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2695 Rocky Mountain Ave Ste 110 Loveland CO 80538-9074 | |
| (970) 624-4443 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 2695 Rocky Mountain Ave Ste 110, Loveland, Colorado |
| Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9706244443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: () - | 2695 Rocky Mountain Ave Ste 110 Loveland CO 80538-9074 Ph: (970) 624-4443 |
| NPI Number | 1225356868 |
|---|---|
| Provider Enumeration Date | 05/06/2010 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 9638208549 |
|---|---|
| Medicare Enrollment ID | O20100602000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225356868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Gregory N Arends |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568418986 PECOS PAC ID: 9739084872 Enrollment ID: I20031203000220 |
| Provider Name | Thomas R Dunphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720094139 PECOS PAC ID: 4082511068 Enrollment ID: I20031217000746 |
| Provider Name | Paula R Shellenbarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720011265 PECOS PAC ID: 8224938956 Enrollment ID: I20040109000909 |
| Provider Name | Andrew J Berson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104803071 PECOS PAC ID: 5991607772 Enrollment ID: I20040122000645 |
| Provider Name | Scott R Ross |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972602944 PECOS PAC ID: 3274436134 Enrollment ID: I20040217000538 |
| Provider Name | Tyler M James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407880222 PECOS PAC ID: 8921993098 Enrollment ID: I20040218000054 |
| Provider Name | Sabine M Shaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306813191 PECOS PAC ID: 5294620878 Enrollment ID: I20040220001134 |
| Provider Name | Mark A Siemer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871649368 PECOS PAC ID: 4284520495 Enrollment ID: I20040225000271 |
| Provider Name | Lisa R Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538134127 PECOS PAC ID: 3577459262 Enrollment ID: I20040227000770 |
| Provider Name | Sally Annette Parsons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669431599 PECOS PAC ID: 9931097771 Enrollment ID: I20040304001028 |
| Provider Name | James S Wilk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427011584 PECOS PAC ID: 5890683841 Enrollment ID: I20040310000341 |
| Provider Name | George E Girardi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346238136 PECOS PAC ID: 5092605055 Enrollment ID: I20040316000384 |
| Provider Name | Tami S King-latka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780609727 PECOS PAC ID: 9739079658 Enrollment ID: I20040316000837 |
| Provider Name | Mark L Wiesner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154304939 PECOS PAC ID: 6800787771 Enrollment ID: I20040322000494 |
| Provider Name | Charles A Cole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255365078 PECOS PAC ID: 3274525456 Enrollment ID: I20040330001183 |
| Provider Name | Lawrence A Meredith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649277807 PECOS PAC ID: 2163415365 Enrollment ID: I20040405000937 |
| Provider Name | Michael A Crocker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720052269 PECOS PAC ID: 2567457674 Enrollment ID: I20040419000228 |
| Provider Name | David J Luedke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962407528 PECOS PAC ID: 6608864236 Enrollment ID: I20040503001686 |
| Provider Name | Gerard A Ashbeck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043293756 PECOS PAC ID: 2961490347 Enrollment ID: I20040504001105 |
| Provider Name | Leeann K Rogowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821071762 PECOS PAC ID: 9234127309 Enrollment ID: I20040505001600 |
| Provider Name | Andrew D Mapes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427079615 PECOS PAC ID: 4981692993 Enrollment ID: I20040506000009 |
| Provider Name | James W Levine |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093793838 PECOS PAC ID: 3577552579 Enrollment ID: I20040506000787 |
| Provider Name | Thomas B Fraser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932160587 PECOS PAC ID: 0345230447 Enrollment ID: I20040512000973 |
| Provider Name | Elizabeth Amick Bisgard |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1013905926 PECOS PAC ID: 6507856168 Enrollment ID: I20040514001131 |
| Provider Name | Wade R Heinrichs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174528400 PECOS PAC ID: 3375533839 Enrollment ID: I20040517000072 |
| Provider Name | David T Book |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235128588 PECOS PAC ID: 8628065554 Enrollment ID: I20040518000006 |
| Provider Name | Patrick I Burns |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518045905 PECOS PAC ID: 8123019593 Enrollment ID: I20040524000536 |
| Provider Name | Eric Eugene Stevens |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275503120 PECOS PAC ID: 3476544776 Enrollment ID: I20040524000817 |
| Provider Name | Daniel C Huddle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740241660 PECOS PAC ID: 7012998271 Enrollment ID: I20040525001226 |
| Provider Name | John Bradley Oldemeyer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700882123 PECOS PAC ID: 8820079098 Enrollment ID: I20040525001288 |
| Provider Name | Sheri J Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285645986 PECOS PAC ID: 9931180007 Enrollment ID: I20040525001345 |
| Provider Name | Robert T Rowland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447256698 PECOS PAC ID: 2163312117 Enrollment ID: I20040526000638 |
| Provider Name | Augustine U Obinnah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558412494 PECOS PAC ID: 4385531334 Enrollment ID: I20040527000890 |
| Provider Name | James Paul Duffey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508862152 PECOS PAC ID: 6305827759 Enrollment ID: I20040601000466 |
| Provider Name | Jacob Chua Liao Ong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700856671 PECOS PAC ID: 9234112509 Enrollment ID: I20040608001228 |
| Provider Name | Jane M Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063401396 PECOS PAC ID: 8325022924 Enrollment ID: I20040614000151 |
| Provider Name | Janice C Raley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861499428 PECOS PAC ID: 8729062617 Enrollment ID: I20040617000440 |
| Provider Name | Peter J Clothier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770564007 PECOS PAC ID: 5294710356 Enrollment ID: I20040622001262 |
| Provider Name | David H Zirkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366424699 PECOS PAC ID: 5193700276 Enrollment ID: I20040622001427 |
| Provider Name | Lauren Grossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891771168 PECOS PAC ID: 1850378365 Enrollment ID: I20040702000060 |
| Provider Name | Mark L Rosenblatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851375455 PECOS PAC ID: 8820076292 Enrollment ID: I20040712000857 |
| Provider Name | Stephanie D Ring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316046907 PECOS PAC ID: 4385623446 Enrollment ID: I20040714000605 |
| Provider Name | Nancy C Christensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871570184 PECOS PAC ID: 3375532922 Enrollment ID: I20040714001476 |
| Provider Name | Daniel R Henley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538111240 PECOS PAC ID: 1557340866 Enrollment ID: I20040719001064 |
| Provider Name | Laura L Klein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639213580 PECOS PAC ID: 3577533561 Enrollment ID: I20040728000181 |
| Provider Name | Gayle E Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750483947 PECOS PAC ID: 1153391743 Enrollment ID: I20040730000029 |
| Provider Name | Kennon J Heard |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1922191378 PECOS PAC ID: 9638149164 Enrollment ID: I20040730000349 |
| Provider Name | Sarah E Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518243385 PECOS PAC ID: 1052381530 Enrollment ID: I20040730000668 |
| Provider Name | Robert J Baron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144338328 PECOS PAC ID: 5395716609 Enrollment ID: I20040802000917 |
| Provider Name | Neale R Lange |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1558337642 PECOS PAC ID: 7416928627 Enrollment ID: I20040803000062 |
| Provider Name | Steven J Luebbert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316932106 PECOS PAC ID: 3870564453 Enrollment ID: I20040805000787 |
| Provider Name | Nancy J Dawson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114909447 PECOS PAC ID: 6204807886 Enrollment ID: I20040805000801 |
| Provider Name | Gregory A Carlson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073590972 PECOS PAC ID: 6709858251 Enrollment ID: I20040806000436 |
| Provider Name | Ruth A Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972581742 PECOS PAC ID: 3577536424 Enrollment ID: I20040818000516 |
| Provider Name | Christopher R Drysdale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174620595 PECOS PAC ID: 7810969045 Enrollment ID: I20040901000359 |
| Provider Name | David T Zbylski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316987308 PECOS PAC ID: 3971579285 Enrollment ID: I20040908000970 |
| Provider Name | Thomas D Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710956289 PECOS PAC ID: 1557339850 Enrollment ID: I20040923001153 |
| Provider Name | Peter C Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366425142 PECOS PAC ID: 6305805318 Enrollment ID: I20041006000294 |
| Provider Name | Katherine K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881626216 PECOS PAC ID: 3173583325 Enrollment ID: I20041013000324 |
| Provider Name | Carolyn E Albritton Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750371399 PECOS PAC ID: 8123089281 Enrollment ID: I20041021000816 |
| Provider Name | James B Downey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184648305 PECOS PAC ID: 6103887146 Enrollment ID: I20041025000379 |
| Provider Name | Amy S Hayes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922012780 PECOS PAC ID: 6800858291 Enrollment ID: I20041028000399 |
| Provider Name | Jeffrey R Weissmann |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467468868 PECOS PAC ID: 0446212898 Enrollment ID: I20041028000902 |
| Provider Name | Julia F Whitaker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437184058 PECOS PAC ID: 2264495621 Enrollment ID: I20041105001001 |
| Provider Name | Julie L Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164516498 PECOS PAC ID: 9638133390 Enrollment ID: I20041112001174 |
| Provider Name | Todd Whitsitt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457357824 PECOS PAC ID: 7315837978 Enrollment ID: I20041117000165 |
| Provider Name | Amy A Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982650602 PECOS PAC ID: 6406810415 Enrollment ID: I20041118000357 |
| Provider Name | Mark E Bodman |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1619986833 PECOS PAC ID: 6608831268 Enrollment ID: I20041123000132 |
| Provider Name | Steven H Peck |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1366458770 PECOS PAC ID: 1052217809 Enrollment ID: I20041124000211 |
| Provider Name | Andrea Mead |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992788129 PECOS PAC ID: 9133186927 Enrollment ID: I20041214000091 |
| Provider Name | William E Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821094988 PECOS PAC ID: 6901796572 Enrollment ID: I20041218000050 |
| Provider Name | Joseph M Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740484427 PECOS PAC ID: 8325030927 Enrollment ID: I20041218000066 |
| Provider Name | Charles Timothy Johnson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053317198 PECOS PAC ID: 8921998592 Enrollment ID: I20041220000242 |
| Provider Name | Jennifer M Hendrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144256728 PECOS PAC ID: 1254398498 Enrollment ID: I20041220000301 |
| Provider Name | Charles P Green |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982600458 PECOS PAC ID: 0648160226 Enrollment ID: I20041220000377 |
| Provider Name | Thomas Downes |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245236371 PECOS PAC ID: 9537059100 Enrollment ID: I20041220000408 |
| Provider Name | Anthony Doing |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235135708 PECOS PAC ID: 6608833876 Enrollment ID: I20041220000552 |
| Provider Name | Steven Broman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215985619 PECOS PAC ID: 0042278236 Enrollment ID: I20041220000745 |
| Provider Name | Russell Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013968403 PECOS PAC ID: 6103807060 Enrollment ID: I20041221001042 |
| Provider Name | Diana L Botton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447276241 PECOS PAC ID: 2961460845 Enrollment ID: I20041222000854 |
| Provider Name | Tanya M Kern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578690509 PECOS PAC ID: 4688622640 Enrollment ID: I20050106000102 |
| Provider Name | John W Baer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972505907 PECOS PAC ID: 6507814050 Enrollment ID: I20050111000631 |
| Provider Name | Richard Glenn Harbison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295784841 PECOS PAC ID: 6002864725 Enrollment ID: I20050112000107 |
| Provider Name | Ian S Bach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003895293 PECOS PAC ID: 7911956982 Enrollment ID: I20050117000332 |
| Provider Name | Douglas J Kemme |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568414621 PECOS PAC ID: 5092775791 Enrollment ID: I20050120000240 |
| Provider Name | Mara Isser Sax |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194776898 PECOS PAC ID: 5294707899 Enrollment ID: I20050131000260 |
| Provider Name | Miho T Scott |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194720938 PECOS PAC ID: 8022909100 Enrollment ID: I20050202000424 |
| Provider Name | Kelby F Bethards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588643894 PECOS PAC ID: 4688626914 Enrollment ID: I20050217000533 |
| Provider Name | Rajesh K Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033116272 PECOS PAC ID: 6406846310 Enrollment ID: I20050222000022 |
| Provider Name | Sheldon J Ravin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124114335 PECOS PAC ID: 0547213902 Enrollment ID: I20050224001029 |
| Provider Name | Daniel J Freese |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144200296 PECOS PAC ID: 9537112438 Enrollment ID: I20050302000613 |
| Provider Name | Kelly J Bookman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376652628 PECOS PAC ID: 6406800093 Enrollment ID: I20050307000483 |
| Provider Name | Cynthia A Schafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811934029 PECOS PAC ID: 0749247500 Enrollment ID: I20050311000818 |
| Provider Name | Diana C Medgyesy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083660708 PECOS PAC ID: 7416849476 Enrollment ID: I20050316000728 |
| Provider Name | Stephen A Treat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013913482 PECOS PAC ID: 3577453133 Enrollment ID: I20050331000068 |
| Provider Name | Ronda L Willmot |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942202734 PECOS PAC ID: 3476500646 Enrollment ID: I20050401000095 |
| Provider Name | Deborah Z Gunderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285659920 PECOS PAC ID: 1456258557 Enrollment ID: I20050408000855 |
| Provider Name | Richard J Pacini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437174182 PECOS PAC ID: 6305743410 Enrollment ID: I20050411000519 |
| Provider Name | Michael J Geraghty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639185044 PECOS PAC ID: 4789581885 Enrollment ID: I20050412000241 |
| Provider Name | Paula Marica Pook |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1710953112 PECOS PAC ID: 1153368071 Enrollment ID: I20050412001451 |
| Provider Name | Stephen H Shogan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801982400 PECOS PAC ID: 9931147188 Enrollment ID: I20050419001162 |
| Provider Name | Steven R Mohnssen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568467280 PECOS PAC ID: 3375539018 Enrollment ID: I20050429000065 |
| Provider Name | Chad L Stoltz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336145747 PECOS PAC ID: 1456324854 Enrollment ID: I20050504000880 |
| Provider Name | Michael Graham Loar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508867631 PECOS PAC ID: 3870534068 Enrollment ID: I20050518000499 |
| Provider Name | Guy P Van Der Werf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538154257 PECOS PAC ID: 8426090804 Enrollment ID: I20050525001019 |
| Provider Name | Robert J Juhala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851329973 PECOS PAC ID: 6002858230 Enrollment ID: I20050526000836 |
| Provider Name | Stephen S Farkas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346213816 PECOS PAC ID: 4385688225 Enrollment ID: I20050613000500 |
| Provider Name | Michael R Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245270842 PECOS PAC ID: 5890766943 Enrollment ID: I20050615000983 |
| Provider Name | Craig Alan Loerzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891784831 PECOS PAC ID: 3375588023 Enrollment ID: I20050622001341 |
| Provider Name | Kenneth A Moss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184685075 PECOS PAC ID: 5991741043 Enrollment ID: I20050629000758 |
| Provider Name | Mark Neagle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699745539 PECOS PAC ID: 5496781031 Enrollment ID: I20050714000463 |
| Provider Name | Craig R Clear |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841303187 PECOS PAC ID: 3274569710 Enrollment ID: I20050715000142 |
| Provider Name | George C Gustafson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689669483 PECOS PAC ID: 7618864950 Enrollment ID: I20050809000062 |
| Provider Name | Anthony J Christoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568591253 PECOS PAC ID: 7517999360 Enrollment ID: I20050901000410 |
| Provider Name | Tamara J Stoner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215042585 PECOS PAC ID: 7315979184 Enrollment ID: I20050901000533 |
| Provider Name | Kimberly K Larson-ohlsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750335964 PECOS PAC ID: 6103858816 Enrollment ID: I20050901000931 |
| Provider Name | Jennifer R Kollman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023069192 PECOS PAC ID: 2668404252 Enrollment ID: I20050902000652 |
| Provider Name | David M Shelton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659322329 PECOS PAC ID: 5597798454 Enrollment ID: I20050913000189 |
| Provider Name | Vernon M Rubick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134167562 PECOS PAC ID: 2062445653 Enrollment ID: I20050914000730 |
| Provider Name | Chris Cribari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922077387 PECOS PAC ID: 1951295450 Enrollment ID: I20050914001011 |
| Provider Name | Jeannette Y Mercer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457435034 PECOS PAC ID: 2961392832 Enrollment ID: I20050915000825 |
| Provider Name | Michael J Deignan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285685784 PECOS PAC ID: 1052345121 Enrollment ID: I20050920000028 |
| Provider Name | Trent L Hovenga |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881677821 PECOS PAC ID: 3577597475 Enrollment ID: I20050920001327 |
| Provider Name | Brian E Grabert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750357414 PECOS PAC ID: 1850325051 Enrollment ID: I20050926001117 |
| Provider Name | Dale A Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558334011 PECOS PAC ID: 1759306889 Enrollment ID: I20051007000705 |
| Provider Name | Edwin R Noordewier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619941739 PECOS PAC ID: 4981620325 Enrollment ID: I20051014000857 |
| Provider Name | Carol C Dombro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932183910 PECOS PAC ID: 6002832292 Enrollment ID: I20051017001106 |
| Provider Name | Molly Clarissa Fetcher Lotz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316903966 PECOS PAC ID: 3173549904 Enrollment ID: I20051020000462 |
| Provider Name | Alexios Clark C Constantinides |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1669578654 PECOS PAC ID: 3072506823 Enrollment ID: I20051021000429 |
| Provider Name | Victoria A Seligman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609906460 PECOS PAC ID: 3072507904 Enrollment ID: I20051107000448 |
| Provider Name | Diana Michele Breyer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023088945 PECOS PAC ID: 2264492685 Enrollment ID: I20051109000553 |
| Provider Name | Tiffany Green |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164939294 PECOS PAC ID: 3072532829 Enrollment ID: I20051122000254 |
| Provider Name | John P Taliaferro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447258124 PECOS PAC ID: 5294776522 Enrollment ID: I20051206000306 |
| Provider Name | Jeffrey R Kent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528014958 PECOS PAC ID: 4688695414 Enrollment ID: I20051208000542 |
| Provider Name | Shailendra Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114987146 PECOS PAC ID: 1557382850 Enrollment ID: I20051214000753 |
| Provider Name | Melinda A Gehrs |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770550899 PECOS PAC ID: 8628099819 Enrollment ID: I20051215000501 |
| Provider Name | Steven M Dubs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164409041 PECOS PAC ID: 3678595667 Enrollment ID: I20051219000533 |
| Provider Name | Mitchell J Binder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043282155 PECOS PAC ID: 9234151283 Enrollment ID: I20051219000998 |
| Provider Name | Joseph P Jacob |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568416493 PECOS PAC ID: 3779506217 Enrollment ID: I20060110000984 |
| Provider Name | Lesley A Fraser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154309011 PECOS PAC ID: 2769405158 Enrollment ID: I20060111001161 |
| Provider Name | Robert L Pedersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831178078 PECOS PAC ID: 3274593363 Enrollment ID: I20060112000975 |
| Provider Name | Robert J Janata |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316927411 PECOS PAC ID: 2567402779 Enrollment ID: I20060203000214 |
| Provider Name | Kelli R Janata |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1538149638 PECOS PAC ID: 5890736847 Enrollment ID: I20060208000117 |
| Provider Name | Bradley S Abrahamson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1629185129 PECOS PAC ID: 5395750376 Enrollment ID: I20060213000317 |
| Provider Name | Amy S Schweers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245209295 PECOS PAC ID: 5294740056 Enrollment ID: I20060215000298 |
| Provider Name | Jody L Gottesman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285842906 PECOS PAC ID: 9032127774 Enrollment ID: I20060322000538 |
| Provider Name | Mark D Guadagnoli |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043208259 PECOS PAC ID: 1557354925 Enrollment ID: I20060410000328 |
| Provider Name | Keith A Rangel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710031018 PECOS PAC ID: 0547279952 Enrollment ID: I20060412000752 |
| Provider Name | Egle A Bakanauskas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902950223 PECOS PAC ID: 8628087038 Enrollment ID: I20060412000757 |
| Provider Name | Sarah J Jess |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942214671 PECOS PAC ID: 3476563180 Enrollment ID: I20060426000068 |
| Provider Name | Jalpa Bhojawala Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184675258 PECOS PAC ID: 9638074016 Enrollment ID: I20060503000283 |
| Provider Name | Jason W Ogren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275574758 PECOS PAC ID: 0547272072 Enrollment ID: I20060626000234 |
| Provider Name | Ann C Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891792594 PECOS PAC ID: 0749292217 Enrollment ID: I20060627000164 |
| Provider Name | James C Moore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417903154 PECOS PAC ID: 4385657469 Enrollment ID: I20060712000141 |
| Provider Name | Laura C Kissell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730130337 PECOS PAC ID: 8022098698 Enrollment ID: I20060727000010 |
| Provider Name | Bret A Kort |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801846514 PECOS PAC ID: 0749293215 Enrollment ID: I20060731000019 |
| Provider Name | Amy K Curran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790780732 PECOS PAC ID: 3375556863 Enrollment ID: I20060731000218 |
| Provider Name | Janelle Laughlin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689635609 PECOS PAC ID: 7719990084 Enrollment ID: I20060803000412 |
| Provider Name | John W Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669435210 PECOS PAC ID: 0547162257 Enrollment ID: I20060810000049 |
| Provider Name | Jacqueline Ward Gaines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881615581 PECOS PAC ID: 6507869039 Enrollment ID: I20060822000554 |
| Provider Name | Christoph J Keenan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851389209 PECOS PAC ID: 1355344763 Enrollment ID: I20060824000016 |
| Provider Name | Feana Balsick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013940022 PECOS PAC ID: 7810991619 Enrollment ID: I20060911000219 |
| Provider Name | Susan E Kiley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962484386 PECOS PAC ID: 4183628803 Enrollment ID: I20060911000465 |
| Provider Name | Richard J Milchak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740271063 PECOS PAC ID: 9830158070 Enrollment ID: I20060913000534 |
| Provider Name | Mingming Hao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700836707 PECOS PAC ID: 0648289926 Enrollment ID: I20060914000585 |
| Provider Name | Sharon T Quach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801844519 PECOS PAC ID: 6800891011 Enrollment ID: I20060921000516 |
| Provider Name | Brenda C Westhoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922035476 PECOS PAC ID: 2365447190 Enrollment ID: I20060928000419 |
| Provider Name | Todd W Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083628739 PECOS PAC ID: 8820093560 Enrollment ID: I20061002000192 |
| Provider Name | John Mcvicker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811917701 PECOS PAC ID: 1355242686 Enrollment ID: I20061003000000 |
| Provider Name | Jason A Hoppe |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1265549067 PECOS PAC ID: 3375549942 Enrollment ID: I20061005000162 |
| Provider Name | Lisa M Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194776013 PECOS PAC ID: 5092628636 Enrollment ID: I20061016000094 |
| Provider Name | Michael J Bolander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619084175 PECOS PAC ID: 0941206692 Enrollment ID: I20061019000636 |
| Provider Name | Jenny D Allard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871606772 PECOS PAC ID: 7315944063 Enrollment ID: I20061023000310 |
| Provider Name | Benjamin Sutton Clower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457321283 PECOS PAC ID: 3577593441 Enrollment ID: I20061030000413 |
| Provider Name | Sujata Fretz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093821795 PECOS PAC ID: 3173520368 Enrollment ID: I20061101000064 |
| Provider Name | Igor Huzicka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245336312 PECOS PAC ID: 6406853480 Enrollment ID: I20061106000064 |
| Provider Name | Anne M Lease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205821162 PECOS PAC ID: 9234137753 Enrollment ID: I20061117000107 |
| Provider Name | Mohamed Zaki Ahmed Refaat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487762167 PECOS PAC ID: 8426056458 Enrollment ID: I20061129000211 |
| Provider Name | Scott N Hurlbert |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427038330 PECOS PAC ID: 5698787992 Enrollment ID: I20061205000719 |
| Provider Name | Ammie E Christiansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912976259 PECOS PAC ID: 9335148972 Enrollment ID: I20061208000565 |
| Provider Name | Melanie Ann Vanhook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568579357 PECOS PAC ID: 1456350792 Enrollment ID: I20061213000494 |
| Provider Name | Lance E Barker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518050301 PECOS PAC ID: 3274533997 Enrollment ID: I20070103000291 |
| Provider Name | George H Phillips |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285747857 PECOS PAC ID: 8123029030 Enrollment ID: I20070119000360 |
| Provider Name | Michael J Eddy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386757508 PECOS PAC ID: 9032110945 Enrollment ID: I20070119000365 |
| Provider Name | Michael David Roller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982679973 PECOS PAC ID: 2567404809 Enrollment ID: I20070131000284 |
| Provider Name | Krista N Oleary |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225084726 PECOS PAC ID: 2961404835 Enrollment ID: I20070206000092 |
| Provider Name | Lisa Dapkis Ingram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841217650 PECOS PAC ID: 5395847610 Enrollment ID: I20070216000364 |
| Provider Name | Jennifer L Brant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679544258 PECOS PAC ID: 9133221328 Enrollment ID: I20070219000213 |
| Provider Name | Gary J Luckasen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063418572 PECOS PAC ID: 6800785049 Enrollment ID: I20070326000050 |
| Provider Name | Robert R Quaid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831202266 PECOS PAC ID: 9133135338 Enrollment ID: I20070327000718 |
| Provider Name | Matthew T Purvis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609931005 PECOS PAC ID: 8325143985 Enrollment ID: I20070410000680 |
| Provider Name | Dickson S Cheung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073562955 PECOS PAC ID: 2264537224 Enrollment ID: I20070419000335 |
| Provider Name | Cynthia Como |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174619167 PECOS PAC ID: 5496850489 Enrollment ID: I20070419000573 |
| Provider Name | Paolo J Bahr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013912963 PECOS PAC ID: 7517869951 Enrollment ID: I20070425000633 |
| Provider Name | Michael J Nosler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477608081 PECOS PAC ID: 2062518400 Enrollment ID: I20070502000127 |
| Provider Name | Brock C Vickery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417952144 PECOS PAC ID: 0244338796 Enrollment ID: I20070606000360 |
| Provider Name | Russell R Heath |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649326265 PECOS PAC ID: 3072611128 Enrollment ID: I20070613000346 |
| Provider Name | Karin Barbara Cesario |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285689075 PECOS PAC ID: 6901809607 Enrollment ID: I20070616000086 |
| Provider Name | Eileen A Flavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730295221 PECOS PAC ID: 9537268438 Enrollment ID: I20070618000374 |
| Provider Name | Steven Sloan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801891536 PECOS PAC ID: 1153420807 Enrollment ID: I20070621000394 |
| Provider Name | Amy E Scanlan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811994783 PECOS PAC ID: 0042105140 Enrollment ID: I20070622000309 |
| Provider Name | Christopher Evilsizer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043215775 PECOS PAC ID: 3678672151 Enrollment ID: I20070625000292 |
| Provider Name | Meriam P Izon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093723231 PECOS PAC ID: 9133228307 Enrollment ID: I20070628000562 |
| Provider Name | Matthew L Kolz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033138177 PECOS PAC ID: 2860498169 Enrollment ID: I20070703000612 |
| Provider Name | Terri Marty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851341465 PECOS PAC ID: 1557461571 Enrollment ID: I20070705000191 |
| Provider Name | Jonathan Adam Sherman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871695122 PECOS PAC ID: 7517067549 Enrollment ID: I20070705000320 |
| Provider Name | Jaime H Contreras |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245290469 PECOS PAC ID: 0749207264 Enrollment ID: I20070710000751 |
| Provider Name | Elaine T Astor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427254622 PECOS PAC ID: 8022118769 Enrollment ID: I20070711000334 |
| Provider Name | Barbara Widom |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669480810 PECOS PAC ID: 1557462470 Enrollment ID: I20070723000422 |
| Provider Name | Ingrid Sharon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750353884 PECOS PAC ID: 5698876225 Enrollment ID: I20070725000690 |
| Provider Name | Matthew D Sorensen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1639195704 PECOS PAC ID: 3971512591 Enrollment ID: I20070731000347 |
| Provider Name | Reeves E Bower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518162866 PECOS PAC ID: 5193816015 Enrollment ID: I20070807000693 |
| Provider Name | Stanley W Weinstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376559773 PECOS PAC ID: 3476516436 Enrollment ID: I20070809000072 |
| Provider Name | Arthur K Liu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144288093 PECOS PAC ID: 5193817526 Enrollment ID: I20070815000398 |
| Provider Name | Robert V Nouhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144205303 PECOS PAC ID: 8628160124 Enrollment ID: I20070828000452 |
| Provider Name | Vignesh Narayanan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073632675 PECOS PAC ID: 9133212582 Enrollment ID: I20070830000723 |
| Provider Name | Robert Doyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619991601 PECOS PAC ID: 3577564236 Enrollment ID: I20070910001026 |
| Provider Name | Della Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417151630 PECOS PAC ID: 9234222894 Enrollment ID: I20070912000707 |
| Provider Name | Sue A Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457575003 PECOS PAC ID: 1951495530 Enrollment ID: I20070913000786 |
| Provider Name | Margaret K Bunke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093880130 PECOS PAC ID: 7517051881 Enrollment ID: I20070917000694 |
| Provider Name | Carlos R Vassaux |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275641599 PECOS PAC ID: 5496849705 Enrollment ID: I20070918000181 |
| Provider Name | Cher P Moseman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366414716 PECOS PAC ID: 8729173158 Enrollment ID: I20071001000465 |
| Provider Name | Mark D Petrun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962472803 PECOS PAC ID: 9537129952 Enrollment ID: I20071004000515 |
| Provider Name | Matthew Lloyd Chase |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881608255 PECOS PAC ID: 2163522046 Enrollment ID: I20071005000164 |
| Provider Name | Kristin A Wallick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356311203 PECOS PAC ID: 6406862606 Enrollment ID: I20071010000145 |
| Provider Name | Liza L York |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659480556 PECOS PAC ID: 6002902871 Enrollment ID: I20071010000407 |
| Provider Name | David A Rosenbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346284601 PECOS PAC ID: 1052407723 Enrollment ID: I20071011000459 |
| Provider Name | James D Hoyt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093785925 PECOS PAC ID: 5890755219 Enrollment ID: I20071106000240 |
| Provider Name | Mary Sheffield Kuwana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063604247 PECOS PAC ID: 1951499680 Enrollment ID: I20071114000203 |
| Provider Name | Milton Glatterer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013962372 PECOS PAC ID: 2769417989 Enrollment ID: I20071120000134 |
| Provider Name | Annaliese M Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760674246 PECOS PAC ID: 3173611415 Enrollment ID: I20071120000174 |
| Provider Name | William Baker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548247463 PECOS PAC ID: 7618940461 Enrollment ID: I20071127000001 |
| Provider Name | John R Himberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659351047 PECOS PAC ID: 0042308108 Enrollment ID: I20071127000052 |
| Provider Name | Gregory Michael Margolin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033194998 PECOS PAC ID: 9436256252 Enrollment ID: I20071204000533 |
| Provider Name | Mindy J Siegel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396715876 PECOS PAC ID: 6002709318 Enrollment ID: I20071212000385 |
| Provider Name | Elisabeth M Fabrizio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669493383 PECOS PAC ID: 0042274094 Enrollment ID: I20071219000245 |
| Provider Name | Joseph R Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255368460 PECOS PAC ID: 3971683244 Enrollment ID: I20071228000224 |
| Provider Name | Benjamin W Hatten |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1326250226 PECOS PAC ID: 0840370854 Enrollment ID: I20080103000358 |
| Provider Name | Erika J Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851476485 PECOS PAC ID: 0143301044 Enrollment ID: I20080117000060 |
| Provider Name | Vinu D Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558479139 PECOS PAC ID: 3678571726 Enrollment ID: I20080204000548 |
| Provider Name | Deborah Ann Jalowiec |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205823366 PECOS PAC ID: 7416993761 Enrollment ID: I20080206000519 |
| Provider Name | Frederick Carl Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275594061 PECOS PAC ID: 4789767252 Enrollment ID: I20080207000412 |
| Provider Name | Maureen A Storch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063693059 PECOS PAC ID: 4183709124 Enrollment ID: I20080314000181 |
| Provider Name | Ola A Simonsson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871690032 PECOS PAC ID: 9931288081 Enrollment ID: I20080501000065 |
| Provider Name | Julie M Noffsinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538123930 PECOS PAC ID: 0941379622 Enrollment ID: I20080521000234 |
| Provider Name | Bruce Suckling |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891749495 PECOS PAC ID: 7618961863 Enrollment ID: I20080529000504 |
| Provider Name | Justin Strote |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255388955 PECOS PAC ID: 1254360209 Enrollment ID: I20080530000318 |
| Provider Name | Joy L Fine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356529044 PECOS PAC ID: 2466522362 Enrollment ID: I20080604000364 |
| Provider Name | Catherine E Cavender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295739613 PECOS PAC ID: 2860575321 Enrollment ID: I20080606000028 |
| Provider Name | Ross W Mcfarland |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396721601 PECOS PAC ID: 8426120338 Enrollment ID: I20080710000109 |
| Provider Name | Robert C Price |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043233612 PECOS PAC ID: 6901979335 Enrollment ID: I20080718000182 |
| Provider Name | Brent T Peters |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437283074 PECOS PAC ID: 8628169802 Enrollment ID: I20080808000206 |
| Provider Name | Anne L Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730181363 PECOS PAC ID: 2466499116 Enrollment ID: I20080808000407 |
| Provider Name | Dallas Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447259767 PECOS PAC ID: 4082789920 Enrollment ID: I20080812000658 |
| Provider Name | Brian E Leininger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447230883 PECOS PAC ID: 0648364463 Enrollment ID: I20080815000354 |
| Provider Name | Brian R Nimer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477503183 PECOS PAC ID: 7012982119 Enrollment ID: I20080820000260 |
| Provider Name | Christina Reimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336139039 PECOS PAC ID: 2163468638 Enrollment ID: I20080826000170 |
| Provider Name | Jacquelynn M Gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588799639 PECOS PAC ID: 5395811376 Enrollment ID: I20080828000257 |
| Provider Name | Abby C Emdur |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285799056 PECOS PAC ID: 6800873845 Enrollment ID: I20080903000527 |
| Provider Name | Tiffany M Willard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396769436 PECOS PAC ID: 7810063385 Enrollment ID: I20080906000138 |
| Provider Name | Jodi Kay Dearmont-olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093982985 PECOS PAC ID: 5698843233 Enrollment ID: I20081008000798 |
| Provider Name | Karen J Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033255989 PECOS PAC ID: 5799843033 Enrollment ID: I20081015000414 |
| Provider Name | Robert Hoyer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245219435 PECOS PAC ID: 8224050968 Enrollment ID: I20081018000183 |
| Provider Name | Russell A Linsky |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609093152 PECOS PAC ID: 8224196290 Enrollment ID: I20081020000345 |
| Provider Name | Eric E Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265413637 PECOS PAC ID: 3274428529 Enrollment ID: I20090106000209 |
| Provider Name | Christopher Scott Russell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740289057 PECOS PAC ID: 1951370667 Enrollment ID: I20090114000246 |
| Provider Name | Karl A Kroeker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346233111 PECOS PAC ID: 4587727607 Enrollment ID: I20090115000027 |
| Provider Name | Ruta Obergfell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114182052 PECOS PAC ID: 9032272158 Enrollment ID: I20090115000031 |
| Provider Name | Dana L Christiansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679571103 PECOS PAC ID: 0042111841 Enrollment ID: I20090120000644 |
| Provider Name | Dirk Philip Pikaart |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1285671420 PECOS PAC ID: 5991715187 Enrollment ID: I20090121000589 |
| Provider Name | Laura L Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871743492 PECOS PAC ID: 1456415157 Enrollment ID: I20090124000052 |
| Provider Name | Matthew E Misja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154337343 PECOS PAC ID: 2062469372 Enrollment ID: I20090129000110 |
| Provider Name | Khurram A Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033321955 PECOS PAC ID: 2961503388 Enrollment ID: I20090203000352 |
| Provider Name | Jill A Quigley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457480725 PECOS PAC ID: 7618031774 Enrollment ID: I20090204000404 |
| Provider Name | Michaela Cherry Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225178064 PECOS PAC ID: 2163586173 Enrollment ID: I20090205000175 |
| Provider Name | Daniel R Wilson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710926746 PECOS PAC ID: 4385694165 Enrollment ID: I20090220000550 |
| Provider Name | Janet O Dehler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497778625 PECOS PAC ID: 0244235067 Enrollment ID: I20090226000662 |
| Provider Name | Gina C Bamberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376681213 PECOS PAC ID: 3375609324 Enrollment ID: I20090227000201 |
| Provider Name | Jeffrey L Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588625156 PECOS PAC ID: 9436215175 Enrollment ID: I20090305000077 |
| Provider Name | Christopher Gerber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023114915 PECOS PAC ID: 1658346689 Enrollment ID: I20090309000229 |
| Provider Name | Jay M Straight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326121237 PECOS PAC ID: 0143210690 Enrollment ID: I20090309000594 |
| Provider Name | Elina Pales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386746949 PECOS PAC ID: 7113922279 Enrollment ID: I20090317000223 |
| Provider Name | Jennifer Bajaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336276344 PECOS PAC ID: 0648337121 Enrollment ID: I20090327000304 |
| Provider Name | Xavier Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912994526 PECOS PAC ID: 8921067794 Enrollment ID: I20090410000155 |
| Provider Name | Jorge Davalos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043436827 PECOS PAC ID: 1254488034 Enrollment ID: I20090414000229 |
| Provider Name | Bradley J Mikaelian |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861598682 PECOS PAC ID: 6002812955 Enrollment ID: I20090414000541 |
| Provider Name | Chelsea A Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114187853 PECOS PAC ID: 3072660521 Enrollment ID: I20090420000647 |
| Provider Name | Lawrence G Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851382634 PECOS PAC ID: 4880686252 Enrollment ID: I20090424000107 |
| Provider Name | Anne I Siple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336155969 PECOS PAC ID: 3173527033 Enrollment ID: I20090428000109 |
| Provider Name | Robert M Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366532236 PECOS PAC ID: 4284721143 Enrollment ID: I20090430000093 |
| Provider Name | Tristan Dow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063503597 PECOS PAC ID: 3870642242 Enrollment ID: I20090514000560 |
| Provider Name | Luz-estefana Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831168095 PECOS PAC ID: 1456370568 Enrollment ID: I20090515000185 |
| Provider Name | Kalindi Batra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396839635 PECOS PAC ID: 5294735841 Enrollment ID: I20090515000395 |
| Provider Name | Wendy J Austin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457517625 PECOS PAC ID: 3577612753 Enrollment ID: I20090518000519 |
| Provider Name | Christian O Updike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336109743 PECOS PAC ID: 7113076985 Enrollment ID: I20090527000483 |
| Provider Name | Miranda Y Ku |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770513426 PECOS PAC ID: 8022110733 Enrollment ID: I20090603000675 |
| Provider Name | Kimberley Rea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366407785 PECOS PAC ID: 8729980024 Enrollment ID: I20090616000062 |
| Provider Name | Deepak Honaganahalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619114337 PECOS PAC ID: 8426109547 Enrollment ID: I20090701000465 |
| Provider Name | Philip B Dattilo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245452994 PECOS PAC ID: 3072664960 Enrollment ID: I20090707000184 |
| Provider Name | Bridget M Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639353485 PECOS PAC ID: 0244381143 Enrollment ID: I20090707000213 |
| Provider Name | Joshua H Petit |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710053681 PECOS PAC ID: 3779683040 Enrollment ID: I20090714000713 |
| Provider Name | Malaika Celeste Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215186911 PECOS PAC ID: 2769535665 Enrollment ID: I20090724000262 |
| Provider Name | Eric M Nyberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881842755 PECOS PAC ID: 1658424551 Enrollment ID: I20090724000279 |
| Provider Name | Amy B Driscoll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295821403 PECOS PAC ID: 2264585181 Enrollment ID: I20090724000420 |
| Provider Name | Frederic Deleyiannis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285606764 PECOS PAC ID: 4082528203 Enrollment ID: I20090810000236 |
| Provider Name | David R Blatt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053411579 PECOS PAC ID: 7810881638 Enrollment ID: I20090810000358 |
| Provider Name | Kirk L Depriest |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790993699 PECOS PAC ID: 9335221381 Enrollment ID: I20090812000643 |
| Provider Name | William R Shaffer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801044722 PECOS PAC ID: 3274686761 Enrollment ID: I20090813000338 |
| Provider Name | James M Kinsman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528062957 PECOS PAC ID: 1052372281 Enrollment ID: I20090813000472 |
| Provider Name | Michael T Randle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124006853 PECOS PAC ID: 2466506928 Enrollment ID: I20090818000337 |
| Provider Name | John B Ebens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649257544 PECOS PAC ID: 5698820652 Enrollment ID: I20090827000497 |
| Provider Name | Mark F Berntsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730166687 PECOS PAC ID: 5294880928 Enrollment ID: I20090902000324 |
| Provider Name | Daniel R Zenk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326026956 PECOS PAC ID: 7618023714 Enrollment ID: I20090915000156 |
| Provider Name | Laura Louise Kobilan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740431402 PECOS PAC ID: 4688720527 Enrollment ID: I20090918000136 |
| Provider Name | Ann L Stroh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568585206 PECOS PAC ID: 3870685159 Enrollment ID: I20090924000339 |
| Provider Name | Benjamin Boe Schnurr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235220773 PECOS PAC ID: 7214934868 Enrollment ID: I20091001000246 |
| Provider Name | Janette M Linsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457334690 PECOS PAC ID: 5890755920 Enrollment ID: I20091006000353 |
| Provider Name | Jonathan C Rowell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194833913 PECOS PAC ID: 9830260827 Enrollment ID: I20091009000373 |
| Provider Name | Meredith J Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790019818 PECOS PAC ID: 9739227539 Enrollment ID: I20091117000029 |
| Provider Name | Michael D Stone |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831177443 PECOS PAC ID: 3375682560 Enrollment ID: I20091201000378 |
| Provider Name | Mary A Blattner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205813193 PECOS PAC ID: 3971642794 Enrollment ID: I20091207000689 |
| Provider Name | Benjamin Jacob Girdler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275747727 PECOS PAC ID: 4789723420 Enrollment ID: I20091209000357 |
| Provider Name | Christopher P Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619955333 PECOS PAC ID: 7012057391 Enrollment ID: I20091217000144 |
| Provider Name | John M Hunter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063538817 PECOS PAC ID: 8527168160 Enrollment ID: I20091221000049 |
| Provider Name | Mark D Grossnickle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508844473 PECOS PAC ID: 9234212465 Enrollment ID: I20091221000570 |
| Provider Name | Meshelle M Kolanz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578541447 PECOS PAC ID: 4789724873 Enrollment ID: I20091222000166 |
| Provider Name | Kerry Berg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831196815 PECOS PAC ID: 9739136656 Enrollment ID: I20091222000665 |
| Provider Name | Brad Robin Baack |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104856061 PECOS PAC ID: 6204729734 Enrollment ID: I20091228000454 |
| Provider Name | Joseph P Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942288675 PECOS PAC ID: 5698815488 Enrollment ID: I20091230000170 |
| Provider Name | Brent D Grauerholz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881672756 PECOS PAC ID: 6608917364 Enrollment ID: I20100104000448 |
| Provider Name | William Oligmueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134107865 PECOS PAC ID: 7810038577 Enrollment ID: I20100104000522 |
| Provider Name | Brian K Schmalhorst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588642185 PECOS PAC ID: 7618018375 Enrollment ID: I20100104000535 |
| Provider Name | Matthew D Pouliot |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154584266 PECOS PAC ID: 4486684164 Enrollment ID: I20100106000501 |
| Provider Name | Michelle Simonsson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841262136 PECOS PAC ID: 4688715139 Enrollment ID: I20100106000697 |
| Provider Name | Stefan M Pettine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396858650 PECOS PAC ID: 4981606183 Enrollment ID: I20100114000362 |
| Provider Name | Timothy S Rummel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598760217 PECOS PAC ID: 4385630029 Enrollment ID: I20100114000462 |
| Provider Name | James M Dickinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700999059 PECOS PAC ID: 1850307059 Enrollment ID: I20100115000428 |
| Provider Name | Helen K Markley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205076585 PECOS PAC ID: 2062554603 Enrollment ID: I20100120000821 |
| Provider Name | Michael A Sheinberg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174675532 PECOS PAC ID: 0840187464 Enrollment ID: I20100122000040 |
| Provider Name | Thomas G Chiavetta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114030533 PECOS PAC ID: 2769498013 Enrollment ID: I20100125000087 |
| Provider Name | Catherine A Hatchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225033251 PECOS PAC ID: 0143319772 Enrollment ID: I20100125000750 |
| Provider Name | Ann M Haddenhorst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235134289 PECOS PAC ID: 6406945039 Enrollment ID: I20100126000049 |
| Provider Name | Patrick A Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700881596 PECOS PAC ID: 8224127857 Enrollment ID: I20100126000074 |
| Provider Name | Amy E Shenkenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518945112 PECOS PAC ID: 1254473473 Enrollment ID: I20100126000234 |
| Provider Name | Prashant Krishnan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689883993 PECOS PAC ID: 3274622881 Enrollment ID: I20100204000688 |
| Provider Name | Edward J Klich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538302682 PECOS PAC ID: 4688718307 Enrollment ID: I20100218000817 |
| Provider Name | William G Montross |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225018898 PECOS PAC ID: 1658451919 Enrollment ID: I20100220000348 |
| Provider Name | Wendy K Day |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922074780 PECOS PAC ID: 5799829255 Enrollment ID: I20100222000389 |
| Provider Name | Geoffrey G Capes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932128873 PECOS PAC ID: 2163427956 Enrollment ID: I20100305000115 |
| Provider Name | Ian R Tullberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457556052 PECOS PAC ID: 6800923814 Enrollment ID: I20100423000108 |
| Provider Name | Carole A Christensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851375513 PECOS PAC ID: 7911034673 Enrollment ID: I20100428000910 |
| Provider Name | David S Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508815770 PECOS PAC ID: 2567599251 Enrollment ID: I20100429000325 |
| Provider Name | Mark Rotman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215986476 PECOS PAC ID: 1456488089 Enrollment ID: I20100429000921 |
| Provider Name | Lisa M Young |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326141730 PECOS PAC ID: 2264560598 Enrollment ID: I20100507000135 |
| Provider Name | Christopher M Tsoi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689637183 PECOS PAC ID: 5294822276 Enrollment ID: I20100511000864 |
| Provider Name | James E Rafferty |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1821160466 PECOS PAC ID: 2466548995 Enrollment ID: I20100511000985 |
| Provider Name | Timothy P Podhajsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578511804 PECOS PAC ID: 2668500505 Enrollment ID: I20100513000378 |
| Provider Name | Priscilla Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316958416 PECOS PAC ID: 7911045703 Enrollment ID: I20100518000647 |
| Provider Name | Autumn L Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265691802 PECOS PAC ID: 0547399206 Enrollment ID: I20100519000280 |
| Provider Name | Matthew G Blum |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659348480 PECOS PAC ID: 6305975848 Enrollment ID: I20100521000558 |
| Provider Name | Mark D Schane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467459636 PECOS PAC ID: 8921138603 Enrollment ID: I20100607000158 |
| Provider Name | Mark Douthit |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1326038555 PECOS PAC ID: 9537056643 Enrollment ID: I20100607000306 |
| Provider Name | Mary Annette Seagraves |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770560617 PECOS PAC ID: 6103956420 Enrollment ID: I20100614000398 |
| Provider Name | Mihir V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619074382 PECOS PAC ID: 2062412653 Enrollment ID: I20100615000426 |
| Provider Name | Julia Kavanagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275611535 PECOS PAC ID: 6608907563 Enrollment ID: I20100622000424 |
| Provider Name | David C Corry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245217108 PECOS PAC ID: 3476684606 Enrollment ID: I20100701000403 |
| Provider Name | Timothy Harland Soper |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285680538 PECOS PAC ID: 2668496241 Enrollment ID: I20100716000098 |
| Provider Name | Clark B Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932107950 PECOS PAC ID: 2062404924 Enrollment ID: I20100716000716 |
| Provider Name | Benjamin Paul Wisner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396891982 PECOS PAC ID: 3577696269 Enrollment ID: I20100802000496 |
| Provider Name | Christopher John Verkler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366447484 PECOS PAC ID: 1153454517 Enrollment ID: I20100805000385 |
| Provider Name | Lyle M Pfeifer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003813270 PECOS PAC ID: 6406939966 Enrollment ID: I20100805000402 |
| Provider Name | David W Britt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427052836 PECOS PAC ID: 6406742816 Enrollment ID: I20100810000212 |
| Provider Name | Sean P Manion |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013914159 PECOS PAC ID: 4688757149 Enrollment ID: I20100810000944 |
| Provider Name | John P Stathis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902803174 PECOS PAC ID: 1456485614 Enrollment ID: I20100810001028 |
| Provider Name | Heather N Isaacson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467459628 PECOS PAC ID: 8729112826 Enrollment ID: I20100811000404 |
| Provider Name | Stephanie Anne Fowler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124014519 PECOS PAC ID: 6305807280 Enrollment ID: I20100811000916 |
| Provider Name | Jane W Ridings |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285614222 PECOS PAC ID: 5496889560 Enrollment ID: I20100812000188 |
| Provider Name | Jerome C Landblom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639174758 PECOS PAC ID: 2365576147 Enrollment ID: I20100816000478 |
| Provider Name | Nuzhat Iqbal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568467801 PECOS PAC ID: 7315071149 Enrollment ID: I20100816001058 |
| Provider Name | Diana Gue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972821783 PECOS PAC ID: 6507990280 Enrollment ID: I20100817000747 |
| Provider Name | Patrick A Finnegan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689679086 PECOS PAC ID: 7113051798 Enrollment ID: I20100818000415 |
| Provider Name | Brian S Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619974318 PECOS PAC ID: 7810021292 Enrollment ID: I20100820000545 |
| Provider Name | David A Podlecki |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649277815 PECOS PAC ID: 7416071709 Enrollment ID: I20100823000992 |
| Provider Name | Cathy L Ow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710922497 PECOS PAC ID: 7214829324 Enrollment ID: I20100824000272 |
| Provider Name | Eric M Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487658878 PECOS PAC ID: 5092609305 Enrollment ID: I20100826000833 |
| Provider Name | Scott D Clark |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366447740 PECOS PAC ID: 8628962933 Enrollment ID: I20100826001220 |
| Provider Name | Katherine M Dueber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063600096 PECOS PAC ID: 3678697646 Enrollment ID: I20100826001241 |
| Provider Name | Kevin Berg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396749792 PECOS PAC ID: 9133243124 Enrollment ID: I20100827000205 |
| Provider Name | Mark P Bridenstine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508062993 PECOS PAC ID: 5597889501 Enrollment ID: I20100827000507 |
| Provider Name | Gwen H Lisella |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457397440 PECOS PAC ID: 4284758210 Enrollment ID: I20100827000728 |
| Provider Name | Laura M Popescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306012240 PECOS PAC ID: 2769506633 Enrollment ID: I20100830000213 |
| Provider Name | Laura Kay Pomerenke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568643708 PECOS PAC ID: 3375430580 Enrollment ID: I20100831000126 |
| Provider Name | David F Katz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073677308 PECOS PAC ID: 8527183193 Enrollment ID: I20100920000677 |
| Provider Name | Derek D Haverley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548575368 PECOS PAC ID: 0042335648 Enrollment ID: I20100920001029 |
| Provider Name | Christina M Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639274285 PECOS PAC ID: 0143345637 Enrollment ID: I20100921001059 |
| Provider Name | Mark Talmage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114038403 PECOS PAC ID: 7810989365 Enrollment ID: I20100927000239 |
| Provider Name | Bhaktasharan C Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053415463 PECOS PAC ID: 8820070238 Enrollment ID: I20100927000498 |
| Provider Name | Mark Camden Loury |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003889353 PECOS PAC ID: 8022001957 Enrollment ID: I20101014000516 |
| Provider Name | Julie A Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740514447 PECOS PAC ID: 1355534975 Enrollment ID: I20101014001381 |
| Provider Name | Tracy A Cushing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578553889 PECOS PAC ID: 5597865576 Enrollment ID: I20101025000292 |
| Provider Name | Lukasz M Kowalczyk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104913003 PECOS PAC ID: 1557555190 Enrollment ID: I20101028000122 |
| Provider Name | Andrea H Croshal |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1386649945 PECOS PAC ID: 1951425446 Enrollment ID: I20101029000443 |
| Provider Name | Kevin A Felix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871739938 PECOS PAC ID: 0648464024 Enrollment ID: I20101029000494 |
| Provider Name | Erin M Stalker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962721993 PECOS PAC ID: 9234323163 Enrollment ID: I20101104000295 |
| Provider Name | Monica T Serrano Toy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659463271 PECOS PAC ID: 5890843445 Enrollment ID: I20101105000141 |
| Provider Name | Thomas H Soper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689643900 PECOS PAC ID: 9638364672 Enrollment ID: I20101116000473 |
| Provider Name | David B Avner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134106966 PECOS PAC ID: 3072709344 Enrollment ID: I20101129000589 |
| Provider Name | Jody A Rein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164455572 PECOS PAC ID: 7012104706 Enrollment ID: I20101207000782 |
| Provider Name | Daniel W Dobler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033193115 PECOS PAC ID: 6709073133 Enrollment ID: I20101209001413 |
| Provider Name | Robert Kiser |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1407976111 PECOS PAC ID: 2961500897 Enrollment ID: I20101213000967 |
| Provider Name | Heather M Keene |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184629461 PECOS PAC ID: 9537230115 Enrollment ID: I20110105001090 |
| Provider Name | Christy L Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730304593 PECOS PAC ID: 7012106818 Enrollment ID: I20110110000602 |
| Provider Name | David M Nuhfer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952302051 PECOS PAC ID: 3072702711 Enrollment ID: I20110111000276 |
| Provider Name | Curtis P Weibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578522066 PECOS PAC ID: 3072702760 Enrollment ID: I20110111000953 |
| Provider Name | Ross Aron Schumer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801920517 PECOS PAC ID: 2264611425 Enrollment ID: I20110120000853 |
| Provider Name | Kevin E Mcglothlen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518946177 PECOS PAC ID: 3779762778 Enrollment ID: I20110124000346 |
| Provider Name | Maria Main |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811916059 PECOS PAC ID: 4688674435 Enrollment ID: I20110127000380 |
| Provider Name | Tyler T Leigh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952523482 PECOS PAC ID: 2365621083 Enrollment ID: I20110127000600 |
| Provider Name | Amy Lou Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275538555 PECOS PAC ID: 1355412933 Enrollment ID: I20110207000958 |
| Provider Name | Robert M Tanabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851360150 PECOS PAC ID: 4486834330 Enrollment ID: I20110209000597 |
| Provider Name | Mark Simmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811092760 PECOS PAC ID: 9830164144 Enrollment ID: I20110216001146 |
| Provider Name | Martin A Koschnitzke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427043934 PECOS PAC ID: 2163603317 Enrollment ID: I20110222000663 |
| Provider Name | James J Steigerwald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447259452 PECOS PAC ID: 9638250996 Enrollment ID: I20110315000633 |
| Provider Name | Thomas O Kraner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083842389 PECOS PAC ID: 7012939689 Enrollment ID: I20110317000514 |
| Provider Name | Michael A Bates |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275641953 PECOS PAC ID: 4082898648 Enrollment ID: I20110406000854 |
| Provider Name | Pamela K Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699776013 PECOS PAC ID: 7810092426 Enrollment ID: I20110413001011 |
| Provider Name | Deborah S Lasley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942201256 PECOS PAC ID: 6002090156 Enrollment ID: I20110413001017 |
| Provider Name | Janice A Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528002920 PECOS PAC ID: 2567586597 Enrollment ID: I20110419000947 |
| Provider Name | Bonnie Nowak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326049016 PECOS PAC ID: 4880666379 Enrollment ID: I20110429000056 |
| Provider Name | Hans C Coester |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043256613 PECOS PAC ID: 2062595283 Enrollment ID: I20110505000739 |
| Provider Name | Alicia M Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972835015 PECOS PAC ID: 4183800170 Enrollment ID: I20110509000283 |
| Provider Name | Jill A Murray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346241767 PECOS PAC ID: 3274719182 Enrollment ID: I20110510000674 |
| Provider Name | Kellee R Fitzgerald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417126269 PECOS PAC ID: 6002980323 Enrollment ID: I20110518000872 |
| Provider Name | Lisa Radice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982757845 PECOS PAC ID: 9638356512 Enrollment ID: I20110601000378 |
| Provider Name | Mark W Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881998847 PECOS PAC ID: 4981881802 Enrollment ID: I20110601000930 |
| Provider Name | Christopher B Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215104609 PECOS PAC ID: 0446438394 Enrollment ID: I20110624000423 |
| Provider Name | David J Columbus |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1548237969 PECOS PAC ID: 7719885409 Enrollment ID: I20110708000495 |
| Provider Name | Lisa Stewart Mink |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053600957 PECOS PAC ID: 4082882220 Enrollment ID: I20110714000351 |
| Provider Name | Heather J Mazzola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578862314 PECOS PAC ID: 8921276098 Enrollment ID: I20110714000805 |
| Provider Name | Karen Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134121189 PECOS PAC ID: 7618073065 Enrollment ID: I20110718000699 |
| Provider Name | Kari L Barton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205936358 PECOS PAC ID: 6002830270 Enrollment ID: I20110808000730 |
| Provider Name | Christopher Hatzis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801804273 PECOS PAC ID: 6204936610 Enrollment ID: I20110809000232 |
| Provider Name | Christa M Coolidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730199365 PECOS PAC ID: 6406026152 Enrollment ID: I20110907001118 |
| Provider Name | Emily Hass |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073662086 PECOS PAC ID: 2567632250 Enrollment ID: I20110907001557 |
| Provider Name | Elizabeth Eun Hae Rice De |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194935023 PECOS PAC ID: 3072659929 Enrollment ID: I20110917000012 |
| Provider Name | Robert L Powell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871775908 PECOS PAC ID: 7416129143 Enrollment ID: I20110930000449 |
| Provider Name | Julie Ann Dunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972596070 PECOS PAC ID: 8729115282 Enrollment ID: I20111003000265 |
| Provider Name | Scott B Strader |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851509137 PECOS PAC ID: 7214109826 Enrollment ID: I20111004000189 |
| Provider Name | Adam Kassner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760588941 PECOS PAC ID: 5799746509 Enrollment ID: I20111004000451 |
| Provider Name | Andrew P Sylvester |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548274616 PECOS PAC ID: 0244289387 Enrollment ID: I20111004000625 |
| Provider Name | Pamela D Mitchell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790735702 PECOS PAC ID: 5991977472 Enrollment ID: I20111005000135 |
| Provider Name | Robert P Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306819453 PECOS PAC ID: 8820085830 Enrollment ID: I20111006000361 |
| Provider Name | David N Loy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952516825 PECOS PAC ID: 4981733714 Enrollment ID: I20111101000765 |
| Provider Name | Kevin R Scott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356399448 PECOS PAC ID: 0042294316 Enrollment ID: I20111104000626 |
| Provider Name | Chieh Hsin V Huerter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790936839 PECOS PAC ID: 2365615275 Enrollment ID: I20111108000925 |
| Provider Name | Donald Michael Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083887962 PECOS PAC ID: 0547434268 Enrollment ID: I20111115000528 |
| Provider Name | Tami L Story |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336102292 PECOS PAC ID: 9436167913 Enrollment ID: I20111129000434 |
| Provider Name | Hamid T Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811011331 PECOS PAC ID: 8325129653 Enrollment ID: I20111207000765 |
| Provider Name | Joshiah Gordon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952454290 PECOS PAC ID: 0941308555 Enrollment ID: I20111209000133 |
| Provider Name | Shireen Rudderow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124113121 PECOS PAC ID: 7012966062 Enrollment ID: I20111215000310 |
| Provider Name | Lloyd L Strode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609913854 PECOS PAC ID: 9931181864 Enrollment ID: I20111216000501 |
| Provider Name | Michele Lynn Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962473157 PECOS PAC ID: 1951577055 Enrollment ID: I20111220000318 |
| Provider Name | Susan Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689882573 PECOS PAC ID: 6103083340 Enrollment ID: I20120131000474 |
| Provider Name | Konoy K Mandal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518954866 PECOS PAC ID: 3870553787 Enrollment ID: I20120203000506 |
| Provider Name | Melissa Mckibben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851622070 PECOS PAC ID: 1254598139 Enrollment ID: I20120203000541 |
| Provider Name | Paul William Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720053036 PECOS PAC ID: 1951334580 Enrollment ID: I20120225000140 |
| Provider Name | Vaughn A Browne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386753630 PECOS PAC ID: 8729044490 Enrollment ID: I20120227000182 |
| Provider Name | Marc Y Wasserman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356340467 PECOS PAC ID: 0941241871 Enrollment ID: I20120306000196 |
| Provider Name | James R Mccurdy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639120397 PECOS PAC ID: 5294995833 Enrollment ID: I20120320000132 |
| Provider Name | Charles L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417919655 PECOS PAC ID: 0547421315 Enrollment ID: I20120423000453 |
| Provider Name | Douglas Helm |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104877992 PECOS PAC ID: 4981866563 Enrollment ID: I20120426000372 |
| Provider Name | Scott M Vandeveer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962454512 PECOS PAC ID: 9436196201 Enrollment ID: I20120501000497 |
| Provider Name | Martin J Verhey |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1568412120 PECOS PAC ID: 8123208675 Enrollment ID: I20120501000521 |
| Provider Name | Franklin N Boskovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235245614 PECOS PAC ID: 9032371372 Enrollment ID: I20120502000195 |
| Provider Name | Roy G Bergstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174506422 PECOS PAC ID: 2365591328 Enrollment ID: I20120502000264 |
| Provider Name | Cecilia Jamieson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003181181 PECOS PAC ID: 1456513654 Enrollment ID: I20120504000421 |
| Provider Name | Dana Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225302763 PECOS PAC ID: 9537321591 Enrollment ID: I20120509000072 |
| Provider Name | Mary A Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770784902 PECOS PAC ID: 9234392093 Enrollment ID: I20120515000613 |
| Provider Name | Anna Sihon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417012659 PECOS PAC ID: 4880857473 Enrollment ID: I20120517000530 |
| Provider Name | Michael Curiel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710980610 PECOS PAC ID: 1759278187 Enrollment ID: I20120606000539 |
| Provider Name | Julie Ann Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629108675 PECOS PAC ID: 4284526906 Enrollment ID: I20120627000356 |
| Provider Name | Jill E Saylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447542097 PECOS PAC ID: 4284899741 Enrollment ID: I20120706000479 |
| Provider Name | Lydia K Pyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699094037 PECOS PAC ID: 3577728864 Enrollment ID: I20120712000336 |
| Provider Name | Kaitlin Heisel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497951263 PECOS PAC ID: 1951567189 Enrollment ID: I20120716000525 |
| Provider Name | Heidi Anne Pomfret |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982879540 PECOS PAC ID: 9234395989 Enrollment ID: I20120724000636 |
| Provider Name | Julie E Horwitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487933586 PECOS PAC ID: 4587820287 Enrollment ID: I20120725000109 |
| Provider Name | Bryant Luis Delgado |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376740308 PECOS PAC ID: 9537242268 Enrollment ID: I20120725000349 |
| Provider Name | Rodney M Samuelson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083875744 PECOS PAC ID: 2062552722 Enrollment ID: I20120726000256 |
| Provider Name | Ryan T Borne |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588806483 PECOS PAC ID: 8022274489 Enrollment ID: I20120730000551 |
| Provider Name | Michael Brien Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265674279 PECOS PAC ID: 2163688490 Enrollment ID: I20120731000628 |
| Provider Name | Lisa My Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225270135 PECOS PAC ID: 3173779428 Enrollment ID: I20120802000222 |
| Provider Name | Laura Hildebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982666079 PECOS PAC ID: 2860416575 Enrollment ID: I20120809000355 |
| Provider Name | Damian G Mccabe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215098561 PECOS PAC ID: 8426204231 Enrollment ID: I20120810000280 |
| Provider Name | Thomas B Strandness |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528211927 PECOS PAC ID: 4981872074 Enrollment ID: I20120822000567 |
| Provider Name | Juliet C Whitehurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154636314 PECOS PAC ID: 1951558196 Enrollment ID: I20120823000438 |
| Provider Name | Mark C Alanis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699804815 PECOS PAC ID: 4688765662 Enrollment ID: I20120823000853 |
| Provider Name | Crystal Bw Evig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093977936 PECOS PAC ID: 7113174202 Enrollment ID: I20120824000207 |
| Provider Name | Kenneth W Bassett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447415542 PECOS PAC ID: 9739232117 Enrollment ID: I20120827000404 |
| Provider Name | Randall Wayne Day |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851341713 PECOS PAC ID: 7911099015 Enrollment ID: I20120828000165 |
| Provider Name | Bonnie L Kaplan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649438706 PECOS PAC ID: 1759538630 Enrollment ID: I20120828000697 |
| Provider Name | Kanchan Kanel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952545865 PECOS PAC ID: 9830346485 Enrollment ID: I20120912000438 |
| Provider Name | Rebecca Matthews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306086376 PECOS PAC ID: 3274710850 Enrollment ID: I20120913000384 |
| Provider Name | Rebecca S Shtulman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457655433 PECOS PAC ID: 0042472896 Enrollment ID: I20120924000803 |
| Provider Name | Michelle T Hagstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659478436 PECOS PAC ID: 9739189978 Enrollment ID: I20121011000866 |
| Provider Name | Danielle L Doro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437145190 PECOS PAC ID: 6406874478 Enrollment ID: I20121018000600 |
| Provider Name | Barbara Louise Depriest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497006175 PECOS PAC ID: 7315197696 Enrollment ID: I20121023000029 |
| Provider Name | Damon Kennedy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992733224 PECOS PAC ID: 9739150608 Enrollment ID: I20121023000736 |
| Provider Name | Meagan M Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548426497 PECOS PAC ID: 2567635113 Enrollment ID: I20121106000291 |
| Provider Name | Emily K Burns |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1346514163 PECOS PAC ID: 6002060613 Enrollment ID: I20130207000293 |
| Provider Name | Roderick S Obrien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487686325 PECOS PAC ID: 8224282504 Enrollment ID: I20130214000336 |
| Provider Name | Scott A Kono |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1184671067 PECOS PAC ID: 8325043243 Enrollment ID: I20130218000391 |
| Provider Name | Paul Eugene Reckard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902823578 PECOS PAC ID: 9830215821 Enrollment ID: I20130222000116 |
| Provider Name | Joy E Dejong Lago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699902668 PECOS PAC ID: 8527105121 Enrollment ID: I20130225000282 |
| Provider Name | Anne M Safley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124139555 PECOS PAC ID: 2961407366 Enrollment ID: I20130402000140 |
| Provider Name | Megan Beckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073852463 PECOS PAC ID: 5092951210 Enrollment ID: I20130413000017 |
| Provider Name | Keyan Riley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083793269 PECOS PAC ID: 0941374557 Enrollment ID: I20130415000406 |
| Provider Name | George J Meyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336284108 PECOS PAC ID: 7810134194 Enrollment ID: I20130503000290 |
| Provider Name | Ava J Roberts |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467451583 PECOS PAC ID: 0345135513 Enrollment ID: I20130517000437 |
| Provider Name | Chance Henderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851503544 PECOS PAC ID: 7517105893 Enrollment ID: I20130528000299 |
| Provider Name | Ronald F Hollis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669513800 PECOS PAC ID: 1153421698 Enrollment ID: I20130708000140 |
| Provider Name | Michelle Dewing |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306933775 PECOS PAC ID: 4688622764 Enrollment ID: I20130722000178 |
| Provider Name | Qaisar Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952344301 PECOS PAC ID: 3577566454 Enrollment ID: I20130729000176 |
| Provider Name | Chamisa R Macindoe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104081637 PECOS PAC ID: 9739368549 Enrollment ID: I20130729000915 |
| Provider Name | Priscilla Pamela Frazee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740523570 PECOS PAC ID: 8022259175 Enrollment ID: I20130801000192 |
| Provider Name | Steven Schuster |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467664136 PECOS PAC ID: 6305039710 Enrollment ID: I20130807000670 |
| Provider Name | Aaron R Kinney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497983126 PECOS PAC ID: 9931341765 Enrollment ID: I20130807000773 |
| Provider Name | Scott D Segal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538149794 PECOS PAC ID: 8426142126 Enrollment ID: I20130807000785 |
| Provider Name | Uchenna Njiaju |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063556736 PECOS PAC ID: 1557531993 Enrollment ID: I20130809000618 |
| Provider Name | Michael David Kenner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417912460 PECOS PAC ID: 4082632849 Enrollment ID: I20130815000870 |
| Provider Name | Carl N Mould-millman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366605842 PECOS PAC ID: 1557549979 Enrollment ID: I20130816000510 |
| Provider Name | Anil R Aleti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518279488 PECOS PAC ID: 3870775109 Enrollment ID: I20130823000327 |
| Provider Name | Sara M Corr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942435680 PECOS PAC ID: 9739322777 Enrollment ID: I20130823000653 |
| Provider Name | Melissa Richardson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518112051 PECOS PAC ID: 9133362866 Enrollment ID: I20130828000830 |
| Provider Name | John Richard Reinwald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952671976 PECOS PAC ID: 6800039405 Enrollment ID: I20130829000743 |
| Provider Name | Christopher Drumm Mitchell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033318910 PECOS PAC ID: 6002059243 Enrollment ID: I20130906000767 |
| Provider Name | Harvey E Shepard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972516466 PECOS PAC ID: 1658515721 Enrollment ID: I20130912000181 |
| Provider Name | Farrah M Datko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760697171 PECOS PAC ID: 3870737794 Enrollment ID: I20130916000574 |
| Provider Name | Luciano B Lemos-filho |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396778015 PECOS PAC ID: 3173697075 Enrollment ID: I20130918000736 |
| Provider Name | Anna R Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306037726 PECOS PAC ID: 7416072509 Enrollment ID: I20130919000018 |
| Provider Name | Daniel J Valentino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437305778 PECOS PAC ID: 0244411841 Enrollment ID: I20130919000442 |
| Provider Name | Diane C Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306072202 PECOS PAC ID: 8224284195 Enrollment ID: I20130920000662 |
| Provider Name | Kevin Clay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467604637 PECOS PAC ID: 1850535386 Enrollment ID: I20130923000571 |
| Provider Name | Nathan D Swartz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316114135 PECOS PAC ID: 9436324316 Enrollment ID: I20131001000271 |
| Provider Name | Vishal Rana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831307438 PECOS PAC ID: 8224200852 Enrollment ID: I20131002000186 |
| Provider Name | Peter D Fredericks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003010919 PECOS PAC ID: 4183871882 Enrollment ID: I20131009002052 |
| Provider Name | Natalie H Rochester |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245498054 PECOS PAC ID: 2567605710 Enrollment ID: I20131011001212 |
| Provider Name | Jose Edmundo Manrique Mercado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962709246 PECOS PAC ID: 6002058237 Enrollment ID: I20131017000438 |
| Provider Name | Randa Janell Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982815494 PECOS PAC ID: 8628203056 Enrollment ID: I20131021000583 |
| Provider Name | Todd J Mcarthur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427184381 PECOS PAC ID: 5092854950 Enrollment ID: I20131022001567 |
| Provider Name | James Eric Rose |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740299957 PECOS PAC ID: 7113971342 Enrollment ID: I20131023000755 |
| Provider Name | Susan J Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063846731 PECOS PAC ID: 9830214600 Enrollment ID: I20131025000307 |
| Provider Name | Terry Siriphatnaboon Krause |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356667554 PECOS PAC ID: 7113152778 Enrollment ID: I20131107000058 |
| Provider Name | Anna R Barragry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962723031 PECOS PAC ID: 5799912655 Enrollment ID: I20131223001278 |
| Provider Name | Jennifer Rebecca Reavis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013101146 PECOS PAC ID: 2961639703 Enrollment ID: I20131226000517 |
| Provider Name | Nicholas J Toepfer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467622761 PECOS PAC ID: 4486881901 Enrollment ID: I20131227000657 |
| Provider Name | Christopher T Denham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881775450 PECOS PAC ID: 1355579046 Enrollment ID: I20131231000655 |
| Provider Name | Janell L Durnen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265874929 PECOS PAC ID: 8820226095 Enrollment ID: I20140115000303 |
| Provider Name | Jacqueline Bortner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346234366 PECOS PAC ID: 0547294670 Enrollment ID: I20140115001586 |
| Provider Name | Lisabeth Paradise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588732606 PECOS PAC ID: 7618055252 Enrollment ID: I20140131000335 |
| Provider Name | Kaaren Nicole Mckaig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942639075 PECOS PAC ID: 8224267133 Enrollment ID: I20140218000944 |
| Provider Name | Jennifer A Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538596895 PECOS PAC ID: 0840420550 Enrollment ID: I20140225001196 |
| Provider Name | Nancy A Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124457353 PECOS PAC ID: 0749410306 Enrollment ID: I20140226001217 |
| Provider Name | Arden Mahaffey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891017190 PECOS PAC ID: 6204004674 Enrollment ID: I20140226001455 |
| Provider Name | Jared Clay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295719268 PECOS PAC ID: 3476788225 Enrollment ID: I20140307000192 |
| Provider Name | Daniel Spinuzzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679881866 PECOS PAC ID: 5991939670 Enrollment ID: I20140411000703 |
| Provider Name | Bryan Kenneth Beck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023093622 PECOS PAC ID: 2860468493 Enrollment ID: I20140429001851 |
| Provider Name | Julie Deters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861713075 PECOS PAC ID: 3476786237 Enrollment ID: I20140501000155 |
| Provider Name | Becky Kim Benz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437241239 PECOS PAC ID: 6305942111 Enrollment ID: I20140506000297 |
| Provider Name | Stacy L Cabbage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184050734 PECOS PAC ID: 6103054382 Enrollment ID: I20140506001340 |
| Provider Name | Scott Bissell Loomis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992977052 PECOS PAC ID: 7719122779 Enrollment ID: I20140603000136 |
| Provider Name | Siemay C Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497966824 PECOS PAC ID: 0840386488 Enrollment ID: I20140613000773 |
| Provider Name | Barbara Hager |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295997740 PECOS PAC ID: 9830313584 Enrollment ID: I20140619000293 |
| Provider Name | Jason Hatch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730235359 PECOS PAC ID: 2769607282 Enrollment ID: I20140625001713 |
| Provider Name | Lynsey B Mahlum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528362340 PECOS PAC ID: 9931353521 Enrollment ID: I20140703000254 |
| Provider Name | Kristine Vonnieda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417198896 PECOS PAC ID: 4183840440 Enrollment ID: I20140722001308 |
| Provider Name | Tiffany D Cartner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437373941 PECOS PAC ID: 2769661685 Enrollment ID: I20140724000837 |
| Provider Name | Nicholas Jerome Statkus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447461264 PECOS PAC ID: 1658560586 Enrollment ID: I20140724001816 |
| Provider Name | Kevin M Piper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629367685 PECOS PAC ID: 4789827684 Enrollment ID: I20140729002353 |
| Provider Name | Aimee L Battaglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104104199 PECOS PAC ID: 9335388677 Enrollment ID: I20140814001022 |
| Provider Name | Kimberly Lue Wagner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922325497 PECOS PAC ID: 7911124722 Enrollment ID: I20140818002309 |
| Provider Name | Juliana E Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205061975 PECOS PAC ID: 5890969372 Enrollment ID: I20140822000610 |
| Provider Name | Brian Kaiser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053518670 PECOS PAC ID: 7113145673 Enrollment ID: I20140825001252 |
| Provider Name | Ethan Ellis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1316110208 PECOS PAC ID: 2264564582 Enrollment ID: I20140825001390 |
| Provider Name | Nicholas A Piantanida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437132859 PECOS PAC ID: 4284807942 Enrollment ID: I20140826001785 |
| Provider Name | Steven Cummings |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336185636 PECOS PAC ID: 7315843273 Enrollment ID: I20140827001861 |
| Provider Name | Caroline A Hedges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528389368 PECOS PAC ID: 6901020460 Enrollment ID: I20140829000583 |
| Provider Name | Jill M Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457762452 PECOS PAC ID: 4486872546 Enrollment ID: I20140902001985 |
| Provider Name | Jennifer L Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154735827 PECOS PAC ID: 0941428015 Enrollment ID: I20140903000095 |
| Provider Name | Weston Whittington |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154527562 PECOS PAC ID: 9436274370 Enrollment ID: I20140904001062 |
| Provider Name | Diane R Hesselbrock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598924052 PECOS PAC ID: 9133360829 Enrollment ID: I20140904001101 |
| Provider Name | Jennifer K Beckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134428709 PECOS PAC ID: 9335371178 Enrollment ID: I20140904001743 |
| Provider Name | Lance Richards |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396908901 PECOS PAC ID: 9830333467 Enrollment ID: I20140908000773 |
| Provider Name | Jodie Kay Mesa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114187648 PECOS PAC ID: 6507085438 Enrollment ID: I20140908002465 |
| Provider Name | Marek M Odehnal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780643262 PECOS PAC ID: 6103851415 Enrollment ID: I20140909002528 |
| Provider Name | Nicola Demacopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205813839 PECOS PAC ID: 1759373863 Enrollment ID: I20140916000842 |
| Provider Name | Amber Elizabeth Steves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285924720 PECOS PAC ID: 1759523574 Enrollment ID: I20140917002271 |
| Provider Name | Heather H Sena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598870131 PECOS PAC ID: 1355341330 Enrollment ID: I20140917002710 |
| Provider Name | Kathleen J Fundalinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285988618 PECOS PAC ID: 8628297942 Enrollment ID: I20140919000406 |
| Provider Name | Jeffrey P Simon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619110715 PECOS PAC ID: 6103058235 Enrollment ID: I20140930000337 |
| Provider Name | Bryce Callister |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194952861 PECOS PAC ID: 4284854456 Enrollment ID: I20141010000720 |
| Provider Name | Kristine Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598927931 PECOS PAC ID: 1557535952 Enrollment ID: I20141021000319 |
| Provider Name | Sonja I Coombes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972864684 PECOS PAC ID: 6709007198 Enrollment ID: I20141029000347 |
| Provider Name | Martin E Musi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245491109 PECOS PAC ID: 8527238526 Enrollment ID: I20141105002579 |
| Provider Name | Matthew W Victor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528379849 PECOS PAC ID: 9739317827 Enrollment ID: I20141105002685 |
| Provider Name | Alexander E Ebinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902121643 PECOS PAC ID: 2365683745 Enrollment ID: I20141106002497 |
| Provider Name | Alexi Laursen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982010104 PECOS PAC ID: 1254553167 Enrollment ID: I20141110000776 |
| Provider Name | Steven Steinberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225037062 PECOS PAC ID: 0345231023 Enrollment ID: I20141112000464 |
| Provider Name | Rachel J Keesling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770879546 PECOS PAC ID: 1759503220 Enrollment ID: I20141118000758 |
| Provider Name | Thomas T Heacock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215228473 PECOS PAC ID: 0840418901 Enrollment ID: I20141125000793 |
| Provider Name | Aaron J Doverspike |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386914760 PECOS PAC ID: 2860640075 Enrollment ID: I20141125002043 |
| Provider Name | Krista Marie Iannuzzi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861892341 PECOS PAC ID: 9133441249 Enrollment ID: I20141201000142 |
| Provider Name | Nathan R Ayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457361172 PECOS PAC ID: 3072593847 Enrollment ID: I20141204000465 |
| Provider Name | David Stephenson Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396061404 PECOS PAC ID: 4183881022 Enrollment ID: I20141208000460 |
| Provider Name | Lynn Duncan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881096154 PECOS PAC ID: 9739401282 Enrollment ID: I20141211001178 |
| Provider Name | Jerold Saef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164415683 PECOS PAC ID: 3779481569 Enrollment ID: I20141222001800 |
| Provider Name | Lisa Ann Galaider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336555796 PECOS PAC ID: 6608199575 Enrollment ID: I20141229001553 |
| Provider Name | Margarita Sevilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568431542 PECOS PAC ID: 7517052129 Enrollment ID: I20141230002507 |
| Provider Name | Casey M Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003240771 PECOS PAC ID: 0840425021 Enrollment ID: I20150106000942 |
| Provider Name | Joseph M Carabetta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417113366 PECOS PAC ID: 5597815761 Enrollment ID: I20150109000616 |
| Provider Name | Jason Biehl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538392311 PECOS PAC ID: 1456509942 Enrollment ID: I20150120000214 |
| Provider Name | Nathan Reed Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992855365 PECOS PAC ID: 8022175280 Enrollment ID: I20150129000535 |
| Provider Name | Michael Sean Mckisic |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497950273 PECOS PAC ID: 3476781238 Enrollment ID: I20150205002345 |
| Provider Name | Maria Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053655613 PECOS PAC ID: 5799928057 Enrollment ID: I20150206000819 |
| Provider Name | James Strader |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811975030 PECOS PAC ID: 1951331057 Enrollment ID: I20150212000887 |
| Provider Name | Mark Boulware |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437375318 PECOS PAC ID: 8921277559 Enrollment ID: I20150226001373 |
| Provider Name | Robert Christopher Harmon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669684643 PECOS PAC ID: 8527236009 Enrollment ID: I20150302000266 |
| Provider Name | Vanessa Daisy Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912111691 PECOS PAC ID: 2062567720 Enrollment ID: I20150302000412 |
| Provider Name | Glenn Edgar Bigsby |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1821045584 PECOS PAC ID: 5597864314 Enrollment ID: I20150302001752 |
| Provider Name | Magdiel Trinidad Hernandez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609025204 PECOS PAC ID: 0042363772 Enrollment ID: I20150303001784 |
| Provider Name | Sanjay Ratnakant |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578569935 PECOS PAC ID: 4183688898 Enrollment ID: I20150309001156 |
| Provider Name | Jessica P Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821488321 PECOS PAC ID: 3476879214 Enrollment ID: I20150313000503 |
| Provider Name | Kathleen Anne Vorpahl Devanny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639414246 PECOS PAC ID: 2668799453 Enrollment ID: I20150316000134 |
| Provider Name | Nina F Casanova |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447471602 PECOS PAC ID: 1456509678 Enrollment ID: I20150319000186 |
| Provider Name | Kelly P Eichhorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598055105 PECOS PAC ID: 7113140211 Enrollment ID: I20150323000774 |
| Provider Name | Aaron Eichhorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326272014 PECOS PAC ID: 6204001803 Enrollment ID: I20150324000869 |
| Provider Name | Mark B Fisher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356529028 PECOS PAC ID: 0840368361 Enrollment ID: I20150324001946 |
| Provider Name | Laura J Schleiger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861483653 PECOS PAC ID: 7416089321 Enrollment ID: I20150325001881 |
| Provider Name | Jessica Ann Paisley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124296421 PECOS PAC ID: 9638241482 Enrollment ID: I20150410002331 |
| Provider Name | Julie Sack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275971343 PECOS PAC ID: 6507185402 Enrollment ID: I20150427001491 |
| Provider Name | Jonathan Patrick O Neil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417163205 PECOS PAC ID: 5799857918 Enrollment ID: I20150511000850 |
| Provider Name | Katrina J Plassmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508268483 PECOS PAC ID: 7517287170 Enrollment ID: I20150521001105 |
| Provider Name | Lindsey Elsa Johansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801232392 PECOS PAC ID: 1951540038 Enrollment ID: I20150529001282 |
| Provider Name | Shanna Keele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659758548 PECOS PAC ID: 6204157365 Enrollment ID: I20150602001416 |
| Provider Name | Kenneth Klouda Cicuto |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255565024 PECOS PAC ID: 1052545787 Enrollment ID: I20150604002724 |
| Provider Name | Richard H Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568546273 PECOS PAC ID: 2769378504 Enrollment ID: I20150608000387 |
| Provider Name | Leeann R Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083789531 PECOS PAC ID: 6507866415 Enrollment ID: I20150609002211 |
| Provider Name | David S Beutler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043446636 PECOS PAC ID: 7719298058 Enrollment ID: I20150618002008 |
| Provider Name | Trevor W Bush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942380431 PECOS PAC ID: 1658564463 Enrollment ID: I20150622000158 |
| Provider Name | Derek Leopold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255645214 PECOS PAC ID: 3971726696 Enrollment ID: I20150707002338 |
| Provider Name | Chad Derosa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740471275 PECOS PAC ID: 3779749668 Enrollment ID: I20150708001753 |
| Provider Name | Jamie Elaine Stucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740573096 PECOS PAC ID: 2365754066 Enrollment ID: I20150709001334 |
| Provider Name | Lisa Evensky-stark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356722417 PECOS PAC ID: 5294047825 Enrollment ID: I20150709002566 |
| Provider Name | Alistair Clifford Jordan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932337342 PECOS PAC ID: 3779724117 Enrollment ID: I20150716000588 |
| Provider Name | Arwen E Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164798583 PECOS PAC ID: 8224269071 Enrollment ID: I20150716002236 |
| Provider Name | Nicholas Joseph Constantine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902031925 PECOS PAC ID: 3971721317 Enrollment ID: I20150722003426 |
| Provider Name | Brandi Leigh Greenhouse |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700267630 PECOS PAC ID: 7012220783 Enrollment ID: I20150723009179 |
| Provider Name | Jennifer S Trotter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932460334 PECOS PAC ID: 0547400947 Enrollment ID: I20150729009896 |
| Provider Name | Jaime E Gonzalez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1245370204 PECOS PAC ID: 1658699525 Enrollment ID: I20150731015507 |
| Provider Name | Kryste Kaye Haas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528149119 PECOS PAC ID: 8820302029 Enrollment ID: I20150731016417 |
| Provider Name | Zachary Graber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528480019 PECOS PAC ID: 3577877505 Enrollment ID: I20150804004089 |
| Provider Name | Rochelle Marie Palmiscno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306104666 PECOS PAC ID: 2163736125 Enrollment ID: I20150804004995 |
| Provider Name | Katie M Weatherhogg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205965126 PECOS PAC ID: 7618027855 Enrollment ID: I20150805007818 |
| Provider Name | Christina J Yannetsos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740556745 PECOS PAC ID: 9234443102 Enrollment ID: I20150805008984 |
| Provider Name | Warren C Dorlac |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689740144 PECOS PAC ID: 9931288750 Enrollment ID: I20150811004904 |
| Provider Name | Daniel Christopher Gioia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891055729 PECOS PAC ID: 6406099928 Enrollment ID: I20150811005429 |
| Provider Name | Rhonda S Thorpe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033590294 PECOS PAC ID: 1850606120 Enrollment ID: I20150814014241 |
| Provider Name | Jason Paul Doye |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265666762 PECOS PAC ID: 9739494782 Enrollment ID: I20150819008690 |
| Provider Name | Regina S Bower |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194972000 PECOS PAC ID: 9335286533 Enrollment ID: I20150825004055 |
| Provider Name | Brady M Landgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902296759 PECOS PAC ID: 6103132816 Enrollment ID: I20150826000352 |
| Provider Name | Alyssa C Nash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568728491 PECOS PAC ID: 9638498470 Enrollment ID: I20150831001272 |
| Provider Name | Caley M Copeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487920997 PECOS PAC ID: 7315254273 Enrollment ID: I20150910000484 |
| Provider Name | Ryan M Carr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700033917 PECOS PAC ID: 1557589710 Enrollment ID: I20150910001141 |
| Provider Name | Julia M Dixon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790044014 PECOS PAC ID: 5890002679 Enrollment ID: I20150910001515 |
| Provider Name | Joshua Craig Poles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497041867 PECOS PAC ID: 8224255534 Enrollment ID: I20150910001708 |
| Provider Name | Jordan I Frishman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467453837 PECOS PAC ID: 7719978568 Enrollment ID: I20150914001198 |
| Provider Name | Sunil Jani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528293271 PECOS PAC ID: 6204057359 Enrollment ID: I20150915001685 |
| Provider Name | Elaine Reno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255630406 PECOS PAC ID: 1254648595 Enrollment ID: I20150917002847 |
| Provider Name | Ashley P Read |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497138267 PECOS PAC ID: 8325355480 Enrollment ID: I20150922002187 |
| Provider Name | Sarah Troemel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043558109 PECOS PAC ID: 2264749266 Enrollment ID: I20150923000285 |
| Provider Name | Christian M Pariseau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043345309 PECOS PAC ID: 8628056090 Enrollment ID: I20150923000884 |
| Provider Name | Justin D Ross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336390913 PECOS PAC ID: 5698099224 Enrollment ID: I20150926000147 |
| Provider Name | Thomas Ridder |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487851838 PECOS PAC ID: 6204074255 Enrollment ID: I20150928000690 |
| Provider Name | Renna Short Becerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831464189 PECOS PAC ID: 1557680303 Enrollment ID: I20151003000044 |
| Provider Name | Jamie S Colonnello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326075003 PECOS PAC ID: 2163425745 Enrollment ID: I20151007000954 |
| Provider Name | Steven A Hellerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578793238 PECOS PAC ID: 2668693532 Enrollment ID: I20151016001120 |
| Provider Name | Johanna E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902282809 PECOS PAC ID: 9234448051 Enrollment ID: I20151019001275 |
| Provider Name | Jodi D Holthouser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336517895 PECOS PAC ID: 6305155656 Enrollment ID: I20151027003009 |
| Provider Name | Christopher A Gallus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295966307 PECOS PAC ID: 3173748878 Enrollment ID: I20151028002982 |
| Provider Name | Ruth Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841554375 PECOS PAC ID: 2264743772 Enrollment ID: I20151116001688 |
| Provider Name | Emilie J Calvello Hynes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700923596 PECOS PAC ID: 4183770076 Enrollment ID: I20151120001420 |
| Provider Name | Rebecca D Berghorst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255429536 PECOS PAC ID: 7012908965 Enrollment ID: I20151124001229 |
| Provider Name | Jason Jurva |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285685024 PECOS PAC ID: 9830123561 Enrollment ID: I20151209002361 |
| Provider Name | Max Daniel Pusz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790984755 PECOS PAC ID: 3577795103 Enrollment ID: I20151210001145 |
| Provider Name | Evan Enloe Minard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912955329 PECOS PAC ID: 7416902366 Enrollment ID: I20151214002265 |
| Provider Name | Jacquita Louise Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730558834 PECOS PAC ID: 1759682842 Enrollment ID: I20151215000493 |
| Provider Name | Kimberly L Siegel |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1265591895 PECOS PAC ID: 9537185251 Enrollment ID: I20151229002082 |
| Provider Name | Ann Mellott |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194704262 PECOS PAC ID: 7517859309 Enrollment ID: I20151230001444 |
| Provider Name | Peter J Genaris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871562389 PECOS PAC ID: 0749236891 Enrollment ID: I20160106000997 |
| Provider Name | Andrew S Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356648356 PECOS PAC ID: 3274835111 Enrollment ID: I20160108000712 |
| Provider Name | Christa Ann Salling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700255577 PECOS PAC ID: 3678875523 Enrollment ID: I20160108001181 |
| Provider Name | Gavin B Bishop |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225203946 PECOS PAC ID: 4587837992 Enrollment ID: I20160112000339 |
| Provider Name | Leslie K Winter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073788915 PECOS PAC ID: 6901951730 Enrollment ID: I20160112001062 |
| Provider Name | Ashley Doepker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942676929 PECOS PAC ID: 9436452695 Enrollment ID: I20160121000921 |
| Provider Name | Gerard L Bernales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639597909 PECOS PAC ID: 0244455087 Enrollment ID: I20160126000168 |
| Provider Name | Mark A Leibel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689655995 PECOS PAC ID: 6800899329 Enrollment ID: I20160130000115 |
| Provider Name | Kimberly R Jordan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609111640 PECOS PAC ID: 2668775354 Enrollment ID: I20160130000134 |
| Provider Name | Laura Suzanne Nehoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407211337 PECOS PAC ID: 3173827888 Enrollment ID: I20160201000622 |
| Provider Name | Fernando Jose Gil Franco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982847406 PECOS PAC ID: 1052555927 Enrollment ID: I20160208001001 |
| Provider Name | James Waddell Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851760557 PECOS PAC ID: 2466756507 Enrollment ID: I20160210000268 |
| Provider Name | Jeffrey R Olsen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598912735 PECOS PAC ID: 0345499075 Enrollment ID: I20160210000900 |
| Provider Name | Brenda M George |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972829737 PECOS PAC ID: 7012230709 Enrollment ID: I20160215000595 |
| Provider Name | Mark Wisthoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730407321 PECOS PAC ID: 7012211824 Enrollment ID: I20160215001125 |
| Provider Name | Sara J Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821424334 PECOS PAC ID: 1759606197 Enrollment ID: I20160216001379 |
| Provider Name | Amber M Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225175607 PECOS PAC ID: 4082718242 Enrollment ID: I20160225000341 |
| Provider Name | Renee G Lockey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447265509 PECOS PAC ID: 6709959372 Enrollment ID: I20160301001875 |
| Provider Name | Kristen Alexandria Roff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316304660 PECOS PAC ID: 6406152297 Enrollment ID: I20160303001728 |
| Provider Name | Katie Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801296348 PECOS PAC ID: 3678792348 Enrollment ID: I20160309000084 |
| Provider Name | Dyan Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881067403 PECOS PAC ID: 3072819614 Enrollment ID: I20160309000098 |
| Provider Name | Jennifer Nolting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861863672 PECOS PAC ID: 9234435637 Enrollment ID: I20160310002507 |
| Provider Name | Corinne Mary Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699078980 PECOS PAC ID: 1850513490 Enrollment ID: I20160311001123 |
| Provider Name | Stephanie M Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427353739 PECOS PAC ID: 0941430854 Enrollment ID: I20160318001653 |
| Provider Name | Oscar L Sanders |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1487804068 PECOS PAC ID: 1759607534 Enrollment ID: I20160405001300 |
| Provider Name | Luis A Dibos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679577639 PECOS PAC ID: 7618032269 Enrollment ID: I20160428001832 |
| Provider Name | Hugh M Parker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972763878 PECOS PAC ID: 7618146184 Enrollment ID: I20160428002061 |
| Provider Name | Christopher D Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528300571 PECOS PAC ID: 7012216674 Enrollment ID: I20160503000999 |
| Provider Name | Alisa Harnden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457595712 PECOS PAC ID: 4385833755 Enrollment ID: I20160511001364 |
| Provider Name | Teresa M Zuber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740647403 PECOS PAC ID: 4688963770 Enrollment ID: I20160512001242 |
| Provider Name | Alicia Crafa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225414105 PECOS PAC ID: 1355630310 Enrollment ID: I20160513000802 |
| Provider Name | Elizabeth Schacht |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154523884 PECOS PAC ID: 9133391378 Enrollment ID: I20160519001030 |
| Provider Name | Gina M Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902208473 PECOS PAC ID: 7416246848 Enrollment ID: I20160525000504 |
| Provider Name | Ryan Patrick Meintz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609136662 PECOS PAC ID: 9537459995 Enrollment ID: I20160526001622 |
| Provider Name | Katherine L Mcmurray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225476351 PECOS PAC ID: 6709176068 Enrollment ID: I20160531000090 |
| Provider Name | Jordan Doane Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295078442 PECOS PAC ID: 5395989453 Enrollment ID: I20160601001556 |
| Provider Name | Reid A Phelps |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518251859 PECOS PAC ID: 8224331046 Enrollment ID: I20160601002502 |
| Provider Name | Yue Dai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790125771 PECOS PAC ID: 2860794393 Enrollment ID: I20160609000483 |
| Provider Name | Drew C Burlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604838 PECOS PAC ID: 4880909514 Enrollment ID: I20160614000265 |
| Provider Name | Michael J Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366730376 PECOS PAC ID: 6800022211 Enrollment ID: I20160616000365 |
| Provider Name | Emily Hsu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407295678 PECOS PAC ID: 8325353360 Enrollment ID: I20160617001096 |
| Provider Name | Jennifer H Perryman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891913372 PECOS PAC ID: 2163572785 Enrollment ID: I20160620002087 |
| Provider Name | Maggie Schumm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093159071 PECOS PAC ID: 0446541510 Enrollment ID: I20160621000099 |
| Provider Name | Matthew Koors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699155192 PECOS PAC ID: 1153635347 Enrollment ID: I20160629000109 |
| Provider Name | Christopher B Kempe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891015798 PECOS PAC ID: 3779729108 Enrollment ID: I20160701001462 |
| Provider Name | Peter Walinsky |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053405449 PECOS PAC ID: 6507826369 Enrollment ID: I20160705001643 |
| Provider Name | James E Allen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730175290 PECOS PAC ID: 9436061025 Enrollment ID: I20160706001031 |
| Provider Name | James Edward Mccarthy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417174608 PECOS PAC ID: 1759536097 Enrollment ID: I20160708000467 |
| Provider Name | Timothy V Waxweiler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093005738 PECOS PAC ID: 1759522931 Enrollment ID: I20160708001483 |
| Provider Name | Tricia A Goshey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902282171 PECOS PAC ID: 7315255957 Enrollment ID: I20160711001042 |
| Provider Name | Derek G Stadie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245573898 PECOS PAC ID: 9133353527 Enrollment ID: I20160712000948 |
| Provider Name | Claire Pederson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811215791 PECOS PAC ID: 4688989809 Enrollment ID: I20160715001346 |
| Provider Name | Satish Jacob Chacko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104147560 PECOS PAC ID: 2163645664 Enrollment ID: I20160718000706 |
| Provider Name | Erin M Schrunk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972941912 PECOS PAC ID: 4486884103 Enrollment ID: I20160719000643 |
| Provider Name | Lynn M Mathew |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346563335 PECOS PAC ID: 3577856046 Enrollment ID: I20160720002242 |
| Provider Name | Amy Fitzgerald Pelloquin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730117086 PECOS PAC ID: 3072594779 Enrollment ID: I20160721001003 |
| Provider Name | Zachary Albert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396883740 PECOS PAC ID: 2860701281 Enrollment ID: I20160726001012 |
| Provider Name | Richard J Millstein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407101975 PECOS PAC ID: 5890090302 Enrollment ID: I20160726002398 |
| Provider Name | Lydia T Van |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326277369 PECOS PAC ID: 5991954224 Enrollment ID: I20160726002870 |
| Provider Name | Mark Landmeier |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669637674 PECOS PAC ID: 9638325244 Enrollment ID: I20160727002340 |
| Provider Name | Kerry Bigelow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912263278 PECOS PAC ID: 6901101351 Enrollment ID: I20160728000400 |
| Provider Name | Jeannette R Liller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972966992 PECOS PAC ID: 7315230224 Enrollment ID: I20160728002278 |
| Provider Name | Amelia Prado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598830069 PECOS PAC ID: 4880779032 Enrollment ID: I20160804000872 |
| Provider Name | Paula Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154415537 PECOS PAC ID: 2365452893 Enrollment ID: I20160804001418 |
| Provider Name | Daniel Muller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073589016 PECOS PAC ID: 4385722271 Enrollment ID: I20160816000105 |
| Provider Name | Colin Michael Carpenter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356639140 PECOS PAC ID: 2163663238 Enrollment ID: I20160817001941 |
| Provider Name | Michael Perry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023337698 PECOS PAC ID: 5294966347 Enrollment ID: I20160818001723 |
| Provider Name | Jean M Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538455423 PECOS PAC ID: 0244548402 Enrollment ID: I20160827000030 |
| Provider Name | Molly M Dinnen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912354291 PECOS PAC ID: 8628363678 Enrollment ID: I20160830000756 |
| Provider Name | Stephanie M Dettlebach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629145990 PECOS PAC ID: 1153358098 Enrollment ID: I20160901000459 |
| Provider Name | Stephen Dale Rellas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194016733 PECOS PAC ID: 7416184791 Enrollment ID: I20160901001213 |
| Provider Name | Natali V Rolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275524654 PECOS PAC ID: 9830141787 Enrollment ID: I20160906001449 |
| Provider Name | Allison M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134458862 PECOS PAC ID: 9638353196 Enrollment ID: I20160906002153 |
| Provider Name | Jennifer L Czwornog |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801112396 PECOS PAC ID: 5496999674 Enrollment ID: I20160912002432 |
| Provider Name | Justin J Shaffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548696719 PECOS PAC ID: 4981990108 Enrollment ID: I20160914000246 |
| Provider Name | Thomas Schroeppel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043266463 PECOS PAC ID: 2567474000 Enrollment ID: I20160914000417 |
| Provider Name | Emily Christine Valenta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225391683 PECOS PAC ID: 5991945701 Enrollment ID: I20160914001860 |
| Provider Name | Jonathan Christopher Barnwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215252770 PECOS PAC ID: 0244527281 Enrollment ID: I20160920000580 |
| Provider Name | Sergiu Botolin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265699656 PECOS PAC ID: 4688818164 Enrollment ID: I20160921002841 |
| Provider Name | Ruth E Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487634614 PECOS PAC ID: 4880608900 Enrollment ID: I20160930000512 |
| Provider Name | Magan Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518333046 PECOS PAC ID: 9335437268 Enrollment ID: I20161010001637 |
| Provider Name | Claude J Fortin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235225780 PECOS PAC ID: 8921904327 Enrollment ID: I20161014000311 |
| Provider Name | Kimberly R Negrete |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548421555 PECOS PAC ID: 5294036539 Enrollment ID: I20161025002492 |
| Provider Name | Iratxe Eskurza Garcia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801033295 PECOS PAC ID: 7416107644 Enrollment ID: I20161031000015 |
| Provider Name | Meredith E Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235688573 PECOS PAC ID: 8325326150 Enrollment ID: I20161031000734 |
| Provider Name | Kelsey K Aliabadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083169494 PECOS PAC ID: 2466731740 Enrollment ID: I20161109000028 |
| Provider Name | Patricia E Kuyper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073062816 PECOS PAC ID: 3173802261 Enrollment ID: I20161112000239 |
| Provider Name | Brian J Crisp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861446262 PECOS PAC ID: 5193027944 Enrollment ID: I20161116001648 |
| Provider Name | Hillary Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588116313 PECOS PAC ID: 2769761535 Enrollment ID: I20161118000391 |
| Provider Name | Augusta Kluk |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1023218880 PECOS PAC ID: 0749420891 Enrollment ID: I20161121001648 |
| Provider Name | Joanna Q Luong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972967651 PECOS PAC ID: 9436438009 Enrollment ID: I20161123000184 |
| Provider Name | Megan L Bartusek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649623125 PECOS PAC ID: 3173818739 Enrollment ID: I20161201000101 |
| Provider Name | Jennifer Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689988529 PECOS PAC ID: 1355507401 Enrollment ID: I20161208000047 |
| Provider Name | Hope Edmonds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932122702 PECOS PAC ID: 2264426592 Enrollment ID: I20161208000077 |
| Provider Name | Karen Michelle Steese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740732197 PECOS PAC ID: 1759661606 Enrollment ID: I20161210000048 |
| Provider Name | Maria Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326597683 PECOS PAC ID: 8325328115 Enrollment ID: I20161214000161 |
| Provider Name | Lori J Montano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699013672 PECOS PAC ID: 3375823024 Enrollment ID: I20161215000161 |
| Provider Name | Mellyna Mcglothlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588008254 PECOS PAC ID: 4082857487 Enrollment ID: I20161216000004 |
| Provider Name | William V Pease |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932177037 PECOS PAC ID: 8820025729 Enrollment ID: I20161217000009 |
| Provider Name | Mariya Md Balon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255646931 PECOS PAC ID: 3072739713 Enrollment ID: I20170109002197 |
| Provider Name | William I Boswell |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1457464679 PECOS PAC ID: 4183538770 Enrollment ID: I20170110000319 |
| Provider Name | Nezha Belhadaoui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255876140 PECOS PAC ID: 8628359429 Enrollment ID: I20170111000073 |
| Provider Name | Kevin G Shortt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548224801 PECOS PAC ID: 4789658931 Enrollment ID: I20170111000090 |
| Provider Name | Sarah Praner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811432099 PECOS PAC ID: 1850672544 Enrollment ID: I20170112000511 |
| Provider Name | Angela J De Hamer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982043014 PECOS PAC ID: 0547553935 Enrollment ID: I20170113000197 |
| Provider Name | Domonique Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023446101 PECOS PAC ID: 7214219757 Enrollment ID: I20170118002009 |
| Provider Name | Beverly T Koran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164966578 PECOS PAC ID: 3678855863 Enrollment ID: I20170124000627 |
| Provider Name | Laura Garzio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861936544 PECOS PAC ID: 8123300332 Enrollment ID: I20170124001436 |
| Provider Name | Tracey L Stefanon |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1114064474 PECOS PAC ID: 9335422062 Enrollment ID: I20170203000749 |
| Provider Name | Paul P Braunlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497997340 PECOS PAC ID: 7012290695 Enrollment ID: I20170206000332 |
| Provider Name | Gigi Podczervinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124429956 PECOS PAC ID: 8325321862 Enrollment ID: I20170208000905 |
| Provider Name | Kayla Marie Vreeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467905687 PECOS PAC ID: 1456634658 Enrollment ID: I20170214001693 |
| Provider Name | Mycroft M Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033408448 PECOS PAC ID: 0345529681 Enrollment ID: I20170217001089 |
| Provider Name | Nicola Gigante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194276980 PECOS PAC ID: 3173806080 Enrollment ID: I20170222000515 |
| Provider Name | Robert J Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336686609 PECOS PAC ID: 5395029789 Enrollment ID: I20170302001878 |
| Provider Name | Lori Wertheimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972543965 PECOS PAC ID: 6305073289 Enrollment ID: I20170302002077 |
| Provider Name | Dominga C Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447549605 PECOS PAC ID: 3870877905 Enrollment ID: I20170308002237 |
| Provider Name | James Albert White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568463727 PECOS PAC ID: 7618006131 Enrollment ID: I20170313001963 |
| Provider Name | Phillip S Kick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801004197 PECOS PAC ID: 5193817641 Enrollment ID: I20170315001827 |
| Provider Name | Kathryn Amanda Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700255189 PECOS PAC ID: 3375828882 Enrollment ID: I20170324001184 |
| Provider Name | Sarah Anne Wear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689935173 PECOS PAC ID: 3779884846 Enrollment ID: I20170328001211 |
| Provider Name | Brandon Gregory Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386635381 PECOS PAC ID: 2860639994 Enrollment ID: I20170329001556 |
| Provider Name | Tom Ashar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205888187 PECOS PAC ID: 1759356629 Enrollment ID: I20170406003021 |
| Provider Name | Natalie Hilsenbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699182758 PECOS PAC ID: 4082834668 Enrollment ID: I20170424000749 |
| Provider Name | Laurie A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043751860 PECOS PAC ID: 5597041715 Enrollment ID: I20170424001049 |
| Provider Name | Elvira G Aguila |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699727123 PECOS PAC ID: 4284641325 Enrollment ID: I20170427000459 |
| Provider Name | Sirisha Yarlagadda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932394731 PECOS PAC ID: 3173675519 Enrollment ID: I20170428001113 |
| Provider Name | Jeffrey L Burks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710422530 PECOS PAC ID: 6901183524 Enrollment ID: I20170509002768 |
| Provider Name | Meghan Reusser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386958551 PECOS PAC ID: 1850584160 Enrollment ID: I20170517000123 |
| Provider Name | Devin A Rickett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144241894 PECOS PAC ID: 8527236504 Enrollment ID: I20170517000788 |
| Provider Name | Jennifer R Weiskopf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801213921 PECOS PAC ID: 4385865625 Enrollment ID: I20170519000929 |
| Provider Name | Tristan F Meador |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679872485 PECOS PAC ID: 9931321270 Enrollment ID: I20170525000954 |
| Provider Name | Alethea Hoewisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043754880 PECOS PAC ID: 7618244054 Enrollment ID: I20170606001946 |
| Provider Name | Jessica N Doty |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730523531 PECOS PAC ID: 2163723511 Enrollment ID: I20170607000505 |
| Provider Name | Benjamin L Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952424657 PECOS PAC ID: 8729158894 Enrollment ID: I20170608000752 |
| Provider Name | Carlene Lihalakha Chun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023374386 PECOS PAC ID: 7517110661 Enrollment ID: I20170610000020 |
| Provider Name | Travis D Walker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558534412 PECOS PAC ID: 9537395215 Enrollment ID: I20170616001599 |
| Provider Name | Simsimran K Grover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992141923 PECOS PAC ID: 1254630437 Enrollment ID: I20170620000479 |
| Provider Name | Nina Rachel Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225434285 PECOS PAC ID: 2466763479 Enrollment ID: I20170620000523 |
| Provider Name | Aiman H Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497160311 PECOS PAC ID: 7517286214 Enrollment ID: I20170621000187 |
| Provider Name | Jonathan Chyi En Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922374024 PECOS PAC ID: 6901047646 Enrollment ID: I20170623000741 |
| Provider Name | Humayun Iftikhar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932499001 PECOS PAC ID: 9335315332 Enrollment ID: I20170626001734 |
| Provider Name | Jessica Whicker Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427317585 PECOS PAC ID: 1658665575 Enrollment ID: I20170627000728 |
| Provider Name | Vincent M Ciampa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205242716 PECOS PAC ID: 9234458944 Enrollment ID: I20170705000402 |
| Provider Name | Sarah B Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821316902 PECOS PAC ID: 4385863760 Enrollment ID: I20170711000293 |
| Provider Name | Elizabeth M Holl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730447939 PECOS PAC ID: 9931406584 Enrollment ID: I20170711001515 |
| Provider Name | Tayler R Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043744360 PECOS PAC ID: 9133498702 Enrollment ID: I20170713001288 |
| Provider Name | Jara Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902201890 PECOS PAC ID: 8022388628 Enrollment ID: I20170713003328 |
| Provider Name | Olivia Raban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629483854 PECOS PAC ID: 6507136124 Enrollment ID: I20170714000356 |
| Provider Name | Peter H Urffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447320155 PECOS PAC ID: 8628067915 Enrollment ID: I20170714000629 |
| Provider Name | Melinda Mcclendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003212184 PECOS PAC ID: 1658694435 Enrollment ID: I20170714001874 |
| Provider Name | Anita R Ritenour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093784357 PECOS PAC ID: 1658392162 Enrollment ID: I20170717000823 |
| Provider Name | Christopher Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457801904 PECOS PAC ID: 1759662786 Enrollment ID: I20170718000365 |
| Provider Name | Crystal Erickson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487863700 PECOS PAC ID: 1355575341 Enrollment ID: I20170720000601 |
| Provider Name | Matthew I Salzberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699194233 PECOS PAC ID: 5395961429 Enrollment ID: I20170720000971 |
| Provider Name | Michael J Baier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467713883 PECOS PAC ID: 5092034314 Enrollment ID: I20170725001462 |
| Provider Name | Brittany L Weber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659783199 PECOS PAC ID: 5294031514 Enrollment ID: I20170725001841 |
| Provider Name | Alycia Barland |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396183356 PECOS PAC ID: 2264739770 Enrollment ID: I20170726002505 |
| Provider Name | Genevieve Rebecca Hillis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699180760 PECOS PAC ID: 9830469667 Enrollment ID: I20170726003321 |
| Provider Name | Chelsea Jo Drake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194164475 PECOS PAC ID: 5799055455 Enrollment ID: I20170728000456 |
| Provider Name | Daniel W Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609308311 PECOS PAC ID: 1759651433 Enrollment ID: I20170728001116 |
| Provider Name | Brian R Kass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467406256 PECOS PAC ID: 7214821719 Enrollment ID: I20170728001219 |
| Provider Name | Royce James Toffol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609308436 PECOS PAC ID: 0143591834 Enrollment ID: I20170728001859 |
| Provider Name | Kim Spinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215133178 PECOS PAC ID: 5294003554 Enrollment ID: I20170802001983 |
| Provider Name | Anuja J Riles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366717761 PECOS PAC ID: 1850607276 Enrollment ID: I20170807002240 |
| Provider Name | Rubens Chang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659635159 PECOS PAC ID: 6709015498 Enrollment ID: I20170807003537 |
| Provider Name | Sarah Hudson Michael |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356601710 PECOS PAC ID: 4789996844 Enrollment ID: I20170808001584 |
| Provider Name | Edwin A Esquibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245331123 PECOS PAC ID: 8325020803 Enrollment ID: I20170808003119 |
| Provider Name | Sean H Michael |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689931131 PECOS PAC ID: 8921312737 Enrollment ID: I20170808003225 |
| Provider Name | Audrey Sonin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033639968 PECOS PAC ID: 9133490170 Enrollment ID: I20170809001325 |
| Provider Name | Alejandro Munoz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568639391 PECOS PAC ID: 8628217437 Enrollment ID: I20170810000424 |
| Provider Name | Alison Dawn Sheridan-nath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386934370 PECOS PAC ID: 9537449970 Enrollment ID: I20170810002102 |
| Provider Name | Timothy Vo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487073094 PECOS PAC ID: 4385916170 Enrollment ID: I20170814001697 |
| Provider Name | Daniel Jonathan Goodeill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184041584 PECOS PAC ID: 2062707235 Enrollment ID: I20170822001682 |
| Provider Name | Nicholas Maurio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063956381 PECOS PAC ID: 2365714524 Enrollment ID: I20170823000411 |
| Provider Name | Jordan Schaeffer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679732929 PECOS PAC ID: 5991948580 Enrollment ID: I20170829000226 |
| Provider Name | Kristofer M Schramm |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659658292 PECOS PAC ID: 9931488533 Enrollment ID: I20170830002827 |
| Provider Name | Jesse A Mortimore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497174940 PECOS PAC ID: 5193098812 Enrollment ID: I20170831001499 |
| Provider Name | Kimberly M Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841714433 PECOS PAC ID: 9032482617 Enrollment ID: I20170901000996 |
| Provider Name | Lynn Marie Carlyle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023320611 PECOS PAC ID: 0547492852 Enrollment ID: I20170905002919 |
| Provider Name | Matthew Petrie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467719054 PECOS PAC ID: 6305119728 Enrollment ID: I20170907000775 |
| Provider Name | Gregory Day |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295024370 PECOS PAC ID: 3274834841 Enrollment ID: I20170907002159 |
| Provider Name | Gregory M Borst |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770803769 PECOS PAC ID: 0840598397 Enrollment ID: I20170908002563 |
| Provider Name | Heather L Lewis |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1255593851 PECOS PAC ID: 3274774674 Enrollment ID: I20170913000809 |
| Provider Name | Christian J Dennis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750680484 PECOS PAC ID: 2264678374 Enrollment ID: I20170919002079 |
| Provider Name | Ivan Schwendt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245254721 PECOS PAC ID: 1355231374 Enrollment ID: I20170926000061 |
| Provider Name | Jacob C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437673787 PECOS PAC ID: 0547534794 Enrollment ID: I20170927000046 |
| Provider Name | Donald A Golen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124087937 PECOS PAC ID: 4082654934 Enrollment ID: I20171002002739 |
| Provider Name | Mandy Muchineripi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245758648 PECOS PAC ID: 9234404161 Enrollment ID: I20171003006824 |
| Provider Name | Andrew W Bursaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205032703 PECOS PAC ID: 9537396296 Enrollment ID: I20171004002469 |
| Provider Name | Joshua S Tierney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376838870 PECOS PAC ID: 0042583767 Enrollment ID: I20171005002015 |
| Provider Name | Aaron D Lynn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750636544 PECOS PAC ID: 5890918452 Enrollment ID: I20171009002584 |
| Provider Name | Denah Inzinna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780105510 PECOS PAC ID: 7517232069 Enrollment ID: I20171009002752 |
| Provider Name | Cihan Cevik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619169596 PECOS PAC ID: 4082839139 Enrollment ID: I20171010000241 |
| Provider Name | Ricky Medel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487858742 PECOS PAC ID: 6507008562 Enrollment ID: I20171010000368 |
| Provider Name | Adriana Tschampl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750757308 PECOS PAC ID: 6103191572 Enrollment ID: I20171011001079 |
| Provider Name | Maren E Boehnke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144647017 PECOS PAC ID: 4486976370 Enrollment ID: I20171013000950 |
| Provider Name | Santiago Arciniegas Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467863522 PECOS PAC ID: 8820387103 Enrollment ID: I20171013001452 |
| Provider Name | Andrea Linafelter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306212030 PECOS PAC ID: 1355617507 Enrollment ID: I20171017000097 |
| Provider Name | Eric Riles |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1437388303 PECOS PAC ID: 4486885712 Enrollment ID: I20171017001507 |
| Provider Name | Diane Renee Kitchens |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1144635327 PECOS PAC ID: 5890017917 Enrollment ID: I20171019000917 |
| Provider Name | Ansley Smitherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417404906 PECOS PAC ID: 0446516264 Enrollment ID: I20171113000243 |
| Provider Name | Leila M Wing |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699972752 PECOS PAC ID: 6800929498 Enrollment ID: I20171116002241 |
| Provider Name | Laura Lee Longwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356633085 PECOS PAC ID: 7719128099 Enrollment ID: I20171120000265 |
| Provider Name | Laura D Sherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629496013 PECOS PAC ID: 8527287960 Enrollment ID: I20171121002235 |
| Provider Name | Aaron E Fedewa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629353537 PECOS PAC ID: 4486821964 Enrollment ID: I20171201000400 |
| Provider Name | Danielle M Riker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619489887 PECOS PAC ID: 5890053235 Enrollment ID: I20171213000988 |
| Provider Name | Michael Cleveley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922483858 PECOS PAC ID: 3375843188 Enrollment ID: I20171219001331 |
| Provider Name | Brooke E Hallman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124263595 PECOS PAC ID: 8224193560 Enrollment ID: I20171219003321 |
| Provider Name | Elisa Jeanne Knutsen |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1770783581 PECOS PAC ID: 5496984254 Enrollment ID: I20171228001155 |
| Provider Name | Nancy Dubuisson Barker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225185184 PECOS PAC ID: 6204018120 Enrollment ID: I20171228002373 |
| Provider Name | Caitlyn Chappell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831566033 PECOS PAC ID: 9436467016 Enrollment ID: I20171229000736 |
| Provider Name | Timothy Raymond Farris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508157157 PECOS PAC ID: 3072827641 Enrollment ID: I20171229002235 |
| Provider Name | Mary Theresa Ann Lewis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023215969 PECOS PAC ID: 2668620600 Enrollment ID: I20180104000208 |
| Provider Name | Andrew Stephen Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952816548 PECOS PAC ID: 8628337235 Enrollment ID: I20180104001493 |
| Provider Name | Jennifer L Conard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992125561 PECOS PAC ID: 6709195647 Enrollment ID: I20180110000371 |
| Provider Name | Bethany Mee Yeong Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235643297 PECOS PAC ID: 8224397682 Enrollment ID: I20180111000720 |
| Provider Name | Autumn M. Stowe-quain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730340456 PECOS PAC ID: 4284908666 Enrollment ID: I20180112001021 |
| Provider Name | Jessica Michelle Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346539715 PECOS PAC ID: 2062771256 Enrollment ID: I20180116001077 |
| Provider Name | Tarah L Rupert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982114930 PECOS PAC ID: 9537429188 Enrollment ID: I20180131000460 |
| Provider Name | Kimberly L Lindeken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275049470 PECOS PAC ID: 7012277296 Enrollment ID: I20180208000109 |
| Provider Name | Krystal Rockhold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437657640 PECOS PAC ID: 1951661180 Enrollment ID: I20180208002357 |
| Provider Name | Amanda Lee Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184132771 PECOS PAC ID: 1254692965 Enrollment ID: I20180220002689 |
| Provider Name | Ronald D Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245421247 PECOS PAC ID: 9537258587 Enrollment ID: I20180223000898 |
| Provider Name | Toni Ellen Sladek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063559813 PECOS PAC ID: 8729349261 Enrollment ID: I20180226002547 |
| Provider Name | Lori Kriegshauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679023782 PECOS PAC ID: 3375804321 Enrollment ID: I20180307002793 |
| Provider Name | Kari Lenay Taylor-romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053734582 PECOS PAC ID: 3274895198 Enrollment ID: I20180313000161 |
| Provider Name | Robert Thomas Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093126427 PECOS PAC ID: 9335369495 Enrollment ID: I20180319000039 |
| Provider Name | Caroline M Sebley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942443445 PECOS PAC ID: 9335395177 Enrollment ID: I20180320000931 |
| Provider Name | Katherine A Groon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750778544 PECOS PAC ID: 9830407105 Enrollment ID: I20180329000119 |
| Provider Name | Carly L Fore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487905758 PECOS PAC ID: 8820238777 Enrollment ID: I20180329000383 |
| Provider Name | Summer Sage Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699283259 PECOS PAC ID: 1850654781 Enrollment ID: I20180406000416 |
| Provider Name | Robert J Moran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912915257 PECOS PAC ID: 1658277975 Enrollment ID: I20180410002212 |
| Provider Name | Sarah Adair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962905752 PECOS PAC ID: 7911260443 Enrollment ID: I20180417000222 |
| Provider Name | Lauren Elizabeth Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811497589 PECOS PAC ID: 5092078469 Enrollment ID: I20180417002232 |
| Provider Name | Elisabeth Edelstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578754727 PECOS PAC ID: 2567555337 Enrollment ID: I20180501001881 |
| Provider Name | Meagan D Turnbow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437686169 PECOS PAC ID: 5698039543 Enrollment ID: I20180501002386 |
| Provider Name | Chelsea Dianne Gawryletz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801180351 PECOS PAC ID: 2163640053 Enrollment ID: I20180502002571 |
| Provider Name | Holly Ann Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710474069 PECOS PAC ID: 7214291897 Enrollment ID: I20180507002550 |
| Provider Name | Jason D Hill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124282074 PECOS PAC ID: 0749592863 Enrollment ID: I20180516000094 |
| Provider Name | Daniel David Krypel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679062830 PECOS PAC ID: 0042575581 Enrollment ID: I20180604000759 |
| Provider Name | Kate Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558755850 PECOS PAC ID: 6800107293 Enrollment ID: I20180605001817 |
| Provider Name | Hannah Lakehomer Drew |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508240904 PECOS PAC ID: 4183907322 Enrollment ID: I20180607002320 |
| Provider Name | Maranda Stone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891285680 PECOS PAC ID: 0446505796 Enrollment ID: I20180611000749 |
| Provider Name | Jessica Leigh Booth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710168398 PECOS PAC ID: 2264619766 Enrollment ID: I20180611001215 |
| Provider Name | Cameron Hurst Siddens |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356787436 PECOS PAC ID: 6507145026 Enrollment ID: I20180611002093 |
| Provider Name | Mario Fahmy Bishara Semaan Fadila |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568718344 PECOS PAC ID: 4082921424 Enrollment ID: I20180613001835 |
| Provider Name | Sarah Jeanne Woloss Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578060513 PECOS PAC ID: 8921353863 Enrollment ID: I20180619000252 |
| Provider Name | Christina Sherwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073909362 PECOS PAC ID: 8123373982 Enrollment ID: I20180619001595 |
| Provider Name | Keri Munyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568962116 PECOS PAC ID: 6800141623 Enrollment ID: I20180620000460 |
| Provider Name | Joel B Elterman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790755700 PECOS PAC ID: 2466622733 Enrollment ID: I20180626003116 |
| Provider Name | Warren Wright |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528030350 PECOS PAC ID: 0345400891 Enrollment ID: I20180627000372 |
| Provider Name | Jeffrey C Milliken |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1033299292 PECOS PAC ID: 7012103104 Enrollment ID: I20180628001213 |
| Provider Name | Amy Elizabeth Reppert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336436831 PECOS PAC ID: 0547574410 Enrollment ID: I20180702000359 |
| Provider Name | Jennifer B Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831107085 PECOS PAC ID: 0446359954 Enrollment ID: I20180702003233 |
| Provider Name | Timothy W Hegeman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285990184 PECOS PAC ID: 5799910352 Enrollment ID: I20180705001383 |
| Provider Name | Jennifer A Mommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508374364 PECOS PAC ID: 4789930611 Enrollment ID: I20180709001156 |
| Provider Name | Christine Czarnecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902858210 PECOS PAC ID: 2264582253 Enrollment ID: I20180713002285 |
| Provider Name | Jarred Hicks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972923183 PECOS PAC ID: 8426352659 Enrollment ID: I20180720001200 |
| Provider Name | Keith Opat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164868022 PECOS PAC ID: 7911229885 Enrollment ID: I20180725001273 |
| Provider Name | Jeremy Robbins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174938237 PECOS PAC ID: 0547582058 Enrollment ID: I20180725002372 |
| Provider Name | Chelsea Leigh Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992054126 PECOS PAC ID: 3173769510 Enrollment ID: I20180726002908 |
| Provider Name | Brandon S Pope |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891112157 PECOS PAC ID: 3173742970 Enrollment ID: I20180727000952 |
| Provider Name | Erika Alyse Overbeek Wager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164794418 PECOS PAC ID: 9032330238 Enrollment ID: I20180730000688 |
| Provider Name | Christina M Ruiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669818126 PECOS PAC ID: 2668720202 Enrollment ID: I20180730002585 |
| Provider Name | Meghan Marie Ritter Comer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831463090 PECOS PAC ID: 9638333909 Enrollment ID: I20180801002877 |
| Provider Name | Andrew Briggs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689194805 PECOS PAC ID: 4082987839 Enrollment ID: I20180802003255 |
| Provider Name | Romelyn Briggs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548700370 PECOS PAC ID: 4284982430 Enrollment ID: I20180803000327 |
| Provider Name | Brittany R Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962769786 PECOS PAC ID: 3577859792 Enrollment ID: I20180806001751 |
| Provider Name | Matthew G Bean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619231768 PECOS PAC ID: 4183860901 Enrollment ID: I20180807001505 |
| Provider Name | Nancy Wong |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619138310 PECOS PAC ID: 8123243987 Enrollment ID: I20180807001647 |
| Provider Name | Hamid Mortazavi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134145758 PECOS PAC ID: 5890790505 Enrollment ID: I20180807002533 |
| Provider Name | Christopher M Merrick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942566419 PECOS PAC ID: 7719289693 Enrollment ID: I20180808001612 |
| Provider Name | Ashley Katherine Mccusker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811284417 PECOS PAC ID: 1850695818 Enrollment ID: I20180809000449 |
| Provider Name | Roy Alan Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043259641 PECOS PAC ID: 5799773214 Enrollment ID: I20180809004973 |
| Provider Name | Laura Nicole Howe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245678648 PECOS PAC ID: 4789909227 Enrollment ID: I20180813000837 |
| Provider Name | Lael J Stander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255693859 PECOS PAC ID: 5698915791 Enrollment ID: I20180813002164 |
| Provider Name | Paul Andrew Sykes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447467246 PECOS PAC ID: 7214029347 Enrollment ID: I20180814000030 |
| Provider Name | Erica B Bernhardt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326302183 PECOS PAC ID: 4284860347 Enrollment ID: I20180815003463 |
| Provider Name | Juliene Faye Miller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053628180 PECOS PAC ID: 5193074615 Enrollment ID: I20180816002096 |
| Provider Name | Mohamad Lazkani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174843403 PECOS PAC ID: 6709102460 Enrollment ID: I20180817000157 |
| Provider Name | Alexandra L Weeks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619078896 PECOS PAC ID: 9335178094 Enrollment ID: I20180822002192 |
| Provider Name | Richard William Payden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306223110 PECOS PAC ID: 2062728595 Enrollment ID: I20180823000483 |
| Provider Name | Jason Aminsharifi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679815757 PECOS PAC ID: 6204128184 Enrollment ID: I20180823002733 |
| Provider Name | Holly A Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710472386 PECOS PAC ID: 5698024644 Enrollment ID: I20180823002947 |
| Provider Name | Craig Kiyoshi Lowthorp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639557242 PECOS PAC ID: 6800146622 Enrollment ID: I20180829000321 |
| Provider Name | John Giles Prucha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700204567 PECOS PAC ID: 6709179989 Enrollment ID: I20180830003286 |
| Provider Name | Brett Allen Fair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043570161 PECOS PAC ID: 1355648940 Enrollment ID: I20180905002205 |
| Provider Name | Daniel Lambrecht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083032817 PECOS PAC ID: 1951651389 Enrollment ID: I20180906000769 |
| Provider Name | John T Seddon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033439963 PECOS PAC ID: 0244485951 Enrollment ID: I20180912002998 |
| Provider Name | Marlesa Renee Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265728141 PECOS PAC ID: 0547419616 Enrollment ID: I20180913003247 |
| Provider Name | Timothy Joseph Rush |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821331679 PECOS PAC ID: 5395967566 Enrollment ID: I20180914001586 |
| Provider Name | Michele Ann Gatheridge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952543555 PECOS PAC ID: 6406107358 Enrollment ID: I20180917001161 |
| Provider Name | Courtney Rae Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154814192 PECOS PAC ID: 5496006355 Enrollment ID: I20180917001542 |
| Provider Name | Kimber F Bogush |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700825015 PECOS PAC ID: 5799795183 Enrollment ID: I20180919003539 |
| Provider Name | Amy E Valesh Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881688489 PECOS PAC ID: 1355331380 Enrollment ID: I20180919003715 |
| Provider Name | Tamara L Bogush |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730134727 PECOS PAC ID: 1254310147 Enrollment ID: I20180920000759 |
| Provider Name | Kristina Elizabeth Kurtz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013272350 PECOS PAC ID: 0345472395 Enrollment ID: I20180920002341 |
| Provider Name | Denise Elaine Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841208055 PECOS PAC ID: 6800981614 Enrollment ID: I20180925000630 |
| Provider Name | John Fessenden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407878598 PECOS PAC ID: 4688575657 Enrollment ID: I20180927002660 |
| Provider Name | Robert Fritz Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851340277 PECOS PAC ID: 7719945401 Enrollment ID: I20180928000873 |
| Provider Name | Courtney Lara Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306252838 PECOS PAC ID: 9436400488 Enrollment ID: I20181001003265 |
| Provider Name | Anne K Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477030054 PECOS PAC ID: 6608128269 Enrollment ID: I20181009001985 |
| Provider Name | Keith Volk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366923666 PECOS PAC ID: 6800148289 Enrollment ID: I20181012001231 |
| Provider Name | Trevor W. Shull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225392459 PECOS PAC ID: 2769796457 Enrollment ID: I20181015003262 |
| Provider Name | Sean T Pauzauskie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831574722 PECOS PAC ID: 8426303215 Enrollment ID: I20181017002526 |
| Provider Name | Brian Christo Toshcoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457376105 PECOS PAC ID: 3577548759 Enrollment ID: I20181017003442 |
| Provider Name | Loren Keith French |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1952500498 PECOS PAC ID: 2860546637 Enrollment ID: I20181018002634 |
| Provider Name | Kristen M. French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568179 PECOS PAC ID: 7113140518 Enrollment ID: I20181020000477 |
| Provider Name | Adam Lee Kilkenney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467613158 PECOS PAC ID: 3779749833 Enrollment ID: I20181023002286 |
| Provider Name | Norie Kirtley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346785839 PECOS PAC ID: 6204189152 Enrollment ID: I20181023003492 |
| Provider Name | Clayton J Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629364534 PECOS PAC ID: 7012260813 Enrollment ID: I20181024002245 |
| Provider Name | Meghan Teresa Rush |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073856001 PECOS PAC ID: 6204058589 Enrollment ID: I20181025000441 |
| Provider Name | Jamie Elizabeth Ail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407304504 PECOS PAC ID: 6901184456 Enrollment ID: I20181025001227 |
| Provider Name | Sami H Mitri |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1811254394 PECOS PAC ID: 0547573891 Enrollment ID: I20181031002064 |
| Provider Name | Kevin H Ashby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245209907 PECOS PAC ID: 0446228449 Enrollment ID: I20181101001753 |
| Provider Name | Christine Christiansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710460092 PECOS PAC ID: 6901159235 Enrollment ID: I20181102000190 |
| Provider Name | Michael John Wheatley |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1376658773 PECOS PAC ID: 9537308408 Enrollment ID: I20181107001879 |
| Provider Name | Angela R Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265850002 PECOS PAC ID: 4183978968 Enrollment ID: I20181114000736 |
| Provider Name | Craig Keathley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194799171 PECOS PAC ID: 6103895230 Enrollment ID: I20181121002216 |
| Provider Name | Adrianna Juliet Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750857074 PECOS PAC ID: 9436493723 Enrollment ID: I20181127001217 |
| Provider Name | Glenn A Hirsch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003868209 PECOS PAC ID: 0143202788 Enrollment ID: I20181129001531 |
| Provider Name | Thomas J Kass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467427575 PECOS PAC ID: 9335263938 Enrollment ID: I20181130001784 |
| Provider Name | Kelsey M Boyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922555218 PECOS PAC ID: 2264776020 Enrollment ID: I20181205000338 |
| Provider Name | Jeanette Baumann |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1407159874 PECOS PAC ID: 5395965354 Enrollment ID: I20181206001430 |
| Provider Name | Amanda Jenae Spaak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801370663 PECOS PAC ID: 7911241609 Enrollment ID: I20181206002521 |
| Provider Name | Kimberly Dawn Carter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891916847 PECOS PAC ID: 3375780828 Enrollment ID: I20181211002156 |
| Provider Name | Samantha J Desenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326598210 PECOS PAC ID: 5395026215 Enrollment ID: I20181219000882 |
| Provider Name | Jessica Dawn Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225300312 PECOS PAC ID: 7416172713 Enrollment ID: I20181220001715 |
| Provider Name | Joseph Robert Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750479200 PECOS PAC ID: 1456311240 Enrollment ID: I20190102000593 |
| Provider Name | Caitlyn D Lesh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508126426 PECOS PAC ID: 4981977220 Enrollment ID: I20190108001697 |
| Provider Name | Rhonda M Ashley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801378120 PECOS PAC ID: 8022354067 Enrollment ID: I20190111000300 |
| Provider Name | Brittany Lynne Catanach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265828784 PECOS PAC ID: 4284970252 Enrollment ID: I20190111001252 |
| Provider Name | Kate Pringle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417430364 PECOS PAC ID: 8426394313 Enrollment ID: I20190115000095 |
| Provider Name | Jennifer Lynne Jarvie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790084945 PECOS PAC ID: 9133350424 Enrollment ID: I20190122002043 |
| Provider Name | Joanna L Sheets |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144577032 PECOS PAC ID: 7719132455 Enrollment ID: I20190130001686 |
| Provider Name | Charlotte Rebecca Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1356813612 PECOS PAC ID: 3476890369 Enrollment ID: I20190131000276 |
| Provider Name | Cynthia Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366437998 PECOS PAC ID: 2860482122 Enrollment ID: I20190201000753 |
| Provider Name | Kimberly Ann Cullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457746216 PECOS PAC ID: 6901114479 Enrollment ID: I20190204001130 |
| Provider Name | Melanie R Hoehn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306064076 PECOS PAC ID: 9638329857 Enrollment ID: I20190219001530 |
| Provider Name | Tiffany Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164939294 PECOS PAC ID: 3072532829 Enrollment ID: I20190220001067 |
| Provider Name | Christopher M Manhart |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508191354 PECOS PAC ID: 4486893419 Enrollment ID: I20190226001660 |
| Provider Name | Andrea Nicolette Manhart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326373952 PECOS PAC ID: 8729228051 Enrollment ID: I20190228001278 |
| Provider Name | Tory Lynn Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750868790 PECOS PAC ID: 4082953435 Enrollment ID: I20190228001956 |
| Provider Name | Krista Noel Sophia Greenan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801026992 PECOS PAC ID: 6507053543 Enrollment ID: I20190304000395 |
| Provider Name | Jennifer Cirak Huskinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811466071 PECOS PAC ID: 6507105772 Enrollment ID: I20190306000203 |
| Provider Name | Whitney Alison Janny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538635271 PECOS PAC ID: 3173863099 Enrollment ID: I20190312003053 |
| Provider Name | Kimberly Atiyeh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144580069 PECOS PAC ID: 3476824137 Enrollment ID: I20190319001264 |
| Provider Name | Richard Yongho Pang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932195369 PECOS PAC ID: 8325945645 Enrollment ID: I20190321001830 |
| Provider Name | Erica Robin Bley Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619434800 PECOS PAC ID: 1052651163 Enrollment ID: I20190327000121 |
| Provider Name | Nathan Schmoekel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760619753 PECOS PAC ID: 6103043443 Enrollment ID: I20190327002939 |
| Provider Name | Staceyeileen Shannon Sinclare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861962995 PECOS PAC ID: 6608117015 Enrollment ID: I20190412000720 |
| Provider Name | Marion E Toll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871057620 PECOS PAC ID: 3274874680 Enrollment ID: I20190412000981 |
| Provider Name | Amy S Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275015547 PECOS PAC ID: 6204177504 Enrollment ID: I20190415002802 |
| Provider Name | Grace Canon |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1932642444 PECOS PAC ID: 8123300605 Enrollment ID: I20190417000261 |
| Provider Name | Warren Beck |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1235582339 PECOS PAC ID: 7810278462 Enrollment ID: I20190418000228 |
| Provider Name | Jaclyn Bariletto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891983482 PECOS PAC ID: 2264774397 Enrollment ID: I20190422000341 |
| Provider Name | Matthew Christopher Cannizzaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922210061 PECOS PAC ID: 7214279025 Enrollment ID: I20190426001330 |
| Provider Name | Aimee Marie Pankau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740486836 PECOS PAC ID: 4880936582 Enrollment ID: I20190430000054 |
| Provider Name | Rebecca Elise Lund |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417429291 PECOS PAC ID: 6204178817 Enrollment ID: I20190501001611 |
| Provider Name | Terri-ellen J Kiernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104018274 PECOS PAC ID: 5890880454 Enrollment ID: I20190507000237 |
| Provider Name | Rhonda C Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568935484 PECOS PAC ID: 6103168471 Enrollment ID: I20190507001796 |
| Provider Name | Samuel Cooper Phinney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164564837 PECOS PAC ID: 8123305877 Enrollment ID: I20190507002669 |
| Provider Name | Nathan H Waldron |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578839817 PECOS PAC ID: 2264790963 Enrollment ID: I20190510001265 |
| Provider Name | Mark Oscar Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053398131 PECOS PAC ID: 1153466230 Enrollment ID: I20190515001596 |
| Provider Name | James S Ebertowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932336203 PECOS PAC ID: 0446550701 Enrollment ID: I20190516000668 |
| Provider Name | Javier Antonio Aguirre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366731770 PECOS PAC ID: 1658687645 Enrollment ID: I20190516000806 |
| Provider Name | Melissa Cary-jacobs Schmoekel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023214905 PECOS PAC ID: 8123297249 Enrollment ID: I20190516002853 |
| Provider Name | Juan A Marmol-velez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568646479 PECOS PAC ID: 1658559232 Enrollment ID: I20190517001956 |
| Provider Name | Bryan Anthony Reyes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023308384 PECOS PAC ID: 5597058735 Enrollment ID: I20190522000831 |
| Provider Name | Katie Kuipers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376001289 PECOS PAC ID: 8224371687 Enrollment ID: I20190528002594 |
| Provider Name | Olivia J Rivalsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588027775 PECOS PAC ID: 5597058602 Enrollment ID: I20190529002527 |
| Provider Name | Nathan Paul Narasimhan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1164695847 PECOS PAC ID: 9638459688 Enrollment ID: I20190607001013 |
| Provider Name | Rebecca A Pifer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770503567 PECOS PAC ID: 8820031693 Enrollment ID: I20190610001153 |
| Provider Name | Maria Lynn Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326510900 PECOS PAC ID: 0143553875 Enrollment ID: I20190611002496 |
| Provider Name | Ryan Craig Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801803259 PECOS PAC ID: 7315940483 Enrollment ID: I20190611002974 |
| Provider Name | Richard T Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245596147 PECOS PAC ID: 8527367846 Enrollment ID: I20190613001896 |
| Provider Name | Timothy Boersma |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942244926 PECOS PAC ID: 9739101874 Enrollment ID: I20190618001761 |
| Provider Name | Jessica Heather Kellett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356770960 PECOS PAC ID: 2365670239 Enrollment ID: I20190618002886 |
| Provider Name | Hamad Farhat |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861724064 PECOS PAC ID: 7416081138 Enrollment ID: I20190619001610 |
| Provider Name | Jian-zhe Cao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396996195 PECOS PAC ID: 9335399104 Enrollment ID: I20190621000409 |
| Provider Name | Maxine Leota Banecks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215182431 PECOS PAC ID: 3274867304 Enrollment ID: I20190624003411 |
| Provider Name | Megan Leigh Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053820126 PECOS PAC ID: 6406180371 Enrollment ID: I20190626002280 |
| Provider Name | Alison A. Hobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992022024 PECOS PAC ID: 3274867189 Enrollment ID: I20190626003900 |
| Provider Name | Ang Li |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386088268 PECOS PAC ID: 4789807512 Enrollment ID: I20190628000223 |
| Provider Name | Melissa R Strike |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750524286 PECOS PAC ID: 1951536689 Enrollment ID: I20190701001965 |
| Provider Name | Lauren Michelle Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104278381 PECOS PAC ID: 3577800853 Enrollment ID: I20190702002214 |
| Provider Name | Emily Wittenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730541459 PECOS PAC ID: 6507158615 Enrollment ID: I20190703002271 |
| Provider Name | Rhianna Renee Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578934634 PECOS PAC ID: 6800121302 Enrollment ID: I20190703002351 |
| Provider Name | Eks Wye Pollock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649536723 PECOS PAC ID: 0143461491 Enrollment ID: I20190708002176 |
| Provider Name | Adrian Ignacio Loffler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316213549 PECOS PAC ID: 2062640055 Enrollment ID: I20190708002243 |
| Provider Name | Muthanna Yacoub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467834440 PECOS PAC ID: 9234441841 Enrollment ID: I20190709000089 |
| Provider Name | Robyn Rebecca Sherrod |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881089555 PECOS PAC ID: 8022338987 Enrollment ID: I20190710000747 |
| Provider Name | Christopher Robin Dobbelstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225213135 PECOS PAC ID: 9638224769 Enrollment ID: I20190710001208 |
| Provider Name | Nicholaus Mize |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629459482 PECOS PAC ID: 9830424019 Enrollment ID: I20190710001852 |
| Provider Name | Sara Michelle Vrabec |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184005274 PECOS PAC ID: 8820301781 Enrollment ID: I20190712000944 |
| Provider Name | John Franklin Gamble |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174941330 PECOS PAC ID: 2769717404 Enrollment ID: I20190717001960 |
| Provider Name | Alicia Vandersluis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043699010 PECOS PAC ID: 2769781764 Enrollment ID: I20190719000471 |
| Provider Name | Cynthia A Loffler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831479146 PECOS PAC ID: 2668643677 Enrollment ID: I20190719001236 |
| Provider Name | Alexander S Ross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831457936 PECOS PAC ID: 9133449457 Enrollment ID: I20190719002118 |
| Provider Name | Alexandru Alexa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699160838 PECOS PAC ID: 9133435761 Enrollment ID: I20190722001861 |
| Provider Name | Tricia Eileen Sharkey Staatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285109397 PECOS PAC ID: 3173859535 Enrollment ID: I20190724000869 |
| Provider Name | Marissa Daniels Jamieson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265878599 PECOS PAC ID: 2365679610 Enrollment ID: I20190724003028 |
| Provider Name | Shivanshu Madan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245590108 PECOS PAC ID: 1153611066 Enrollment ID: I20190727000359 |
| Provider Name | Heather Roesly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417311804 PECOS PAC ID: 3678809548 Enrollment ID: I20190730003277 |
| Provider Name | Scott R Geraghty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871715995 PECOS PAC ID: 8022286343 Enrollment ID: I20190731000898 |
| Provider Name | Matthew Kluk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437342748 PECOS PAC ID: 0446432132 Enrollment ID: I20190731004044 |
| Provider Name | Chase Hemsley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477114635 PECOS PAC ID: 6204163934 Enrollment ID: I20190802002774 |
| Provider Name | Erin Lynn Stewart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346509114 PECOS PAC ID: 9335438639 Enrollment ID: I20190802003000 |
| Provider Name | Maria Daniela Weise-fleckenstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356729974 PECOS PAC ID: 7719259688 Enrollment ID: I20190805000072 |
| Provider Name | Christian Damon Lobo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326401605 PECOS PAC ID: 7618263252 Enrollment ID: I20190807000300 |
| Provider Name | Amar Dinker Trivedi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1164718433 PECOS PAC ID: 2668755323 Enrollment ID: I20190807000869 |
| Provider Name | Sara Kate Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669520979 PECOS PAC ID: 7719214261 Enrollment ID: I20190807001545 |
| Provider Name | Jason R. Wild |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912107764 PECOS PAC ID: 5698899110 Enrollment ID: I20190807003311 |
| Provider Name | Jerry Stassinopoulos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659588846 PECOS PAC ID: 7517082613 Enrollment ID: I20190807004108 |
| Provider Name | Diana Oyoung-oliver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932513124 PECOS PAC ID: 1658622410 Enrollment ID: I20190812001962 |
| Provider Name | Erica A Post |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558764704 PECOS PAC ID: 4385866193 Enrollment ID: I20190815000988 |
| Provider Name | James Arthur Mcreynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184844169 PECOS PAC ID: 9234226713 Enrollment ID: I20190819000196 |
| Provider Name | Samuel A Hayes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962793802 PECOS PAC ID: 3476786880 Enrollment ID: I20190819002801 |
| Provider Name | Michelle Buehner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770842429 PECOS PAC ID: 5698003291 Enrollment ID: I20190820004130 |
| Provider Name | John Blair Hamner |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1275750978 PECOS PAC ID: 7911193222 Enrollment ID: I20190821000531 |
| Provider Name | Hanna E Mendez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245657220 PECOS PAC ID: 9739417395 Enrollment ID: I20190821002111 |
| Provider Name | Tyler Lynn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447815295 PECOS PAC ID: 7012245533 Enrollment ID: I20190822000077 |
| Provider Name | Kyana Morton-mccarthy |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1932595865 PECOS PAC ID: 6608182696 Enrollment ID: I20190822001001 |
| Provider Name | Caren Elizabeth Millard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699180364 PECOS PAC ID: 3577781871 Enrollment ID: I20190822002175 |
| Provider Name | Kelly R Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245680842 PECOS PAC ID: 5890087969 Enrollment ID: I20190828000490 |
| Provider Name | Jessica Lynn Specht |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578976627 PECOS PAC ID: 0749519528 Enrollment ID: I20190903002923 |
| Provider Name | Jacquelyn L Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467803619 PECOS PAC ID: 4082980958 Enrollment ID: I20190903003011 |
| Provider Name | Livia Tsien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689013229 PECOS PAC ID: 7012239791 Enrollment ID: I20190904000241 |
| Provider Name | Ioannis Karampelas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528216868 PECOS PAC ID: 5496031627 Enrollment ID: I20190906001050 |
| Provider Name | Stephanie Pivik Mager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093198608 PECOS PAC ID: 0042518219 Enrollment ID: I20190910001700 |
| Provider Name | Rachael L Nemcic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316266703 PECOS PAC ID: 3476791252 Enrollment ID: I20190911002317 |
| Provider Name | Jennifer Flickinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255986741 PECOS PAC ID: 2567791833 Enrollment ID: I20190911002729 |
| Provider Name | Shizuka Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306324751 PECOS PAC ID: 5193054492 Enrollment ID: I20190912000054 |
| Provider Name | Marissa Kate Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427514728 PECOS PAC ID: 9234468455 Enrollment ID: I20190912001155 |
| Provider Name | Taylor Maddox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841650090 PECOS PAC ID: 2860756590 Enrollment ID: I20190916000522 |
| Provider Name | Jason C Warncke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073956942 PECOS PAC ID: 0648413906 Enrollment ID: I20190916002934 |
| Provider Name | Aaron Patick Frye |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619158136 PECOS PAC ID: 0345552154 Enrollment ID: I20190917002442 |
| Provider Name | Lacey N Lagrone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528357662 PECOS PAC ID: 7517284490 Enrollment ID: I20190919001463 |
| Provider Name | Megan A Richard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174918486 PECOS PAC ID: 0345539987 Enrollment ID: I20190920000191 |
| Provider Name | Danika Renee Forgach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194108548 PECOS PAC ID: 8820388358 Enrollment ID: I20190920002398 |
| Provider Name | Matthew Rippberger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922493105 PECOS PAC ID: 0446567770 Enrollment ID: I20190924001997 |
| Provider Name | Cristina Murgiuc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154314946 PECOS PAC ID: 9436159993 Enrollment ID: I20190925000311 |
| Provider Name | Corey B Bills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760777981 PECOS PAC ID: 5597989723 Enrollment ID: I20190926002874 |
| Provider Name | Emily Baiyee Toegel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598931164 PECOS PAC ID: 7416112198 Enrollment ID: I20190930001825 |
| Provider Name | Julie A Winkle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699875203 PECOS PAC ID: 7012010663 Enrollment ID: I20191001000273 |
| Provider Name | Lisa Lynn Schlitzkus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053503599 PECOS PAC ID: 4082845805 Enrollment ID: I20191002001915 |
| Provider Name | Erin M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093160756 PECOS PAC ID: 2163716416 Enrollment ID: I20191008002708 |
| Provider Name | Hao Pan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184986838 PECOS PAC ID: 0648524207 Enrollment ID: I20191009003489 |
| Provider Name | Lisa Marie Arbuckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194024760 PECOS PAC ID: 9335470954 Enrollment ID: I20191014001018 |
| Provider Name | Amelia Truesdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629590146 PECOS PAC ID: 4688905201 Enrollment ID: I20191014001097 |
| Provider Name | Jason Stuart Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467678987 PECOS PAC ID: 6002981370 Enrollment ID: I20191015001097 |
| Provider Name | Nicolas Stoyanovich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033485891 PECOS PAC ID: 8921373150 Enrollment ID: I20191016000648 |
| Provider Name | Alexandria L Giannini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811470958 PECOS PAC ID: 9133468390 Enrollment ID: I20191025002030 |
| Provider Name | Lauren Sara Baloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871000638 PECOS PAC ID: 7113259920 Enrollment ID: I20191029000362 |
| Provider Name | Adriana Lohr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669826590 PECOS PAC ID: 9638401342 Enrollment ID: I20191030001643 |
| Provider Name | Kimberly M Elser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316035215 PECOS PAC ID: 3173616406 Enrollment ID: I20191101002280 |
| Provider Name | Hailey Kepler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578119541 PECOS PAC ID: 5092047571 Enrollment ID: I20191102000162 |
| Provider Name | John Rague |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336535970 PECOS PAC ID: 2961834221 Enrollment ID: I20191107001967 |
| Provider Name | Jonathan Diaz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578856159 PECOS PAC ID: 8224255633 Enrollment ID: I20191107002254 |
| Provider Name | Firouz Daneshgari |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689637597 PECOS PAC ID: 3870550270 Enrollment ID: I20191107003156 |
| Provider Name | Sindhura Trivedi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891922522 PECOS PAC ID: 1951521814 Enrollment ID: I20191108000431 |
| Provider Name | Cathy Diane Smith |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1912955097 PECOS PAC ID: 5991137101 Enrollment ID: I20191108001512 |
| Provider Name | Rachel L Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477034114 PECOS PAC ID: 3173955861 Enrollment ID: I20191119000752 |
| Provider Name | Angela Renee Barajas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306499652 PECOS PAC ID: 5698107241 Enrollment ID: I20191120000151 |
| Provider Name | Randy G Willman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043635444 PECOS PAC ID: 3779915293 Enrollment ID: I20191121000002 |
| Provider Name | Brian Terrien |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407017247 PECOS PAC ID: 8628400702 Enrollment ID: I20191125002613 |
| Provider Name | James Thomas Doyle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336147560 PECOS PAC ID: 5193743599 Enrollment ID: I20191203000264 |
| Provider Name | Daniel Henry Monkowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932180551 PECOS PAC ID: 1456380435 Enrollment ID: I20191204000536 |
| Provider Name | Sarah Maria Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730648221 PECOS PAC ID: 7517390669 Enrollment ID: I20191204001659 |
| Provider Name | Dora J Paolillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104372408 PECOS PAC ID: 7810320819 Enrollment ID: I20191205000967 |
| Provider Name | Robert W Santa-cruz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508816869 PECOS PAC ID: 8123004249 Enrollment ID: I20191205001248 |
| Provider Name | Denise Hawkins Walinsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346345592 PECOS PAC ID: 2264424613 Enrollment ID: I20191210000169 |
| Provider Name | Jessica Lynn Fallis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447896592 PECOS PAC ID: 1759714348 Enrollment ID: I20191212002310 |
| Provider Name | Robert L Shapiro |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982863700 PECOS PAC ID: 7113155193 Enrollment ID: I20191216000235 |
| Provider Name | Kate Christine Weniger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043714439 PECOS PAC ID: 1850647322 Enrollment ID: I20191218001280 |
| Provider Name | Brandon Glover |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285994780 PECOS PAC ID: 2961790563 Enrollment ID: I20191226000513 |
| Provider Name | Margaret Moore Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316917909 PECOS PAC ID: 0345487237 Enrollment ID: I20191228000099 |
| Provider Name | Jennifer K Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659519080 PECOS PAC ID: 9133553126 Enrollment ID: I20191228000275 |
| Provider Name | Courtney L Vetter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316280993 PECOS PAC ID: 9638449796 Enrollment ID: I20191231000704 |
| Provider Name | Robert Edward Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295250983 PECOS PAC ID: 3577837897 Enrollment ID: I20200106000364 |
| Provider Name | Robert D Whiting |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124247556 PECOS PAC ID: 2860827458 Enrollment ID: I20200108000778 |
| Provider Name | Dodie Deming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275179228 PECOS PAC ID: 4486089000 Enrollment ID: I20200108002230 |
| Provider Name | Daniela Fawcett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083183800 PECOS PAC ID: 8426483934 Enrollment ID: I20200110000278 |
| Provider Name | Kelsey Skillas Hunger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295130110 PECOS PAC ID: 8820316086 Enrollment ID: I20200113001533 |
| Provider Name | Douglas A. Watt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598025561 PECOS PAC ID: 2365683638 Enrollment ID: I20200116002283 |
| Provider Name | Richard W. Thompson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811331721 PECOS PAC ID: 1951606284 Enrollment ID: I20200117001061 |
| Provider Name | Kristin Lea Orlowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972732899 PECOS PAC ID: 2264772300 Enrollment ID: I20200127000727 |
| Provider Name | Sara Bozzi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1689204711 PECOS PAC ID: 8820424245 Enrollment ID: I20200204000295 |
| Provider Name | Alexa Camarena-michel |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1821482969 PECOS PAC ID: 4082040423 Enrollment ID: I20200204001166 |
| Provider Name | Jessica Dacic |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154966174 PECOS PAC ID: 9335575497 Enrollment ID: I20200207002402 |
| Provider Name | Emily Bankhead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952571077 PECOS PAC ID: 2163497843 Enrollment ID: I20200210000472 |
| Provider Name | Abdurahman Said Elkhetali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023495413 PECOS PAC ID: 3577844216 Enrollment ID: I20200210002059 |
| Provider Name | Brooke A Scurlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174958326 PECOS PAC ID: 9032343207 Enrollment ID: I20200211000617 |
| Provider Name | Mary E Pressler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659799815 PECOS PAC ID: 7618231606 Enrollment ID: I20200212001155 |
| Provider Name | Jeffrey Daniel Walker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093267148 PECOS PAC ID: 7517247794 Enrollment ID: I20200224002392 |
| Provider Name | Mary Elizabeth Sheridan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508247891 PECOS PAC ID: 4880021138 Enrollment ID: I20200226000181 |
| Provider Name | Andrea Joy Fotsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568002483 PECOS PAC ID: 5395172647 Enrollment ID: I20200226000300 |
| Provider Name | Erin L Foust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124585914 PECOS PAC ID: 8022445345 Enrollment ID: I20200227000126 |
| Provider Name | Melissanne Ghiselli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225438476 PECOS PAC ID: 7113148610 Enrollment ID: I20200302000547 |
| Provider Name | Helen Alexander Dunnington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700132826 PECOS PAC ID: 0042451676 Enrollment ID: I20200303002534 |
| Provider Name | Kevin John O'toole |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063486835 PECOS PAC ID: 3173526928 Enrollment ID: I20200325003676 |
| Provider Name | Kelly Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831722099 PECOS PAC ID: 0840629861 Enrollment ID: I20200326001742 |
| Provider Name | Olga Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790139426 PECOS PAC ID: 6507105681 Enrollment ID: I20200327000115 |
| Provider Name | Bryan K Kujawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235456013 PECOS PAC ID: 8527497460 Enrollment ID: I20200329000420 |
| Provider Name | Julia O Gormley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669895686 PECOS PAC ID: 1951664010 Enrollment ID: I20200331002672 |
| Provider Name | Taylor Martindell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033749353 PECOS PAC ID: 8921437583 Enrollment ID: I20200401003672 |
| Provider Name | Tommilou R Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336423110 PECOS PAC ID: 5092954776 Enrollment ID: I20200409001261 |
| Provider Name | Timothy Alder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922207059 PECOS PAC ID: 7618068693 Enrollment ID: I20200414002509 |
| Provider Name | Jodie Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235626466 PECOS PAC ID: 9436589322 Enrollment ID: I20200416001317 |
| Provider Name | Lindsey C Bannon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841557741 PECOS PAC ID: 5092074146 Enrollment ID: I20200420002874 |
| Provider Name | Ashley Danielle Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376184853 PECOS PAC ID: 7719317320 Enrollment ID: I20200422003408 |
| Provider Name | Betsy Ann Cane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144854720 PECOS PAC ID: 3870924988 Enrollment ID: I20200505001882 |
| Provider Name | Priscilla Darwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124312582 PECOS PAC ID: 0840461059 Enrollment ID: I20200508000994 |
| Provider Name | Carol Foster |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407838790 PECOS PAC ID: 4385696319 Enrollment ID: I20200511003142 |
| Provider Name | Scott Tonder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881076776 PECOS PAC ID: 7214368802 Enrollment ID: I20200514002748 |
| Provider Name | Erica Lingenfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639640550 PECOS PAC ID: 1153667969 Enrollment ID: I20200521002524 |
| Provider Name | Sandra Bargeron |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1699731075 PECOS PAC ID: 2860457975 Enrollment ID: I20200522000120 |
| Provider Name | Kevin David Silva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811425903 PECOS PAC ID: 7719308923 Enrollment ID: I20200526001423 |
| Provider Name | Justin F Monroe |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215340633 PECOS PAC ID: 9234451345 Enrollment ID: I20200526003223 |
| Provider Name | Kenneth Heffner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407379985 PECOS PAC ID: 9739500836 Enrollment ID: I20200527002849 |
| Provider Name | Moayad Al Hadidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417363466 PECOS PAC ID: 7214200013 Enrollment ID: I20200603003355 |
| Provider Name | Daniel Menendez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548435084 PECOS PAC ID: 4880753490 Enrollment ID: I20200610002965 |
| Provider Name | Dalia Wenckus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992915623 PECOS PAC ID: 8921124058 Enrollment ID: I20200611001322 |
| Provider Name | Jeffery Whitcomb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861923328 PECOS PAC ID: 6204106636 Enrollment ID: I20200611001768 |
| Provider Name | Clark David Sealy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700231081 PECOS PAC ID: 0143500587 Enrollment ID: I20200611002708 |
| Provider Name | Frank Ferraioli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457707630 PECOS PAC ID: 5890086623 Enrollment ID: I20200612002055 |
| Provider Name | Cynthia Renee' Lennox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043698087 PECOS PAC ID: 2365864493 Enrollment ID: I20200618002690 |
| Provider Name | Jacob A Azurdia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457771909 PECOS PAC ID: 6406150754 Enrollment ID: I20200619000043 |
| Provider Name | Kimberly Caves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265421150 PECOS PAC ID: 0244542769 Enrollment ID: I20200619000562 |
| Provider Name | Xuan Kang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144614173 PECOS PAC ID: 0345520730 Enrollment ID: I20200622001480 |
| Provider Name | Christopher F Doe |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194144113 PECOS PAC ID: 8729399241 Enrollment ID: I20200623000323 |
| Provider Name | Lisa Block |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942645288 PECOS PAC ID: 2668695057 Enrollment ID: I20200630003651 |
| Provider Name | Jessica Marie Altree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619361508 PECOS PAC ID: 7315241270 Enrollment ID: I20200701000958 |
| Provider Name | Todd Gregory |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598845588 PECOS PAC ID: 8921353442 Enrollment ID: I20200701001778 |
| Provider Name | Robert Rayson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447519905 PECOS PAC ID: 9739301680 Enrollment ID: I20200708001166 |
| Provider Name | Kelly Marie Klotz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629428099 PECOS PAC ID: 4385936434 Enrollment ID: I20200708002810 |
| Provider Name | Emily H Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588285803 PECOS PAC ID: 7719300748 Enrollment ID: I20200709002972 |
| Provider Name | Kenneth A Morris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770967408 PECOS PAC ID: 0547555799 Enrollment ID: I20200714000258 |
| Provider Name | Ashley M Whyte-rayson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841556388 PECOS PAC ID: 2062783780 Enrollment ID: I20200715000308 |
| Provider Name | Kevan T Iffrig |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215347471 PECOS PAC ID: 9032546890 Enrollment ID: I20200715001720 |
| Provider Name | Jacob Clark Whitsitt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508250846 PECOS PAC ID: 0547555815 Enrollment ID: I20200716001593 |
| Provider Name | Jim Minh Do |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730617192 PECOS PAC ID: 9234409236 Enrollment ID: I20200716003906 |
| Provider Name | Benjamin Durtschi |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1265780092 PECOS PAC ID: 5698928398 Enrollment ID: I20200717000281 |
| Provider Name | Carter Mohnssen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518318294 PECOS PAC ID: 8123313475 Enrollment ID: I20200717002075 |
| Provider Name | Jordan Andrew Hess |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245676493 PECOS PAC ID: 2961624440 Enrollment ID: I20200728000683 |
| Provider Name | Michael Adam Weinreich |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689917437 PECOS PAC ID: 5991129603 Enrollment ID: I20200729000075 |
| Provider Name | Amelia J Derstine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962932699 PECOS PAC ID: 3274804810 Enrollment ID: I20200729002958 |
| Provider Name | Taylor Elise Morrison |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174019871 PECOS PAC ID: 1254756372 Enrollment ID: I20200806002749 |
| Provider Name | Cordelie Witt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386910669 PECOS PAC ID: 3870800527 Enrollment ID: I20200811001202 |
| Provider Name | Ali Kardan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306379904 PECOS PAC ID: 7618246935 Enrollment ID: I20200811003814 |
| Provider Name | Tabitha Schrufer-poland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841633484 PECOS PAC ID: 9234432774 Enrollment ID: I20200812002116 |
| Provider Name | Ariadne Ebel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912391962 PECOS PAC ID: 8729393756 Enrollment ID: I20200814000227 |
| Provider Name | Leslie Anne Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104273556 PECOS PAC ID: 8022302488 Enrollment ID: I20200814000672 |
| Provider Name | Rachel Elizabeth Colling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336675008 PECOS PAC ID: 3375811268 Enrollment ID: I20200820000307 |
| Provider Name | Jonathan Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881082048 PECOS PAC ID: 2961717582 Enrollment ID: I20200820002714 |
| Provider Name | Alexis Joyce Blackwelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588291744 PECOS PAC ID: 8224454210 Enrollment ID: I20200820003894 |
| Provider Name | Jill Eva Mcqueen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275166019 PECOS PAC ID: 7113344086 Enrollment ID: I20200825000297 |
| Provider Name | Dylan Richard Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730702580 PECOS PAC ID: 9537586326 Enrollment ID: I20200825001222 |
| Provider Name | Benjamin M Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609300441 PECOS PAC ID: 7416220306 Enrollment ID: I20200826002084 |
| Provider Name | Ryan Peter Cotter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467879726 PECOS PAC ID: 1759507718 Enrollment ID: I20200827001615 |
| Provider Name | Ashley N Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457978462 PECOS PAC ID: 0547687535 Enrollment ID: I20200903000100 |
| Provider Name | John C Even |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578513693 PECOS PAC ID: 7810909652 Enrollment ID: I20200904000913 |
| Provider Name | Janae Eileen Dupuis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427436377 PECOS PAC ID: 5991011876 Enrollment ID: I20200908000688 |
| Provider Name | Susan V Ellor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730422809 PECOS PAC ID: 7416218789 Enrollment ID: I20200916001054 |
| Provider Name | Andrew Federer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1780003954 PECOS PAC ID: 4587997226 Enrollment ID: I20200918001306 |
| Provider Name | Mary K Nolte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154550036 PECOS PAC ID: 5496891327 Enrollment ID: I20200918001819 |
| Provider Name | Travis A Higdon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588751937 PECOS PAC ID: 0648322495 Enrollment ID: I20200924002211 |
| Provider Name | Maria Alexandra Vanushkina |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497133987 PECOS PAC ID: 1951695477 Enrollment ID: I20200928000564 |
| Provider Name | Renee Mary Pazdan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811005978 PECOS PAC ID: 7416275409 Enrollment ID: I20201002000274 |
| Provider Name | Cameron Gibson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922341874 PECOS PAC ID: 5092940734 Enrollment ID: I20201013000787 |
| Provider Name | Krista Michelle Mavety |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922614494 PECOS PAC ID: 9032539911 Enrollment ID: I20201014002196 |
| Provider Name | Rebin Kader |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1174938807 PECOS PAC ID: 8527383074 Enrollment ID: I20201015003444 |
| Provider Name | Ikue Nakayama |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538324868 PECOS PAC ID: 6709052160 Enrollment ID: I20201016000193 |
| Provider Name | Richard Browning |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447613781 PECOS PAC ID: 4284911009 Enrollment ID: I20201016000243 |
| Provider Name | Sean Pippen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326429390 PECOS PAC ID: 6709191976 Enrollment ID: I20201019001141 |
| Provider Name | Swosti Roka Magar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528440559 PECOS PAC ID: 8729336029 Enrollment ID: I20201020000636 |
| Provider Name | Rebekah Zaluzec |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790064285 PECOS PAC ID: 8224323415 Enrollment ID: I20201020000813 |
| Provider Name | Katherine M Sabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275180432 PECOS PAC ID: 4981935418 Enrollment ID: I20201020002017 |
| Provider Name | J Russell Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477555043 PECOS PAC ID: 3072588243 Enrollment ID: I20201021001289 |
| Provider Name | Jennifer Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093115701 PECOS PAC ID: 9133340920 Enrollment ID: I20201021002775 |
| Provider Name | Kyle Jacob Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619382496 PECOS PAC ID: 9537387873 Enrollment ID: I20201026001983 |
| Provider Name | Katherine V Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528611985 PECOS PAC ID: 0446588313 Enrollment ID: I20201028003225 |
| Provider Name | Matheau A Julien |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20201029000169 |
| Provider Name | Cassandra Bigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639780760 PECOS PAC ID: 3375953433 Enrollment ID: I20201102001570 |
| Provider Name | Jennifer Kim |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316298854 PECOS PAC ID: 0547566226 Enrollment ID: I20201103001746 |
| Provider Name | Emily Hull Lierheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477171247 PECOS PAC ID: 1557771417 Enrollment ID: I20201104000327 |
| Provider Name | Melissa Stibbens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295340461 PECOS PAC ID: 3375953268 Enrollment ID: I20201104001178 |
| Provider Name | Monica Stanton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811286834 PECOS PAC ID: 5597914283 Enrollment ID: I20201109000041 |
| Provider Name | Ashley Marie Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497378343 PECOS PAC ID: 1759791338 Enrollment ID: I20201110003066 |
| Provider Name | Autumn Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891300950 PECOS PAC ID: 9739599317 Enrollment ID: I20201110003145 |
| Provider Name | Arian L Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033643101 PECOS PAC ID: 9234540253 Enrollment ID: I20201124000825 |
| Provider Name | Lindsay M Sweetman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932708013 PECOS PAC ID: 6608287578 Enrollment ID: I20201125000223 |
| Provider Name | Jason Scott Conger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750783163 PECOS PAC ID: 3274944160 Enrollment ID: I20201125001017 |
| Provider Name | Janelle Printz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376198762 PECOS PAC ID: 2062847403 Enrollment ID: I20201130000869 |
| Provider Name | Karen Sue Himebaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447252507 PECOS PAC ID: 9739255266 Enrollment ID: I20201130001310 |
| Provider Name | Erica Sherry |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629692108 PECOS PAC ID: 1456774116 Enrollment ID: I20201130001718 |
| Provider Name | Alexander K Quinones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841722725 PECOS PAC ID: 4486065299 Enrollment ID: I20201201000191 |
| Provider Name | Hannah B Paik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134726003 PECOS PAC ID: 6305257999 Enrollment ID: I20201203001510 |
| Provider Name | Joshua Kuethe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881983807 PECOS PAC ID: 4385884436 Enrollment ID: I20201208000858 |
| Provider Name | Gary E Geil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801830872 PECOS PAC ID: 4789583246 Enrollment ID: I20201211000765 |
| Provider Name | Travis Lundell |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1225446537 PECOS PAC ID: 2961620653 Enrollment ID: I20201214002119 |
| Provider Name | Kelly Ann Schmalstich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356950299 PECOS PAC ID: 1254743040 Enrollment ID: I20201221000990 |
| Provider Name | Mackenzie Daly |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215022611 PECOS PAC ID: 7315061835 Enrollment ID: I20201223000332 |
| Provider Name | Brian Polovoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821538729 PECOS PAC ID: 7810250313 Enrollment ID: I20201229000256 |
| Provider Name | Brianna Kay Spinks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326659624 PECOS PAC ID: 1052724697 Enrollment ID: I20201229000355 |
| Provider Name | Richard Arthur Denney |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285945824 PECOS PAC ID: 2163734625 Enrollment ID: I20201230002259 |
| Provider Name | Genevieve M Rambau |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760894224 PECOS PAC ID: 6507141926 Enrollment ID: I20210106000537 |
| Provider Name | Holly J Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508097338 PECOS PAC ID: 5890848808 Enrollment ID: I20210106000980 |
| Provider Name | Lauren Abigail Dieterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598378846 PECOS PAC ID: 4385057397 Enrollment ID: I20210113000249 |
| Provider Name | Andrea Urie Kot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306432265 PECOS PAC ID: 1153734058 Enrollment ID: I20210114001286 |
| Provider Name | Fabienne Sophie Haas |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1376143297 PECOS PAC ID: 1557775251 Enrollment ID: I20210120001915 |
| Provider Name | Stacey Kolb |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609399443 PECOS PAC ID: 3678822137 Enrollment ID: I20210129000517 |
| Provider Name | Holly Nicole Haemmerle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194970095 PECOS PAC ID: 1850440892 Enrollment ID: I20210204001204 |
| Provider Name | Danielle Nichole Frock-welnak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023404894 PECOS PAC ID: 4183938020 Enrollment ID: I20210208000468 |
| Provider Name | Melford Lazarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578058442 PECOS PAC ID: 3971847534 Enrollment ID: I20210212001872 |
| Provider Name | Andrew E Pugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154859577 PECOS PAC ID: 8123371473 Enrollment ID: I20210215000062 |
| Provider Name | Caterina Palumbo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033557400 PECOS PAC ID: 1951676816 Enrollment ID: I20210215000230 |
| Provider Name | Maria J Luchka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447846233 PECOS PAC ID: 7719392125 Enrollment ID: I20210217001895 |
| Provider Name | Andrea Elizabeth Lyons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417922188 PECOS PAC ID: 7719918879 Enrollment ID: I20210218000161 |
| Provider Name | Guy Thomas Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083989362 PECOS PAC ID: 5890099352 Enrollment ID: I20210218000267 |
| Provider Name | Kelly Lenn Yeldell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366676249 PECOS PAC ID: 9638585599 Enrollment ID: I20210302000357 |
| Provider Name | Gregory Thomas Hynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528655651 PECOS PAC ID: 4183030992 Enrollment ID: I20210302002623 |
| Provider Name | Dana R Saunders |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508061656 PECOS PAC ID: 8527215433 Enrollment ID: I20210308001388 |
| Provider Name | Amy Alger Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245827294 PECOS PAC ID: 2466868989 Enrollment ID: I20210309000604 |
| Provider Name | Molly Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174784888 PECOS PAC ID: 3678792363 Enrollment ID: I20210315000426 |
| Provider Name | Kenji Kaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083051155 PECOS PAC ID: 9234372996 Enrollment ID: I20210315000644 |
| Provider Name | Julie A Conyers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205888732 PECOS PAC ID: 1658441258 Enrollment ID: I20210315001365 |
| Provider Name | Jake Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134789449 PECOS PAC ID: 7315357688 Enrollment ID: I20210322001703 |
| Provider Name | Ryan K Kennard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548894652 PECOS PAC ID: 5092122523 Enrollment ID: I20210330002474 |
| Provider Name | Emily Pfeifer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093079055 PECOS PAC ID: 0345486197 Enrollment ID: I20210412001747 |
| Provider Name | Clayborn John Morris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548575855 PECOS PAC ID: 4082882048 Enrollment ID: I20210421001631 |
| Provider Name | Karen Melissa Gifford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619508926 PECOS PAC ID: 3577971050 Enrollment ID: I20210421003080 |
| Provider Name | Regina Thompson Loveley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750917431 PECOS PAC ID: 7618385121 Enrollment ID: I20210422001640 |
| Provider Name | Vanessa Danielle Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447499637 PECOS PAC ID: 3274781059 Enrollment ID: I20210423001927 |
| Provider Name | Mandy Louise Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104410380 PECOS PAC ID: 9335557651 Enrollment ID: I20210426000995 |
| Provider Name | Katie Ann Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083291827 PECOS PAC ID: 4981012259 Enrollment ID: I20210427000392 |
| Provider Name | Logan D Jones |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1558504068 PECOS PAC ID: 9032332770 Enrollment ID: I20210430000788 |
| Provider Name | Natalia D Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578157947 PECOS PAC ID: 2163831256 Enrollment ID: I20210430000885 |
| Provider Name | Karin Hickey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649591645 PECOS PAC ID: 9638300445 Enrollment ID: I20210503000106 |
| Provider Name | Mohamed Magdy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255697868 PECOS PAC ID: 9032357322 Enrollment ID: I20210503000302 |
| Provider Name | Stephen Christopher Cheung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235592676 PECOS PAC ID: 0840546818 Enrollment ID: I20210505002209 |
| Provider Name | Ping S Chu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316957368 PECOS PAC ID: 9931126182 Enrollment ID: I20210510001938 |
| Provider Name | Jennifer Beth Attebery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033545009 PECOS PAC ID: 4082843867 Enrollment ID: I20210511000354 |
| Provider Name | Robert F Carey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689108409 PECOS PAC ID: 3072947621 Enrollment ID: I20210512002659 |
| Provider Name | Stephanie Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760092282 PECOS PAC ID: 5193134419 Enrollment ID: I20210517001267 |
| Provider Name | Jordan Mcelravy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982216628 PECOS PAC ID: 8426467747 Enrollment ID: I20210517001400 |
| Provider Name | Noelle Durall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043658370 PECOS PAC ID: 4385871508 Enrollment ID: I20210519000173 |
| Provider Name | James M. Howard |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205956919 PECOS PAC ID: 5890984231 Enrollment ID: I20210519002171 |
| Provider Name | Mohini Pathria |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1609296268 PECOS PAC ID: 4981919933 Enrollment ID: I20210519002421 |
| Provider Name | Jonathan Dau |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467809608 PECOS PAC ID: 1052649597 Enrollment ID: I20210520001307 |
| Provider Name | Nathan Young Gene Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780079178 PECOS PAC ID: 3870873664 Enrollment ID: I20210520002352 |
| Provider Name | Luke Anthony Byers |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417334921 PECOS PAC ID: 9335448158 Enrollment ID: I20210521000093 |
| Provider Name | Jennifer C Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215315551 PECOS PAC ID: 4587977483 Enrollment ID: I20210521001435 |
| Provider Name | Kyla Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649745654 PECOS PAC ID: 2264776194 Enrollment ID: I20210524000093 |
| Provider Name | Aaron Michael Frenette |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144601311 PECOS PAC ID: 4789991720 Enrollment ID: I20210524000172 |
| Provider Name | Teresa Hayes |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376567487 PECOS PAC ID: 8527330430 Enrollment ID: I20210524002897 |
| Provider Name | Michael J. Paolucci |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639179500 PECOS PAC ID: 6406946003 Enrollment ID: I20210526001772 |
| Provider Name | Cody Hunter Brevik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255837126 PECOS PAC ID: 9638578404 Enrollment ID: I20210527000725 |
| Provider Name | Jarrett Leech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518491786 PECOS PAC ID: 2466725999 Enrollment ID: I20210601001646 |
| Provider Name | Thomas B Coopwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962517086 PECOS PAC ID: 0648318212 Enrollment ID: I20210602002055 |
| Provider Name | Sabrah Jean Collar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952989204 PECOS PAC ID: 9830599273 Enrollment ID: I20210607002254 |
| Provider Name | Makayla Linn Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053995621 PECOS PAC ID: 8224439682 Enrollment ID: I20210623002611 |
| Provider Name | Kyley Leroy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760876668 PECOS PAC ID: 0648671883 Enrollment ID: I20210625001560 |
| Provider Name | Madeline Elizabeth Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255862363 PECOS PAC ID: 5395174213 Enrollment ID: I20210630000313 |
| Provider Name | Eric Ness |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821417767 PECOS PAC ID: 4385862317 Enrollment ID: I20210630003611 |
| Provider Name | Cassandra M Ragle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467947507 PECOS PAC ID: 3274961016 Enrollment ID: I20210630003873 |
| Provider Name | Brittany Delmonico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770190415 PECOS PAC ID: 6800297516 Enrollment ID: I20210630004332 |
| Provider Name | Nathan Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043697840 PECOS PAC ID: 8729390927 Enrollment ID: I20210706000527 |
| Provider Name | Gaelen R Horne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003159146 PECOS PAC ID: 0042647323 Enrollment ID: I20210707000594 |
| Provider Name | Thomas Nicholas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437194487 PECOS PAC ID: 0042273575 Enrollment ID: I20210712000887 |
| Provider Name | Widian K Jubair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336638501 PECOS PAC ID: 7012254972 Enrollment ID: I20210712003403 |
| Provider Name | Madeline Carey Horan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568038073 PECOS PAC ID: 4587066576 Enrollment ID: I20210713003840 |
| Provider Name | Andrew Zhiding Xu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104315019 PECOS PAC ID: 0345597985 Enrollment ID: I20210714002284 |
| Provider Name | Chelsea Weiland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033604277 PECOS PAC ID: 6800224643 Enrollment ID: I20210715002785 |
| Provider Name | Charles C Strode |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1750819124 PECOS PAC ID: 3375812837 Enrollment ID: I20210719001095 |
| Provider Name | Kevin Lee Keeton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659578052 PECOS PAC ID: 8820153752 Enrollment ID: I20210719003659 |
| Provider Name | Ty Edwards Graef |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881268472 PECOS PAC ID: 8921401696 Enrollment ID: I20210720000536 |
| Provider Name | Ashley Ruth Lahman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922630995 PECOS PAC ID: 6608279229 Enrollment ID: I20210720002893 |
| Provider Name | Jacob A Lebin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982099925 PECOS PAC ID: 3678885985 Enrollment ID: I20210722003292 |
| Provider Name | Tessa Abraham Davis-walz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356911630 PECOS PAC ID: 7214330570 Enrollment ID: I20210723001183 |
| Provider Name | Gregory P Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497322408 PECOS PAC ID: 6901209212 Enrollment ID: I20210723002962 |
| Provider Name | Daniel Keith Shuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376513978 PECOS PAC ID: 0547234742 Enrollment ID: I20210726001916 |
| Provider Name | Dwight Slater |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912227927 PECOS PAC ID: 0446480677 Enrollment ID: I20210726003428 |
| Provider Name | Chelsea Walter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952805277 PECOS PAC ID: 2365790177 Enrollment ID: I20210728000893 |
| Provider Name | Branden M Petrun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669867420 PECOS PAC ID: 3274838453 Enrollment ID: I20210728001878 |
| Provider Name | Mark Tuttle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194086900 PECOS PAC ID: 8123317351 Enrollment ID: I20210802000827 |
| Provider Name | Danielle R Gallegos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255712147 PECOS PAC ID: 1557678620 Enrollment ID: I20210802001126 |
| Provider Name | Mary K Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386811362 PECOS PAC ID: 6800057043 Enrollment ID: I20210803000177 |
| Provider Name | Stacy Wong |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982083416 PECOS PAC ID: 5395025811 Enrollment ID: I20210804002031 |
| Provider Name | Erin K Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225607047 PECOS PAC ID: 2769886183 Enrollment ID: I20210806002884 |
| Provider Name | Andrew Gilbert |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881758183 PECOS PAC ID: 3072800689 Enrollment ID: I20210807000088 |
| Provider Name | Kristina J Slunecka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366046344 PECOS PAC ID: 9234533548 Enrollment ID: I20210809003428 |
| Provider Name | Pei Zhang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699161489 PECOS PAC ID: 2567713720 Enrollment ID: I20210810000663 |
| Provider Name | Kate M Petty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366973430 PECOS PAC ID: 8123398948 Enrollment ID: I20210811001807 |
| Provider Name | Smitha Sarma Bhaumik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386037067 PECOS PAC ID: 6507260528 Enrollment ID: I20210812000687 |
| Provider Name | Markus Clemens Hannan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447613088 PECOS PAC ID: 1850683798 Enrollment ID: I20210816004091 |
| Provider Name | Kerri Lynn Craddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336782747 PECOS PAC ID: 3274963970 Enrollment ID: I20210818001294 |
| Provider Name | Trey Van Maanen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093211484 PECOS PAC ID: 1759637051 Enrollment ID: I20210819001519 |
| Provider Name | Kristie Lamotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356992606 PECOS PAC ID: 2668807132 Enrollment ID: I20210820000886 |
| Provider Name | Nicole Maria Andreassi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194211532 PECOS PAC ID: 3971908427 Enrollment ID: I20210820001168 |
| Provider Name | Joann O Ikenyei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235636333 PECOS PAC ID: 8123423530 Enrollment ID: I20210824001010 |
| Provider Name | Daniel Reichman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588169841 PECOS PAC ID: 4981038080 Enrollment ID: I20210831000019 |
| Provider Name | Paul Channing Harkins |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992849921 PECOS PAC ID: 4284785130 Enrollment ID: I20210901001236 |
| Provider Name | Danielle Peterson Eves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407353279 PECOS PAC ID: 7618223728 Enrollment ID: I20210902001117 |
| Provider Name | Joseph R Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801206248 PECOS PAC ID: 0143592642 Enrollment ID: I20210902001781 |
| Provider Name | Brooke E Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326632217 PECOS PAC ID: 6406252022 Enrollment ID: I20210908000484 |
| Provider Name | Charles L Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497247837 PECOS PAC ID: 6002164928 Enrollment ID: I20210908000773 |
| Provider Name | Rebecca A Hornung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265010599 PECOS PAC ID: 5496151037 Enrollment ID: I20210908001332 |
| Provider Name | Rira Yoo Rudnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831766583 PECOS PAC ID: 0547666703 Enrollment ID: I20210914000734 |
| Provider Name | Michelle Mcgauvran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336582386 PECOS PAC ID: 8527330133 Enrollment ID: I20210914003895 |
| Provider Name | Marina R Flecha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700382025 PECOS PAC ID: 7416200456 Enrollment ID: I20210915000225 |
| Provider Name | Laurie Matson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376140004 PECOS PAC ID: 6406268804 Enrollment ID: I20210915000312 |
| Provider Name | Ellie Hess |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770157646 PECOS PAC ID: 7113324203 Enrollment ID: I20210915003175 |
| Provider Name | Natalie Ann Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376127415 PECOS PAC ID: 6103223292 Enrollment ID: I20210915003267 |
| Provider Name | Ashley L Brady |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174942221 PECOS PAC ID: 2466723648 Enrollment ID: I20210916000082 |
| Provider Name | David Joshua Stone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952892853 PECOS PAC ID: 0143627125 Enrollment ID: I20210917000022 |
| Provider Name | Jesse W Dacus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033788971 PECOS PAC ID: 5294132858 Enrollment ID: I20210923002891 |
| Provider Name | Sarah Safadi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992117675 PECOS PAC ID: 5395965040 Enrollment ID: I20210927002134 |
| Provider Name | Amanda Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902430366 PECOS PAC ID: 9436556891 Enrollment ID: I20210928000795 |
| Provider Name | Chad B. Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790089951 PECOS PAC ID: 8820495039 Enrollment ID: I20210930000158 |
| Provider Name | Rachel Blanchard Kronig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497327852 PECOS PAC ID: 5799182911 Enrollment ID: I20210930000410 |
| Provider Name | Laura Mischell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043700388 PECOS PAC ID: 8022416247 Enrollment ID: I20211001001520 |
| Provider Name | Caroline Marcotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942814462 PECOS PAC ID: 5991115685 Enrollment ID: I20211004000296 |
| Provider Name | Leela Diana Farr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346403482 PECOS PAC ID: 6901046291 Enrollment ID: I20211004002000 |
| Provider Name | Adam C Stater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295247393 PECOS PAC ID: 9931467651 Enrollment ID: I20211004003344 |
| Provider Name | Jason Yaou Zhao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518386499 PECOS PAC ID: 7618191115 Enrollment ID: I20211005000793 |
| Provider Name | Alice Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033571591 PECOS PAC ID: 3779875422 Enrollment ID: I20211011001684 |
| Provider Name | Jenna R Whitham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528452612 PECOS PAC ID: 4183973845 Enrollment ID: I20211012000475 |
| Provider Name | Rosalind Guest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376673848 PECOS PAC ID: 8820224801 Enrollment ID: I20211015001872 |
| Provider Name | Audrey Olivier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487048914 PECOS PAC ID: 6608169982 Enrollment ID: I20211018000237 |
| Provider Name | Marisa Breslin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952918021 PECOS PAC ID: 8921406299 Enrollment ID: I20211018002229 |
| Provider Name | Sarah Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518455179 PECOS PAC ID: 8729319017 Enrollment ID: I20211020000423 |
| Provider Name | Jabulani Sidile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164650743 PECOS PAC ID: 9830312842 Enrollment ID: I20211025001332 |
| Provider Name | Justin Grisham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427417062 PECOS PAC ID: 1052709912 Enrollment ID: I20211026000744 |
| Provider Name | Shon Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427726934 PECOS PAC ID: 7911395827 Enrollment ID: I20211026002749 |
| Provider Name | Shanna Lea Moshure |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265755649 PECOS PAC ID: 1759418437 Enrollment ID: I20211026003468 |
| Provider Name | Joshua Daniel Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104593102 PECOS PAC ID: 8628466562 Enrollment ID: I20211027000538 |
| Provider Name | Devam Pareshkumar Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104164367 PECOS PAC ID: 1456659044 Enrollment ID: I20211027000554 |
| Provider Name | Jaren R Quigle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245754175 PECOS PAC ID: 3678849148 Enrollment ID: I20211028001023 |
| Provider Name | Laurel R Imhoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821316266 PECOS PAC ID: 2860715232 Enrollment ID: I20211028003157 |
| Provider Name | Maren Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699448605 PECOS PAC ID: 8224426820 Enrollment ID: I20211101003145 |
| Provider Name | Carly Jane Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790204766 PECOS PAC ID: 6901294479 Enrollment ID: I20211102003366 |
| Provider Name | Joseph W Rohrer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386804649 PECOS PAC ID: 9133439979 Enrollment ID: I20211110002398 |
| Provider Name | Hadee Ahmadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578167144 PECOS PAC ID: 2264821222 Enrollment ID: I20211111002879 |
| Provider Name | Alan J Katzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356492102 PECOS PAC ID: 5698866358 Enrollment ID: I20211119001134 |
| Provider Name | Meagan Flores Perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023463262 PECOS PAC ID: 6204226756 Enrollment ID: I20211124001024 |
| Provider Name | Hayley Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710654983 PECOS PAC ID: 3274923610 Enrollment ID: I20211129002506 |
| Provider Name | Adia Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093384380 PECOS PAC ID: 6305236522 Enrollment ID: I20211202001212 |
| Provider Name | Sophia French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487223798 PECOS PAC ID: 7012307002 Enrollment ID: I20211206002789 |
| Provider Name | Shannon Elyse Jucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689341521 PECOS PAC ID: 3971993908 Enrollment ID: I20211207001358 |
| Provider Name | Sarah Campos-monell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316010853 PECOS PAC ID: 6709921166 Enrollment ID: I20211207001951 |
| Provider Name | Aaron O Kibler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861639262 PECOS PAC ID: 4789837253 Enrollment ID: I20211209000728 |
| Provider Name | Emerito Cortez Natanawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730194531 PECOS PAC ID: 4688719487 Enrollment ID: I20211209002484 |
| Provider Name | Christina Lauren Lonigro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134717531 PECOS PAC ID: 0143611731 Enrollment ID: I20211215000249 |
| Provider Name | Jessica Lauren Bluhm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285921601 PECOS PAC ID: 8921343948 Enrollment ID: I20211215002968 |
| Provider Name | Elyse Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558913178 PECOS PAC ID: 0345571758 Enrollment ID: I20211220000508 |
| Provider Name | Amanda Meree Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023773884 PECOS PAC ID: 3870984081 Enrollment ID: I20211223001210 |
| Provider Name | Corinne Anne Lesieur-garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447926373 PECOS PAC ID: 5597156562 Enrollment ID: I20211230000163 |
| Provider Name | Kevin Copley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871591115 PECOS PAC ID: 8123017175 Enrollment ID: I20220103000663 |
| Provider Name | Roy Howard Sexton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548368129 PECOS PAC ID: 8527950278 Enrollment ID: I20220103001493 |
| Provider Name | Mark William Simon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649776584 PECOS PAC ID: 4284025149 Enrollment ID: I20220103001814 |
| Provider Name | Zachary D Bailey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821354689 PECOS PAC ID: 9931400728 Enrollment ID: I20220104002851 |
| Provider Name | Ashley Morgan Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164949434 PECOS PAC ID: 0840681524 Enrollment ID: I20220107000667 |
| Provider Name | Sarah Tambra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376992073 PECOS PAC ID: 8224467998 Enrollment ID: I20220110000352 |
| Provider Name | Kathryn Ann Schroeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376034918 PECOS PAC ID: 1254677651 Enrollment ID: I20220114001014 |
| Provider Name | Stacey Lane Gruka |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982879011 PECOS PAC ID: 8426216524 Enrollment ID: I20220125000142 |
| Provider Name | Katherine Jane Mcmeekin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073270013 PECOS PAC ID: 5698168417 Enrollment ID: I20220131000979 |
| Provider Name | Sonja S Labrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295789451 PECOS PAC ID: 3476556689 Enrollment ID: I20220203002534 |
| Provider Name | William Grigg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578050266 PECOS PAC ID: 9234476300 Enrollment ID: I20220204000744 |
| Provider Name | Amanda Nicole Lawry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275780421 PECOS PAC ID: 3476785957 Enrollment ID: I20220217000024 |
| Provider Name | Ali Esmaili |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760684013 PECOS PAC ID: 5294927976 Enrollment ID: I20220225000769 |
| Provider Name | Cynthia S Bairn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699442277 PECOS PAC ID: 1759775091 Enrollment ID: I20220302000770 |
| Provider Name | Dinesh Telang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265498117 PECOS PAC ID: 9537055090 Enrollment ID: I20220302001447 |
| Provider Name | Victoria Perkins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659374676 PECOS PAC ID: 4082697537 Enrollment ID: I20220307002521 |
| Provider Name | Jason Emmanuel Rosenberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871791038 PECOS PAC ID: 7719170463 Enrollment ID: I20220308000677 |
| Provider Name | Kimberly Eppers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376967331 PECOS PAC ID: 8921492984 Enrollment ID: I20220308002359 |
| Provider Name | Monica Stamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538672522 PECOS PAC ID: 9335408236 Enrollment ID: I20220316003280 |
| Provider Name | Anahita Rezaie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821294000 PECOS PAC ID: 7517051782 Enrollment ID: I20220317002067 |
| Provider Name | Rebecca Lorraine Logan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518221233 PECOS PAC ID: 7315179546 Enrollment ID: I20220321000691 |
| Provider Name | Lindsay Jobe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477966505 PECOS PAC ID: 7214322437 Enrollment ID: I20220324001337 |
| Provider Name | Nirmal B Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194799288 PECOS PAC ID: 9739072893 Enrollment ID: I20220325001515 |
| Provider Name | Rebecca Ludwig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093193609 PECOS PAC ID: 1153694062 Enrollment ID: I20220330003033 |
| Provider Name | Erin Renee Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184384190 PECOS PAC ID: 3072909746 Enrollment ID: I20220405002338 |
| Provider Name | Kristen Elaine Cleavelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487199733 PECOS PAC ID: 4880976273 Enrollment ID: I20220406002002 |
| Provider Name | Jill L Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700121563 PECOS PAC ID: 8820224694 Enrollment ID: I20220420001028 |
| Provider Name | Luke J Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881153146 PECOS PAC ID: 8224426267 Enrollment ID: I20220425001898 |
| Provider Name | Geoffrey Miles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932672714 PECOS PAC ID: 0840532636 Enrollment ID: I20220425002582 |
| Provider Name | Bradley Gorman Hutton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255517181 PECOS PAC ID: 6800184961 Enrollment ID: I20220426001694 |
| Provider Name | Kelley C Corcoran |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316348139 PECOS PAC ID: 1951624758 Enrollment ID: I20220426001710 |
| Provider Name | Slobodan Jazarevic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982641494 PECOS PAC ID: 7416966908 Enrollment ID: I20220426002027 |
| Provider Name | Alexander Patrick Houser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790191484 PECOS PAC ID: 9234526971 Enrollment ID: I20220427000402 |
| Provider Name | Kathryn B Cherefko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780022426 PECOS PAC ID: 0941597389 Enrollment ID: I20220427003216 |
| Provider Name | Alyssa Yvonne Willett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285380071 PECOS PAC ID: 4385031970 Enrollment ID: I20220429000377 |
| Provider Name | Julie Ann Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346845997 PECOS PAC ID: 9739594110 Enrollment ID: I20220502001038 |
| Provider Name | Caitlin Marie Bryan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013577402 PECOS PAC ID: 4284961137 Enrollment ID: I20220502001409 |
| Provider Name | Tiffany Cherie Lasalle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861146896 PECOS PAC ID: 4284021783 Enrollment ID: I20220503000011 |
| Provider Name | Brian M Strickland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306223185 PECOS PAC ID: 3779875166 Enrollment ID: I20220503000521 |
| Provider Name | Karen Barbara Alderfer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043534654 PECOS PAC ID: 1759676240 Enrollment ID: I20220504000115 |
| Provider Name | Krista D Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427089135 PECOS PAC ID: 3870488927 Enrollment ID: I20220504000947 |
| Provider Name | Rani Nasser |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215225347 PECOS PAC ID: 2668741299 Enrollment ID: I20220505000355 |
| Provider Name | Connor Hart |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1912503848 PECOS PAC ID: 2769896018 Enrollment ID: I20220512000046 |
| Provider Name | Dana Morgan Vestman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1679160675 PECOS PAC ID: 5395159743 Enrollment ID: I20220513001305 |
| Provider Name | Rebecca Joy Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366917965 PECOS PAC ID: 9931445103 Enrollment ID: I20220513001340 |
| Provider Name | Kenneth H Power |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831457373 PECOS PAC ID: 7416179437 Enrollment ID: I20220516000011 |
| Provider Name | Chad Lloyd Christensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427411545 PECOS PAC ID: 0345532321 Enrollment ID: I20220516001000 |
| Provider Name | Myles Nathaniel Cope |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1386089126 PECOS PAC ID: 1456689520 Enrollment ID: I20220517000616 |
| Provider Name | Kyle Moody Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508284431 PECOS PAC ID: 2466735915 Enrollment ID: I20220517001468 |
| Provider Name | Robyn Lynn Grantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154696839 PECOS PAC ID: 8224415013 Enrollment ID: I20220517001674 |
| Provider Name | Asra Razia Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134431885 PECOS PAC ID: 6305080557 Enrollment ID: I20220523000242 |
| Provider Name | Brittany Mae Mckenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578152781 PECOS PAC ID: 6800273392 Enrollment ID: I20220523002536 |
| Provider Name | William Eli Chastain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891980777 PECOS PAC ID: 4385832419 Enrollment ID: I20220524000675 |
| Provider Name | Eric M Altschuler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427032002 PECOS PAC ID: 0446332894 Enrollment ID: I20220526001884 |
| Provider Name | Megan Brady |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376701896 PECOS PAC ID: 9638201742 Enrollment ID: I20220531000786 |
| Provider Name | Varun Razdan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275995482 PECOS PAC ID: 2365737814 Enrollment ID: I20220601000169 |
| Provider Name | Stefan Genet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205286085 PECOS PAC ID: 4688948144 Enrollment ID: I20220601001212 |
| Provider Name | Anthony R Declusin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669977997 PECOS PAC ID: 6507112646 Enrollment ID: I20220601002150 |
| Provider Name | Hannah Flory |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922442912 PECOS PAC ID: 1759638976 Enrollment ID: I20220602000672 |
| Provider Name | Ryan Griesbach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821445107 PECOS PAC ID: 7315230471 Enrollment ID: I20220602002036 |
| Provider Name | Nicolette R Castaneda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750940045 PECOS PAC ID: 8527446590 Enrollment ID: I20220602002260 |
| Provider Name | Jeffrey Belisle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952625840 PECOS PAC ID: 0446578108 Enrollment ID: I20220603001734 |
| Provider Name | Garrick Greear |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164873816 PECOS PAC ID: 7012326424 Enrollment ID: I20220606000052 |
| Provider Name | Lucy Lester |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841648003 PECOS PAC ID: 8628314572 Enrollment ID: I20220606000612 |
| Provider Name | Jessica Stefanowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821408972 PECOS PAC ID: 4688960891 Enrollment ID: I20220606002189 |
| Provider Name | William Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356007355 PECOS PAC ID: 7315325156 Enrollment ID: I20220607000476 |
| Provider Name | Neil Grey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932559630 PECOS PAC ID: 3375820343 Enrollment ID: I20220607002765 |
| Provider Name | Timothy Duncan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982674628 PECOS PAC ID: 0749434256 Enrollment ID: I20220607003168 |
| Provider Name | Kayla Marie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811658446 PECOS PAC ID: 9638557457 Enrollment ID: I20220608000092 |
| Provider Name | Roxanne Darling Tanick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235691254 PECOS PAC ID: 2567840283 Enrollment ID: I20220608000441 |
| Provider Name | Kelsey E Smithart |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1780243519 PECOS PAC ID: 3072841006 Enrollment ID: I20220609000691 |
| Provider Name | Justin Cameron Ross |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245690650 PECOS PAC ID: 4486930831 Enrollment ID: I20220614000485 |
| Provider Name | Gregory K Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518428143 PECOS PAC ID: 5193050482 Enrollment ID: I20220615000405 |
| Provider Name | Cindy Yuen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902230477 PECOS PAC ID: 0345510061 Enrollment ID: I20220616002712 |
| Provider Name | Madeline R Garza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992200240 PECOS PAC ID: 7315293453 Enrollment ID: I20220617001223 |
| Provider Name | Gregory Wilkerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699171538 PECOS PAC ID: 9638448053 Enrollment ID: I20220618000311 |
| Provider Name | Ryan A Keenan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669969937 PECOS PAC ID: 5092063974 Enrollment ID: I20220621001397 |
| Provider Name | Kelli M Money |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437656956 PECOS PAC ID: 0446639587 Enrollment ID: I20220621002799 |
| Provider Name | Ashley E Pickering |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285195198 PECOS PAC ID: 2365774908 Enrollment ID: I20220623000290 |
| Provider Name | Matthew Vernon Fargo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295899631 PECOS PAC ID: 3577746189 Enrollment ID: I20220623000310 |
| Provider Name | Luan Cong Tran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619967650 PECOS PAC ID: 3072706407 Enrollment ID: I20220623001255 |
| Provider Name | Evan Matthew Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023200524 PECOS PAC ID: 3678790599 Enrollment ID: I20220623003347 |
| Provider Name | Branden J Skarpiak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033524194 PECOS PAC ID: 5193014652 Enrollment ID: I20220625000154 |
| Provider Name | Jennifer Louise Kutcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235497587 PECOS PAC ID: 4789945650 Enrollment ID: I20220629003452 |
| Provider Name | Aaron Carson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801391263 PECOS PAC ID: 1052667037 Enrollment ID: I20220701000794 |
| Provider Name | Alexander Edward Shilling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962931683 PECOS PAC ID: 3678961414 Enrollment ID: I20220701001105 |
| Provider Name | Michael Rowley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255593950 PECOS PAC ID: 9537436449 Enrollment ID: I20220705003079 |
| Provider Name | Teena Marie Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437815495 PECOS PAC ID: 6901286160 Enrollment ID: I20220706000003 |
| Provider Name | Christopher Hults |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760477533 PECOS PAC ID: 2961649538 Enrollment ID: I20220706000843 |
| Provider Name | Daniel Charles Fuchs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629537584 PECOS PAC ID: 8729468947 Enrollment ID: I20220706002352 |
| Provider Name | Katie L Gassett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700531530 PECOS PAC ID: 5799165866 Enrollment ID: I20220707000320 |
| Provider Name | Elizabeth Tolve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255795605 PECOS PAC ID: 8123408226 Enrollment ID: I20220707000990 |
| Provider Name | Carleigh L Benton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851897326 PECOS PAC ID: 5597145524 Enrollment ID: I20220707002359 |
| Provider Name | Cameron Joseph Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871098640 PECOS PAC ID: 7810225257 Enrollment ID: I20220707003932 |
| Provider Name | Calliandra Hintzen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366823270 PECOS PAC ID: 6204143571 Enrollment ID: I20220710000062 |
| Provider Name | Jeremy Cook |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326453432 PECOS PAC ID: 3971825753 Enrollment ID: I20220712003646 |
| Provider Name | Francesca H Mazzulla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407275969 PECOS PAC ID: 2567768724 Enrollment ID: I20220712004003 |
| Provider Name | Courtney Elise Martin-crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093458291 PECOS PAC ID: 5597146142 Enrollment ID: I20220714000339 |
| Provider Name | Daniel Shonebarger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952760936 PECOS PAC ID: 3779859186 Enrollment ID: I20220714001671 |
| Provider Name | Jason Lefkof |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346602950 PECOS PAC ID: 8426477324 Enrollment ID: I20220714002445 |
| Provider Name | Alex Clem |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235590456 PECOS PAC ID: 2264813666 Enrollment ID: I20220716000471 |
| Provider Name | Miranda Adamczak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528798907 PECOS PAC ID: 1456732775 Enrollment ID: I20220719000104 |
| Provider Name | John J Radio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851885438 PECOS PAC ID: 1153672530 Enrollment ID: I20220719002991 |
| Provider Name | Bryan Paul Mcvay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073714176 PECOS PAC ID: 9436206422 Enrollment ID: I20220720001855 |
| Provider Name | Cheyenne Wayne Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457810723 PECOS PAC ID: 4284015397 Enrollment ID: I20220721000444 |
| Provider Name | Nicole Marie Chieka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588192363 PECOS PAC ID: 5991077257 Enrollment ID: I20220722002819 |
| Provider Name | Meara A Melton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619409083 PECOS PAC ID: 0547531378 Enrollment ID: I20220727002742 |
| Provider Name | Jade Abad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942662358 PECOS PAC ID: 7810379526 Enrollment ID: I20220727003204 |
| Provider Name | Shin Yin Lee |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1154647758 PECOS PAC ID: 5395977789 Enrollment ID: I20220727003507 |
| Provider Name | Elena Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790415743 PECOS PAC ID: 4880076488 Enrollment ID: I20220728002989 |
| Provider Name | Brittany Shilling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801316260 PECOS PAC ID: 5799055224 Enrollment ID: I20220728003089 |
| Provider Name | Mary E Eident |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154936672 PECOS PAC ID: 9032521182 Enrollment ID: I20220728003496 |
| Provider Name | Michelle Eleonora Cataldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316567548 PECOS PAC ID: 6507248929 Enrollment ID: I20220802001910 |
| Provider Name | Andra Farcas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740721174 PECOS PAC ID: 0749551745 Enrollment ID: I20220802002220 |
| Provider Name | Adam Kolnik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740674241 PECOS PAC ID: 2769703818 Enrollment ID: I20220803001680 |
| Provider Name | Samantha Diane Slowinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568104107 PECOS PAC ID: 8729460860 Enrollment ID: I20220805000333 |
| Provider Name | Whitney Halgrimson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861759805 PECOS PAC ID: 8921318692 Enrollment ID: I20220805001416 |
| Provider Name | Brittany Anne Poeschl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184120479 PECOS PAC ID: 2567711419 Enrollment ID: I20220805002404 |
| Provider Name | Theresa Northern |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326206210 PECOS PAC ID: 2466698576 Enrollment ID: I20220808002863 |
| Provider Name | Hillary B Mack |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922596113 PECOS PAC ID: 8426305632 Enrollment ID: I20220809000584 |
| Provider Name | Marta L Stamwitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134434582 PECOS PAC ID: 4183006059 Enrollment ID: I20220809002952 |
| Provider Name | Nicholas Andrew Spreen |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1871087403 PECOS PAC ID: 0446595078 Enrollment ID: I20220810001720 |
| Provider Name | Robin Lydia Tillery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770979726 PECOS PAC ID: 5698158467 Enrollment ID: I20220811003748 |
| Provider Name | Samuel David South |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154664282 PECOS PAC ID: 7911202122 Enrollment ID: I20220813000120 |
| Provider Name | Jonathan Mark Bledsoe |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720059108 PECOS PAC ID: 5597738302 Enrollment ID: I20220815003599 |
| Provider Name | Adithya Vardhan Peruri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376075903 PECOS PAC ID: 2769751528 Enrollment ID: I20220817001247 |
| Provider Name | Kristin M Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639552722 PECOS PAC ID: 6002101144 Enrollment ID: I20220819000282 |
| Provider Name | Taunya Ann Kiefer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215490388 PECOS PAC ID: 3779817846 Enrollment ID: I20220822002606 |
| Provider Name | Raymond Tin-hou La |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821656687 PECOS PAC ID: 8022345990 Enrollment ID: I20220823001371 |
| Provider Name | Elijah Grillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285029447 PECOS PAC ID: 2961717996 Enrollment ID: I20220824001825 |
| Provider Name | Sarah Kolnik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992123418 PECOS PAC ID: 3072821693 Enrollment ID: I20220824001939 |
| Provider Name | Brandon Beyler Barkley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093275166 PECOS PAC ID: 0749663375 Enrollment ID: I20220825003524 |
| Provider Name | Andrew G Bachman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184156325 PECOS PAC ID: 1153693486 Enrollment ID: I20220825003977 |
| Provider Name | David Mathias Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770763732 PECOS PAC ID: 9436375995 Enrollment ID: I20220826000482 |
| Provider Name | Richard Dalyai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689818346 PECOS PAC ID: 3375844244 Enrollment ID: I20220829000385 |
| Provider Name | Kelly Kurzejewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093147704 PECOS PAC ID: 9032345301 Enrollment ID: I20220830003246 |
| Provider Name | Angi Kiewel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508269432 PECOS PAC ID: 1557687498 Enrollment ID: I20220830004479 |
| Provider Name | Jasmine Marie Soo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164913372 PECOS PAC ID: 2961757299 Enrollment ID: I20220902000313 |
| Provider Name | Cynthia Anne Goczol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922247683 PECOS PAC ID: 0648654962 Enrollment ID: I20220905000051 |
| Provider Name | Kelly Mccormick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497102784 PECOS PAC ID: 0749687093 Enrollment ID: I20220905000210 |
| Provider Name | Samuel Herman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780063644 PECOS PAC ID: 1052669629 Enrollment ID: I20220906001642 |
| Provider Name | Garrett Shackleton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295183184 PECOS PAC ID: 6608160411 Enrollment ID: I20220908003380 |
| Provider Name | Nora Elfiky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861924896 PECOS PAC ID: 3072887546 Enrollment ID: I20220910000659 |
| Provider Name | Caroline Merrick Geddes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821318734 PECOS PAC ID: 6406097443 Enrollment ID: I20220912000285 |
| Provider Name | Matthew James Gleaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174017628 PECOS PAC ID: 7012269467 Enrollment ID: I20220912000709 |
| Provider Name | Lucas Chamberlain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154982254 PECOS PAC ID: 1557690005 Enrollment ID: I20220912001966 |
| Provider Name | Nupur Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184078370 PECOS PAC ID: 4789975954 Enrollment ID: I20220912002360 |
| Provider Name | Casey Lynn Freeman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639662380 PECOS PAC ID: 2567711294 Enrollment ID: I20220912003184 |
| Provider Name | Alexandra Rose |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033557525 PECOS PAC ID: 8224346770 Enrollment ID: I20220914001430 |
| Provider Name | Ryan J Kula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144783085 PECOS PAC ID: 1254666449 Enrollment ID: I20220915001999 |
| Provider Name | Shelly Dawn Barker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801329388 PECOS PAC ID: 2365827029 Enrollment ID: I20220915002140 |
| Provider Name | Hannah Rose Fanucchi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013411628 PECOS PAC ID: 0446635114 Enrollment ID: I20220915002727 |
| Provider Name | Neysi Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124681374 PECOS PAC ID: 7113302886 Enrollment ID: I20220915003087 |
| Provider Name | Gregory J Barton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992168546 PECOS PAC ID: 4486946316 Enrollment ID: I20220915003546 |
| Provider Name | George Michael Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086633 PECOS PAC ID: 5193144426 Enrollment ID: I20220916000498 |
| Provider Name | Leah Teresa Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275557639 PECOS PAC ID: 2365827086 Enrollment ID: I20220916001118 |
| Provider Name | Albert Wong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841429586 PECOS PAC ID: 8426276650 Enrollment ID: I20220916001401 |
| Provider Name | David C Peritz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326306804 PECOS PAC ID: 5597980870 Enrollment ID: I20220916002080 |
| Provider Name | Jamiles Trejo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851029144 PECOS PAC ID: 2961887518 Enrollment ID: I20220916002783 |
| Provider Name | Ernesha Tenicki Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235863028 PECOS PAC ID: 0345625919 Enrollment ID: I20220917000318 |
| Provider Name | Nikhil Arjun Dhuna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639562135 PECOS PAC ID: 2062756661 Enrollment ID: I20220919000462 |
| Provider Name | Jessica Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114368131 PECOS PAC ID: 9830333731 Enrollment ID: I20220919002117 |
| Provider Name | Cynthia C Fall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467103119 PECOS PAC ID: 6800271347 Enrollment ID: I20220919002883 |
| Provider Name | Allison Diane Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730537713 PECOS PAC ID: 4284973827 Enrollment ID: I20220920002573 |
| Provider Name | Ashley Jean Mcmunigal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366173411 PECOS PAC ID: 1850776287 Enrollment ID: I20220921000081 |
| Provider Name | Erik Robert Lystad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740574581 PECOS PAC ID: 8921383092 Enrollment ID: I20220921000310 |
| Provider Name | Meghan Kristine Royer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700511508 PECOS PAC ID: 2466837810 Enrollment ID: I20220921000642 |
| Provider Name | Spencer Hansen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861832255 PECOS PAC ID: 8921222498 Enrollment ID: I20220921002272 |
| Provider Name | Celeste Marie Arias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780311480 PECOS PAC ID: 1456736859 Enrollment ID: I20220921003055 |
| Provider Name | Bradley Wallace |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881038115 PECOS PAC ID: 3375854490 Enrollment ID: I20220922002158 |
| Provider Name | Stacy Shackelford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215925672 PECOS PAC ID: 8022281096 Enrollment ID: I20220923000010 |
| Provider Name | Kathryne Greer Gutekunst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366198053 PECOS PAC ID: 0941696694 Enrollment ID: I20220923000468 |
| Provider Name | Troy K Buchholz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154315976 PECOS PAC ID: 7618877739 Enrollment ID: I20220926001076 |
| Provider Name | Barbara E Johnston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003908344 PECOS PAC ID: 0143417261 Enrollment ID: I20220929002999 |
| Provider Name | Bryce Franklin Mikel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487037909 PECOS PAC ID: 3870885692 Enrollment ID: I20221004002486 |
| Provider Name | Erinn Croco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407349459 PECOS PAC ID: 3476809682 Enrollment ID: I20221004003549 |
| Provider Name | Kelli Woody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245624352 PECOS PAC ID: 9830403773 Enrollment ID: I20221004003835 |
| Provider Name | Andrew S Maertens |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1013379049 PECOS PAC ID: 6507158730 Enrollment ID: I20221005000558 |
| Provider Name | David Northern |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164749875 PECOS PAC ID: 0345472189 Enrollment ID: I20221005001366 |
| Provider Name | Charlece Lynn Hughes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326039215 PECOS PAC ID: 5799702080 Enrollment ID: I20221006000209 |
| Provider Name | Durga Sure |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023267267 PECOS PAC ID: 0840585477 Enrollment ID: I20221006002533 |
| Provider Name | Katelyn Dakota Jae Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497316657 PECOS PAC ID: 1153658778 Enrollment ID: I20221012000240 |
| Provider Name | Devin Kent Higgins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346689213 PECOS PAC ID: 4688964638 Enrollment ID: I20221012000915 |
| Provider Name | Pooja Pundhir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184027815 PECOS PAC ID: 0446546907 Enrollment ID: I20221014000359 |
| Provider Name | Stephanie Louise Coates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629727771 PECOS PAC ID: 1658747704 Enrollment ID: I20221014002052 |
| Provider Name | Kathleen Dilday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649832536 PECOS PAC ID: 5799015640 Enrollment ID: I20221014002675 |
| Provider Name | Sean Brett Connolly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346602877 PECOS PAC ID: 6709183304 Enrollment ID: I20221020000563 |
| Provider Name | Mark Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952539470 PECOS PAC ID: 0749613024 Enrollment ID: I20221021001751 |
| Provider Name | Melhem J Sharafuddin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326118332 PECOS PAC ID: 8921189432 Enrollment ID: I20221025000153 |
| Provider Name | Nathan Blaine Mohr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942979638 PECOS PAC ID: 6002283496 Enrollment ID: I20221027000902 |
| Provider Name | Maria S Rahardja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104078377 PECOS PAC ID: 2567658206 Enrollment ID: I20221027001335 |
| Provider Name | Nicole Elizabeth Prentice-gaytan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295182236 PECOS PAC ID: 0749657179 Enrollment ID: I20221027002176 |
| Provider Name | Justin J Tingey |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1265427850 PECOS PAC ID: 5294052288 Enrollment ID: I20221027003265 |
| Provider Name | Tessa Lauren Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346971199 PECOS PAC ID: 3476920711 Enrollment ID: I20221031000594 |
| Provider Name | Kyrie Nicole Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710516372 PECOS PAC ID: 2365819604 Enrollment ID: I20221031000660 |
| Provider Name | Benjamin Lawrence Wald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285120444 PECOS PAC ID: 7315314531 Enrollment ID: I20221101001623 |
| Provider Name | Sabrina Helene Kaplan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619369345 PECOS PAC ID: 4880061027 Enrollment ID: I20221101002497 |
| Provider Name | Yuvrajsinh J Parmar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164785002 PECOS PAC ID: 0547554966 Enrollment ID: I20221107001425 |
| Provider Name | David Darrell Vaughn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386664373 PECOS PAC ID: 3072417674 Enrollment ID: I20221109000939 |
| Provider Name | Nichole Devon Phillips |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235573080 PECOS PAC ID: 1254620032 Enrollment ID: I20221115001920 |
| Provider Name | Amber Kukus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144946575 PECOS PAC ID: 5698143956 Enrollment ID: I20221118000023 |
| Provider Name | Kaylee Nichole Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295338150 PECOS PAC ID: 5991119240 Enrollment ID: I20221123001668 |
| Provider Name | Isaac J. Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124559695 PECOS PAC ID: 3274802558 Enrollment ID: I20221201001154 |
| Provider Name | Anastasia Louen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114397148 PECOS PAC ID: 4183927809 Enrollment ID: I20221206001297 |
| Provider Name | Michael M Mikhail |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043384035 PECOS PAC ID: 6507982592 Enrollment ID: I20221206001414 |
| Provider Name | Manish K Singh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013187756 PECOS PAC ID: 0648404228 Enrollment ID: I20221206002235 |
| Provider Name | Kathleen B Smith |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1730370719 PECOS PAC ID: 7113016510 Enrollment ID: I20221206003508 |
| Provider Name | Margaret Elizabeth Kareus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295455160 PECOS PAC ID: 8921477258 Enrollment ID: I20221208002270 |
| Provider Name | Amanda Marie Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881239499 PECOS PAC ID: 7517391501 Enrollment ID: I20221209001887 |
| Provider Name | Travis J. Dekker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609119338 PECOS PAC ID: 9032546072 Enrollment ID: I20221212001775 |
| Provider Name | Anne Flower |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477084937 PECOS PAC ID: 9638427719 Enrollment ID: I20221212002716 |
| Provider Name | Sharon Jane Lin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619362415 PECOS PAC ID: 7517384795 Enrollment ID: I20221228000198 |
| Provider Name | Brendan Curtis Bilotta |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1609518794 PECOS PAC ID: 6800266198 Enrollment ID: I20230103000209 |
| Provider Name | David Prouty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316224652 PECOS PAC ID: 8426292509 Enrollment ID: I20230105000121 |
| Provider Name | Herman A Louters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154421220 PECOS PAC ID: 3173510922 Enrollment ID: I20230113000014 |
| Provider Name | Susannah Chatham Orzell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962889485 PECOS PAC ID: 5597002196 Enrollment ID: I20230117002587 |
| Provider Name | Rebecca A Sugar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194446534 PECOS PAC ID: 0648641233 Enrollment ID: I20230118001092 |
| Provider Name | Deb K Mojumder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396023818 PECOS PAC ID: 4183928849 Enrollment ID: I20230124003582 |
| Provider Name | Thomas Dowd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629279393 PECOS PAC ID: 1850584970 Enrollment ID: I20230126003532 |
| Provider Name | Juana Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033756333 PECOS PAC ID: 0042641441 Enrollment ID: I20230202001448 |
| Provider Name | John Fletcher Wade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699799692 PECOS PAC ID: 4486611738 Enrollment ID: I20230210000234 |
| Provider Name | Kaeli Yamashiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699155879 PECOS PAC ID: 6305218694 Enrollment ID: I20230215000388 |
| Provider Name | Brian E Mccann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932101722 PECOS PAC ID: 5193617066 Enrollment ID: I20230215002666 |
| Provider Name | Jessica Jean Bradigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013621234 PECOS PAC ID: 3870965080 Enrollment ID: I20230216003094 |
| Provider Name | Danielle Burkett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851550339 PECOS PAC ID: 0941473722 Enrollment ID: I20230221002193 |
| Provider Name | Catharine Jane Mcdermott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114306578 PECOS PAC ID: 1456668151 Enrollment ID: I20230223000472 |
| Provider Name | Karl V Reisig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467864116 PECOS PAC ID: 6002130358 Enrollment ID: I20230301000938 |
| Provider Name | Abigail Chapman Burgin Hardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346948676 PECOS PAC ID: 7012380629 Enrollment ID: I20230301003034 |
| Provider Name | Farbod Khaki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114360054 PECOS PAC ID: 7214282987 Enrollment ID: I20230302003113 |
| Provider Name | Kimberly Ann Sworn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184884157 PECOS PAC ID: 5193198323 Enrollment ID: I20230308002011 |
| Provider Name | Rhia Corsentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992941579 PECOS PAC ID: 1951627306 Enrollment ID: I20230310002529 |
| Provider Name | Taysa Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407316409 PECOS PAC ID: 1759755663 Enrollment ID: I20230315003236 |
| Provider Name | Nichole B Thorne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942763438 PECOS PAC ID: 9133453244 Enrollment ID: I20230317001081 |
| Provider Name | Connie Storholt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538791454 PECOS PAC ID: 7719309640 Enrollment ID: I20230322002683 |
| Provider Name | Shannon B Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215365994 PECOS PAC ID: 1254568454 Enrollment ID: I20230323003207 |
| Provider Name | David Glenn Ejchorszt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346698073 PECOS PAC ID: 0749654176 Enrollment ID: I20230324002363 |
| Provider Name | Aneta Rudzinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093374290 PECOS PAC ID: 3173857927 Enrollment ID: I20230327003090 |
| Provider Name | Jessica Glasscock Mcgahey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167181 PECOS PAC ID: 8123377025 Enrollment ID: I20230403000627 |
| Provider Name | Zachary Simons |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730569476 PECOS PAC ID: 9830401280 Enrollment ID: I20230403001791 |
| Provider Name | Stuart Davidson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225577539 PECOS PAC ID: 7810228434 Enrollment ID: I20230404000467 |
| Provider Name | Farrukh Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922094036 PECOS PAC ID: 4880605104 Enrollment ID: I20230404002757 |
| Provider Name | Thomas Adam Oliver |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861617755 PECOS PAC ID: 7113170234 Enrollment ID: I20230405002745 |
| Provider Name | Seth Thomas White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457885345 PECOS PAC ID: 7214326305 Enrollment ID: I20230406000750 |
| Provider Name | Cheryl Denise Robson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326772542 PECOS PAC ID: 3072988617 Enrollment ID: I20230412001405 |
| Provider Name | Rahul Singh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053666131 PECOS PAC ID: 9830492255 Enrollment ID: I20230425001810 |
| Provider Name | Muhammad Badshah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295195261 PECOS PAC ID: 0244206605 Enrollment ID: I20230426000202 |
| Provider Name | Alexander Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20230427001002 |
| Provider Name | Edward Greenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780836528 PECOS PAC ID: 2163686320 Enrollment ID: I20230502000558 |
| Provider Name | John Berger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003014911 PECOS PAC ID: 6002930344 Enrollment ID: I20230502001212 |
| Provider Name | Stephen A Korte |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881615318 PECOS PAC ID: 4587557608 Enrollment ID: I20230504000806 |
| Provider Name | Candace Kaye Kaufhold Baily |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497482194 PECOS PAC ID: 6901261494 Enrollment ID: I20230505002388 |
| Provider Name | Hamzah Alqam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871973065 PECOS PAC ID: 1951616713 Enrollment ID: I20230510002312 |
| Provider Name | Lisa Smith Langmo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508863549 PECOS PAC ID: 7719080332 Enrollment ID: I20230511000085 |
| Provider Name | Erica Lynn Jeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093429714 PECOS PAC ID: 9234595497 Enrollment ID: I20230515002013 |
| Provider Name | Matthew Light |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699036269 PECOS PAC ID: 5698079457 Enrollment ID: I20230516000619 |
| Provider Name | Umida Malikova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780343954 PECOS PAC ID: 9032504055 Enrollment ID: I20230516002424 |
| Provider Name | Scott David Boruchov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891775755 PECOS PAC ID: 3274523857 Enrollment ID: I20230518000606 |
| Provider Name | Silvia Gesheva Baxter |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912297920 PECOS PAC ID: 4789983677 Enrollment ID: I20230518000990 |
| Provider Name | Amanda E Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518694686 PECOS PAC ID: 4587020359 Enrollment ID: I20230522000160 |
| Provider Name | Megan Lindsay Collett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255031365 PECOS PAC ID: 5597121186 Enrollment ID: I20230524002468 |
| Provider Name | Konrad Weatherhogg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487737292 PECOS PAC ID: 6709864200 Enrollment ID: I20230602000031 |
| Provider Name | Johanna Morgan Hensley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528535143 PECOS PAC ID: 0244579589 Enrollment ID: I20230602000579 |
| Provider Name | Matthew Alton Burks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013398247 PECOS PAC ID: 6507174174 Enrollment ID: I20230605000417 |
| Provider Name | Steven Michael Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316367832 PECOS PAC ID: 2466884432 Enrollment ID: I20230609000071 |
| Provider Name | Elan Small |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548728082 PECOS PAC ID: 3476910241 Enrollment ID: I20230609000945 |
| Provider Name | Alan Puddy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891019972 PECOS PAC ID: 9537303383 Enrollment ID: I20230612001536 |
| Provider Name | Melinda Blackburn Mathis-clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427743434 PECOS PAC ID: 8628436193 Enrollment ID: I20230615003097 |
| Provider Name | Rachel Baiyee-cady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043839608 PECOS PAC ID: 8628436094 Enrollment ID: I20230615003140 |
| Provider Name | William J Fraser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013533280 PECOS PAC ID: 3476935263 Enrollment ID: I20230619000313 |
| Provider Name | Bryce W Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902326804 PECOS PAC ID: 6406128735 Enrollment ID: I20230622001263 |
| Provider Name | Addison Graves Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770660060 PECOS PAC ID: 5092885277 Enrollment ID: I20230626001174 |
| Provider Name | Atharva Thakore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154853125 PECOS PAC ID: 3072883776 Enrollment ID: I20230628004054 |
| Provider Name | Purshotham R Ginne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255584397 PECOS PAC ID: 2860662335 Enrollment ID: I20230630003217 |
| Provider Name | Christopher Andrew Groh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396008678 PECOS PAC ID: 0446542674 Enrollment ID: I20230703000418 |
| Provider Name | Michael Reed Fry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285011577 PECOS PAC ID: 1951617190 Enrollment ID: I20230705000504 |
| Provider Name | Danielle Marie Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942911284 PECOS PAC ID: 1052770385 Enrollment ID: I20230705002925 |
| Provider Name | Eric Donald Biewenga |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154581965 PECOS PAC ID: 1052558384 Enrollment ID: I20230710003796 |
| Provider Name | Mollie Anne Harsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609582428 PECOS PAC ID: 2163882929 Enrollment ID: I20230712003116 |
| Provider Name | Kathryn R Palleschi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346887080 PECOS PAC ID: 1456781699 Enrollment ID: I20230713003928 |
| Provider Name | Michael Alan Duerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669931804 PECOS PAC ID: 9032579636 Enrollment ID: I20230713004258 |
| Provider Name | Yana S Klein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699304485 PECOS PAC ID: 7113387721 Enrollment ID: I20230714000090 |
| Provider Name | Daniel Nicolas Paz De Araujo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851853444 PECOS PAC ID: 1052641693 Enrollment ID: I20230714003051 |
| Provider Name | Katherine Marie Shaum |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659767309 PECOS PAC ID: 5395054647 Enrollment ID: I20230717000432 |
| Provider Name | Jennifer Corteo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629797980 PECOS PAC ID: 6901266246 Enrollment ID: I20230718001801 |
| Provider Name | Drew Renfroe |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114635018 PECOS PAC ID: 9234500026 Enrollment ID: I20230718002259 |
| Provider Name | Melissa Marie Malinky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629531082 PECOS PAC ID: 8820321714 Enrollment ID: I20230718003519 |
| Provider Name | William Braiden Dewispelaere |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023645777 PECOS PAC ID: 4587024682 Enrollment ID: I20230720004253 |
| Provider Name | Stephanie Preacher |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639863160 PECOS PAC ID: 7315308210 Enrollment ID: I20230725001289 |
| Provider Name | Charla Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770243768 PECOS PAC ID: 4587025432 Enrollment ID: I20230725003381 |
| Provider Name | Catie Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427678705 PECOS PAC ID: 6901274950 Enrollment ID: I20230729000055 |
| Provider Name | Cara Leigh Reitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538441563 PECOS PAC ID: 8820459431 Enrollment ID: I20230730000218 |
| Provider Name | Corey Andrew Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790309318 PECOS PAC ID: 0143644088 Enrollment ID: I20230731002147 |
| Provider Name | Christine E Palmares |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306475785 PECOS PAC ID: 3779944210 Enrollment ID: I20230801001893 |
| Provider Name | Derek Eshun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851754907 PECOS PAC ID: 7214264696 Enrollment ID: I20230802003868 |
| Provider Name | Mohey Saleh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649270398 PECOS PAC ID: 1850203399 Enrollment ID: I20230802003901 |
| Provider Name | James Albert Mcaleer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205364841 PECOS PAC ID: 4789045071 Enrollment ID: I20230802004427 |
| Provider Name | Brett Michael Weum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801423801 PECOS PAC ID: 6901229343 Enrollment ID: I20230807003476 |
| Provider Name | Devyn Box |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457063836 PECOS PAC ID: 0244691236 Enrollment ID: I20230808000391 |
| Provider Name | Lanay Patrice Abogah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275219222 PECOS PAC ID: 2365804242 Enrollment ID: I20230809001004 |
| Provider Name | Kathryn Charlotte Helmig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003349143 PECOS PAC ID: 5597036095 Enrollment ID: I20230809001264 |
| Provider Name | Katharine Heffner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609337542 PECOS PAC ID: 4587026356 Enrollment ID: I20230810000914 |
| Provider Name | Matthew Wayne Jackson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821359795 PECOS PAC ID: 5395987390 Enrollment ID: I20230810002381 |
| Provider Name | Justyn Schlaack |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174214837 PECOS PAC ID: 7113389925 Enrollment ID: I20230810002536 |
| Provider Name | Thanh Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578024659 PECOS PAC ID: 1355678822 Enrollment ID: I20230810003474 |
| Provider Name | Lindsey J Dove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063031318 PECOS PAC ID: 3870915671 Enrollment ID: I20230814000011 |
| Provider Name | Leigh K Lamoyne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538770052 PECOS PAC ID: 3476915117 Enrollment ID: I20230814000678 |
| Provider Name | Vishesh Kothary |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982136214 PECOS PAC ID: 3274800040 Enrollment ID: I20230815002763 |
| Provider Name | Alaina Emily Hartman Wirt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073232583 PECOS PAC ID: 9133581655 Enrollment ID: I20230816000762 |
| Provider Name | Christopher Andrew Koerber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043849722 PECOS PAC ID: 3476915810 Enrollment ID: I20230816002565 |
| Provider Name | Jillian Roxanna Foley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972750206 PECOS PAC ID: 0749453264 Enrollment ID: I20230816002642 |
| Provider Name | Andrew Phillip Vines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942821129 PECOS PAC ID: 5698197416 Enrollment ID: I20230816002870 |
| Provider Name | Polina Kaloyanova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073707667 PECOS PAC ID: 3971681669 Enrollment ID: I20230817003064 |
| Provider Name | Joanne Monterroso Azpuru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497986129 PECOS PAC ID: 6103131784 Enrollment ID: I20230818001650 |
| Provider Name | Bruce Edward Lundak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699778787 PECOS PAC ID: 4183633910 Enrollment ID: I20230818002085 |
| Provider Name | Shannon Rachael Salerno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275158131 PECOS PAC ID: 8527483064 Enrollment ID: I20230822000094 |
| Provider Name | Nick Levinsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013301068 PECOS PAC ID: 9436461415 Enrollment ID: I20230824002058 |
| Provider Name | Jill Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275928897 PECOS PAC ID: 4587918586 Enrollment ID: I20230824002906 |
| Provider Name | Melanie B Schweir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982265245 PECOS PAC ID: 2466788864 Enrollment ID: I20230824004345 |
| Provider Name | Kimberly Aut |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396208575 PECOS PAC ID: 2769711233 Enrollment ID: I20230825000251 |
| Provider Name | Elizabeth J York |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124581806 PECOS PAC ID: 4587082128 Enrollment ID: I20230825003289 |
| Provider Name | Justin Provo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720548670 PECOS PAC ID: 1355751983 Enrollment ID: I20230825003531 |
| Provider Name | Shravya Rao Nagurla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851894869 PECOS PAC ID: 1052718509 Enrollment ID: I20230828000562 |
| Provider Name | Kortney Anne Robinson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154670933 PECOS PAC ID: 1557760972 Enrollment ID: I20230829002107 |
| Provider Name | Lisa Rene Cloutier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518642818 PECOS PAC ID: 2860855285 Enrollment ID: I20230831002689 |
| Provider Name | Justin Daniel Jevicks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336602820 PECOS PAC ID: 0143556571 Enrollment ID: I20230905000050 |
| Provider Name | Brittany Ashley Nowak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558748863 PECOS PAC ID: 5395078356 Enrollment ID: I20230906000066 |
| Provider Name | Matthew Waller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902584014 PECOS PAC ID: 6406210640 Enrollment ID: I20230907000124 |
| Provider Name | Melina Shoni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376938241 PECOS PAC ID: 1951696079 Enrollment ID: I20230907001527 |
| Provider Name | Theresa Rose Simard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861756181 PECOS PAC ID: 6305124272 Enrollment ID: I20230911003930 |
| Provider Name | William L Vanasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699177873 PECOS PAC ID: 0547527822 Enrollment ID: I20230912000924 |
| Provider Name | Maria Anne Kohlbrenner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295362309 PECOS PAC ID: 5799149597 Enrollment ID: I20230913000085 |
| Provider Name | Jose Ignacio Ruades Ninfea |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699063123 PECOS PAC ID: 9739480187 Enrollment ID: I20230913002433 |
| Provider Name | Lakshmi Kolandra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396271052 PECOS PAC ID: 3870863657 Enrollment ID: I20230913003588 |
| Provider Name | Nicholas V Costrini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063444636 PECOS PAC ID: 2466627302 Enrollment ID: I20230914004081 |
| Provider Name | Jenna Cale Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154984268 PECOS PAC ID: 5799028668 Enrollment ID: I20230915000370 |
| Provider Name | Ronak Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417578808 PECOS PAC ID: 0941664445 Enrollment ID: I20230918001344 |
| Provider Name | Briana Poynor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194221598 PECOS PAC ID: 3072977495 Enrollment ID: I20230918002545 |
| Provider Name | Elisabeth Susan Vanse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952563702 PECOS PAC ID: 2466627146 Enrollment ID: I20230921000402 |
| Provider Name | Andrew Agada Okpe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366095903 PECOS PAC ID: 6800240185 Enrollment ID: I20230921000976 |
| Provider Name | Thomas Klink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942865233 PECOS PAC ID: 8426382029 Enrollment ID: I20230922003866 |
| Provider Name | Tonya Marie Korbel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497469944 PECOS PAC ID: 9032563986 Enrollment ID: I20230926001837 |
| Provider Name | Susan Wcislak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477963270 PECOS PAC ID: 7416280037 Enrollment ID: I20230928001499 |
| Provider Name | Christopher Zimmermann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477949162 PECOS PAC ID: 8729382437 Enrollment ID: I20230928003077 |
| Provider Name | Meghan Marguerite Branston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518462712 PECOS PAC ID: 6608249446 Enrollment ID: I20230929000175 |
| Provider Name | Lucas Dukes Mcgee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912467168 PECOS PAC ID: 7113325093 Enrollment ID: I20230929001376 |
| Provider Name | Karzan Salih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154958510 PECOS PAC ID: 3072906403 Enrollment ID: I20231002000954 |
| Provider Name | Nathaniel Poulin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497916738 PECOS PAC ID: 4981851854 Enrollment ID: I20231003002514 |
| Provider Name | Ramia Mumtaz Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912523556 PECOS PAC ID: 0446673107 Enrollment ID: I20231004000806 |
| Provider Name | Erin Meyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467022855 PECOS PAC ID: 7315392727 Enrollment ID: I20231004002820 |
| Provider Name | Andriy Barchuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831727536 PECOS PAC ID: 6305260381 Enrollment ID: I20231006000198 |
| Provider Name | Laura M Shughart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932786746 PECOS PAC ID: 3274988456 Enrollment ID: I20231006003320 |
| Provider Name | Kelly Joy Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992486518 PECOS PAC ID: 2567817745 Enrollment ID: I20231007000393 |
| Provider Name | Deena Khaled Khamees |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770962102 PECOS PAC ID: 1254667603 Enrollment ID: I20231009001781 |
| Provider Name | Matthew Adam Hodges |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922504497 PECOS PAC ID: 9537419239 Enrollment ID: I20231009002838 |
| Provider Name | Dilasha Katwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841604790 PECOS PAC ID: 8628344686 Enrollment ID: I20231013000016 |
| Provider Name | Alam Wahab Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902425143 PECOS PAC ID: 7911352745 Enrollment ID: I20231013000458 |
| Provider Name | Michael Colin Witte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043846967 PECOS PAC ID: 7517380447 Enrollment ID: I20231013000688 |
| Provider Name | Kyle Adkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487282596 PECOS PAC ID: 4789039504 Enrollment ID: I20231016000333 |
| Provider Name | Usama Bardan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538796727 PECOS PAC ID: 6103237490 Enrollment ID: I20231019000742 |
| Provider Name | Shannon Shabnam Amirie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285127647 PECOS PAC ID: 6507116712 Enrollment ID: I20231019002205 |
| Provider Name | Susan K Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811225261 PECOS PAC ID: 8820132392 Enrollment ID: I20231020000637 |
| Provider Name | Emily Ahadizadeh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346745965 PECOS PAC ID: 6103176961 Enrollment ID: I20231024000466 |
| Provider Name | Max Bringe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255728309 PECOS PAC ID: 6608222864 Enrollment ID: I20231024001685 |
| Provider Name | Sameera Fareed Farrukh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083600183 PECOS PAC ID: 8022019314 Enrollment ID: I20231026002604 |
| Provider Name | Giovanna Cantor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144777350 PECOS PAC ID: 6204104599 Enrollment ID: I20231027001760 |
| Provider Name | Paige E Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457810632 PECOS PAC ID: 3577893155 Enrollment ID: I20231028000581 |
| Provider Name | Stephanie Vazquez Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982199121 PECOS PAC ID: 3870920739 Enrollment ID: I20231101001902 |
| Provider Name | Anne-claire Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639867450 PECOS PAC ID: 0749636447 Enrollment ID: I20231101002683 |
| Provider Name | Scott Linger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558647180 PECOS PAC ID: 9234376237 Enrollment ID: I20231106000052 |
| Provider Name | Benjamin Carl Meyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407210081 PECOS PAC ID: 2961893870 Enrollment ID: I20231106000088 |
| Provider Name | Gannon Lee Curtis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083119010 PECOS PAC ID: 1052676855 Enrollment ID: I20231106001866 |
| Provider Name | Bridget Kirkegaard Caulkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063894574 PECOS PAC ID: 9234445156 Enrollment ID: I20231107001815 |
| Provider Name | Morgan Estes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548609332 PECOS PAC ID: 5395985642 Enrollment ID: I20231110001314 |
| Provider Name | Leon Pablo Campos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528094075 PECOS PAC ID: 1557352978 Enrollment ID: I20231113002414 |
| Provider Name | Andrea Jo Colton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346595063 PECOS PAC ID: 8325265531 Enrollment ID: I20231114003428 |
| Provider Name | Tristan Ann Woelmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811617954 PECOS PAC ID: 7911354808 Enrollment ID: I20231115000486 |
| Provider Name | Mariel K Gillham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952620460 PECOS PAC ID: 3678708914 Enrollment ID: I20231116003195 |
| Provider Name | Alexandra Elizabeth Chacko-stacey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285299206 PECOS PAC ID: 4284082942 Enrollment ID: I20231120000930 |
| Provider Name | James Makinen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982135745 PECOS PAC ID: 7214206200 Enrollment ID: I20231120002788 |
| Provider Name | Joseph Eisele Gillham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053624296 PECOS PAC ID: 7214204221 Enrollment ID: I20231121000076 |
| Provider Name | Daniel R Merrill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841793197 PECOS PAC ID: 1850749102 Enrollment ID: I20231127001877 |
| Provider Name | Ravi Shahu Khal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477975753 PECOS PAC ID: 9537387568 Enrollment ID: I20231127002422 |
| Provider Name | Gautam Sachdeva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760798177 PECOS PAC ID: 5294091393 Enrollment ID: I20231128000889 |
| Provider Name | Andrew Palmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225625171 PECOS PAC ID: 5698189769 Enrollment ID: I20231130001432 |
| Provider Name | Phebe Ann Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558980540 PECOS PAC ID: 6800217126 Enrollment ID: I20231201001735 |
| Provider Name | Ian Anthony Mullikin |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1255774188 PECOS PAC ID: 4082999495 Enrollment ID: I20231209000390 |
| Provider Name | Cody Wayne Mcilvain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295363075 PECOS PAC ID: 9234591082 Enrollment ID: I20231213002340 |
| Provider Name | Pamela Aubree Vanmierlo |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1851564975 PECOS PAC ID: 2062634025 Enrollment ID: I20231213002637 |
| Provider Name | Peter Layman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578913802 PECOS PAC ID: 8426336413 Enrollment ID: I20231214001770 |
| Provider Name | Nathan Michael Somerset |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467911545 PECOS PAC ID: 2668822297 Enrollment ID: I20231222001561 |
| Provider Name | Jamie L Lone Bear-granbois |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952634016 PECOS PAC ID: 9133570831 Enrollment ID: I20240108000117 |
| Provider Name | Kirsten Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891226122 PECOS PAC ID: 7012280795 Enrollment ID: I20240109000866 |
| Provider Name | Kristina Skalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902255748 PECOS PAC ID: 2567742794 Enrollment ID: I20240109001044 |
| Provider Name | Kristi A Lamb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851656763 PECOS PAC ID: 9133570492 Enrollment ID: I20240111000143 |
| Provider Name | Mariel Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356404495 PECOS PAC ID: 1951752013 Enrollment ID: I20240112002646 |
| Provider Name | Alvis Talata Ayaba-apawu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154553691 PECOS PAC ID: 4981056751 Enrollment ID: I20240117001716 |
| Provider Name | Megan Cortez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013624642 PECOS PAC ID: 5597117234 Enrollment ID: I20240118002760 |
| Provider Name | Benjamin Powell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275751778 PECOS PAC ID: 4880766948 Enrollment ID: I20240119000052 |
| Provider Name | Kimberly Hicks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780089854 PECOS PAC ID: 0840642351 Enrollment ID: I20240120000337 |
| Provider Name | Anne Christine Uhlman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073224382 PECOS PAC ID: 8820440043 Enrollment ID: I20240123003018 |
| Provider Name | Brian Yoon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629364195 PECOS PAC ID: 8729466206 Enrollment ID: I20240125000890 |
| Provider Name | Sandra Louise Drager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205802097 PECOS PAC ID: 9436325354 Enrollment ID: I20240202003842 |
| Provider Name | Adam Orin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952898900 PECOS PAC ID: 7719320969 Enrollment ID: I20240205003937 |
| Provider Name | Nicole Marie Sgromolo |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1366823957 PECOS PAC ID: 7012292881 Enrollment ID: I20240208002375 |
| Provider Name | Aranyak Shailesh Rawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902283476 PECOS PAC ID: 2860791316 Enrollment ID: I20240213001828 |
| Provider Name | Holly Anne Bradbury |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760196729 PECOS PAC ID: 4284078643 Enrollment ID: I20240214001194 |
| Provider Name | Cynthia Ann Gallo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790499853 PECOS PAC ID: 2961846266 Enrollment ID: I20240214002910 |
| Provider Name | Joel R Becker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801291786 PECOS PAC ID: 3072957976 Enrollment ID: I20240220000303 |
| Provider Name | Cristiana Olaru |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871806448 PECOS PAC ID: 7810137155 Enrollment ID: I20240222002706 |
| Provider Name | Evette Passionnette Valentine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710394655 PECOS PAC ID: 4082059498 Enrollment ID: I20240226001012 |
| Provider Name | Leah Bianca Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184313447 PECOS PAC ID: 0941645204 Enrollment ID: I20240227002409 |
| Provider Name | Susan Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679785455 PECOS PAC ID: 5092150086 Enrollment ID: I20240229001959 |
| Provider Name | Robin Rae Schawe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790147064 PECOS PAC ID: 0345685145 Enrollment ID: I20240304000731 |
| Provider Name | Jake Andrew Winchester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821440389 PECOS PAC ID: 4688019375 Enrollment ID: I20240304004011 |
| Provider Name | Kevin Hou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447644372 PECOS PAC ID: 5496008161 Enrollment ID: I20240305003814 |
| Provider Name | Marissa M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215431408 PECOS PAC ID: 3375989965 Enrollment ID: I20240305004457 |
| Provider Name | Faisal Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831140011 PECOS PAC ID: 6103855572 Enrollment ID: I20240312001624 |
| Provider Name | Maricela Jacobo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164786679 PECOS PAC ID: 8325428055 Enrollment ID: I20240312004271 |
| Provider Name | Pamela Sue Dryden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235991076 PECOS PAC ID: 3476999186 Enrollment ID: I20240315001418 |
| Provider Name | Drusilla Regan Wacker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336392877 PECOS PAC ID: 4981041126 Enrollment ID: I20240322002157 |
| Provider Name | Jody L Pendleton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255387197 PECOS PAC ID: 4082051198 Enrollment ID: I20240326000348 |
| Provider Name | Kendall Donnell Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689108797 PECOS PAC ID: 3274970199 Enrollment ID: I20240327000287 |
| Provider Name | Garrett R Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962997601 PECOS PAC ID: 8426304437 Enrollment ID: I20240328003635 |
| Provider Name | Amy Goodwin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073708590 PECOS PAC ID: 4880954528 Enrollment ID: I20240403000784 |
| Provider Name | Andrew James Meikle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487377396 PECOS PAC ID: 5395183727 Enrollment ID: I20240404002357 |
| Provider Name | Christy Marie Schuett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497001176 PECOS PAC ID: 9032557046 Enrollment ID: I20240409003576 |
| Provider Name | Miranda Mesloh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780034488 PECOS PAC ID: 1052606308 Enrollment ID: I20240410001004 |
| Provider Name | Michele Armstrong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023142213 PECOS PAC ID: 7911346846 Enrollment ID: I20240411003018 |
| Provider Name | Sarah Ann Jones Ketter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013369107 PECOS PAC ID: 1658665856 Enrollment ID: I20240412003438 |
| Provider Name | Andrea Irene Martin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710584602 PECOS PAC ID: 7719307214 Enrollment ID: I20240425003999 |
| Provider Name | Kenneth Ray Curtner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205538204 PECOS PAC ID: 0345680989 Enrollment ID: I20240430003460 |
| Provider Name | Pia M Jansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851731996 PECOS PAC ID: 0941640320 Enrollment ID: I20240502000731 |
| Provider Name | Matthew R Lafleur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063668622 PECOS PAC ID: 4688810328 Enrollment ID: I20240507002635 |
| Provider Name | Patrick Louis Drossel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285184101 PECOS PAC ID: 5991146995 Enrollment ID: I20240508001405 |
| Provider Name | Savannah Gappa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174382105 PECOS PAC ID: 4587005541 Enrollment ID: I20240508003810 |
| Provider Name | Miguel Angel Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841762622 PECOS PAC ID: 6608217591 Enrollment ID: I20240509001037 |
| Provider Name | David B Pierce |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1295077196 PECOS PAC ID: 2163736018 Enrollment ID: I20240509002055 |
| Provider Name | Anthony Rodriguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841876315 PECOS PAC ID: 0244671006 Enrollment ID: I20240509004088 |
| Provider Name | Jessica S Scheid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649972993 PECOS PAC ID: 0547613226 Enrollment ID: I20240510000765 |
| Provider Name | Audrey M Magnowski |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1093210528 PECOS PAC ID: 0749536340 Enrollment ID: I20240510001873 |
| Provider Name | Natasha Aguirre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184251563 PECOS PAC ID: 5991128936 Enrollment ID: I20240514001494 |
| Provider Name | Fanni Barbara Cardenas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629655972 PECOS PAC ID: 8921449158 Enrollment ID: I20240517003170 |
| Provider Name | Rachael Lee Muschalek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922633015 PECOS PAC ID: 5890136022 Enrollment ID: I20240517003341 |
| Provider Name | Maya Amanda Rhine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407433584 PECOS PAC ID: 4981045150 Enrollment ID: I20240520000367 |
| Provider Name | Michael Pergola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760010706 PECOS PAC ID: 5294157285 Enrollment ID: I20240520002576 |
| Provider Name | Kaitlin Ford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700375250 PECOS PAC ID: 9436517190 Enrollment ID: I20240521001105 |
| Provider Name | Terry Lefcourt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902301047 PECOS PAC ID: 3173938206 Enrollment ID: I20240522002560 |
| Provider Name | Tyler Dejong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477135614 PECOS PAC ID: 4486053535 Enrollment ID: I20240524001732 |
| Provider Name | Ahmed Abdal Cheema |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942435375 PECOS PAC ID: 9537450705 Enrollment ID: I20240528002564 |
| Provider Name | Sagun Kaur Tuli |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629290564 PECOS PAC ID: 6406034016 Enrollment ID: I20240603004056 |
| Provider Name | Eric Jim Bustos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154907632 PECOS PAC ID: 7810439536 Enrollment ID: I20240610003633 |
| Provider Name | Mandy Binning |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104001791 PECOS PAC ID: 8022286145 Enrollment ID: I20240612003305 |
| Provider Name | Jeffery D. Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518288604 PECOS PAC ID: 5890935050 Enrollment ID: I20240612003517 |
| Provider Name | Mia Kitajima Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083082507 PECOS PAC ID: 8325330616 Enrollment ID: I20240614002286 |
| Provider Name | Michelle L Raphael |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023243813 PECOS PAC ID: 3577719442 Enrollment ID: I20240624004200 |
| Provider Name | Bishal Bhandari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689104002 PECOS PAC ID: 5890064687 Enrollment ID: I20240625001090 |
| Provider Name | Ryan Lucas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730765470 PECOS PAC ID: 3375086838 Enrollment ID: I20240625002135 |
| Provider Name | Max Dakota Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790349181 PECOS PAC ID: 0547661845 Enrollment ID: I20240627002255 |
| Provider Name | Joseph Earl Thomas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295228484 PECOS PAC ID: 2860749652 Enrollment ID: I20240627002558 |
| Provider Name | Eliezer Alexander Hernandez-linarte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184201428 PECOS PAC ID: 9032653399 Enrollment ID: I20240627004108 |
| Provider Name | Shirley Marie Vega Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295459162 PECOS PAC ID: 2264976521 Enrollment ID: I20240627004298 |
| Provider Name | Raja Rajan Gopaldas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982849451 PECOS PAC ID: 7911031836 Enrollment ID: I20240628000675 |
| Provider Name | Daniel Keith Muir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215513627 PECOS PAC ID: 0042612806 Enrollment ID: I20240703002080 |
| Provider Name | Whitney Raye Pollard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396369492 PECOS PAC ID: 2264976059 Enrollment ID: I20240703003295 |
| Provider Name | James Fielding Mccarrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083111512 PECOS PAC ID: 6901161686 Enrollment ID: I20240705000177 |
| Provider Name | Ashley Mcmellen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730641903 PECOS PAC ID: 2860727179 Enrollment ID: I20240705001000 |
| Provider Name | Robert Bada Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073975660 PECOS PAC ID: 8921351313 Enrollment ID: I20240710001987 |
| Provider Name | Aaron Szpytman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346822814 PECOS PAC ID: 3173924115 Enrollment ID: I20240710004624 |
| Provider Name | Randall Dunston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730746603 PECOS PAC ID: 9234466830 Enrollment ID: I20240710004910 |
| Provider Name | Eric W Rudofker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558893891 PECOS PAC ID: 5294008702 Enrollment ID: I20240710005246 |
| Provider Name | Gayla Pyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609249580 PECOS PAC ID: 6901208594 Enrollment ID: I20240712001482 |
| Provider Name | Erin Elizabeth Ekstrom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699010934 PECOS PAC ID: 6406391440 Enrollment ID: I20240715000005 |
| Provider Name | Margaret Grace Oliver Dods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376004689 PECOS PAC ID: 6901133024 Enrollment ID: I20240718005019 |
| Provider Name | Nathan E Drasler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790246965 PECOS PAC ID: 3072932540 Enrollment ID: I20240721000096 |
| Provider Name | Nicholas Heter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215513916 PECOS PAC ID: 4688110935 Enrollment ID: I20240723000657 |
| Provider Name | Michael Morris |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235634098 PECOS PAC ID: 2668700873 Enrollment ID: I20240723004793 |
| Provider Name | Suzanne Elizabeth Wagster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942451778 PECOS PAC ID: 4385180546 Enrollment ID: I20240724000614 |
| Provider Name | Elizabeth Vorhis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487674420 PECOS PAC ID: 4183629652 Enrollment ID: I20240724001356 |
| Provider Name | Matthew Hille |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760988315 PECOS PAC ID: 6204162712 Enrollment ID: I20240724002483 |
| Provider Name | Taelor Stagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518657808 PECOS PAC ID: 6608234075 Enrollment ID: I20240727000561 |
| Provider Name | Marcus Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922641299 PECOS PAC ID: 3072946508 Enrollment ID: I20240731004345 |
| Provider Name | Andrea Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003048919 PECOS PAC ID: 4789121302 Enrollment ID: I20240731004754 |
| Provider Name | Victoria Campdesuner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366930950 PECOS PAC ID: 4486081791 Enrollment ID: I20240807004774 |
| Provider Name | Suzanne Marie Lange |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790216828 PECOS PAC ID: 8729331046 Enrollment ID: I20240807004783 |
| Provider Name | Erin Quinn Chiaramonte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437708252 PECOS PAC ID: 1759828718 Enrollment ID: I20240808000116 |
| Provider Name | Timothy Joseph Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336567825 PECOS PAC ID: 6406075118 Enrollment ID: I20240816002110 |
| Provider Name | Chelsea Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588197677 PECOS PAC ID: 6608148564 Enrollment ID: I20240816002614 |
| Provider Name | Michael Joseph Gitter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467403410 PECOS PAC ID: 9537072541 Enrollment ID: I20240821001541 |
| Provider Name | Priscilla Christine Pfeifer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366290397 PECOS PAC ID: 9537607502 Enrollment ID: I20240821003542 |
| Provider Name | William Runge |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1114451275 PECOS PAC ID: 7810267630 Enrollment ID: I20240821005007 |
| Provider Name | Patrick Timothy Strickland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568957561 PECOS PAC ID: 2668725342 Enrollment ID: I20240822000929 |
| Provider Name | Hector Roberto Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053986026 PECOS PAC ID: 7517406853 Enrollment ID: I20240829003773 |
| Provider Name | Melody Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982282000 PECOS PAC ID: 5496156184 Enrollment ID: I20240830003421 |
| Provider Name | David Harold Rice |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043311202 PECOS PAC ID: 5395732267 Enrollment ID: I20240901000036 |
| Provider Name | Nathaniel Fortner Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437738184 PECOS PAC ID: 9830591304 Enrollment ID: I20240903000032 |
| Provider Name | Sara J Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235324765 PECOS PAC ID: 9335688464 Enrollment ID: I20240903002369 |
| Provider Name | Emma Rosenblum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235878885 PECOS PAC ID: 3173063286 Enrollment ID: I20240904001287 |
| Provider Name | Rachael Ann Slaughter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376894691 PECOS PAC ID: 9133669179 Enrollment ID: I20240905001894 |
| Provider Name | Moiz Javed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487234852 PECOS PAC ID: 3577003474 Enrollment ID: I20240906000150 |
| Provider Name | Alison Liewen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306374236 PECOS PAC ID: 0547694424 Enrollment ID: I20240906002921 |
| Provider Name | Errol Inci |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750734349 PECOS PAC ID: 9133495203 Enrollment ID: I20240906003556 |
| Provider Name | Ronald Harrison Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972184489 PECOS PAC ID: 6204238017 Enrollment ID: I20240911003367 |
| Provider Name | Mikayla Renee Benz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073351896 PECOS PAC ID: 3072053446 Enrollment ID: I20240912000121 |
| Provider Name | Jason A Telles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659502334 PECOS PAC ID: 4981887817 Enrollment ID: I20240916003986 |
| Provider Name | Jessica Hergenreter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699503805 PECOS PAC ID: 2961943519 Enrollment ID: I20240923001932 |
| Provider Name | Paul Bridges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003496712 PECOS PAC ID: 5395146831 Enrollment ID: I20240925002042 |
| Provider Name | Jenny Lee Brakovec |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689834863 PECOS PAC ID: 4183892169 Enrollment ID: I20240926002373 |
| Provider Name | Quinton Sturdivant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720656333 PECOS PAC ID: 6800298761 Enrollment ID: I20240929000093 |
| Provider Name | Mary Elizabeth Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144560384 PECOS PAC ID: 8820230188 Enrollment ID: I20241002000058 |
| Provider Name | Rohan Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003278169 PECOS PAC ID: 5698069789 Enrollment ID: I20241004000254 |
| Provider Name | Joshua Andrew Watson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114267747 PECOS PAC ID: 7517498280 Enrollment ID: I20241004002418 |
| Provider Name | Alexandra Elizabeth Osias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760141097 PECOS PAC ID: 7315478716 Enrollment ID: I20241009000058 |
| Provider Name | Meng Shuang Guo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689105397 PECOS PAC ID: 8123351053 Enrollment ID: I20241009002870 |
| Provider Name | Jamie C Riesberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770618332 PECOS PAC ID: 5890227219 Enrollment ID: I20241010000698 |
| Provider Name | Cameron James Colvard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083292221 PECOS PAC ID: 0042692824 Enrollment ID: I20241014004828 |
| Provider Name | Amy Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033731369 PECOS PAC ID: 9133581960 Enrollment ID: I20241015000275 |
| Provider Name | Anna M Glowacki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083025027 PECOS PAC ID: 3971887068 Enrollment ID: I20241017002143 |
| Provider Name | Amanda Berggren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891353421 PECOS PAC ID: 2062747454 Enrollment ID: I20241018003213 |
| Provider Name | Laura Katherine Chandler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396470878 PECOS PAC ID: 8527509546 Enrollment ID: I20241021001512 |
| Provider Name | Aqueel Hussain Pabaney |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275763591 PECOS PAC ID: 7416189014 Enrollment ID: I20241021004446 |
| Provider Name | Allee Cristina Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255919601 PECOS PAC ID: 7214338482 Enrollment ID: I20241022002493 |
| Provider Name | Sara Focht |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144720426 PECOS PAC ID: 1557894987 Enrollment ID: I20241024000090 |
| Provider Name | Hamza Alim Shaikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053510727 PECOS PAC ID: 3375783913 Enrollment ID: I20241024000386 |
| Provider Name | Kesley Marie Huffman |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1528895083 PECOS PAC ID: 0143753046 Enrollment ID: I20241030004299 |
| Provider Name | Jacob Richard Kallan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528643848 PECOS PAC ID: 8527591346 Enrollment ID: I20241031000919 |
| Provider Name | Matthew Schmitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336975804 PECOS PAC ID: 9537693841 Enrollment ID: I20241108002938 |
| Provider Name | Alexander Luca Savino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356929574 PECOS PAC ID: 0446697189 Enrollment ID: I20241112003423 |
| Provider Name | Adam Rabidoux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427635762 PECOS PAC ID: 9335673466 Enrollment ID: I20241113000111 |
| Provider Name | Heidi Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306682174 PECOS PAC ID: 4981139870 Enrollment ID: I20241202002741 |
| Provider Name | Grace Anne Combs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912763129 PECOS PAC ID: 3678009164 Enrollment ID: I20241206002730 |
Big Thompson Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1647 E 18th St, Loveland, CO 80538 Phone: 970-378-4155 | |
Noco Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 239 W 67th Ct, Loveland, CO 80538 Phone: 970-599-0330 | |
Wellness Restoration Company Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2515 Silver Spur St, Loveland, CO 80537 Phone: 321-989-2187 Fax: 833-410-3619 | |
Ncmc Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 Boise Ave, Suite 3, Loveland, CO 80538 Phone: 970-378-4676 | |
Ncmc Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Boise Ave, Loveland, CO 80538 Phone: 970-820-2409 Fax: 970-810-6965 | |
Banner Health Physicians Colorado Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Boise Ave Ste 420, Loveland, CO 80538 Phone: 970-669-3212 Fax: 970-669-6162 |