| Essentia Health Cloquet Clinic | |
|
1413 Highway 33 S Cloquet MN 55720-2626 | |
| (218) 337-4000 | |
| (218) 337-4001 |
| Full Name | Essentia Health Cloquet Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1413 Highway 33 S, Cloquet, Minnesota |
| Authorized Official Name and Position | Kevin Boren (VP OF FINANCE) |
| Authorized Official Contact | 2187861009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Cloquet Clinic 1413 Highway 33 S Cloquet MN 55720-2626 Ph: (218) 337-4000 | Essentia Health Cloquet Clinic 1413 Highway 33 S Cloquet MN 55720-2626 Ph: (218) 337-4000 |
| NPI Number | 1902563638 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 2567374283 |
|---|---|
| Medicare Enrollment ID | O20031103000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902563638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Nathan D Block |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571125 PECOS PAC ID: 0648174334 Enrollment ID: I20031124000644 |
| Provider Name | Blanche Belle Ebert |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821026410 PECOS PAC ID: 9830093467 Enrollment ID: I20031125000554 |
| Provider Name | David B Gremmels |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508813452 PECOS PAC ID: 8820992357 Enrollment ID: I20031125000578 |
| Provider Name | Daniel John Mullins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255491445 PECOS PAC ID: 7012811565 Enrollment ID: I20031125000697 |
| Provider Name | Sarah Suzanne Manney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497708721 PECOS PAC ID: 0840195210 Enrollment ID: I20031201000075 |
| Provider Name | Patricia Kay Grahek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609895226 PECOS PAC ID: 1759288921 Enrollment ID: I20031216000458 |
| Provider Name | Gary Wayne Beaver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023051356 PECOS PAC ID: 2466359666 Enrollment ID: I20031216000624 |
| Provider Name | Kenji Peter Sudoh |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1619996832 PECOS PAC ID: 5294632329 Enrollment ID: I20031217000429 |
| Provider Name | Thiha Tin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376527259 PECOS PAC ID: 6709784887 Enrollment ID: I20031229000168 |
| Provider Name | Scott A Eskuri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831110915 PECOS PAC ID: 8628977097 Enrollment ID: I20040105000587 |
| Provider Name | Andrew C Chiu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841239407 PECOS PAC ID: 1052213147 Enrollment ID: I20040121000006 |
| Provider Name | Matthew M Schaar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790765600 PECOS PAC ID: 5698678944 Enrollment ID: I20040202000713 |
| Provider Name | Susan Z Nordin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881644268 PECOS PAC ID: 7517850209 Enrollment ID: I20040205001078 |
| Provider Name | Daniel Paul Vandersteen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417975574 PECOS PAC ID: 2365336427 Enrollment ID: I20040210000594 |
| Provider Name | Brad Jacob Davis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992736268 PECOS PAC ID: 6406740570 Enrollment ID: I20040210000626 |
| Provider Name | Mark K Widstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689692758 PECOS PAC ID: 4789578865 Enrollment ID: I20040210000684 |
| Provider Name | Larry W Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255370995 PECOS PAC ID: 4688569809 Enrollment ID: I20040217000827 |
| Provider Name | Russell Edward O'connell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831145846 PECOS PAC ID: 0345135562 Enrollment ID: I20040217000892 |
| Provider Name | Robert J Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508868118 PECOS PAC ID: 5597650721 Enrollment ID: I20040217000920 |
| Provider Name | Vladimir Savcenko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471658 PECOS PAC ID: 4183519119 Enrollment ID: I20040218000958 |
| Provider Name | Renee Ann Schlabach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255355103 PECOS PAC ID: 0345136701 Enrollment ID: I20040224000553 |
| Provider Name | Timothy Mark Seidelmann |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396803136 PECOS PAC ID: 1759277809 Enrollment ID: I20040225000604 |
| Provider Name | Patrick Andrew Twomey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972537215 PECOS PAC ID: 4688560741 Enrollment ID: I20040225000634 |
| Provider Name | Sheri Boril Bergeron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427008259 PECOS PAC ID: 7810884566 Enrollment ID: I20040228000102 |
| Provider Name | Penny L Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932276623 PECOS PAC ID: 8921995101 Enrollment ID: I20040302000965 |
| Provider Name | Kenneth Rogotzke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275539132 PECOS PAC ID: 1759279904 Enrollment ID: I20040309000455 |
| Provider Name | Nayyer Mujteba |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306909775 PECOS PAC ID: 8123917580 Enrollment ID: I20040312001163 |
| Provider Name | Janet Selenski Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134122799 PECOS PAC ID: 6103715412 Enrollment ID: I20040315000142 |
| Provider Name | Livingstone C Igwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588693238 PECOS PAC ID: 9739079070 Enrollment ID: I20040318001471 |
| Provider Name | David James Schwartz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215914379 PECOS PAC ID: 6002706157 Enrollment ID: I20040319001211 |
| Provider Name | Diane M Brickley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295764520 PECOS PAC ID: 7113919812 Enrollment ID: I20040401001122 |
| Provider Name | Lawrence Filmore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366501397 PECOS PAC ID: 2769474162 Enrollment ID: I20040402000795 |
| Provider Name | Joseph Anthony Bianco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104837863 PECOS PAC ID: 8426042920 Enrollment ID: I20040408000853 |
| Provider Name | Mary Catherine Ulmaniec Bianco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447325709 PECOS PAC ID: 2264426774 Enrollment ID: I20040408000942 |
| Provider Name | Donald Dwight Wothe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548220320 PECOS PAC ID: 9335135292 Enrollment ID: I20040424000190 |
| Provider Name | Vanita Mishra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295831618 PECOS PAC ID: 3072500693 Enrollment ID: I20040427000621 |
| Provider Name | Arndt Beroen Braaten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053488452 PECOS PAC ID: 1153318779 Enrollment ID: I20040427000640 |
| Provider Name | Scott S Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902824238 PECOS PAC ID: 0143217034 Enrollment ID: I20040430000939 |
| Provider Name | Ana M Fernandezpokorny |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316979933 PECOS PAC ID: 2062400997 Enrollment ID: I20040430001314 |
| Provider Name | James S Montana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922032200 PECOS PAC ID: 5799774378 Enrollment ID: I20040510000179 |
| Provider Name | James Goddard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770562639 PECOS PAC ID: 0749279214 Enrollment ID: I20040510000914 |
| Provider Name | Kevin T Stephan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942228259 PECOS PAC ID: 3375532153 Enrollment ID: I20040513000767 |
| Provider Name | Thomas Edward Russ |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023046570 PECOS PAC ID: 5193637775 Enrollment ID: I20040602000322 |
| Provider Name | Thomas J Rishavy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295771798 PECOS PAC ID: 2769464700 Enrollment ID: I20040603000938 |
| Provider Name | Luis A Pagan-carlo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245298991 PECOS PAC ID: 4385627751 Enrollment ID: I20040608001207 |
| Provider Name | Anthony Christian Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417021502 PECOS PAC ID: 3870480676 Enrollment ID: I20040612000099 |
| Provider Name | Ranjit John |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720183171 PECOS PAC ID: 4385628759 Enrollment ID: I20040614001613 |
| Provider Name | Tammy Mcgrane Fox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730247552 PECOS PAC ID: 8022920297 Enrollment ID: I20040615000898 |
| Provider Name | Wilson Lim Ginete |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922055607 PECOS PAC ID: 0244214112 Enrollment ID: I20040617000307 |
| Provider Name | Kenneth James Farrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477544005 PECOS PAC ID: 9234112194 Enrollment ID: I20040617000347 |
| Provider Name | Malati Pemmaraju |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346303294 PECOS PAC ID: 9537052261 Enrollment ID: I20040625000865 |
| Provider Name | Mark L Grim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609843911 PECOS PAC ID: 8729065180 Enrollment ID: I20040702000529 |
| Provider Name | Kathleen C Braddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356380992 PECOS PAC ID: 7911984307 Enrollment ID: I20040702000759 |
| Provider Name | Monica C Kasari-desulme |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578677183 PECOS PAC ID: 9133107121 Enrollment ID: I20040707001185 |
| Provider Name | Joseph Michael Schwinghamer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457458531 PECOS PAC ID: 4385622273 Enrollment ID: I20040708000453 |
| Provider Name | Margaret Eileen York-jesme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164457727 PECOS PAC ID: 4880672781 Enrollment ID: I20040708000496 |
| Provider Name | Rajesh M Prabhu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598825457 PECOS PAC ID: 0244218196 Enrollment ID: I20040708000883 |
| Provider Name | Robert Alan Lamppa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003907023 PECOS PAC ID: 5799765749 Enrollment ID: I20040721001117 |
| Provider Name | Travis Richard Venner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851351597 PECOS PAC ID: 9638142011 Enrollment ID: I20040813001058 |
| Provider Name | Krista Ann Skorupa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376504217 PECOS PAC ID: 0143295477 Enrollment ID: I20040831000609 |
| Provider Name | Karen Genevieve Michalski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164452124 PECOS PAC ID: 4385610468 Enrollment ID: I20040909000643 |
| Provider Name | John R Lake |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740360619 PECOS PAC ID: 8224005285 Enrollment ID: I20040910000652 |
| Provider Name | Samuel Hoxie |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1053391763 PECOS PAC ID: 2365419090 Enrollment ID: I20040913001099 |
| Provider Name | Nathan E Hoffmann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134106982 PECOS PAC ID: 1052388790 Enrollment ID: I20040913001128 |
| Provider Name | Jason T Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386662542 PECOS PAC ID: 3274500665 Enrollment ID: I20040915000131 |
| Provider Name | Adam Charles Swank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205882594 PECOS PAC ID: 8426025701 Enrollment ID: I20040915000876 |
| Provider Name | Mir A Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154357077 PECOS PAC ID: 2567430796 Enrollment ID: I20040924000053 |
| Provider Name | Michael Gibbons |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417989401 PECOS PAC ID: 2062471931 Enrollment ID: I20041006000888 |
| Provider Name | David George Andrew Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932135936 PECOS PAC ID: 9436119799 Enrollment ID: I20041012001167 |
| Provider Name | John Edward Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013985142 PECOS PAC ID: 4688635709 Enrollment ID: I20041022000071 |
| Provider Name | Sonia Lucille Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104804343 PECOS PAC ID: 1557323136 Enrollment ID: I20041027000760 |
| Provider Name | Julie M Isaksen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821059536 PECOS PAC ID: 6103888235 Enrollment ID: I20041101001016 |
| Provider Name | Bruce James Derauf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003847385 PECOS PAC ID: 9133181969 Enrollment ID: I20041103000200 |
| Provider Name | Michael Edward Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215953997 PECOS PAC ID: 4082676846 Enrollment ID: I20041103000434 |
| Provider Name | Nancy Louise Rova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255309738 PECOS PAC ID: 0244292001 Enrollment ID: I20041103000456 |
| Provider Name | David Asinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205886819 PECOS PAC ID: 8426953142 Enrollment ID: I20041110000973 |
| Provider Name | Karen A P Lindgren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730170127 PECOS PAC ID: 5698739266 Enrollment ID: I20041113000072 |
| Provider Name | Timothy M Morton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992731897 PECOS PAC ID: 0042274540 Enrollment ID: I20041115000979 |
| Provider Name | Bret Edward Buckley Friday |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346213097 PECOS PAC ID: 5092770305 Enrollment ID: I20041129000714 |
| Provider Name | Steven Paul Hanovich |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811099419 PECOS PAC ID: 9739145582 Enrollment ID: I20041203000598 |
| Provider Name | Sue Ellen Mollner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699732289 PECOS PAC ID: 6709843568 Enrollment ID: I20041213000949 |
| Provider Name | David O Jorde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396710174 PECOS PAC ID: 9537127444 Enrollment ID: I20041223000183 |
| Provider Name | Dean M Fox |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477585032 PECOS PAC ID: 2860450251 Enrollment ID: I20050103000194 |
| Provider Name | Lana R Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275883266 PECOS PAC ID: 8325096019 Enrollment ID: I20050110000624 |
| Provider Name | Sharnell Rae Valentine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356383087 PECOS PAC ID: 1759330210 Enrollment ID: I20050121000630 |
| Provider Name | Nancy Joyce Dronen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013083435 PECOS PAC ID: 2668422551 Enrollment ID: I20050128000031 |
| Provider Name | Kevin R Reisdorf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629138870 PECOS PAC ID: 9032162698 Enrollment ID: I20050224000067 |
| Provider Name | Margaret Mary Saracino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386674646 PECOS PAC ID: 5496726689 Enrollment ID: I20050310000239 |
| Provider Name | Krisa Jean Keute |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629052477 PECOS PAC ID: 4587619366 Enrollment ID: I20050315000166 |
| Provider Name | Jessica A Linsten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366479826 PECOS PAC ID: 8325095144 Enrollment ID: I20050405000028 |
| Provider Name | Showkat Hayat Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588698237 PECOS PAC ID: 5395792865 Enrollment ID: I20050406000804 |
| Provider Name | Leslie A Baken |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750368288 PECOS PAC ID: 9638117815 Enrollment ID: I20050419000543 |
| Provider Name | Laszlo Steven Tekler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184674277 PECOS PAC ID: 8022056779 Enrollment ID: I20050422000057 |
| Provider Name | Richard Hoch Cochrane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285677393 PECOS PAC ID: 9335052810 Enrollment ID: I20050503000831 |
| Provider Name | Kathi M Henrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124050059 PECOS PAC ID: 0547200032 Enrollment ID: I20050504000267 |
| Provider Name | Dominic T Cardelli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528077583 PECOS PAC ID: 8628018587 Enrollment ID: I20050510000674 |
| Provider Name | Kevin P Barsness |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093762478 PECOS PAC ID: 6800838533 Enrollment ID: I20050524000259 |
| Provider Name | Kenneth K Maslonka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639170418 PECOS PAC ID: 0547236663 Enrollment ID: I20050601000732 |
| Provider Name | Torrey Bergman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861442493 PECOS PAC ID: 5890762124 Enrollment ID: I20050606001011 |
| Provider Name | Howard Leroy Saylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497782783 PECOS PAC ID: 9335134527 Enrollment ID: I20050608000122 |
| Provider Name | Michael E Mollerus |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669402624 PECOS PAC ID: 3779528849 Enrollment ID: I20050621000472 |
| Provider Name | Daniel A Nikcevich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467482349 PECOS PAC ID: 0749225811 Enrollment ID: I20050621000510 |
| Provider Name | Janene R Glyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518936863 PECOS PAC ID: 3678509445 Enrollment ID: I20050713000174 |
| Provider Name | Jennifer Nelson Albee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588787287 PECOS PAC ID: 9931135589 Enrollment ID: I20050714000568 |
| Provider Name | Betsy Jean Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194756882 PECOS PAC ID: 4183651789 Enrollment ID: I20050726000469 |
| Provider Name | Daniel Lee Mark |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972539955 PECOS PAC ID: 7618878307 Enrollment ID: I20050727000203 |
| Provider Name | Christopher T Bunch |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790845774 PECOS PAC ID: 5597793794 Enrollment ID: I20050729000151 |
| Provider Name | Lori A Sutherland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154378529 PECOS PAC ID: 8022047299 Enrollment ID: I20050808000923 |
| Provider Name | Kimberly Anne Boddicker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821037946 PECOS PAC ID: 9032149802 Enrollment ID: I20050822000460 |
| Provider Name | Benjamin D Nelson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1750465985 PECOS PAC ID: 8022049857 Enrollment ID: I20050822001066 |
| Provider Name | Peter N Aas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063455848 PECOS PAC ID: 2466484951 Enrollment ID: I20050906000676 |
| Provider Name | Ningmei Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902821416 PECOS PAC ID: 7719947373 Enrollment ID: I20050906000717 |
| Provider Name | Mark Janorschke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720055171 PECOS PAC ID: 1153388129 Enrollment ID: I20050907001063 |
| Provider Name | Fareed A Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235236530 PECOS PAC ID: 8921031535 Enrollment ID: I20050914000881 |
| Provider Name | Mark W Berger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962481747 PECOS PAC ID: 0749194777 Enrollment ID: I20050920000198 |
| Provider Name | David R Vandersteen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235190786 PECOS PAC ID: 8123922010 Enrollment ID: I20050920000535 |
| Provider Name | Timothy Paul Rich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578630174 PECOS PAC ID: 1355375007 Enrollment ID: I20050921001067 |
| Provider Name | Jeffrey S Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734123 PECOS PAC ID: 1254245954 Enrollment ID: I20051007000143 |
| Provider Name | Kelly Marie Bolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629004247 PECOS PAC ID: 8527010743 Enrollment ID: I20051012000914 |
| Provider Name | Paul K Kosmatka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619901287 PECOS PAC ID: 6800829938 Enrollment ID: I20051013000478 |
| Provider Name | Brian M Byer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619030277 PECOS PAC ID: 7618993817 Enrollment ID: I20051018000064 |
| Provider Name | Curt Behrns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801869227 PECOS PAC ID: 1850318379 Enrollment ID: I20051025000024 |
| Provider Name | James Ryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598768194 PECOS PAC ID: 5597782771 Enrollment ID: I20051027000220 |
| Provider Name | Melissa M Najarian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730120171 PECOS PAC ID: 1951392042 Enrollment ID: I20051103000667 |
| Provider Name | Matthew P Schiller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427074103 PECOS PAC ID: 7315965886 Enrollment ID: I20051103000746 |
| Provider Name | Ann Caroline Sudoh |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730124678 PECOS PAC ID: 7012937519 Enrollment ID: I20051129000763 |
| Provider Name | Leslie Ann Chaplin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669417853 PECOS PAC ID: 1052333846 Enrollment ID: I20051221000271 |
| Provider Name | Katie R Greicar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770517633 PECOS PAC ID: 7517989270 Enrollment ID: I20051221000703 |
| Provider Name | Katie A Stevenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427050921 PECOS PAC ID: 9537183157 Enrollment ID: I20060123000687 |
| Provider Name | Dianne M Kendall |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619945458 PECOS PAC ID: 3375557390 Enrollment ID: I20060130000434 |
| Provider Name | Ross B Bengtson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417931593 PECOS PAC ID: 8325052012 Enrollment ID: I20060202000074 |
| Provider Name | Julie Ann Sevick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821067869 PECOS PAC ID: 8628083011 Enrollment ID: I20060206000906 |
| Provider Name | Mary Alice Rantala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720174881 PECOS PAC ID: 5799790077 Enrollment ID: I20060207000851 |
| Provider Name | Jeannine Marie Mueller-harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861413635 PECOS PAC ID: 6204841901 Enrollment ID: I20060216000486 |
| Provider Name | Kirsten I Bich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548290257 PECOS PAC ID: 3072528587 Enrollment ID: I20060220000282 |
| Provider Name | Thomas James Heinitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629022397 PECOS PAC ID: 7416962923 Enrollment ID: I20060220000297 |
| Provider Name | Julie Ann Reichhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538194428 PECOS PAC ID: 6709891229 Enrollment ID: I20060220000358 |
| Provider Name | Andrew D Broadmoore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508828633 PECOS PAC ID: 3173539616 Enrollment ID: I20060221000775 |
| Provider Name | Jason Vern Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861478190 PECOS PAC ID: 6406817345 Enrollment ID: I20060222000144 |
| Provider Name | George F Holliday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942240577 PECOS PAC ID: 8022067164 Enrollment ID: I20060223000114 |
| Provider Name | Therese Marie Durkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376668210 PECOS PAC ID: 2860408739 Enrollment ID: I20060301000700 |
| Provider Name | Theresa Marie Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215971221 PECOS PAC ID: 1759282635 Enrollment ID: I20060308000715 |
| Provider Name | Debrah Dee Labarre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720006141 PECOS PAC ID: 4880580562 Enrollment ID: I20060320000215 |
| Provider Name | Christie E Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477585172 PECOS PAC ID: 8628086212 Enrollment ID: I20060323000219 |
| Provider Name | Eduardo Ehrenwald |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1710930110 PECOS PAC ID: 4587647888 Enrollment ID: I20060403000305 |
| Provider Name | Michelle Renee Oman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811920564 PECOS PAC ID: 8224047667 Enrollment ID: I20060413000213 |
| Provider Name | Marc Richard Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730256785 PECOS PAC ID: 7810906955 Enrollment ID: I20060418000275 |
| Provider Name | Jeffrey L Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104850494 PECOS PAC ID: 5597774661 Enrollment ID: I20060418000537 |
| Provider Name | David P Lambert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154384527 PECOS PAC ID: 9436162120 Enrollment ID: I20060725000249 |
| Provider Name | Stephen Joseph Smalley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992787717 PECOS PAC ID: 5496768806 Enrollment ID: I20060731000480 |
| Provider Name | Catherine Jean Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972508414 PECOS PAC ID: 1052324480 Enrollment ID: I20060801000137 |
| Provider Name | Panagiotis Panagiotakis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043241292 PECOS PAC ID: 6002829306 Enrollment ID: I20060802000375 |
| Provider Name | Elizabeth Rosemary Kohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518948165 PECOS PAC ID: 4688565963 Enrollment ID: I20060807000144 |
| Provider Name | Lloyd H Ketchum |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164465191 PECOS PAC ID: 1153324488 Enrollment ID: I20060807000151 |
| Provider Name | Jefferson John Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265406755 PECOS PAC ID: 6709806508 Enrollment ID: I20060807000154 |
| Provider Name | Brielle Alexis Loe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073527651 PECOS PAC ID: 8123021326 Enrollment ID: I20060808000392 |
| Provider Name | Paul Andrew Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275557985 PECOS PAC ID: 7416950514 Enrollment ID: I20060810000118 |
| Provider Name | Erik Joseph Sather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518971118 PECOS PAC ID: 8426051459 Enrollment ID: I20060814000100 |
| Provider Name | Amy Kay Greminger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508890732 PECOS PAC ID: 2365445129 Enrollment ID: I20060816000313 |
| Provider Name | Matthew J Loe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861419293 PECOS PAC ID: 2769486117 Enrollment ID: I20060828000166 |
| Provider Name | Danielle Marie Henkel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619986999 PECOS PAC ID: 9739183724 Enrollment ID: I20060906000056 |
| Provider Name | Betsy Ann Nelson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386654812 PECOS PAC ID: 0446254379 Enrollment ID: I20060908000123 |
| Provider Name | Kimberly Ann Krohn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164534533 PECOS PAC ID: 0244234029 Enrollment ID: I20060911000040 |
| Provider Name | Susan Klee Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861406522 PECOS PAC ID: 4183628811 Enrollment ID: I20060911000473 |
| Provider Name | Sean T Kempke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891709531 PECOS PAC ID: 7810991544 Enrollment ID: I20060911000476 |
| Provider Name | Gina M Slipka-marinos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013023589 PECOS PAC ID: 8426053877 Enrollment ID: I20060919000280 |
| Provider Name | Kirsten Ann Moore Kangas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699785956 PECOS PAC ID: 3971508334 Enrollment ID: I20060919000284 |
| Provider Name | Durae J Pfeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700991098 PECOS PAC ID: 7214932938 Enrollment ID: I20061002000065 |
| Provider Name | Sarah E Galchus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720193089 PECOS PAC ID: 2062416993 Enrollment ID: I20061010000221 |
| Provider Name | Suzanne S Parrino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113671 PECOS PAC ID: 1658341870 Enrollment ID: I20061012000098 |
| Provider Name | Anne Nicole Normand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164517785 PECOS PAC ID: 0749287449 Enrollment ID: I20061020000591 |
| Provider Name | Eric M Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578665121 PECOS PAC ID: 8426056748 Enrollment ID: I20061121000467 |
| Provider Name | Gail Ann Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700966603 PECOS PAC ID: 3274531223 Enrollment ID: I20061129000373 |
| Provider Name | Elizabeth M Raduege |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073546263 PECOS PAC ID: 6800895350 Enrollment ID: I20061211000026 |
| Provider Name | Molly Herzan Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043319726 PECOS PAC ID: 9436158805 Enrollment ID: I20061212000528 |
| Provider Name | Antonio Eduardo Marinos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427024538 PECOS PAC ID: 0143237289 Enrollment ID: I20061221000276 |
| Provider Name | Azhar T Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538187786 PECOS PAC ID: 0143228809 Enrollment ID: I20061227000270 |
| Provider Name | Christopher T Whiting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366549495 PECOS PAC ID: 6204873250 Enrollment ID: I20070122000071 |
| Provider Name | Jane Patricia Rudd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326134529 PECOS PAC ID: 0143213355 Enrollment ID: I20070124000352 |
| Provider Name | Jeffrey Scott Engelsgjerd |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487682381 PECOS PAC ID: 0941202733 Enrollment ID: I20070207000507 |
| Provider Name | Victoria Lee Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083700504 PECOS PAC ID: 8123120169 Enrollment ID: I20070222000427 |
| Provider Name | Andrew W Kiragu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932128147 PECOS PAC ID: 3971605551 Enrollment ID: I20070228000482 |
| Provider Name | Jennifer L Kober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033283221 PECOS PAC ID: 3274635701 Enrollment ID: I20070301000140 |
| Provider Name | James Thomas Berquist |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114942737 PECOS PAC ID: 9537262308 Enrollment ID: I20070315000246 |
| Provider Name | Jeffrey Paul Lassig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558459032 PECOS PAC ID: 6507896578 Enrollment ID: I20070329000258 |
| Provider Name | Theresa L Hanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871693366 PECOS PAC ID: 9931109949 Enrollment ID: I20070403000042 |
| Provider Name | Vickie C Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588756860 PECOS PAC ID: 7810092152 Enrollment ID: I20070416000566 |
| Provider Name | Bradley Lloyd-joseph Rauzi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801901103 PECOS PAC ID: 7315043486 Enrollment ID: I20070507000249 |
| Provider Name | Terri Lynn Oster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851301329 PECOS PAC ID: 9133225998 Enrollment ID: I20070511000013 |
| Provider Name | Susan Marie Humphreys |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679519094 PECOS PAC ID: 0446151195 Enrollment ID: I20070515000400 |
| Provider Name | Bret Mitchell Brady |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518186337 PECOS PAC ID: 7517064140 Enrollment ID: I20070516000366 |
| Provider Name | James P Gregory |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811999733 PECOS PAC ID: 3971406554 Enrollment ID: I20070524000180 |
| Provider Name | Steven A Kuross |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447284922 PECOS PAC ID: 9436163185 Enrollment ID: I20070611000543 |
| Provider Name | Laurence Clifford Berg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437153392 PECOS PAC ID: 5597864561 Enrollment ID: I20070618000012 |
| Provider Name | Mark Herbert Monson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144396573 PECOS PAC ID: 7618076324 Enrollment ID: I20070621000123 |
| Provider Name | Loann Hellen Stone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790836492 PECOS PAC ID: 0840399432 Enrollment ID: I20070622000047 |
| Provider Name | Robert Stoffey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033153812 PECOS PAC ID: 7416851480 Enrollment ID: I20070808000094 |
| Provider Name | Gregory Landon Marion Mason |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437292976 PECOS PAC ID: 2062516370 Enrollment ID: I20070810000427 |
| Provider Name | Stephen James Huddleston |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104037621 PECOS PAC ID: 2668563271 Enrollment ID: I20070811000083 |
| Provider Name | Anna Igorevna Yurchenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326189879 PECOS PAC ID: 7416048848 Enrollment ID: I20070814000355 |
| Provider Name | Michael Brian Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164626859 PECOS PAC ID: 0042302283 Enrollment ID: I20070817000455 |
| Provider Name | Ingrid L Nisswandt- Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548351406 PECOS PAC ID: 9830281989 Enrollment ID: I20070822000449 |
| Provider Name | Ryan Randall Lussenden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649482910 PECOS PAC ID: 9436242989 Enrollment ID: I20070829000812 |
| Provider Name | Joseph J Cremers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801931985 PECOS PAC ID: 0749374304 Enrollment ID: I20070913000635 |
| Provider Name | Michelle Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083814958 PECOS PAC ID: 7214021294 Enrollment ID: I20070921000051 |
| Provider Name | Andrew Hartigan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093793234 PECOS PAC ID: 5294649976 Enrollment ID: I20070928000639 |
| Provider Name | Erin Withers Thackeray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457472268 PECOS PAC ID: 0446346845 Enrollment ID: I20071017000209 |
| Provider Name | Chad A Mehling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578762399 PECOS PAC ID: 4183710114 Enrollment ID: I20071022000430 |
| Provider Name | Anne Elizabeth Skwira Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447450309 PECOS PAC ID: 1355437229 Enrollment ID: I20071024000030 |
| Provider Name | Heather Kay Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588863963 PECOS PAC ID: 9830286624 Enrollment ID: I20071025000433 |
| Provider Name | Jason Christopher Schultz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235331604 PECOS PAC ID: 9234226341 Enrollment ID: I20071106000175 |
| Provider Name | Nancy Lynn Sudak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417918277 PECOS PAC ID: 5294822326 Enrollment ID: I20071106000367 |
| Provider Name | Kelly Jo Greenleaf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174718316 PECOS PAC ID: 2769570696 Enrollment ID: I20071110000037 |
| Provider Name | Anne E Skadberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841225778 PECOS PAC ID: 5496765240 Enrollment ID: I20071127000555 |
| Provider Name | Katrina Erickson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407046022 PECOS PAC ID: 5496844276 Enrollment ID: I20071130000603 |
| Provider Name | Chung K Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972609360 PECOS PAC ID: 5193815108 Enrollment ID: I20071214000053 |
| Provider Name | Kenneth Jon Dornfeld |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174524300 PECOS PAC ID: 8729171707 Enrollment ID: I20080104000352 |
| Provider Name | Rolando Raul Rosas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346375151 PECOS PAC ID: 9436239936 Enrollment ID: I20080109000844 |
| Provider Name | Laura K Prouty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356521165 PECOS PAC ID: 2961583331 Enrollment ID: I20080111000431 |
| Provider Name | Steven Bauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811921596 PECOS PAC ID: 8123100187 Enrollment ID: I20080129000743 |
| Provider Name | Michael Thomas Madison |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821077876 PECOS PAC ID: 5890609580 Enrollment ID: I20080130000624 |
| Provider Name | Julianne Marie Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659322915 PECOS PAC ID: 6709897929 Enrollment ID: I20080130000632 |
| Provider Name | Peter Alan Good |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417913500 PECOS PAC ID: 7315935400 Enrollment ID: I20080208000220 |
| Provider Name | Anne M Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659340180 PECOS PAC ID: 9335040633 Enrollment ID: I20080208000464 |
| Provider Name | Katherine R Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114102589 PECOS PAC ID: 2567546179 Enrollment ID: I20080220000671 |
| Provider Name | Robert G Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093794760 PECOS PAC ID: 0042244907 Enrollment ID: I20080228000339 |
| Provider Name | Sandra L Jungers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720260391 PECOS PAC ID: 2264516053 Enrollment ID: I20080304000211 |
| Provider Name | Olga Mikhaylovna Ter-grigoryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700896420 PECOS PAC ID: 2264436997 Enrollment ID: I20080327000105 |
| Provider Name | Eileen Ruth Scaringi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689847212 PECOS PAC ID: 6305924820 Enrollment ID: I20080424000401 |
| Provider Name | Keith H Wittenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154300929 PECOS PAC ID: 3173437886 Enrollment ID: I20080530000327 |
| Provider Name | Steven C Hommeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356329593 PECOS PAC ID: 8325952005 Enrollment ID: I20080602000034 |
| Provider Name | Joseph J Baraga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730167073 PECOS PAC ID: 8022922053 Enrollment ID: I20080602000094 |
| Provider Name | Timothy Goertzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821076068 PECOS PAC ID: 3577477256 Enrollment ID: I20080602000518 |
| Provider Name | Anne Catherine Hinshaw Stephen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588761670 PECOS PAC ID: 1355411307 Enrollment ID: I20080602000818 |
| Provider Name | Jorge Leon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013996065 PECOS PAC ID: 2860394210 Enrollment ID: I20080611000310 |
| Provider Name | Anne Weisensee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992784755 PECOS PAC ID: 8729992433 Enrollment ID: I20080620000583 |
| Provider Name | David Drake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528046612 PECOS PAC ID: 7517871288 Enrollment ID: I20080620000617 |
| Provider Name | Christina Helene Bastin De Jong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306028410 PECOS PAC ID: 4587735337 Enrollment ID: I20080623000031 |
| Provider Name | Kevin P Henseler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952358129 PECOS PAC ID: 6800977810 Enrollment ID: I20080703000478 |
| Provider Name | John William Colford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164575411 PECOS PAC ID: 1254426141 Enrollment ID: I20080721000076 |
| Provider Name | Andrea M Watson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508052887 PECOS PAC ID: 8426122557 Enrollment ID: I20080807000078 |
| Provider Name | Nicole L Flynn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285810978 PECOS PAC ID: 5496829525 Enrollment ID: I20080807000106 |
| Provider Name | Tracy Gallagher Pagliuca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730270745 PECOS PAC ID: 8426122334 Enrollment ID: I20080811000117 |
| Provider Name | Pericles Peter Regas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649363284 PECOS PAC ID: 2264507797 Enrollment ID: I20080819000367 |
| Provider Name | Johan C Bakken |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093841843 PECOS PAC ID: 0840366894 Enrollment ID: I20080827000706 |
| Provider Name | Andrea Marie Mackie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013024199 PECOS PAC ID: 7810997293 Enrollment ID: I20080910000454 |
| Provider Name | Keith Hershel Peterson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689718637 PECOS PAC ID: 9931275211 Enrollment ID: I20080910000551 |
| Provider Name | Kevin Patrick Riess |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083871586 PECOS PAC ID: 2668548942 Enrollment ID: I20080910000559 |
| Provider Name | Jennifer M Heitzman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023272820 PECOS PAC ID: 5890861108 Enrollment ID: I20080911000120 |
| Provider Name | Brooke M Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568662195 PECOS PAC ID: 9234206269 Enrollment ID: I20080917000462 |
| Provider Name | Boni Jo Silbernagel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609821495 PECOS PAC ID: 2264460674 Enrollment ID: I20081008000756 |
| Provider Name | Muhammad K Suri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912054214 PECOS PAC ID: 7911065867 Enrollment ID: I20081021000508 |
| Provider Name | Erin H Grund |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306024567 PECOS PAC ID: 6608934369 Enrollment ID: I20081023000837 |
| Provider Name | Michelle Ann Proska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639325863 PECOS PAC ID: 3678631199 Enrollment ID: I20081027000739 |
| Provider Name | Faysal Yousefi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366642191 PECOS PAC ID: 0143389718 Enrollment ID: I20081115000096 |
| Provider Name | Douglas Frederick Hoffman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1841228301 PECOS PAC ID: 9537176706 Enrollment ID: I20081230000478 |
| Provider Name | Christopher F Heck |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1699726752 PECOS PAC ID: 9739242603 Enrollment ID: I20090120000696 |
| Provider Name | Margaret J Hoberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982854782 PECOS PAC ID: 3971650243 Enrollment ID: I20090402000683 |
| Provider Name | Sandra K Hanson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750367512 PECOS PAC ID: 2466501820 Enrollment ID: I20090514000520 |
| Provider Name | Jill Rene-pierce Holsinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255431524 PECOS PAC ID: 0244219822 Enrollment ID: I20090514000545 |
| Provider Name | Michaela Merrill Mayfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750573044 PECOS PAC ID: 5597814780 Enrollment ID: I20090518000593 |
| Provider Name | Kelly Jo Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205898186 PECOS PAC ID: 8921157157 Enrollment ID: I20090519000315 |
| Provider Name | Dawn Drotar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891779120 PECOS PAC ID: 7618959974 Enrollment ID: I20090617000223 |
| Provider Name | Brian F Decesare |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194871798 PECOS PAC ID: 5395811863 Enrollment ID: I20090625000117 |
| Provider Name | Patricia A Bugliosi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225206063 PECOS PAC ID: 4789736224 Enrollment ID: I20090715000147 |
| Provider Name | Mark A Albee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639235914 PECOS PAC ID: 0042362360 Enrollment ID: I20090720000202 |
| Provider Name | Benjamin J May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710172960 PECOS PAC ID: 0547313918 Enrollment ID: I20090803000113 |
| Provider Name | Jeri Leah Vergeldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215961560 PECOS PAC ID: 3375696412 Enrollment ID: I20090806000407 |
| Provider Name | Samantha Ann Crossley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760418057 PECOS PAC ID: 6305999376 Enrollment ID: I20090810000093 |
| Provider Name | Laurie Ann Orbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316132095 PECOS PAC ID: 0547314205 Enrollment ID: I20090813000834 |
| Provider Name | Jay M Shoaps |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720261779 PECOS PAC ID: 5698841757 Enrollment ID: I20090819000785 |
| Provider Name | Chris H Jokinen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710098827 PECOS PAC ID: 0749334167 Enrollment ID: I20090820000136 |
| Provider Name | Kristina Balck Sturgell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689866527 PECOS PAC ID: 6305991308 Enrollment ID: I20090826000919 |
| Provider Name | Justin David Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306026778 PECOS PAC ID: 8022189299 Enrollment ID: I20090827000191 |
| Provider Name | Michael Patrick Caldwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952444010 PECOS PAC ID: 1254415706 Enrollment ID: I20090827000235 |
| Provider Name | Eric R Fenstad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043476732 PECOS PAC ID: 7315092285 Enrollment ID: I20090827000741 |
| Provider Name | Kalkidan Genete Bishu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881887818 PECOS PAC ID: 1557416831 Enrollment ID: I20090910000345 |
| Provider Name | Lisa Ann Streefland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255526778 PECOS PAC ID: 0446305650 Enrollment ID: I20090910000617 |
| Provider Name | Daniel William Zelen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336288448 PECOS PAC ID: 9830280536 Enrollment ID: I20090916000216 |
| Provider Name | Kayla Michelle Hintz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790929578 PECOS PAC ID: 1850447533 Enrollment ID: I20090922000339 |
| Provider Name | Carlos Rodrigo Franco-palacios |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497966600 PECOS PAC ID: 5890841316 Enrollment ID: I20090923000828 |
| Provider Name | Steven John Sutherland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508981333 PECOS PAC ID: 9638215494 Enrollment ID: I20091007000789 |
| Provider Name | Jon W Stephenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437235074 PECOS PAC ID: 2365588001 Enrollment ID: I20091009000090 |
| Provider Name | Augusto Alonto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700833845 PECOS PAC ID: 4385607753 Enrollment ID: I20091021000267 |
| Provider Name | Mary Geidner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780882944 PECOS PAC ID: 7113064106 Enrollment ID: I20091023000262 |
| Provider Name | Randy Allan Braaten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124083233 PECOS PAC ID: 0840337713 Enrollment ID: I20091026000408 |
| Provider Name | Jessica A Nybakken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164657607 PECOS PAC ID: 8426195264 Enrollment ID: I20091027000419 |
| Provider Name | Nicole Susanne Seacotte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548450018 PECOS PAC ID: 5991842775 Enrollment ID: I20091027000817 |
| Provider Name | Peter Karl Franklin |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1710919378 PECOS PAC ID: 5496722738 Enrollment ID: I20091028000555 |
| Provider Name | Thomas Clelio Silvestrini |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073531489 PECOS PAC ID: 1254478993 Enrollment ID: I20091028000587 |
| Provider Name | Chad R Ramler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598957284 PECOS PAC ID: 7517004161 Enrollment ID: I20091030000155 |
| Provider Name | Kelly U Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114157625 PECOS PAC ID: 3375681547 Enrollment ID: I20091109000214 |
| Provider Name | Neissa R Boehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588897490 PECOS PAC ID: 9032257829 Enrollment ID: I20091116000553 |
| Provider Name | Christina Lh Falgier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336284454 PECOS PAC ID: 8820136567 Enrollment ID: I20091117000441 |
| Provider Name | Anthony Ray Teasck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235462482 PECOS PAC ID: 9830237585 Enrollment ID: I20091117000537 |
| Provider Name | Keith L Cavanaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497830145 PECOS PAC ID: 8426955592 Enrollment ID: I20091118000228 |
| Provider Name | Gratia L Pitcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043414543 PECOS PAC ID: 8527107283 Enrollment ID: I20091209000549 |
| Provider Name | Josefino Calibo Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891723599 PECOS PAC ID: 0446390199 Enrollment ID: I20091210000702 |
| Provider Name | James N Jorgenson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730112608 PECOS PAC ID: 4082611660 Enrollment ID: I20091210000706 |
| Provider Name | Mark W Boyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508881186 PECOS PAC ID: 3476465048 Enrollment ID: I20091211000340 |
| Provider Name | David G Gordon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942300470 PECOS PAC ID: 9436290228 Enrollment ID: I20091230000253 |
| Provider Name | Jason R Buffington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649206012 PECOS PAC ID: 6901947167 Enrollment ID: I20100109000307 |
| Provider Name | Rachel J Lundeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629303912 PECOS PAC ID: 5294876108 Enrollment ID: I20100113000787 |
| Provider Name | Martin Theodore Grune |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760411565 PECOS PAC ID: 0547302432 Enrollment ID: I20100114000594 |
| Provider Name | Thomas J Witt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194701755 PECOS PAC ID: 1658283189 Enrollment ID: I20100114000710 |
| Provider Name | David H Hyjek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982778064 PECOS PAC ID: 7214079086 Enrollment ID: I20100118000203 |
| Provider Name | Kathleen A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851324727 PECOS PAC ID: 9739221227 Enrollment ID: I20100121000508 |
| Provider Name | Jennifer Martinelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881645356 PECOS PAC ID: 4981746351 Enrollment ID: I20100122000511 |
| Provider Name | Tammy L Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275867384 PECOS PAC ID: 2466595418 Enrollment ID: I20100130000057 |
| Provider Name | Leslee S Naslund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174550479 PECOS PAC ID: 9335283779 Enrollment ID: I20100223000300 |
| Provider Name | Mark D Gustafson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467439000 PECOS PAC ID: 2264577915 Enrollment ID: I20100304001037 |
| Provider Name | John J Degelau |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063489375 PECOS PAC ID: 4789729435 Enrollment ID: I20100304001064 |
| Provider Name | Susan E Ash |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487699807 PECOS PAC ID: 6002951654 Enrollment ID: I20100306000196 |
| Provider Name | Craig Norman Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427116268 PECOS PAC ID: 9335138296 Enrollment ID: I20100306000235 |
| Provider Name | Kydee Kristin Sheetz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982770137 PECOS PAC ID: 3971648528 Enrollment ID: I20100306000251 |
| Provider Name | Laura Jean Trombino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881615870 PECOS PAC ID: 6608871710 Enrollment ID: I20100306000257 |
| Provider Name | Steven Egan Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164441770 PECOS PAC ID: 3375679368 Enrollment ID: I20100329001124 |
| Provider Name | Timothy Alan Rubin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801830856 PECOS PAC ID: 8224031729 Enrollment ID: I20100413000057 |
| Provider Name | David C Herman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790763977 PECOS PAC ID: 2860492535 Enrollment ID: I20100414000879 |
| Provider Name | Michael Joseph Fuchs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184652083 PECOS PAC ID: 0941337471 Enrollment ID: I20100414000975 |
| Provider Name | Gregory Scott Defor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265496954 PECOS PAC ID: 3971630419 Enrollment ID: I20100415000060 |
| Provider Name | Jan Baldwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578591913 PECOS PAC ID: 8325175730 Enrollment ID: I20100415000987 |
| Provider Name | David Allen Burton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114257532 PECOS PAC ID: 5890822217 Enrollment ID: I20100416000132 |
| Provider Name | Byron David Kion Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609805456 PECOS PAC ID: 3274660352 Enrollment ID: I20100421000522 |
| Provider Name | Peter D Vanpatten |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720006885 PECOS PAC ID: 2668509753 Enrollment ID: I20100421000643 |
| Provider Name | Kathleen L Monaghan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508926536 PECOS PAC ID: 7719014760 Enrollment ID: I20100422000472 |
| Provider Name | Peder Herbert Svingen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629001656 PECOS PAC ID: 9335276104 Enrollment ID: I20100427000730 |
| Provider Name | Peggy Sue Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558394577 PECOS PAC ID: 2860529641 Enrollment ID: I20100427000762 |
| Provider Name | Christopher James Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497821888 PECOS PAC ID: 3870621485 Enrollment ID: I20100501000003 |
| Provider Name | Lori Lynn Defrance |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235167933 PECOS PAC ID: 4183752702 Enrollment ID: I20100503000082 |
| Provider Name | Sherry Ann Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740452044 PECOS PAC ID: 9335277854 Enrollment ID: I20100504000558 |
| Provider Name | Brent Adam Fisher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023240249 PECOS PAC ID: 2062540446 Enrollment ID: I20100505000425 |
| Provider Name | Lisa Ann Seeber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003832791 PECOS PAC ID: 2163472382 Enrollment ID: I20100505000623 |
| Provider Name | Bridget Margaret Dewey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073516647 PECOS PAC ID: 2466364740 Enrollment ID: I20100505001061 |
| Provider Name | Gordon J Harvieux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922030857 PECOS PAC ID: 3072641158 Enrollment ID: I20100511000534 |
| Provider Name | Steven C Link |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720013436 PECOS PAC ID: 5890690549 Enrollment ID: I20100525000493 |
| Provider Name | Kendall J Strand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518987668 PECOS PAC ID: 3577468222 Enrollment ID: I20100525000619 |
| Provider Name | Sara A Forrest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508898156 PECOS PAC ID: 3173653078 Enrollment ID: I20100618000346 |
| Provider Name | Nicoleta E Manciu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659348340 PECOS PAC ID: 2860522711 Enrollment ID: I20100619000167 |
| Provider Name | Jason Brad Stowe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932194024 PECOS PAC ID: 2961533757 Enrollment ID: I20100622000844 |
| Provider Name | Richard Paul Bransford |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1851351241 PECOS PAC ID: 0345203824 Enrollment ID: I20100727000678 |
| Provider Name | Dean H Weber |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1922036540 PECOS PAC ID: 0941282255 Enrollment ID: I20100803000934 |
| Provider Name | Audrey Mie Park Skinner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083647499 PECOS PAC ID: 1052445228 Enrollment ID: I20100810001084 |
| Provider Name | Colleen Renee-kelly Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659564763 PECOS PAC ID: 4981738424 Enrollment ID: I20100818001327 |
| Provider Name | Courtney E Senich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265685614 PECOS PAC ID: 2365576709 Enrollment ID: I20100819001270 |
| Provider Name | Rosemary F Kelly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811008543 PECOS PAC ID: 9830213024 Enrollment ID: I20100824001306 |
| Provider Name | Paul Robert Remark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437132578 PECOS PAC ID: 9032234364 Enrollment ID: I20100909001264 |
| Provider Name | Sara Shumway |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164527503 PECOS PAC ID: 5193840379 Enrollment ID: I20100910000850 |
| Provider Name | Jared E Lund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922233261 PECOS PAC ID: 1557486677 Enrollment ID: I20100914000065 |
| Provider Name | Darcy S Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811122153 PECOS PAC ID: 9032234166 Enrollment ID: I20100914000156 |
| Provider Name | Paula Hedin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114125317 PECOS PAC ID: 3173648078 Enrollment ID: I20100915001138 |
| Provider Name | Lynne M Kosmach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154318798 PECOS PAC ID: 2860517356 Enrollment ID: I20100921001073 |
| Provider Name | Jennifer M Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194917302 PECOS PAC ID: 1355467507 Enrollment ID: I20100925000196 |
| Provider Name | Mary Margaret Braaten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861568024 PECOS PAC ID: 0345138533 Enrollment ID: I20100929000678 |
| Provider Name | Michael John Kassing |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699801712 PECOS PAC ID: 4880887306 Enrollment ID: I20101018000019 |
| Provider Name | Jessica W Sawyer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992935084 PECOS PAC ID: 6901099043 Enrollment ID: I20101020001596 |
| Provider Name | Andrea Jill Wahman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740214998 PECOS PAC ID: 4587687603 Enrollment ID: I20101102001492 |
| Provider Name | Carolyn Jeanne Forsman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376688671 PECOS PAC ID: 5597950337 Enrollment ID: I20101106000032 |
| Provider Name | Emily Gustava Greengard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538369871 PECOS PAC ID: 7315132164 Enrollment ID: I20101106000035 |
| Provider Name | Christine B Hills |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124220462 PECOS PAC ID: 7517152978 Enrollment ID: I20101110001256 |
| Provider Name | Robert Victor Erickson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952342503 PECOS PAC ID: 0648273003 Enrollment ID: I20101111000614 |
| Provider Name | James M Koberstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396785986 PECOS PAC ID: 5496667057 Enrollment ID: I20101111000641 |
| Provider Name | Denise A Hove |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588697411 PECOS PAC ID: 5092900431 Enrollment ID: I20101111000814 |
| Provider Name | Joseph Davis Morehouse |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447294459 PECOS PAC ID: 4082617451 Enrollment ID: I20101118001418 |
| Provider Name | Alicia Jeri Atkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629387345 PECOS PAC ID: 8325234065 Enrollment ID: I20101120000183 |
| Provider Name | Robin L Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689988461 PECOS PAC ID: 8426244633 Enrollment ID: I20101130001219 |
| Provider Name | Stephen L Bloom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245269695 PECOS PAC ID: 1355301151 Enrollment ID: I20101202001347 |
| Provider Name | Ann C Fairbanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457369035 PECOS PAC ID: 6103013958 Enrollment ID: I20101207000257 |
| Provider Name | Janus P Butcher |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588610992 PECOS PAC ID: 3577571710 Enrollment ID: I20101208001055 |
| Provider Name | Sara A Mccumber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619918406 PECOS PAC ID: 3375532468 Enrollment ID: I20101208001090 |
| Provider Name | Todd H Hnatko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770525347 PECOS PAC ID: 4183627557 Enrollment ID: I20101208001106 |
| Provider Name | Gary C Kindt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861426538 PECOS PAC ID: 3173414000 Enrollment ID: I20101215000371 |
| Provider Name | Christina L Helterbrand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639110356 PECOS PAC ID: 7315835337 Enrollment ID: I20101216001049 |
| Provider Name | Shana K Kongsjord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750606984 PECOS PAC ID: 7810185816 Enrollment ID: I20101216001064 |
| Provider Name | Krista Uldbjerg Warren |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578613485 PECOS PAC ID: 0749478618 Enrollment ID: I20101218000025 |
| Provider Name | Michael J Sharland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235390048 PECOS PAC ID: 4385710359 Enrollment ID: I20101221000287 |
| Provider Name | Elizabeth Mary Stecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871805374 PECOS PAC ID: 2668661042 Enrollment ID: I20110117000244 |
| Provider Name | Jessica Louise Zweifel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023324001 PECOS PAC ID: 3779762638 Enrollment ID: I20110124001166 |
| Provider Name | Jaclyn A Barney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104022573 PECOS PAC ID: 6406940501 Enrollment ID: I20110131000296 |
| Provider Name | Marko Vezmar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740599513 PECOS PAC ID: 4284814682 Enrollment ID: I20110202000022 |
| Provider Name | Brooke Elizabeth Pettinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093023772 PECOS PAC ID: 3375723026 Enrollment ID: I20110211000754 |
| Provider Name | Amber Irene Erickson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760528418 PECOS PAC ID: 2163603218 Enrollment ID: I20110222000794 |
| Provider Name | Laura Belanger Hoffarth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427206887 PECOS PAC ID: 1254512247 Enrollment ID: I20110223001268 |
| Provider Name | Stefan L Kaiser |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1609037324 PECOS PAC ID: 3971792250 Enrollment ID: I20110301000151 |
| Provider Name | Sherry Ann Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639471972 PECOS PAC ID: 1153503354 Enrollment ID: I20110309000603 |
| Provider Name | Brenda L Cary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053480103 PECOS PAC ID: 3476553538 Enrollment ID: I20110322001087 |
| Provider Name | Sonja M Bjerk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316012297 PECOS PAC ID: 9739255613 Enrollment ID: I20110405000104 |
| Provider Name | Cynthia J Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184625931 PECOS PAC ID: 9931383353 Enrollment ID: I20110409000041 |
| Provider Name | Jeffrey Michael Rengel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700872629 PECOS PAC ID: 2365468238 Enrollment ID: I20110415000312 |
| Provider Name | Brian D Klocke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912201153 PECOS PAC ID: 6002091394 Enrollment ID: I20110502000600 |
| Provider Name | Mark D Norgard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184923393 PECOS PAC ID: 6800071952 Enrollment ID: I20110504000846 |
| Provider Name | Sarah M Frenning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043345887 PECOS PAC ID: 1850577891 Enrollment ID: I20110509000744 |
| Provider Name | Rebecca Hoversten-mellem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992860860 PECOS PAC ID: 7012193485 Enrollment ID: I20110519000276 |
| Provider Name | Bonita M Brost |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558424119 PECOS PAC ID: 5991782245 Enrollment ID: I20110607000597 |
| Provider Name | Matthew Mark Brabec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114219250 PECOS PAC ID: 2466639950 Enrollment ID: I20110615000345 |
| Provider Name | Charles Shepard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376713107 PECOS PAC ID: 7810175809 Enrollment ID: I20110621000776 |
| Provider Name | Anna M Brabec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336473214 PECOS PAC ID: 2567503915 Enrollment ID: I20110624000538 |
| Provider Name | Michael R Sprehe |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528011533 PECOS PAC ID: 2466427638 Enrollment ID: I20110826000493 |
| Provider Name | Catherine M Larson-nath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457524902 PECOS PAC ID: 4284804956 Enrollment ID: I20110907001317 |
| Provider Name | Amy Marie Westrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275828469 PECOS PAC ID: 5193996577 Enrollment ID: I20110914000820 |
| Provider Name | Emily Rose Opacich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902190382 PECOS PAC ID: 0941470298 Enrollment ID: I20110915000806 |
| Provider Name | Hilary A Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114224904 PECOS PAC ID: 5395916696 Enrollment ID: I20110916000413 |
| Provider Name | Muhammad Asad Khan Suri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174578785 PECOS PAC ID: 8325031297 Enrollment ID: I20110920000197 |
| Provider Name | Angela Marie Kelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376864355 PECOS PAC ID: 0941471130 Enrollment ID: I20110920000354 |
| Provider Name | Bobbie Kristi Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306131230 PECOS PAC ID: 8729259684 Enrollment ID: I20110926000434 |
| Provider Name | Ann Marie Vreeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063704930 PECOS PAC ID: 6204828072 Enrollment ID: I20110929000334 |
| Provider Name | Heather Rae Danckwart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699092130 PECOS PAC ID: 0648442335 Enrollment ID: I20110930000026 |
| Provider Name | Kelly Marie Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972898807 PECOS PAC ID: 9335311851 Enrollment ID: I20111005000679 |
| Provider Name | Kim Louise Seely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952697708 PECOS PAC ID: 0648442889 Enrollment ID: I20111011000650 |
| Provider Name | Darci Leigh Pelland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063705689 PECOS PAC ID: 7810169083 Enrollment ID: I20111012000151 |
| Provider Name | Katie R Hipsher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780979617 PECOS PAC ID: 6002089620 Enrollment ID: I20111026000970 |
| Provider Name | Rose Marie Schick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184912875 PECOS PAC ID: 8820261233 Enrollment ID: I20111031000739 |
| Provider Name | Heidi L Thorson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982742870 PECOS PAC ID: 9032217047 Enrollment ID: I20111103000336 |
| Provider Name | Julie K Hendricks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033498787 PECOS PAC ID: 6103098041 Enrollment ID: I20111121000723 |
| Provider Name | Jenni Anne Tharaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457633760 PECOS PAC ID: 1153597125 Enrollment ID: I20111222000456 |
| Provider Name | Ericka Janette Lamar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265533400 PECOS PAC ID: 1355517327 Enrollment ID: I20111222000542 |
| Provider Name | Stephanie B Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639186901 PECOS PAC ID: 1850373911 Enrollment ID: I20111228000040 |
| Provider Name | Ellen Diane Stephan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871873521 PECOS PAC ID: 5395911960 Enrollment ID: I20120103000376 |
| Provider Name | Gunnar M Christopher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851678247 PECOS PAC ID: 6709052905 Enrollment ID: I20120109000890 |
| Provider Name | Kevin C Bushey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578519153 PECOS PAC ID: 3173683901 Enrollment ID: I20120111000691 |
| Provider Name | Michelle Marie Flanagan Haag |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417996026 PECOS PAC ID: 8820990245 Enrollment ID: I20120111000722 |
| Provider Name | Brian Stank |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982762118 PECOS PAC ID: 6305888595 Enrollment ID: I20120117000721 |
| Provider Name | Paul A Larkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306871702 PECOS PAC ID: 8628245529 Enrollment ID: I20120117000840 |
| Provider Name | Wendy Hunt Sandelin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497788616 PECOS PAC ID: 4981871886 Enrollment ID: I20120117000860 |
| Provider Name | Mark Douglas Burns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912946542 PECOS PAC ID: 4082776372 Enrollment ID: I20120119000422 |
| Provider Name | Kelle Klocke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982981072 PECOS PAC ID: 1658548482 Enrollment ID: I20120119000605 |
| Provider Name | Emily Louise Matack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881978948 PECOS PAC ID: 7113194952 Enrollment ID: I20120119000712 |
| Provider Name | John W Glick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972537652 PECOS PAC ID: 3274504469 Enrollment ID: I20120208001056 |
| Provider Name | Kenna Christine Bolton Holz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962770685 PECOS PAC ID: 8325207210 Enrollment ID: I20120313000493 |
| Provider Name | Jacob B Stay |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801165592 PECOS PAC ID: 6901068360 Enrollment ID: I20120501000133 |
| Provider Name | Benjamin R Koch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174733836 PECOS PAC ID: 1153577267 Enrollment ID: I20120806000469 |
| Provider Name | Melissa Marie Simonson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154559763 PECOS PAC ID: 5698921583 Enrollment ID: I20120808000761 |
| Provider Name | Vicki L Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801872080 PECOS PAC ID: 3678660818 Enrollment ID: I20120822000714 |
| Provider Name | Rochus K Voeller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750465290 PECOS PAC ID: 0446260863 Enrollment ID: I20120823000547 |
| Provider Name | Bradley Randall Kuzel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558554006 PECOS PAC ID: 1557518503 Enrollment ID: I20120827000097 |
| Provider Name | Zach Martin Beresford |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1922282458 PECOS PAC ID: 7618027228 Enrollment ID: I20120830000650 |
| Provider Name | Erich N Bryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740459551 PECOS PAC ID: 5799932489 Enrollment ID: I20120831000495 |
| Provider Name | Michael Marc Wolz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689986291 PECOS PAC ID: 2466609979 Enrollment ID: I20120905000513 |
| Provider Name | George Martin Philip Zawadowski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851604318 PECOS PAC ID: 3173770609 Enrollment ID: I20120905000674 |
| Provider Name | Katherine Ann Beresford |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1912151747 PECOS PAC ID: 7416105549 Enrollment ID: I20120914000628 |
| Provider Name | Andrew E Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942596820 PECOS PAC ID: 4486802428 Enrollment ID: I20120917000134 |
| Provider Name | Anthony Michael Burrows |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932494994 PECOS PAC ID: 5294766598 Enrollment ID: I20120925000688 |
| Provider Name | Thomas Wade Swedberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669728465 PECOS PAC ID: 7012167406 Enrollment ID: I20121019000476 |
| Provider Name | Filberto Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245484146 PECOS PAC ID: 3476703612 Enrollment ID: I20121024000013 |
| Provider Name | Alberto Orioles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053581876 PECOS PAC ID: 5193977700 Enrollment ID: I20121205000579 |
| Provider Name | Jon Charles Reich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376862318 PECOS PAC ID: 5294987426 Enrollment ID: I20121214000122 |
| Provider Name | Jaidev R Bhoopal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962610956 PECOS PAC ID: 1557421328 Enrollment ID: I20130207000226 |
| Provider Name | Jennifer L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023043908 PECOS PAC ID: 4183658024 Enrollment ID: I20130221000186 |
| Provider Name | Eric Lee Willms |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437302130 PECOS PAC ID: 3173782141 Enrollment ID: I20130312000452 |
| Provider Name | Kristina Louise Borman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548516966 PECOS PAC ID: 8921257973 Enrollment ID: I20130322000033 |
| Provider Name | Aaron Wendell Swenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093932709 PECOS PAC ID: 8921243817 Enrollment ID: I20130325000438 |
| Provider Name | Kelsey A Berg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881945988 PECOS PAC ID: 7214173590 Enrollment ID: I20130410000443 |
| Provider Name | Tracy L Dickison |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225376338 PECOS PAC ID: 2466698436 Enrollment ID: I20130417000323 |
| Provider Name | Elena Brett Metcalf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508093337 PECOS PAC ID: 5698911691 Enrollment ID: I20130417000683 |
| Provider Name | Barbara Boehm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902052103 PECOS PAC ID: 4486891413 Enrollment ID: I20130513000165 |
| Provider Name | Karen Marie Cremers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457693673 PECOS PAC ID: 2668610379 Enrollment ID: I20130607000118 |
| Provider Name | Eric James Swanson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437442852 PECOS PAC ID: 0648419374 Enrollment ID: I20130610000476 |
| Provider Name | Timothy Paul Esser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962675348 PECOS PAC ID: 1052565793 Enrollment ID: I20130625000716 |
| Provider Name | Lucie Marie Turcotte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699975052 PECOS PAC ID: 6901045863 Enrollment ID: I20130625000736 |
| Provider Name | Melissa Christina Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891139465 PECOS PAC ID: 9133369986 Enrollment ID: I20130628000199 |
| Provider Name | Adam B Jeffers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255539748 PECOS PAC ID: 8325293038 Enrollment ID: I20130702000112 |
| Provider Name | Kristin Knopke Tshilumba |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174785455 PECOS PAC ID: 5698915155 Enrollment ID: I20130703000333 |
| Provider Name | Saul Helgeson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598996654 PECOS PAC ID: 9133265879 Enrollment ID: I20130703000426 |
| Provider Name | David T Baldes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821223025 PECOS PAC ID: 7214177740 Enrollment ID: I20130705000418 |
| Provider Name | Elizabeth Ann Carver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700940723 PECOS PAC ID: 6800031030 Enrollment ID: I20130708000112 |
| Provider Name | Thenappan Thenappan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1508842048 PECOS PAC ID: 6901832823 Enrollment ID: I20130724000730 |
| Provider Name | Steven L Senica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356419378 PECOS PAC ID: 5991867319 Enrollment ID: I20130726000610 |
| Provider Name | Kevin P Guenard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457692519 PECOS PAC ID: 0446491799 Enrollment ID: I20130729000649 |
| Provider Name | Ross William Perko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093986176 PECOS PAC ID: 7113165630 Enrollment ID: I20130802000392 |
| Provider Name | Chad James St Germain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609037035 PECOS PAC ID: 7012159387 Enrollment ID: I20130815000721 |
| Provider Name | Peter Kebbekus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245406750 PECOS PAC ID: 0446492573 Enrollment ID: I20130820000187 |
| Provider Name | Jonathan Kenknight |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649596370 PECOS PAC ID: 0345482477 Enrollment ID: I20130820000202 |
| Provider Name | Brian Ruggle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437419603 PECOS PAC ID: 6002058179 Enrollment ID: I20130820000722 |
| Provider Name | Hannah Katherine Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528406410 PECOS PAC ID: 3274776331 Enrollment ID: I20130821000831 |
| Provider Name | Thomas Jeffrey Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295174399 PECOS PAC ID: 6709029861 Enrollment ID: I20130821000851 |
| Provider Name | Susan Elizabeth Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598105694 PECOS PAC ID: 3971746041 Enrollment ID: I20130821000860 |
| Provider Name | Kristen Lee Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568805943 PECOS PAC ID: 9931342797 Enrollment ID: I20130826000822 |
| Provider Name | Sara Jane Morgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124375258 PECOS PAC ID: 0941451082 Enrollment ID: I20130927000689 |
| Provider Name | Kady Elizabeth Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568802064 PECOS PAC ID: 5799919668 Enrollment ID: I20131008000931 |
| Provider Name | Vaani Jegapragasan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295950756 PECOS PAC ID: 7012175672 Enrollment ID: I20131018001443 |
| Provider Name | Andrew George Keenan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821239161 PECOS PAC ID: 6103078795 Enrollment ID: I20131025000200 |
| Provider Name | Jacquelyn Ryan Messer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942647532 PECOS PAC ID: 8325273451 Enrollment ID: I20131028000408 |
| Provider Name | Zada Jane Dunaiski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881908275 PECOS PAC ID: 4486889482 Enrollment ID: I20131029000994 |
| Provider Name | Leianne Odilia Knoll Krajewski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922431147 PECOS PAC ID: 6709011687 Enrollment ID: I20131031000029 |
| Provider Name | Joshua Shane Maxwell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1265671671 PECOS PAC ID: 2961637780 Enrollment ID: I20131104000994 |
| Provider Name | Vikram D Jadhav |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972823623 PECOS PAC ID: 4981839487 Enrollment ID: I20131107001479 |
| Provider Name | Asif Ali Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386805059 PECOS PAC ID: 7416101068 Enrollment ID: I20131112000541 |
| Provider Name | Deborah Everitt Sah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487865291 PECOS PAC ID: 9133280548 Enrollment ID: I20131202000557 |
| Provider Name | Diana E Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639508922 PECOS PAC ID: 7911134846 Enrollment ID: I20131220000551 |
| Provider Name | Julia Ruth Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578992343 PECOS PAC ID: 0648407593 Enrollment ID: I20131220000939 |
| Provider Name | Ala Addin H Kandeel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1003110008 PECOS PAC ID: 1153592472 Enrollment ID: I20131226000857 |
| Provider Name | Elizabeth Ruth Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548482425 PECOS PAC ID: 2668600123 Enrollment ID: I20140109000236 |
| Provider Name | Matthew P Webb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891957890 PECOS PAC ID: 6204064215 Enrollment ID: I20140122000082 |
| Provider Name | Hayley Dee Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124457486 PECOS PAC ID: 2961631940 Enrollment ID: I20140218000000 |
| Provider Name | Scott Daniel Shulman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770557316 PECOS PAC ID: 9032132527 Enrollment ID: I20140402002474 |
| Provider Name | Amber L Tenerelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730427998 PECOS PAC ID: 0244465151 Enrollment ID: I20140407000000 |
| Provider Name | Anna Louise Dehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904633 PECOS PAC ID: 5597998427 Enrollment ID: I20140430001344 |
| Provider Name | Thomas G Malloy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285696161 PECOS PAC ID: 3375530413 Enrollment ID: I20140501001922 |
| Provider Name | Erik Christopher Brockman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730348319 PECOS PAC ID: 3577701739 Enrollment ID: I20140507001999 |
| Provider Name | Andrew Bunney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114246113 PECOS PAC ID: 5597998096 Enrollment ID: I20140508000511 |
| Provider Name | Jonathan P Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003079112 PECOS PAC ID: 1153569710 Enrollment ID: I20140520002247 |
| Provider Name | Arrin Leigh Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366867228 PECOS PAC ID: 5193948115 Enrollment ID: I20140520002428 |
| Provider Name | Kristin Lee Skadsberg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386069581 PECOS PAC ID: 9739302381 Enrollment ID: I20140529000041 |
| Provider Name | Ryan P Wippler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205037538 PECOS PAC ID: 2668695073 Enrollment ID: I20140603000705 |
| Provider Name | Gregory Gerald Ausmus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437202496 PECOS PAC ID: 7315091188 Enrollment ID: I20140604001032 |
| Provider Name | Brianne Marie Brandt-griffith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063622538 PECOS PAC ID: 4880861756 Enrollment ID: I20140610000628 |
| Provider Name | Sitasravya Devathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881972206 PECOS PAC ID: 5890919039 Enrollment ID: I20140610001382 |
| Provider Name | Sreedhar Devathi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528208642 PECOS PAC ID: 5496948549 Enrollment ID: I20140611000712 |
| Provider Name | Ahmad Hazem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184902033 PECOS PAC ID: 8628292893 Enrollment ID: I20140611001100 |
| Provider Name | Brian P Moran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912132572 PECOS PAC ID: 6800010893 Enrollment ID: I20140613000179 |
| Provider Name | Jessica Marie Titus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508032129 PECOS PAC ID: 8224253638 Enrollment ID: I20140626002647 |
| Provider Name | Karen Wyse Niedermier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821058421 PECOS PAC ID: 7416113014 Enrollment ID: I20140701000448 |
| Provider Name | Teja Umesh Dyamenahalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407155922 PECOS PAC ID: 3577788629 Enrollment ID: I20140702002346 |
| Provider Name | Nahi N Kiblawi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760646202 PECOS PAC ID: 0941425672 Enrollment ID: I20140714000025 |
| Provider Name | Julie M Ottosen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053550434 PECOS PAC ID: 7810112596 Enrollment ID: I20140714001867 |
| Provider Name | Ganesh Asaithambi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588807143 PECOS PAC ID: 5698918852 Enrollment ID: I20140717000325 |
| Provider Name | Lynn Marie Gevik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457794943 PECOS PAC ID: 9638224181 Enrollment ID: I20140721001125 |
| Provider Name | Jesse James Corry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215964499 PECOS PAC ID: 3577568823 Enrollment ID: I20140729000823 |
| Provider Name | Erin Maureen Crimmins Grimsby |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871810630 PECOS PAC ID: 7810113545 Enrollment ID: I20140801000146 |
| Provider Name | Maria Katarzyna Beaver |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215256409 PECOS PAC ID: 8921225582 Enrollment ID: I20140806000599 |
| Provider Name | Cindy Louise Kellett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477965614 PECOS PAC ID: 4385861772 Enrollment ID: I20140807002307 |
| Provider Name | Lindsay Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598178188 PECOS PAC ID: 1355568759 Enrollment ID: I20140808000028 |
| Provider Name | Joshua Scott Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356542211 PECOS PAC ID: 2062543945 Enrollment ID: I20140814001728 |
| Provider Name | Stephanie Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972916377 PECOS PAC ID: 0941427942 Enrollment ID: I20140815000406 |
| Provider Name | Wendy Kay Baty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609289446 PECOS PAC ID: 1951529924 Enrollment ID: I20140904001712 |
| Provider Name | Kimberly Ann Salo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720491715 PECOS PAC ID: 4587882477 Enrollment ID: I20140908000865 |
| Provider Name | Angela R Mcallister |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891006037 PECOS PAC ID: 3678713823 Enrollment ID: I20140911000356 |
| Provider Name | Katelyn E Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700299542 PECOS PAC ID: 2769601178 Enrollment ID: I20140917001980 |
| Provider Name | Jae H Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841426400 PECOS PAC ID: 4880813161 Enrollment ID: I20140918001530 |
| Provider Name | Amity Heinbuch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972902765 PECOS PAC ID: 7012136146 Enrollment ID: I20140922002217 |
| Provider Name | Anne Marie Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053712489 PECOS PAC ID: 2365661410 Enrollment ID: I20140922002726 |
| Provider Name | Kristi Rae Estabrook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932341401 PECOS PAC ID: 5698957314 Enrollment ID: I20140924000399 |
| Provider Name | Beret A Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124289483 PECOS PAC ID: 1658512892 Enrollment ID: I20140925002310 |
| Provider Name | Richard M Dasheiff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356365860 PECOS PAC ID: 7416113162 Enrollment ID: I20140929001451 |
| Provider Name | Tasha Lea Waage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306250402 PECOS PAC ID: 6103046719 Enrollment ID: I20141002001652 |
| Provider Name | Troy Adam Rowekamp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023335577 PECOS PAC ID: 8921240797 Enrollment ID: I20141002001901 |
| Provider Name | Luke David Widstrom |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366886053 PECOS PAC ID: 0648490185 Enrollment ID: I20141003000768 |
| Provider Name | Joanna M Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477872778 PECOS PAC ID: 8628299369 Enrollment ID: I20141022002648 |
| Provider Name | Daniel Craig Wolbrink |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760701882 PECOS PAC ID: 9537303292 Enrollment ID: I20141024000046 |
| Provider Name | Kaytlin Elisabeth Richie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134539158 PECOS PAC ID: 3779705744 Enrollment ID: I20141106000415 |
| Provider Name | Enoch M Lowe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366522211 PECOS PAC ID: 9638223597 Enrollment ID: I20141106001391 |
| Provider Name | Kenzie Miskovich Kleven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154734747 PECOS PAC ID: 1153643754 Enrollment ID: I20141210001637 |
| Provider Name | Kristine Marie Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265841076 PECOS PAC ID: 7113240144 Enrollment ID: I20141226000269 |
| Provider Name | Jenny L Martino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346396538 PECOS PAC ID: 4587790746 Enrollment ID: I20150205001089 |
| Provider Name | Sara Ann San Felipo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558768226 PECOS PAC ID: 3375868680 Enrollment ID: I20150209000915 |
| Provider Name | Jose Enrique Gomez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194748657 PECOS PAC ID: 4385867456 Enrollment ID: I20150306001477 |
| Provider Name | Sara Jo Luoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114315652 PECOS PAC ID: 2264759869 Enrollment ID: I20150319000481 |
| Provider Name | Sharon E Moran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649314303 PECOS PAC ID: 2860552536 Enrollment ID: I20150408001112 |
| Provider Name | Kristin Lieberman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053413708 PECOS PAC ID: 0648267682 Enrollment ID: I20150410001347 |
| Provider Name | Ramin Artang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376617282 PECOS PAC ID: 2668577073 Enrollment ID: I20150504001035 |
| Provider Name | Rachel Annika Janezic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619361375 PECOS PAC ID: 7315266780 Enrollment ID: I20150506001815 |
| Provider Name | Sarah Katherine Armour |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629236476 PECOS PAC ID: 1850535261 Enrollment ID: I20150514002653 |
| Provider Name | Kyle R Shipley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841408200 PECOS PAC ID: 6507995339 Enrollment ID: I20150521002513 |
| Provider Name | Brent Allan Ekstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881940682 PECOS PAC ID: 2769702091 Enrollment ID: I20150527002458 |
| Provider Name | John F Brunner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740423870 PECOS PAC ID: 2365680204 Enrollment ID: I20150528002417 |
| Provider Name | Karin Langford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265829238 PECOS PAC ID: 8729308960 Enrollment ID: I20150529000129 |
| Provider Name | Judah Arlan Askew |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821288929 PECOS PAC ID: 6204988777 Enrollment ID: I20150529001630 |
| Provider Name | Ryan T Whitesell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245465301 PECOS PAC ID: 2466690540 Enrollment ID: I20150602002888 |
| Provider Name | Amy Jo Chehock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376941302 PECOS PAC ID: 6204157944 Enrollment ID: I20150605001183 |
| Provider Name | Ryan Thomas Groeschl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336315605 PECOS PAC ID: 6901117324 Enrollment ID: I20150625001174 |
| Provider Name | Robert Louis Mango |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376805333 PECOS PAC ID: 8820300650 Enrollment ID: I20150707002741 |
| Provider Name | Matthew Loichinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629243415 PECOS PAC ID: 5890951438 Enrollment ID: I20150708000259 |
| Provider Name | Dino Terzic |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508091430 PECOS PAC ID: 4284946856 Enrollment ID: I20150710000367 |
| Provider Name | Megan Browning Baldes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023306016 PECOS PAC ID: 7810209392 Enrollment ID: I20150713001013 |
| Provider Name | Kristi Marie Stroh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750713442 PECOS PAC ID: 3173748621 Enrollment ID: I20150714002022 |
| Provider Name | Catherine Marie Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043285455 PECOS PAC ID: 5092750737 Enrollment ID: I20150720002112 |
| Provider Name | Colt Edin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164785317 PECOS PAC ID: 0446563316 Enrollment ID: I20150721002004 |
| Provider Name | Kevin Q Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407090632 PECOS PAC ID: 2668793514 Enrollment ID: I20150722005555 |
| Provider Name | Anastasia Kay Ketko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548434772 PECOS PAC ID: 6901119643 Enrollment ID: I20150723008215 |
| Provider Name | Margaret Christine Perko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710399381 PECOS PAC ID: 1951614635 Enrollment ID: I20150723009449 |
| Provider Name | Tochukwu Hilary Igwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376890392 PECOS PAC ID: 9335453307 Enrollment ID: I20150804005372 |
| Provider Name | Kema Kasalaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023377397 PECOS PAC ID: 7416112784 Enrollment ID: I20150805008438 |
| Provider Name | Leah L Witt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447502257 PECOS PAC ID: 8022323401 Enrollment ID: I20150813011184 |
| Provider Name | Melissa A Touroutoutoudis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700142312 PECOS PAC ID: 7719292069 Enrollment ID: I20150814013324 |
| Provider Name | Lindsey Marie Sloan Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699102897 PECOS PAC ID: 2860620929 Enrollment ID: I20150814014811 |
| Provider Name | Joshua Daniel Wiederin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639438401 PECOS PAC ID: 2466767611 Enrollment ID: I20150817002062 |
| Provider Name | Krista Louise Wilhelmson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346579349 PECOS PAC ID: 5092933564 Enrollment ID: I20150818003323 |
| Provider Name | Kirsten Cowan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659788115 PECOS PAC ID: 0840417986 Enrollment ID: I20150818006001 |
| Provider Name | Brian Joseph Aebly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578705125 PECOS PAC ID: 6507171436 Enrollment ID: I20150820011386 |
| Provider Name | Eric James Zimmerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639315286 PECOS PAC ID: 9335365030 Enrollment ID: I20150825005868 |
| Provider Name | Jaclyn M Hughley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023423126 PECOS PAC ID: 2668691890 Enrollment ID: I20150903002298 |
| Provider Name | Ayan A Rage |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629201173 PECOS PAC ID: 7810203874 Enrollment ID: I20150904002221 |
| Provider Name | Nicole Groeschl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770840985 PECOS PAC ID: 0547576415 Enrollment ID: I20150909000552 |
| Provider Name | Laura Jo Stauty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538552336 PECOS PAC ID: 4082920954 Enrollment ID: I20150909000602 |
| Provider Name | Chena Beauduy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013203033 PECOS PAC ID: 7719295583 Enrollment ID: I20150928001033 |
| Provider Name | Nathan Jon Palmolea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609211606 PECOS PAC ID: 5991013153 Enrollment ID: I20151007003323 |
| Provider Name | Katie H Willihnganz Lawson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720255656 PECOS PAC ID: 0547481566 Enrollment ID: I20151016001834 |
| Provider Name | Aqeel Ahmad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497942866 PECOS PAC ID: 5890885867 Enrollment ID: I20151111000222 |
| Provider Name | Jill Christine Isenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760670053 PECOS PAC ID: 4688974611 Enrollment ID: I20151124001305 |
| Provider Name | Tally Joyce Puffer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508244864 PECOS PAC ID: 8022318435 Enrollment ID: I20151207002318 |
| Provider Name | Lisa M Vanbaalen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679636799 PECOS PAC ID: 9830490465 Enrollment ID: I20151223001453 |
| Provider Name | William Eli Chastain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891980777 PECOS PAC ID: 4385832419 Enrollment ID: I20160104000975 |
| Provider Name | Peter Burritt Chase |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063485563 PECOS PAC ID: 4082759444 Enrollment ID: I20160115000301 |
| Provider Name | Jennifer N Malmberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770940579 PECOS PAC ID: 3173827896 Enrollment ID: I20160201001030 |
| Provider Name | Kurt Farchmin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558623090 PECOS PAC ID: 0749419000 Enrollment ID: I20160210001438 |
| Provider Name | Andrea Jane Silvola |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942633227 PECOS PAC ID: 6406084565 Enrollment ID: I20160304000716 |
| Provider Name | Joseph William Stromsness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013395748 PECOS PAC ID: 0446567846 Enrollment ID: I20160322002676 |
| Provider Name | Brian S Martell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689991432 PECOS PAC ID: 9931419793 Enrollment ID: I20160511002723 |
| Provider Name | Kunal Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477833358 PECOS PAC ID: 5395047070 Enrollment ID: I20160517002501 |
| Provider Name | Cara Lynn Moen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871932939 PECOS PAC ID: 5092004853 Enrollment ID: I20160517002598 |
| Provider Name | Timothy Meehan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558686030 PECOS PAC ID: 4486811395 Enrollment ID: I20160525002962 |
| Provider Name | Anne Elisabeth Zbaracki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316385933 PECOS PAC ID: 2062648306 Enrollment ID: I20160531000563 |
| Provider Name | Michael Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700027166 PECOS PAC ID: 9234262148 Enrollment ID: I20160603001177 |
| Provider Name | Jesse Coenen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376832345 PECOS PAC ID: 4082839063 Enrollment ID: I20160616001778 |
| Provider Name | Grishma P Bharucha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609137363 PECOS PAC ID: 4385886316 Enrollment ID: I20160624000509 |
| Provider Name | Kelsey Leigh Redland-kladivo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861836678 PECOS PAC ID: 1153625462 Enrollment ID: I20160701000834 |
| Provider Name | Anteneh Girma Zewde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356684609 PECOS PAC ID: 2860784022 Enrollment ID: I20160707002375 |
| Provider Name | Laura C Colicchia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306178439 PECOS PAC ID: 2567601255 Enrollment ID: I20160725000010 |
| Provider Name | Gregory Robert Stroh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023497112 PECOS PAC ID: 6103137831 Enrollment ID: I20160725002324 |
| Provider Name | Jenny Vunjie Wang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164816203 PECOS PAC ID: 4789995168 Enrollment ID: I20160729001408 |
| Provider Name | Karla Jo Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932551249 PECOS PAC ID: 1254624075 Enrollment ID: I20160801000859 |
| Provider Name | Stephen Andrew Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467716191 PECOS PAC ID: 9739483637 Enrollment ID: I20160801002241 |
| Provider Name | John M Boyle |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588920649 PECOS PAC ID: 5294029823 Enrollment ID: I20160804001756 |
| Provider Name | Trygve K Armour |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053790485 PECOS PAC ID: 3870808314 Enrollment ID: I20160805000731 |
| Provider Name | Nisar Ali Zaidi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336468107 PECOS PAC ID: 1759524242 Enrollment ID: I20160805000944 |
| Provider Name | Monica Blanche Mcdevitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619326865 PECOS PAC ID: 9739473810 Enrollment ID: I20160812000161 |
| Provider Name | Hannah Nordskog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754459 PECOS PAC ID: 4284928151 Enrollment ID: I20160816001310 |
| Provider Name | Jillian Marie Tapper-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962955906 PECOS PAC ID: 1759676182 Enrollment ID: I20160824003087 |
| Provider Name | Lauren Kate Carolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124434279 PECOS PAC ID: 6800117888 Enrollment ID: I20160826002099 |
| Provider Name | Carrie Lynn Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598210239 PECOS PAC ID: 2365738200 Enrollment ID: I20160901001478 |
| Provider Name | Amelia Rose Dewit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326490467 PECOS PAC ID: 8022305051 Enrollment ID: I20160920000133 |
| Provider Name | Luke Aaron Law |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1104205665 PECOS PAC ID: 0547571762 Enrollment ID: I20161003001928 |
| Provider Name | Jacob Allen Lyons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336582048 PECOS PAC ID: 2264710318 Enrollment ID: I20161025002181 |
| Provider Name | Chloe Victoria Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891147922 PECOS PAC ID: 3971881434 Enrollment ID: I20161103001606 |
| Provider Name | Anthony K Hoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467898718 PECOS PAC ID: 9032413356 Enrollment ID: I20161117000643 |
| Provider Name | Sanjay Bindra |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528080256 PECOS PAC ID: 6709807019 Enrollment ID: I20161117001294 |
| Provider Name | April Kristin Archibald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720530793 PECOS PAC ID: 5496034241 Enrollment ID: I20161117002586 |
| Provider Name | Jennifer Lynn Krog |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235154949 PECOS PAC ID: 2567743420 Enrollment ID: I20170109000520 |
| Provider Name | April Jane Lennartson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659815942 PECOS PAC ID: 8527340827 Enrollment ID: I20170123000000 |
| Provider Name | Jessica Ann Mcdonnell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770035933 PECOS PAC ID: 6204119191 Enrollment ID: I20170220002946 |
| Provider Name | Camie Jean Wheeler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487979613 PECOS PAC ID: 9537443627 Enrollment ID: I20170309002209 |
| Provider Name | Andrew Sundblad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447411772 PECOS PAC ID: 3375781487 Enrollment ID: I20170329000219 |
| Provider Name | Stephen Hilding Pearson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366538068 PECOS PAC ID: 0446535611 Enrollment ID: I20170330002074 |
| Provider Name | Wendy Michelle Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033589437 PECOS PAC ID: 7113215500 Enrollment ID: I20170418002682 |
| Provider Name | Grant Edward Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366824542 PECOS PAC ID: 8628355583 Enrollment ID: I20170501002206 |
| Provider Name | Teresa D'ann Valerio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407875768 PECOS PAC ID: 5991604894 Enrollment ID: I20170509000992 |
| Provider Name | Cory Nordman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679771521 PECOS PAC ID: 2961689427 Enrollment ID: I20170517000985 |
| Provider Name | Ekaterine Vladimirovna Mchenry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396281978 PECOS PAC ID: 4284901299 Enrollment ID: I20170523001589 |
| Provider Name | Brooke M Settergren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669887386 PECOS PAC ID: 7113224577 Enrollment ID: I20170602001786 |
| Provider Name | Matthew Jason Steinman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346655172 PECOS PAC ID: 8426326265 Enrollment ID: I20170619002848 |
| Provider Name | Aaron James Hegg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992916258 PECOS PAC ID: 0143491050 Enrollment ID: I20170620002415 |
| Provider Name | Margaret Liwun Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578678272 PECOS PAC ID: 8921131129 Enrollment ID: I20170705002254 |
| Provider Name | Nicholas James Milanovich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992931778 PECOS PAC ID: 0446562516 Enrollment ID: I20170717001770 |
| Provider Name | Katherine E Pavlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790211472 PECOS PAC ID: 2466722822 Enrollment ID: I20170719000180 |
| Provider Name | Thomas W Ballard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750360012 PECOS PAC ID: 0749310316 Enrollment ID: I20170725002629 |
| Provider Name | Steven James Haasken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912291402 PECOS PAC ID: 7517107782 Enrollment ID: I20170801001777 |
| Provider Name | Robin Lesley Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568755965 PECOS PAC ID: 5496995946 Enrollment ID: I20170807003507 |
| Provider Name | Christopher Stephen Childs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609220466 PECOS PAC ID: 4284917766 Enrollment ID: I20170815002694 |
| Provider Name | Katherine E Kruse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225340565 PECOS PAC ID: 6901181098 Enrollment ID: I20170816001254 |
| Provider Name | Anthony K Hoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467898718 PECOS PAC ID: 9032413356 Enrollment ID: I20170824003206 |
| Provider Name | Joel S Jurantee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548560659 PECOS PAC ID: 3678709839 Enrollment ID: I20170825002385 |
| Provider Name | Matthew Richard Soule |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437393113 PECOS PAC ID: 5395041800 Enrollment ID: I20170830003748 |
| Provider Name | Amanjit Baadh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003061367 PECOS PAC ID: 3870750029 Enrollment ID: I20170905001562 |
| Provider Name | Joel David Kolmodin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295051407 PECOS PAC ID: 6406142751 Enrollment ID: I20170918001717 |
| Provider Name | Timothy Eugene Borden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043416209 PECOS PAC ID: 6709066053 Enrollment ID: I20170918002782 |
| Provider Name | Michael John Sterns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104230408 PECOS PAC ID: 8921301813 Enrollment ID: I20170926003398 |
| Provider Name | Jakob David Rikkola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770755076 PECOS PAC ID: 1254606254 Enrollment ID: I20171002000020 |
| Provider Name | Brittany Ann Ortler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487177671 PECOS PAC ID: 7810262862 Enrollment ID: I20171002002298 |
| Provider Name | Travis James Moncrief |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679831648 PECOS PAC ID: 4688970155 Enrollment ID: I20171012002716 |
| Provider Name | Paul Steven Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285153007 PECOS PAC ID: 9032485131 Enrollment ID: I20171017002710 |
| Provider Name | Karissa Marie Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902258502 PECOS PAC ID: 4789977562 Enrollment ID: I20171019000270 |
| Provider Name | Catherine P Benziger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518266394 PECOS PAC ID: 4385875079 Enrollment ID: I20171019000619 |
| Provider Name | Mark Francis Scott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740515642 PECOS PAC ID: 9830406370 Enrollment ID: I20171025003155 |
| Provider Name | Premraj Makkuni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730395740 PECOS PAC ID: 5092857532 Enrollment ID: I20171107002951 |
| Provider Name | Meghan Eileen Rochefort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922517093 PECOS PAC ID: 3375800741 Enrollment ID: I20171121000488 |
| Provider Name | Amanda Kristen Carlson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871937474 PECOS PAC ID: 3779887237 Enrollment ID: I20171128001993 |
| Provider Name | Mark L Lykins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306357132 PECOS PAC ID: 5991062796 Enrollment ID: I20171204001927 |
| Provider Name | Terri Lynn Halverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962805549 PECOS PAC ID: 0042594210 Enrollment ID: I20171206001199 |
| Provider Name | Kelsey Lindsay Putvin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598196313 PECOS PAC ID: 0143588244 Enrollment ID: I20171219001854 |
| Provider Name | Corissa L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821507153 PECOS PAC ID: 5496013377 Enrollment ID: I20171226000031 |
| Provider Name | Rebecca Anne Perrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932611001 PECOS PAC ID: 5698034171 Enrollment ID: I20180108001567 |
| Provider Name | Adriana Nicole Askew |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982131348 PECOS PAC ID: 7315206638 Enrollment ID: I20180112001014 |
| Provider Name | Lindsay C Zupan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871008839 PECOS PAC ID: 5890055578 Enrollment ID: I20180129002650 |
| Provider Name | Shana M Gliniecki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730112814 PECOS PAC ID: 0042214470 Enrollment ID: I20180212002203 |
| Provider Name | Grace K Hauschild |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215445895 PECOS PAC ID: 5698035699 Enrollment ID: I20180213001546 |
| Provider Name | Susan Rose Gran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669812319 PECOS PAC ID: 6406117266 Enrollment ID: I20180219002697 |
| Provider Name | Bradford J Chu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952628620 PECOS PAC ID: 5799046710 Enrollment ID: I20180307001376 |
| Provider Name | Kaylee Ann Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356841605 PECOS PAC ID: 0042572166 Enrollment ID: I20180329000308 |
| Provider Name | Gerald J Bellehumeur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467967430 PECOS PAC ID: 8820352446 Enrollment ID: I20180508001399 |
| Provider Name | Sarosh Ashraf Janjua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447487244 PECOS PAC ID: 9931343308 Enrollment ID: I20180518000791 |
| Provider Name | Robert Cole Pueringer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043605355 PECOS PAC ID: 4587962295 Enrollment ID: I20180612001061 |
| Provider Name | Jean Elise Hoyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104852615 PECOS PAC ID: 9335161421 Enrollment ID: I20180614000002 |
| Provider Name | Jason Carroll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033417571 PECOS PAC ID: 4789843285 Enrollment ID: I20180620003349 |
| Provider Name | Andrew Joseph Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891100707 PECOS PAC ID: 5991084576 Enrollment ID: I20180628003059 |
| Provider Name | Nicole Worden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962797753 PECOS PAC ID: 5890923296 Enrollment ID: I20180628003274 |
| Provider Name | Haley Marie Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073932893 PECOS PAC ID: 4183970197 Enrollment ID: I20180705001951 |
| Provider Name | Angie Marie Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417129651 PECOS PAC ID: 8527314475 Enrollment ID: I20180706000867 |
| Provider Name | Lee Dale Stokes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891107397 PECOS PAC ID: 6204053598 Enrollment ID: I20180706002120 |
| Provider Name | Kannan Kasturi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043574569 PECOS PAC ID: 8426304288 Enrollment ID: I20180709002837 |
| Provider Name | Kelly Jo Dahl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831361021 PECOS PAC ID: 3870840309 Enrollment ID: I20180716001175 |
| Provider Name | Ryan T Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407387707 PECOS PAC ID: 3678843554 Enrollment ID: I20180804000012 |
| Provider Name | Mara Suzanne Edison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154718484 PECOS PAC ID: 6204108087 Enrollment ID: I20180806003360 |
| Provider Name | Shelley Jean Aho |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922270222 PECOS PAC ID: 7012265978 Enrollment ID: I20180808003647 |
| Provider Name | Michael Klajda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134650039 PECOS PAC ID: 4284906017 Enrollment ID: I20180810002512 |
| Provider Name | Gunther Harrison Wagoner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982024683 PECOS PAC ID: 1557610920 Enrollment ID: I20180817001090 |
| Provider Name | Justin K Kirkham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477085074 PECOS PAC ID: 4688946924 Enrollment ID: I20180820001364 |
| Provider Name | Ronald Lee Renard |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1497792436 PECOS PAC ID: 8921033739 Enrollment ID: I20180820001447 |
| Provider Name | Ryan Scott Watson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053757583 PECOS PAC ID: 1254655178 Enrollment ID: I20180823001497 |
| Provider Name | Heaven L Flemming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154817856 PECOS PAC ID: 7719236645 Enrollment ID: I20180824002636 |
| Provider Name | Benjamin William Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336569029 PECOS PAC ID: 5890044689 Enrollment ID: I20180828002623 |
| Provider Name | Melissa Georgette Mauro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235577206 PECOS PAC ID: 0840585733 Enrollment ID: I20180906000010 |
| Provider Name | Kristin P Colling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639494362 PECOS PAC ID: 0749585628 Enrollment ID: I20180912000836 |
| Provider Name | Laura B Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124514047 PECOS PAC ID: 5294085270 Enrollment ID: I20180912003318 |
| Provider Name | Anne-marie Boller |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1538133038 PECOS PAC ID: 7012940166 Enrollment ID: I20180915000005 |
| Provider Name | Anna Gybina |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477896009 PECOS PAC ID: 8426356064 Enrollment ID: I20180917000001 |
| Provider Name | Rachel L. Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225416464 PECOS PAC ID: 8820307861 Enrollment ID: I20180924002616 |
| Provider Name | Brandon M Vesel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134585060 PECOS PAC ID: 0941551279 Enrollment ID: I20180925002548 |
| Provider Name | Steven Todd Mccormack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023000338 PECOS PAC ID: 4183651987 Enrollment ID: I20181002000085 |
| Provider Name | Mohammed Quraishi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871545269 PECOS PAC ID: 8123030814 Enrollment ID: I20181002000128 |
| Provider Name | Shannon Patrick Calhoun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598715278 PECOS PAC ID: 7911804398 Enrollment ID: I20181002000181 |
| Provider Name | Jason Grennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457313314 PECOS PAC ID: 9830179092 Enrollment ID: I20181002001275 |
| Provider Name | Chizoba Nicole Okechukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356737555 PECOS PAC ID: 0042513228 Enrollment ID: I20181003000557 |
| Provider Name | David Scott Henley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770518128 PECOS PAC ID: 2769374032 Enrollment ID: I20181003001593 |
| Provider Name | Leo Bay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659752285 PECOS PAC ID: 8325340789 Enrollment ID: I20181008001804 |
| Provider Name | Douglas Sheafor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669438610 PECOS PAC ID: 7517970148 Enrollment ID: I20181012000040 |
| Provider Name | Erin Mccutchen Maddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114260296 PECOS PAC ID: 7315249018 Enrollment ID: I20181016000981 |
| Provider Name | Allison Summers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316926272 PECOS PAC ID: 1052366267 Enrollment ID: I20181029001564 |
| Provider Name | E. Nightingale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508946088 PECOS PAC ID: 7113202599 Enrollment ID: I20181102000296 |
| Provider Name | Jonathan Jaksha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871555649 PECOS PAC ID: 3274632054 Enrollment ID: I20181106001955 |
| Provider Name | Edward M Wineck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790711299 PECOS PAC ID: 1254436868 Enrollment ID: I20181109001326 |
| Provider Name | Rebecca Grumdahl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962978155 PECOS PAC ID: 7618221623 Enrollment ID: I20181109002203 |
| Provider Name | Scott White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144276338 PECOS PAC ID: 4385745215 Enrollment ID: I20181109002678 |
| Provider Name | Kirstin Dianne Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902372600 PECOS PAC ID: 4486908183 Enrollment ID: I20181115002306 |
| Provider Name | Linnea Marie Woods |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932687282 PECOS PAC ID: 7911251509 Enrollment ID: I20181119000267 |
| Provider Name | Dane Mcgee Ingebrigtson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104169390 PECOS PAC ID: 9830313923 Enrollment ID: I20181127002754 |
| Provider Name | Maren E Barootian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801030366 PECOS PAC ID: 2163766114 Enrollment ID: I20181203002414 |
| Provider Name | Christopher Erickson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477647261 PECOS PAC ID: 2264525161 Enrollment ID: I20181205001233 |
| Provider Name | Lee Thomas Church |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235428889 PECOS PAC ID: 1759508740 Enrollment ID: I20181224000096 |
| Provider Name | Kelly Arbor Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598231342 PECOS PAC ID: 8224373089 Enrollment ID: I20181224000158 |
| Provider Name | Kandice Renee Beenken |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982991501 PECOS PAC ID: 2961795679 Enrollment ID: I20181227000276 |
| Provider Name | Kevin Mcelroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184151110 PECOS PAC ID: 6204106644 Enrollment ID: I20181228000615 |
| Provider Name | Sarah B. Astorga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841604451 PECOS PAC ID: 3779709688 Enrollment ID: I20190104000460 |
| Provider Name | Jacqueline Vierheilig |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649388133 PECOS PAC ID: 2466624556 Enrollment ID: I20190124001770 |
| Provider Name | Kara J Perrelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124196886 PECOS PAC ID: 8921171398 Enrollment ID: I20190129001322 |
| Provider Name | Amanda Joan Petersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063983724 PECOS PAC ID: 8426395302 Enrollment ID: I20190131000008 |
| Provider Name | Sheryl Jo Rudolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831661123 PECOS PAC ID: 3072851690 Enrollment ID: I20190206002031 |
| Provider Name | Jamie R Apter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801367198 PECOS PAC ID: 4082952346 Enrollment ID: I20190212000260 |
| Provider Name | Levi La Porte |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285139865 PECOS PAC ID: 8527306802 Enrollment ID: I20190212001136 |
| Provider Name | Leah A Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043783178 PECOS PAC ID: 4385982693 Enrollment ID: I20190212002248 |
| Provider Name | Steven M Schumacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144678061 PECOS PAC ID: 1456644483 Enrollment ID: I20190307002203 |
| Provider Name | Tess Doohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518435270 PECOS PAC ID: 7416297239 Enrollment ID: I20190314000309 |
| Provider Name | Denise Marie Lund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922305655 PECOS PAC ID: 7315207990 Enrollment ID: I20190320000999 |
| Provider Name | Kierstin L Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255897153 PECOS PAC ID: 4486995362 Enrollment ID: I20190402001061 |
| Provider Name | Daniel J Beisang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649690355 PECOS PAC ID: 7113225889 Enrollment ID: I20190409001640 |
| Provider Name | Lisa B Howley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760538359 PECOS PAC ID: 8224226535 Enrollment ID: I20190418002444 |
| Provider Name | Kathryn Cambron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396749867 PECOS PAC ID: 8224016530 Enrollment ID: I20190509000120 |
| Provider Name | Anne Gettle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164901112 PECOS PAC ID: 1456694595 Enrollment ID: I20190514000089 |
| Provider Name | Ashley Dammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750805347 PECOS PAC ID: 1052654712 Enrollment ID: I20190521000157 |
| Provider Name | Neha M Paul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790039139 PECOS PAC ID: 9032452677 Enrollment ID: I20190522000872 |
| Provider Name | Kimberly M Keniry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346668183 PECOS PAC ID: 2163708579 Enrollment ID: I20190529000764 |
| Provider Name | Rebecca Lynn Potter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700340221 PECOS PAC ID: 0042543183 Enrollment ID: I20190605001093 |
| Provider Name | Ann Adair Cody Simones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962763359 PECOS PAC ID: 8820393267 Enrollment ID: I20190613000613 |
| Provider Name | Romy Jose Thekkekara |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770915605 PECOS PAC ID: 5799081923 Enrollment ID: I20190617001794 |
| Provider Name | John M Sherwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821121088 PECOS PAC ID: 6800988700 Enrollment ID: I20190619001148 |
| Provider Name | Renee Christine Karth-pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992229579 PECOS PAC ID: 9830423219 Enrollment ID: I20190619002452 |
| Provider Name | Vineetha Jose |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1952717563 PECOS PAC ID: 6103175849 Enrollment ID: I20190619002868 |
| Provider Name | Aaron R Busenbark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942787791 PECOS PAC ID: 9931433216 Enrollment ID: I20190619002901 |
| Provider Name | Brendan M O'shea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396972584 PECOS PAC ID: 4385888130 Enrollment ID: I20190621001041 |
| Provider Name | Joshua G Farley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417304593 PECOS PAC ID: 3779861216 Enrollment ID: I20190624003154 |
| Provider Name | Kirill Lipatov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508245382 PECOS PAC ID: 5496036600 Enrollment ID: I20190625000151 |
| Provider Name | Benjamin Michael Marsh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689094567 PECOS PAC ID: 9234433962 Enrollment ID: I20190705000661 |
| Provider Name | Kirsten Ma Indrelie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033504071 PECOS PAC ID: 5991030934 Enrollment ID: I20190712000070 |
| Provider Name | Emily K Davis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710545967 PECOS PAC ID: 9234464298 Enrollment ID: I20190712000983 |
| Provider Name | Timothy Conner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750385357 PECOS PAC ID: 6709784119 Enrollment ID: I20190717000091 |
| Provider Name | David M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750721593 PECOS PAC ID: 5597075135 Enrollment ID: I20190717001219 |
| Provider Name | Ahmad R Hatem Al Samaraee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447593173 PECOS PAC ID: 7810292828 Enrollment ID: I20190801000035 |
| Provider Name | Robert White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487151767 PECOS PAC ID: 5597016360 Enrollment ID: I20190807000693 |
| Provider Name | Linda S Koskiniemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689235244 PECOS PAC ID: 6800123159 Enrollment ID: I20190808001822 |
| Provider Name | Jenna M Altobelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568027464 PECOS PAC ID: 3870820178 Enrollment ID: I20190808004076 |
| Provider Name | Christopher Andrew Latanich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336434778 PECOS PAC ID: 9931403201 Enrollment ID: I20190814000451 |
| Provider Name | Sarah Jane Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013335819 PECOS PAC ID: 9931436755 Enrollment ID: I20190815003318 |
| Provider Name | Ian D Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811250772 PECOS PAC ID: 0749584852 Enrollment ID: I20190816000011 |
| Provider Name | Molly B Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003468760 PECOS PAC ID: 0345578043 Enrollment ID: I20190819003781 |
| Provider Name | Jessica Md Noelting |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396058855 PECOS PAC ID: 9537319124 Enrollment ID: I20190820001266 |
| Provider Name | Danyelle R Fenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235585134 PECOS PAC ID: 7911298831 Enrollment ID: I20190821001028 |
| Provider Name | Isaac J Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700439759 PECOS PAC ID: 7416286323 Enrollment ID: I20190830002810 |
| Provider Name | Heidi Elaine L'esperance |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639582273 PECOS PAC ID: 9739309477 Enrollment ID: I20190904000049 |
| Provider Name | Amos James Restad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124675566 PECOS PAC ID: 5193054906 Enrollment ID: I20190904000583 |
| Provider Name | Arla Rae Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295381416 PECOS PAC ID: 4183953813 Enrollment ID: I20190905002853 |
| Provider Name | Caryn Elizabeth Gerber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437506292 PECOS PAC ID: 7810281193 Enrollment ID: I20190913001688 |
| Provider Name | Stacy Lynn Kern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457617060 PECOS PAC ID: 1355690629 Enrollment ID: I20190917000552 |
| Provider Name | Brenda K Lundeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083658157 PECOS PAC ID: 2365772290 Enrollment ID: I20190919001257 |
| Provider Name | Hope Michelle Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457906166 PECOS PAC ID: 9234469974 Enrollment ID: I20190924001068 |
| Provider Name | Brandon Scott Percival |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962050906 PECOS PAC ID: 7810227329 Enrollment ID: I20190926001190 |
| Provider Name | Stanley R Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802968 PECOS PAC ID: 4082527205 Enrollment ID: I20190927001902 |
| Provider Name | Katie Lynn Smedstad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891353389 PECOS PAC ID: 5294065546 Enrollment ID: I20190930000672 |
| Provider Name | Shawn T Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891040689 PECOS PAC ID: 6103103569 Enrollment ID: I20191002002767 |
| Provider Name | Amy Shogren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275820821 PECOS PAC ID: 0648501312 Enrollment ID: I20191010000557 |
| Provider Name | Sarah Catherine Todd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407299787 PECOS PAC ID: 9830413061 Enrollment ID: I20191014000682 |
| Provider Name | Laura A Kitzmiller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962728113 PECOS PAC ID: 9133416241 Enrollment ID: I20191017002365 |
| Provider Name | Deanna Lyn Notaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104474501 PECOS PAC ID: 5698007888 Enrollment ID: I20191021001426 |
| Provider Name | Steven Dennis Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689748717 PECOS PAC ID: 3779815790 Enrollment ID: I20191024001282 |
| Provider Name | Carol Allert Herman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205869138 PECOS PAC ID: 2860724895 Enrollment ID: I20191024001313 |
| Provider Name | Michelle Carl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316589591 PECOS PAC ID: 2365774940 Enrollment ID: I20191031001150 |
| Provider Name | Joseph Autio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265087829 PECOS PAC ID: 6507198066 Enrollment ID: I20191101001905 |
| Provider Name | Sigurd M Haller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629494174 PECOS PAC ID: 4880926351 Enrollment ID: I20191101002352 |
| Provider Name | Katherine Anna Ritsche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881081248 PECOS PAC ID: 5698081206 Enrollment ID: I20191104000111 |
| Provider Name | Aaron R Burkhart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619518156 PECOS PAC ID: 6305278417 Enrollment ID: I20191112000045 |
| Provider Name | Jennifer Lynn Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265078968 PECOS PAC ID: 2062845928 Enrollment ID: I20191206000499 |
| Provider Name | Kate Jean Pelant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124676697 PECOS PAC ID: 5193158673 Enrollment ID: I20191216000260 |
| Provider Name | Sky Young-shaw Rogers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578753398 PECOS PAC ID: 0648351809 Enrollment ID: I20191216002206 |
| Provider Name | Kristin Elisabeth Dearruda Wharton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245876614 PECOS PAC ID: 1355775693 Enrollment ID: I20191219002610 |
| Provider Name | Brian A Conley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831394402 PECOS PAC ID: 6002076825 Enrollment ID: I20191231000965 |
| Provider Name | Robert Hosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023338282 PECOS PAC ID: 1153624051 Enrollment ID: I20200107002156 |
| Provider Name | Mary Forslund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205071248 PECOS PAC ID: 4789749870 Enrollment ID: I20200113001372 |
| Provider Name | Whitney Lea Finke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134404908 PECOS PAC ID: 2062659345 Enrollment ID: I20200121002324 |
| Provider Name | Brock S Clough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811534118 PECOS PAC ID: 6103251855 Enrollment ID: I20200127001824 |
| Provider Name | Daniel F Kuevi Akoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861031759 PECOS PAC ID: 2466888078 Enrollment ID: I20200130000192 |
| Provider Name | Alex Peter Loch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619393832 PECOS PAC ID: 4688000771 Enrollment ID: I20200210000591 |
| Provider Name | Shannon L St. Clair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881030997 PECOS PAC ID: 3678714268 Enrollment ID: I20200213001293 |
| Provider Name | Clara R Hoss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558906974 PECOS PAC ID: 8527494327 Enrollment ID: I20200213001563 |
| Provider Name | Veronica Yumo Ruvo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740252725 PECOS PAC ID: 4183523855 Enrollment ID: I20200213001899 |
| Provider Name | Julie Lynn Belden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992740419 PECOS PAC ID: 0446687701 Enrollment ID: I20200226000463 |
| Provider Name | Joseph F Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316582745 PECOS PAC ID: 7315375284 Enrollment ID: I20200309000943 |
| Provider Name | Margaret Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346889334 PECOS PAC ID: 2961830245 Enrollment ID: I20200319002990 |
| Provider Name | Amit Goyal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174813588 PECOS PAC ID: 5193029692 Enrollment ID: I20200327002076 |
| Provider Name | Megan Mcgovern Colborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255987954 PECOS PAC ID: 7315376274 Enrollment ID: I20200330000363 |
| Provider Name | Eileen R Huggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366079816 PECOS PAC ID: 3577992320 Enrollment ID: I20200331001213 |
| Provider Name | Brenda Kaye Leavelle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881628386 PECOS PAC ID: 4981034733 Enrollment ID: I20200420001554 |
| Provider Name | Ahna L Pelto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164065686 PECOS PAC ID: 5991136772 Enrollment ID: I20200511003080 |
| Provider Name | Lindsay S Haugen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740754530 PECOS PAC ID: 7214276187 Enrollment ID: I20200512000252 |
| Provider Name | Amina Adil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336482314 PECOS PAC ID: 7911206461 Enrollment ID: I20200521001461 |
| Provider Name | Efstratios N Travlos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457804544 PECOS PAC ID: 7214359199 Enrollment ID: I20200623001137 |
| Provider Name | Luiz Fernando Leonavicius Guimaraes Franco |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023423290 PECOS PAC ID: 2264854850 Enrollment ID: I20200629001521 |
| Provider Name | Jay Joseph Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891228094 PECOS PAC ID: 7810319340 Enrollment ID: I20200629003513 |
| Provider Name | Michael Maxwell Ritchie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790205540 PECOS PAC ID: 6709157795 Enrollment ID: I20200708003775 |
| Provider Name | Nicholas C Ellefson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639699200 PECOS PAC ID: 5092089938 Enrollment ID: I20200713003364 |
| Provider Name | Mindi L Kvaal Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932637899 PECOS PAC ID: 3577997428 Enrollment ID: I20200714000667 |
| Provider Name | Kelly J Aarsvold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710323100 PECOS PAC ID: 6002180429 Enrollment ID: I20200714000877 |
| Provider Name | Matthew D Braithwaite |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104280817 PECOS PAC ID: 1456617901 Enrollment ID: I20200716000082 |
| Provider Name | Natalia De Albuquerque Rocha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205241478 PECOS PAC ID: 8820412273 Enrollment ID: I20200720000773 |
| Provider Name | Linus Munrengsong Leivon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336661644 PECOS PAC ID: 7113291105 Enrollment ID: I20200722000768 |
| Provider Name | Michael Alan Sperl |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043715139 PECOS PAC ID: 7113274184 Enrollment ID: I20200804001113 |
| Provider Name | Caitlin Marie Braithwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508218140 PECOS PAC ID: 1355639386 Enrollment ID: I20200804003081 |
| Provider Name | Anthony C Wiseman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528487907 PECOS PAC ID: 7911322953 Enrollment ID: I20200807000062 |
| Provider Name | David M Fedor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679968010 PECOS PAC ID: 7315233434 Enrollment ID: I20200807000630 |
| Provider Name | Alyssa L Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780201657 PECOS PAC ID: 5092131128 Enrollment ID: I20200819001806 |
| Provider Name | Erika K Ehlers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134743586 PECOS PAC ID: 1658797568 Enrollment ID: I20200821001154 |
| Provider Name | Karin Britta Knutson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114389277 PECOS PAC ID: 0941593669 Enrollment ID: I20200824001040 |
| Provider Name | Jacob Hvidston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518346188 PECOS PAC ID: 4284946997 Enrollment ID: I20200827003879 |
| Provider Name | Kimberly Bentley Steiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588807317 PECOS PAC ID: 1759716756 Enrollment ID: I20200829000148 |
| Provider Name | Faraz Nasim Kazmi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306286463 PECOS PAC ID: 1759678493 Enrollment ID: I20200903000075 |
| Provider Name | Andrew M Mekhail |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730615998 PECOS PAC ID: 9739507682 Enrollment ID: I20200909003470 |
| Provider Name | Jarret Kuo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720228778 PECOS PAC ID: 0446495626 Enrollment ID: I20200910000612 |
| Provider Name | Brian Wasserman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053739482 PECOS PAC ID: 5597183210 Enrollment ID: I20200912000018 |
| Provider Name | Melanie Ann Ripley |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1275948630 PECOS PAC ID: 5092011940 Enrollment ID: I20200915001211 |
| Provider Name | Sarah Ann Yokel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831709781 PECOS PAC ID: 7113345240 Enrollment ID: I20200922000906 |
| Provider Name | Rebecca Danielle Chase |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528483435 PECOS PAC ID: 2567749120 Enrollment ID: I20200922002655 |
| Provider Name | Tyler James Larson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215342746 PECOS PAC ID: 1951521848 Enrollment ID: I20200929000859 |
| Provider Name | Janine Michelle Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760096416 PECOS PAC ID: 9638598337 Enrollment ID: I20200930000315 |
| Provider Name | Matthew Terry Wasland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598204810 PECOS PAC ID: 1355760091 Enrollment ID: I20200930001982 |
| Provider Name | Andrea Rochelle Lays |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043479660 PECOS PAC ID: 1052487485 Enrollment ID: I20200930002452 |
| Provider Name | Sonja E Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265057640 PECOS PAC ID: 2365861721 Enrollment ID: I20201005000188 |
| Provider Name | Kristin Mary Sorensen Tanenbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992960819 PECOS PAC ID: 6103002548 Enrollment ID: I20201006003075 |
| Provider Name | James Robert Warfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609119130 PECOS PAC ID: 1658791694 Enrollment ID: I20201013003322 |
| Provider Name | Christine Wasserman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376961169 PECOS PAC ID: 2062832637 Enrollment ID: I20201020002648 |
| Provider Name | Richard Timothy Grossart |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1740568690 PECOS PAC ID: 6709206394 Enrollment ID: I20201021000132 |
| Provider Name | Nathan Max Kunzler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457700593 PECOS PAC ID: 2365738184 Enrollment ID: I20201023002827 |
| Provider Name | Mazahir L Alimohamed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760897649 PECOS PAC ID: 8820382575 Enrollment ID: I20201026002444 |
| Provider Name | Jane Elizabeth Barthell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891888186 PECOS PAC ID: 3274943345 Enrollment ID: I20201030000404 |
| Provider Name | Christina M Lumppio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073889481 PECOS PAC ID: 6608286604 Enrollment ID: I20201103001049 |
| Provider Name | Erin Elizabeth Kukowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386250454 PECOS PAC ID: 7012327844 Enrollment ID: I20201106001788 |
| Provider Name | Nicole M Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346609229 PECOS PAC ID: 5890092274 Enrollment ID: I20201109002871 |
| Provider Name | Paul R Jerve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679170278 PECOS PAC ID: 6204246770 Enrollment ID: I20201112000709 |
| Provider Name | Kathryn Elizabeth Mclellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699126300 PECOS PAC ID: 2769777408 Enrollment ID: I20201118001341 |
| Provider Name | Fang Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811159296 PECOS PAC ID: 9830214154 Enrollment ID: I20201119002819 |
| Provider Name | Emily M Hvidston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407235088 PECOS PAC ID: 9436463783 Enrollment ID: I20201120001430 |
| Provider Name | Daniel Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962049445 PECOS PAC ID: 9436584018 Enrollment ID: I20201125001879 |
| Provider Name | Angelique Thibault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659982528 PECOS PAC ID: 1153732664 Enrollment ID: I20201203002924 |
| Provider Name | Kate Lindelof |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336533231 PECOS PAC ID: 6507277043 Enrollment ID: I20201204001158 |
| Provider Name | Emily Nicole Stunek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912510694 PECOS PAC ID: 1153733274 Enrollment ID: I20201215001204 |
| Provider Name | Jacqueline Fern Lorraine Wicklund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346851391 PECOS PAC ID: 9830501774 Enrollment ID: I20201217000115 |
| Provider Name | Joshua Sawlaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922235944 PECOS PAC ID: 1951564988 Enrollment ID: I20201229002283 |
| Provider Name | Jake Vrdoljak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619976230 PECOS PAC ID: 8527253400 Enrollment ID: I20210121002573 |
| Provider Name | Ryan Wade Loftin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447446265 PECOS PAC ID: 4587857750 Enrollment ID: I20210125001710 |
| Provider Name | Erin Christine Laveau-allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588203061 PECOS PAC ID: 7012321425 Enrollment ID: I20210126002734 |
| Provider Name | Erin Kay Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346870888 PECOS PAC ID: 5395159735 Enrollment ID: I20210127000565 |
| Provider Name | Amy Michelle Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407995434 PECOS PAC ID: 9133385172 Enrollment ID: I20210129002328 |
| Provider Name | Emmy Elizabeth Scholtes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568051522 PECOS PAC ID: 0749694693 Enrollment ID: I20210204000672 |
| Provider Name | John Christopher H Goodnow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184288524 PECOS PAC ID: 7517292964 Enrollment ID: I20210204002258 |
| Provider Name | Kristen Jean Lane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497208706 PECOS PAC ID: 0749695419 Enrollment ID: I20210211001169 |
| Provider Name | Nathan David Selstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679177455 PECOS PAC ID: 4486069846 Enrollment ID: I20210216003176 |
| Provider Name | Karen G Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992813 PECOS PAC ID: 8729024161 Enrollment ID: I20210217003090 |
| Provider Name | Steven George Lokken |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902230972 PECOS PAC ID: 7911313358 Enrollment ID: I20210309001902 |
| Provider Name | Sumit I Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316364797 PECOS PAC ID: 6103182084 Enrollment ID: I20210323001116 |
| Provider Name | Frank Joseph Welte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568676948 PECOS PAC ID: 6800933847 Enrollment ID: I20210330002202 |
| Provider Name | Bruce Robert Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255467841 PECOS PAC ID: 8022118371 Enrollment ID: I20210331002082 |
| Provider Name | David Michael Rokser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003491986 PECOS PAC ID: 4981012853 Enrollment ID: I20210413001932 |
| Provider Name | Valmiki Rishi Maharaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215355284 PECOS PAC ID: 5991007445 Enrollment ID: I20210420001474 |
| Provider Name | John Jerome Simmer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174594881 PECOS PAC ID: 9537352737 Enrollment ID: I20210427000262 |
| Provider Name | Rodney Dean Boyum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902886328 PECOS PAC ID: 5597946194 Enrollment ID: I20210524001751 |
| Provider Name | Carolyn E Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295323285 PECOS PAC ID: 0345649125 Enrollment ID: I20210527001243 |
| Provider Name | Katelyn Marie Luhm |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1962077214 PECOS PAC ID: 6608275201 Enrollment ID: I20210602001664 |
| Provider Name | Amanda Zerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073920823 PECOS PAC ID: 5597987362 Enrollment ID: I20210607002995 |
| Provider Name | Khloe Chao Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457845331 PECOS PAC ID: 9032519418 Enrollment ID: I20210608000573 |
| Provider Name | Stephen Jon Palmquist |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598228173 PECOS PAC ID: 3678907573 Enrollment ID: I20210629002688 |
| Provider Name | Phillip L Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437500261 PECOS PAC ID: 6002101086 Enrollment ID: I20210708001965 |
| Provider Name | Kailee Ann Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952998155 PECOS PAC ID: 6002218104 Enrollment ID: I20210713000241 |
| Provider Name | William Lea |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790947760 PECOS PAC ID: 8325285448 Enrollment ID: I20210713003096 |
| Provider Name | Bryan Kevin Koenig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801380928 PECOS PAC ID: 0244589547 Enrollment ID: I20210714000185 |
| Provider Name | Michael Richard Hayes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639524770 PECOS PAC ID: 4587957626 Enrollment ID: I20210715001924 |
| Provider Name | Kyle M Kubes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366892440 PECOS PAC ID: 6507268372 Enrollment ID: I20210715003825 |
| Provider Name | Jacob Herbert Walter Whiting |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386091122 PECOS PAC ID: 4082907381 Enrollment ID: I20210727002378 |
| Provider Name | Ricci Lee Bender |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063945665 PECOS PAC ID: 6800160250 Enrollment ID: I20210730003164 |
| Provider Name | Abby Marie Schultz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194498022 PECOS PAC ID: 1557765476 Enrollment ID: I20210813001188 |
| Provider Name | Samuel David Tillmans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366977787 PECOS PAC ID: 5092052332 Enrollment ID: I20210813002001 |
| Provider Name | Joshua Engelsgjerd |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689025868 PECOS PAC ID: 1456646710 Enrollment ID: I20210823000210 |
| Provider Name | Samantha Danielle Hudrlik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639519325 PECOS PAC ID: 9335458520 Enrollment ID: I20210823002639 |
| Provider Name | Vishnuteja V Devalla |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063874881 PECOS PAC ID: 3971893298 Enrollment ID: I20210824001157 |
| Provider Name | Laura Christensen Waller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053799031 PECOS PAC ID: 6901108992 Enrollment ID: I20210827001712 |
| Provider Name | Jill Schenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770594475 PECOS PAC ID: 7113998352 Enrollment ID: I20210830002536 |
| Provider Name | Claire R Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497109755 PECOS PAC ID: 7517256878 Enrollment ID: I20210830002629 |
| Provider Name | Sarah J Mudge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659978930 PECOS PAC ID: 8325444573 Enrollment ID: I20210914000403 |
| Provider Name | Steven Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144995747 PECOS PAC ID: 7517363781 Enrollment ID: I20210914001274 |
| Provider Name | Kelsey Kohorst Solberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376216184 PECOS PAC ID: 9739586868 Enrollment ID: I20210916000828 |
| Provider Name | Kavi Devulapalli |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1881950749 PECOS PAC ID: 8628348273 Enrollment ID: I20210921001598 |
| Provider Name | Jason P Wiederin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669979597 PECOS PAC ID: 1759632672 Enrollment ID: I20210922003577 |
| Provider Name | Paige Marie Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821660101 PECOS PAC ID: 3173920782 Enrollment ID: I20210924000900 |
| Provider Name | Liliana Banari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700143344 PECOS PAC ID: 0547504235 Enrollment ID: I20211005000524 |
| Provider Name | Symone Stevie Jacobs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316521370 PECOS PAC ID: 9335547306 Enrollment ID: I20211005001699 |
| Provider Name | Hana Ricci Main |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407381700 PECOS PAC ID: 0648549881 Enrollment ID: I20211006002118 |
| Provider Name | Mario Cisneros |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831584473 PECOS PAC ID: 3577878644 Enrollment ID: I20211007000494 |
| Provider Name | Hallie Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548931736 PECOS PAC ID: 9032517982 Enrollment ID: I20211007002355 |
| Provider Name | Aaron Joseph Wilcox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902579717 PECOS PAC ID: 9133527815 Enrollment ID: I20211011001537 |
| Provider Name | Joey Lynn Lopac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649845041 PECOS PAC ID: 4981002524 Enrollment ID: I20211012000945 |
| Provider Name | Luke Alan Borchardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790459311 PECOS PAC ID: 4183022692 Enrollment ID: I20211014001323 |
| Provider Name | Lauryn Elizabeth Wuorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699447060 PECOS PAC ID: 8729486063 Enrollment ID: I20211018001000 |
| Provider Name | Alexandra Genevieve Kleven |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124792338 PECOS PAC ID: 2062800360 Enrollment ID: I20211019000624 |
| Provider Name | Amanda Lee Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083105225 PECOS PAC ID: 0648529974 Enrollment ID: I20211027001871 |
| Provider Name | Emily Rose Grandson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427710458 PECOS PAC ID: 0345638177 Enrollment ID: I20211028000977 |
| Provider Name | Alexandrea Helen Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447922216 PECOS PAC ID: 3971992231 Enrollment ID: I20211109000053 |
| Provider Name | Stacey Karkkainen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861164261 PECOS PAC ID: 6002205051 Enrollment ID: I20211111002764 |
| Provider Name | Jill Marie Essay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609530153 PECOS PAC ID: 1759770555 Enrollment ID: I20211117002421 |
| Provider Name | Samuel Munro Doniach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881368488 PECOS PAC ID: 9739579244 Enrollment ID: I20211123002663 |
| Provider Name | Gulnara David Aliyeva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558515312 PECOS PAC ID: 7315089406 Enrollment ID: I20211129000680 |
| Provider Name | Emily Joanne Helgeson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003047861 PECOS PAC ID: 2769538800 Enrollment ID: I20211130001427 |
| Provider Name | Annika Elizabeth Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952924995 PECOS PAC ID: 2062802275 Enrollment ID: I20211202001064 |
| Provider Name | Michael A Schirado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104852185 PECOS PAC ID: 4789661026 Enrollment ID: I20211210001482 |
| Provider Name | Jennifer Ann Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679231963 PECOS PAC ID: 4880085125 Enrollment ID: I20211222000253 |
| Provider Name | Jennifer Michelle Grafstrom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801316237 PECOS PAC ID: 5991196248 Enrollment ID: I20211222001047 |
| Provider Name | Katti Renee Kinnear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770242521 PECOS PAC ID: 3375934250 Enrollment ID: I20220104000816 |
| Provider Name | Nicole Marie Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950805 PECOS PAC ID: 4284026733 Enrollment ID: I20220113001968 |
| Provider Name | Erin Elizabeth Beste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053072629 PECOS PAC ID: 0749672129 Enrollment ID: I20220114001018 |
| Provider Name | Fabio Roberti |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962450023 PECOS PAC ID: 9638181761 Enrollment ID: I20220126001880 |
| Provider Name | Courtney Kate Meister |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699436303 PECOS PAC ID: 4789076514 Enrollment ID: I20220127002448 |
| Provider Name | Caitlyn A Meehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013461235 PECOS PAC ID: 2466844253 Enrollment ID: I20220128001875 |
| Provider Name | Andrew Michael Laughlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477211431 PECOS PAC ID: 4284027780 Enrollment ID: I20220204001388 |
| Provider Name | Zane Charles Sundberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891149803 PECOS PAC ID: 5092108464 Enrollment ID: I20220207001831 |
| Provider Name | Kellie Christine Margarit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235880337 PECOS PAC ID: 1153714530 Enrollment ID: I20220207002285 |
| Provider Name | Benjamin David Jorgensen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598008724 PECOS PAC ID: 7113145475 Enrollment ID: I20220214000822 |
| Provider Name | Dawn Marie Turchi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396497426 PECOS PAC ID: 6901299940 Enrollment ID: I20220215001348 |
| Provider Name | Sanjay Saluja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053374462 PECOS PAC ID: 0840241279 Enrollment ID: I20220217001713 |
| Provider Name | Megan Kuehne Sowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720749633 PECOS PAC ID: 2163816018 Enrollment ID: I20220218001788 |
| Provider Name | Amanda Lea Keough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407507411 PECOS PAC ID: 1052705910 Enrollment ID: I20220218001922 |
| Provider Name | Beth Ann Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225782709 PECOS PAC ID: 5193119980 Enrollment ID: I20220221001155 |
| Provider Name | Sergey Kuharevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376960203 PECOS PAC ID: 7012137102 Enrollment ID: I20220302001429 |
| Provider Name | Jack T Baden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598118424 PECOS PAC ID: 3870881857 Enrollment ID: I20220302002904 |
| Provider Name | Drew Justin Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215683883 PECOS PAC ID: 4284028309 Enrollment ID: I20220304002263 |
| Provider Name | Rebecca Layne Emery Tavernier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861169062 PECOS PAC ID: 7315332269 Enrollment ID: I20220311001714 |
| Provider Name | Shyam Bhupalam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124078332 PECOS PAC ID: 2163334806 Enrollment ID: I20220316000096 |
| Provider Name | Katlynn Mary Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881348381 PECOS PAC ID: 8224423660 Enrollment ID: I20220321002424 |
| Provider Name | Carleton Stephen Saxton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205289329 PECOS PAC ID: 5092100347 Enrollment ID: I20220323001016 |
| Provider Name | Stephanie Lynn Smoot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629218607 PECOS PAC ID: 7911172572 Enrollment ID: I20220328000572 |
| Provider Name | Mohamed Hassan Halane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639306442 PECOS PAC ID: 3971738725 Enrollment ID: I20220408000707 |
| Provider Name | Everett H Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588004535 PECOS PAC ID: 5395055396 Enrollment ID: I20220418001627 |
| Provider Name | David Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851326557 PECOS PAC ID: 7719984210 Enrollment ID: I20220419001791 |
| Provider Name | Mark Joseph Mcginley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457324733 PECOS PAC ID: 0840287686 Enrollment ID: I20220426002461 |
| Provider Name | Carrie Rutske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679223770 PECOS PAC ID: 3779970371 Enrollment ID: I20220429000651 |
| Provider Name | Sonia Lucille Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104804343 PECOS PAC ID: 1557323136 Enrollment ID: I20220505000050 |
| Provider Name | Timothy K Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063874808 PECOS PAC ID: 8820497779 Enrollment ID: I20220601003005 |
| Provider Name | Kristine Yvonne Fitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891433835 PECOS PAC ID: 9234517129 Enrollment ID: I20220606001251 |
| Provider Name | Robert Talbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700172905 PECOS PAC ID: 3274762422 Enrollment ID: I20220609002655 |
| Provider Name | Patrick Hackler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205282746 PECOS PAC ID: 0345531091 Enrollment ID: I20220610001459 |
| Provider Name | Sean K Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609052000 PECOS PAC ID: 7416088489 Enrollment ID: I20220610001786 |
| Provider Name | Ashley C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770938607 PECOS PAC ID: 6305242959 Enrollment ID: I20220610002027 |
| Provider Name | Jeffrey Albin Vos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043209042 PECOS PAC ID: 2466526751 Enrollment ID: I20220611000260 |
| Provider Name | Dennis Heaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144453978 PECOS PAC ID: 6901944669 Enrollment ID: I20220613001256 |
| Provider Name | Benjamin Douglas Hustedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114511714 PECOS PAC ID: 6305225517 Enrollment ID: I20220617002146 |
| Provider Name | Carlos Rodrigo Goulart |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104208305 PECOS PAC ID: 4082915129 Enrollment ID: I20220701002192 |
| Provider Name | John Arthur Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124431051 PECOS PAC ID: 0749401719 Enrollment ID: I20220712002363 |
| Provider Name | Andrew Arthur Ames |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790165116 PECOS PAC ID: 5092082958 Enrollment ID: I20220712002685 |
| Provider Name | Jordan Lee Tichenor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003299827 PECOS PAC ID: 7315253713 Enrollment ID: I20220718001778 |
| Provider Name | Katelyn Marie Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689237448 PECOS PAC ID: 4789918970 Enrollment ID: I20220720002072 |
| Provider Name | Rachel Ann Pilliod |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093071391 PECOS PAC ID: 6103070966 Enrollment ID: I20220721001441 |
| Provider Name | Ryan David Clark |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689061822 PECOS PAC ID: 1254652068 Enrollment ID: I20220721002315 |
| Provider Name | Michael T Torchia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902292964 PECOS PAC ID: 6002113685 Enrollment ID: I20220804001950 |
| Provider Name | Mark D Kovacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385507 PECOS PAC ID: 3072738285 Enrollment ID: I20220809003262 |
| Provider Name | Jonathan Gapp |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760833875 PECOS PAC ID: 3476810409 Enrollment ID: I20220810001355 |
| Provider Name | Joseph Edward Zbaracki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760942221 PECOS PAC ID: 0749515716 Enrollment ID: I20220810003864 |
| Provider Name | Marit Elizabeth Knutson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881919322 PECOS PAC ID: 2769865302 Enrollment ID: I20220816000086 |
| Provider Name | Naomi K Atkins |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225308844 PECOS PAC ID: 4082838545 Enrollment ID: I20220817001011 |
| Provider Name | Amanda House |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255062923 PECOS PAC ID: 8123401924 Enrollment ID: I20220817002541 |
| Provider Name | Joslyn Mary Rose Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235861758 PECOS PAC ID: 3375926777 Enrollment ID: I20220817003835 |
| Provider Name | Emelia Jean Stille Snoozy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669038212 PECOS PAC ID: 9638406986 Enrollment ID: I20220818003339 |
| Provider Name | Vani C Movva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245618750 PECOS PAC ID: 8123363215 Enrollment ID: I20220830001667 |
| Provider Name | Michael S Mattia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619536331 PECOS PAC ID: 7113251281 Enrollment ID: I20220830003353 |
| Provider Name | Bethany K Miletich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790403087 PECOS PAC ID: 5698159929 Enrollment ID: I20220905000304 |
| Provider Name | Dominic James Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821729682 PECOS PAC ID: 2264816495 Enrollment ID: I20220907000932 |
| Provider Name | William Warren Sheaffer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750768388 PECOS PAC ID: 5991012569 Enrollment ID: I20220912000829 |
| Provider Name | Christopher Jon Montague |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134160104 PECOS PAC ID: 8022108323 Enrollment ID: I20220912001386 |
| Provider Name | Mattie L Strub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306400148 PECOS PAC ID: 9436484359 Enrollment ID: I20220912003207 |
| Provider Name | Jenna Marie Lund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265922967 PECOS PAC ID: 8921358912 Enrollment ID: I20220913000612 |
| Provider Name | Caitlin Rose Jung Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689310351 PECOS PAC ID: 8224413026 Enrollment ID: I20220914003670 |
| Provider Name | Katie Sue Lewandowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053768671 PECOS PAC ID: 2961887476 Enrollment ID: I20220920002249 |
| Provider Name | Nicholas Daniel Velasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033773783 PECOS PAC ID: 0345676581 Enrollment ID: I20220922003158 |
| Provider Name | Dalerie Jean Lieberz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942555958 PECOS PAC ID: 9537545900 Enrollment ID: I20221008000229 |
| Provider Name | Jonathan G Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588653075 PECOS PAC ID: 3577669928 Enrollment ID: I20221010001305 |
| Provider Name | Katie Cheney Hughson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467183145 PECOS PAC ID: 1759767080 Enrollment ID: I20221010002635 |
| Provider Name | Kathryn Elizabeth Huff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124473657 PECOS PAC ID: 1355748864 Enrollment ID: I20221012000214 |
| Provider Name | Angela Jo Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356636740 PECOS PAC ID: 1557591500 Enrollment ID: I20221012000921 |
| Provider Name | Michael Petry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942731583 PECOS PAC ID: 3870972763 Enrollment ID: I20221014001063 |
| Provider Name | James Hickey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902251440 PECOS PAC ID: 7113210402 Enrollment ID: I20221017002710 |
| Provider Name | Kari Brych |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467189530 PECOS PAC ID: 1254707201 Enrollment ID: I20221017002896 |
| Provider Name | Jenna Dian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073273983 PECOS PAC ID: 6103292099 Enrollment ID: I20221018001173 |
| Provider Name | Marianne Kay Kunsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619538600 PECOS PAC ID: 6103152855 Enrollment ID: I20221019000607 |
| Provider Name | Shylee Sue Preston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003540097 PECOS PAC ID: 1951777416 Enrollment ID: I20221025001572 |
| Provider Name | Greta Elizabeth Goodnow |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174189757 PECOS PAC ID: 7214303668 Enrollment ID: I20221026001502 |
| Provider Name | Katherine Joann Donaldson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982108494 PECOS PAC ID: 5395111744 Enrollment ID: I20221026001572 |
| Provider Name | Tonya Michelle Sweezer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437245271 PECOS PAC ID: 5890087183 Enrollment ID: I20221031000740 |
| Provider Name | Mariah Hlava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760106264 PECOS PAC ID: 2567839731 Enrollment ID: I20221031002491 |
| Provider Name | Autumn Marie Jarvis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336725720 PECOS PAC ID: 0143697151 Enrollment ID: I20221104000236 |
| Provider Name | Molly Kathryn Kolquist-kucza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649943366 PECOS PAC ID: 9830566504 Enrollment ID: I20221109001758 |
| Provider Name | Mitchell Lee Holt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912438912 PECOS PAC ID: 7911279930 Enrollment ID: I20221110000154 |
| Provider Name | Thomas Rieter Greenwood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063941656 PECOS PAC ID: 5597091165 Enrollment ID: I20221110000880 |
| Provider Name | Molly Sue Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174257190 PECOS PAC ID: 7012384530 Enrollment ID: I20221111002245 |
| Provider Name | Domenic Michael Terenzi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124414081 PECOS PAC ID: 1850607250 Enrollment ID: I20221114001305 |
| Provider Name | Adam T Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306078191 PECOS PAC ID: 3779890546 Enrollment ID: I20221115000082 |
| Provider Name | Cathleen Rose Pruitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679952428 PECOS PAC ID: 6002118460 Enrollment ID: I20221115001276 |
| Provider Name | Evan John Athman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528605920 PECOS PAC ID: 0648694646 Enrollment ID: I20221121002801 |
| Provider Name | Jeorgia Jean Marie Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811612047 PECOS PAC ID: 1951779917 Enrollment ID: I20221122002460 |
| Provider Name | Brittany June Paige |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245955590 PECOS PAC ID: 4981072980 Enrollment ID: I20221123000681 |
| Provider Name | Sarah Utz Petry |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982136321 PECOS PAC ID: 0749683365 Enrollment ID: I20221123001568 |
| Provider Name | Kristina Anne Haden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578290698 PECOS PAC ID: 2062880925 Enrollment ID: I20221125000532 |
| Provider Name | Shannon Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831816727 PECOS PAC ID: 0547638298 Enrollment ID: I20221130001460 |
| Provider Name | April Lynn Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831821073 PECOS PAC ID: 4284003641 Enrollment ID: I20221207002666 |
| Provider Name | Nicholas Allen Cook-rostie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386225720 PECOS PAC ID: 5193128825 Enrollment ID: I20221213001294 |
| Provider Name | Sharon Elizabeth Buesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093383077 PECOS PAC ID: 8325417272 Enrollment ID: I20221215001095 |
| Provider Name | Benjamin V Deitzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265153910 PECOS PAC ID: 0345610994 Enrollment ID: I20221223001055 |
| Provider Name | Bradford K Ence |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588766299 PECOS PAC ID: 8224078696 Enrollment ID: I20230105000938 |
| Provider Name | Lynn Seto |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164486049 PECOS PAC ID: 3779551957 Enrollment ID: I20230114000202 |
| Provider Name | Michael Fu-yen Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245250802 PECOS PAC ID: 7113922030 Enrollment ID: I20230117003100 |
| Provider Name | Deeann Hogenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033828322 PECOS PAC ID: 9739550302 Enrollment ID: I20230118000598 |
| Provider Name | Kyle Osmundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568172591 PECOS PAC ID: 4183095334 Enrollment ID: I20230125002860 |
| Provider Name | Julie A Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386820090 PECOS PAC ID: 0941389811 Enrollment ID: I20230208002129 |
| Provider Name | Josiah Samuel Osborne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902519523 PECOS PAC ID: 9537531918 Enrollment ID: I20230213000540 |
| Provider Name | Tyler Michael Gregg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093429110 PECOS PAC ID: 2961874342 Enrollment ID: I20230213000711 |
| Provider Name | Michael Skulski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801871876 PECOS PAC ID: 8921058108 Enrollment ID: I20230217002258 |
| Provider Name | Cassie A Piepkorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790481109 PECOS PAC ID: 2365814316 Enrollment ID: I20230221000963 |
| Provider Name | Daniel Moloney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548231301 PECOS PAC ID: 0446505267 Enrollment ID: I20230222001611 |
| Provider Name | Teresa Caroline Rock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871209015 PECOS PAC ID: 9931572807 Enrollment ID: I20230224001370 |
| Provider Name | Bria Dawn Schueler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992451207 PECOS PAC ID: 6800269051 Enrollment ID: I20230308003085 |
| Provider Name | Dawn Ramdas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801393434 PECOS PAC ID: 7113254855 Enrollment ID: I20230312000068 |
| Provider Name | Rachelle Jean Pucelj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407562770 PECOS PAC ID: 6406221365 Enrollment ID: I20230405003002 |
| Provider Name | Thomas Joseph Mcintee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346395449 PECOS PAC ID: 2264483486 Enrollment ID: I20230412001135 |
| Provider Name | Kolton Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285380451 PECOS PAC ID: 4587039128 Enrollment ID: I20230412001596 |
| Provider Name | Katie Jean Bohmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770289530 PECOS PAC ID: 4587039011 Enrollment ID: I20230413002620 |
| Provider Name | Patrick John Scanlon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1881129674 PECOS PAC ID: 0941675417 Enrollment ID: I20230414000886 |
| Provider Name | Sarah Elizabeth Blonsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154776664 PECOS PAC ID: 8426312893 Enrollment ID: I20230417001393 |
| Provider Name | Patricia Lynn Goldberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932808003 PECOS PAC ID: 1850756107 Enrollment ID: I20230420002117 |
| Provider Name | Mohamed Sharif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629464243 PECOS PAC ID: 2961708029 Enrollment ID: I20230502003111 |
| Provider Name | Hannah Kerry Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295424653 PECOS PAC ID: 1456717347 Enrollment ID: I20230518002955 |
| Provider Name | Alison Mckenzie Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194332460 PECOS PAC ID: 0244650190 Enrollment ID: I20230522002689 |
| Provider Name | Samantha Luci Leonard-ndomb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689016354 PECOS PAC ID: 7517183452 Enrollment ID: I20230607003212 |
| Provider Name | Natalia Alexeevna Shcherbinina |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992054589 PECOS PAC ID: 8022382795 Enrollment ID: I20230613002443 |
| Provider Name | Monica L Mcdonald |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548222011 PECOS PAC ID: 7012932494 Enrollment ID: I20230614003785 |
| Provider Name | Sarojini Kamaraju Ratnakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679524672 PECOS PAC ID: 2466410279 Enrollment ID: I20230619001232 |
| Provider Name | Monica Wenschlag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033751474 PECOS PAC ID: 9537593009 Enrollment ID: I20230621003427 |
| Provider Name | Heidi Jean Schminski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699450932 PECOS PAC ID: 5193184695 Enrollment ID: I20230630001453 |
| Provider Name | Kavita Desai Dakoji |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194093641 PECOS PAC ID: 8921467374 Enrollment ID: I20230704000377 |
| Provider Name | James Austin Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437687167 PECOS PAC ID: 3476823915 Enrollment ID: I20230708000431 |
| Provider Name | John Mark Pool |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134338114 PECOS PAC ID: 5496818395 Enrollment ID: I20230712001600 |
| Provider Name | Jason R Bauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326029950 PECOS PAC ID: 4587690821 Enrollment ID: I20230712002213 |
| Provider Name | Lee N Hosler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760944508 PECOS PAC ID: 1557785177 Enrollment ID: I20230724000054 |
| Provider Name | Adam S Nygard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871021816 PECOS PAC ID: 3173895232 Enrollment ID: I20230801001541 |
| Provider Name | Allan William Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285292615 PECOS PAC ID: 2466788112 Enrollment ID: I20230801002578 |
| Provider Name | Kelsey Margaret Gladen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326579905 PECOS PAC ID: 2668741463 Enrollment ID: I20230802002047 |
| Provider Name | Matthew Steven Wagner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164918199 PECOS PAC ID: 5799158184 Enrollment ID: I20230804001921 |
| Provider Name | Steven John Broker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679253918 PECOS PAC ID: 9638531692 Enrollment ID: I20230808004165 |
| Provider Name | Tani Elizabeth Berzins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235759572 PECOS PAC ID: 5597127811 Enrollment ID: I20230817001688 |
| Provider Name | Ateeq Mubarik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396197836 PECOS PAC ID: 1557694866 Enrollment ID: I20230817003820 |
| Provider Name | Linette Mae Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255941795 PECOS PAC ID: 6406263375 Enrollment ID: I20230821001016 |
| Provider Name | Robert Richard Gruhl |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962909549 PECOS PAC ID: 3173986858 Enrollment ID: I20230829000210 |
| Provider Name | Owen Thomas Tierney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558984179 PECOS PAC ID: 1658793260 Enrollment ID: I20230830004408 |
| Provider Name | Zachary Herbert Hollen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356021620 PECOS PAC ID: 0143683615 Enrollment ID: I20230831000087 |
| Provider Name | Robert Steven Bullock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568995553 PECOS PAC ID: 4082091368 Enrollment ID: I20230901000848 |
| Provider Name | Nathan John Gordon Collins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962137778 PECOS PAC ID: 9830552249 Enrollment ID: I20230901001836 |
| Provider Name | Madeline C Scanlon |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1588195069 PECOS PAC ID: 2961874847 Enrollment ID: I20230906000924 |
| Provider Name | Phebe L Alley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295355279 PECOS PAC ID: 9234552738 Enrollment ID: I20230908003415 |
| Provider Name | Sarah Layne Crandall |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1023451317 PECOS PAC ID: 2567794324 Enrollment ID: I20230912001003 |
| Provider Name | Stephen Elsen Rostad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770011272 PECOS PAC ID: 9234408923 Enrollment ID: I20230914000538 |
| Provider Name | Rebecca Kortum Hartman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508421249 PECOS PAC ID: 2264768928 Enrollment ID: I20230915001507 |
| Provider Name | Alena Nevers Tofte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619438520 PECOS PAC ID: 1557776770 Enrollment ID: I20230921002185 |
| Provider Name | Blair Nicole Hildebrandt |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1952990285 PECOS PAC ID: 5799139739 Enrollment ID: I20230926000794 |
| Provider Name | Emma Rose Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780367896 PECOS PAC ID: 4688029978 Enrollment ID: I20231005002741 |
| Provider Name | Matthew Charles Eidenschink |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184253700 PECOS PAC ID: 4789009218 Enrollment ID: I20231006001272 |
| Provider Name | Bonita Louise Chapin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750611588 PECOS PAC ID: 5698120541 Enrollment ID: I20231012000625 |
| Provider Name | Shreyas Sushil Shirodkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023646023 PECOS PAC ID: 8426404559 Enrollment ID: I20231026000938 |
| Provider Name | Allison Marie Fisher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356876858 PECOS PAC ID: 9931523552 Enrollment ID: I20231027001875 |
| Provider Name | Joshua David Godding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982226072 PECOS PAC ID: 0648692376 Enrollment ID: I20231031000266 |
| Provider Name | Caitlyn Ruth Goodell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508645102 PECOS PAC ID: 8921455312 Enrollment ID: I20231107000762 |
| Provider Name | Jillian Danielle Baranzini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962686378 PECOS PAC ID: 5890142293 Enrollment ID: I20231107001045 |
| Provider Name | Bryan Matthew Jepson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447606561 PECOS PAC ID: 5991039737 Enrollment ID: I20231108000740 |
| Provider Name | Jessica Rae Tichy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053197988 PECOS PAC ID: 8123475472 Enrollment ID: I20231108003277 |
| Provider Name | Audrey Natsai Mangwiro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346265162 PECOS PAC ID: 3274574850 Enrollment ID: I20231116000556 |
| Provider Name | Timothy Lyle Fellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376014084 PECOS PAC ID: 1850745472 Enrollment ID: I20231117000104 |
| Provider Name | Desiree Anne Rohling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699559641 PECOS PAC ID: 2567819238 Enrollment ID: I20231117000947 |
| Provider Name | Elizabeth V Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730969106 PECOS PAC ID: 4183072879 Enrollment ID: I20231117002383 |
| Provider Name | Claire Alexandra Moldenhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811678964 PECOS PAC ID: 9931557527 Enrollment ID: I20231120002772 |
| Provider Name | Allahshukur Ilgarli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649774647 PECOS PAC ID: 9739418807 Enrollment ID: I20231129000413 |
| Provider Name | Darby Lynn Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194506899 PECOS PAC ID: 6800244906 Enrollment ID: I20231130001037 |
| Provider Name | Rachel Leeann Busko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629637624 PECOS PAC ID: 2961737416 Enrollment ID: I20231204001601 |
| Provider Name | Sarah N Gatumu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750489845 PECOS PAC ID: 1951303833 Enrollment ID: I20231208001489 |
| Provider Name | Nicholas Polovitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184393589 PECOS PAC ID: 8820447998 Enrollment ID: I20231214001603 |
| Provider Name | Isaac Lee Hanson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598287039 PECOS PAC ID: 2860878667 Enrollment ID: I20231226001561 |
| Provider Name | Deepak Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548403827 PECOS PAC ID: 7911022959 Enrollment ID: I20231228000641 |
| Provider Name | John Daniel Rothpletz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740220409 PECOS PAC ID: 3971496142 Enrollment ID: I20240102001184 |
| Provider Name | Leela Diana Farr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346403482 PECOS PAC ID: 6901046291 Enrollment ID: I20240108000619 |
| Provider Name | Richard Andrew Vanbergen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265404909 PECOS PAC ID: 2961308093 Enrollment ID: I20240108003792 |
| Provider Name | Kristin Danielle Heslep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134749708 PECOS PAC ID: 8325462773 Enrollment ID: I20240110002911 |
| Provider Name | Danielle Elizabeth Urness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215704044 PECOS PAC ID: 0648621953 Enrollment ID: I20240111001936 |
| Provider Name | Megan Elizabeth Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093278020 PECOS PAC ID: 4981056553 Enrollment ID: I20240118004052 |
| Provider Name | Madonna Carmel Mcnulty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790558666 PECOS PAC ID: 6204288491 Enrollment ID: I20240124000550 |
| Provider Name | Meredith Potrzebowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659662419 PECOS PAC ID: 7113163981 Enrollment ID: I20240125000165 |
| Provider Name | Tyler Andrew Litvin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902460934 PECOS PAC ID: 0446603500 Enrollment ID: I20240125001999 |
| Provider Name | George V Chesteen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083053573 PECOS PAC ID: 8729333646 Enrollment ID: I20240129001598 |
| Provider Name | Joel Michael Berman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477532455 PECOS PAC ID: 8022036516 Enrollment ID: I20240131000843 |
| Provider Name | Emily Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922359926 PECOS PAC ID: 4082942586 Enrollment ID: I20240131003042 |
| Provider Name | Apurv Khanna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497744916 PECOS PAC ID: 1759276124 Enrollment ID: I20240201000049 |
| Provider Name | Erika Heard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134413750 PECOS PAC ID: 8527334408 Enrollment ID: I20240201001448 |
| Provider Name | Alexander Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20240201002866 |
| Provider Name | Ahmed Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770915670 PECOS PAC ID: 0840424610 Enrollment ID: I20240205001070 |
| Provider Name | Andrea Karin Kratzke Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184253049 PECOS PAC ID: 3274955018 Enrollment ID: I20240208000226 |
| Provider Name | Kevin Patrick Mcmullen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093797045 PECOS PAC ID: 1759437734 Enrollment ID: I20240208002309 |
| Provider Name | Rebecca Anne Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730952672 PECOS PAC ID: 5496198830 Enrollment ID: I20240213001757 |
| Provider Name | Megan Elyssa Lundberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912770066 PECOS PAC ID: 6406299874 Enrollment ID: I20240213002552 |
| Provider Name | Andrew John Ballard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730941683 PECOS PAC ID: 2860836889 Enrollment ID: I20240219000626 |
| Provider Name | Jasdeep Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629574496 PECOS PAC ID: 4486901709 Enrollment ID: I20240226000739 |
| Provider Name | Athara Ismail Ibrahim |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356021521 PECOS PAC ID: 9133564453 Enrollment ID: I20240227001170 |
| Provider Name | Tiffany Joy Negley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386413003 PECOS PAC ID: 3678918687 Enrollment ID: I20240229002653 |
| Provider Name | Eric Boehmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023217528 PECOS PAC ID: 9739372608 Enrollment ID: I20240301000676 |
| Provider Name | Lynn Marie Bergren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669446134 PECOS PAC ID: 9335032408 Enrollment ID: I20240305001769 |
| Provider Name | Jason Robert Jeffress |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669856332 PECOS PAC ID: 4082993423 Enrollment ID: I20240311003834 |
| Provider Name | Wendy Lyn De La Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912775099 PECOS PAC ID: 6204272172 Enrollment ID: I20240313003932 |
| Provider Name | Brandi Christine Strong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508862475 PECOS PAC ID: 9931003019 Enrollment ID: I20240322003751 |
| Provider Name | Muneer Janak Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376516021 PECOS PAC ID: 4688645591 Enrollment ID: I20240328000459 |
| Provider Name | Anthony Rowe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518120575 PECOS PAC ID: 8921246273 Enrollment ID: I20240328001467 |
| Provider Name | Daniel Burritt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265775928 PECOS PAC ID: 1951527498 Enrollment ID: I20240328001531 |
| Provider Name | Sean Feinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104273549 PECOS PAC ID: 3476952557 Enrollment ID: I20240328003065 |
| Provider Name | Yuyang Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538304035 PECOS PAC ID: 4880833615 Enrollment ID: I20240328003643 |
| Provider Name | Jennifer Huckabee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689017345 PECOS PAC ID: 3375885551 Enrollment ID: I20240328003725 |
| Provider Name | Kelsey Maria Nielsen O'neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003677303 PECOS PAC ID: 5597103606 Enrollment ID: I20240409003211 |
| Provider Name | Eva Normann Christensen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558598441 PECOS PAC ID: 6406070135 Enrollment ID: I20240415003382 |
| Provider Name | Akshay Ashok Gupte |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831416049 PECOS PAC ID: 9830493329 Enrollment ID: I20240415003431 |
| Provider Name | Tyra Jo Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013784883 PECOS PAC ID: 4183067747 Enrollment ID: I20240417001864 |
| Provider Name | Luc Magloire Oke |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588781942 PECOS PAC ID: 9436242245 Enrollment ID: I20240507001286 |
| Provider Name | Gregory Raymond Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982465761 PECOS PAC ID: 1355782228 Enrollment ID: I20240509000159 |
| Provider Name | Austin Edward Pickup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548903651 PECOS PAC ID: 5395125678 Enrollment ID: I20240513000649 |
| Provider Name | Molly Jane Vail-jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700522687 PECOS PAC ID: 5597145920 Enrollment ID: I20240513001025 |
| Provider Name | Jacob Avery Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669116224 PECOS PAC ID: 8527448943 Enrollment ID: I20240515000606 |
| Provider Name | Katrina Soriano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548623762 PECOS PAC ID: 8527357383 Enrollment ID: I20240516000209 |
| Provider Name | Kallyn Whitney Leier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851144620 PECOS PAC ID: 3870935018 Enrollment ID: I20240520003656 |
| Provider Name | Anum S Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649768961 PECOS PAC ID: 9537418728 Enrollment ID: I20240521003489 |
| Provider Name | Britta Naomi Clark |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467218032 PECOS PAC ID: 7618319674 Enrollment ID: I20240522004047 |
| Provider Name | Nancy I Joseph |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1144649575 PECOS PAC ID: 7012249907 Enrollment ID: I20240529000502 |
| Provider Name | Troy Edward Potter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255186102 PECOS PAC ID: 0749622272 Enrollment ID: I20240529001910 |
| Provider Name | Josephine G Gable |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457098378 PECOS PAC ID: 7113307760 Enrollment ID: I20240529003430 |
| Provider Name | Matthew Adam Nierengarten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477317675 PECOS PAC ID: 4284076761 Enrollment ID: I20240529003453 |
| Provider Name | Megan Sandberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639812530 PECOS PAC ID: 1456732858 Enrollment ID: I20240530004017 |
| Provider Name | Natalie R Carl |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063020352 PECOS PAC ID: 8325480684 Enrollment ID: I20240531002370 |
| Provider Name | Rachael Jean Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073831020 PECOS PAC ID: 5597207605 Enrollment ID: I20240604004148 |
| Provider Name | Nauman Hanif Taj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942516539 PECOS PAC ID: 1052633989 Enrollment ID: I20240607001259 |
Fond Du Lac Human Services Division Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 927 Trettle Lane, Fond Du Lac Human Services Division, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-3800 | |
Aspenridge Chiropractic Center P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2511 Washington Ave, Cloquet, MN 55720 Phone: 218-879-5831 |