| University Healthcare Physicians, Inc. | |
|
2500 Foundation Way Martinsburg WV 25401-9000 | |
| (304) 264-9202 | |
| (304) 264-9042 |
| Full Name | University Healthcare Physicians, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 Foundation Way, Martinsburg, West Virginia |
| Authorized Official Name and Position | Aaron Henry (COO) |
| Authorized Official Contact | 3042649202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Healthcare Physicians, Inc. 2500 Foundation Way Martinsburg WV 25401-9000 Ph: (304) 264-9202 | University Healthcare Physicians, Inc. 2500 Foundation Way Martinsburg WV 25401-9000 Ph: (304) 264-9202 |
| NPI Number | 1659625739 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 12/01/2017 |
| Medicare PECOS PAC ID | 8325291404 |
|---|---|
| Medicare Enrollment ID | O20130124000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659625739 | NPI | - | NPPES |
| Provider Name | Dawn R Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659376515 PECOS PAC ID: 4082518378 Enrollment ID: I20031119000762 |
| Provider Name | William Darrell Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457319048 PECOS PAC ID: 6800791138 Enrollment ID: I20031201000405 |
| Provider Name | Rosemarie C Lorenzetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487613998 PECOS PAC ID: 6406740869 Enrollment ID: I20040209000591 |
| Provider Name | Jean Ruth Someshwar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275676868 PECOS PAC ID: 9931093903 Enrollment ID: I20040211000034 |
| Provider Name | Robert E Bowen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124042684 PECOS PAC ID: 1456245281 Enrollment ID: I20040218000345 |
| Provider Name | Mathis P Frick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366401630 PECOS PAC ID: 8628965639 Enrollment ID: I20040303001067 |
| Provider Name | Susan G Painter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619908027 PECOS PAC ID: 7012804842 Enrollment ID: I20040304000372 |
| Provider Name | Jabin Janoo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871685834 PECOS PAC ID: 8123012580 Enrollment ID: I20040409000388 |
| Provider Name | Sarah K Moerschel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720029580 PECOS PAC ID: 1052308624 Enrollment ID: I20040427000237 |
| Provider Name | Beverly Ann Bays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144359761 PECOS PAC ID: 7810986908 Enrollment ID: I20040512000850 |
| Provider Name | John J Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790888790 PECOS PAC ID: 3577545151 Enrollment ID: I20040607000570 |
| Provider Name | Jan Cary Kletter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669535068 PECOS PAC ID: 3870563521 Enrollment ID: I20040729000519 |
| Provider Name | David Alonso Baltierra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932169935 PECOS PAC ID: 4688646516 Enrollment ID: I20040810001434 |
| Provider Name | Panitan Yossuck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053491902 PECOS PAC ID: 8123091816 Enrollment ID: I20040819000932 |
| Provider Name | Mark J Polak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265512255 PECOS PAC ID: 7214902444 Enrollment ID: I20040831000692 |
| Provider Name | Livio Romani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144211814 PECOS PAC ID: 0244205367 Enrollment ID: I20040831001410 |
| Provider Name | Kevin Hibbett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912936055 PECOS PAC ID: 1850338534 Enrollment ID: I20050414000001 |
| Provider Name | Mark Thomas Cucuzzella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609837194 PECOS PAC ID: 7810930955 Enrollment ID: I20050609000022 |
| Provider Name | Pamela V Longmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386649242 PECOS PAC ID: 3476588724 Enrollment ID: I20051005000678 |
| Provider Name | Karen K Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467426189 PECOS PAC ID: 3971520388 Enrollment ID: I20051025000866 |
| Provider Name | Lori Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174534291 PECOS PAC ID: 8426072497 Enrollment ID: I20060117000846 |
| Provider Name | Susan Martha Womeldorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336211796 PECOS PAC ID: 2163436999 Enrollment ID: I20060201000351 |
| Provider Name | Terrence Joseph Reidy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811990641 PECOS PAC ID: 8022922301 Enrollment ID: I20060221000084 |
| Provider Name | Anna E Kent |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447214085 PECOS PAC ID: 9739192899 Enrollment ID: I20060714000001 |
| Provider Name | Maria D Merzouk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811908023 PECOS PAC ID: 6901809573 Enrollment ID: I20060821000463 |
| Provider Name | Ryan T Mccarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780630822 PECOS PAC ID: 1557364932 Enrollment ID: I20060825000134 |
| Provider Name | Vikram Dayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174515548 PECOS PAC ID: 9133122567 Enrollment ID: I20060927000018 |
| Provider Name | Todd Savidge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821033408 PECOS PAC ID: 0547269862 Enrollment ID: I20061215000062 |
| Provider Name | George A Cortas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194802074 PECOS PAC ID: 3476553108 Enrollment ID: I20070103000364 |
| Provider Name | Robert E Cicchino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124019583 PECOS PAC ID: 2163315318 Enrollment ID: I20070315000006 |
| Provider Name | Angela Denise Cherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346367745 PECOS PAC ID: 9537174420 Enrollment ID: I20070329000177 |
| Provider Name | Robert Michael Michaels |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851388417 PECOS PAC ID: 5799879599 Enrollment ID: I20070925000196 |
| Provider Name | Charles L Hochberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538143276 PECOS PAC ID: 9830189844 Enrollment ID: I20071126000512 |
| Provider Name | John Richard Casuccio |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477523967 PECOS PAC ID: 8527142892 Enrollment ID: I20080226000006 |
| Provider Name | John W Aldis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609843960 PECOS PAC ID: 5890870026 Enrollment ID: I20080311000641 |
| Provider Name | Geoffrey K Bowman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831366533 PECOS PAC ID: 1355305350 Enrollment ID: I20080715000001 |
| Provider Name | Timothy Michael Devine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316144033 PECOS PAC ID: 0446162507 Enrollment ID: I20080806000055 |
| Provider Name | Michele M Sheetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134135940 PECOS PAC ID: 6901802339 Enrollment ID: I20080904000468 |
| Provider Name | Noma Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801007224 PECOS PAC ID: 1557421708 Enrollment ID: I20081119000018 |
| Provider Name | Tiffany L Harper |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699974501 PECOS PAC ID: 3274696414 Enrollment ID: I20090114000020 |
| Provider Name | Suganthi V Rajah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760689491 PECOS PAC ID: 7315002334 Enrollment ID: I20090206000579 |
| Provider Name | Peter Baltusnik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598962193 PECOS PAC ID: 0244396976 Enrollment ID: I20090305000000 |
| Provider Name | Sohrab Shahab |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649477662 PECOS PAC ID: 5092868190 Enrollment ID: I20090807000258 |
| Provider Name | Carmen N Burrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811174840 PECOS PAC ID: 1850445412 Enrollment ID: I20090817000118 |
| Provider Name | Ryan H Livengood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073710802 PECOS PAC ID: 9537213137 Enrollment ID: I20090817000494 |
| Provider Name | Imran M Abassi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003875014 PECOS PAC ID: 3274629522 Enrollment ID: I20091001000066 |
| Provider Name | Jesse Brian Jalazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134181688 PECOS PAC ID: 0941203327 Enrollment ID: I20100119000113 |
| Provider Name | Karen Rudolph |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659332955 PECOS PAC ID: 8628111382 Enrollment ID: I20100203000080 |
| Provider Name | Chan Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407815665 PECOS PAC ID: 0143363804 Enrollment ID: I20100203000106 |
| Provider Name | Jane C Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912974122 PECOS PAC ID: 7113061219 Enrollment ID: I20100212000228 |
| Provider Name | Alfret N Shakesprere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376509505 PECOS PAC ID: 4789606211 Enrollment ID: I20100317000060 |
| Provider Name | Courtney Harpold Struthers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720082605 PECOS PAC ID: 2264569847 Enrollment ID: I20100430000333 |
| Provider Name | Consuela J Cruden-parham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972784023 PECOS PAC ID: 4688703838 Enrollment ID: I20100526000326 |
| Provider Name | Pamela Largent Quarantillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326055336 PECOS PAC ID: 8628107034 Enrollment ID: I20100624000984 |
| Provider Name | Edward Quarantillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235146242 PECOS PAC ID: 4183753593 Enrollment ID: I20100624000988 |
| Provider Name | Brandt H Williamson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710985981 PECOS PAC ID: 4284536442 Enrollment ID: I20100805000255 |
| Provider Name | Vivek P Padha |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790969012 PECOS PAC ID: 1153455738 Enrollment ID: I20100818000483 |
| Provider Name | Antonio Santiago Garcia Merino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861635989 PECOS PAC ID: 9830223312 Enrollment ID: I20100819000431 |
| Provider Name | Feroz I Noori |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487815320 PECOS PAC ID: 7012062474 Enrollment ID: I20100824000011 |
| Provider Name | Eleanor Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407053929 PECOS PAC ID: 9830213164 Enrollment ID: I20100824000302 |
| Provider Name | Phillip Bernard Aguila |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134157555 PECOS PAC ID: 1153380878 Enrollment ID: I20100824000999 |
| Provider Name | Roberto Reyna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639250558 PECOS PAC ID: 8022068477 Enrollment ID: I20100826000111 |
| Provider Name | Keith A Recht |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437235371 PECOS PAC ID: 9537225586 Enrollment ID: I20100826000858 |
| Provider Name | Farrukh M Jalisi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174621346 PECOS PAC ID: 4385719590 Enrollment ID: I20100910000245 |
| Provider Name | Eric M Bonnem |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265426035 PECOS PAC ID: 6103818240 Enrollment ID: I20100916000613 |
| Provider Name | James M Carrier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275500316 PECOS PAC ID: 5395646558 Enrollment ID: I20101129000644 |
| Provider Name | Juan D'brot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700822442 PECOS PAC ID: 3274720040 Enrollment ID: I20101206000609 |
| Provider Name | John L Blanco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134165285 PECOS PAC ID: 3678538873 Enrollment ID: I20110401000605 |
| Provider Name | Aaron Matthew Mclaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417123787 PECOS PAC ID: 3870762511 Enrollment ID: I20110815000010 |
| Provider Name | Sarah E Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285800557 PECOS PAC ID: 6002088093 Enrollment ID: I20111018000124 |
| Provider Name | Thomas Christopher Alewine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376508267 PECOS PAC ID: 6103903190 Enrollment ID: I20111019000191 |
| Provider Name | David Roelkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497927743 PECOS PAC ID: 6305019431 Enrollment ID: I20111104000269 |
| Provider Name | Dena Yvonne Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982909784 PECOS PAC ID: 0840464707 Enrollment ID: I20111111000121 |
| Provider Name | Toni A Dichiacchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679715668 PECOS PAC ID: 1557535903 Enrollment ID: I20111121000389 |
| Provider Name | Jessica E Tunis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821208778 PECOS PAC ID: 7517131915 Enrollment ID: I20111121001009 |
| Provider Name | Adrienne Zavala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033386834 PECOS PAC ID: 1153596309 Enrollment ID: I20111216000168 |
| Provider Name | David L Fishkin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639297781 PECOS PAC ID: 3577583848 Enrollment ID: I20120124000377 |
| Provider Name | Wesley L Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336156181 PECOS PAC ID: 1557256773 Enrollment ID: I20120215000386 |
| Provider Name | Scott A Gilchrist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255656468 PECOS PAC ID: 6800054065 Enrollment ID: I20120221000012 |
| Provider Name | Ryan Wakim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093033789 PECOS PAC ID: 3375702731 Enrollment ID: I20120306000019 |
| Provider Name | Amanda G Michael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053540781 PECOS PAC ID: 9335303353 Enrollment ID: I20120604000095 |
| Provider Name | Kimberly L Applegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326313701 PECOS PAC ID: 0143484477 Enrollment ID: I20120910000715 |
| Provider Name | Sara Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215168075 PECOS PAC ID: 1951448109 Enrollment ID: I20130220000458 |
| Provider Name | William Edward Wear |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861424392 PECOS PAC ID: 9830339936 Enrollment ID: I20130715000227 |
| Provider Name | Michael Matela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881795490 PECOS PAC ID: 2264515568 Enrollment ID: I20130820000043 |
| Provider Name | Tayyab I Paracha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629211008 PECOS PAC ID: 7810147949 Enrollment ID: I20130821000898 |
| Provider Name | James Roger Sluss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245261783 PECOS PAC ID: 2163405283 Enrollment ID: I20131205000415 |
| Provider Name | Annette R Millie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740220086 PECOS PAC ID: 8729020177 Enrollment ID: I20140212000859 |
| Provider Name | Theresa J Triggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124365846 PECOS PAC ID: 5799915484 Enrollment ID: I20140227000765 |
| Provider Name | Catherine Feaga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275844995 PECOS PAC ID: 5799945259 Enrollment ID: I20140410000972 |
| Provider Name | George D Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437113453 PECOS PAC ID: 1456252923 Enrollment ID: I20140417001810 |
| Provider Name | Amanda C Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245437979 PECOS PAC ID: 8022280395 Enrollment ID: I20140604000963 |
| Provider Name | Jessica M Hott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497072268 PECOS PAC ID: 9830317957 Enrollment ID: I20140902001012 |
| Provider Name | Jason Lewis Turner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215185962 PECOS PAC ID: 3678792413 Enrollment ID: I20140910000581 |
| Provider Name | John F Riordan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033381108 PECOS PAC ID: 0143394908 Enrollment ID: I20140917001414 |
| Provider Name | Angela D Petry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023286010 PECOS PAC ID: 9436378650 Enrollment ID: I20140919000515 |
| Provider Name | Stephanie N T Mcgraw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750795837 PECOS PAC ID: 7719109339 Enrollment ID: I20141117000001 |
| Provider Name | Saira George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508150434 PECOS PAC ID: 1850513292 Enrollment ID: I20141119001313 |
| Provider Name | Raja Sunkavalli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760615710 PECOS PAC ID: 6901128529 Enrollment ID: I20141209001741 |
| Provider Name | Sohyun Boo |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1861698789 PECOS PAC ID: 9830413475 Enrollment ID: I20150130000713 |
| Provider Name | Catherine S Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851351407 PECOS PAC ID: 3577535061 Enrollment ID: I20150223000140 |
| Provider Name | Kathleen M Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629372651 PECOS PAC ID: 8325364623 Enrollment ID: I20150304001162 |
| Provider Name | Alexandria N Arvon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659641009 PECOS PAC ID: 8628395159 Enrollment ID: I20150323000832 |
| Provider Name | Eric Jason Whitman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487851341 PECOS PAC ID: 6406026467 Enrollment ID: I20150709002942 |
| Provider Name | Mandeep K Dhindsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609277052 PECOS PAC ID: 3274846696 Enrollment ID: I20150714002306 |
| Provider Name | Said Sana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679869952 PECOS PAC ID: 1254593973 Enrollment ID: I20150714002413 |
| Provider Name | Jeffrey A Drexler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538145966 PECOS PAC ID: 3173600772 Enrollment ID: I20150717002272 |
| Provider Name | Brittany Z Gusic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679836597 PECOS PAC ID: 4486968161 Enrollment ID: I20150810000780 |
| Provider Name | Erin Butcho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730322819 PECOS PAC ID: 9133118748 Enrollment ID: I20150813011133 |
| Provider Name | Sarika V Bagree |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629490750 PECOS PAC ID: 0042436107 Enrollment ID: I20150926000399 |
| Provider Name | Ryan Sprouse |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1689967192 PECOS PAC ID: 5193033652 Enrollment ID: I20151001002822 |
| Provider Name | Christine Minah Whitman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821295783 PECOS PAC ID: 8921235789 Enrollment ID: I20151015001899 |
| Provider Name | Helen Hyun Ryu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881906253 PECOS PAC ID: 4284943051 Enrollment ID: I20151016001914 |
| Provider Name | Gretchen Sprouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497048904 PECOS PAC ID: 3577781608 Enrollment ID: I20151023002428 |
| Provider Name | Brian August Creasy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598014292 PECOS PAC ID: 5698085942 Enrollment ID: I20151117001429 |
| Provider Name | Liv E Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033421193 PECOS PAC ID: 6709051964 Enrollment ID: I20151117002753 |
| Provider Name | Scott Michael Vascik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710253174 PECOS PAC ID: 3971803305 Enrollment ID: I20151207003024 |
| Provider Name | Chadi Makary |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184942310 PECOS PAC ID: 7618278987 Enrollment ID: I20151211000351 |
| Provider Name | Esther Mwilaria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700138286 PECOS PAC ID: 1850694548 Enrollment ID: I20160130000079 |
| Provider Name | Rafka Chaiban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295095297 PECOS PAC ID: 5597069948 Enrollment ID: I20160205001076 |
| Provider Name | Garth Bradford Wright |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154392983 PECOS PAC ID: 9234023136 Enrollment ID: I20160226002135 |
| Provider Name | Lindsay Beth Bruce |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194086405 PECOS PAC ID: 8325203003 Enrollment ID: I20160310002094 |
| Provider Name | Kendra Diane Atherton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891009775 PECOS PAC ID: 6507041860 Enrollment ID: I20160415000108 |
| Provider Name | Priyankar Sharma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548519879 PECOS PAC ID: 4082918255 Enrollment ID: I20160421002471 |
| Provider Name | Constance Waddell Beckom |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477540938 PECOS PAC ID: 4688770746 Enrollment ID: I20160506000681 |
| Provider Name | Mark Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992025084 PECOS PAC ID: 5294038477 Enrollment ID: I20160601002056 |
| Provider Name | Seth G Eberhardt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447682968 PECOS PAC ID: 9436440518 Enrollment ID: I20160621000527 |
| Provider Name | Christina Van Hilst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578911293 PECOS PAC ID: 5193018554 Enrollment ID: I20160721002540 |
| Provider Name | Rohit Gulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790748408 PECOS PAC ID: 3678539392 Enrollment ID: I20160722000508 |
| Provider Name | Tina Lu Ang-rabanes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528200946 PECOS PAC ID: 0840583142 Enrollment ID: I20160725001347 |
| Provider Name | Alfred Gest |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780685347 PECOS PAC ID: 8820277361 Enrollment ID: I20160728000803 |
| Provider Name | Alicia Moise |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316931330 PECOS PAC ID: 8527191204 Enrollment ID: I20160728000843 |
| Provider Name | Jocelyn Stokes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245684448 PECOS PAC ID: 8527352145 Enrollment ID: I20160804001533 |
| Provider Name | Jason Bryce Swalm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962745950 PECOS PAC ID: 6800198516 Enrollment ID: I20160805000263 |
| Provider Name | Laura Shade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083915201 PECOS PAC ID: 6002102787 Enrollment ID: I20160906001961 |
| Provider Name | James Conrad Field |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306134028 PECOS PAC ID: 1456647775 Enrollment ID: I20160912002416 |
| Provider Name | Kamal Deol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114260106 PECOS PAC ID: 8426350133 Enrollment ID: I20160923000631 |
| Provider Name | Emma Morton-eggleston |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548478993 PECOS PAC ID: 9234225863 Enrollment ID: I20161117000789 |
| Provider Name | Michael B Ang-rabanes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255566790 PECOS PAC ID: 3274756564 Enrollment ID: I20161121001082 |
| Provider Name | Joseph Anthony Niner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114992526 PECOS PAC ID: 2668665506 Enrollment ID: I20161208000790 |
| Provider Name | Marquis Demniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881144749 PECOS PAC ID: 8820378839 Enrollment ID: I20161209000247 |
| Provider Name | Danielle S Redman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750702072 PECOS PAC ID: 4789965344 Enrollment ID: I20161220000912 |
| Provider Name | Stephen Matthew Akers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558627356 PECOS PAC ID: 7517260128 Enrollment ID: I20170220000567 |
| Provider Name | Carol Hayden Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467987073 PECOS PAC ID: 4587933940 Enrollment ID: I20170628003522 |
| Provider Name | Rajdip Barman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326393141 PECOS PAC ID: 0648413849 Enrollment ID: I20170629001672 |
| Provider Name | Adam Corcovilos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982040234 PECOS PAC ID: 6002118783 Enrollment ID: I20170721001804 |
| Provider Name | Ryan Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417377193 PECOS PAC ID: 9638471428 Enrollment ID: I20170724002387 |
| Provider Name | Dwight T Kemp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801857982 PECOS PAC ID: 6901795525 Enrollment ID: I20170816000628 |
| Provider Name | Sandra Vader Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679911143 PECOS PAC ID: 4284877846 Enrollment ID: I20170914001328 |
| Provider Name | Madison Humerick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841610318 PECOS PAC ID: 6709188519 Enrollment ID: I20170926003337 |
| Provider Name | Tammy S Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730607516 PECOS PAC ID: 7517223498 Enrollment ID: I20171108003883 |
| Provider Name | Taylor Dodd Guyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134638687 PECOS PAC ID: 7012274814 Enrollment ID: I20171204001788 |
| Provider Name | Amanda Giuliani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508380353 PECOS PAC ID: 9133487630 Enrollment ID: I20171211000177 |
| Provider Name | Richard J. Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043650781 PECOS PAC ID: 8123261005 Enrollment ID: I20171211002903 |
| Provider Name | John Wyatt Miles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528263647 PECOS PAC ID: 4587857032 Enrollment ID: I20171227001090 |
| Provider Name | Timothy George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932589959 PECOS PAC ID: 0042527814 Enrollment ID: I20180315001753 |
| Provider Name | Nirupama Seemaladinne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144630641 PECOS PAC ID: 0143449017 Enrollment ID: I20180417001063 |
| Provider Name | Molly Anna Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063914380 PECOS PAC ID: 0840555041 Enrollment ID: I20180517000369 |
| Provider Name | Sanaz Nicky Soltani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558685172 PECOS PAC ID: 7214292218 Enrollment ID: I20180522001804 |
| Provider Name | Jessica Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942797816 PECOS PAC ID: 2961767611 Enrollment ID: I20180530000005 |
| Provider Name | Sam O Wanko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649293309 PECOS PAC ID: 3779715727 Enrollment ID: I20180601001285 |
| Provider Name | Kandy Fink Levasseur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851383749 PECOS PAC ID: 3173769726 Enrollment ID: I20180613001436 |
| Provider Name | Wallisa T Vaughn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992990238 PECOS PAC ID: 7618021502 Enrollment ID: I20180706002546 |
| Provider Name | Sean G Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881856102 PECOS PAC ID: 2668537770 Enrollment ID: I20180726000388 |
| Provider Name | Carol Marie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689164741 PECOS PAC ID: 3577811918 Enrollment ID: I20180801002920 |
| Provider Name | Craig Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326057852 PECOS PAC ID: 9133260151 Enrollment ID: I20180807003968 |
| Provider Name | Apoorv Prasad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760820948 PECOS PAC ID: 4587912498 Enrollment ID: I20180809004172 |
| Provider Name | Jacqueline Carrie Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396729851 PECOS PAC ID: 7911921929 Enrollment ID: I20180907001913 |
| Provider Name | Kalah Ainsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457739377 PECOS PAC ID: 4082916895 Enrollment ID: I20180919003482 |
| Provider Name | Paymon Nikfarjam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942688874 PECOS PAC ID: 2769784479 Enrollment ID: I20181015001434 |
| Provider Name | Wayne J Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508244435 PECOS PAC ID: 3375845167 Enrollment ID: I20181016002984 |
| Provider Name | Rebecca E Sarich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558474163 PECOS PAC ID: 9436454147 Enrollment ID: I20181030000977 |
| Provider Name | Brian James Schleter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841678406 PECOS PAC ID: 7012219819 Enrollment ID: I20181101002918 |
| Provider Name | Tembele Yangandawele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588042147 PECOS PAC ID: 3971805789 Enrollment ID: I20181205003288 |
| Provider Name | Matthew J Metz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245274497 PECOS PAC ID: 2567369903 Enrollment ID: I20181226002468 |
| Provider Name | Neil B Rosenshein |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1134162738 PECOS PAC ID: 0446295877 Enrollment ID: I20181229000065 |
| Provider Name | Jonathan Deiches |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104123959 PECOS PAC ID: 4385980804 Enrollment ID: I20190103002816 |
| Provider Name | Camille N Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356829196 PECOS PAC ID: 4183960818 Enrollment ID: I20190116002609 |
| Provider Name | David P Richards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114907508 PECOS PAC ID: 3072525005 Enrollment ID: I20190315001389 |
| Provider Name | Brian J Shields |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811452238 PECOS PAC ID: 3971843418 Enrollment ID: I20190320002420 |
| Provider Name | Raul Gustavo Corredor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548580558 PECOS PAC ID: 0840596433 Enrollment ID: I20190320003095 |
| Provider Name | Jacqueline Susann Brown Stickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902370497 PECOS PAC ID: 6406196427 Enrollment ID: I20190328002073 |
| Provider Name | Mohammad Saeed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912453861 PECOS PAC ID: 9638467541 Enrollment ID: I20190617001039 |
| Provider Name | Pooja Sahni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487094975 PECOS PAC ID: 6406180637 Enrollment ID: I20190621002272 |
| Provider Name | Donald Paul Lombardi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053339788 PECOS PAC ID: 7911975149 Enrollment ID: I20190624000017 |
| Provider Name | Samantha Leigh Madison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689237794 PECOS PAC ID: 1153655154 Enrollment ID: I20190625003041 |
| Provider Name | Richard H Catlett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588622328 PECOS PAC ID: 5193727873 Enrollment ID: I20190626003474 |
| Provider Name | Samira Siddiq Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013336031 PECOS PAC ID: 2668706169 Enrollment ID: I20190702002401 |
| Provider Name | Raja Nanda Gopal Mogallapu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487061362 PECOS PAC ID: 1052646692 Enrollment ID: I20190718001201 |
| Provider Name | Virginia Lee Herbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720047558 PECOS PAC ID: 6002800984 Enrollment ID: I20190719002761 |
| Provider Name | Urooj Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184170417 PECOS PAC ID: 1759679939 Enrollment ID: I20190722001936 |
| Provider Name | Sowmini Medavaram |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255775987 PECOS PAC ID: 3577824333 Enrollment ID: I20190723002329 |
| Provider Name | Hannah Marie Mckeever |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619232055 PECOS PAC ID: 1153697107 Enrollment ID: I20190724001926 |
| Provider Name | Erin Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811263890 PECOS PAC ID: 5496059719 Enrollment ID: I20190805000824 |
| Provider Name | Mazin Shackour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992980783 PECOS PAC ID: 4789864729 Enrollment ID: I20190814002293 |
| Provider Name | Afsoun Sichani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396193751 PECOS PAC ID: 1951695378 Enrollment ID: I20190905003249 |
| Provider Name | Rebecca J Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902268477 PECOS PAC ID: 7113211616 Enrollment ID: I20191001003338 |
| Provider Name | Mohamed K Barry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1255508883 PECOS PAC ID: 1658693734 Enrollment ID: I20191021000419 |
| Provider Name | Rebecca Lauren Furby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215399746 PECOS PAC ID: 9032441514 Enrollment ID: I20191102000010 |
| Provider Name | Kasey Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609422419 PECOS PAC ID: 6305279050 Enrollment ID: I20191210003145 |
| Provider Name | Cassandra Prasad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275174377 PECOS PAC ID: 8921432469 Enrollment ID: I20191217000025 |
| Provider Name | Lorri Allyson Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861544652 PECOS PAC ID: 0749382976 Enrollment ID: I20191218002249 |
| Provider Name | Christopher Bellew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407383177 PECOS PAC ID: 2466723234 Enrollment ID: I20200420003513 |
| Provider Name | Charles Brian Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700416013 PECOS PAC ID: 7810328762 Enrollment ID: I20200511001339 |
| Provider Name | Zachary Ewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093133084 PECOS PAC ID: 0648591776 Enrollment ID: I20200617003474 |
| Provider Name | Shanojan Thiyagalingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477904894 PECOS PAC ID: 0941533152 Enrollment ID: I20200618002720 |
| Provider Name | Maninder Kaur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831542729 PECOS PAC ID: 7315231651 Enrollment ID: I20200709000086 |
| Provider Name | Lindsey Grantham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528415890 PECOS PAC ID: 6305133968 Enrollment ID: I20200710001463 |
| Provider Name | Marcia Ellen Ring |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1992724264 PECOS PAC ID: 4284603739 Enrollment ID: I20200730003380 |
| Provider Name | Christina Anne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962020537 PECOS PAC ID: 9638595028 Enrollment ID: I20200817000543 |
| Provider Name | Kristen Whitmore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780115725 PECOS PAC ID: 1658797709 Enrollment ID: I20200819002551 |
| Provider Name | Nicholas P Michael |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891172409 PECOS PAC ID: 1355768979 Enrollment ID: I20200827003013 |
| Provider Name | Angela P Fetty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093128530 PECOS PAC ID: 7517188113 Enrollment ID: I20200904000000 |
| Provider Name | Rebecca Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285161950 PECOS PAC ID: 4587935630 Enrollment ID: I20200908000876 |
| Provider Name | Sherie Joan Kershner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295363810 PECOS PAC ID: 5991123697 Enrollment ID: I20200911002316 |
| Provider Name | Jonathan Amy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245237718 PECOS PAC ID: 0345248670 Enrollment ID: I20200915002333 |
| Provider Name | Kelli Marie Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568072106 PECOS PAC ID: 2163840208 Enrollment ID: I20200922001123 |
| Provider Name | Betsy Marie Sears |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033583687 PECOS PAC ID: 2668774498 Enrollment ID: I20201002001689 |
| Provider Name | Melisa Sirna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316347925 PECOS PAC ID: 0244452217 Enrollment ID: I20201027000563 |
| Provider Name | Sabrina Renee Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174132286 PECOS PAC ID: 1557771623 Enrollment ID: I20201030000347 |
| Provider Name | Nadine Byers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053833806 PECOS PAC ID: 0446524557 Enrollment ID: I20201103001720 |
| Provider Name | Carrie Lee King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831793496 PECOS PAC ID: 4789097999 Enrollment ID: I20210107002212 |
| Provider Name | Sira Diakite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154921716 PECOS PAC ID: 0840603833 Enrollment ID: I20210112002547 |
| Provider Name | Andrew Gilbert Keel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255964227 PECOS PAC ID: 5092129601 Enrollment ID: I20210121002958 |
| Provider Name | Connie Lynn Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578542908 PECOS PAC ID: 5991875288 Enrollment ID: I20210216002833 |
| Provider Name | John Peabody Mikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245833425 PECOS PAC ID: 6305253121 Enrollment ID: I20210323001935 |
| Provider Name | Wilmot C Burch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700813276 PECOS PAC ID: 5799752648 Enrollment ID: I20210722003388 |
| Provider Name | Ankit Chalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740633585 PECOS PAC ID: 5092000794 Enrollment ID: I20210802000159 |
| Provider Name | Levi Stevens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811341076 PECOS PAC ID: 6608167275 Enrollment ID: I20210804000443 |
| Provider Name | Zangeetha Perinpanathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033604897 PECOS PAC ID: 1850638032 Enrollment ID: I20210805002461 |
| Provider Name | Esther Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447741038 PECOS PAC ID: 4688006661 Enrollment ID: I20210806001916 |
| Provider Name | Alexander Bitzer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821476839 PECOS PAC ID: 5698083004 Enrollment ID: I20210817000226 |
| Provider Name | Carolyn L Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508820093 PECOS PAC ID: 3476441478 Enrollment ID: I20210818001633 |
| Provider Name | Michael Leslie Golden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477940922 PECOS PAC ID: 2466773700 Enrollment ID: I20210830002125 |
| Provider Name | Kelly Ann Schultheis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730707902 PECOS PAC ID: 9032515408 Enrollment ID: I20210909003451 |
| Provider Name | Kourtnie Roxanne Mcquillen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174058820 PECOS PAC ID: 2062818206 Enrollment ID: I20210914000025 |
| Provider Name | Alexander Youngjoon Shin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912460445 PECOS PAC ID: 9133517022 Enrollment ID: I20211026002081 |
| Provider Name | Melissa Donohue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225484280 PECOS PAC ID: 4981092467 Enrollment ID: I20211103000443 |
| Provider Name | Chatura Nagaradona Alur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619466158 PECOS PAC ID: 2466841564 Enrollment ID: I20211111000120 |
| Provider Name | Lauren Rover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689166654 PECOS PAC ID: 3072857150 Enrollment ID: I20211129002235 |
| Provider Name | Alexis M. Alastanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093480386 PECOS PAC ID: 4688064033 Enrollment ID: I20211130000010 |
| Provider Name | Ronda Aurigemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891716080 PECOS PAC ID: 8527025923 Enrollment ID: I20211229002139 |
| Provider Name | Tiffany L. Morton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679776298 PECOS PAC ID: 0143345413 Enrollment ID: I20220203000332 |
| Provider Name | Stuart Abbott O'byrne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871608539 PECOS PAC ID: 4587794862 Enrollment ID: I20220204001810 |
| Provider Name | Elaina Diggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811669567 PECOS PAC ID: 8527452317 Enrollment ID: I20220221000836 |
| Provider Name | Michelle Olson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770723868 PECOS PAC ID: 1254570039 Enrollment ID: I20220308001188 |
| Provider Name | Aftab Awan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316971880 PECOS PAC ID: 2860473998 Enrollment ID: I20220414000267 |
| Provider Name | Hemant Chatrath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639306012 PECOS PAC ID: 7315090255 Enrollment ID: I20220504001749 |
| Provider Name | Phong Thanh Vu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659734952 PECOS PAC ID: 4688965536 Enrollment ID: I20220603000107 |
| Provider Name | Vignesh Gunasekaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386091429 PECOS PAC ID: 5193018281 Enrollment ID: I20220802003952 |
| Provider Name | Emran Salahuddin Sheikh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043259898 PECOS PAC ID: 8729051255 Enrollment ID: I20220818000386 |
| Provider Name | Jessica Lynn Rude |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205397478 PECOS PAC ID: 1254714504 Enrollment ID: I20220818002047 |
| Provider Name | David Edward Marks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588076566 PECOS PAC ID: 8729463393 Enrollment ID: I20220917000147 |
| Provider Name | Joseph An |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144512450 PECOS PAC ID: 2062634827 Enrollment ID: I20220919000590 |
| Provider Name | Dana Kathleen Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659003606 PECOS PAC ID: 8527443126 Enrollment ID: I20220919000937 |
| Provider Name | Michael Seem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336594621 PECOS PAC ID: 9436442746 Enrollment ID: I20221009000045 |
| Provider Name | Stacey Corinne Hanlon-milanesa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821110388 PECOS PAC ID: 2365436144 Enrollment ID: I20221102000958 |
| Provider Name | Kelsey Dawn Ash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235636382 PECOS PAC ID: 0446507743 Enrollment ID: I20221103003373 |
| Provider Name | Antonia E Montague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457467698 PECOS PAC ID: 2860574472 Enrollment ID: I20221108001673 |
| Provider Name | Dana Bechtold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730640251 PECOS PAC ID: 5799154928 Enrollment ID: I20221212000232 |
| Provider Name | Janice E Mcmillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720475734 PECOS PAC ID: 3476808213 Enrollment ID: I20221228000657 |
| Provider Name | Torri Dawn Linton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629726732 PECOS PAC ID: 5496127276 Enrollment ID: I20230203000491 |
| Provider Name | Dabney Wisecarver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619459732 PECOS PAC ID: 5496099335 Enrollment ID: I20230216000039 |
| Provider Name | Maziar Nicholas Shakeri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346744406 PECOS PAC ID: 7416320940 Enrollment ID: I20230303002100 |
| Provider Name | Leila Mae Elder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881156701 PECOS PAC ID: 6800261280 Enrollment ID: I20230418000273 |
West Virginia University Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Doctor Oates Dr Ste 103, Martinsburg, WV 25401 Phone: 304-596-5142 Fax: 304-596-5143 | |
Family Medicine Of Martinsburg, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 651 Foxcroft Ave, Suite 110, Martinsburg, WV 25401 Phone: 304-264-3660 Fax: 304-264-3665 | |
Valley Health Berkeley Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Marcley Dr, Martinsburg, WV 25401 Phone: 304-263-8911 | |
Shenandoah Valley Medical System, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 99 Tavern Rd, Martinsburg, WV 25401 Phone: 304-263-4999 | |
Panhandle Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Aikens Ctr, Martinsburg, WV 25404 Phone: 304-264-2290 Fax: 304-264-2295 | |
Wexford Health Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 94 Grapevine Rd, Martinsburg, WV 25405 Phone: 630-730-0302 | |
Valley Health Family Medicine - Briarwood Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1004 Sushruta Dr, Suite D, Martinsburg, WV 25401 Phone: 304-262-2538 Fax: 304-262-2583 |