| University Of Maryland Community Medical Group, Inc. | |
|
900 Elkridge Landing Rd Fl 2 Linthicum MD 21090-2924 | |
| (443) 462-5245 | |
| Not Available |
| Full Name | University Of Maryland Community Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Elkridge Landing Rd Fl 2, Linthicum, Maryland |
| Authorized Official Name and Position | Paul Stephen Nicholson (SENIOR VICE PRESIDENT - CHIEF FINAN) |
| Authorized Official Contact | 4108221000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Maryland Community Medical Group, Inc. 900 Elkridge Landing Rd Fl 2 Linthicum MD 21090-2924 Ph: (443) 462-5245 | University Of Maryland Community Medical Group, Inc. 900 Elkridge Landing Rd Fl 2 Linthicum MD 21090-2924 Ph: (443) 462-5245 |
| NPI Number | 1477530624 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 3678472214 |
|---|---|
| Medicare Enrollment ID | O20040102000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477530624 | NPI | - | NPPES |
| KQ62 | Other | MD | UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Tsion Berhane |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255336962 PECOS PAC ID: 4284539024 Enrollment ID: I20031204000472 |
| Provider Name | Agha S Khan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952373433 PECOS PAC ID: 8921904814 Enrollment ID: I20031210001137 |
| Provider Name | Valinda R Nwadike |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760480099 PECOS PAC ID: 4385541671 Enrollment ID: I20031215000947 |
| Provider Name | Aysegul Gozu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669430583 PECOS PAC ID: 9133029051 Enrollment ID: I20040108001104 |
| Provider Name | Karen E Hollis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649296435 PECOS PAC ID: 3375431984 Enrollment ID: I20040305000861 |
| Provider Name | Elizabeth A Fronc |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447291711 PECOS PAC ID: 2163310723 Enrollment ID: I20040306000035 |
| Provider Name | Debajit Roy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952315673 PECOS PAC ID: 8325938798 Enrollment ID: I20040318000907 |
| Provider Name | Dale B Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982690103 PECOS PAC ID: 3173413408 Enrollment ID: I20040319000707 |
| Provider Name | Mary S Deshields |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1952411795 PECOS PAC ID: 0244120848 Enrollment ID: I20040322001323 |
| Provider Name | Geoffrey Harold Saunders |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356367445 PECOS PAC ID: 5890686596 Enrollment ID: I20040323000277 |
| Provider Name | David G Oliver |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265424733 PECOS PAC ID: 4183616378 Enrollment ID: I20040330001222 |
| Provider Name | Mitra Foroogh Nassiraee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992774533 PECOS PAC ID: 3971596834 Enrollment ID: I20040406001125 |
| Provider Name | Christopher D Kearney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336216134 PECOS PAC ID: 9931194206 Enrollment ID: I20040416000465 |
| Provider Name | Robert B Helmly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174535454 PECOS PAC ID: 9739175704 Enrollment ID: I20040423000940 |
| Provider Name | Richard Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437132131 PECOS PAC ID: 7315934411 Enrollment ID: I20040430000591 |
| Provider Name | Bassim Badro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215941695 PECOS PAC ID: 9032107800 Enrollment ID: I20040503000486 |
| Provider Name | Renato O Flores |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750387908 PECOS PAC ID: 1557359817 Enrollment ID: I20040504001711 |
| Provider Name | Min C Oh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871561662 PECOS PAC ID: 5496743510 Enrollment ID: I20040505001253 |
| Provider Name | Karen A Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861449191 PECOS PAC ID: 9931198389 Enrollment ID: I20040510001649 |
| Provider Name | Ledys J Dimarsico |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801846035 PECOS PAC ID: 1052301140 Enrollment ID: I20040512000894 |
| Provider Name | Donna Stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538134705 PECOS PAC ID: 6800877903 Enrollment ID: I20040525001559 |
| Provider Name | Kathleen B Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386603272 PECOS PAC ID: 0042292591 Enrollment ID: I20040607001118 |
| Provider Name | Ann M Hester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508904426 PECOS PAC ID: 6507849072 Enrollment ID: I20040608000367 |
| Provider Name | Surendranath P Ekanayake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831175173 PECOS PAC ID: 6709869019 Enrollment ID: I20040609000184 |
| Provider Name | Mohammad E Oreizi Esfahani |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821085317 PECOS PAC ID: 4587647656 Enrollment ID: I20040610000035 |
| Provider Name | Lakshmi Vaidyanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417015892 PECOS PAC ID: 0244214476 Enrollment ID: I20040616001154 |
| Provider Name | Hai Ou L Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225085061 PECOS PAC ID: 7517941743 Enrollment ID: I20040616001250 |
| Provider Name | Clifford Solomon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457350555 PECOS PAC ID: 5991780637 Enrollment ID: I20040618000993 |
| Provider Name | Young Kwok |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215941901 PECOS PAC ID: 3375529662 Enrollment ID: I20040628000379 |
| Provider Name | Stuart Jacobs |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467418111 PECOS PAC ID: 1759361058 Enrollment ID: I20040726000403 |
| Provider Name | John F Wiley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720043755 PECOS PAC ID: 5395715692 Enrollment ID: I20040726001131 |
| Provider Name | Harvinder S Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487644241 PECOS PAC ID: 5496726218 Enrollment ID: I20040804001518 |
| Provider Name | Samir Khanjar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801847736 PECOS PAC ID: 7113998766 Enrollment ID: I20040806000236 |
| Provider Name | Stacy D Garrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245269018 PECOS PAC ID: 1951379619 Enrollment ID: I20040921000062 |
| Provider Name | Pradip P Amin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215961727 PECOS PAC ID: 6406825397 Enrollment ID: I20040928000522 |
| Provider Name | Mayurika Ghosh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497730592 PECOS PAC ID: 8426017062 Enrollment ID: I20041008000066 |
| Provider Name | Mary L Horseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598778680 PECOS PAC ID: 3779548094 Enrollment ID: I20041129000765 |
| Provider Name | Tynnetta Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578573440 PECOS PAC ID: 9739137035 Enrollment ID: I20050104000207 |
| Provider Name | Melissa D Donelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558343236 PECOS PAC ID: 5991755530 Enrollment ID: I20050131001008 |
| Provider Name | Samir K Jain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578553350 PECOS PAC ID: 7012969215 Enrollment ID: I20050216000311 |
| Provider Name | Cyrus Lawyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831184878 PECOS PAC ID: 6305898172 Enrollment ID: I20050221000337 |
| Provider Name | David A Paad |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447215512 PECOS PAC ID: 4486607942 Enrollment ID: I20050224000176 |
| Provider Name | Naznin Esphani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306846852 PECOS PAC ID: 1355394404 Enrollment ID: I20050301000333 |
| Provider Name | Miles G Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467424911 PECOS PAC ID: 3173578986 Enrollment ID: I20050315000324 |
| Provider Name | Cynthia L Drogula |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598758443 PECOS PAC ID: 5193771913 Enrollment ID: I20050324000777 |
| Provider Name | Arti Parwani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699705996 PECOS PAC ID: 4880640572 Enrollment ID: I20050325000071 |
| Provider Name | Harold Gaines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255328811 PECOS PAC ID: 8325094899 Enrollment ID: I20050328000856 |
| Provider Name | Ashwani K Bassi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790744472 PECOS PAC ID: 6608845409 Enrollment ID: I20050408000890 |
| Provider Name | Dimitrios V Mavrophilipos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861537797 PECOS PAC ID: 1153360680 Enrollment ID: I20050425001221 |
| Provider Name | John Foley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053381517 PECOS PAC ID: 8022058205 Enrollment ID: I20050506000344 |
| Provider Name | Eileen M Garavente |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003885948 PECOS PAC ID: 8628011434 Enrollment ID: I20050602000866 |
| Provider Name | Katherine O Brien |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205855780 PECOS PAC ID: 0244274363 Enrollment ID: I20050620000078 |
| Provider Name | William Clark Gray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942239496 PECOS PAC ID: 7214965383 Enrollment ID: I20050729000802 |
| Provider Name | Dahlia A. Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639169428 PECOS PAC ID: 5890724363 Enrollment ID: I20050805000285 |
| Provider Name | Zacharias V Mavrophilipos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366587297 PECOS PAC ID: 9931138260 Enrollment ID: I20050808000488 |
| Provider Name | David E Matteson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053308908 PECOS PAC ID: 7416986179 Enrollment ID: I20050812000065 |
| Provider Name | Christopher L Runz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740250307 PECOS PAC ID: 9739119231 Enrollment ID: I20050815000704 |
| Provider Name | Joseph F Oneill |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528495629 PECOS PAC ID: 0840220877 Enrollment ID: I20050818000689 |
| Provider Name | Amiel Bethel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295751337 PECOS PAC ID: 3870525603 Enrollment ID: I20050901000243 |
| Provider Name | Kelley J Stefancik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194717983 PECOS PAC ID: 9032141270 Enrollment ID: I20050909000786 |
| Provider Name | Kelly L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205897287 PECOS PAC ID: 9032142880 Enrollment ID: I20050913000936 |
| Provider Name | Kathleen A Prendergast |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649260753 PECOS PAC ID: 2163312513 Enrollment ID: I20050915001135 |
| Provider Name | Andrea M Sarchiapone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528015740 PECOS PAC ID: 3476587445 Enrollment ID: I20050920000984 |
| Provider Name | Henry H Bell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457326555 PECOS PAC ID: 2668407883 Enrollment ID: I20050927000884 |
| Provider Name | Pablo C Argeles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902864937 PECOS PAC ID: 6800811217 Enrollment ID: I20051013000776 |
| Provider Name | Eugenia Caryn Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962473330 PECOS PAC ID: 8022034156 Enrollment ID: I20051018001148 |
| Provider Name | Essam Tellawi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093715690 PECOS PAC ID: 2365497070 Enrollment ID: I20051019000499 |
| Provider Name | Joel Sewchand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528065653 PECOS PAC ID: 3072539733 Enrollment ID: I20051021000278 |
| Provider Name | Randy F Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215956529 PECOS PAC ID: 5799702825 Enrollment ID: I20051028000124 |
| Provider Name | William Davidson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851355614 PECOS PAC ID: 1456378272 Enrollment ID: I20051031000579 |
| Provider Name | Jacqueline Dominick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366424921 PECOS PAC ID: 9032139720 Enrollment ID: I20051123000560 |
| Provider Name | Howard Neal Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811975006 PECOS PAC ID: 8224058789 Enrollment ID: I20051129000478 |
| Provider Name | Lauren M Newnam |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629186218 PECOS PAC ID: 7214821339 Enrollment ID: I20051208000373 |
| Provider Name | Carolyn Sue Helmly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063521995 PECOS PAC ID: 7416979356 Enrollment ID: I20051220000815 |
| Provider Name | Shirley J Seward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184771966 PECOS PAC ID: 0941223150 Enrollment ID: I20060112001042 |
| Provider Name | Paula J Greer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407872054 PECOS PAC ID: 4688698723 Enrollment ID: I20060117000493 |
| Provider Name | Barry Ira Aron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275528663 PECOS PAC ID: 0042230534 Enrollment ID: I20060120000671 |
| Provider Name | Curtis N Nelson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255370011 PECOS PAC ID: 6709820558 Enrollment ID: I20060202000916 |
| Provider Name | Marcia V Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235103292 PECOS PAC ID: 0749295707 Enrollment ID: I20060213000186 |
| Provider Name | Mya S. Thein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326007568 PECOS PAC ID: 0941216071 Enrollment ID: I20060228000161 |
| Provider Name | Clare Allen Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518959261 PECOS PAC ID: 8921015843 Enrollment ID: I20060316000477 |
| Provider Name | Yusuke Sagawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922067438 PECOS PAC ID: 1951388107 Enrollment ID: I20060426000276 |
| Provider Name | Juan Antonio Suriel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356331557 PECOS PAC ID: 5991717340 Enrollment ID: I20060629000102 |
| Provider Name | Rosa I Mateo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689612509 PECOS PAC ID: 0941213102 Enrollment ID: I20060711000330 |
| Provider Name | Jeffrey H Etherton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144212366 PECOS PAC ID: 2860442076 Enrollment ID: I20060718000316 |
| Provider Name | Mark G Treuth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598757619 PECOS PAC ID: 3375556087 Enrollment ID: I20060725000365 |
| Provider Name | Wendla K Citron |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477588846 PECOS PAC ID: 1951307602 Enrollment ID: I20061020000071 |
| Provider Name | Michael Sy Basuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689652844 PECOS PAC ID: 8729086962 Enrollment ID: I20061121000732 |
| Provider Name | Anish M Hinduja |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023115508 PECOS PAC ID: 5193723047 Enrollment ID: I20061201000237 |
| Provider Name | Adam J Weinstein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396842878 PECOS PAC ID: 4284632134 Enrollment ID: I20061201000255 |
| Provider Name | Jonathan Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700815313 PECOS PAC ID: 4183623911 Enrollment ID: I20061205000473 |
| Provider Name | Ravin Garg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043385180 PECOS PAC ID: 8123027752 Enrollment ID: I20061208000507 |
| Provider Name | Beth Aronson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093806366 PECOS PAC ID: 6204835838 Enrollment ID: I20061208000515 |
| Provider Name | Martha Selonick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861456741 PECOS PAC ID: 8729087226 Enrollment ID: I20061211000518 |
| Provider Name | Morris M Shochet |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376525956 PECOS PAC ID: 4587666458 Enrollment ID: I20070206000103 |
| Provider Name | Mubadda Salim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164467288 PECOS PAC ID: 7214939941 Enrollment ID: I20070209000296 |
| Provider Name | James R Bruno |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861439887 PECOS PAC ID: 1355247545 Enrollment ID: I20070215000417 |
| Provider Name | Timothy J Shanahan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528072089 PECOS PAC ID: 3072615384 Enrollment ID: I20070216000236 |
| Provider Name | Jason David Taksey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316017676 PECOS PAC ID: 2961490651 Enrollment ID: I20070221000516 |
| Provider Name | Mark A Esposito |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154322378 PECOS PAC ID: 2062446552 Enrollment ID: I20070222000398 |
| Provider Name | Joayne M Kerry-turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811086838 PECOS PAC ID: 1557463262 Enrollment ID: I20070227000614 |
| Provider Name | Robert T Chow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447200902 PECOS PAC ID: 6507968187 Enrollment ID: I20070228000490 |
| Provider Name | Glenn J Kehs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114969987 PECOS PAC ID: 5597744680 Enrollment ID: I20070306000259 |
| Provider Name | Robert G Dewberry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922194380 PECOS PAC ID: 6002911633 Enrollment ID: I20070410000440 |
| Provider Name | Donna M Eversley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548245087 PECOS PAC ID: 4486750791 Enrollment ID: I20070503000353 |
| Provider Name | John P Straumanis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649208828 PECOS PAC ID: 1254437106 Enrollment ID: I20070509000478 |
| Provider Name | Shabbir A Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740334747 PECOS PAC ID: 0749388064 Enrollment ID: I20070611000598 |
| Provider Name | Archana G Leon Guerrero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053527515 PECOS PAC ID: 2466552377 Enrollment ID: I20070706000353 |
| Provider Name | Gurdeep Singh Ahluwalia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083818058 PECOS PAC ID: 3173615416 Enrollment ID: I20070816000565 |
| Provider Name | Adegboyega I Adejana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316149909 PECOS PAC ID: 7719079292 Enrollment ID: I20070829000147 |
| Provider Name | Marianne R Cunanan Bush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013947035 PECOS PAC ID: 9830128990 Enrollment ID: I20070829000415 |
| Provider Name | Colleen C Gaffney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295957579 PECOS PAC ID: 3375637648 Enrollment ID: I20070917000746 |
| Provider Name | Alan L Morrison |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437144557 PECOS PAC ID: 9638264849 Enrollment ID: I20071003000429 |
| Provider Name | Ratnakar Mukherjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740283027 PECOS PAC ID: 4880668821 Enrollment ID: I20071004000136 |
| Provider Name | Bruce Reiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447235783 PECOS PAC ID: 7911008602 Enrollment ID: I20071009000772 |
| Provider Name | Mary K Gast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396963609 PECOS PAC ID: 4486620440 Enrollment ID: I20071012000584 |
| Provider Name | Muhammad Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710186291 PECOS PAC ID: 0345337671 Enrollment ID: I20071101000683 |
| Provider Name | Stephen C Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326106121 PECOS PAC ID: 6204737075 Enrollment ID: I20071102000078 |
| Provider Name | Patricia A Eben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700966496 PECOS PAC ID: 4385607027 Enrollment ID: I20071120000673 |
| Provider Name | Christina L. Turner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437284056 PECOS PAC ID: 8729177811 Enrollment ID: I20071127000482 |
| Provider Name | Harvinder Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043267354 PECOS PAC ID: 5395751176 Enrollment ID: I20071128000646 |
| Provider Name | Tanzania Vicino |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306980073 PECOS PAC ID: 6103909213 Enrollment ID: I20080213000312 |
| Provider Name | Kathleen S Krejci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114912730 PECOS PAC ID: 0244223410 Enrollment ID: I20080305000595 |
| Provider Name | Ella M Gayoso-adam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386717148 PECOS PAC ID: 7012093867 Enrollment ID: I20080319000642 |
| Provider Name | Ricardo J Osorno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720002405 PECOS PAC ID: 1052497716 Enrollment ID: I20080321000201 |
| Provider Name | Kofi Owusu Antwi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801097084 PECOS PAC ID: 6204912314 Enrollment ID: I20080328000380 |
| Provider Name | Kristin M Flammer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427199439 PECOS PAC ID: 2961580030 Enrollment ID: I20080415000735 |
| Provider Name | Vijay K Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922169028 PECOS PAC ID: 5496833469 Enrollment ID: I20080416000659 |
| Provider Name | Victoria E Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083643720 PECOS PAC ID: 6002994860 Enrollment ID: I20080418000206 |
| Provider Name | Mava B Robinson-walton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447222088 PECOS PAC ID: 1355398223 Enrollment ID: I20080624000031 |
| Provider Name | Joseph Raymond Murphy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174521173 PECOS PAC ID: 1658443817 Enrollment ID: I20080702000607 |
| Provider Name | Sandeep S Sidana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346409091 PECOS PAC ID: 9739255654 Enrollment ID: I20080829000063 |
| Provider Name | Reza Alavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790958692 PECOS PAC ID: 7315015575 Enrollment ID: I20081001000623 |
| Provider Name | Lai S Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790943835 PECOS PAC ID: 3476621079 Enrollment ID: I20081013000384 |
| Provider Name | William F Regine |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104831957 PECOS PAC ID: 3274510987 Enrollment ID: I20081017000239 |
| Provider Name | Sherita D Gaskins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942469374 PECOS PAC ID: 4789742644 Enrollment ID: I20081021000568 |
| Provider Name | Amy L Holstege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740448547 PECOS PAC ID: 5890854269 Enrollment ID: I20081030000658 |
| Provider Name | Katherine E Webb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649247594 PECOS PAC ID: 9133288269 Enrollment ID: I20081104000796 |
| Provider Name | Tatyana Sergeyeva |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164599205 PECOS PAC ID: 3779642780 Enrollment ID: I20081105000772 |
| Provider Name | Mubarik A Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538152624 PECOS PAC ID: 9739140591 Enrollment ID: I20081105000863 |
| Provider Name | Stephen L Wills |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841316254 PECOS PAC ID: 6204995236 Enrollment ID: I20081106000081 |
| Provider Name | Robina H Niazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598981870 PECOS PAC ID: 6901965664 Enrollment ID: I20081110000575 |
| Provider Name | Honey E Sward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205964525 PECOS PAC ID: 9032279401 Enrollment ID: I20081117000079 |
| Provider Name | Francisca Bruney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629282264 PECOS PAC ID: 0244390987 Enrollment ID: I20081125000434 |
| Provider Name | Muhammad A Abbas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801898168 PECOS PAC ID: 8325009202 Enrollment ID: I20081204000291 |
| Provider Name | Yasmin Sauda Holsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992893630 PECOS PAC ID: 2365425220 Enrollment ID: I20081222000507 |
| Provider Name | Danica Novacic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831234517 PECOS PAC ID: 8123181914 Enrollment ID: I20090105000431 |
| Provider Name | Mayra C Griggs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598915829 PECOS PAC ID: 5890722177 Enrollment ID: I20090112000328 |
| Provider Name | Mette-jaya Ramanathan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972749232 PECOS PAC ID: 8729145321 Enrollment ID: I20090326000256 |
| Provider Name | John R Condit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811909179 PECOS PAC ID: 1153404223 Enrollment ID: I20090408000453 |
| Provider Name | William M Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710128889 PECOS PAC ID: 5496802423 Enrollment ID: I20090409000098 |
| Provider Name | Funlola I Famuyiwa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992996631 PECOS PAC ID: 5698822021 Enrollment ID: I20090422000042 |
| Provider Name | Stephen R. Hanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164535894 PECOS PAC ID: 3870676943 Enrollment ID: I20090513000557 |
| Provider Name | Kelley Robinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346280476 PECOS PAC ID: 4486622487 Enrollment ID: I20090609000503 |
| Provider Name | Richard Duane Cespedes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710094792 PECOS PAC ID: 9739239740 Enrollment ID: I20090615000028 |
| Provider Name | Lisa Jeffers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366652745 PECOS PAC ID: 1052461928 Enrollment ID: I20090616000011 |
| Provider Name | Lashelle Y Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629213152 PECOS PAC ID: 1355491267 Enrollment ID: I20090616000400 |
| Provider Name | Moses Christadoss Rajasingh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801808266 PECOS PAC ID: 2062595135 Enrollment ID: I20090623000085 |
| Provider Name | Howard J Schwartz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649218595 PECOS PAC ID: 9133270242 Enrollment ID: I20090701000389 |
| Provider Name | Peyman Otmishi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902949506 PECOS PAC ID: 7618029455 Enrollment ID: I20090709000124 |
| Provider Name | Dean Meadows |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922064427 PECOS PAC ID: 2567514250 Enrollment ID: I20090709000724 |
| Provider Name | Matthew R Reetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306028048 PECOS PAC ID: 4486708807 Enrollment ID: I20090820000119 |
| Provider Name | Eric Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588642599 PECOS PAC ID: 6608920848 Enrollment ID: I20090821000446 |
| Provider Name | Sheila V Ravendhran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659427987 PECOS PAC ID: 8820143589 Enrollment ID: I20090901000426 |
| Provider Name | Raza Afzal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376679837 PECOS PAC ID: 9830244268 Enrollment ID: I20090908000423 |
| Provider Name | Udaya Bhaskara R Sunkara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578542593 PECOS PAC ID: 3072659267 Enrollment ID: I20091001000010 |
| Provider Name | Elizabeth L Mcilmoyle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780801092 PECOS PAC ID: 8426194689 Enrollment ID: I20091001000664 |
| Provider Name | Archil Abashidze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891717757 PECOS PAC ID: 1658327283 Enrollment ID: I20091005000052 |
| Provider Name | Benjamin I Opara |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548221054 PECOS PAC ID: 3971649419 Enrollment ID: I20091014000073 |
| Provider Name | Lahaina L Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871724054 PECOS PAC ID: 9739227802 Enrollment ID: I20091110000372 |
| Provider Name | Ester K Liu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538176946 PECOS PAC ID: 1557409356 Enrollment ID: I20091117000032 |
| Provider Name | Jorge L Perez-alard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174547848 PECOS PAC ID: 9032209341 Enrollment ID: I20091124000226 |
| Provider Name | Suzanne N Ferdman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942430848 PECOS PAC ID: 0345389201 Enrollment ID: I20091207000066 |
| Provider Name | Laurence H Scipio |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275505711 PECOS PAC ID: 0648319376 Enrollment ID: I20091209000225 |
| Provider Name | Bahador Momeni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164428264 PECOS PAC ID: 2163450156 Enrollment ID: I20091229000294 |
| Provider Name | Ayoku Oketunji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083697312 PECOS PAC ID: 7214078781 Enrollment ID: I20100106000058 |
| Provider Name | Theresa E Deveaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013919067 PECOS PAC ID: 7315088788 Enrollment ID: I20100107000174 |
| Provider Name | Bolaji O Onabajo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295718526 PECOS PAC ID: 3678614054 Enrollment ID: I20100107000285 |
| Provider Name | Kofi Owusu-boaitey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336122787 PECOS PAC ID: 0244371649 Enrollment ID: I20100107000428 |
| Provider Name | Fernando De Leon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922003060 PECOS PAC ID: 5294876603 Enrollment ID: I20100107000466 |
| Provider Name | Deborah L Van Orden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992787550 PECOS PAC ID: 7214078385 Enrollment ID: I20100112000134 |
| Provider Name | Nikisha H Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316147341 PECOS PAC ID: 5991846958 Enrollment ID: I20100113000156 |
| Provider Name | Saeed Salehinia |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1720289184 PECOS PAC ID: 7012059942 Enrollment ID: I20100115000048 |
| Provider Name | Mohit S Negi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346285061 PECOS PAC ID: 7416099742 Enrollment ID: I20100125000132 |
| Provider Name | John P Mastandrea |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518999697 PECOS PAC ID: 9931242583 Enrollment ID: I20100204000075 |
| Provider Name | Richard B Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053487314 PECOS PAC ID: 0143390765 Enrollment ID: I20100204000701 |
| Provider Name | Jeanine Werner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366473118 PECOS PAC ID: 8628175288 Enrollment ID: I20100315000276 |
| Provider Name | Michael P Lilly |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700887916 PECOS PAC ID: 6204961865 Enrollment ID: I20100322000165 |
| Provider Name | Kandasamy Ambalavanar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477647097 PECOS PAC ID: 2668507054 Enrollment ID: I20100324000716 |
| Provider Name | Christopher L Deborja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437163649 PECOS PAC ID: 8123118437 Enrollment ID: I20100413000091 |
| Provider Name | Michael Gasparovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598759706 PECOS PAC ID: 5395730436 Enrollment ID: I20100522000001 |
| Provider Name | Leo Albert Courtney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649252875 PECOS PAC ID: 6901830280 Enrollment ID: I20100601000628 |
| Provider Name | Jorge M Ramirez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679589899 PECOS PAC ID: 6103849971 Enrollment ID: I20100610000082 |
| Provider Name | Anwar I Khokhar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407822927 PECOS PAC ID: 1052443546 Enrollment ID: I20100720000040 |
| Provider Name | Paul J Young-hyman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376508994 PECOS PAC ID: 5496753576 Enrollment ID: I20100813000022 |
| Provider Name | Michael G Hayes |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1871566125 PECOS PAC ID: 7214829738 Enrollment ID: I20100823000338 |
| Provider Name | David Alan Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932187580 PECOS PAC ID: 7214963131 Enrollment ID: I20100826000498 |
| Provider Name | Poornima Sharma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578658407 PECOS PAC ID: 2466577697 Enrollment ID: I20100913000113 |
| Provider Name | Sally Dale G Jafari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174517668 PECOS PAC ID: 8325164361 Enrollment ID: I20100927001131 |
| Provider Name | Sivarama Kp Sompalli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922028307 PECOS PAC ID: 9133312382 Enrollment ID: I20101020000189 |
| Provider Name | Cherif Boutros |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1912105495 PECOS PAC ID: 0143414755 Enrollment ID: I20101027001376 |
| Provider Name | James L Stafford |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760445886 PECOS PAC ID: 5597959825 Enrollment ID: I20101101000873 |
| Provider Name | Volkan O Taskin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568412492 PECOS PAC ID: 9032303219 Enrollment ID: I20101102000094 |
| Provider Name | Tong T Ma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518954411 PECOS PAC ID: 4385839133 Enrollment ID: I20101108000009 |
| Provider Name | Matthew B Troshinsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205886116 PECOS PAC ID: 3678768355 Enrollment ID: I20101108000570 |
| Provider Name | Thirumalairaj Jeevan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306827936 PECOS PAC ID: 0345220646 Enrollment ID: I20101130001178 |
| Provider Name | Patrick Kaguamba Nganga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982916607 PECOS PAC ID: 8426244500 Enrollment ID: I20101201000822 |
| Provider Name | Christopher S Levey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841200672 PECOS PAC ID: 8820286958 Enrollment ID: I20101216000154 |
| Provider Name | Roderick R Boyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295754075 PECOS PAC ID: 6800881210 Enrollment ID: I20101222000112 |
| Provider Name | Khalid H Kurtom |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063687184 PECOS PAC ID: 3870781479 Enrollment ID: I20101227000286 |
| Provider Name | Chastity Takoma Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437283231 PECOS PAC ID: 5294923504 Enrollment ID: I20101230000128 |
| Provider Name | William J Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801826342 PECOS PAC ID: 6507055191 Enrollment ID: I20110120000060 |
| Provider Name | Michael Sharon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265454953 PECOS PAC ID: 3476742073 Enrollment ID: I20110120000121 |
| Provider Name | Juan Joanna Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437189974 PECOS PAC ID: 1557550159 Enrollment ID: I20110120000371 |
| Provider Name | William C Anthony |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326025081 PECOS PAC ID: 3274566286 Enrollment ID: I20110120000403 |
| Provider Name | Charles E Dinapoli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952376840 PECOS PAC ID: 8921287541 Enrollment ID: I20110127000750 |
| Provider Name | Susan Kosnik Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417950080 PECOS PAC ID: 0143357244 Enrollment ID: I20110131000526 |
| Provider Name | Priyadarshini Priyadarshini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063557510 PECOS PAC ID: 7719166131 Enrollment ID: I20110131000858 |
| Provider Name | David Neschis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598773848 PECOS PAC ID: 9830372994 Enrollment ID: I20110328000046 |
| Provider Name | Marshall Benjamin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033125372 PECOS PAC ID: 2365625423 Enrollment ID: I20110328000076 |
| Provider Name | Lola A Hoover |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578592655 PECOS PAC ID: 5799969457 Enrollment ID: I20110405000693 |
| Provider Name | Sally B Cheston |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568476745 PECOS PAC ID: 5193909869 Enrollment ID: I20110405000887 |
| Provider Name | Lorenzo Childress |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073723987 PECOS PAC ID: 8729262258 Enrollment ID: I20110407000699 |
| Provider Name | Lisa Roser |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1023060688 PECOS PAC ID: 7719163419 Enrollment ID: I20110513000372 |
| Provider Name | Kim R Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679757330 PECOS PAC ID: 2668555186 Enrollment ID: I20110516000826 |
| Provider Name | Mohammad Walid Kamsheh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083611917 PECOS PAC ID: 0941486534 Enrollment ID: I20110516000844 |
| Provider Name | Marian Currens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508950015 PECOS PAC ID: 5092991331 Enrollment ID: I20110520000273 |
| Provider Name | William Henry Katz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255339875 PECOS PAC ID: 0648366211 Enrollment ID: I20110526000596 |
| Provider Name | Larry W Blum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053300962 PECOS PAC ID: 4789784018 Enrollment ID: I20110601000873 |
| Provider Name | Sharon A Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093019945 PECOS PAC ID: 7315124179 Enrollment ID: I20110602000552 |
| Provider Name | Margaret Elaine Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609168970 PECOS PAC ID: 0941487227 Enrollment ID: I20110614000621 |
| Provider Name | Silvia Yunghee Rho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790952216 PECOS PAC ID: 7719017318 Enrollment ID: I20110701000038 |
| Provider Name | William Regenold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467460949 PECOS PAC ID: 0042488231 Enrollment ID: I20110713000643 |
| Provider Name | Jean M Malsack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366738114 PECOS PAC ID: 3779751672 Enrollment ID: I20110720000483 |
| Provider Name | Laurie B Porter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386664902 PECOS PAC ID: 5496758633 Enrollment ID: I20110729000157 |
| Provider Name | Yolanda Chik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417162058 PECOS PAC ID: 0840469037 Enrollment ID: I20110804000086 |
| Provider Name | Amy P Stump |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275669392 PECOS PAC ID: 3476722158 Enrollment ID: I20110815000458 |
| Provider Name | Erica Camille Contreras |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922202696 PECOS PAC ID: 5799954251 Enrollment ID: I20110818000149 |
| Provider Name | Maria D Pardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730335878 PECOS PAC ID: 1658542121 Enrollment ID: I20110914000566 |
| Provider Name | Kelley E Banagan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851435408 PECOS PAC ID: 3577734854 Enrollment ID: I20110916000265 |
| Provider Name | Patricia G Milburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396941696 PECOS PAC ID: 9537330550 Enrollment ID: I20110923000519 |
| Provider Name | Christine Theresa Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588944284 PECOS PAC ID: 9234301862 Enrollment ID: I20111004000425 |
| Provider Name | Preethi A Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558655720 PECOS PAC ID: 0941474878 Enrollment ID: I20111110000778 |
| Provider Name | Dianne A London |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942518824 PECOS PAC ID: 6406020031 Enrollment ID: I20111117000139 |
| Provider Name | William E Bair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164460416 PECOS PAC ID: 0547434987 Enrollment ID: I20111121000259 |
| Provider Name | Suryakant Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205823010 PECOS PAC ID: 3173600467 Enrollment ID: I20111208000138 |
| Provider Name | Patricia A Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821371568 PECOS PAC ID: 5294901484 Enrollment ID: I20120111000035 |
| Provider Name | Shiney Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770867905 PECOS PAC ID: 6204094667 Enrollment ID: I20120215000337 |
| Provider Name | Daniel Ray Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497793673 PECOS PAC ID: 6305856287 Enrollment ID: I20120220000377 |
| Provider Name | Robert J Smoloski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255311239 PECOS PAC ID: 8426217555 Enrollment ID: I20120309000228 |
| Provider Name | Subodhkumar Sundaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447201751 PECOS PAC ID: 4981504727 Enrollment ID: I20120402000025 |
| Provider Name | Devi Chakravorty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457568412 PECOS PAC ID: 9436238615 Enrollment ID: I20120413000478 |
| Provider Name | Troy V Abernathy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508075078 PECOS PAC ID: 2567516701 Enrollment ID: I20120523000429 |
| Provider Name | Kurt S Haspert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760757421 PECOS PAC ID: 3375706435 Enrollment ID: I20120530000123 |
| Provider Name | Roberta Joline Lilly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932438322 PECOS PAC ID: 5799969655 Enrollment ID: I20120531000261 |
| Provider Name | Kevin D Tate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437169729 PECOS PAC ID: 3779583802 Enrollment ID: I20120622000096 |
| Provider Name | Justin G Wade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467539676 PECOS PAC ID: 6406847250 Enrollment ID: I20120628000456 |
| Provider Name | Wafik I Zaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033102975 PECOS PAC ID: 0244495562 Enrollment ID: I20120711000214 |
| Provider Name | Dagobert Simo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144458217 PECOS PAC ID: 5799940060 Enrollment ID: I20120712000166 |
| Provider Name | Justin K Nelms |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598080947 PECOS PAC ID: 0042475337 Enrollment ID: I20120712000313 |
| Provider Name | Michelle Renee Seavey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114081833 PECOS PAC ID: 7911099197 Enrollment ID: I20120727000023 |
| Provider Name | Carol K Tweed |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649219155 PECOS PAC ID: 9032115415 Enrollment ID: I20120727000383 |
| Provider Name | Jill A Burgholzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538440862 PECOS PAC ID: 2365698214 Enrollment ID: I20120808000363 |
| Provider Name | Sharon J Stagg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750433124 PECOS PAC ID: 8527214469 Enrollment ID: I20120809000215 |
| Provider Name | Sabrina C Sopha |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003080797 PECOS PAC ID: 8325294168 Enrollment ID: I20120809000350 |
| Provider Name | Laurence Pezor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427055946 PECOS PAC ID: 5294981072 Enrollment ID: I20120809000798 |
| Provider Name | Deborah A Talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447505847 PECOS PAC ID: 0345497343 Enrollment ID: I20120827000623 |
| Provider Name | Yvonne M Rasko |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902000789 PECOS PAC ID: 3678721107 Enrollment ID: I20120907000201 |
| Provider Name | Hal S Crane |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679674618 PECOS PAC ID: 2163474529 Enrollment ID: I20120912000122 |
| Provider Name | Eleanor C Faherty |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265600522 PECOS PAC ID: 0547411589 Enrollment ID: I20121121000281 |
| Provider Name | Christopher Parry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316907447 PECOS PAC ID: 1759578750 Enrollment ID: I20121129000289 |
| Provider Name | Mark S Langfitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003876194 PECOS PAC ID: 1355593989 Enrollment ID: I20121206000255 |
| Provider Name | Ralph Monte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689954174 PECOS PAC ID: 1658523659 Enrollment ID: I20121219000432 |
| Provider Name | Lisa Schnoor Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316298839 PECOS PAC ID: 3274786702 Enrollment ID: I20130114000290 |
| Provider Name | Mary E Sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952646861 PECOS PAC ID: 0345494571 Enrollment ID: I20130215000421 |
| Provider Name | Alejuandria D Manzie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861719411 PECOS PAC ID: 6305081480 Enrollment ID: I20130320000178 |
| Provider Name | Jared W Reaves |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679754188 PECOS PAC ID: 5890964308 Enrollment ID: I20130502000510 |
| Provider Name | Oluwatobi O Onajobi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508091513 PECOS PAC ID: 9931346129 Enrollment ID: I20130507000462 |
| Provider Name | Ikumi Suzuki |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457679458 PECOS PAC ID: 4284871872 Enrollment ID: I20130520000646 |
| Provider Name | Richard H Fritz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669409173 PECOS PAC ID: 4486892817 Enrollment ID: I20130524000325 |
| Provider Name | Hazem Ahmed Elariny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649203118 PECOS PAC ID: 8729045042 Enrollment ID: I20130613000326 |
| Provider Name | Raymond P Zarate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184067597 PECOS PAC ID: 2062651441 Enrollment ID: I20130614000389 |
| Provider Name | Bethany A Danner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912272667 PECOS PAC ID: 6406095751 Enrollment ID: I20130617000418 |
| Provider Name | Krishnaj Gourab |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538394242 PECOS PAC ID: 8325288186 Enrollment ID: I20130628000299 |
| Provider Name | Caitlin E Palmisano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922346659 PECOS PAC ID: 0840430237 Enrollment ID: I20130708000578 |
| Provider Name | Mark V Mishra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790932630 PECOS PAC ID: 1951542950 Enrollment ID: I20130801000755 |
| Provider Name | Vasundhara Muthu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972753028 PECOS PAC ID: 8426292319 Enrollment ID: I20130916000140 |
| Provider Name | Anna Ahn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700105533 PECOS PAC ID: 7012151467 Enrollment ID: I20130925000141 |
| Provider Name | Susan E Omalley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083993018 PECOS PAC ID: 2860636172 Enrollment ID: I20130926000049 |
| Provider Name | Aboubakr Khairat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720246358 PECOS PAC ID: 3678707700 Enrollment ID: I20131003000410 |
| Provider Name | Elizabeth M Nichols |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396903761 PECOS PAC ID: 1153555958 Enrollment ID: I20131010000866 |
| Provider Name | Elizabeth M Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417380288 PECOS PAC ID: 4587898960 Enrollment ID: I20131018001178 |
| Provider Name | Amanda S. Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437310612 PECOS PAC ID: 3274773585 Enrollment ID: I20131028001404 |
| Provider Name | Brittany Johnson Krautheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376985937 PECOS PAC ID: 9638304264 Enrollment ID: I20131106001187 |
| Provider Name | Gurpreet Sabar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1780864306 PECOS PAC ID: 0143457549 Enrollment ID: I20131210001228 |
| Provider Name | Maurice Jeter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558543447 PECOS PAC ID: 8729151758 Enrollment ID: I20131230001715 |
| Provider Name | Rishi Kundi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174740559 PECOS PAC ID: 9133357395 Enrollment ID: I20140115000101 |
| Provider Name | Surendra Kandel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336420306 PECOS PAC ID: 3779748066 Enrollment ID: I20140306000918 |
| Provider Name | David Edward Weng |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1831154731 PECOS PAC ID: 2769494764 Enrollment ID: I20140325000648 |
| Provider Name | Danny Liang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760518807 PECOS PAC ID: 9537338793 Enrollment ID: I20140328000249 |
| Provider Name | Linda J Dewberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811274293 PECOS PAC ID: 7315104866 Enrollment ID: I20140425001187 |
| Provider Name | Michelle N Lyons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174724397 PECOS PAC ID: 9234362765 Enrollment ID: I20140507000790 |
| Provider Name | Tridonna D Brandford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316377377 PECOS PAC ID: 4284621251 Enrollment ID: I20140512000628 |
| Provider Name | David Gitlitz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174605323 PECOS PAC ID: 7012972847 Enrollment ID: I20140605001317 |
| Provider Name | Theresa O Okereke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225454937 PECOS PAC ID: 8921222159 Enrollment ID: I20140610000599 |
| Provider Name | Hwan Y Yoo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730173436 PECOS PAC ID: 3476542978 Enrollment ID: I20140630000540 |
| Provider Name | Peter Phillip Olivieri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568761732 PECOS PAC ID: 3678798345 Enrollment ID: I20140714001366 |
| Provider Name | Rashawn T Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801214291 PECOS PAC ID: 6305062159 Enrollment ID: I20140731000370 |
| Provider Name | Jennifer Dyott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508294745 PECOS PAC ID: 4880811942 Enrollment ID: I20140813001483 |
| Provider Name | Dana Marcel Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548251671 PECOS PAC ID: 8628043239 Enrollment ID: I20140814000357 |
| Provider Name | Meng Y Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881912806 PECOS PAC ID: 8325265168 Enrollment ID: I20140819000500 |
| Provider Name | Tamela Mcclam |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1205095098 PECOS PAC ID: 7315175981 Enrollment ID: I20140820000949 |
| Provider Name | Benjamin Remo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376785717 PECOS PAC ID: 8123247020 Enrollment ID: I20140908001585 |
| Provider Name | Marie Claire Ziesat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649408386 PECOS PAC ID: 5890915896 Enrollment ID: I20140925000158 |
| Provider Name | Gladys Nkechi Akanoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881016921 PECOS PAC ID: 4587884176 Enrollment ID: I20141002001102 |
| Provider Name | Casey Naughton Bor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720487499 PECOS PAC ID: 1355562968 Enrollment ID: I20141024000434 |
| Provider Name | Myreda L Erickson-o'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447212444 PECOS PAC ID: 6901066596 Enrollment ID: I20141106002135 |
| Provider Name | Hardik C Yadav |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982928537 PECOS PAC ID: 7012139934 Enrollment ID: I20141110000998 |
| Provider Name | Lianrui Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912283235 PECOS PAC ID: 5799950556 Enrollment ID: I20141201001357 |
| Provider Name | Mohit N Gilotra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639379449 PECOS PAC ID: 4082937750 Enrollment ID: I20150105000871 |
| Provider Name | Brittany Jay Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114324761 PECOS PAC ID: 7012230535 Enrollment ID: I20150108000201 |
| Provider Name | Oluwakemi Ogunsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104054196 PECOS PAC ID: 9335463538 Enrollment ID: I20150116001370 |
| Provider Name | Melissa Anne Rieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720485162 PECOS PAC ID: 7315262854 Enrollment ID: I20150204001707 |
| Provider Name | Kemsha Z Huslin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629277157 PECOS PAC ID: 8628193760 Enrollment ID: I20150211000435 |
| Provider Name | Hyesung Pease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104226505 PECOS PAC ID: 6002131232 Enrollment ID: I20150211000976 |
| Provider Name | Sannia Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295137107 PECOS PAC ID: 0042432056 Enrollment ID: I20150211001453 |
| Provider Name | Trisha M Coulbourn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154721231 PECOS PAC ID: 1052636123 Enrollment ID: I20150212000401 |
| Provider Name | Jamilah M Shakir Reese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871721183 PECOS PAC ID: 1557686490 Enrollment ID: I20150217000640 |
| Provider Name | Bethany L Radin-aitken |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336463017 PECOS PAC ID: 0345469367 Enrollment ID: I20150224001184 |
| Provider Name | Gina Exantus Bernard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053624452 PECOS PAC ID: 6800112715 Enrollment ID: I20150311000816 |
| Provider Name | Shannon Tieman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326436254 PECOS PAC ID: 0547587776 Enrollment ID: I20150326001349 |
| Provider Name | Alicia M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093976664 PECOS PAC ID: 4082788864 Enrollment ID: I20150331002134 |
| Provider Name | Jiayan Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659665321 PECOS PAC ID: 0749431674 Enrollment ID: I20150416000364 |
| Provider Name | Mary Williams-feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194117895 PECOS PAC ID: 3870811995 Enrollment ID: I20150421000804 |
| Provider Name | Diana G Shorter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073919601 PECOS PAC ID: 7315265410 Enrollment ID: I20150422001031 |
| Provider Name | Michael J Kingan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861871881 PECOS PAC ID: 8527389915 Enrollment ID: I20150611000130 |
| Provider Name | Anju Singhal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861636755 PECOS PAC ID: 9436380771 Enrollment ID: I20150615000635 |
| Provider Name | Patricia Caraballo Osorio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164762688 PECOS PAC ID: 8325280464 Enrollment ID: I20150619001653 |
| Provider Name | Haimanot Zeamanuel Haile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659669067 PECOS PAC ID: 4284854340 Enrollment ID: I20150702000155 |
| Provider Name | Rebekah A Kroeger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942692132 PECOS PAC ID: 7113239989 Enrollment ID: I20150708000213 |
| Provider Name | Tiana R Miller-breland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376936872 PECOS PAC ID: 6305158908 Enrollment ID: I20150710001276 |
| Provider Name | Tanya R Flohr |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932313103 PECOS PAC ID: 3577790765 Enrollment ID: I20150804003944 |
| Provider Name | Kelli M Eimer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417272964 PECOS PAC ID: 6901110915 Enrollment ID: I20150805006633 |
| Provider Name | Adeel Kaiser |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881883536 PECOS PAC ID: 7911067020 Enrollment ID: I20150812007230 |
| Provider Name | Penny J Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053709907 PECOS PAC ID: 2163737461 Enrollment ID: I20150817000159 |
| Provider Name | Janna B Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689930489 PECOS PAC ID: 7911212766 Enrollment ID: I20150824000068 |
| Provider Name | Patricia M Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497096762 PECOS PAC ID: 6800105032 Enrollment ID: I20151028002818 |
| Provider Name | Jonathan D Packer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780818674 PECOS PAC ID: 7810207149 Enrollment ID: I20151117000449 |
| Provider Name | Hassan Ayaz Bokhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811158082 PECOS PAC ID: 2062653462 Enrollment ID: I20151123002165 |
| Provider Name | Lisa V Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770825747 PECOS PAC ID: 9739489154 Enrollment ID: I20151207002427 |
| Provider Name | Ahmed Abdel-gawad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790747996 PECOS PAC ID: 0547561680 Enrollment ID: I20151215002372 |
| Provider Name | Adi Lazary-dagan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275860728 PECOS PAC ID: 9638474083 Enrollment ID: I20160223000280 |
| Provider Name | Shanna E Fortune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013335397 PECOS PAC ID: 3971800400 Enrollment ID: I20160329001920 |
| Provider Name | Stephanie Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649636176 PECOS PAC ID: 1355648981 Enrollment ID: I20160405001022 |
| Provider Name | Colleen M Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255627469 PECOS PAC ID: 3971801895 Enrollment ID: I20160411000194 |
| Provider Name | Hassan Frinjari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811127764 PECOS PAC ID: 6103962527 Enrollment ID: I20160412002332 |
| Provider Name | Sarah S Kurtz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386810067 PECOS PAC ID: 4284819012 Enrollment ID: I20160427002103 |
| Provider Name | Nina Eshaghi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013264589 PECOS PAC ID: 3577705045 Enrollment ID: I20160504000098 |
| Provider Name | Syed Zaidi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801003223 PECOS PAC ID: 1254572589 Enrollment ID: I20160504000547 |
| Provider Name | John Keats |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538197876 PECOS PAC ID: 3173607538 Enrollment ID: I20160504002067 |
| Provider Name | Bethany R Elliott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265775548 PECOS PAC ID: 1759680671 Enrollment ID: I20160523000761 |
| Provider Name | Christina M Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245684224 PECOS PAC ID: 2062703465 Enrollment ID: I20160615000416 |
| Provider Name | Maria Angela Maguire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861719858 PECOS PAC ID: 9739470014 Enrollment ID: I20160616000591 |
| Provider Name | Laura S Deterding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154782696 PECOS PAC ID: 6002107885 Enrollment ID: I20160627000315 |
| Provider Name | Candace Norwood Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275791188 PECOS PAC ID: 8426205428 Enrollment ID: I20160629000766 |
| Provider Name | Sridevi Praveen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023462702 PECOS PAC ID: 3476846841 Enrollment ID: I20160722000027 |
| Provider Name | Latasha N Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245505684 PECOS PAC ID: 8729386099 Enrollment ID: I20160803000136 |
| Provider Name | Deborah Michelle Brooks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164798419 PECOS PAC ID: 4880992288 Enrollment ID: I20160812000091 |
| Provider Name | Christopher J Lemon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184913709 PECOS PAC ID: 4981999661 Enrollment ID: I20160819000110 |
| Provider Name | Richelle T Williams |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1134480833 PECOS PAC ID: 8628298361 Enrollment ID: I20160901000808 |
| Provider Name | Kelli Teresa Harkless |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700239993 PECOS PAC ID: 5092001305 Enrollment ID: I20160913002705 |
| Provider Name | Jacob F Collen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528164704 PECOS PAC ID: 7517192933 Enrollment ID: I20160914002836 |
| Provider Name | Tigist G Teklemichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831536309 PECOS PAC ID: 5698061703 Enrollment ID: I20160915000714 |
| Provider Name | Ryan Scilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114152956 PECOS PAC ID: 1153613336 Enrollment ID: I20160915001334 |
| Provider Name | Andrew R Vranic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851448716 PECOS PAC ID: 1759433584 Enrollment ID: I20160916000904 |
| Provider Name | Dabanjan Bandyopadhyay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487908075 PECOS PAC ID: 5799927075 Enrollment ID: I20160923000026 |
| Provider Name | Kourtney Ricks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407288384 PECOS PAC ID: 9133418858 Enrollment ID: I20161006000028 |
| Provider Name | Lindsey A Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013360841 PECOS PAC ID: 5799073474 Enrollment ID: I20161012001916 |
| Provider Name | Akshar N Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902199391 PECOS PAC ID: 2567752900 Enrollment ID: I20161013002018 |
| Provider Name | Kimloan Merchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033572094 PECOS PAC ID: 6103114657 Enrollment ID: I20161017000130 |
| Provider Name | Angela M Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972967958 PECOS PAC ID: 5395033690 Enrollment ID: I20161019000209 |
| Provider Name | Tyler Rickards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962807867 PECOS PAC ID: 3870881105 Enrollment ID: I20161019001187 |
| Provider Name | Elizabeth Grady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558663278 PECOS PAC ID: 5698097558 Enrollment ID: I20161109000106 |
| Provider Name | Wondaferew Berhie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083973580 PECOS PAC ID: 1355599614 Enrollment ID: I20161117002334 |
| Provider Name | Shalanda R Webb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912136649 PECOS PAC ID: 3173768371 Enrollment ID: I20161123001315 |
| Provider Name | Denny P Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881031003 PECOS PAC ID: 1658509948 Enrollment ID: I20161130000113 |
| Provider Name | Bosede Lasekan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518047380 PECOS PAC ID: 8224115159 Enrollment ID: I20161130000229 |
| Provider Name | Ealena S Callender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851489793 PECOS PAC ID: 7810095742 Enrollment ID: I20161205001025 |
| Provider Name | Rhiannon Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629426499 PECOS PAC ID: 8527348481 Enrollment ID: I20161212000117 |
| Provider Name | Omolara Rashidatu Adewuni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336317676 PECOS PAC ID: 1658555446 Enrollment ID: I20161216000104 |
| Provider Name | Morton Kalus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346220019 PECOS PAC ID: 9830180371 Enrollment ID: I20170104000038 |
| Provider Name | Lisa Marlane Bronaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932651700 PECOS PAC ID: 4385926070 Enrollment ID: I20170112001102 |
| Provider Name | Michelle Clausen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669849121 PECOS PAC ID: 5890095236 Enrollment ID: I20170117001664 |
| Provider Name | Jason J Heavner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952575003 PECOS PAC ID: 9436327632 Enrollment ID: I20170125000131 |
| Provider Name | Clara Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356652721 PECOS PAC ID: 5496037228 Enrollment ID: I20170131000884 |
| Provider Name | Sara E Shaffer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699752170 PECOS PAC ID: 0749469641 Enrollment ID: I20170201000054 |
| Provider Name | Palak Doshi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598038150 PECOS PAC ID: 2961667746 Enrollment ID: I20170215001095 |
| Provider Name | Katreena Settle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245576792 PECOS PAC ID: 2668761719 Enrollment ID: I20170228000287 |
| Provider Name | Anuj Bhatnagar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316253180 PECOS PAC ID: 9739316647 Enrollment ID: I20170301001658 |
| Provider Name | Margaret Michelle Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831553585 PECOS PAC ID: 3173807526 Enrollment ID: I20170302000271 |
| Provider Name | Rahel Alemu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427506583 PECOS PAC ID: 4385929140 Enrollment ID: I20170320000591 |
| Provider Name | Gabriel Sardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326255712 PECOS PAC ID: 4486800216 Enrollment ID: I20170320001283 |
| Provider Name | Lindsay Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205264116 PECOS PAC ID: 6608003207 Enrollment ID: I20170329002742 |
| Provider Name | Faith Armstrong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851655815 PECOS PAC ID: 6204126675 Enrollment ID: I20170405000971 |
| Provider Name | Megan C Lilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427595651 PECOS PAC ID: 5496031262 Enrollment ID: I20170410001296 |
| Provider Name | Deidre Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598217671 PECOS PAC ID: 1456638105 Enrollment ID: I20170505000033 |
| Provider Name | Ahmed Kandeel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427225630 PECOS PAC ID: 6406994961 Enrollment ID: I20170509000264 |
| Provider Name | Jessica A Pate |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205379880 PECOS PAC ID: 9032496567 Enrollment ID: I20170510000369 |
| Provider Name | Madhu Sreekanth Jasti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114231545 PECOS PAC ID: 5597905703 Enrollment ID: I20170510001154 |
| Provider Name | Marcia Harton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164965935 PECOS PAC ID: 9830466747 Enrollment ID: I20170525000163 |
| Provider Name | Doris A Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275975542 PECOS PAC ID: 8921376351 Enrollment ID: I20170607002774 |
| Provider Name | Nikita Leiter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215202312 PECOS PAC ID: 8325338445 Enrollment ID: I20170613002542 |
| Provider Name | Jawad Saade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194987453 PECOS PAC ID: 5092987925 Enrollment ID: I20170627001420 |
| Provider Name | Catrina Richardson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306219530 PECOS PAC ID: 7810294394 Enrollment ID: I20170725000883 |
| Provider Name | Minh Lu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841477049 PECOS PAC ID: 9436314424 Enrollment ID: I20170725002857 |
| Provider Name | Linda Evonne Brogdon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013208032 PECOS PAC ID: 0143460758 Enrollment ID: I20170727001046 |
| Provider Name | Caitlin Nass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437273067 PECOS PAC ID: 5294826137 Enrollment ID: I20170728000969 |
| Provider Name | Lashire J Diegue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245465871 PECOS PAC ID: 8729221924 Enrollment ID: I20170801002189 |
| Provider Name | Svetlana Goldberg |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1306373527 PECOS PAC ID: 1153692520 Enrollment ID: I20170802003482 |
| Provider Name | Florence Jaffa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407267214 PECOS PAC ID: 8022235274 Enrollment ID: I20170803000667 |
| Provider Name | Jacqueline Cunkelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730380122 PECOS PAC ID: 4385718584 Enrollment ID: I20170809000651 |
| Provider Name | Sambhav Karki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568787117 PECOS PAC ID: 9436393337 Enrollment ID: I20170809002821 |
| Provider Name | Mackenzie Lynn Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548797376 PECOS PAC ID: 7517238454 Enrollment ID: I20170810001677 |
| Provider Name | Amanda Markie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306373204 PECOS PAC ID: 8820369622 Enrollment ID: I20170811001133 |
| Provider Name | Darwin Ashbaker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114286127 PECOS PAC ID: 5597046615 Enrollment ID: I20170814001442 |
| Provider Name | Samantha F Heisler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366989907 PECOS PAC ID: 2163794900 Enrollment ID: I20170815000390 |
| Provider Name | Allison Lankford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639434087 PECOS PAC ID: 9739473000 Enrollment ID: I20170831002247 |
| Provider Name | Irina A Lidow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841267218 PECOS PAC ID: 6204109705 Enrollment ID: I20170905002730 |
| Provider Name | Mustafa A Abdulmahdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205278843 PECOS PAC ID: 6002114964 Enrollment ID: I20170907000062 |
| Provider Name | Sara R Viola |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376886713 PECOS PAC ID: 9638464092 Enrollment ID: I20170914002541 |
| Provider Name | Bayan Md Mesmar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306192976 PECOS PAC ID: 9830498880 Enrollment ID: I20170915000401 |
| Provider Name | Mariano Arosemena |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407051121 PECOS PAC ID: 8820308448 Enrollment ID: I20170919002801 |
| Provider Name | James William Snider |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295092351 PECOS PAC ID: 4284933821 Enrollment ID: I20170925002462 |
| Provider Name | Iqbal Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083603062 PECOS PAC ID: 6507838463 Enrollment ID: I20170926001648 |
| Provider Name | Hope Tiffany Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457588600 PECOS PAC ID: 0345534046 Enrollment ID: I20171010003036 |
| Provider Name | Michelle L Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467974246 PECOS PAC ID: 8527333939 Enrollment ID: I20171011002581 |
| Provider Name | Julia Belanger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871993436 PECOS PAC ID: 6709152887 Enrollment ID: I20171017001742 |
| Provider Name | Preethi Sriram |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093078222 PECOS PAC ID: 7618243726 Enrollment ID: I20171017002935 |
| Provider Name | Jennifer Argueta |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720333800 PECOS PAC ID: 6507132610 Enrollment ID: I20171017003064 |
| Provider Name | Clarisse Elaine Cadang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588083075 PECOS PAC ID: 6507132628 Enrollment ID: I20171017003540 |
| Provider Name | Leslie Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548785017 PECOS PAC ID: 5496021404 Enrollment ID: I20171019000028 |
| Provider Name | Andrew Riggin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780941492 PECOS PAC ID: 4284933292 Enrollment ID: I20171023000044 |
| Provider Name | Lakesha M Addison Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013358902 PECOS PAC ID: 1456627306 Enrollment ID: I20171113001113 |
| Provider Name | Darleen Elizabeth Reinking |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184792046 PECOS PAC ID: 3072879790 Enrollment ID: I20171114001409 |
| Provider Name | Priya Venkataraman Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639332778 PECOS PAC ID: 7012083389 Enrollment ID: I20171122001474 |
| Provider Name | Diana Elena Amariei |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801139225 PECOS PAC ID: 2668789926 Enrollment ID: I20171206000890 |
| Provider Name | Sneha Tella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346669314 PECOS PAC ID: 9537459631 Enrollment ID: I20171207000852 |
| Provider Name | Natalie Elaine Jennifer Chilaka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346412418 PECOS PAC ID: 9133387996 Enrollment ID: I20171212000368 |
| Provider Name | Monica Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578850541 PECOS PAC ID: 3779842877 Enrollment ID: I20180118000480 |
| Provider Name | Leslie Pacobahyba-levin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295247260 PECOS PAC ID: 3971862871 Enrollment ID: I20180123001415 |
| Provider Name | Katherine Diana Keiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386158533 PECOS PAC ID: 9739449125 Enrollment ID: I20180202001120 |
| Provider Name | Michell M Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366524365 PECOS PAC ID: 5092814541 Enrollment ID: I20180205000444 |
| Provider Name | Leslie Anne Juarbe Rivera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851730030 PECOS PAC ID: 5395006530 Enrollment ID: I20180302001053 |
| Provider Name | Molly M Bernish |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578064879 PECOS PAC ID: 3173886199 Enrollment ID: I20180404001316 |
| Provider Name | Sunny Granger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215445572 PECOS PAC ID: 4486917028 Enrollment ID: I20180413000936 |
| Provider Name | Erin Patricia Odonnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346660917 PECOS PAC ID: 4385907633 Enrollment ID: I20180418002946 |
| Provider Name | Jo-ann Mittelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942330055 PECOS PAC ID: 3678870037 Enrollment ID: I20180423000621 |
| Provider Name | Wendy Towers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912304486 PECOS PAC ID: 6901198407 Enrollment ID: I20180425001449 |
| Provider Name | Patricia Scripko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194046334 PECOS PAC ID: 2365603495 Enrollment ID: I20180501001804 |
| Provider Name | Matthew Phillip Wagner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841504503 PECOS PAC ID: 7416268966 Enrollment ID: I20180509000909 |
| Provider Name | Katherine Trulove Ellis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194225631 PECOS PAC ID: 7012271497 Enrollment ID: I20180511000375 |
| Provider Name | Jehee Isabelle Choi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619260056 PECOS PAC ID: 9931425808 Enrollment ID: I20180525001239 |
| Provider Name | Anjali Dhanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487996716 PECOS PAC ID: 5193036168 Enrollment ID: I20180605000454 |
| Provider Name | Christa Marie Thornberry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093798357 PECOS PAC ID: 1153555347 Enrollment ID: I20180606000385 |
| Provider Name | Melissa Lynn Eigenbrode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740784180 PECOS PAC ID: 6507111770 Enrollment ID: I20180613000096 |
| Provider Name | Aaron S Iddings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871988345 PECOS PAC ID: 0648578005 Enrollment ID: I20180626002434 |
| Provider Name | Kristina Ann Yablonski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538434840 PECOS PAC ID: 9436454584 Enrollment ID: I20180628000869 |
| Provider Name | Krista L Tookhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821483645 PECOS PAC ID: 4486953551 Enrollment ID: I20180710002920 |
| Provider Name | Adam J Goldrich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912292517 PECOS PAC ID: 9830482819 Enrollment ID: I20180712002298 |
| Provider Name | Preeti Venkataraman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215093778 PECOS PAC ID: 8820270234 Enrollment ID: I20180712002689 |
| Provider Name | Tara Hardiman Chadwick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003233206 PECOS PAC ID: 5092013490 Enrollment ID: I20180719003265 |
| Provider Name | Sung-min Min Cho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760828271 PECOS PAC ID: 3678840261 Enrollment ID: I20180720000673 |
| Provider Name | Denise R Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912402777 PECOS PAC ID: 0143578617 Enrollment ID: I20180801000004 |
| Provider Name | Razia Parveen Sultana Syed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316257728 PECOS PAC ID: 9335497437 Enrollment ID: I20180807000552 |
| Provider Name | Elmyra V Encarnacion |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093762270 PECOS PAC ID: 0547173494 Enrollment ID: I20180813001051 |
| Provider Name | Olivia Doller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124511050 PECOS PAC ID: 1355690082 Enrollment ID: I20180814001408 |
| Provider Name | Farrukh M Jalisi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174621346 PECOS PAC ID: 4385719590 Enrollment ID: I20180815003780 |
| Provider Name | Gurpreet Kaur Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053706382 PECOS PAC ID: 5890084198 Enrollment ID: I20180815003878 |
| Provider Name | Abid Ali Fakhri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518159276 PECOS PAC ID: 7315123957 Enrollment ID: I20180816000183 |
| Provider Name | Asghar Ali Fakhri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265621031 PECOS PAC ID: 0244389245 Enrollment ID: I20180823000895 |
| Provider Name | George Kunnackal John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639432834 PECOS PAC ID: 2860642501 Enrollment ID: I20180829001435 |
| Provider Name | Jeffrey Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780978114 PECOS PAC ID: 6901023449 Enrollment ID: I20180830001494 |
| Provider Name | Mithilesh K Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780660613 PECOS PAC ID: 8921186313 Enrollment ID: I20180905001182 |
| Provider Name | Bernadette Morrissey Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295238509 PECOS PAC ID: 9931459005 Enrollment ID: I20180911002312 |
| Provider Name | Christoper Stack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568704971 PECOS PAC ID: 6305145426 Enrollment ID: I20180912000090 |
| Provider Name | Rachel Kovling |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285121350 PECOS PAC ID: 6406107366 Enrollment ID: I20180917001510 |
| Provider Name | Kimberly Brice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437690054 PECOS PAC ID: 6002167962 Enrollment ID: I20180917001669 |
| Provider Name | Asha Francis Tilley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437537263 PECOS PAC ID: 8628380086 Enrollment ID: I20180919000299 |
| Provider Name | Pierre Gordon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639306202 PECOS PAC ID: 5597990507 Enrollment ID: I20180925003057 |
| Provider Name | Kelli Hill Goldsborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912485244 PECOS PAC ID: 1850642133 Enrollment ID: I20180926000132 |
| Provider Name | Aman Gebremedhin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558742510 PECOS PAC ID: 7719130467 Enrollment ID: I20181003000737 |
| Provider Name | Stephanie E Catalano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770064024 PECOS PAC ID: 1254683105 Enrollment ID: I20181004001427 |
| Provider Name | Kelly Seltzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912483512 PECOS PAC ID: 6002168895 Enrollment ID: I20181005000074 |
| Provider Name | William Karkowsky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053675074 PECOS PAC ID: 4082847496 Enrollment ID: I20181009003277 |
| Provider Name | Ericka Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558842930 PECOS PAC ID: 4688926991 Enrollment ID: I20181016000645 |
| Provider Name | Ashley Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528541802 PECOS PAC ID: 9032461132 Enrollment ID: I20181017001561 |
| Provider Name | Julieann M Zviman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780164764 PECOS PAC ID: 7214289339 Enrollment ID: I20181017002364 |
| Provider Name | Swati G Divakarla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528402443 PECOS PAC ID: 8729364047 Enrollment ID: I20181018000586 |
| Provider Name | Arthur Thorpe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508044165 PECOS PAC ID: 7315121720 Enrollment ID: I20181030002941 |
| Provider Name | Aaron Joseph Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538420641 PECOS PAC ID: 1951600121 Enrollment ID: I20181031003127 |
| Provider Name | Brian T Callahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013059625 PECOS PAC ID: 7113183807 Enrollment ID: I20181107001724 |
| Provider Name | Sarah Anne Mcavoy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144549015 PECOS PAC ID: 7113234006 Enrollment ID: I20181129003343 |
| Provider Name | Katelyn Mullaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770078438 PECOS PAC ID: 0840534863 Enrollment ID: I20181203001295 |
| Provider Name | Jamilah Bugayong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528533080 PECOS PAC ID: 3072857010 Enrollment ID: I20181203002384 |
| Provider Name | Brooke Sawicki |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790255206 PECOS PAC ID: 0547505141 Enrollment ID: I20190102000729 |
| Provider Name | Paul V Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720021728 PECOS PAC ID: 1658351663 Enrollment ID: I20190103000091 |
| Provider Name | Sarah Masek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639697543 PECOS PAC ID: 1355688417 Enrollment ID: I20190129001394 |
| Provider Name | Stephen Goldberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710968102 PECOS PAC ID: 7214274117 Enrollment ID: I20190131000559 |
| Provider Name | Mejebi T Mayor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629008792 PECOS PAC ID: 6608041231 Enrollment ID: I20190205000329 |
| Provider Name | Victoria Kimberly Kuntz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861961260 PECOS PAC ID: 3779821616 Enrollment ID: I20190219000972 |
| Provider Name | Patricia Joele Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740787084 PECOS PAC ID: 9436409323 Enrollment ID: I20190308001003 |
| Provider Name | Wei Li |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639475296 PECOS PAC ID: 8921241803 Enrollment ID: I20190311001339 |
| Provider Name | Owen T Regan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518074889 PECOS PAC ID: 9537178413 Enrollment ID: I20190318000909 |
| Provider Name | Proshat Nikou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609030329 PECOS PAC ID: 6901064823 Enrollment ID: I20190325001658 |
| Provider Name | Onyinye Ugorji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487074324 PECOS PAC ID: 9335489582 Enrollment ID: I20190326000348 |
| Provider Name | Benjamin B Bridges |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477694420 PECOS PAC ID: 5991805715 Enrollment ID: I20190412001891 |
| Provider Name | Jeanne Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295989051 PECOS PAC ID: 6800944612 Enrollment ID: I20190423001336 |
| Provider Name | Gabrielle E Gill |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093239295 PECOS PAC ID: 8820354012 Enrollment ID: I20190521002300 |
| Provider Name | Monick Nicole Conway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295968683 PECOS PAC ID: 2365775715 Enrollment ID: I20190618000299 |
| Provider Name | Karin Dibari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790778066 PECOS PAC ID: 0244126589 Enrollment ID: I20190624001268 |
| Provider Name | Ryan Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134668379 PECOS PAC ID: 1355615451 Enrollment ID: I20190703001241 |
| Provider Name | Whitney Morgen Green Moomaw |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477882363 PECOS PAC ID: 6305097197 Enrollment ID: I20190709000946 |
| Provider Name | Joan Hershey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912346479 PECOS PAC ID: 7911233770 Enrollment ID: I20190731003081 |
| Provider Name | Christina Petros Butterly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730641952 PECOS PAC ID: 0345577003 Enrollment ID: I20190805000830 |
| Provider Name | Navita Modi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154398683 PECOS PAC ID: 1153369806 Enrollment ID: I20190807002419 |
| Provider Name | Kathryn Mcdevitt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841719366 PECOS PAC ID: 4587991666 Enrollment ID: I20190813000002 |
| Provider Name | Renay Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548327083 PECOS PAC ID: 8123294378 Enrollment ID: I20190814000081 |
| Provider Name | Ann Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114269750 PECOS PAC ID: 1850681784 Enrollment ID: I20190815001222 |
| Provider Name | Jenna N Benyounes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407147952 PECOS PAC ID: 7012227606 Enrollment ID: I20190819001519 |
| Provider Name | Hope N Honigsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619530342 PECOS PAC ID: 8123356656 Enrollment ID: I20190822000481 |
| Provider Name | Lauren Strady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659721991 PECOS PAC ID: 9638407042 Enrollment ID: I20190822004131 |
| Provider Name | Santosh Ghimire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386031342 PECOS PAC ID: 0143568253 Enrollment ID: I20190826002760 |
| Provider Name | Giath Osman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689764532 PECOS PAC ID: 2860594165 Enrollment ID: I20190923002841 |
| Provider Name | John William Kasckow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508879842 PECOS PAC ID: 4486544640 Enrollment ID: I20190925003228 |
| Provider Name | Javier Humberto Cajina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245644475 PECOS PAC ID: 1759500010 Enrollment ID: I20191007002488 |
| Provider Name | Nimota R Bello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841766318 PECOS PAC ID: 5799016465 Enrollment ID: I20191010000762 |
| Provider Name | Kiranmayi Adimoolam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851688931 PECOS PAC ID: 0749511350 Enrollment ID: I20191014000830 |
| Provider Name | Medha Satyarengga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538574314 PECOS PAC ID: 6608141577 Enrollment ID: I20191017000665 |
| Provider Name | Jordan Assadi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912332008 PECOS PAC ID: 9638396740 Enrollment ID: I20191029002951 |
| Provider Name | Shivani Bassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639525363 PECOS PAC ID: 4284926916 Enrollment ID: I20191106003171 |
| Provider Name | Nakia Ware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639727399 PECOS PAC ID: 3577995414 Enrollment ID: I20191115000355 |
| Provider Name | Julia H Terhune |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750601407 PECOS PAC ID: 7911205356 Enrollment ID: I20191122001509 |
| Provider Name | Jennifer Glorioso |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326698861 PECOS PAC ID: 7618309006 Enrollment ID: I20191125000781 |
| Provider Name | Ivan Pena Sing |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225021611 PECOS PAC ID: 6709861958 Enrollment ID: I20191203000376 |
| Provider Name | Frehiwot Derbew Temesgen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134414667 PECOS PAC ID: 5193011260 Enrollment ID: I20191212002736 |
| Provider Name | Alexandria Ross |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275996886 PECOS PAC ID: 9335573450 Enrollment ID: I20191226001438 |
| Provider Name | Deanna Jo Friedman-klabanoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528202140 PECOS PAC ID: 6103072376 Enrollment ID: I20191226001737 |
| Provider Name | Rohini Boddu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568842292 PECOS PAC ID: 2365781317 Enrollment ID: I20200106000489 |
| Provider Name | Claire Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255975777 PECOS PAC ID: 0547695314 Enrollment ID: I20200124001492 |
| Provider Name | Carnell Cooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447287446 PECOS PAC ID: 6608929013 Enrollment ID: I20200131002533 |
| Provider Name | Heather Beth Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093157976 PECOS PAC ID: 2264869775 Enrollment ID: I20200224000228 |
| Provider Name | Corris Archer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073611513 PECOS PAC ID: 4880604701 Enrollment ID: I20200226000330 |
| Provider Name | Raji George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871134239 PECOS PAC ID: 9032546320 Enrollment ID: I20200226001607 |
| Provider Name | Fidelia Tanyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477104941 PECOS PAC ID: 9537596465 Enrollment ID: I20200305000591 |
| Provider Name | Michelle Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558909176 PECOS PAC ID: 4284063215 Enrollment ID: I20200326001872 |
| Provider Name | John Moon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558456319 PECOS PAC ID: 9739105735 Enrollment ID: I20200428000225 |
| Provider Name | Vontrese Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275077372 PECOS PAC ID: 8224389051 Enrollment ID: I20200506000735 |
| Provider Name | David Levy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073618187 PECOS PAC ID: 1456453687 Enrollment ID: I20200518002002 |
| Provider Name | Thomas Cummings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881726743 PECOS PAC ID: 2466550462 Enrollment ID: I20200518002103 |
| Provider Name | Tabitha Perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144597238 PECOS PAC ID: 0143484493 Enrollment ID: I20200602000017 |
| Provider Name | Karen Barbosa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568472355 PECOS PAC ID: 7113923962 Enrollment ID: I20200602000227 |
| Provider Name | Steven A Foley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194700179 PECOS PAC ID: 8224932090 Enrollment ID: I20200610002224 |
| Provider Name | Kelsey Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568831758 PECOS PAC ID: 2163783291 Enrollment ID: I20200625000742 |
| Provider Name | Robert Morgan Jones |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780061986 PECOS PAC ID: 3274853379 Enrollment ID: I20200630000050 |
| Provider Name | Casey H Mabry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366805145 PECOS PAC ID: 9032404645 Enrollment ID: I20200630000064 |
| Provider Name | Charity Dugan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023315348 PECOS PAC ID: 3072745637 Enrollment ID: I20200709000048 |
| Provider Name | Hamza M. Abdulla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437599529 PECOS PAC ID: 0345483996 Enrollment ID: I20200722003047 |
| Provider Name | Allyson M Hilliard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912160359 PECOS PAC ID: 2860679214 Enrollment ID: I20200803001587 |
| Provider Name | Liviu Cojocaru |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720340656 PECOS PAC ID: 8426345380 Enrollment ID: I20200805000735 |
| Provider Name | Audrey Bowes Drummey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255795704 PECOS PAC ID: 4284902958 Enrollment ID: I20200824000174 |
| Provider Name | Lindsay Ann Ritter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881057420 PECOS PAC ID: 6507145810 Enrollment ID: I20200825001844 |
| Provider Name | Amanda Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699385542 PECOS PAC ID: 0547680555 Enrollment ID: I20201013001978 |
| Provider Name | Andre J Duerinckx |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760434625 PECOS PAC ID: 4486639739 Enrollment ID: I20201015001806 |
| Provider Name | Robyn N Lanasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093344244 PECOS PAC ID: 5294155909 Enrollment ID: I20201019003054 |
| Provider Name | Marissa Lindsay Stear |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811500416 PECOS PAC ID: 5597185868 Enrollment ID: I20201027000184 |
| Provider Name | Lauren Westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841811460 PECOS PAC ID: 7416367263 Enrollment ID: I20201105001120 |
| Provider Name | Alexa L Burley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851905491 PECOS PAC ID: 0749690444 Enrollment ID: I20201109002374 |
| Provider Name | Tasos Aslanidis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568438703 PECOS PAC ID: 7517025034 Enrollment ID: I20201118000406 |
| Provider Name | Charlisa Gibson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205102753 PECOS PAC ID: 6204101876 Enrollment ID: I20201130001913 |
| Provider Name | Xiaolin Deng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205001120 PECOS PAC ID: 7214193739 Enrollment ID: I20201201001875 |
| Provider Name | Tatyana Vladimirovna Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659986735 PECOS PAC ID: 5092127498 Enrollment ID: I20201208002820 |
| Provider Name | Susan Ann Shue |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588265730 PECOS PAC ID: 2860804465 Enrollment ID: I20201223000246 |
| Provider Name | Michael Benjamin Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043818651 PECOS PAC ID: 8820401052 Enrollment ID: I20210108000014 |
| Provider Name | Julian Chung |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831532365 PECOS PAC ID: 4385948173 Enrollment ID: I20210120002600 |
| Provider Name | Nadine Peart Akindele |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750777363 PECOS PAC ID: 1153673314 Enrollment ID: I20210125001327 |
| Provider Name | Lauren Outlaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912193970 PECOS PAC ID: 2961573621 Enrollment ID: I20210211002252 |
| Provider Name | Sarah E Freeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154746816 PECOS PAC ID: 9931405792 Enrollment ID: I20210305001346 |
| Provider Name | Debra Renee Edsall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902494404 PECOS PAC ID: 3072929520 Enrollment ID: I20210308000856 |
| Provider Name | David Caiseda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437100955 PECOS PAC ID: 7911175807 Enrollment ID: I20210309000096 |
| Provider Name | Monique Powell-davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326208265 PECOS PAC ID: 2466506209 Enrollment ID: I20210319000741 |
| Provider Name | Joshua Starr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588005482 PECOS PAC ID: 7012141625 Enrollment ID: I20210329001442 |
| Provider Name | Sevil Aliyeva |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285029215 PECOS PAC ID: 1355758814 Enrollment ID: I20210329002059 |
| Provider Name | Roseann Freundel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497933063 PECOS PAC ID: 0648316018 Enrollment ID: I20210330000040 |
| Provider Name | Christina Seningen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255960712 PECOS PAC ID: 5496162976 Enrollment ID: I20210330000333 |
| Provider Name | Ryan Christopher Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649869645 PECOS PAC ID: 0345658274 Enrollment ID: I20210414001594 |
| Provider Name | Jennifer C Villavicencio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790125391 PECOS PAC ID: 3274839733 Enrollment ID: I20210422001722 |
| Provider Name | Monika S Nageshwar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518321447 PECOS PAC ID: 3971905571 Enrollment ID: I20210706000123 |
| Provider Name | Rumbidzayi Nzara Mukurazhizha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023438108 PECOS PAC ID: 7618196908 Enrollment ID: I20210709002825 |
| Provider Name | Michele Domenick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720052400 PECOS PAC ID: 1759341407 Enrollment ID: I20210726002185 |
| Provider Name | Katrina Ann Roux-bernstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710551494 PECOS PAC ID: 3476956293 Enrollment ID: I20210730000813 |
| Provider Name | Sarah Jensen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841552536 PECOS PAC ID: 8123284163 Enrollment ID: I20210730003229 |
| Provider Name | Rena Diana Sukhdeo Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265988075 PECOS PAC ID: 4981008596 Enrollment ID: I20210804001494 |
| Provider Name | Kathryn Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770155343 PECOS PAC ID: 5395149264 Enrollment ID: I20210814000212 |
| Provider Name | Shawnese Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649766429 PECOS PAC ID: 9739433541 Enrollment ID: I20210820000971 |
| Provider Name | Elisabeth Rose Lugano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811572308 PECOS PAC ID: 7315343332 Enrollment ID: I20210831000570 |
| Provider Name | Amber Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588230411 PECOS PAC ID: 0143626176 Enrollment ID: I20210831000960 |
| Provider Name | Micheal Pallone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275537722 PECOS PAC ID: 9335325562 Enrollment ID: I20210831001628 |
| Provider Name | Sagal Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578959094 PECOS PAC ID: 7810393717 Enrollment ID: I20210901000072 |
| Provider Name | Melissa Joy Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619506516 PECOS PAC ID: 4486050135 Enrollment ID: I20210907000761 |
| Provider Name | Charlotte Ayuk Nkem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912573577 PECOS PAC ID: 7911300447 Enrollment ID: I20210917002197 |
| Provider Name | Janevine Nkiru Onyeanuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386205953 PECOS PAC ID: 1759788698 Enrollment ID: I20210921000356 |
| Provider Name | William R Grier |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740643378 PECOS PAC ID: 3072892033 Enrollment ID: I20210928002211 |
| Provider Name | Cheryl Appleton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538732136 PECOS PAC ID: 1951709039 Enrollment ID: I20211004001277 |
| Provider Name | Hannah Maire Lacombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679143879 PECOS PAC ID: 9133527260 Enrollment ID: I20211005000044 |
| Provider Name | Sarah Morelli |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770817355 PECOS PAC ID: 1456698943 Enrollment ID: I20211005000692 |
| Provider Name | Tamara Keller Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497428569 PECOS PAC ID: 7618375361 Enrollment ID: I20211011000148 |
| Provider Name | Sarita A Wagle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689029456 PECOS PAC ID: 8628361441 Enrollment ID: I20211012001904 |
| Provider Name | Lauren Kelly Rosales |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063188605 PECOS PAC ID: 1951799063 Enrollment ID: I20211022000223 |
| Provider Name | Ratika Sood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174819312 PECOS PAC ID: 8527206432 Enrollment ID: I20211111001679 |
| Provider Name | Ashley C Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417626938 PECOS PAC ID: 1254721608 Enrollment ID: I20211130000229 |
| Provider Name | Zahava Brodt-ciner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841633369 PECOS PAC ID: 8820368665 Enrollment ID: I20211206000287 |
| Provider Name | Bishoy Michael |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932631751 PECOS PAC ID: 0446537773 Enrollment ID: I20211209001494 |
| Provider Name | Sheneika M Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265608103 PECOS PAC ID: 5991871816 Enrollment ID: I20220104000702 |
| Provider Name | Timothy James Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598428724 PECOS PAC ID: 5597157180 Enrollment ID: I20220111000890 |
| Provider Name | Lindsay Mae Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235723362 PECOS PAC ID: 9436541877 Enrollment ID: I20220118000189 |
| Provider Name | Catherine I Stein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811573470 PECOS PAC ID: 5193119774 Enrollment ID: I20220224000767 |
| Provider Name | Claire Lewellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740877588 PECOS PAC ID: 1658786603 Enrollment ID: I20220308000613 |
| Provider Name | Keri Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588322184 PECOS PAC ID: 3476948217 Enrollment ID: I20220315000807 |
| Provider Name | Tracy Elizabeth Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033875414 PECOS PAC ID: 0941695423 Enrollment ID: I20220319000163 |
| Provider Name | Ramachandra Tata |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962485482 PECOS PAC ID: 4981664919 Enrollment ID: I20220322002207 |
| Provider Name | Michael Diclemente |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639160088 PECOS PAC ID: 7719063932 Enrollment ID: I20220328001170 |
| Provider Name | Tristen Holloway |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902445760 PECOS PAC ID: 7719309483 Enrollment ID: I20220331000469 |
| Provider Name | Angela Charolett Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346869690 PECOS PAC ID: 1951798073 Enrollment ID: I20220420000719 |
| Provider Name | Tanya Joyce Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255082749 PECOS PAC ID: 4688061989 Enrollment ID: I20220504001878 |
| Provider Name | Meredith Dixon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295181865 PECOS PAC ID: 4486945714 Enrollment ID: I20220708001109 |
| Provider Name | Bhavana Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033451539 PECOS PAC ID: 7719259803 Enrollment ID: I20220712003285 |
| Provider Name | Anand Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649632076 PECOS PAC ID: 3274826912 Enrollment ID: I20220714003967 |
| Provider Name | Michael J Blaj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306294004 PECOS PAC ID: 2365736154 Enrollment ID: I20220722000822 |
| Provider Name | Abraham J Khan |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1598260846 PECOS PAC ID: 8628313731 Enrollment ID: I20220725003306 |
| Provider Name | Sarah Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790280352 PECOS PAC ID: 9032548318 Enrollment ID: I20220728000787 |
| Provider Name | Hariharan Regunath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851603617 PECOS PAC ID: 1658507504 Enrollment ID: I20220729000022 |
| Provider Name | Mabel Nsagha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568727972 PECOS PAC ID: 3971986076 Enrollment ID: I20220823002401 |
| Provider Name | Susan Tsu Thai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891426383 PECOS PAC ID: 1052794088 Enrollment ID: I20220823004254 |
| Provider Name | Bailey Cannon Dean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124348594 PECOS PAC ID: 8628299492 Enrollment ID: I20220824003161 |
| Provider Name | Merlyn Fanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235872680 PECOS PAC ID: 0042694507 Enrollment ID: I20220901000030 |
| Provider Name | Jennifer Lynn Christ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659940047 PECOS PAC ID: 2466836952 Enrollment ID: I20220901001136 |
| Provider Name | Edidiong Akpan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437610896 PECOS PAC ID: 8628402104 Enrollment ID: I20220919001161 |
| Provider Name | Kendall Parsons |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780316448 PECOS PAC ID: 2567847023 Enrollment ID: I20220920000100 |
| Provider Name | Lakshmi Marimuthu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639631500 PECOS PAC ID: 6507241098 Enrollment ID: I20220920001764 |
| Provider Name | Chikara Gothong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982125225 PECOS PAC ID: 6204105091 Enrollment ID: I20220923001146 |
| Provider Name | Kimberly Dawn Seward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649843962 PECOS PAC ID: 3870978067 Enrollment ID: I20220926000031 |
| Provider Name | Kathleen Ziegler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073002010 PECOS PAC ID: 6608127071 Enrollment ID: I20220927000509 |
| Provider Name | Jawaad Khokhar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336272707 PECOS PAC ID: 4688712607 Enrollment ID: I20221005000436 |
| Provider Name | Matias Ballesteros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033672712 PECOS PAC ID: 0648663997 Enrollment ID: I20221006002931 |
| Provider Name | Karren Takamura |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851786339 PECOS PAC ID: 3577815968 Enrollment ID: I20221011001507 |
| Provider Name | Erika Rose Armetta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528789195 PECOS PAC ID: 9436525631 Enrollment ID: I20221012003487 |
| Provider Name | Olga Sergeyevna Negrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053040550 PECOS PAC ID: 6103292933 Enrollment ID: I20221020000034 |
| Provider Name | Gina Madrigal Anciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770202723 PECOS PAC ID: 2860869112 Enrollment ID: I20221031000892 |
| Provider Name | Robert Malacoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508852039 PECOS PAC ID: 6901816271 Enrollment ID: I20221108003656 |
| Provider Name | Desmond Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689080533 PECOS PAC ID: 3779700489 Enrollment ID: I20221109001204 |
| Provider Name | Hans Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437332269 PECOS PAC ID: 1456502053 Enrollment ID: I20221110002190 |
| Provider Name | Regina Zopf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336206804 PECOS PAC ID: 7113094731 Enrollment ID: I20221128002309 |
| Provider Name | Sheeba S Thattil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932866175 PECOS PAC ID: 9638548571 Enrollment ID: I20221215000485 |
| Provider Name | Gaurav Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417201922 PECOS PAC ID: 7517237571 Enrollment ID: I20230110001433 |
| Provider Name | Gbemisola Victoria Adebayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588244255 PECOS PAC ID: 7113397001 Enrollment ID: I20230111000623 |
| Provider Name | Cody Brennan Keeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104446210 PECOS PAC ID: 5395116040 Enrollment ID: I20230117002785 |
| Provider Name | Gimmie Vallangca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942895867 PECOS PAC ID: 1759772494 Enrollment ID: I20230118000655 |
| Provider Name | Cedric A Walls |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629287222 PECOS PAC ID: 5890973093 Enrollment ID: I20230123000046 |
| Provider Name | Melissa Danielle Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194434480 PECOS PAC ID: 6709257074 Enrollment ID: I20230124002338 |
| Provider Name | Ashley Lynn Schreppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912616848 PECOS PAC ID: 9032580006 Enrollment ID: I20230130002682 |
| Provider Name | Brooke Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982213393 PECOS PAC ID: 0143691113 Enrollment ID: I20230131000194 |
| Provider Name | Anowar Hossain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942418090 PECOS PAC ID: 8729257480 Enrollment ID: I20230206002316 |
| Provider Name | Heather Alaine Belt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396451118 PECOS PAC ID: 7618340985 Enrollment ID: I20230307002652 |
| Provider Name | Adwoa Amponsah-poku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124736939 PECOS PAC ID: 3678946837 Enrollment ID: I20230308003295 |
| Provider Name | Devonne Elicia Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154037950 PECOS PAC ID: 4385018126 Enrollment ID: I20230320000185 |
| Provider Name | David Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568640159 PECOS PAC ID: 4082903067 Enrollment ID: I20230327002557 |
| Provider Name | Meagan Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245936855 PECOS PAC ID: 6406220656 Enrollment ID: I20230330000228 |
| Provider Name | Heather Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902526593 PECOS PAC ID: 5092170902 Enrollment ID: I20230428000647 |
| Provider Name | Kimberly Patrice Brown-gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124781356 PECOS PAC ID: 7012372451 Enrollment ID: I20230508001636 |
| Provider Name | Lynda Onyema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437873536 PECOS PAC ID: 7719344837 Enrollment ID: I20230606000917 |
| Provider Name | Alexander J Davies |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386038776 PECOS PAC ID: 5496055642 Enrollment ID: I20230713002836 |
| Provider Name | Mohamed Abdelbagi Omer Mohamed Ahmed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114448115 PECOS PAC ID: 4284094301 Enrollment ID: I20230720001035 |
| Provider Name | Ali A Bukhari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760724017 PECOS PAC ID: 8325276991 Enrollment ID: I20230724000294 |
| Provider Name | Nicole George |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346603073 PECOS PAC ID: 2668702515 Enrollment ID: I20230724004001 |
| Provider Name | Pouya Javadian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154783751 PECOS PAC ID: 8224459227 Enrollment ID: I20230726002299 |
| Provider Name | Afshin A Anoushiravani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003310293 PECOS PAC ID: 4082952437 Enrollment ID: I20230727000130 |
| Provider Name | Suma Yalamanchili |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194189050 PECOS PAC ID: 1658651468 Enrollment ID: I20230801000272 |
| Provider Name | Mccall Breuer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790356343 PECOS PAC ID: 6103287594 Enrollment ID: I20230801004354 |
| Provider Name | Nada Osman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689986671 PECOS PAC ID: 0840431490 Enrollment ID: I20230814002232 |
| Provider Name | Dipesh Ludhwani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366965865 PECOS PAC ID: 9830552587 Enrollment ID: I20230828003192 |
| Provider Name | Amanda Corwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629697776 PECOS PAC ID: 6800250010 Enrollment ID: I20230906003043 |
| Provider Name | Phue Khaing |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720405681 PECOS PAC ID: 0345524716 Enrollment ID: I20230906003918 |
| Provider Name | Sarah Sauder |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528757010 PECOS PAC ID: 6103280359 Enrollment ID: I20230907000268 |
| Provider Name | Rachel Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780370676 PECOS PAC ID: 2264896067 Enrollment ID: I20230912004390 |
| Provider Name | Jaydev Bharat Mistry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740717297 PECOS PAC ID: 0244577351 Enrollment ID: I20230915001299 |
| Provider Name | Alison Gorin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659848604 PECOS PAC ID: 2961800586 Enrollment ID: I20230918000753 |
| Provider Name | Caroline M Sica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881377372 PECOS PAC ID: 5890140180 Enrollment ID: I20231005002599 |
| Provider Name | Abbie Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093498305 PECOS PAC ID: 2264887447 Enrollment ID: I20231007000076 |
| Provider Name | Souvonik Adhya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114541448 PECOS PAC ID: 1850746009 Enrollment ID: I20231009002363 |
| Provider Name | Alexandra M Dunham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093139065 PECOS PAC ID: 2264724970 Enrollment ID: I20231011003307 |
| Provider Name | Raveena Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477176568 PECOS PAC ID: 2860847670 Enrollment ID: I20231015000003 |
| Provider Name | Clarence Findley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962644310 PECOS PAC ID: 2062685753 Enrollment ID: I20231018000244 |
| Provider Name | Allison Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184309254 PECOS PAC ID: 2567818073 Enrollment ID: I20231019001494 |
| Provider Name | Shanti Balasubramanian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609262237 PECOS PAC ID: 8729386925 Enrollment ID: I20231025001631 |
| Provider Name | Umm-ul-banin Binte Tayyab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528677796 PECOS PAC ID: 2961858030 Enrollment ID: I20231025002508 |
| Provider Name | Stephen H Ladwig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659372464 PECOS PAC ID: 8628005600 Enrollment ID: I20231026002405 |
| Provider Name | Lisa Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467142356 PECOS PAC ID: 1052767910 Enrollment ID: I20231028000326 |
| Provider Name | Kelsey Thrush |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861812174 PECOS PAC ID: 4587917018 Enrollment ID: I20231029000086 |
| Provider Name | Dalisa Gutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659957785 PECOS PAC ID: 9436545100 Enrollment ID: I20231031000743 |
| Provider Name | Chelsea Diggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831897917 PECOS PAC ID: 4385091776 Enrollment ID: I20231107000787 |
| Provider Name | Kiana Ashby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326823352 PECOS PAC ID: 4688021975 Enrollment ID: I20231108000694 |
| Provider Name | Raquelle Douglas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891292827 PECOS PAC ID: 9032456371 Enrollment ID: I20231115000113 |
| Provider Name | Liliana Covey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285313098 PECOS PAC ID: 8628426244 Enrollment ID: I20231121000226 |
| Provider Name | Guy David Prosper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164827762 PECOS PAC ID: 0345610549 Enrollment ID: I20231121004043 |
| Provider Name | Aman Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013399286 PECOS PAC ID: 9234437237 Enrollment ID: I20231122002840 |
| Provider Name | Christopher Robert Chanock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053817130 PECOS PAC ID: 7012387210 Enrollment ID: I20231201000341 |
| Provider Name | Brittany Gowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003597352 PECOS PAC ID: 8729436704 Enrollment ID: I20231201000487 |
| Provider Name | Kathryn Gossard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851179246 PECOS PAC ID: 6608224613 Enrollment ID: I20231201001583 |
| Provider Name | Sheryl Movsas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700994142 PECOS PAC ID: 5799784633 Enrollment ID: I20231204002257 |
| Provider Name | Glenn Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861926248 PECOS PAC ID: 5698016665 Enrollment ID: I20231205003598 |
| Provider Name | Brooktiete Asseres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063732055 PECOS PAC ID: 2668758665 Enrollment ID: I20231208003114 |
| Provider Name | Nejat Huggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578631404 PECOS PAC ID: 7911270400 Enrollment ID: I20231219003847 |
| Provider Name | Olusegun Obafemi Owotomo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184184608 PECOS PAC ID: 5799129888 Enrollment ID: I20240216001279 |
| Provider Name | Briana M Kyne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720602329 PECOS PAC ID: 6800231309 Enrollment ID: I20240223002137 |
| Provider Name | Jonathan Jacobs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730685447 PECOS PAC ID: 9931445350 Enrollment ID: I20240226000813 |
| Provider Name | Maya T Harris |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598231540 PECOS PAC ID: 2567849623 Enrollment ID: I20240229000273 |
| Provider Name | Niloy Dasgupta |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215170972 PECOS PAC ID: 0446544894 Enrollment ID: I20240325000706 |
| Provider Name | Safiya S Thomas-key |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528344652 PECOS PAC ID: 4587989058 Enrollment ID: I20240325001899 |
| Provider Name | Latasha Nicole Easter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699397232 PECOS PAC ID: 3779920673 Enrollment ID: I20240327003419 |
| Provider Name | Emily Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851168124 PECOS PAC ID: 8921446162 Enrollment ID: I20240405002969 |
| Provider Name | Melissa Learned |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114360336 PECOS PAC ID: 2961728720 Enrollment ID: I20240410000425 |
| Provider Name | Jamie M Del Puppo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235992637 PECOS PAC ID: 8224477641 Enrollment ID: I20240418001835 |
| Provider Name | Saskia Groenewald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386271013 PECOS PAC ID: 7315386596 Enrollment ID: I20240420000115 |
| Provider Name | Brandi Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912751793 PECOS PAC ID: 2567804958 Enrollment ID: I20240530003619 |
| Provider Name | Tadele W Desalew |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528226719 PECOS PAC ID: 4789836644 Enrollment ID: I20240612003399 |
Provider Partners Care Management Lp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 785 Elkridge Landing Rd Ste 300, Linthicum, MD 21090 Phone: 410-967-2097 | |
University Of Maryland Community Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Progress Drive, Suite 100, Linthicum, MD 21090 Phone: 410-589-6340 | |
Complete Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 809 N Hammonds Ferry Rd Ste C, Linthicum, MD 21090 Phone: 301-512-8430 Fax: 410-789-2501 | |
Dr Syed M A Riaz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 S Camp Meade Rd Ste B, Linthicum, MD 21090 Phone: 410-691-2302 Fax: 410-691-2306 |