ID: 2466709688 Enrollment ID: I20210903002248 |
| Provider Name | Haris Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609301878 PECOS PAC ID: 2860741543 Enrollment ID: I20210908002860 |
| Provider Name | Davis Staley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508539263 PECOS PAC ID: 8224434758 Enrollment ID: I20210909001103 |
| Provider Name | Osayamen O Omoruyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467814582 PECOS PAC ID: 3678867744 Enrollment ID: I20210920002513 |
| Provider Name | Theresa Anne Swank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124519293 PECOS PAC ID: 8224387774 Enrollment ID: I20211012001469 |
| Provider Name | Nicola J Rentschler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417448572 PECOS PAC ID: 9234488776 Enrollment ID: I20211018001464 |
| Provider Name | Bill Quach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053800094 PECOS PAC ID: 2365840659 Enrollment ID: I20211019000118 |
| Provider Name | Caleb Goodman Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740743319 PECOS PAC ID: 3870981699 Enrollment ID: I20211028000627 |
| Provider Name | Amna Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073001350 PECOS PAC ID: 2567711302 Enrollment ID: I20211101000194 |
| Provider Name | Travis T Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689107880 PECOS PAC ID: 3779971213 Enrollment ID: I20211102002125 |
| Provider Name | Courtney N Lavadia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891306668 PECOS PAC ID: 1850780602 Enrollment ID: I20211116002416 |
| Provider Name | Angela L Christiansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255770426 PECOS PAC ID: 5799081766 Enrollment ID: I20211213000525 |
| Provider Name | Tyler J Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316600968 PECOS PAC ID: 4880084565 Enrollment ID: I20211213001337 |
| Provider Name | Manisha Thuparani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447754684 PECOS PAC ID: 8921359001 Enrollment ID: I20211223000517 |
| Provider Name | Erica Bea Brook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245501220 PECOS PAC ID: 9739330978 Enrollment ID: I20220124001895 |
| Provider Name | Alex Davies |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356824452 PECOS PAC ID: 5496009235 Enrollment ID: I20220126000993 |
| Provider Name | Terri Neal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447268941 PECOS PAC ID: 5597754325 Enrollment ID: I20220204001478 |
| Provider Name | Amala Sagar Joshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144485848 PECOS PAC ID: 1052704343 Enrollment ID: I20220209001620 |
| Provider Name | Simon Jinhung Li |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003423179 PECOS PAC ID: 3274927512 Enrollment ID: I20220302000450 |
| Provider Name | Mason W Oltman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770679888 PECOS PAC ID: 2961502471 Enrollment ID: I20220322001589 |
| Provider Name | Ashline M Hermiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891295929 PECOS PAC ID: 2466847694 Enrollment ID: I20220324001525 |
| Provider Name | Elizabeth Patterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083095632 PECOS PAC ID: 9638565617 Enrollment ID: I20220330002079 |
| Provider Name | Justin A Toulon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225684939 PECOS PAC ID: 3870986599 Enrollment ID: I20220408002093 |
| Provider Name | Julia L Terman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639593569 PECOS PAC ID: 7214280601 Enrollment ID: I20220411002258 |
| Provider Name | Emily Rose Bainwol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770066979 PECOS PAC ID: 0143572677 Enrollment ID: I20220427002367 |
| Provider Name | Hoang V Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861920746 PECOS PAC ID: 6608293154 Enrollment ID: I20220512002538 |
| Provider Name | Hannah Medvid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902363450 PECOS PAC ID: 6608253414 Enrollment ID: I20220517002611 |
| Provider Name | Denise Lonetta Griffith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144880410 PECOS PAC ID: 2769862119 Enrollment ID: I20220701002385 |
| Provider Name | Shamila A Panjwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255894127 PECOS PAC ID: 9931436920 Enrollment ID: I20220713004086 |
| Provider Name | Eric Michael Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255891396 PECOS PAC ID: 5799166617 Enrollment ID: I20220722001470 |
| Provider Name | Greggory E Watlington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649834664 PECOS PAC ID: 3375879992 Enrollment ID: I20220725001634 |
| Provider Name | Van Bao Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962988394 PECOS PAC ID: 0446633200 Enrollment ID: I20220811003564 |
| Provider Name | Allison N Casciato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740690429 PECOS PAC ID: 2163724816 Enrollment ID: I20220816001386 |
| Provider Name | Janice July Yoo Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922503580 PECOS PAC ID: 2365867173 Enrollment ID: I20220816001870 |
| Provider Name | Ryan E Kuhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831756998 PECOS PAC ID: 0941619282 Enrollment ID: I20220825002062 |
| Provider Name | Anne M Drolet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831651603 PECOS PAC ID: 9234463399 Enrollment ID: I20220831003335 |
| Provider Name | Rayson Takeshi Sorayama |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013648724 PECOS PAC ID: 1557745098 Enrollment ID: I20220831003416 |
| Provider Name | Katherine Grace Palmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700383700 PECOS PAC ID: 3870849409 Enrollment ID: I20220901002718 |
| Provider Name | Deepthika Ennamuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285195941 PECOS PAC ID: 6901130392 Enrollment ID: I20220901002899 |
| Provider Name | Drake W Cramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063972149 PECOS PAC ID: 8921333931 Enrollment ID: I20220901002927 |
| Provider Name | Matine J Shenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396302592 PECOS PAC ID: 5991196032 Enrollment ID: I20220902000515 |
| Provider Name | Harry T Wynn-williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548766678 PECOS PAC ID: 8426432618 Enrollment ID: I20220907003339 |
| Provider Name | Victor Cai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104386275 PECOS PAC ID: 9436480332 Enrollment ID: I20220909001441 |
| Provider Name | Aaron Minseok Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144948894 PECOS PAC ID: 1254716376 Enrollment ID: I20220909002057 |
| Provider Name | Adam O'connor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588124622 PECOS PAC ID: 7214262963 Enrollment ID: I20220916001427 |
| Provider Name | Ashley E Hamel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821651977 PECOS PAC ID: 4981080181 Enrollment ID: I20220926000778 |
| Provider Name | Rebecca A Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144746991 PECOS PAC ID: 1355727132 Enrollment ID: I20220930002584 |
| Provider Name | Amit G Tolani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033672126 PECOS PAC ID: 5395070940 Enrollment ID: I20221013003690 |
| Provider Name | Catherine E Kirkman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346890167 PECOS PAC ID: 2062845134 Enrollment ID: I20221025002071 |
| Provider Name | Rubin D Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598297111 PECOS PAC ID: 8921376997 Enrollment ID: I20221104002708 |
| Provider Name | Jarrod Mcmillen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972228542 PECOS PAC ID: 8628446788 Enrollment ID: I20221121001368 |
| Provider Name | Riddhi S Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922374602 PECOS PAC ID: 8426427972 Enrollment ID: I20221206001568 |
| Provider Name | Kimmeth E Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184275166 PECOS PAC ID: 6103238795 Enrollment ID: I20221220001639 |
| Provider Name | Hayley T Hemphill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124553508 PECOS PAC ID: 2769852755 Enrollment ID: I20230109002039 |
| Provider Name | Chi Zhang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205594033 PECOS PAC ID: 0840662771 Enrollment ID: I20230202000796 |
| Provider Name | Christina Suzana Cress |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073237434 PECOS PAC ID: 6901278720 Enrollment ID: I20230203001963 |
| Provider Name | Amy Dao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841921913 PECOS PAC ID: 4284007287 Enrollment ID: I20230222000622 |
| Provider Name | Wren M Yoder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477271385 PECOS PAC ID: 3779957824 Enrollment ID: I20230313002338 |
| Provider Name | Victoria Lu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346916145 PECOS PAC ID: 4981002474 Enrollment ID: I20230320002970 |
| Provider Name | Janis Milne Zetlen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629378765 PECOS PAC ID: 7618341835 Enrollment ID: I20230329001776 |
| Provider Name | Katerina Volosevych |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770128548 PECOS PAC ID: 7719352772 Enrollment ID: I20230405002797 |
| Provider Name | Matthew Patton Gaines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508980004 PECOS PAC ID: 0143250043 Enrollment ID: I20230411001458 |
| Provider Name | Rachel Dearden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790278307 PECOS PAC ID: 3274888227 Enrollment ID: I20230421001237 |
| Provider Name | Alisha Amin Bhimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205501970 PECOS PAC ID: 9133585524 Enrollment ID: I20230509001571 |
| Provider Name | Ruo Han Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396442844 PECOS PAC ID: 8325404197 Enrollment ID: I20230522000026 |
| Provider Name | Katherine Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407388879 PECOS PAC ID: 2567733298 Enrollment ID: I20230530002006 |
| Provider Name | Paul Giordano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134867591 PECOS PAC ID: 5496134405 Enrollment ID: I20230608001448 |
| Provider Name | Linda Mcallister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881379725 PECOS PAC ID: 3274992854 Enrollment ID: I20230629001513 |
| Provider Name | Joseph Santiago |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073912473 PECOS PAC ID: 5294011458 Enrollment ID: I20230711001924 |
| Provider Name | Erica A Chamberlain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407507684 PECOS PAC ID: 5092175828 Enrollment ID: I20230712001714 |
| Provider Name | Rebecca Louise Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174084198 PECOS PAC ID: 9739549023 Enrollment ID: I20230718003393 |
| Provider Name | Brianna Joan Baublitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073206520 PECOS PAC ID: 4688034978 Enrollment ID: I20230718003605 |
| Provider Name | Andrew J Devries |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821581448 PECOS PAC ID: 6204181258 Enrollment ID: I20230720001934 |
| Provider Name | Cameron N Turro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598328353 PECOS PAC ID: 1557694940 Enrollment ID: I20230724001850 |
| Provider Name | Jasmine E Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083241376 PECOS PAC ID: 2961827837 Enrollment ID: I20230814000863 |
| Provider Name | Priyana Tweet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740802057 PECOS PAC ID: 6507281946 Enrollment ID: I20230828000328 |
| Provider Name | Stacey L Gill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598813198 PECOS PAC ID: 6103280714 Enrollment ID: I20230915000920 |
| Provider Name | David J Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689201261 PECOS PAC ID: 3375962160 Enrollment ID: I20230918000124 |
| Provider Name | Sarah Maryellen Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669940987 PECOS PAC ID: 0042674541 Enrollment ID: I20230918001310 |
| Provider Name | Abraham H Cho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972112779 PECOS PAC ID: 7810380839 Enrollment ID: I20230918001404 |
| Provider Name | Casey M Babcock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235766577 PECOS PAC ID: 8325463128 Enrollment ID: I20230919001717 |
| Provider Name | Bowen He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205455110 PECOS PAC ID: 3870916679 Enrollment ID: I20230919003032 |
| Provider Name | Lydia H Peltier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942824917 PECOS PAC ID: 1355764564 Enrollment ID: I20230920002306 |
| Provider Name | Troy Yi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104453281 PECOS PAC ID: 8224482500 Enrollment ID: I20230921000685 |
| Provider Name | Brandon T Matsumiya |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497329114 PECOS PAC ID: 3971957382 Enrollment ID: I20231003002301 |
| Provider Name | Brian M Stran-joy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437876711 PECOS PAC ID: 4981059086 Enrollment ID: I20231010001589 |
| Provider Name | Thomas Y Roh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891323119 PECOS PAC ID: 1456706043 Enrollment ID: I20231017003819 |
| Provider Name | Elaiza Marie T Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376225623 PECOS PAC ID: 8921454463 Enrollment ID: I20231019002511 |
| Provider Name | Janet M Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205114527 PECOS PAC ID: 2668828864 Enrollment ID: I20231024003271 |
| Provider Name | Shahlan T Alraddawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477181212 PECOS PAC ID: 4082060868 Enrollment ID: I20231031001264 |
| Provider Name | Aya Demar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710562947 PECOS PAC ID: 8729435284 Enrollment ID: I20231106002915 |
| Provider Name | Katherine Efm Mcgee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144749607 PECOS PAC ID: 8022465913 Enrollment ID: I20231115000408 |
| Provider Name | Tayyaba F. Mohammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619504743 PECOS PAC ID: 4587011341 Enrollment ID: I20231115003513 |
| Provider Name | Meredith E Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235688573 PECOS PAC ID: 8325326150 Enrollment ID: I20231122003415 |
| Provider Name | Dolat Rakhshandeh Saleh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851860175 PECOS PAC ID: 5092165027 Enrollment ID: I20240103000745 |
| Provider Name | Shelby Nicole Spear |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932746716 PECOS PAC ID: 7214388115 Enrollment ID: I20240104002780 |
| Provider Name | Ashlee J Choi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053802561 PECOS PAC ID: 4385095280 Enrollment ID: I20240104002860 |
| Provider Name | Eva Joan Huston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164208369 PECOS PAC ID: 1759731813 Enrollment ID: I20240110000690 |
| Provider Name | David Hak Kim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902332505 PECOS PAC ID: 0345691523 Enrollment ID: I20240111004978 |
| Provider Name | Yujian Weng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659948289 PECOS PAC ID: 0446651384 Enrollment ID: I20240124004867 |
| Provider Name | Violet S Resnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609478627 PECOS PAC ID: 8224481783 Enrollment ID: I20240131003296 |
| Provider Name | Kathryn E Blacken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124376819 PECOS PAC ID: 7719320498 Enrollment ID: I20240209001075 |
| Provider Name | Jennifer J Curwen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467772327 PECOS PAC ID: 2365885936 Enrollment ID: I20240210000645 |
| Provider Name | Daniel J Hibbard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972845089 PECOS PAC ID: 4789902289 Enrollment ID: I20240212004442 |
| Provider Name | Laura Marie Hope |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891441788 PECOS PAC ID: 4082001656 Enrollment ID: I20240229000539 |
| Provider Name | Katherine Molly Kemly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730755505 PECOS PAC ID: 3971942921 Enrollment ID: I20240423003994 |
Vera Whole Health Wa Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 Sand Point Way Ne Ste 100, Seattle, WA 98105 Phone: 206-575-8880 Fax: 206-223-2334 | |
Washington Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Dexter Ave N Ste 179, Seattle, WA 98109 Phone: 206-866-0076 Fax: 866-279-4704 | |
Rainier Beach Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9245 Rainier Ave S, Seattle, WA 98118 Phone: 206-548-7600 Fax: 206-548-7601 | |
Every Body Moves, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5238 57th Ave S, Seattle, WA 98118 Phone: 206-618-5632 | |
Virginia Mason Medical Center-gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 | |
Neighborcare Health At Denny International Middle School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 Sw Kenyon St, Seattle, WA 98126 Phone: 206-923-2809 Fax: 206-923-2818 | |
Pacific Medical Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 12th Ave S, Seattle, WA 98124 Phone: 206-621-4316 |