| Tmc Medical Network | |
|
5300 E Erickson Dr Ste 100 Tucson AZ 85712-2809 | |
| (520) 324-7200 | |
| (520) 324-7201 |
| Full Name | Tmc Medical Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 5300 E Erickson Dr Ste 100, Tucson, Arizona |
| Authorized Official Name and Position | Jeremy Monday (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 5207507161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmc Medical Network 5099 E Grant Rd Ste 201 Tucson AZ 85712-2779 Ph: (520) 324-2414 | Tmc Medical Network 5300 E Erickson Dr Ste 100 Tucson AZ 85712-2809 Ph: (520) 324-7200 |
| NPI Number | 1750832283 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 09/25/2023 |
| Medicare PECOS PAC ID | 9638457013 |
|---|---|
| Medicare Enrollment ID | O20161107000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750832283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Vicky R Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679594196 PECOS PAC ID: 5799682860 Enrollment ID: I20031217000086 |
| Provider Name | James S Evans |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295721413 PECOS PAC ID: 0648267294 Enrollment ID: I20040427000846 |
| Provider Name | Kathleen A Iveson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720074263 PECOS PAC ID: 6709873367 Enrollment ID: I20040427000874 |
| Provider Name | William L Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669468195 PECOS PAC ID: 2062409535 Enrollment ID: I20040427001063 |
| Provider Name | Marguerite E Havlis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568497055 PECOS PAC ID: 0446240071 Enrollment ID: I20040515000421 |
| Provider Name | Gary P Gottlieb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366418071 PECOS PAC ID: 7719973502 Enrollment ID: I20040518000115 |
| Provider Name | Karen L Narum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851462121 PECOS PAC ID: 7517958507 Enrollment ID: I20040519000812 |
| Provider Name | Stephanie Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457492563 PECOS PAC ID: 4981687423 Enrollment ID: I20040608000191 |
| Provider Name | David W Tellez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922070770 PECOS PAC ID: 4587648522 Enrollment ID: I20040622000548 |
| Provider Name | Robert H Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265405724 PECOS PAC ID: 6103800222 Enrollment ID: I20040622000846 |
| Provider Name | Elizabeth A Zorn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437121290 PECOS PAC ID: 6002890043 Enrollment ID: I20040622000871 |
| Provider Name | James C Balserak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013952464 PECOS PAC ID: 9739166323 Enrollment ID: I20040701000769 |
| Provider Name | Thomas V Harmon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245268507 PECOS PAC ID: 1759368277 Enrollment ID: I20040702000150 |
| Provider Name | Anis Hanna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639136245 PECOS PAC ID: 9537146519 Enrollment ID: I20040707001046 |
| Provider Name | Robert J Berens |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1891791653 PECOS PAC ID: 4082691035 Enrollment ID: I20040709000654 |
| Provider Name | Peter R Catalano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245288877 PECOS PAC ID: 7416850672 Enrollment ID: I20040726000689 |
| Provider Name | Karen L Ridenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033205281 PECOS PAC ID: 6901877661 Enrollment ID: I20040804001830 |
| Provider Name | Steven A Wool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780789800 PECOS PAC ID: 0345141461 Enrollment ID: I20040827000288 |
| Provider Name | Robert M Aaronson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346247657 PECOS PAC ID: 8628965357 Enrollment ID: I20040830000419 |
| Provider Name | Martha J Gilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578549333 PECOS PAC ID: 5092780270 Enrollment ID: I20040831001055 |
| Provider Name | Lori L Mcneal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952350001 PECOS PAC ID: 7012976913 Enrollment ID: I20041006001110 |
| Provider Name | Daniel Lee Rowland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629175302 PECOS PAC ID: 1658333828 Enrollment ID: I20041029000886 |
| Provider Name | Brian J Cammarata |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639158579 PECOS PAC ID: 0345205761 Enrollment ID: I20041124000926 |
| Provider Name | Roberta J Hindenlang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487746095 PECOS PAC ID: 1254399124 Enrollment ID: I20041222000746 |
| Provider Name | Sreelekha Susarla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831185073 PECOS PAC ID: 1850359415 Enrollment ID: I20050106000532 |
| Provider Name | Miguel Arenas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619087590 PECOS PAC ID: 7810946860 Enrollment ID: I20050117000243 |
| Provider Name | Carlos J Borras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891890083 PECOS PAC ID: 2769433093 Enrollment ID: I20050203000807 |
| Provider Name | Garry W Pohoretsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740326115 PECOS PAC ID: 2860445251 Enrollment ID: I20050225000232 |
| Provider Name | Carol M Dehasse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205811205 PECOS PAC ID: 3971559048 Enrollment ID: I20050322001234 |
| Provider Name | Thomas W Weisman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134108608 PECOS PAC ID: 0244275287 Enrollment ID: I20050621000854 |
| Provider Name | Soungwon S Bae |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922090513 PECOS PAC ID: 0244275295 Enrollment ID: I20050621000937 |
| Provider Name | Judith A Mead |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942273156 PECOS PAC ID: 1951347376 Enrollment ID: I20050707000131 |
| Provider Name | David H Kahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598741167 PECOS PAC ID: 5890721757 Enrollment ID: I20050712000622 |
| Provider Name | Mary O Connelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114972783 PECOS PAC ID: 9436186376 Enrollment ID: I20050721000647 |
| Provider Name | Ives R De Chazal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891792107 PECOS PAC ID: 9436058310 Enrollment ID: I20050823000842 |
| Provider Name | Heather A Jankowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003998063 PECOS PAC ID: 3476587221 Enrollment ID: I20050921001026 |
| Provider Name | Hengameh Rastegar Murphy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548469992 PECOS PAC ID: 2163447053 Enrollment ID: I20051010000922 |
| Provider Name | Judy A Duran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720069461 PECOS PAC ID: 9537186275 Enrollment ID: I20051101000438 |
| Provider Name | Lawrence J Lincoln |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1194725267 PECOS PAC ID: 7618995721 Enrollment ID: I20051108000148 |
| Provider Name | Michael R Probstfeld |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699782565 PECOS PAC ID: 8325062870 Enrollment ID: I20060124000106 |
| Provider Name | Sitara Kommareddi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841236833 PECOS PAC ID: 6608890157 Enrollment ID: I20060124000711 |
| Provider Name | Jolyon D Schilling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336149277 PECOS PAC ID: 8820080385 Enrollment ID: I20060206000893 |
| Provider Name | Charles A Atkinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871593731 PECOS PAC ID: 1254345671 Enrollment ID: I20060207000537 |
| Provider Name | Darren W Housel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023031507 PECOS PAC ID: 4385675644 Enrollment ID: I20060209000353 |
| Provider Name | Ty H Endean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447218425 PECOS PAC ID: 6103864087 Enrollment ID: I20060501000026 |
| Provider Name | Andrew W Mayberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629019260 PECOS PAC ID: 4385657014 Enrollment ID: I20060726000029 |
| Provider Name | Cristiana Bortuzzo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891739017 PECOS PAC ID: 1759344666 Enrollment ID: I20060920000512 |
| Provider Name | Ronald S Grant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558476291 PECOS PAC ID: 1759386444 Enrollment ID: I20061003000010 |
| Provider Name | Paul P Tafoya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053326637 PECOS PAC ID: 9931105319 Enrollment ID: I20061006000373 |
| Provider Name | Monty R Hunsaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285612044 PECOS PAC ID: 9234138819 Enrollment ID: I20061208000242 |
| Provider Name | Brendyn C The |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033208020 PECOS PAC ID: 0840290722 Enrollment ID: I20061226000196 |
| Provider Name | Margaret A Jackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962594655 PECOS PAC ID: 3375543424 Enrollment ID: I20070113000107 |
| Provider Name | Diane B Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316042880 PECOS PAC ID: 6507867611 Enrollment ID: I20070116000273 |
| Provider Name | Mary K Durfee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013940485 PECOS PAC ID: 1456353267 Enrollment ID: I20070207000636 |
| Provider Name | Katherine B Farias |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972696706 PECOS PAC ID: 0840394888 Enrollment ID: I20070330000178 |
| Provider Name | Chetanbabu Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568684629 PECOS PAC ID: 0446358378 Enrollment ID: I20070531000139 |
| Provider Name | Keith R Dveirin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265471916 PECOS PAC ID: 0244338010 Enrollment ID: I20070604000121 |
| Provider Name | Chang-kun C Choi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760577241 PECOS PAC ID: 4587763008 Enrollment ID: I20070625000569 |
| Provider Name | Sabrina J Shih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376760975 PECOS PAC ID: 5395844542 Enrollment ID: I20070628000381 |
| Provider Name | Sarah J Lee-davisson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912934977 PECOS PAC ID: 1153425533 Enrollment ID: I20070730000023 |
| Provider Name | Bassel Kisso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093918302 PECOS PAC ID: 5597856336 Enrollment ID: I20070808000082 |
| Provider Name | Ubair Ahmed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386840726 PECOS PAC ID: 4688766009 Enrollment ID: I20070815000354 |
| Provider Name | Francisco Pacheco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356438428 PECOS PAC ID: 4082608856 Enrollment ID: I20070823000391 |
| Provider Name | Sujata Sarkar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194800607 PECOS PAC ID: 0547223786 Enrollment ID: I20070829000582 |
| Provider Name | Jeffrey S Lambert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578762134 PECOS PAC ID: 2769575976 Enrollment ID: I20070904000658 |
| Provider Name | Kathleen Bella Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720054992 PECOS PAC ID: 1850485277 Enrollment ID: I20070917000199 |
| Provider Name | Karen M Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073579447 PECOS PAC ID: 9436244472 Enrollment ID: I20071004000820 |
| Provider Name | Amy Schneider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316922313 PECOS PAC ID: 9830139013 Enrollment ID: I20080204000395 |
| Provider Name | Gayle A Dean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174547939 PECOS PAC ID: 1052326998 Enrollment ID: I20080226000389 |
| Provider Name | Melanie E Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578587879 PECOS PAC ID: 9739267188 Enrollment ID: I20080424000712 |
| Provider Name | Fadi Deeb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497729248 PECOS PAC ID: 5496758062 Enrollment ID: I20080603000221 |
| Provider Name | Maria T Sifontes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710958616 PECOS PAC ID: 1759451347 Enrollment ID: I20080609000710 |
| Provider Name | Edgardo R Laguillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629051560 PECOS PAC ID: 8729158316 Enrollment ID: I20080609000734 |
| Provider Name | Monica Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275513319 PECOS PAC ID: 4880791151 Enrollment ID: I20080711000195 |
| Provider Name | Monique L Schoenhage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083794507 PECOS PAC ID: 1153493564 Enrollment ID: I20080715000559 |
| Provider Name | Catherine M Cosentino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427037753 PECOS PAC ID: 6406951862 Enrollment ID: I20081031000096 |
| Provider Name | Ernst Schreiber |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548350168 PECOS PAC ID: 0244134740 Enrollment ID: I20081216000600 |
| Provider Name | Sabina R Mian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063631513 PECOS PAC ID: 6608837240 Enrollment ID: I20090114000192 |
| Provider Name | Christine Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164691366 PECOS PAC ID: 7113081761 Enrollment ID: I20090127000572 |
| Provider Name | Jennifer J Leedom |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225279029 PECOS PAC ID: 2466501861 Enrollment ID: I20090513000628 |
| Provider Name | Lana D Keesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750537353 PECOS PAC ID: 7517027030 Enrollment ID: I20090602000562 |
| Provider Name | James J Yanes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730372251 PECOS PAC ID: 4082768940 Enrollment ID: I20090812000646 |
| Provider Name | Jatinder Pal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386977742 PECOS PAC ID: 1355487513 Enrollment ID: I20091001000753 |
| Provider Name | Karen R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265688097 PECOS PAC ID: 9032257084 Enrollment ID: I20091111000404 |
| Provider Name | Mary Kinne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528113404 PECOS PAC ID: 2062553142 Enrollment ID: I20100112000293 |
| Provider Name | John P Seward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710086624 PECOS PAC ID: 9335193549 Enrollment ID: I20100112000849 |
| Provider Name | Shannon Howe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316986094 PECOS PAC ID: 4385785377 Enrollment ID: I20100113000452 |
| Provider Name | John G Corcoran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053350603 PECOS PAC ID: 9537202445 Enrollment ID: I20100201000347 |
| Provider Name | Thomas C Rotkis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154328466 PECOS PAC ID: 9638066293 Enrollment ID: I20100204000448 |
| Provider Name | Connie J Clary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245279900 PECOS PAC ID: 0749323277 Enrollment ID: I20100205000746 |
| Provider Name | Catherine M Gioannetti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396703013 PECOS PAC ID: 9133255789 Enrollment ID: I20100407000475 |
| Provider Name | Chun Wah Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083699839 PECOS PAC ID: 8729115308 Enrollment ID: I20100430000311 |
| Provider Name | Mary A Bieber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962726885 PECOS PAC ID: 1153459433 Enrollment ID: I20100506000539 |
| Provider Name | Rifat Latifi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760589220 PECOS PAC ID: 8820127376 Enrollment ID: I20100521000722 |
| Provider Name | Mayra I Melendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255317327 PECOS PAC ID: 8224167259 Enrollment ID: I20100528000594 |
| Provider Name | Thomas B Scully |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659366300 PECOS PAC ID: 4981680535 Enrollment ID: I20100810001034 |
| Provider Name | Elizabeth F Weisert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538133616 PECOS PAC ID: 2860594116 Enrollment ID: I20100903000875 |
| Provider Name | James L Sameshima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942305032 PECOS PAC ID: 4587789045 Enrollment ID: I20100921000683 |
| Provider Name | Richard A Ashley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003896465 PECOS PAC ID: 4486847787 Enrollment ID: I20101019001071 |
| Provider Name | Zohreh Kazemi-dunn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982678322 PECOS PAC ID: 6507050218 Enrollment ID: I20101027000087 |
| Provider Name | Walter H Brewer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932279247 PECOS PAC ID: 1355426040 Enrollment ID: I20101028000299 |
| Provider Name | Timothy K Putty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679568869 PECOS PAC ID: 1052507852 Enrollment ID: I20101118001129 |
| Provider Name | Catherine P Brainard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912973744 PECOS PAC ID: 7810185089 Enrollment ID: I20110103001024 |
| Provider Name | Ai-nhi Tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275500688 PECOS PAC ID: 4880776913 Enrollment ID: I20110112000240 |
| Provider Name | Annette M Hernandez-pakhurst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477545788 PECOS PAC ID: 0042491441 Enrollment ID: I20110217000706 |
| Provider Name | Jose A Rios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124099940 PECOS PAC ID: 2860675394 Enrollment ID: I20110322000143 |
| Provider Name | Eric S Hazelrigg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548249766 PECOS PAC ID: 1557355328 Enrollment ID: I20110524000097 |
| Provider Name | Bechara Mezher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598751794 PECOS PAC ID: 7911184379 Enrollment ID: I20110613000038 |
| Provider Name | Emily S Des Champs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770876039 PECOS PAC ID: 1658549589 Enrollment ID: I20110720000784 |
| Provider Name | Michele M Munkwitz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447447271 PECOS PAC ID: 4385813229 Enrollment ID: I20110809000807 |
| Provider Name | Shubh P Kaur |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194974519 PECOS PAC ID: 0941473557 Enrollment ID: I20111026000913 |
| Provider Name | Kim T Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912089624 PECOS PAC ID: 5597754689 Enrollment ID: I20111117000157 |
| Provider Name | Jamie E Ledesma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073618161 PECOS PAC ID: 9931367851 Enrollment ID: I20120223000703 |
| Provider Name | Timothy Stuart Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528222593 PECOS PAC ID: 8628236254 Enrollment ID: I20120228000358 |
| Provider Name | Aura L Edmondson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972620318 PECOS PAC ID: 7517127004 Enrollment ID: I20120320000723 |
| Provider Name | Craig G Gross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871568626 PECOS PAC ID: 5597757021 Enrollment ID: I20120321000864 |
| Provider Name | Avtar Singh Dhindsa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790844181 PECOS PAC ID: 7618079492 Enrollment ID: I20120521000215 |
| Provider Name | Christine K Farinelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477714863 PECOS PAC ID: 7911073192 Enrollment ID: I20120815000021 |
| Provider Name | Jeff C Hoehner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265516322 PECOS PAC ID: 9830142371 Enrollment ID: I20121112000187 |
| Provider Name | Robert S Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205098985 PECOS PAC ID: 0648442186 Enrollment ID: I20121228000040 |
| Provider Name | Steven A Malangone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952641748 PECOS PAC ID: 8820235716 Enrollment ID: I20130514000085 |
| Provider Name | Erica R Heitmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497965081 PECOS PAC ID: 3870785645 Enrollment ID: I20130603000681 |
| Provider Name | Kimberly J Isaac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659611390 PECOS PAC ID: 3971743824 Enrollment ID: I20130717000505 |
| Provider Name | Jocelyn M Schaller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245678739 PECOS PAC ID: 9436390093 Enrollment ID: I20130724000050 |
| Provider Name | Frederick Anthony Willyerd |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255661468 PECOS PAC ID: 9335382621 Enrollment ID: I20130905000920 |
| Provider Name | Lynette A Ancharski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194158998 PECOS PAC ID: 1052547510 Enrollment ID: I20131112000750 |
| Provider Name | Janet T Lau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831368968 PECOS PAC ID: 0446487466 Enrollment ID: I20131219001840 |
| Provider Name | Ann Juodakis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699903633 PECOS PAC ID: 8022265974 Enrollment ID: I20140107001197 |
| Provider Name | Rosalyn Patrice Baxter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497972145 PECOS PAC ID: 0446420541 Enrollment ID: I20140428001938 |
| Provider Name | Lisa Tucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467870378 PECOS PAC ID: 5294968699 Enrollment ID: I20140509002013 |
| Provider Name | Jennifer J Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396032652 PECOS PAC ID: 0244455996 Enrollment ID: I20140714000696 |
| Provider Name | Mohammed Raheeb Mortazavi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871740241 PECOS PAC ID: 8820240203 Enrollment ID: I20140814001227 |
| Provider Name | Jasmine Raquel Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689995573 PECOS PAC ID: 8426276387 Enrollment ID: I20140906000005 |
| Provider Name | Amy Christine Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649595174 PECOS PAC ID: 2062666449 Enrollment ID: I20140908001013 |
| Provider Name | Carol L Holman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386068633 PECOS PAC ID: 0648499434 Enrollment ID: I20140909002075 |
| Provider Name | Monica R Gustafson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538350707 PECOS PAC ID: 3375786395 Enrollment ID: I20140918001226 |
| Provider Name | Nathaniel A Reyes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083879357 PECOS PAC ID: 4183892102 Enrollment ID: I20140925000009 |
| Provider Name | Kristen L Zaporowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538569983 PECOS PAC ID: 5294957668 Enrollment ID: I20141119002150 |
| Provider Name | Eric J Langerman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255629333 PECOS PAC ID: 3173845138 Enrollment ID: I20141201002148 |
| Provider Name | Arvie May Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447655527 PECOS PAC ID: 9133441819 Enrollment ID: I20141208002209 |
| Provider Name | Taber Lea Bingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881097475 PECOS PAC ID: 3577886233 Enrollment ID: I20150105000393 |
| Provider Name | Amber L Paris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689940066 PECOS PAC ID: 9436475787 Enrollment ID: I20150303001560 |
| Provider Name | Astrid M Chabert Barreto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710107271 PECOS PAC ID: 2961728134 Enrollment ID: I20150305001264 |
| Provider Name | Gloriajean Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043601040 PECOS PAC ID: 7214255116 Enrollment ID: I20150403000948 |
| Provider Name | Michael L Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265825988 PECOS PAC ID: 2163743162 Enrollment ID: I20150602002829 |
| Provider Name | Kevin S Carter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386849156 PECOS PAC ID: 3870627946 Enrollment ID: I20150624003122 |
| Provider Name | Lisa W Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174506315 PECOS PAC ID: 1658383179 Enrollment ID: I20150630002473 |
| Provider Name | Adriana C Barcelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447648647 PECOS PAC ID: 5799003869 Enrollment ID: I20150713002995 |
| Provider Name | Janna Ruth Clark-deuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700267432 PECOS PAC ID: 1153635453 Enrollment ID: I20150730012786 |
| Provider Name | Machelle A Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336522283 PECOS PAC ID: 6709193410 Enrollment ID: I20150914000505 |
| Provider Name | Kasey D Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356734800 PECOS PAC ID: 6002124799 Enrollment ID: I20150929003024 |
| Provider Name | Caysie L Clary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407223415 PECOS PAC ID: 0547578833 Enrollment ID: I20151007000166 |
| Provider Name | Kathleen Nadine Kellogg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437296795 PECOS PAC ID: 6800940115 Enrollment ID: I20151104001327 |
| Provider Name | Ana Tanase |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790982312 PECOS PAC ID: 3072665421 Enrollment ID: I20151118002990 |
| Provider Name | Diana Honebrink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679587646 PECOS PAC ID: 8628378874 Enrollment ID: I20151120000182 |
| Provider Name | Leann D Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972975902 PECOS PAC ID: 7012217623 Enrollment ID: I20151204000333 |
| Provider Name | Andrea S Seaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396119574 PECOS PAC ID: 8426359571 Enrollment ID: I20151215002486 |
| Provider Name | Farhoud Khosravi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285874362 PECOS PAC ID: 3870761612 Enrollment ID: I20151230001065 |
| Provider Name | Christine A Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922480706 PECOS PAC ID: 8527361138 Enrollment ID: I20160114001165 |
| Provider Name | Kristy E Belone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013381268 PECOS PAC ID: 6608179346 Enrollment ID: I20160129001048 |
| Provider Name | Wren Winston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386002350 PECOS PAC ID: 8628373768 Enrollment ID: I20160226001070 |
| Provider Name | Carol Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629443502 PECOS PAC ID: 7517265457 Enrollment ID: I20160411000914 |
| Provider Name | Jennifer Ann Banek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255785481 PECOS PAC ID: 2163721713 Enrollment ID: I20160503000769 |
| Provider Name | Erin M Kreml |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235450214 PECOS PAC ID: 6002115672 Enrollment ID: I20160503001440 |
| Provider Name | Vishal Gunnala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497919179 PECOS PAC ID: 9133418817 Enrollment ID: I20160519001150 |
| Provider Name | Natalie J Kollasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740644020 PECOS PAC ID: 8921399122 Enrollment ID: I20160617001946 |
| Provider Name | Lindsay Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700144011 PECOS PAC ID: 7012208663 Enrollment ID: I20160629000499 |
| Provider Name | Alma Loveres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083061410 PECOS PAC ID: 7618268269 Enrollment ID: I20160629000624 |
| Provider Name | Jerry Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306283882 PECOS PAC ID: 9931332459 Enrollment ID: I20160706000559 |
| Provider Name | Elizabeth Butler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255403416 PECOS PAC ID: 8426126731 Enrollment ID: I20160707001095 |
| Provider Name | Erin N Syers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063772010 PECOS PAC ID: 0345406989 Enrollment ID: I20160711000450 |
| Provider Name | Divya Reddy Pati |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780029090 PECOS PAC ID: 4981998721 Enrollment ID: I20160802002298 |
| Provider Name | Anna M Aparicio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437501749 PECOS PAC ID: 5496040388 Enrollment ID: I20160816002433 |
| Provider Name | Lydia Wester |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134481740 PECOS PAC ID: 5193010569 Enrollment ID: I20160824001088 |
| Provider Name | Kristy D Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568915353 PECOS PAC ID: 8820386808 Enrollment ID: I20161006000878 |
| Provider Name | Jessica Lee Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023564135 PECOS PAC ID: 6103114160 Enrollment ID: I20161007000955 |
| Provider Name | Derrick L Johnston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184852709 PECOS PAC ID: 9133369739 Enrollment ID: I20161021001160 |
| Provider Name | Jose R Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952768111 PECOS PAC ID: 7618273202 Enrollment ID: I20161027001709 |
| Provider Name | Erica Laber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780940122 PECOS PAC ID: 4082993449 Enrollment ID: I20161108001695 |
| Provider Name | Rosa Isela Machado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275893729 PECOS PAC ID: 6608155718 Enrollment ID: I20161114000702 |
| Provider Name | Samone J Linson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164883682 PECOS PAC ID: 8921389941 Enrollment ID: I20170106000847 |
| Provider Name | Aluvia M Escalante |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932461886 PECOS PAC ID: 1759663388 Enrollment ID: I20170116000669 |
| Provider Name | Michelle Lyn Larson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295937993 PECOS PAC ID: 8729124532 Enrollment ID: I20170419001411 |
| Provider Name | Katherine J Huls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679012017 PECOS PAC ID: 5496031775 Enrollment ID: I20170421001113 |
| Provider Name | Hope A Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215478474 PECOS PAC ID: 5294012233 Enrollment ID: I20170501001299 |
| Provider Name | Coleman Wade Davidson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013910157 PECOS PAC ID: 9335031459 Enrollment ID: I20170508001333 |
| Provider Name | Terry Ann Lozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164971339 PECOS PAC ID: 1153608708 Enrollment ID: I20170508002234 |
| Provider Name | Priti Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760430391 PECOS PAC ID: 2567499916 Enrollment ID: I20170510002628 |
| Provider Name | Kallie Siderewicz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073056545 PECOS PAC ID: 6103103692 Enrollment ID: I20170510002761 |
| Provider Name | Ghaidaa Kobeissi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003350430 PECOS PAC ID: 9436436920 Enrollment ID: I20170510002950 |
| Provider Name | Rebecca Milligan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316351950 PECOS PAC ID: 9335417971 Enrollment ID: I20170622001615 |
| Provider Name | Jennifer Schenne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770546731 PECOS PAC ID: 3870484405 Enrollment ID: I20170627003168 |
| Provider Name | Katherine Ann Leitner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346653789 PECOS PAC ID: 8022387356 Enrollment ID: I20170629002980 |
| Provider Name | Erick James Loveres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235659798 PECOS PAC ID: 1153690995 Enrollment ID: I20170710002835 |
| Provider Name | Natalie Norem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881923472 PECOS PAC ID: 9638204878 Enrollment ID: I20170713001353 |
| Provider Name | Preston J Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275821167 PECOS PAC ID: 8628356524 Enrollment ID: I20170719002109 |
| Provider Name | Anna Marie Cosentino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982017026 PECOS PAC ID: 5395015234 Enrollment ID: I20170725003525 |
| Provider Name | Apameh Bashar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659814002 PECOS PAC ID: 1153692694 Enrollment ID: I20170802001967 |
| Provider Name | Alison Renu Setia Duggar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881013084 PECOS PAC ID: 1759675689 Enrollment ID: I20170804001265 |
| Provider Name | Heidi C Edsill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558553867 PECOS PAC ID: 1850561846 Enrollment ID: I20170804001899 |
| Provider Name | Jane Ellen Benson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982815171 PECOS PAC ID: 8921379702 Enrollment ID: I20170814000789 |
| Provider Name | Jeffry Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477654747 PECOS PAC ID: 0941278279 Enrollment ID: I20170816002158 |
| Provider Name | Nora L Odisho Domit |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548606957 PECOS PAC ID: 9739451162 Enrollment ID: I20170821001302 |
| Provider Name | Jonathan Glenn Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407381189 PECOS PAC ID: 8527330596 Enrollment ID: I20170825001772 |
| Provider Name | Rahim Khajeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982024246 PECOS PAC ID: 6507144169 Enrollment ID: I20170905001304 |
| Provider Name | Norina Witt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538505235 PECOS PAC ID: 4587937958 Enrollment ID: I20170906003134 |
| Provider Name | Ryan Anthony Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043623184 PECOS PAC ID: 4880967074 Enrollment ID: I20170911001567 |
| Provider Name | Sara Darlene Reynolds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811090020 PECOS PAC ID: 2365440260 Enrollment ID: I20170913003760 |
| Provider Name | Cecilia T Jackson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598724536 PECOS PAC ID: 2860672599 Enrollment ID: I20171023002787 |
| Provider Name | Iftequar Ahmed Siddiqui |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1548536469 PECOS PAC ID: 7315232436 Enrollment ID: I20171025002367 |
| Provider Name | Jeremy M Goral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659897635 PECOS PAC ID: 1355617804 Enrollment ID: I20171027000744 |
| Provider Name | Jonathan Lee Minor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609195452 PECOS PAC ID: 9133344807 Enrollment ID: I20171127000785 |
| Provider Name | Ashley Nickole Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558879106 PECOS PAC ID: 7113287731 Enrollment ID: I20180130001836 |
| Provider Name | Alexi R Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396252409 PECOS PAC ID: 1557621356 Enrollment ID: I20180215000940 |
| Provider Name | Sylvia Kwon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538461405 PECOS PAC ID: 0345540142 Enrollment ID: I20180219002851 |
| Provider Name | Kanchana Boseroy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417910076 PECOS PAC ID: 1658472105 Enrollment ID: I20180510001290 |
| Provider Name | Ahmed Dahshan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679545560 PECOS PAC ID: 2062407042 Enrollment ID: I20180516002113 |
| Provider Name | Mufutau Olufemi Akinbile |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952377723 PECOS PAC ID: 8426000696 Enrollment ID: I20180531000302 |
| Provider Name | Stacie Michelle Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167132 PECOS PAC ID: 0547517336 Enrollment ID: I20180725001821 |
| Provider Name | Crystalynn T Woodard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861804452 PECOS PAC ID: 6800014663 Enrollment ID: I20180727000770 |
| Provider Name | Donald V Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588724504 PECOS PAC ID: 4183526957 Enrollment ID: I20180727001064 |
| Provider Name | Amanda Celeste Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073009270 PECOS PAC ID: 7810246782 Enrollment ID: I20180827001066 |
| Provider Name | Jason Wayne Nielsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730400649 PECOS PAC ID: 7214100452 Enrollment ID: I20180910000134 |
| Provider Name | Sydney Elizabeth Cain |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720564495 PECOS PAC ID: 0446502389 Enrollment ID: I20181004000967 |
| Provider Name | Rishita P Tiwari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871630228 PECOS PAC ID: 7416198197 Enrollment ID: I20181004001541 |
| Provider Name | Guillermo Higa Sansone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871763540 PECOS PAC ID: 1557553674 Enrollment ID: I20181009002881 |
| Provider Name | Shana E Semmens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841606449 PECOS PAC ID: 7315213287 Enrollment ID: I20181018001602 |
| Provider Name | Mohamed Amr Amr Shahin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407960156 PECOS PAC ID: 8224129887 Enrollment ID: I20181022001987 |
| Provider Name | Reham Abdou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629350855 PECOS PAC ID: 2567734635 Enrollment ID: I20181023000673 |
| Provider Name | Brett Sharpe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457627440 PECOS PAC ID: 4284942939 Enrollment ID: I20181120002193 |
| Provider Name | Rayna Elise Sloane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255810909 PECOS PAC ID: 8820342108 Enrollment ID: I20181127000611 |
| Provider Name | Jamie Moskowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548764541 PECOS PAC ID: 7719222728 Enrollment ID: I20181219003227 |
| Provider Name | Tabitha M Boyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588133326 PECOS PAC ID: 0345586905 Enrollment ID: I20190118000803 |
| Provider Name | Nicole L Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619341831 PECOS PAC ID: 8224377122 Enrollment ID: I20190311000883 |
| Provider Name | Matthew Jeremy Weiner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053383463 PECOS PAC ID: 7618994898 Enrollment ID: I20190326001664 |
| Provider Name | Hafsa Akram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851735971 PECOS PAC ID: 7517251598 Enrollment ID: I20190408001830 |
| Provider Name | Maria Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144652959 PECOS PAC ID: 4183858293 Enrollment ID: I20190410000255 |
| Provider Name | Crystal Gulotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174059968 PECOS PAC ID: 2062754781 Enrollment ID: I20190430000888 |
| Provider Name | Roque A Lanza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386746121 PECOS PAC ID: 2961485297 Enrollment ID: I20190513001027 |
| Provider Name | Bhupesh Pokhrel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649432790 PECOS PAC ID: 5496806028 Enrollment ID: I20190604000873 |
| Provider Name | Betty Jo Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437614476 PECOS PAC ID: 4587997606 Enrollment ID: I20190605000284 |
| Provider Name | Dawn Lea Martin Herring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265419444 PECOS PAC ID: 1456483957 Enrollment ID: I20190611002873 |
| Provider Name | Marc S Jacobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922178367 PECOS PAC ID: 1456449743 Enrollment ID: I20190802001870 |
| Provider Name | Kathryn Jeanne Steinheber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962978973 PECOS PAC ID: 4587901830 Enrollment ID: I20190806004148 |
| Provider Name | Anthony Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942615182 PECOS PAC ID: 2567726565 Enrollment ID: I20190820002347 |
| Provider Name | Michael F Angelo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124437520 PECOS PAC ID: 0143559286 Enrollment ID: I20190916000106 |
| Provider Name | Shruti Bala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629464003 PECOS PAC ID: 1355632399 Enrollment ID: I20190916003497 |
| Provider Name | Sara Parke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679983332 PECOS PAC ID: 5698996940 Enrollment ID: I20190920002717 |
| Provider Name | Heather N Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639731920 PECOS PAC ID: 7214267723 Enrollment ID: I20190926001008 |
| Provider Name | Veronica Fonseca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659735033 PECOS PAC ID: 7214224229 Enrollment ID: I20191007001630 |
| Provider Name | Ashlee Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508428004 PECOS PAC ID: 6507198355 Enrollment ID: I20191028001029 |
| Provider Name | Megan D Cristea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770135311 PECOS PAC ID: 1850623190 Enrollment ID: I20191106000383 |
| Provider Name | Katherine J Opela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750939328 PECOS PAC ID: 0749615888 Enrollment ID: I20200117000006 |
| Provider Name | Sandra C Tonkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336563279 PECOS PAC ID: 3971725060 Enrollment ID: I20200121001806 |
| Provider Name | Sarah Perveze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639433576 PECOS PAC ID: 8224277496 Enrollment ID: I20200124002364 |
| Provider Name | Kristina Marie Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518218718 PECOS PAC ID: 8527212364 Enrollment ID: I20200130002158 |
| Provider Name | Christina Hoang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700230760 PECOS PAC ID: 7719313113 Enrollment ID: I20200203002179 |
| Provider Name | Andrew Peckham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851637128 PECOS PAC ID: 9032545009 Enrollment ID: I20200211001297 |
| Provider Name | Allecia Thibeault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548636327 PECOS PAC ID: 0345558722 Enrollment ID: I20200213001670 |
| Provider Name | Irma Urrutia-potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447363890 PECOS PAC ID: 5799702197 Enrollment ID: I20200213002195 |
| Provider Name | Ivan Misael Gutierrez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346416864 PECOS PAC ID: 1052547551 Enrollment ID: I20200213002251 |
| Provider Name | Kerri Houser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265896211 PECOS PAC ID: 5193051886 Enrollment ID: I20200303001879 |
| Provider Name | Cristina A Metildi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801092085 PECOS PAC ID: 1254633795 Enrollment ID: I20200303001896 |
| Provider Name | Joshua Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003909144 PECOS PAC ID: 0143242826 Enrollment ID: I20200326002851 |
| Provider Name | Barbara Ferdman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457308652 PECOS PAC ID: 3577513381 Enrollment ID: I20200409002749 |
| Provider Name | Lauren Ortega Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306471719 PECOS PAC ID: 4981034873 Enrollment ID: I20200416001363 |
| Provider Name | Lori Mulick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003100074 PECOS PAC ID: 7113358797 Enrollment ID: I20200514002276 |
| Provider Name | Tanushree Yadwadkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871884288 PECOS PAC ID: 0345477857 Enrollment ID: I20200519001937 |
| Provider Name | Shelly Bansal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1174793111 PECOS PAC ID: 4688801806 Enrollment ID: I20200526001717 |
| Provider Name | Eva Sietsema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831438944 PECOS PAC ID: 4981842325 Enrollment ID: I20200603001429 |
| Provider Name | Allison Marie Held |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790824738 PECOS PAC ID: 1153475157 Enrollment ID: I20200616001372 |
| Provider Name | David J Lew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104233071 PECOS PAC ID: 0749525723 Enrollment ID: I20200618001585 |
| Provider Name | Jayanth Manoharan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982022968 PECOS PAC ID: 6709187404 Enrollment ID: I20200708001003 |
| Provider Name | Janavi Tara Rao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356754063 PECOS PAC ID: 7911127378 Enrollment ID: I20200813002594 |
| Provider Name | Meisje Burton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891141727 PECOS PAC ID: 9032537063 Enrollment ID: I20200908002500 |
| Provider Name | Mark Rostash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780222158 PECOS PAC ID: 9537588280 Enrollment ID: I20200929002029 |
| Provider Name | Josef Sipos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851829303 PECOS PAC ID: 8123382587 Enrollment ID: I20201014003584 |
| Provider Name | Jennifer Mabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649803081 PECOS PAC ID: 6204246465 Enrollment ID: I20201029002496 |
| Provider Name | Stephanie Schulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295367316 PECOS PAC ID: 3173933959 Enrollment ID: I20201105002496 |
| Provider Name | Leah R Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902019516 PECOS PAC ID: 8224449582 Enrollment ID: I20201118001411 |
| Provider Name | Roxana Naderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871936070 PECOS PAC ID: 6204070881 Enrollment ID: I20210121002238 |
| Provider Name | Susan Pamela Goode |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255354593 PECOS PAC ID: 6305816612 Enrollment ID: I20210226000533 |
| Provider Name | Aaron Md Pulsipher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467847970 PECOS PAC ID: 8628362928 Enrollment ID: I20210420002190 |
| Provider Name | Sabrina N Campbell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801023510 PECOS PAC ID: 0840426383 Enrollment ID: I20210421000908 |
| Provider Name | Kelly Kathleen Wickstrom |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083092589 PECOS PAC ID: 8729496914 Enrollment ID: I20210428002394 |
| Provider Name | Diane Louise Leyba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275544728 PECOS PAC ID: 7517011026 Enrollment ID: I20210429001144 |
| Provider Name | Joel Rl Ehrenkranz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528261955 PECOS PAC ID: 1850325077 Enrollment ID: I20210503000706 |
| Provider Name | Mckenna Neville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639721293 PECOS PAC ID: 2365841681 Enrollment ID: I20210518002849 |
| Provider Name | Avory Marie Heningburg Mchenry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235662115 PECOS PAC ID: 8921407180 Enrollment ID: I20210520002563 |
| Provider Name | Lauren Faye Trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801474317 PECOS PAC ID: 7012317357 Enrollment ID: I20210608003333 |
| Provider Name | Andrew Wenger |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1336677566 PECOS PAC ID: 6608144423 Enrollment ID: I20210616002756 |
| Provider Name | Helen Jane Lyall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558925644 PECOS PAC ID: 2365843851 Enrollment ID: I20210622000391 |
| Provider Name | Heather L Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801463203 PECOS PAC ID: 4082016639 Enrollment ID: I20210706001890 |
| Provider Name | Megan Danielle Potilechio |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255868451 PECOS PAC ID: 7315215134 Enrollment ID: I20210721002614 |
| Provider Name | Casey M Carney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134654171 PECOS PAC ID: 1850794926 Enrollment ID: I20210727002438 |
| Provider Name | Tiffany G Son |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114373388 PECOS PAC ID: 7810289238 Enrollment ID: I20210827000807 |
| Provider Name | Sarah D Stanko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205327970 PECOS PAC ID: 5698026052 Enrollment ID: I20210921001794 |
| Provider Name | Patricia Jane Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639846272 PECOS PAC ID: 0840697637 Enrollment ID: I20210921002815 |
| Provider Name | Racquel Parente Carranza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093256331 PECOS PAC ID: 4789082280 Enrollment ID: I20211014000625 |
| Provider Name | Emina Cufurovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477970754 PECOS PAC ID: 1456644129 Enrollment ID: I20211022002368 |
| Provider Name | Michele Gersman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184977217 PECOS PAC ID: 2961633268 Enrollment ID: I20211123002134 |
| Provider Name | Amanda C Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013677731 PECOS PAC ID: 2163814823 Enrollment ID: I20220110002077 |
| Provider Name | Amanda K Schilling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255745022 PECOS PAC ID: 1557619442 Enrollment ID: I20220118000363 |
| Provider Name | Raquel Orozco Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740880913 PECOS PAC ID: 1456744028 Enrollment ID: I20220202002162 |
| Provider Name | Nina A Waber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871852988 PECOS PAC ID: 1759774193 Enrollment ID: I20220208002242 |
| Provider Name | Mary V Macentee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164484739 PECOS PAC ID: 0244338408 Enrollment ID: I20220330000857 |
| Provider Name | Darren W Housel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023031507 PECOS PAC ID: 4385675644 Enrollment ID: I20220427002525 |
| Provider Name | Jonathan C Papic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790912525 PECOS PAC ID: 7315254737 Enrollment ID: I20220519002267 |
| Provider Name | Arely E Valdez Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477221471 PECOS PAC ID: 0941687362 Enrollment ID: I20220524001365 |
| Provider Name | William J Wadzinski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790027829 PECOS PAC ID: 2668796210 Enrollment ID: I20220531001581 |
| Provider Name | Heather A Schroder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124450853 PECOS PAC ID: 1951545730 Enrollment ID: I20220719001308 |
| Provider Name | Arthi Hannallah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679969802 PECOS PAC ID: 3577944537 Enrollment ID: I20220721002672 |
| Provider Name | Albert H Redford |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154852879 PECOS PAC ID: 1951672443 Enrollment ID: I20220721003557 |
| Provider Name | Matthew Putty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720460025 PECOS PAC ID: 8921302753 Enrollment ID: I20220722000736 |
| Provider Name | Renee Wiruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437811395 PECOS PAC ID: 2365824968 Enrollment ID: I20220728002878 |
| Provider Name | Jacob R Bidwell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740634161 PECOS PAC ID: 1850773300 Enrollment ID: I20220801002107 |
| Provider Name | Gretchen A Heinrichs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871549485 PECOS PAC ID: 5991718348 Enrollment ID: I20220813000481 |
| Provider Name | Judy H Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659531044 PECOS PAC ID: 7810205820 Enrollment ID: I20220815000126 |
| Provider Name | Chelsey Anne Bravenec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073178067 PECOS PAC ID: 8224411749 Enrollment ID: I20220816003705 |
| Provider Name | Maitreyi Warhadpande |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154989788 PECOS PAC ID: 5294118477 Enrollment ID: I20220822000724 |
| Provider Name | Fadi Aldaas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417245499 PECOS PAC ID: 5597988048 Enrollment ID: I20220823003236 |
| Provider Name | Chelsea J Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417613324 PECOS PAC ID: 2264815257 Enrollment ID: I20220824002702 |
| Provider Name | Wilfredo Vergara |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366435398 PECOS PAC ID: 7416926910 Enrollment ID: I20220919000833 |
| Provider Name | Gregg Kaizo Nishi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972600344 PECOS PAC ID: 1355383092 Enrollment ID: I20220920000784 |
| Provider Name | Abbey L Fairbanks |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710001987 PECOS PAC ID: 5698151264 Enrollment ID: I20221005002101 |
| Provider Name | Marisela F Mariscal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063075836 PECOS PAC ID: 0042545493 Enrollment ID: I20221006001513 |
| Provider Name | Peggy A Downing |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295751055 PECOS PAC ID: 8527955053 Enrollment ID: I20221207000405 |
| Provider Name | Brian Kevin Madigan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730351644 PECOS PAC ID: 5395117287 Enrollment ID: I20230201002862 |
| Provider Name | Benjamin Berthold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235741679 PECOS PAC ID: 4789056797 Enrollment ID: I20230220001841 |
| Provider Name | William Cooper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669561452 PECOS PAC ID: 9931118775 Enrollment ID: I20230321001456 |
| Provider Name | Brian Jason Brotherton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205133188 PECOS PAC ID: 9234356536 Enrollment ID: I20230322002712 |
| Provider Name | Brooke Kelsey Swonger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487255063 PECOS PAC ID: 9436523701 Enrollment ID: I20230328002404 |
| Provider Name | Shashank Jolly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902047814 PECOS PAC ID: 3779634522 Enrollment ID: I20230410001315 |
| Provider Name | Erick Enrique Perez-sifontes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144725904 PECOS PAC ID: 0749655405 Enrollment ID: I20230411001295 |
| Provider Name | Ying Zhao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881896314 PECOS PAC ID: 7517041064 Enrollment ID: I20230418001418 |
| Provider Name | Abby Rose Zollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992456099 PECOS PAC ID: 2769847029 Enrollment ID: I20230420002636 |
| Provider Name | Morgan Elise Del Principe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427660976 PECOS PAC ID: 2961867957 Enrollment ID: I20230426001789 |
| Provider Name | Cynthia G Rivas Pajuelo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669967154 PECOS PAC ID: 0547651192 Enrollment ID: I20230510000450 |
| Provider Name | Karen Hatch Drenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548872641 PECOS PAC ID: 8426415837 Enrollment ID: I20230530002983 |
| Provider Name | William Wolf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801189550 PECOS PAC ID: 5092095281 Enrollment ID: I20230612001917 |
| Provider Name | Ahmed Mufeed Abuawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326533431 PECOS PAC ID: 2163882317 Enrollment ID: I20230719001766 |
| Provider Name | Allison Wright |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063943785 PECOS PAC ID: 8426329905 Enrollment ID: I20230725001444 |
| Provider Name | David Jopke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881372472 PECOS PAC ID: 4587025382 Enrollment ID: I20230726001925 |
| Provider Name | Kayleen Marie Seaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750901914 PECOS PAC ID: 9537520663 Enrollment ID: I20230804001494 |
| Provider Name | Veronica Winget |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730678533 PECOS PAC ID: 1557612900 Enrollment ID: I20230807000790 |
| Provider Name | Kelly Michelle Walthius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922533322 PECOS PAC ID: 9931478229 Enrollment ID: I20230912000109 |
| Provider Name | Jessica Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194509364 PECOS PAC ID: 6103271002 Enrollment ID: I20231012002675 |
| Provider Name | Alexander Flower |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023094406 PECOS PAC ID: 0143230037 Enrollment ID: I20231013002807 |
| Provider Name | Wyn Frost |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265056220 PECOS PAC ID: 8921453622 Enrollment ID: I20231016002964 |
| Provider Name | Terence F Tangoalem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447510821 PECOS PAC ID: 0749630747 Enrollment ID: I20240102004030 |
| Provider Name | Anthony J Courey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023138443 PECOS PAC ID: 9931174869 Enrollment ID: I20240118004554 |
| Provider Name | Adam Bellamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508027103 PECOS PAC ID: 7416936778 Enrollment ID: I20240202000623 |
| Provider Name | Whitney Isaacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942900162 PECOS PAC ID: 1759724909 Enrollment ID: I20240205003830 |
| Provider Name | Abigail Claire Bruder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922885268 PECOS PAC ID: 8022451566 Enrollment ID: I20240212002440 |
| Provider Name | Amber Bellamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144481755 PECOS PAC ID: 9638108194 Enrollment ID: I20240214001391 |
| Provider Name | Kevin R Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063619849 PECOS PAC ID: 5294903746 Enrollment ID: I20240411003074 |
| Provider Name | Linh Mai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912771452 PECOS PAC ID: 7911346879 Enrollment ID: I20240411004636 |
| Provider Name | Katherine Dowell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124684550 PECOS PAC ID: 5799125571 Enrollment ID: I20240426000819 |
Ironwood Gastroenterology Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 N Silverbell Rd, Suite 255, Tucson, AZ 85745 Phone: 520-722-3777 Fax: 520-296-6224 | |
Sparcc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5199 E Farness Dr, Ste 101, Tucson, AZ 85712 Phone: 520-548-4847 Fax: 520-300-7156 | |
One Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8616 E Broadway Blvd, Tucson, AZ 85710 Phone: 520-468-4809 Fax: 520-254-6016 | |
Total Care Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 N 11th Ave, Tucson, AZ 85705 Phone: 517-294-1835 | |
Omo Ije's'a Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7309 E 28th St, Tucson, AZ 85710 Phone: 510-345-8981 Fax: 520-253-7229 | |
James R Boyed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 E Carondelet Dr Bldg E, Tucson, AZ 85710 Phone: 520-298-2319 Fax: 520-298-7811 | |
Northwest Allied Physicians Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 W Hospital Dr, Suite 205, Tucson, AZ 85704 Phone: 520-229-2563 Fax: 520-229-2561 |