| University Medical Center | |
|
850 Peter Bryce Blvd Tuscaloosa AL 35401-7457 | |
| (205) 348-1770 | |
| (205) 348-1772 |
| Full Name | University Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 850 Peter Bryce Blvd, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Allison H Arendale (DIRECTOR FINANCIAL AFFAIRS) |
| Authorized Official Contact | 2053485203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Medical Center 850 5th Ave E Tuscaloosa AL 35401-7419 Ph: (205) 348-1770 | University Medical Center 850 Peter Bryce Blvd Tuscaloosa AL 35401-7457 Ph: (205) 348-1770 |
| NPI Number | 1740397751 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 05/27/2020 |
| Medicare PECOS PAC ID | 6103724489 |
|---|---|
| Medicare Enrollment ID | O20040330001160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740397751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James Bryan Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750453874 PECOS PAC ID: 4082519590 Enrollment ID: I20031211000956 |
| Provider Name | Ida E Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821088527 PECOS PAC ID: 1052210358 Enrollment ID: I20040106000487 |
| Provider Name | Joseph G Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427073584 PECOS PAC ID: 4183523483 Enrollment ID: I20040106000515 |
| Provider Name | John S Houston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659482941 PECOS PAC ID: 5698678415 Enrollment ID: I20040129000609 |
| Provider Name | Jean F. Pointon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538276290 PECOS PAC ID: 8729071824 Enrollment ID: I20040407000717 |
| Provider Name | Stacy L Horsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528017738 PECOS PAC ID: 2062494578 Enrollment ID: I20040607000848 |
| Provider Name | Srilata Anne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164418398 PECOS PAC ID: 6901884543 Enrollment ID: I20040710000219 |
| Provider Name | Peter J Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831194471 PECOS PAC ID: 1355326414 Enrollment ID: I20040712001042 |
| Provider Name | Jennifer L Burdette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669530879 PECOS PAC ID: 7810967874 Enrollment ID: I20040727001623 |
| Provider Name | Herman J Fritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225056542 PECOS PAC ID: 7113999319 Enrollment ID: I20040809000880 |
| Provider Name | Paul D Lavender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306945712 PECOS PAC ID: 5698736031 Enrollment ID: I20041020000303 |
| Provider Name | Catherine A Lavender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922107499 PECOS PAC ID: 6406818178 Enrollment ID: I20041103001258 |
| Provider Name | Arthur R Sheppard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134199789 PECOS PAC ID: 1850342379 Enrollment ID: I20050202000364 |
| Provider Name | John T Mcdonald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073501326 PECOS PAC ID: 4981655826 Enrollment ID: I20050208000535 |
| Provider Name | Kimberly Hillman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861463168 PECOS PAC ID: 8921055914 Enrollment ID: I20050401000345 |
| Provider Name | Sandra J Daly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528082419 PECOS PAC ID: 3173563038 Enrollment ID: I20050510000666 |
| Provider Name | John R Wheat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689644346 PECOS PAC ID: 4385667971 Enrollment ID: I20060110000450 |
| Provider Name | Brenda A Jacobsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740372960 PECOS PAC ID: 2961305842 Enrollment ID: I20060505000383 |
| Provider Name | Thaddeus P Ulzen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275579146 PECOS PAC ID: 5890708762 Enrollment ID: I20060718000176 |
| Provider Name | William J Von Taaffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508870817 PECOS PAC ID: 0143224337 Enrollment ID: I20060830000376 |
| Provider Name | Marion D Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285714873 PECOS PAC ID: 4789684952 Enrollment ID: I20070111000586 |
| Provider Name | Malcolm R Hendricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700823697 PECOS PAC ID: 5890797658 Enrollment ID: I20070207000192 |
| Provider Name | Elizabeth W Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922177237 PECOS PAC ID: 8426156704 Enrollment ID: I20070611000269 |
| Provider Name | Gabriel U Nazareno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568484418 PECOS PAC ID: 5890896062 Enrollment ID: I20070718000794 |
| Provider Name | Cameron S Paisley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649328253 PECOS PAC ID: 0446342018 Enrollment ID: I20070828000122 |
| Provider Name | Robert D Slaughter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003835612 PECOS PAC ID: 6406940469 Enrollment ID: I20070920000856 |
| Provider Name | Dawn W Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568662039 PECOS PAC ID: 8022107887 Enrollment ID: I20071130000414 |
| Provider Name | Marisa A Giggie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851473532 PECOS PAC ID: 0547341869 Enrollment ID: I20080112000126 |
| Provider Name | Sharon N Sloup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366482150 PECOS PAC ID: 5092899724 Enrollment ID: I20080220000030 |
| Provider Name | Clyde R Varner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316931256 PECOS PAC ID: 3870521784 Enrollment ID: I20080303000073 |
| Provider Name | David Call |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245233667 PECOS PAC ID: 6103878806 Enrollment ID: I20080512000441 |
| Provider Name | Haritha V Guttikonda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912162504 PECOS PAC ID: 3678641842 Enrollment ID: I20081001000707 |
| Provider Name | Earl R Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508052168 PECOS PAC ID: 0143379636 Enrollment ID: I20090512000256 |
| Provider Name | Anne-laura Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174703706 PECOS PAC ID: 5991857195 Enrollment ID: I20090720000258 |
| Provider Name | Ty J Krehbiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447446000 PECOS PAC ID: 5799830329 Enrollment ID: I20090903000587 |
| Provider Name | Rajeev Nagarad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417164831 PECOS PAC ID: 7012054885 Enrollment ID: I20091027000699 |
| Provider Name | Angela F Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457452039 PECOS PAC ID: 3870623507 Enrollment ID: I20100607000750 |
| Provider Name | Kristine R Graettinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003873399 PECOS PAC ID: 5890825368 Enrollment ID: I20100609000621 |
| Provider Name | Alan M Blum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972573251 PECOS PAC ID: 6507980224 Enrollment ID: I20100902000370 |
| Provider Name | Nancy J Rubin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386614956 PECOS PAC ID: 8224154745 Enrollment ID: I20100922000069 |
| Provider Name | Karen Burgess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316917982 PECOS PAC ID: 3870619885 Enrollment ID: I20100928000451 |
| Provider Name | William Lee Lenahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487643748 PECOS PAC ID: 0143417683 Enrollment ID: I20101209000184 |
| Provider Name | Jamie Lowther |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396955381 PECOS PAC ID: 4385821701 Enrollment ID: I20110613000817 |
| Provider Name | Paul Gilreath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124229117 PECOS PAC ID: 1355529249 Enrollment ID: I20110623000488 |
| Provider Name | Lisa D Brashier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336109537 PECOS PAC ID: 8527238187 Enrollment ID: I20110909002462 |
| Provider Name | Robert C Osburne |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740289925 PECOS PAC ID: 9436044955 Enrollment ID: I20120103000410 |
| Provider Name | Anne D Halli-tierney |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1821214685 PECOS PAC ID: 7315114766 Enrollment ID: I20120125000717 |
| Provider Name | Richard H Streiffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871687137 PECOS PAC ID: 6800984394 Enrollment ID: I20120509000500 |
| Provider Name | Robert E Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801148028 PECOS PAC ID: 9638320500 Enrollment ID: I20121127000579 |
| Provider Name | Caroline L Boxmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790020915 PECOS PAC ID: 8921251208 Enrollment ID: I20130117000318 |
| Provider Name | Messalina C Jordan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114218039 PECOS PAC ID: 2860647237 Enrollment ID: I20130311000148 |
| Provider Name | Richard Davis Friend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023038684 PECOS PAC ID: 6204807738 Enrollment ID: I20130502000566 |
| Provider Name | Harriet H Myers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326398942 PECOS PAC ID: 1254578313 Enrollment ID: I20130508000442 |
| Provider Name | Pedro N Capote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740540871 PECOS PAC ID: 2365680667 Enrollment ID: I20130612000256 |
| Provider Name | Neil K Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013235100 PECOS PAC ID: 8921241043 Enrollment ID: I20130821000263 |
| Provider Name | Jennifer B Clem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275651770 PECOS PAC ID: 0648311563 Enrollment ID: I20130923000596 |
| Provider Name | Brian S Gannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912992678 PECOS PAC ID: 6204990336 Enrollment ID: I20140219000100 |
| Provider Name | Olivia W May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659653657 PECOS PAC ID: 8820220080 Enrollment ID: I20140422002197 |
| Provider Name | Terry Shaneyfelt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073530754 PECOS PAC ID: 5496993131 Enrollment ID: I20140508001954 |
| Provider Name | Edwin Enrique Villarreal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447418397 PECOS PAC ID: 5496925547 Enrollment ID: I20140523001722 |
| Provider Name | Lynn Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669800256 PECOS PAC ID: 4688895725 Enrollment ID: I20141015000611 |
| Provider Name | Tamer Elsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588944292 PECOS PAC ID: 6608098579 Enrollment ID: I20141107001640 |
| Provider Name | Khalid Rasheed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265717771 PECOS PAC ID: 9032431879 Enrollment ID: I20141204001741 |
| Provider Name | Deepak Chandramohan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942598388 PECOS PAC ID: 7618291147 Enrollment ID: I20150109002011 |
| Provider Name | Catherine C Ikard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902072929 PECOS PAC ID: 6608031836 Enrollment ID: I20150409001485 |
| Provider Name | Caroline S Henson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043698392 PECOS PAC ID: 9335451681 Enrollment ID: I20150630001138 |
| Provider Name | Cynthia Mouton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013202563 PECOS PAC ID: 2163655788 Enrollment ID: I20150714001479 |
| Provider Name | Thomas J Weida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396702478 PECOS PAC ID: 0941494371 Enrollment ID: I20150825003656 |
| Provider Name | Cecily Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437442159 PECOS PAC ID: 3375859127 Enrollment ID: I20150825004045 |
| Provider Name | Jane A Weida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760446736 PECOS PAC ID: 6103728274 Enrollment ID: I20150825005449 |
| Provider Name | Holly S Mccaleb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447519400 PECOS PAC ID: 6204143969 Enrollment ID: I20150914002361 |
| Provider Name | Katie M Gates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407293988 PECOS PAC ID: 9931339413 Enrollment ID: I20150915002633 |
| Provider Name | Steven M Grieper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508830761 PECOS PAC ID: 8022001114 Enrollment ID: I20151005002030 |
| Provider Name | John Burkhardt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548563596 PECOS PAC ID: 9830370410 Enrollment ID: I20151019001839 |
| Provider Name | Kafi Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669491221 PECOS PAC ID: 5496762114 Enrollment ID: I20151023000350 |
| Provider Name | Pamela Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811371875 PECOS PAC ID: 1456651546 Enrollment ID: I20151120001851 |
| Provider Name | Charles E Geno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366444952 PECOS PAC ID: 1759574791 Enrollment ID: I20160210000905 |
| Provider Name | Monica M T Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265872022 PECOS PAC ID: 9739315169 Enrollment ID: I20160803001296 |
| Provider Name | Brett C Bentley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447698436 PECOS PAC ID: 0840509477 Enrollment ID: I20160816002251 |
| Provider Name | Rebecca N Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598219669 PECOS PAC ID: 0941596274 Enrollment ID: I20160912002670 |
| Provider Name | Sara B Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376986059 PECOS PAC ID: 8325367063 Enrollment ID: I20161011001676 |
| Provider Name | Shuaib Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467890038 PECOS PAC ID: 1153623244 Enrollment ID: I20161024000288 |
| Provider Name | Stephanie Franks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548705650 PECOS PAC ID: 9739464645 Enrollment ID: I20170315002209 |
| Provider Name | Connie C Leeper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194091165 PECOS PAC ID: 5294952313 Enrollment ID: I20170424000071 |
| Provider Name | Brian Thomas Perrin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639512957 PECOS PAC ID: 6507004520 Enrollment ID: I20170530001690 |
| Provider Name | Jose C Pinero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538468202 PECOS PAC ID: 0941422521 Enrollment ID: I20170810001847 |
| Provider Name | Martha R Crowther |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194246744 PECOS PAC ID: 4587930391 Enrollment ID: I20171023003023 |
| Provider Name | Randi C Melton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548643273 PECOS PAC ID: 3375850431 Enrollment ID: I20171129000039 |
| Provider Name | Joseph H Sewell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497191159 PECOS PAC ID: 2062644040 Enrollment ID: I20171206003192 |
| Provider Name | Mansoor Mehmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942430707 PECOS PAC ID: 7618275850 Enrollment ID: I20180110001127 |
| Provider Name | Jonathan Michael Sherrill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275928301 PECOS PAC ID: 8426354135 Enrollment ID: I20180130003025 |
| Provider Name | Jacquelynn P Luker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578946208 PECOS PAC ID: 6002125770 Enrollment ID: I20180324000004 |
| Provider Name | Tyler B Keenum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073041505 PECOS PAC ID: 2668727926 Enrollment ID: I20180611001070 |
| Provider Name | Jonathon Baccus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154700722 PECOS PAC ID: 2365797172 Enrollment ID: I20180619003683 |
| Provider Name | Jonathan R Guin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780031492 PECOS PAC ID: 5193013423 Enrollment ID: I20180723003408 |
| Provider Name | Bryan R. Galyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457866311 PECOS PAC ID: 4688921224 Enrollment ID: I20180727001115 |
| Provider Name | Ansley Oh Baccus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134501208 PECOS PAC ID: 5395053904 Enrollment ID: I20180815002847 |
| Provider Name | Jessica M. Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518405414 PECOS PAC ID: 6608126214 Enrollment ID: I20180831001369 |
| Provider Name | Lillian J Findlay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194895581 PECOS PAC ID: 3072546894 Enrollment ID: I20181004001349 |
| Provider Name | Aloiya R. Kremer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780067355 PECOS PAC ID: 9537460506 Enrollment ID: I20190104001101 |
| Provider Name | Michael Joseph Bradburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255746731 PECOS PAC ID: 3375858715 Enrollment ID: I20190130002724 |
| Provider Name | Ashley L Steiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861875502 PECOS PAC ID: 0547578221 Enrollment ID: I20190214001837 |
| Provider Name | Hassan Alkhatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952630105 PECOS PAC ID: 4789708827 Enrollment ID: I20190226003264 |
| Provider Name | Shonna T Rivella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720505514 PECOS PAC ID: 6406196005 Enrollment ID: I20190319000026 |
| Provider Name | Soojung Samantha Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558718262 PECOS PAC ID: 9638467251 Enrollment ID: I20190429002402 |
| Provider Name | Tiffani Yvonne Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861849580 PECOS PAC ID: 5799062097 Enrollment ID: I20190506001381 |
| Provider Name | Hunter Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356815724 PECOS PAC ID: 7315280062 Enrollment ID: I20190520002726 |
| Provider Name | Nadir Khan Baluch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184009573 PECOS PAC ID: 8022326719 Enrollment ID: I20190610002660 |
| Provider Name | Michael Lysek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20190701002149 |
| Provider Name | Mallory Scogin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114312840 PECOS PAC ID: 2961749239 Enrollment ID: I20190723002858 |
| Provider Name | Jenna L Gaut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821651589 PECOS PAC ID: 9335475086 Enrollment ID: I20190801002929 |
| Provider Name | Shawn P Cecil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568859486 PECOS PAC ID: 8729394028 Enrollment ID: I20190805000746 |
| Provider Name | Shawnna Ogden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033571518 PECOS PAC ID: 6800174210 Enrollment ID: I20190911001833 |
| Provider Name | Richard A Giovane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427400035 PECOS PAC ID: 6002195336 Enrollment ID: I20190920000855 |
| Provider Name | Brooke Diane Loveless-yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861972358 PECOS PAC ID: 6103156930 Enrollment ID: I20190921000095 |
| Provider Name | Joanna Pan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255785903 PECOS PAC ID: 5799051637 Enrollment ID: I20191010000076 |
| Provider Name | Lidianny Polanco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548624539 PECOS PAC ID: 0345571048 Enrollment ID: I20191010002133 |
| Provider Name | William Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770019515 PECOS PAC ID: 1254605405 Enrollment ID: I20191010002843 |
| Provider Name | Heather Skanes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760878136 PECOS PAC ID: 2264734557 Enrollment ID: I20191113002648 |
| Provider Name | Heather Shunta Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629240999 PECOS PAC ID: 8729259122 Enrollment ID: I20191120000324 |
| Provider Name | Larissa Harkacz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821443706 PECOS PAC ID: 4880958685 Enrollment ID: I20200306002151 |
| Provider Name | Il Gyu Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659781581 PECOS PAC ID: 9830313790 Enrollment ID: I20200604002326 |
| Provider Name | Jessica Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972024958 PECOS PAC ID: 2769756873 Enrollment ID: I20200714002771 |
| Provider Name | Eliana Costantino Burgazzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619408218 PECOS PAC ID: 1850715178 Enrollment ID: I20200720003686 |
| Provider Name | Amanda T Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619498698 PECOS PAC ID: 4385061704 Enrollment ID: I20200831003366 |
| Provider Name | Ronald Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073049813 PECOS PAC ID: 2264707371 Enrollment ID: I20200916003298 |
| Provider Name | Anna Fuller Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366064487 PECOS PAC ID: 6204254527 Enrollment ID: I20200917001626 |
| Provider Name | James John Reeves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992777155 PECOS PAC ID: 0840437430 Enrollment ID: I20201014002312 |
| Provider Name | Matthew Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538695374 PECOS PAC ID: 2264707249 Enrollment ID: I20201109001404 |
| Provider Name | Kelly Anne Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366044620 PECOS PAC ID: 6507278678 Enrollment ID: I20201214002220 |
| Provider Name | Charles Daniel Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942764592 PECOS PAC ID: 4284049727 Enrollment ID: I20210216001885 |
| Provider Name | Danielle Spree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053505180 PECOS PAC ID: 6406943240 Enrollment ID: I20210218002017 |
| Provider Name | Dhruva Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598358905 PECOS PAC ID: 8022423045 Enrollment ID: I20210224001370 |
| Provider Name | William Jackson Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033745294 PECOS PAC ID: 4486060993 Enrollment ID: I20210309000122 |
| Provider Name | Josephine U Anuforo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366898330 PECOS PAC ID: 5597190322 Enrollment ID: I20210317001109 |
| Provider Name | Warlyn Sosa Popoteur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043628050 PECOS PAC ID: 7012287303 Enrollment ID: I20210319001312 |
| Provider Name | Scott Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093248627 PECOS PAC ID: 1052698644 Enrollment ID: I20210527000629 |
| Provider Name | Morgan Lea Benefield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154828457 PECOS PAC ID: 7012268899 Enrollment ID: I20210623001708 |
| Provider Name | Carmen Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114424413 PECOS PAC ID: 1658622444 Enrollment ID: I20210714001127 |
| Provider Name | Susie Bliss Cook Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548794217 PECOS PAC ID: 1658773304 Enrollment ID: I20210716002441 |
| Provider Name | Robert Miller Wright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053817189 PECOS PAC ID: 9234532938 Enrollment ID: I20210719001811 |
| Provider Name | Hannah Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942707427 PECOS PAC ID: 0941603401 Enrollment ID: I20210722000311 |
| Provider Name | Sachin B Shenoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053708644 PECOS PAC ID: 5294073169 Enrollment ID: I20210826000590 |
| Provider Name | Hamid Qazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619473162 PECOS PAC ID: 9436556149 Enrollment ID: I20210923000408 |
| Provider Name | Eric A Afari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215399068 PECOS PAC ID: 0042502379 Enrollment ID: I20210928001441 |
| Provider Name | Anthony L Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528283355 PECOS PAC ID: 3779647680 Enrollment ID: I20210930002292 |
| Provider Name | Pardeep Singh Taunk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336643477 PECOS PAC ID: 6608270699 Enrollment ID: I20211001000546 |
| Provider Name | Merlin Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700231586 PECOS PAC ID: 8022424746 Enrollment ID: I20211006002564 |
| Provider Name | Paul Wojcieszek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316442650 PECOS PAC ID: 9032517826 Enrollment ID: I20211008000772 |
| Provider Name | Celia E Pantoja Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659496180 PECOS PAC ID: 2365535861 Enrollment ID: I20211012000952 |
| Provider Name | Lisa Gillespie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013966597 PECOS PAC ID: 6608831987 Enrollment ID: I20211013001685 |
| Provider Name | Tanveer Ahmad Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518454016 PECOS PAC ID: 4284982711 Enrollment ID: I20211015000244 |
| Provider Name | Nrmeen Anwar O Turkistani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861160756 PECOS PAC ID: 3870981137 Enrollment ID: I20211019003132 |
| Provider Name | Wesley Faught |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437721198 PECOS PAC ID: 5799173456 Enrollment ID: I20211028002863 |
| Provider Name | Alandra Rashoun Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053931253 PECOS PAC ID: 9234528563 Enrollment ID: I20211108002070 |
| Provider Name | Christopher Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861978272 PECOS PAC ID: 6709121155 Enrollment ID: I20211120000109 |
| Provider Name | Jon Dubose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114920162 PECOS PAC ID: 5395769236 Enrollment ID: I20211124000651 |
| Provider Name | Helen Gharwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770745424 PECOS PAC ID: 7416264841 Enrollment ID: I20211207001350 |
| Provider Name | Babajide Falana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003867334 PECOS PAC ID: 1456379775 Enrollment ID: I20211210000805 |
| Provider Name | Ruben Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295855401 PECOS PAC ID: 5294900445 Enrollment ID: I20211213001991 |
| Provider Name | Osamede Scott Obanor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801279906 PECOS PAC ID: 2466743323 Enrollment ID: I20211214001888 |
| Provider Name | Olaseni Alexander Shoroye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053376509 PECOS PAC ID: 1557346418 Enrollment ID: I20211220001888 |
| Provider Name | Rami Jabbour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679980072 PECOS PAC ID: 2163793001 Enrollment ID: I20211228000006 |
| Provider Name | Susan John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740787571 PECOS PAC ID: 0941556179 Enrollment ID: I20211230001734 |
| Provider Name | Xaunna Krehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720508401 PECOS PAC ID: 0244584407 Enrollment ID: I20220215001755 |
| Provider Name | William Michael Tremlett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912305418 PECOS PAC ID: 0244624096 Enrollment ID: I20220222000990 |
| Provider Name | Thomas Hunter Lindsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841853108 PECOS PAC ID: 1355774233 Enrollment ID: I20220314001414 |
| Provider Name | Abiot Lemma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184111411 PECOS PAC ID: 6103222658 Enrollment ID: I20220331000700 |
| Provider Name | Kristy Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386101814 PECOS PAC ID: 7214324474 Enrollment ID: I20220419000413 |
| Provider Name | Lazita Lanell Smiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932762911 PECOS PAC ID: 3870970825 Enrollment ID: I20220513001171 |
| Provider Name | Jaykumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326401647 PECOS PAC ID: 3072842830 Enrollment ID: I20220519001663 |
| Provider Name | Katie Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891183208 PECOS PAC ID: 6204156821 Enrollment ID: I20220608000656 |
| Provider Name | Ellen Lorenzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447802467 PECOS PAC ID: 2365875374 Enrollment ID: I20220610001814 |
| Provider Name | Christel Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033301254 PECOS PAC ID: 7911109129 Enrollment ID: I20220614000397 |
| Provider Name | Lucas Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306405576 PECOS PAC ID: 1153759923 Enrollment ID: I20220628001368 |
| Provider Name | Niambi Horton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992835854 PECOS PAC ID: 7012241383 Enrollment ID: I20220706000961 |
| Provider Name | Svitlana Shapovalova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255829321 PECOS PAC ID: 3971909417 Enrollment ID: I20220707000139 |
| Provider Name | Hamid Kargbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821231788 PECOS PAC ID: 3971731613 Enrollment ID: I20220711000076 |
| Provider Name | Jacob Guin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861055121 PECOS PAC ID: 3971931585 Enrollment ID: I20220725000052 |
| Provider Name | William M Rasberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356786669 PECOS PAC ID: 0143469817 Enrollment ID: I20220725000325 |
| Provider Name | Shivam P Kalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861781932 PECOS PAC ID: 8325264948 Enrollment ID: I20220802001102 |
| Provider Name | Xinyi Ge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497314116 PECOS PAC ID: 4183006414 Enrollment ID: I20220803003097 |
| Provider Name | Courtney Ann Conklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720540370 PECOS PAC ID: 1456680743 Enrollment ID: I20220804001194 |
| Provider Name | Christine Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467015487 PECOS PAC ID: 8325476385 Enrollment ID: I20220804001806 |
| Provider Name | Davey Ann Ho Sang |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184280422 PECOS PAC ID: 6800279472 Enrollment ID: I20220815000630 |
| Provider Name | Sai Kiran Nimmagadda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730746967 PECOS PAC ID: 4587048418 Enrollment ID: I20220826000710 |
| Provider Name | Mallory Brooke Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932859774 PECOS PAC ID: 9032593538 Enrollment ID: I20220901001427 |
| Provider Name | Zunair Ahmad |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467915264 PECOS PAC ID: 5991032526 Enrollment ID: I20220916002171 |
| Provider Name | Anusha Kanagala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811384886 PECOS PAC ID: 7214285428 Enrollment ID: I20220920003176 |
| Provider Name | Altressa Drummond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891722849 PECOS PAC ID: 5496717456 Enrollment ID: I20220930000152 |
| Provider Name | Hope Hartsfield Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649998337 PECOS PAC ID: 2567848922 Enrollment ID: I20221007002558 |
| Provider Name | Dhara Raginkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180026 PECOS PAC ID: 4082951496 Enrollment ID: I20230119002374 |
| Provider Name | Kristie Spellings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578942611 PECOS PAC ID: 6901176023 Enrollment ID: I20230123002895 |
| Provider Name | David Matthew Beaman Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710948799 PECOS PAC ID: 8921076340 Enrollment ID: I20230131001770 |
| Provider Name | Carlos Vincent Josue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487031670 PECOS PAC ID: 4789936493 Enrollment ID: I20230317001338 |
| Provider Name | Herlecia Renay Caldwell-rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649976630 PECOS PAC ID: 8426413691 Enrollment ID: I20230424001817 |
| Provider Name | Jason Graffagnino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275066573 PECOS PAC ID: 7618254525 Enrollment ID: I20230502000055 |
| Provider Name | Asma Hasan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801041207 PECOS PAC ID: 2466623129 Enrollment ID: I20230605001663 |
| Provider Name | Savannah Nicole Giovane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558977249 PECOS PAC ID: 1052779154 Enrollment ID: I20230622000795 |
| Provider Name | Tiffany L Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093338709 PECOS PAC ID: 3678988763 Enrollment ID: I20230703001655 |
| Provider Name | Whitney L Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043458102 PECOS PAC ID: 6305276346 Enrollment ID: I20230713002832 |
| Provider Name | Natasha Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023633807 PECOS PAC ID: 3971926205 Enrollment ID: I20230718002706 |
| Provider Name | Dalton Lohsandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861018210 PECOS PAC ID: 2961825021 Enrollment ID: I20230719003269 |
| Provider Name | Matthew Colby Battle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316523624 PECOS PAC ID: 5799145710 Enrollment ID: I20230721000822 |
| Provider Name | Olufunke M Adebayo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821625351 PECOS PAC ID: 4082032958 Enrollment ID: I20230809001468 |
| Provider Name | Afrin Biswas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700404704 PECOS PAC ID: 7911319090 Enrollment ID: I20230814002477 |
| Provider Name | Pamela Angelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952925570 PECOS PAC ID: 4385067339 Enrollment ID: I20230814002887 |
| Provider Name | Richard Mosu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114540812 PECOS PAC ID: 1355755976 Enrollment ID: I20230922000898 |
| Provider Name | Prabhdeep Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285131045 PECOS PAC ID: 6305193962 Enrollment ID: I20230928000726 |
| Provider Name | Madeleine Rachelle Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053325571 PECOS PAC ID: 0345695599 Enrollment ID: I20231009002640 |
| Provider Name | Kimberly Daniels |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1881475044 PECOS PAC ID: 5294183190 Enrollment ID: I20231204001752 |
| Provider Name | Shiloh Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710492392 PECOS PAC ID: 4688935943 Enrollment ID: I20231208001399 |
| Provider Name | Ellen Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669933461 PECOS PAC ID: 8628304482 Enrollment ID: I20240108004544 |
| Provider Name | Lindsay White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992273452 PECOS PAC ID: 0446653844 Enrollment ID: I20240313000779 |
| Provider Name | Crystal L Dillard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679723241 PECOS PAC ID: 8123183639 Enrollment ID: I20240502002675 |
| Provider Name | Gabrielle Cordaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235712597 PECOS PAC ID: 1153726864 Enrollment ID: I20240515004348 |
West Alabama Physician Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 University Blvd E Ste 211, Tuscaloosa, AL 35401 Phone: 205-333-4965 | |
Steve Lovelady Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1490 N Bank Pkwy Ste 290, Tuscaloosa, AL 35406 Phone: 205-523-7001 | |
Alabama Hospital Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 University Blvd E, Tuscaloosa, AL 35401 Phone: 205-344-9019 Fax: 205-344-9036 | |
Five Horizons Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2720 6th St, Tuscaloosa, AL 35401 Phone: 205-759-8470 Fax: 205-366-9001 | |
Whatley Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2731 Martin Luther King Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-752-1517 | |
Mentorup Life Lab & Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 Jack Warner Pkwy Ne Ste G2, Tuscaloosa, AL 35404 Phone: 205-771-2261 | |
Maude L. Whatley Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2731 Mlk Jr Blvd, Tuscaloosa, AL 35401 Phone: 205-349-3250 Fax: 205-345-3993 |