| United Medical Associates Pc | |
|
33 Lewis Road 2nd Floor Binghamton NY 13905-1040 | |
| (607) 770-0025 | |
| Not Available |
| Full Name | United Medical Associates Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 33 Lewis Road, Binghamton, New York |
| Authorized Official Name and Position | Danielle Donlin (SR VP PHYSICIAN PRACTICES) |
| Authorized Official Contact | 6077700025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Medical Associates Pc 33 Lewis Rd Ste 2 Binghamton NY 13905-1040 Ph: (607) 770-0025 | United Medical Associates Pc 33 Lewis Road 2nd Floor Binghamton NY 13905-1040 Ph: (607) 770-0025 |
| NPI Number | 1013972801 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 07/28/2021 |
| Medicare PECOS PAC ID | 0345144978 |
|---|---|
| Medicare Enrollment ID | O20031125000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013972801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Adrian Paraschiv |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730199894 PECOS PAC ID: 2163310400 Enrollment ID: I20040308001141 |
| Provider Name | Anthony Consolazio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811984479 PECOS PAC ID: 9830080530 Enrollment ID: I20040323000255 |
| Provider Name | Douglas J Taber |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366436420 PECOS PAC ID: 3971590266 Enrollment ID: I20040503000032 |
| Provider Name | Tina A Maxian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467457416 PECOS PAC ID: 2769471911 Enrollment ID: I20040511001562 |
| Provider Name | Larisa Allakhverdova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144219023 PECOS PAC ID: 5092796920 Enrollment ID: I20040526001619 |
| Provider Name | Owais Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730131426 PECOS PAC ID: 0941283030 Enrollment ID: I20040610000197 |
| Provider Name | Emmanuel M Guizano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942294194 PECOS PAC ID: 9830172949 Enrollment ID: I20040610000323 |
| Provider Name | Mahmood Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366426215 PECOS PAC ID: 8022095587 Enrollment ID: I20040701001410 |
| Provider Name | Timothy E Page |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588604623 PECOS PAC ID: 0941269260 Enrollment ID: I20041004000497 |
| Provider Name | Cori A Pane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417973074 PECOS PAC ID: 3072573880 Enrollment ID: I20041015000724 |
| Provider Name | Michael Greenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265479976 PECOS PAC ID: 3577524719 Enrollment ID: I20041021000558 |
| Provider Name | Maciej Nowakowski |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1952396210 PECOS PAC ID: 9032170048 Enrollment ID: I20041022000849 |
| Provider Name | Lawrence Wiesner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679574123 PECOS PAC ID: 8820054927 Enrollment ID: I20041209000342 |
| Provider Name | Jeffrey Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730172792 PECOS PAC ID: 5991762585 Enrollment ID: I20041215000552 |
| Provider Name | Tamara R Dildy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306804000 PECOS PAC ID: 9931195088 Enrollment ID: I20050115000026 |
| Provider Name | Ronald L Kahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568431336 PECOS PAC ID: 6709835705 Enrollment ID: I20050118000084 |
| Provider Name | Mohammad A Quasem |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578559399 PECOS PAC ID: 8729038716 Enrollment ID: I20050127000412 |
| Provider Name | Paul Kurt Maurer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699721597 PECOS PAC ID: 5698728178 Enrollment ID: I20050307000063 |
| Provider Name | Walter R Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154306330 PECOS PAC ID: 8527015429 Enrollment ID: I20050404000174 |
| Provider Name | Jonathan Silverman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518934488 PECOS PAC ID: 1658310693 Enrollment ID: I20050428000616 |
| Provider Name | Kristen A Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437255544 PECOS PAC ID: 9133195688 Enrollment ID: I20050428001111 |
| Provider Name | Olayinka O Wilhelm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134117138 PECOS PAC ID: 5799726055 Enrollment ID: I20050517000449 |
| Provider Name | Matthew T Bennett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831118199 PECOS PAC ID: 1658342258 Enrollment ID: I20050606000689 |
| Provider Name | Roger Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144210576 PECOS PAC ID: 3476599853 Enrollment ID: I20050707000594 |
| Provider Name | Mary C Deguardi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538111554 PECOS PAC ID: 7012945157 Enrollment ID: I20050801000014 |
| Provider Name | Suzanne Gromniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336192525 PECOS PAC ID: 8628006665 Enrollment ID: I20050801000052 |
| Provider Name | Kamlesh S Desai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669580361 PECOS PAC ID: 8820069073 Enrollment ID: I20050825000654 |
| Provider Name | Brenda R Schlaen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104807247 PECOS PAC ID: 7911932264 Enrollment ID: I20051005000692 |
| Provider Name | Stephen M Gomez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528055183 PECOS PAC ID: 6507881638 Enrollment ID: I20051007000745 |
| Provider Name | Helene C Longacre Price |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972544237 PECOS PAC ID: 1052338092 Enrollment ID: I20051102000924 |
| Provider Name | Robert Louis Madden |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1639118342 PECOS PAC ID: 1052386224 Enrollment ID: I20051123000204 |
| Provider Name | Gary R Green |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780682336 PECOS PAC ID: 5395765077 Enrollment ID: I20051123000473 |
| Provider Name | Michael F Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114004371 PECOS PAC ID: 1951321157 Enrollment ID: I20051202000338 |
| Provider Name | Mark V Shumeyko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588665038 PECOS PAC ID: 5799791885 Enrollment ID: I20060227000631 |
| Provider Name | George R Petro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609844547 PECOS PAC ID: 7517973605 Enrollment ID: I20060227000646 |
| Provider Name | Charles A Burpee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366410524 PECOS PAC ID: 7911914163 Enrollment ID: I20060315000620 |
| Provider Name | Craig J Byrum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215086350 PECOS PAC ID: 7012924053 Enrollment ID: I20060321000523 |
| Provider Name | Janine Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205891405 PECOS PAC ID: 4981613486 Enrollment ID: I20060411000610 |
| Provider Name | Barbara L Wiseman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255398079 PECOS PAC ID: 8426001462 Enrollment ID: I20060524000114 |
| Provider Name | Rashid U Haq |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891725297 PECOS PAC ID: 4789689092 Enrollment ID: I20060920000203 |
| Provider Name | Doris Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982711776 PECOS PAC ID: 8921005752 Enrollment ID: I20061108000448 |
| Provider Name | Venkatesh B Jayaraman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457466567 PECOS PAC ID: 5193725935 Enrollment ID: I20070102000103 |
| Provider Name | Steven M Winograd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811972870 PECOS PAC ID: 8022903210 Enrollment ID: I20070202000535 |
| Provider Name | John F Penfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528078839 PECOS PAC ID: 1658474994 Enrollment ID: I20070307000314 |
| Provider Name | John P Zevan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023185279 PECOS PAC ID: 5597869180 Enrollment ID: I20070410000053 |
| Provider Name | Amine Hila |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619055845 PECOS PAC ID: 2365548732 Enrollment ID: I20070501000281 |
| Provider Name | Eve Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477586329 PECOS PAC ID: 1254234552 Enrollment ID: I20070517000073 |
| Provider Name | Jamal J Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831112440 PECOS PAC ID: 4385742980 Enrollment ID: I20070605000541 |
| Provider Name | Shahid Nasir Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912927161 PECOS PAC ID: 3375433600 Enrollment ID: I20070615000255 |
| Provider Name | Hossein Zarrini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558418988 PECOS PAC ID: 1557460011 Enrollment ID: I20070625000048 |
| Provider Name | Chariese A Medlar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285782714 PECOS PAC ID: 4981703451 Enrollment ID: I20070625000173 |
| Provider Name | Keyoor Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598984668 PECOS PAC ID: 5890888630 Enrollment ID: I20070910000624 |
| Provider Name | Garland Conway Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831159300 PECOS PAC ID: 8426072927 Enrollment ID: I20070917000291 |
| Provider Name | Christine H Fenlon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780679266 PECOS PAC ID: 9234223405 Enrollment ID: I20070919000143 |
| Provider Name | Carolyn Diane Crispell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306069265 PECOS PAC ID: 0941394894 Enrollment ID: I20070922000006 |
| Provider Name | Gang Yue |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023093184 PECOS PAC ID: 9931295813 Enrollment ID: I20071024000086 |
| Provider Name | Waseem Sajjad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891913232 PECOS PAC ID: 4587751235 Enrollment ID: I20071029000251 |
| Provider Name | Kelly A Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538160650 PECOS PAC ID: 3779679295 Enrollment ID: I20071106000699 |
| Provider Name | Jason Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336331032 PECOS PAC ID: 5698863223 Enrollment ID: I20071115000485 |
| Provider Name | Shahid Mughal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851384630 PECOS PAC ID: 6002899036 Enrollment ID: I20071201000101 |
| Provider Name | Mark P Speicher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346215845 PECOS PAC ID: 0244312775 Enrollment ID: I20080123000520 |
| Provider Name | Mary Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215912704 PECOS PAC ID: 4082796529 Enrollment ID: I20080123000564 |
| Provider Name | James Elliott Stoughton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568438679 PECOS PAC ID: 2668447079 Enrollment ID: I20080205000444 |
| Provider Name | Sajid A Khan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033186002 PECOS PAC ID: 1759387004 Enrollment ID: I20080214000387 |
| Provider Name | William R Cahill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689842924 PECOS PAC ID: 3577640135 Enrollment ID: I20080407000275 |
| Provider Name | Alan Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851392328 PECOS PAC ID: 9638256167 Enrollment ID: I20080409000115 |
| Provider Name | Megan E Gottlieb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518139856 PECOS PAC ID: 6204905573 Enrollment ID: I20080513000664 |
| Provider Name | Daniel Bonville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639286602 PECOS PAC ID: 7911939590 Enrollment ID: I20080617000352 |
| Provider Name | Robert Auerbach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750427126 PECOS PAC ID: 8921179607 Enrollment ID: I20080624000565 |
| Provider Name | Ryan Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215098025 PECOS PAC ID: 2466525696 Enrollment ID: I20080722000470 |
| Provider Name | Hisham Kashou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710988266 PECOS PAC ID: 0446323224 Enrollment ID: I20080728000232 |
| Provider Name | Jennifer Sweet |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699941948 PECOS PAC ID: 1658446737 Enrollment ID: I20080825000464 |
| Provider Name | Daniel Lincoln Beckles |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1548464837 PECOS PAC ID: 5890881213 Enrollment ID: I20080903000145 |
| Provider Name | Simone A Betchen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518048966 PECOS PAC ID: 4981762879 Enrollment ID: I20081022000004 |
| Provider Name | Darrel Harvey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679720049 PECOS PAC ID: 7719045152 Enrollment ID: I20081029000185 |
| Provider Name | Darshan Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962662957 PECOS PAC ID: 1951463561 Enrollment ID: I20081216000325 |
| Provider Name | James A Della Valle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861489031 PECOS PAC ID: 3678635026 Enrollment ID: I20081219000204 |
| Provider Name | Joseph M Defrank Castro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801095864 PECOS PAC ID: 6507922937 Enrollment ID: I20090310000007 |
| Provider Name | Olga Verbitskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669622296 PECOS PAC ID: 6103983242 Enrollment ID: I20090317000552 |
| Provider Name | Gregory P Scagnelli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093707481 PECOS PAC ID: 6305996752 Enrollment ID: I20090605000601 |
| Provider Name | Leslie Bank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124000310 PECOS PAC ID: 9032269485 Enrollment ID: I20090605000604 |
| Provider Name | Martha E Langhorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972563005 PECOS PAC ID: 0143370403 Enrollment ID: I20090608000163 |
| Provider Name | Tzvetan B Kozarski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285839902 PECOS PAC ID: 8628128766 Enrollment ID: I20090610000483 |
| Provider Name | Anthony N Ezeagbor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316084577 PECOS PAC ID: 0648320705 Enrollment ID: I20090610000642 |
| Provider Name | Ali Marhaba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104827138 PECOS PAC ID: 1456401157 Enrollment ID: I20090617000574 |
| Provider Name | Shawn Patrick Emmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609035351 PECOS PAC ID: 2466502190 Enrollment ID: I20090618000015 |
| Provider Name | Afzal U Rehman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124070925 PECOS PAC ID: 2163437781 Enrollment ID: I20090623000055 |
| Provider Name | Paul Traverse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194766733 PECOS PAC ID: 4587679105 Enrollment ID: I20090623000120 |
| Provider Name | Thomas J Oburchay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992932305 PECOS PAC ID: 6901957984 Enrollment ID: I20090702000430 |
| Provider Name | Joan Adler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033101837 PECOS PAC ID: 7517018419 Enrollment ID: I20090707000210 |
| Provider Name | Traian M Anghel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194909622 PECOS PAC ID: 1456404862 Enrollment ID: I20090803000523 |
| Provider Name | Alon Yarkoni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912103052 PECOS PAC ID: 1153474572 Enrollment ID: I20090803000562 |
| Provider Name | Nazif A Chowdhury |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033378674 PECOS PAC ID: 3072666023 Enrollment ID: I20090808000093 |
| Provider Name | Jillene M Brathwaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174753743 PECOS PAC ID: 2365596525 Enrollment ID: I20090821000621 |
| Provider Name | Matthew P Murphy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447422670 PECOS PAC ID: 7618022187 Enrollment ID: I20090904000319 |
| Provider Name | Marilyn I Geller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528128071 PECOS PAC ID: 8628123049 Enrollment ID: I20090915000178 |
| Provider Name | Melissa E Skiadas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528290061 PECOS PAC ID: 4981741618 Enrollment ID: I20091028000485 |
| Provider Name | Safa Maklad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598924219 PECOS PAC ID: 4486792397 Enrollment ID: I20091113000423 |
| Provider Name | Syed Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679574149 PECOS PAC ID: 7214076249 Enrollment ID: I20091203000458 |
| Provider Name | David Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770578940 PECOS PAC ID: 2860531761 Enrollment ID: I20091207000384 |
| Provider Name | Geoffrey Rosevear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225364854 PECOS PAC ID: 3274674072 Enrollment ID: I20091230000318 |
| Provider Name | Frank Steven Eder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528069077 PECOS PAC ID: 3375684558 Enrollment ID: I20100111000104 |
| Provider Name | Saeed A Bajwa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922085497 PECOS PAC ID: 9032108089 Enrollment ID: I20100112000674 |
| Provider Name | Donald W Nash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467453415 PECOS PAC ID: 2961545447 Enrollment ID: I20100205000327 |
| Provider Name | Brett Dietzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255561825 PECOS PAC ID: 0648314732 Enrollment ID: I20100212000141 |
| Provider Name | Wadih Diab |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972597284 PECOS PAC ID: 7517001324 Enrollment ID: I20100217000566 |
| Provider Name | Shari Nichols |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154323194 PECOS PAC ID: 5890830954 Enrollment ID: I20100302000080 |
| Provider Name | Charles J Lutz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1477506582 PECOS PAC ID: 5597800391 Enrollment ID: I20100304000495 |
| Provider Name | Stuart Stiles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750374518 PECOS PAC ID: 9032244165 Enrollment ID: I20100315000842 |
| Provider Name | Teresa A Sacco Bedosky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396738472 PECOS PAC ID: 9234031493 Enrollment ID: I20100326000060 |
| Provider Name | Jamil Ibrahim |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245222587 PECOS PAC ID: 2769518471 Enrollment ID: I20100406000466 |
| Provider Name | Lilya Yurkiv |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619209491 PECOS PAC ID: 5991832248 Enrollment ID: I20100420000029 |
| Provider Name | Richard Rigotti |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326033697 PECOS PAC ID: 4385772938 Enrollment ID: I20100503000468 |
| Provider Name | Peter Schotanus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538154810 PECOS PAC ID: 6608904271 Enrollment ID: I20100503000646 |
| Provider Name | Jagmohan S Sidhu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427043710 PECOS PAC ID: 4789658089 Enrollment ID: I20100504000062 |
| Provider Name | Bozena Slota |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699760967 PECOS PAC ID: 9335277821 Enrollment ID: I20100504000144 |
| Provider Name | Donna West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225190713 PECOS PAC ID: 0840329348 Enrollment ID: I20100521000134 |
| Provider Name | Zhandong Zhou |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1467456350 PECOS PAC ID: 2567566839 Enrollment ID: I20100803000572 |
| Provider Name | Kristen M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467404152 PECOS PAC ID: 3870617517 Enrollment ID: I20100901000400 |
| Provider Name | Adesh Tandon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750602686 PECOS PAC ID: 6103941455 Enrollment ID: I20100910000272 |
| Provider Name | Jean P Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952382566 PECOS PAC ID: 9032235320 Enrollment ID: I20100923001057 |
| Provider Name | Robert Patterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710920814 PECOS PAC ID: 0749279255 Enrollment ID: I20101006000784 |
| Provider Name | Debra A Meness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538195433 PECOS PAC ID: 1153213574 Enrollment ID: I20101013000203 |
| Provider Name | James Mcnerney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144381443 PECOS PAC ID: 3971796566 Enrollment ID: I20101014001062 |
| Provider Name | Denis Valentin Kapkov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043466022 PECOS PAC ID: 3476747700 Enrollment ID: I20101101000905 |
| Provider Name | Narendra Panesar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760455612 PECOS PAC ID: 7315133568 Enrollment ID: I20101130000553 |
| Provider Name | Joyce T Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801916903 PECOS PAC ID: 4789762550 Enrollment ID: I20101202000291 |
| Provider Name | Julie Ann Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558308627 PECOS PAC ID: 5395932339 Enrollment ID: I20101203000125 |
| Provider Name | Nicholas W Tarricone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548265747 PECOS PAC ID: 3678752367 Enrollment ID: I20110127000159 |
| Provider Name | David A Hauerstock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063746964 PECOS PAC ID: 9931388592 Enrollment ID: I20110127001060 |
| Provider Name | David Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225363450 PECOS PAC ID: 9638218035 Enrollment ID: I20110322000218 |
| Provider Name | Shanna Treadwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942502950 PECOS PAC ID: 6204010044 Enrollment ID: I20110404000007 |
| Provider Name | Abdul W Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326137746 PECOS PAC ID: 9931206893 Enrollment ID: I20110525000197 |
| Provider Name | Kevin D Goodman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528224334 PECOS PAC ID: 7810175767 Enrollment ID: I20110624000397 |
| Provider Name | Kenneth T Wong |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366479453 PECOS PAC ID: 3072781491 Enrollment ID: I20110729000099 |
| Provider Name | Vivek Vardhan Reddy Kandanati |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760622971 PECOS PAC ID: 1456529882 Enrollment ID: I20110729000208 |
| Provider Name | Mohammad Bashar Yousuf |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1548204696 PECOS PAC ID: 5890783286 Enrollment ID: I20110729000324 |
| Provider Name | David Jason Gallagher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104090232 PECOS PAC ID: 5597934802 Enrollment ID: I20110803000000 |
| Provider Name | Michelle Drilon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922391754 PECOS PAC ID: 1850563602 Enrollment ID: I20111020000427 |
| Provider Name | Brian F Tableman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548241680 PECOS PAC ID: 7810160124 Enrollment ID: I20111102000415 |
| Provider Name | Jewel P Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285897579 PECOS PAC ID: 9436316031 Enrollment ID: I20120209000681 |
| Provider Name | Lodze Steckman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215257084 PECOS PAC ID: 1355536616 Enrollment ID: I20120216000160 |
| Provider Name | Srinivasa Mandapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821316324 PECOS PAC ID: 2466646658 Enrollment ID: I20120309000001 |
| Provider Name | Mylene M Jumalon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871897884 PECOS PAC ID: 0547429185 Enrollment ID: I20120316000608 |
| Provider Name | Jennifer Theresa Woodford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720366982 PECOS PAC ID: 4486817707 Enrollment ID: I20120524000511 |
| Provider Name | Jennifer E Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871613877 PECOS PAC ID: 4385601863 Enrollment ID: I20120529000148 |
| Provider Name | Denise C Semashko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154372720 PECOS PAC ID: 4385612183 Enrollment ID: I20120604000303 |
| Provider Name | Andrea Hoag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174880017 PECOS PAC ID: 0042476053 Enrollment ID: I20120719000162 |
| Provider Name | Kwabena Boakye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073745659 PECOS PAC ID: 3678720596 Enrollment ID: I20120829000218 |
| Provider Name | Kelly E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740537398 PECOS PAC ID: 3971751827 Enrollment ID: I20120918000513 |
| Provider Name | Brenda L Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588911341 PECOS PAC ID: 7416105317 Enrollment ID: I20120919000044 |
| Provider Name | Rhiannon Bartleson Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386991099 PECOS PAC ID: 5799933503 Enrollment ID: I20120920000439 |
| Provider Name | Erin M Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548518475 PECOS PAC ID: 8022267939 Enrollment ID: I20121010000258 |
| Provider Name | Trevor Black |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780838631 PECOS PAC ID: 5991955536 Enrollment ID: I20121017000442 |
| Provider Name | Maria Theresa Bertini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134358203 PECOS PAC ID: 4082864814 Enrollment ID: I20121101000109 |
| Provider Name | Cariann Susan Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992054969 PECOS PAC ID: 9638320567 Enrollment ID: I20121127000093 |
| Provider Name | Amit Bansal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649582271 PECOS PAC ID: 1850545096 Enrollment ID: I20130216000053 |
| Provider Name | Jamie Barvinchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649521915 PECOS PAC ID: 9739324351 Enrollment ID: I20130401000403 |
| Provider Name | Duane J Dyson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770585531 PECOS PAC ID: 2062312275 Enrollment ID: I20130409000055 |
| Provider Name | Micah Ephraim Lissy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154627370 PECOS PAC ID: 3173761285 Enrollment ID: I20130531000455 |
| Provider Name | Bradley Hart |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659698991 PECOS PAC ID: 1052553203 Enrollment ID: I20130819000016 |
| Provider Name | Wendi T Zuwiyya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811338973 PECOS PAC ID: 9234373002 Enrollment ID: I20130917000436 |
| Provider Name | Hind I Elsaid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487842126 PECOS PAC ID: 4981791282 Enrollment ID: I20131002000279 |
| Provider Name | Courtney Ellis-jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912348020 PECOS PAC ID: 3678707270 Enrollment ID: I20131015001285 |
| Provider Name | John Lapadula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811203342 PECOS PAC ID: 0042445405 Enrollment ID: I20131021001499 |
| Provider Name | Valerie H Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568442721 PECOS PAC ID: 3678676996 Enrollment ID: I20131023000926 |
| Provider Name | Jeffrey Jee-kin Hum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922430438 PECOS PAC ID: 5395970107 Enrollment ID: I20131104000770 |
| Provider Name | Amanda Finney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699092353 PECOS PAC ID: 8820223589 Enrollment ID: I20131105000832 |
| Provider Name | Noelle Marie Buffum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699109371 PECOS PAC ID: 2860628310 Enrollment ID: I20131112000394 |
| Provider Name | Enid Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497194930 PECOS PAC ID: 3678709037 Enrollment ID: I20131114000013 |
| Provider Name | Meghan Laing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356781165 PECOS PAC ID: 7416183629 Enrollment ID: I20131118001413 |
| Provider Name | Laure R Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508206665 PECOS PAC ID: 2365678372 Enrollment ID: I20131122000033 |
| Provider Name | Amy F Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841425618 PECOS PAC ID: 1052548666 Enrollment ID: I20131205000725 |
| Provider Name | Marcel K Tafen Wandji |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386754414 PECOS PAC ID: 1951538024 Enrollment ID: I20131217000388 |
| Provider Name | Erin Daly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336579044 PECOS PAC ID: 7719117746 Enrollment ID: I20140313000066 |
| Provider Name | Ho Ling Yoest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891124814 PECOS PAC ID: 6002046067 Enrollment ID: I20140313001140 |
| Provider Name | Ashley Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700215464 PECOS PAC ID: 2264662253 Enrollment ID: I20140314000223 |
| Provider Name | Daniel Chin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497072979 PECOS PAC ID: 2769613876 Enrollment ID: I20140402001070 |
| Provider Name | Erica L Tokos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083049191 PECOS PAC ID: 8224260245 Enrollment ID: I20140407000243 |
| Provider Name | Maegan Lockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609202696 PECOS PAC ID: 7214160381 Enrollment ID: I20140428000017 |
| Provider Name | Harleen K Sidhu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730340308 PECOS PAC ID: 8325261506 Enrollment ID: I20140515000024 |
| Provider Name | Yan M Li |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932363843 PECOS PAC ID: 9032346481 Enrollment ID: I20140714001470 |
| Provider Name | Katarzyna Dudyca-sulicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225272248 PECOS PAC ID: 9133345408 Enrollment ID: I20140722001548 |
| Provider Name | Diana S Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700297918 PECOS PAC ID: 3870710924 Enrollment ID: I20140813001158 |
| Provider Name | Thomas K Swoboda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659304913 PECOS PAC ID: 3870499239 Enrollment ID: I20140818002038 |
| Provider Name | Aditi Ranade |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649583873 PECOS PAC ID: 5193958734 Enrollment ID: I20140826000551 |
| Provider Name | Michail Vitellas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023252293 PECOS PAC ID: 3072732999 Enrollment ID: I20140908002111 |
| Provider Name | Caitlin S Digiulio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952700916 PECOS PAC ID: 7012136286 Enrollment ID: I20140920000044 |
| Provider Name | Sriram Nirgudkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770576084 PECOS PAC ID: 4385864065 Enrollment ID: I20140930002997 |
| Provider Name | Edward Ioffe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376830976 PECOS PAC ID: 4486874674 Enrollment ID: I20141010001475 |
| Provider Name | Lia M Briggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952695595 PECOS PAC ID: 3577784453 Enrollment ID: I20141017000423 |
| Provider Name | Davinia Yarde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770990731 PECOS PAC ID: 6901028927 Enrollment ID: I20141106001892 |
| Provider Name | Sara Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679981443 PECOS PAC ID: 7315169810 Enrollment ID: I20141118001954 |
| Provider Name | Erin Klinkman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1982903571 PECOS PAC ID: 1153643804 Enrollment ID: I20141208000915 |
| Provider Name | Earlie H Francis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831148212 PECOS PAC ID: 3072583681 Enrollment ID: I20150122000191 |
| Provider Name | Nick W Liu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174750129 PECOS PAC ID: 3870733884 Enrollment ID: I20150413002039 |
| Provider Name | Ashlee Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225435902 PECOS PAC ID: 7719207109 Enrollment ID: I20150527000838 |
| Provider Name | Morgan N Henninge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225421837 PECOS PAC ID: 0648590976 Enrollment ID: I20150527002214 |
| Provider Name | Inna Mrsic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780062026 PECOS PAC ID: 3779894613 Enrollment ID: I20150619000184 |
| Provider Name | Mithaq Vahedi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942565890 PECOS PAC ID: 7810128113 Enrollment ID: I20150723007398 |
| Provider Name | Heather Rattenbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386902039 PECOS PAC ID: 5799915377 Enrollment ID: I20150723008606 |
| Provider Name | Yitzchak Soloveichik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427311281 PECOS PAC ID: 7810201472 Enrollment ID: I20150728003388 |
| Provider Name | Atif Saleem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629279682 PECOS PAC ID: 0446318471 Enrollment ID: I20150811004443 |
| Provider Name | Sarah M Singlar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063896728 PECOS PAC ID: 1557676707 Enrollment ID: I20150817002056 |
| Provider Name | Chukwudi Okonmah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700890431 PECOS PAC ID: 4284608209 Enrollment ID: I20150827001023 |
| Provider Name | Marianne Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538541925 PECOS PAC ID: 0042526964 Enrollment ID: I20150908002089 |
| Provider Name | Prarthana D Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275771362 PECOS PAC ID: 4082760780 Enrollment ID: I20151002000998 |
| Provider Name | Matthew E Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770859431 PECOS PAC ID: 5193033314 Enrollment ID: I20151007001988 |
| Provider Name | Jessie Lynn Flurschutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245606490 PECOS PAC ID: 4183933039 Enrollment ID: I20151016000623 |
| Provider Name | Paul H Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265790901 PECOS PAC ID: 1850523382 Enrollment ID: I20151021001945 |
| Provider Name | Woodley Desir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447405576 PECOS PAC ID: 3971812538 Enrollment ID: I20151021001959 |
| Provider Name | Jenny Warchocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881062495 PECOS PAC ID: 7618286998 Enrollment ID: I20151028000697 |
| Provider Name | Michele Traverse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053787127 PECOS PAC ID: 0840500161 Enrollment ID: I20151117000260 |
| Provider Name | Gregory Howell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386671444 PECOS PAC ID: 3173558343 Enrollment ID: I20151120000703 |
| Provider Name | Jared Martin Pado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417323999 PECOS PAC ID: 6103122577 Enrollment ID: I20160310001221 |
| Provider Name | Abha Banerjee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881062339 PECOS PAC ID: 1355648338 Enrollment ID: I20160318002149 |
| Provider Name | Javaid A Malik |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1114985520 PECOS PAC ID: 0244120459 Enrollment ID: I20160324000367 |
| Provider Name | Maria T. Mallery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154788636 PECOS PAC ID: 3375841703 Enrollment ID: I20160418001927 |
| Provider Name | Kristen Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881048643 PECOS PAC ID: 6002106200 Enrollment ID: I20160531001610 |
| Provider Name | Piret Paas-holland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942471339 PECOS PAC ID: 1456504323 Enrollment ID: I20160607000032 |
| Provider Name | Thomas Holsaeter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801235965 PECOS PAC ID: 8628296605 Enrollment ID: I20160725000359 |
| Provider Name | Erol Kohli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396035788 PECOS PAC ID: 2961629902 Enrollment ID: I20160725000915 |
| Provider Name | Stanley Hunter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366731341 PECOS PAC ID: 1658664537 Enrollment ID: I20160729001792 |
| Provider Name | Angela M. Freeman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275976128 PECOS PAC ID: 9537391370 Enrollment ID: I20160801001214 |
| Provider Name | Oneeb Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992145247 PECOS PAC ID: 9032342795 Enrollment ID: I20160809002865 |
| Provider Name | Rajesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174828271 PECOS PAC ID: 2264670629 Enrollment ID: I20160810001058 |
| Provider Name | Mohammad S Siddiqui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659481414 PECOS PAC ID: 1759322506 Enrollment ID: I20160811001967 |
| Provider Name | Sreekanth Reddy Kondareddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003120338 PECOS PAC ID: 0042504938 Enrollment ID: I20160816001915 |
| Provider Name | Ishtiaq Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104261379 PECOS PAC ID: 0345472999 Enrollment ID: I20160817000893 |
| Provider Name | Kevin Woodson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972946960 PECOS PAC ID: 4688960636 Enrollment ID: I20160831000932 |
| Provider Name | Fnu Shailesh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609184480 PECOS PAC ID: 2860706850 Enrollment ID: I20160831001782 |
| Provider Name | Philip Dzwonczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598739815 PECOS PAC ID: 1658386305 Enrollment ID: I20160831002213 |
| Provider Name | Manuel L Fajardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831461417 PECOS PAC ID: 3375764210 Enrollment ID: I20160909000762 |
| Provider Name | Ahmed Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1770915670 PECOS PAC ID: 0840424610 Enrollment ID: I20160929000294 |
| Provider Name | Talal Z Sharaiha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629225651 PECOS PAC ID: 8123299690 Enrollment ID: I20161018001892 |
| Provider Name | Michael G. Castello |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578728507 PECOS PAC ID: 4183895147 Enrollment ID: I20161130002616 |
| Provider Name | Chandrarekha Americhetty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467899971 PECOS PAC ID: 1951534478 Enrollment ID: I20161215000269 |
| Provider Name | Kenneth Gerald Lucas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093762098 PECOS PAC ID: 4981500147 Enrollment ID: I20170105001209 |
| Provider Name | Ying Fang Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013368554 PECOS PAC ID: 6709167604 Enrollment ID: I20170109002295 |
| Provider Name | Kathryn Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285170761 PECOS PAC ID: 6507149606 Enrollment ID: I20170216000085 |
| Provider Name | Niranjan Gunasekaran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598108185 PECOS PAC ID: 5092008904 Enrollment ID: I20170310000214 |
| Provider Name | Sujata Das |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407113178 PECOS PAC ID: 5799911582 Enrollment ID: I20170320000114 |
| Provider Name | Akbar A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831155639 PECOS PAC ID: 8820995160 Enrollment ID: I20170324000029 |
| Provider Name | Nazia Mashriqi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265877468 PECOS PAC ID: 7618109687 Enrollment ID: I20170330001734 |
| Provider Name | Charles M Wasson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851348312 PECOS PAC ID: 3173626025 Enrollment ID: I20170420000868 |
| Provider Name | John William Lacorazza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194915512 PECOS PAC ID: 0042405433 Enrollment ID: I20170503002187 |
| Provider Name | Andrew Lerrick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730185513 PECOS PAC ID: 7911914643 Enrollment ID: I20170509002191 |
| Provider Name | Jane Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346787363 PECOS PAC ID: 8123305554 Enrollment ID: I20170511002030 |
| Provider Name | Nathan J Goldman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760742985 PECOS PAC ID: 6204103617 Enrollment ID: I20170606000771 |
| Provider Name | Gabriel A Garcia Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609295476 PECOS PAC ID: 7719254168 Enrollment ID: I20170606002371 |
| Provider Name | Amanke Chigozie Oranu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750544425 PECOS PAC ID: 4082899943 Enrollment ID: I20170712003108 |
| Provider Name | Regina Maria Meis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851690077 PECOS PAC ID: 2769615624 Enrollment ID: I20170731002105 |
| Provider Name | Trisha Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861830812 PECOS PAC ID: 4789955360 Enrollment ID: I20170731002223 |
| Provider Name | Rachael Stocking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407390883 PECOS PAC ID: 5496026403 Enrollment ID: I20170810000058 |
| Provider Name | Courtney L Maxey Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821354291 PECOS PAC ID: 1557599578 Enrollment ID: I20170818002560 |
| Provider Name | Genevieve Romano-helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578990461 PECOS PAC ID: 1052683216 Enrollment ID: I20170823000594 |
| Provider Name | Alexander Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043620834 PECOS PAC ID: 2466677612 Enrollment ID: I20170824002972 |
| Provider Name | Khadija Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891114393 PECOS PAC ID: 0941425193 Enrollment ID: I20170926000051 |
| Provider Name | Andrea M Feher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538528500 PECOS PAC ID: 8729353602 Enrollment ID: I20171003004228 |
| Provider Name | Ilya Litvak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649667957 PECOS PAC ID: 5698041333 Enrollment ID: I20171024001838 |
| Provider Name | Saif Bella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013335595 PECOS PAC ID: 0941426340 Enrollment ID: I20171024001915 |
| Provider Name | Mi L Seo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568425452 PECOS PAC ID: 1759304439 Enrollment ID: I20171103000776 |
| Provider Name | Elizabeth T Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750891941 PECOS PAC ID: 8224394135 Enrollment ID: I20171109001037 |
| Provider Name | Sergey Kravchick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548789662 PECOS PAC ID: 4688931702 Enrollment ID: I20171128002138 |
| Provider Name | Uzoma Chinyere Oranu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780943589 PECOS PAC ID: 4981913548 Enrollment ID: I20171130002681 |
| Provider Name | Richard W Trierweiler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316268980 PECOS PAC ID: 6507008802 Enrollment ID: I20171218000007 |
| Provider Name | Mohammad A Abidi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295153690 PECOS PAC ID: 8921224338 Enrollment ID: I20171222000068 |
| Provider Name | Stacey A Pendell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245386317 PECOS PAC ID: 6901165745 Enrollment ID: I20180124000414 |
| Provider Name | Kristen A Herbst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790930014 PECOS PAC ID: 7719115468 Enrollment ID: I20180131000229 |
| Provider Name | Kenneth L. Herman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356382550 PECOS PAC ID: 5698676310 Enrollment ID: I20180316000556 |
| Provider Name | Elaine Tsukayama |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578874459 PECOS PAC ID: 0941438048 Enrollment ID: I20180326001278 |
| Provider Name | Casey Trexler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629589031 PECOS PAC ID: 9436412343 Enrollment ID: I20180405002440 |
| Provider Name | Jennifer Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679090187 PECOS PAC ID: 0446513279 Enrollment ID: I20180410000161 |
| Provider Name | John F Morrison |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447489620 PECOS PAC ID: 5496973679 Enrollment ID: I20180423002701 |
| Provider Name | Georia Libin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255834222 PECOS PAC ID: 5294099081 Enrollment ID: I20180502001550 |
| Provider Name | Zhiming Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992051437 PECOS PAC ID: 0042582827 Enrollment ID: I20180504001728 |
| Provider Name | Eden Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477969269 PECOS PAC ID: 6709140338 Enrollment ID: I20180508001535 |
| Provider Name | Zachary Allyn Jones |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073956983 PECOS PAC ID: 4385877489 Enrollment ID: I20180607000771 |
| Provider Name | Jena Mullenax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295227981 PECOS PAC ID: 7517213820 Enrollment ID: I20180628002162 |
| Provider Name | Raul Ernesto Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508286030 PECOS PAC ID: 0446527790 Enrollment ID: I20180801002870 |
| Provider Name | Brian David Tallerico |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538137724 PECOS PAC ID: 3779583646 Enrollment ID: I20180806002613 |
| Provider Name | Nicholas Andrew Putrino |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407243207 PECOS PAC ID: 2163734229 Enrollment ID: I20180814003163 |
| Provider Name | Sarah Lynn Richeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851644736 PECOS PAC ID: 1951650423 Enrollment ID: I20180816000020 |
| Provider Name | Ali Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134514227 PECOS PAC ID: 8820348980 Enrollment ID: I20180911001940 |
| Provider Name | Rachel M Skovira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043796717 PECOS PAC ID: 9234480013 Enrollment ID: I20180918000710 |
| Provider Name | Andleeb Sherazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356724165 PECOS PAC ID: 6103177795 Enrollment ID: I20180920001447 |
| Provider Name | Pranava Ganesh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952798712 PECOS PAC ID: 9436470416 Enrollment ID: I20181005000620 |
| Provider Name | Colette O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881173532 PECOS PAC ID: 2769734565 Enrollment ID: I20181005000874 |
| Provider Name | Jennifer Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326529090 PECOS PAC ID: 0345592192 Enrollment ID: I20181008000065 |
| Provider Name | Vanetta Rosevear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710482096 PECOS PAC ID: 8224380837 Enrollment ID: I20181010000120 |
| Provider Name | Jane Polhamus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285124446 PECOS PAC ID: 2163775297 Enrollment ID: I20181019000120 |
| Provider Name | Jillian Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649753898 PECOS PAC ID: 3274886841 Enrollment ID: I20181029001325 |
| Provider Name | Sarah Runyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487137501 PECOS PAC ID: 9537412994 Enrollment ID: I20181101000387 |
| Provider Name | Nicole Falbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811472384 PECOS PAC ID: 9335493535 Enrollment ID: I20181106002171 |
| Provider Name | Sama Bella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265829022 PECOS PAC ID: 0143540666 Enrollment ID: I20181115000350 |
| Provider Name | Eirawen Brynn Luettgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699259002 PECOS PAC ID: 0345585436 Enrollment ID: I20181218001705 |
| Provider Name | Jeannlis V Sanchez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497011258 PECOS PAC ID: 3173766284 Enrollment ID: I20190109000250 |
| Provider Name | Hyung Dong Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659418382 PECOS PAC ID: 2769584127 Enrollment ID: I20190118000423 |
| Provider Name | Javed Zia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558355446 PECOS PAC ID: 2163442443 Enrollment ID: I20190205000407 |
| Provider Name | Irfan Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891138756 PECOS PAC ID: 1153551213 Enrollment ID: I20190401001163 |
| Provider Name | Yanela M Duenas Milian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003118068 PECOS PAC ID: 0143491902 Enrollment ID: I20190415001920 |
| Provider Name | Karen Avgush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154701720 PECOS PAC ID: 8628388329 Enrollment ID: I20190506001180 |
| Provider Name | Jennifer Eaton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174871438 PECOS PAC ID: 4688907173 Enrollment ID: I20190617000699 |
| Provider Name | Vinita Kukkar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982048914 PECOS PAC ID: 1759627623 Enrollment ID: I20190618002098 |
| Provider Name | Nicole Malfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629534912 PECOS PAC ID: 2567796659 Enrollment ID: I20190624001611 |
| Provider Name | Muhammad Anwar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265986848 PECOS PAC ID: 9830423722 Enrollment ID: I20190626002876 |
| Provider Name | Benjamin Paul Dvorsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720361454 PECOS PAC ID: 8426382359 Enrollment ID: I20190627000338 |
| Provider Name | Kelly L Buchsbaum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902081086 PECOS PAC ID: 5597840710 Enrollment ID: I20190627000630 |
| Provider Name | Ali Timsar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396182218 PECOS PAC ID: 5395044895 Enrollment ID: I20190716002645 |
| Provider Name | Arianne Borda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679922934 PECOS PAC ID: 2466788088 Enrollment ID: I20190719000807 |
| Provider Name | Jocelyn C Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407234271 PECOS PAC ID: 8224381272 Enrollment ID: I20190730000871 |
| Provider Name | Md Alom |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760838189 PECOS PAC ID: 0244525632 Enrollment ID: I20190808001532 |
| Provider Name | Stephen Franco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487018024 PECOS PAC ID: 6709121288 Enrollment ID: I20190808003417 |
| Provider Name | Shae Lynn Bolander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093982183 PECOS PAC ID: 3173701778 Enrollment ID: I20190812003758 |
| Provider Name | Andrew Hammoud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457707689 PECOS PAC ID: 8325375355 Enrollment ID: I20190813002657 |
| Provider Name | Sharon Charisma Reuben |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013337278 PECOS PAC ID: 6002033701 Enrollment ID: I20190814000494 |
| Provider Name | Danielle Deyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760945596 PECOS PAC ID: 1759619661 Enrollment ID: I20190829002520 |
| Provider Name | Stacy Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891350617 PECOS PAC ID: 2567790496 Enrollment ID: I20190829003084 |
| Provider Name | Rebekah Dickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588229579 PECOS PAC ID: 4385973924 Enrollment ID: I20190909000324 |
| Provider Name | Ryan A Kenny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194139469 PECOS PAC ID: 2264762905 Enrollment ID: I20190924001334 |
| Provider Name | Stereen Zebari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619526407 PECOS PAC ID: 0840521027 Enrollment ID: I20191021000677 |
| Provider Name | Bassam Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164876389 PECOS PAC ID: 2163753351 Enrollment ID: I20191021000912 |
| Provider Name | Aasiya Haroon |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1750737086 PECOS PAC ID: 2567794795 Enrollment ID: I20191021002825 |
| Provider Name | Michael Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801357447 PECOS PAC ID: 3072845205 Enrollment ID: I20191021002980 |
| Provider Name | Jaya Gujjarlapudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215383534 PECOS PAC ID: 3971835158 Enrollment ID: I20191022001190 |
| Provider Name | Jody Gannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891339511 PECOS PAC ID: 1658703624 Enrollment ID: I20191112003301 |
| Provider Name | Derek Y Yuan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548503642 PECOS PAC ID: 8325470263 Enrollment ID: I20191115000234 |
| Provider Name | Philip Joseph Hlavac |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548238322 PECOS PAC ID: 4183519002 Enrollment ID: I20191127001714 |
| Provider Name | James L Distin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336672492 PECOS PAC ID: 1658704721 Enrollment ID: I20191203001931 |
| Provider Name | Nirgiz Taha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619511540 PECOS PAC ID: 1254766934 Enrollment ID: I20200128000668 |
| Provider Name | Victoria Rita Nakimbugwe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841573466 PECOS PAC ID: 1557797438 Enrollment ID: I20200213000403 |
| Provider Name | Jennifer Bupp Meko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568530178 PECOS PAC ID: 5496790743 Enrollment ID: I20200224000966 |
| Provider Name | Kimberly R Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245582550 PECOS PAC ID: 1052639531 Enrollment ID: I20200225000412 |
| Provider Name | Mohammad Zaidi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386054997 PECOS PAC ID: 6901153709 Enrollment ID: I20200304001176 |
| Provider Name | Kirsten L Walton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982096673 PECOS PAC ID: 0749618411 Enrollment ID: I20200311000614 |
| Provider Name | Michael Sabatino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851560460 PECOS PAC ID: 9133297807 Enrollment ID: I20200325000324 |
| Provider Name | Vincent Skovira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942656210 PECOS PAC ID: 1557791407 Enrollment ID: I20200417000651 |
| Provider Name | James Mark Vangurp |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881107498 PECOS PAC ID: 2860822681 Enrollment ID: I20200420000324 |
| Provider Name | Nasir Hussain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295014579 PECOS PAC ID: 1052622255 Enrollment ID: I20200610003059 |
| Provider Name | Thomas Komor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003272774 PECOS PAC ID: 0547567125 Enrollment ID: I20200619001209 |
| Provider Name | Muhammad Ayub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881116291 PECOS PAC ID: 9739422320 Enrollment ID: I20200709002629 |
| Provider Name | Abdelhamid Ben Selma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245757392 PECOS PAC ID: 0042553646 Enrollment ID: I20200715003536 |
| Provider Name | Jane M Simpson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1780110049 PECOS PAC ID: 7719210962 Enrollment ID: I20200716002969 |
| Provider Name | Steven Kleinman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770877557 PECOS PAC ID: 1052623345 Enrollment ID: I20200810000120 |
| Provider Name | Dias Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760913636 PECOS PAC ID: 4880970029 Enrollment ID: I20200813001500 |
| Provider Name | Zachary Fleischner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104204189 PECOS PAC ID: 2860819547 Enrollment ID: I20200826001145 |
| Provider Name | Sreya M Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851822688 PECOS PAC ID: 8628312618 Enrollment ID: I20200910000147 |
| Provider Name | Rasha Aurshiya |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1790114924 PECOS PAC ID: 0345529889 Enrollment ID: I20200915002148 |
| Provider Name | Kirill Davidov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730600370 PECOS PAC ID: 3870836992 Enrollment ID: I20200922000551 |
| Provider Name | Susan Boyko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467070805 PECOS PAC ID: 1759709835 Enrollment ID: I20200922002722 |
| Provider Name | Kwamia Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851903215 PECOS PAC ID: 0446679336 Enrollment ID: I20200925001403 |
| Provider Name | Janine Rose Axelrod |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235593195 PECOS PAC ID: 3173818101 Enrollment ID: I20200928001067 |
| Provider Name | Minhaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346775996 PECOS PAC ID: 5092058669 Enrollment ID: I20200928002502 |
| Provider Name | Milton Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174135305 PECOS PAC ID: 6608296041 Enrollment ID: I20201023000637 |
| Provider Name | Benjamin Max Kammerman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1013365014 PECOS PAC ID: 0042547499 Enrollment ID: I20201109003024 |
| Provider Name | Kathryn Fitch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215382981 PECOS PAC ID: 8123356169 Enrollment ID: I20201110002765 |
| Provider Name | Brittany Naso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922606110 PECOS PAC ID: 7012328206 Enrollment ID: I20201119000087 |
| Provider Name | Sagarkumar Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447851944 PECOS PAC ID: 5890106561 Enrollment ID: I20201201003058 |
| Provider Name | Stacey Coon-walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376949941 PECOS PAC ID: 6709100076 Enrollment ID: I20210125000111 |
| Provider Name | Maria Younus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710240031 PECOS PAC ID: 5294045365 Enrollment ID: I20210203001241 |
| Provider Name | Jeffrey Allan Orzell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912385824 PECOS PAC ID: 3375958820 Enrollment ID: I20210216002330 |
| Provider Name | Bilal Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649667494 PECOS PAC ID: 1658691506 Enrollment ID: I20210218001316 |
| Provider Name | Fahad Malik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184078404 PECOS PAC ID: 5294072294 Enrollment ID: I20210218002048 |
| Provider Name | Tarah Marie Campo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821563347 PECOS PAC ID: 1456767979 Enrollment ID: I20210309000633 |
| Provider Name | Rupa Bala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417983123 PECOS PAC ID: 9234147943 Enrollment ID: I20210401000282 |
| Provider Name | Kayla Fisher-poling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255805438 PECOS PAC ID: 9335558162 Enrollment ID: I20210507001455 |
| Provider Name | Radhika Bompalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679975429 PECOS PAC ID: 4789941089 Enrollment ID: I20210512003039 |
| Provider Name | Muhammad Farhan Nadeem |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639585078 PECOS PAC ID: 6204164494 Enrollment ID: I20210715002207 |
| Provider Name | Robert Stuke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366947806 PECOS PAC ID: 1759625353 Enrollment ID: I20210720000127 |
| Provider Name | Mohammad Jamil |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679880025 PECOS PAC ID: 9234433855 Enrollment ID: I20210722001061 |
| Provider Name | Ludovica Di Gaetano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538658463 PECOS PAC ID: 1052715158 Enrollment ID: I20210811003846 |
| Provider Name | Maria S Bajwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437683299 PECOS PAC ID: 0749523017 Enrollment ID: I20210813000824 |
| Provider Name | Sunny Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922596014 PECOS PAC ID: 4880937465 Enrollment ID: I20210816001442 |
| Provider Name | Mary Catherine Slome |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154825693 PECOS PAC ID: 3779988605 Enrollment ID: I20210816002820 |
| Provider Name | Ali Akram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285123752 PECOS PAC ID: 2668877143 Enrollment ID: I20210820002789 |
| Provider Name | Kaitlyn Casiuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255963179 PECOS PAC ID: 8820494800 Enrollment ID: I20210831002956 |
| Provider Name | Tiffany Huynh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376174425 PECOS PAC ID: 2264858836 Enrollment ID: I20211013003166 |
| Provider Name | Arif Rashid |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700231735 PECOS PAC ID: 8921339516 Enrollment ID: I20211025000847 |
| Provider Name | Alissa Giammarino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063174043 PECOS PAC ID: 1153719794 Enrollment ID: I20211101000745 |
| Provider Name | Godson D Senyondo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801372289 PECOS PAC ID: 4688917271 Enrollment ID: I20211113000001 |
| Provider Name | Alyssa Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942966718 PECOS PAC ID: 3375934805 Enrollment ID: I20211216002947 |
| Provider Name | Kaylyn Malenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063170967 PECOS PAC ID: 8123419256 Enrollment ID: I20211229000514 |
| Provider Name | Zabih Ullah Warraich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316423411 PECOS PAC ID: 9234521931 Enrollment ID: I20220107002053 |
| Provider Name | Abdul Muqeet Javed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164908844 PECOS PAC ID: 4880087394 Enrollment ID: I20220204002072 |
| Provider Name | Zachary Secoolish |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396406641 PECOS PAC ID: 2264825496 Enrollment ID: I20220210000153 |
| Provider Name | Gabriella Franskevicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831842053 PECOS PAC ID: 4880088475 Enrollment ID: I20220224001412 |
| Provider Name | Jafer Abidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356784102 PECOS PAC ID: 3072743400 Enrollment ID: I20220225000379 |
| Provider Name | Elvis Wayne Danne |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144733916 PECOS PAC ID: 0042564361 Enrollment ID: I20220309001109 |
| Provider Name | Rizwana K Zaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881037885 PECOS PAC ID: 3375775489 Enrollment ID: I20220322000494 |
| Provider Name | Andrea Kovac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326794074 PECOS PAC ID: 9436544822 Enrollment ID: I20220322001559 |
| Provider Name | Zaima Choudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306399225 PECOS PAC ID: 9537443395 Enrollment ID: I20220514000109 |
| Provider Name | Waqar Ahmed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225520273 PECOS PAC ID: 6800132945 Enrollment ID: I20220719002022 |
| Provider Name | Ata Ur Rahim Bajwa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508123688 PECOS PAC ID: 0143522458 Enrollment ID: I20220721001063 |
| Provider Name | Julia A Reiser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194257774 PECOS PAC ID: 9931445525 Enrollment ID: I20220808001769 |
| Provider Name | Karolina Petro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730611484 PECOS PAC ID: 3072918333 Enrollment ID: I20220808001845 |
| Provider Name | Gayane Avagyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851878649 PECOS PAC ID: 9436553435 Enrollment ID: I20220809003269 |
| Provider Name | Raheel S Chaudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306401971 PECOS PAC ID: 6507290848 Enrollment ID: I20220830001959 |
| Provider Name | Stephanie Marie Guzelak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689135550 PECOS PAC ID: 9739563271 Enrollment ID: I20220831003412 |
| Provider Name | Preet Kahai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295390771 PECOS PAC ID: 3870978034 Enrollment ID: I20220923002680 |
| Provider Name | Ahmed Nour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972090900 PECOS PAC ID: 4587040647 Enrollment ID: I20220928000271 |
| Provider Name | Mumtaz Y Javed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841784964 PECOS PAC ID: 2163765744 Enrollment ID: I20221006000250 |
| Provider Name | Wajeeh Rehman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497317077 PECOS PAC ID: 9436525714 Enrollment ID: I20221012002509 |
| Provider Name | Michael Joseph Vanfleet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073282588 PECOS PAC ID: 5890161624 Enrollment ID: I20221019003288 |
| Provider Name | Amanda Tessitore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528707494 PECOS PAC ID: 1355717844 Enrollment ID: I20221025002702 |
| Provider Name | Clayton John Read |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396464855 PECOS PAC ID: 9436525839 Enrollment ID: I20221025003133 |
| Provider Name | Jenna Fetterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568182566 PECOS PAC ID: 7517334824 Enrollment ID: I20221028002620 |
| Provider Name | Kenneth Clair Foxx |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568720548 PECOS PAC ID: 9931490463 Enrollment ID: I20221101001339 |
| Provider Name | Bethany Reinhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124747308 PECOS PAC ID: 3678940673 Enrollment ID: I20221103002893 |
| Provider Name | Staci Delucia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174244974 PECOS PAC ID: 4082081849 Enrollment ID: I20221108000502 |
| Provider Name | Jennifer Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508588666 PECOS PAC ID: 3678940327 Enrollment ID: I20221109001221 |
| Provider Name | Mariah Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992347132 PECOS PAC ID: 6800128562 Enrollment ID: I20221118001444 |
| Provider Name | Vishnu Vardhan Serla |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093245482 PECOS PAC ID: 8729353917 Enrollment ID: I20221212002081 |
| Provider Name | Jesseca Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184343394 PECOS PAC ID: 7416326509 Enrollment ID: I20221213000083 |
| Provider Name | Katarzyna Halina Czerniecka-foxx |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396003364 PECOS PAC ID: 2567796840 Enrollment ID: I20221213000105 |
| Provider Name | Brandy Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518689462 PECOS PAC ID: 0547630816 Enrollment ID: I20221230001935 |
| Provider Name | Stacey Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487376323 PECOS PAC ID: 4284006255 Enrollment ID: I20230221002007 |
| Provider Name | Benny Seto |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1689808313 PECOS PAC ID: 5890083513 Enrollment ID: I20230418000225 |
| Provider Name | Hend Al-saleh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811475072 PECOS PAC ID: 3274950217 Enrollment ID: I20230718002754 |
| Provider Name | Toseef Javaid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558630715 PECOS PAC ID: 8820210396 Enrollment ID: I20230728000447 |
| Provider Name | Fariborz Tehraei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861010894 PECOS PAC ID: 7810307295 Enrollment ID: I20230815002608 |
| Provider Name | Sonia Sandeep |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962010397 PECOS PAC ID: 4880004241 Enrollment ID: I20230818000442 |
| Provider Name | Fahad Khan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548782261 PECOS PAC ID: 5991041097 Enrollment ID: I20230821004137 |
| Provider Name | Molly Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578243606 PECOS PAC ID: 5991168999 Enrollment ID: I20230823003476 |
| Provider Name | Olukemi Fajolu |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1023268620 PECOS PAC ID: 1759669534 Enrollment ID: I20230828001915 |
| Provider Name | Muhammad Khalid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831611367 PECOS PAC ID: 7214353739 Enrollment ID: I20230901000842 |
| Provider Name | Zaid Shakir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912567660 PECOS PAC ID: 0244693646 Enrollment ID: I20230901001138 |
| Provider Name | Karyssa M Bowron |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417515537 PECOS PAC ID: 2062846363 Enrollment ID: I20230901003121 |
| Provider Name | Aamir Qureshi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518427301 PECOS PAC ID: 0143683474 Enrollment ID: I20230901003188 |
| Provider Name | Krishna Putcha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265051544 PECOS PAC ID: 0345650701 Enrollment ID: I20230906000291 |
| Provider Name | Hafsa Akbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174142954 PECOS PAC ID: 1153719356 Enrollment ID: I20230908003135 |
| Provider Name | Madison Stelmach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811694979 PECOS PAC ID: 3971967985 Enrollment ID: I20230908003480 |
| Provider Name | Jennifer Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366146169 PECOS PAC ID: 9931563467 Enrollment ID: I20230915002290 |
| Provider Name | Abagale Cacialli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801584107 PECOS PAC ID: 5395109706 Enrollment ID: I20230918002344 |
| Provider Name | Cody C Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922718824 PECOS PAC ID: 4880048743 Enrollment ID: I20230926002156 |
| Provider Name | Emily Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811680481 PECOS PAC ID: 7012361900 Enrollment ID: I20230926003324 |
| Provider Name | Richard Sosulski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891478236 PECOS PAC ID: 8527412386 Enrollment ID: I20230927002109 |
| Provider Name | Tara Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831867035 PECOS PAC ID: 9931554482 Enrollment ID: I20231018002323 |
| Provider Name | Dayle Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801581335 PECOS PAC ID: 8820443385 Enrollment ID: I20231018002930 |
| Provider Name | Christian Joesph Mccarville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427739168 PECOS PAC ID: 4981050937 Enrollment ID: I20231026002481 |
| Provider Name | Carmel Gottschall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225790041 PECOS PAC ID: 3870940224 Enrollment ID: I20231107003032 |
| Provider Name | Amanda Pawlak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194257444 PECOS PAC ID: 7911382833 Enrollment ID: I20231115001599 |
| Provider Name | Khandokar Talib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396367447 PECOS PAC ID: 2062822430 Enrollment ID: I20231201002311 |
| Provider Name | Megan Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548915663 PECOS PAC ID: 3274983846 Enrollment ID: I20231221003086 |
| Provider Name | Asma Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790553253 PECOS PAC ID: 3779935333 Enrollment ID: I20240118003797 |
| Provider Name | Tyler Lauffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639883325 PECOS PAC ID: 6002281458 Enrollment ID: I20240308000530 |
| Provider Name | Matthew Testani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104800606 PECOS PAC ID: 4587618095 Enrollment ID: I20240404000111 |
| Provider Name | Abdullah Faiq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376003491 PECOS PAC ID: 5294115929 Enrollment ID: I20240514004061 |
| Provider Name | Christopher Engler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578093563 PECOS PAC ID: 2466822960 Enrollment ID: I20240520002359 |
| Provider Name | Zab'di Sanchez Prada |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295364404 PECOS PAC ID: 9931569068 Enrollment ID: I20240522001939 |
Chrysalis Medical Wellness Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Park Ave, Binghamton, NY 13903 Phone: 607-232-3304 | |
Lourdes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-584-5459 Fax: 607-584-5482 | |
Jerome C Cohen, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Riverside Dr, Suite 210, Binghamton, NY 13905 Phone: 607-770-1155 Fax: 607-770-1968 | |
Southern Tier Medical Care - Ny Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 169 Riverside Dr, Binghamton, NY 13905 Phone: 607-798-5742 | |
Broome Gastroenterology Assoc, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 161 Riverside Drive, Suite 102, Binghamton, NY 13905 Phone: 607-729-1444 Fax: 607-729-7086 | |
Richard L Blansky Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Riverside Dr, Suite 210, Binghamton, NY 13905 Phone: 607-770-1155 Fax: 607-770-1968 |