| University Of Maryland Pediatric Associates, Pa | |
|
22 South Greene Street Baltimore MD 21201 | |
| (410) 706-5181 | |
| (410) 706-5103 |
| Full Name | University Of Maryland Pediatric Associates, Pa |
|---|---|
| Speciality | Chronic Disease Hospital |
| Location | 22 South Greene Street, Baltimore, Maryland |
| Authorized Official Name and Position | Margie Burr (DIRECTOR OF PROFESSIONAL FEES) |
| Authorized Official Contact | 4107065181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Maryland Pediatric Associates, Pa P.o. Box 62063 Baltimore MD 21264-2063 Ph: (410) 706-5181 | University Of Maryland Pediatric Associates, Pa 22 South Greene Street Baltimore MD 21201 Ph: (410) 706-5181 |
| NPI Number | 1528163912 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 01/12/2009 |
| Medicare PECOS PAC ID | 6800888678 |
|---|---|
| Medicare Enrollment ID | O20040401000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528163912 | NPI | - | NPPES |
| 768481900 | Medicaid | MD |
| Provider Name | Anupama Kewalramani |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1194767699 PECOS PAC ID: 7911807847 Enrollment ID: I20040108001121 |
| Provider Name | Milagritos D Tapia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003851106 PECOS PAC ID: 1658266689 Enrollment ID: I20040218000946 |
| Provider Name | Alison J Falck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639110067 PECOS PAC ID: 1658361795 Enrollment ID: I20040512001238 |
| Provider Name | Margaret S Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144261124 PECOS PAC ID: 3678550746 Enrollment ID: I20040707000095 |
| Provider Name | Jack O. Gladstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508870551 PECOS PAC ID: 3274505300 Enrollment ID: I20040810000529 |
| Provider Name | Miriam K Laufer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831135557 PECOS PAC ID: 6800858929 Enrollment ID: I20041101000965 |
| Provider Name | Fernando Vicente Mena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982642021 PECOS PAC ID: 7012979040 Enrollment ID: I20041101001103 |
| Provider Name | Veronica Antionette Quattrini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710976121 PECOS PAC ID: 7214992247 Enrollment ID: I20041201000401 |
| Provider Name | Getachew Teshome |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144256868 PECOS PAC ID: 5395703946 Enrollment ID: I20041229000281 |
| Provider Name | Ajit K Das |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669411476 PECOS PAC ID: 2264462738 Enrollment ID: I20050815000474 |
| Provider Name | Carol Lynn Greene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003850058 PECOS PAC ID: 2961425012 Enrollment ID: I20060104000716 |
| Provider Name | Anayansi L Lasso Pirot |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194763276 PECOS PAC ID: 9830112507 Enrollment ID: I20060109000542 |
| Provider Name | Virginia A Keane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104852128 PECOS PAC ID: 1456365279 Enrollment ID: I20060201000323 |
| Provider Name | Deborah G Badawi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467490557 PECOS PAC ID: 2668486390 Enrollment ID: I20060201000490 |
| Provider Name | Karen Kotloff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316982812 PECOS PAC ID: 0749295061 Enrollment ID: I20060209000143 |
| Provider Name | Teresa A York |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043246853 PECOS PAC ID: 7810903960 Enrollment ID: I20060227000347 |
| Provider Name | Erin Giudice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124065586 PECOS PAC ID: 7911919998 Enrollment ID: I20060609000129 |
| Provider Name | Peter R Gaskin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881628329 PECOS PAC ID: 9234027954 Enrollment ID: I20061201000185 |
| Provider Name | Susanna Scafidi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316978836 PECOS PAC ID: 8820099476 Enrollment ID: I20070124000557 |
| Provider Name | Debra R Counts |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609816065 PECOS PAC ID: 1052313236 Enrollment ID: I20070201000435 |
| Provider Name | Samra S Blanchard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053423574 PECOS PAC ID: 8325024441 Enrollment ID: I20070207000656 |
| Provider Name | Diane Lynn Mcdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740222611 PECOS PAC ID: 4789786955 Enrollment ID: I20070220000119 |
| Provider Name | John P Straumanis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649208828 PECOS PAC ID: 1254437106 Enrollment ID: I20070509000478 |
| Provider Name | Ryan S Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932262037 PECOS PAC ID: 2466544150 Enrollment ID: I20070827000258 |
| Provider Name | Shiv S Kapoor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790755635 PECOS PAC ID: 3577656271 Enrollment ID: I20070912000041 |
| Provider Name | Jason W Custer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972649465 PECOS PAC ID: 9032203880 Enrollment ID: I20070924000613 |
| Provider Name | Matthew Laurens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548310220 PECOS PAC ID: 0244281814 Enrollment ID: I20071001000779 |
| Provider Name | Jocelyn C Leung |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891706313 PECOS PAC ID: 1951497601 Enrollment ID: I20071011000280 |
| Provider Name | Flavia Fernandes Jung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770699696 PECOS PAC ID: 5597664532 Enrollment ID: I20071129000569 |
| Provider Name | Leah Millstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710088570 PECOS PAC ID: 6507895489 Enrollment ID: I20071204000429 |
| Provider Name | Maria Cecilia S. Melendres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881888592 PECOS PAC ID: 1759462336 Enrollment ID: I20080122000219 |
| Provider Name | Melissa L Hawkins-holt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285618959 PECOS PAC ID: 0446334403 Enrollment ID: I20080228000671 |
| Provider Name | Susan J Dulkerian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942240759 PECOS PAC ID: 8426128026 Enrollment ID: I20080609000766 |
| Provider Name | Roseann Patricia Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831103977 PECOS PAC ID: 5294807491 Enrollment ID: I20080703000208 |
| Provider Name | Robert J Habicht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982735908 PECOS PAC ID: 2062585565 Enrollment ID: I20080716000607 |
| Provider Name | Cortney B Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669500971 PECOS PAC ID: 5991871402 Enrollment ID: I20080908000287 |
| Provider Name | Trevor L Valentine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619061280 PECOS PAC ID: 3476619719 Enrollment ID: I20090312000417 |
| Provider Name | Laura H Finkelstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871537282 PECOS PAC ID: 5193881365 Enrollment ID: I20090313000173 |
| Provider Name | Stephanie O. Omokaro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720125727 PECOS PAC ID: 9133278302 Enrollment ID: I20090518000403 |
| Provider Name | Howard A. I. Kader |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821031451 PECOS PAC ID: 1850443953 Enrollment ID: I20090721000635 |
| Provider Name | Maria A Martino-gomez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821127366 PECOS PAC ID: 1355494055 Enrollment ID: I20090728000612 |
| Provider Name | Jodi L Berg-gaither |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023157930 PECOS PAC ID: 5193864106 Enrollment ID: I20091216000395 |
| Provider Name | Kerrie Ann Pinkney |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497784557 PECOS PAC ID: 4880597541 Enrollment ID: I20100329000440 |
| Provider Name | Cesar Augusto Arias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457416117 PECOS PAC ID: 1951364751 Enrollment ID: I20100406000191 |
| Provider Name | Jonathan L Clemens |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336182419 PECOS PAC ID: 2062542830 Enrollment ID: I20100605000077 |
| Provider Name | Susan Feigelman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417991217 PECOS PAC ID: 8123159928 Enrollment ID: I20100623000055 |
| Provider Name | Michele A Jules Chapman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396781100 PECOS PAC ID: 5294868956 Enrollment ID: I20100802000263 |
| Provider Name | Jay Perman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427075852 PECOS PAC ID: 1658344627 Enrollment ID: I20100813000145 |
| Provider Name | Howard O Dubowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639282825 PECOS PAC ID: 5890829568 Enrollment ID: I20100817000579 |
| Provider Name | Vicki J Tepper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568491876 PECOS PAC ID: 9931233616 Enrollment ID: I20100817000648 |
| Provider Name | Reginald Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780716167 PECOS PAC ID: 4082730429 Enrollment ID: I20100923000315 |
| Provider Name | Andrea A Berry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851421200 PECOS PAC ID: 7810181146 Enrollment ID: I20101101000922 |
| Provider Name | Mary Elizabeth Bollinger |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1629011127 PECOS PAC ID: 2769676840 Enrollment ID: I20101102001371 |
| Provider Name | Carissa Marrie Baker-smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508031121 PECOS PAC ID: 1658566963 Enrollment ID: I20101112000172 |
| Provider Name | Forrest Troy Closson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164462552 PECOS PAC ID: 2264628643 Enrollment ID: I20101124000528 |
| Provider Name | Debra L Houck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437162518 PECOS PAC ID: 9133316797 Enrollment ID: I20101208000459 |
| Provider Name | Susan B Lovelace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679597876 PECOS PAC ID: 6901094432 Enrollment ID: I20101227000791 |
| Provider Name | Mark A Travassos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912113861 PECOS PAC ID: 5991993255 Enrollment ID: I20101230000725 |
| Provider Name | Wendy Gwirtzman Lane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326086463 PECOS PAC ID: 9931397155 Enrollment ID: I20110103000480 |
| Provider Name | Neil C Porter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386742872 PECOS PAC ID: 0547441768 Enrollment ID: I20110222000379 |
| Provider Name | Richard Lichenstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821031477 PECOS PAC ID: 6800078668 Enrollment ID: I20110315000910 |
| Provider Name | Sudhir Vashist |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770597098 PECOS PAC ID: 0840271342 Enrollment ID: I20110726000837 |
| Provider Name | Colleen Ann Hughes Driscoll |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538297841 PECOS PAC ID: 6800065905 Enrollment ID: I20110805000661 |
| Provider Name | Alicia Heather Chaves |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871778456 PECOS PAC ID: 3971787417 Enrollment ID: I20110830000660 |
| Provider Name | Dina El Sayed El-metwally |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790077832 PECOS PAC ID: 0143491712 Enrollment ID: I20110913000165 |
| Provider Name | Dayanand Bagdure |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508030321 PECOS PAC ID: 8628121498 Enrollment ID: I20110915000452 |
| Provider Name | Sara J Mola |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548467913 PECOS PAC ID: 8628249893 Enrollment ID: I20110920000050 |
| Provider Name | Meghan Shackelford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598053621 PECOS PAC ID: 5597938050 Enrollment ID: I20111027000617 |
| Provider Name | Christian Corbett Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013176668 PECOS PAC ID: 0547433401 Enrollment ID: I20111109000655 |
| Provider Name | Patrick A Ryscavage |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902062755 PECOS PAC ID: 0941475461 Enrollment ID: I20111213000089 |
| Provider Name | Andrea M Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114233780 PECOS PAC ID: 8123287281 Enrollment ID: I20120308000421 |
| Provider Name | Elsie Stines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801821210 PECOS PAC ID: 5890754014 Enrollment ID: I20120320000454 |
| Provider Name | Tyler Kimberly Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891823886 PECOS PAC ID: 6103081690 Enrollment ID: I20120709000156 |
| Provider Name | Kelly Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265792493 PECOS PAC ID: 0648436824 Enrollment ID: I20120717000405 |
| Provider Name | Liliana Simon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194708313 PECOS PAC ID: 8325146665 Enrollment ID: I20120802000543 |
| Provider Name | James Daniel Campbell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780627646 PECOS PAC ID: 0648426494 Enrollment ID: I20120809000544 |
| Provider Name | Ashley Taylor-king Munchel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144469453 PECOS PAC ID: 2264698927 Enrollment ID: I20120828000092 |
| Provider Name | Runa Diwadkar Watkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326230558 PECOS PAC ID: 8325296148 Enrollment ID: I20120919000391 |
| Provider Name | Sang H Park |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033378765 PECOS PAC ID: 4183874084 Enrollment ID: I20121031000430 |
| Provider Name | Jennie Hart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588989610 PECOS PAC ID: 9436399235 Enrollment ID: I20130627000612 |
| Provider Name | Odiraa C Nwankwor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326201690 PECOS PAC ID: 4981845781 Enrollment ID: I20130719000679 |
| Provider Name | Rebecca G Carter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285950394 PECOS PAC ID: 0244473965 Enrollment ID: I20130828000792 |
| Provider Name | Nicholas Peter Pietris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700063914 PECOS PAC ID: 1254503725 Enrollment ID: I20130904000402 |
| Provider Name | Sripriya Sundararajan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891902912 PECOS PAC ID: 2668638230 Enrollment ID: I20130905000868 |
| Provider Name | Suzanna S Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629360011 PECOS PAC ID: 8426228503 Enrollment ID: I20130909000118 |
| Provider Name | Jennifer E Guyther |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457510356 PECOS PAC ID: 7810130093 Enrollment ID: I20130909000385 |
| Provider Name | Natalie L. Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285842518 PECOS PAC ID: 4587738604 Enrollment ID: I20130920000759 |
| Provider Name | Pujeeta P Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134559404 PECOS PAC ID: 8820229024 Enrollment ID: I20140402000526 |
| Provider Name | Caitlin Elyse Zaner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710276993 PECOS PAC ID: 1456577063 Enrollment ID: I20140716001993 |
| Provider Name | Nidhi Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508180076 PECOS PAC ID: 8325264955 Enrollment ID: I20140717000269 |
| Provider Name | Stephen Jeffrey Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548216344 PECOS PAC ID: 4385536895 Enrollment ID: I20140721000047 |
| Provider Name | Adam Jason Spanier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003847781 PECOS PAC ID: 9638079619 Enrollment ID: I20140721000975 |
| Provider Name | Adrian Jamon Holloway |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720176852 PECOS PAC ID: 1456537836 Enrollment ID: I20140808000326 |
| Provider Name | Sharmilarani Harikrishnan Nanda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881718492 PECOS PAC ID: 2961461199 Enrollment ID: I20140909000873 |
| Provider Name | Brieann Elizabeth Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720389315 PECOS PAC ID: 8628297447 Enrollment ID: I20140910000027 |
| Provider Name | Jennifer Dukes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841568904 PECOS PAC ID: 9537388012 Enrollment ID: I20140916000038 |
| Provider Name | Cynthia Howes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093114613 PECOS PAC ID: 7911128525 Enrollment ID: I20141024000344 |
| Provider Name | Casey Naughton Bor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720487499 PECOS PAC ID: 1355562968 Enrollment ID: I20141024000434 |
| Provider Name | Jamie A. Tumulty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801006366 PECOS PAC ID: 2860614880 Enrollment ID: I20141106002054 |
| Provider Name | Nikki Rene Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265675284 PECOS PAC ID: 6608098439 Enrollment ID: I20141112000492 |
| Provider Name | Michael Charles Slack |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588758940 PECOS PAC ID: 3375739659 Enrollment ID: I20141218002192 |
| Provider Name | Rachel Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457758070 PECOS PAC ID: 8527382563 Enrollment ID: I20150121001562 |
| Provider Name | Margaret I Dorr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851501522 PECOS PAC ID: 4880853464 Enrollment ID: I20150511001982 |
| Provider Name | Temitope O Akinmboni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063733020 PECOS PAC ID: 7911227012 Enrollment ID: I20150513000510 |
| Provider Name | Paula Genese Newton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407015407 PECOS PAC ID: 2062724735 Enrollment ID: I20150709000454 |
| Provider Name | Julia Tracey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275959124 PECOS PAC ID: 3375851348 Enrollment ID: I20150925000056 |
| Provider Name | Maria Eleni Nikita |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477783157 PECOS PAC ID: 0446568414 Enrollment ID: I20150925000091 |
| Provider Name | Carol Ann Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780066761 PECOS PAC ID: 1153639927 Enrollment ID: I20150928001150 |
| Provider Name | Galina Nesterova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932374006 PECOS PAC ID: 2365465820 Enrollment ID: I20151023002405 |
| Provider Name | Charles Willis Callahan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295823557 PECOS PAC ID: 5193711489 Enrollment ID: I20151216000769 |
| Provider Name | Melissa Nandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487028270 PECOS PAC ID: 2264733203 Enrollment ID: I20151217000829 |
| Provider Name | Gina Krakovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801917794 PECOS PAC ID: 3072699248 Enrollment ID: I20160105001041 |
| Provider Name | Ester Ana Lia Graciano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811082712 PECOS PAC ID: 6002033800 Enrollment ID: I20160504002398 |
| Provider Name | Elizabeth Quaal Hines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912167784 PECOS PAC ID: 1951556661 Enrollment ID: I20160609000495 |
| Provider Name | Alexander Stuart Whitaker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689917361 PECOS PAC ID: 3971802141 Enrollment ID: I20160705001652 |
| Provider Name | Michelle M Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679657340 PECOS PAC ID: 4587950415 Enrollment ID: I20160901000926 |
| Provider Name | Dara L Farber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023384278 PECOS PAC ID: 6305144759 Enrollment ID: I20160928001222 |
| Provider Name | Mutiat Onigbanjo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972746279 PECOS PAC ID: 2567756968 Enrollment ID: I20160929000650 |
| Provider Name | Charina Cecille Reyes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811214703 PECOS PAC ID: 7911285903 Enrollment ID: I20161026000555 |
| Provider Name | Rishi Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043405244 PECOS PAC ID: 5294977971 Enrollment ID: I20161117002299 |
| Provider Name | Molly Hope Silber |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427476647 PECOS PAC ID: 0143529149 Enrollment ID: I20170602002240 |
| Provider Name | Lorriane Elsie Canham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447678263 PECOS PAC ID: 2365741444 Enrollment ID: I20170623001378 |
| Provider Name | Katelyn Elizabeth Donohue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962744110 PECOS PAC ID: 6709184153 Enrollment ID: I20170629000522 |
| Provider Name | Peggy Lazerow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063706752 PECOS PAC ID: 9133413016 Enrollment ID: I20170703000752 |
| Provider Name | Yudy Astrid Fonseca |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043641921 PECOS PAC ID: 7911290366 Enrollment ID: I20170808000086 |
| Provider Name | Olayemi Ajayi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477970556 PECOS PAC ID: 3072812163 Enrollment ID: I20170824001483 |
| Provider Name | Johana Diaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952628943 PECOS PAC ID: 0840428207 Enrollment ID: I20170926003317 |
| Provider Name | Hilary Tamara Wolf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003077645 PECOS PAC ID: 0244464238 Enrollment ID: I20171026001055 |
| Provider Name | Tamara L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235413584 PECOS PAC ID: 1052571601 Enrollment ID: I20171109001923 |
| Provider Name | Stephanie Mary Norrgard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487029195 PECOS PAC ID: 3678876331 Enrollment ID: I20171115003191 |
| Provider Name | Sarah A Somers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134643539 PECOS PAC ID: 6901164490 Enrollment ID: I20171209000340 |
| Provider Name | Joshlyn M Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639619596 PECOS PAC ID: 5597023952 Enrollment ID: I20171213001820 |
| Provider Name | Eunsung Cho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588822647 PECOS PAC ID: 7517013022 Enrollment ID: I20180110003571 |
| Provider Name | Megan Lynn Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952737421 PECOS PAC ID: 7214296177 Enrollment ID: I20180123000038 |
| Provider Name | Katherine Diana Keiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386158533 PECOS PAC ID: 9739449125 Enrollment ID: I20180202001120 |
| Provider Name | Diane Keegan Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194969832 PECOS PAC ID: 2961763834 Enrollment ID: I20180312000146 |
| Provider Name | Teddi Roseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306378120 PECOS PAC ID: 7911269790 Enrollment ID: I20180314000688 |
| Provider Name | Rachel E Ershler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639330673 PECOS PAC ID: 6608020854 Enrollment ID: I20180327000502 |
| Provider Name | Parvin Azizi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215192083 PECOS PAC ID: 9638308901 Enrollment ID: I20180402000761 |
| Provider Name | Erin Elisabeth Mack Schofield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477872380 PECOS PAC ID: 8820249113 Enrollment ID: I20180424000922 |
| Provider Name | Martine Elaine Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275088163 PECOS PAC ID: 6507152337 Enrollment ID: I20180430000752 |
| Provider Name | Elise Buckwalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699281576 PECOS PAC ID: 0143584888 Enrollment ID: I20180507000137 |
| Provider Name | Jacqueline Alissa Skelton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265792873 PECOS PAC ID: 9032464029 Enrollment ID: I20180614002697 |
| Provider Name | Bakri J Alzarka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376898049 PECOS PAC ID: 5597902825 Enrollment ID: I20180618000393 |
| Provider Name | Matthew John Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437544277 PECOS PAC ID: 0840599718 Enrollment ID: I20180618001607 |
| Provider Name | Paige Halter Luneburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245658434 PECOS PAC ID: 5395044465 Enrollment ID: I20180619000455 |
| Provider Name | Kate Lynn Cho Iwamoto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508251067 PECOS PAC ID: 8426357633 Enrollment ID: I20180620001348 |
| Provider Name | Neziha Celebi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275884389 PECOS PAC ID: 8729334164 Enrollment ID: I20180627002558 |
| Provider Name | Danya Salameh Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790281772 PECOS PAC ID: 8022364181 Enrollment ID: I20180702002985 |
| Provider Name | Krista L Tookhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821483645 PECOS PAC ID: 4486953551 Enrollment ID: I20180710002920 |
| Provider Name | Nidhi Kotwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285975706 PECOS PAC ID: 8921357492 Enrollment ID: I20180816000104 |
| Provider Name | Katherine W Eaton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801281761 PECOS PAC ID: 4284931957 Enrollment ID: I20180905002307 |
| Provider Name | Jasmine M Kretzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720564818 PECOS PAC ID: 1759632300 Enrollment ID: I20180921000389 |
| Provider Name | Holly Deluca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265526479 PECOS PAC ID: 2769484393 Enrollment ID: I20181015003133 |
| Provider Name | Sarah S Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639456874 PECOS PAC ID: 4880825488 Enrollment ID: I20181017000197 |
| Provider Name | Caitlin Tawney Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669923017 PECOS PAC ID: 0547514507 Enrollment ID: I20181112001190 |
| Provider Name | Margaret Pyle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417342056 PECOS PAC ID: 6709184963 Enrollment ID: I20181210000283 |
| Provider Name | Michelle Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447350178 PECOS PAC ID: 9537403928 Enrollment ID: I20181212001960 |
| Provider Name | Brittany K Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811487648 PECOS PAC ID: 3779820253 Enrollment ID: I20190122001602 |
| Provider Name | Julianne Patricia Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780069146 PECOS PAC ID: 9931418969 Enrollment ID: I20190131000781 |
| Provider Name | Rama D Kastury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316299803 PECOS PAC ID: 3375804412 Enrollment ID: I20190327003141 |
| Provider Name | Vandana Rao Racherla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033572342 PECOS PAC ID: 5799071072 Enrollment ID: I20190513001252 |
| Provider Name | Jennifer Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063796076 PECOS PAC ID: 3072772656 Enrollment ID: I20190618002572 |
| Provider Name | Nisha Basappa Divakaruni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841653797 PECOS PAC ID: 8022304757 Enrollment ID: I20190619000089 |
| Provider Name | Renee Peta-gae Quarrie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508094004 PECOS PAC ID: 5597982140 Enrollment ID: I20190710001722 |
| Provider Name | Siddhartha A Dante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548523772 PECOS PAC ID: 0749299816 Enrollment ID: I20190729001767 |
| Provider Name | Atiye Nur Aktay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972570646 PECOS PAC ID: 3870673452 Enrollment ID: I20190801000004 |
| Provider Name | Jessica Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982099800 PECOS PAC ID: 6204134521 Enrollment ID: I20190820002021 |
| Provider Name | Juan Alfredo Caceres Noguera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457798290 PECOS PAC ID: 2961710413 Enrollment ID: I20190826001522 |
| Provider Name | Snehal Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407136211 PECOS PAC ID: 6305085929 Enrollment ID: I20190923000006 |
| Provider Name | Christine Denise Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881237717 PECOS PAC ID: 5193157980 Enrollment ID: I20191115002755 |
| Provider Name | Christine Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689091597 PECOS PAC ID: 7416268578 Enrollment ID: I20191118002721 |
| Provider Name | Joseph Edward Cleary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821402785 PECOS PAC ID: 0547693335 Enrollment ID: I20191210000111 |
| Provider Name | Deanna Jo Friedman-klabanoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528202140 PECOS PAC ID: 6103072376 Enrollment ID: I20191226001737 |
| Provider Name | Allan Doctor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659450484 PECOS PAC ID: 8729097662 Enrollment ID: I20200109000120 |
| Provider Name | Rachel Kathleen Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750643458 PECOS PAC ID: 9931535960 Enrollment ID: I20200211000120 |
| Provider Name | Christine Marie Capriolo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013277441 PECOS PAC ID: 7315246535 Enrollment ID: I20200213000016 |
| Provider Name | Lina Marcela Diaz Calderon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285074138 PECOS PAC ID: 1850729245 Enrollment ID: I20200318001042 |
| Provider Name | Myra M. Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225005010 PECOS PAC ID: 2567610785 Enrollment ID: I20200403000743 |
| Provider Name | Emily Wisniewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720519291 PECOS PAC ID: 2062787823 Enrollment ID: I20200428000515 |
| Provider Name | Jennifer Siu Hong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104244839 PECOS PAC ID: 4486953692 Enrollment ID: I20200505002916 |
| Provider Name | Joseph Michael Slattery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528591062 PECOS PAC ID: 6507131307 Enrollment ID: I20200505002920 |
| Provider Name | Madiha Raees |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770900870 PECOS PAC ID: 0840414397 Enrollment ID: I20200506001759 |
| Provider Name | Ayesha Rabbani Saya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740693001 PECOS PAC ID: 6507083268 Enrollment ID: I20200521000917 |
| Provider Name | Michael Alan Brock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780945477 PECOS PAC ID: 5991940256 Enrollment ID: I20200720000027 |
| Provider Name | Mary Claire Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003420282 PECOS PAC ID: 9133530249 Enrollment ID: I20201120002546 |
| Provider Name | April N Sharp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275872947 PECOS PAC ID: 4486951225 Enrollment ID: I20210119002419 |
| Provider Name | Ankita Taneja |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003234428 PECOS PAC ID: 5294148987 Enrollment ID: I20210120000953 |
| Provider Name | Caitlin Lauren Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699389858 PECOS PAC ID: 5799199485 Enrollment ID: I20210120001185 |
| Provider Name | Carmel D. Bogle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003259565 PECOS PAC ID: 4688088099 Enrollment ID: I20210126003083 |
| Provider Name | Keiara Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174137269 PECOS PAC ID: 7012321375 Enrollment ID: I20210127002023 |
| Provider Name | Kathleen Kane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265704027 PECOS PAC ID: 9739598392 Enrollment ID: I20210511002277 |
| Provider Name | Jessica Lynn Carpenter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578695409 PECOS PAC ID: 1052419041 Enrollment ID: I20210623000121 |
| Provider Name | Gozde Erdemir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912317041 PECOS PAC ID: 5890196190 Enrollment ID: I20210624000287 |
| Provider Name | Rebka Tekeste |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922504356 PECOS PAC ID: 5294074027 Enrollment ID: I20210624000839 |
| Provider Name | Neena Jube-desai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174904684 PECOS PAC ID: 9436552981 Enrollment ID: I20210722000146 |
| Provider Name | Kathleen M Stephanos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235438714 PECOS PAC ID: 4082910328 Enrollment ID: I20220524000624 |
| Provider Name | Sofia Pamela Saenz Ayala |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1235588583 PECOS PAC ID: 3072997022 Enrollment ID: I20220825001510 |
| Provider Name | Gabrielle R James |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740740067 PECOS PAC ID: 4486080611 Enrollment ID: I20220829002583 |
| Provider Name | Ashley Kyle Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720511348 PECOS PAC ID: 3173942331 Enrollment ID: I20220912000984 |
| Provider Name | Elizabeth Adrianne Duque Hammershaimb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538517214 PECOS PAC ID: 6103158522 Enrollment ID: I20220920001142 |
| Provider Name | Stacie B. Peddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700805090 PECOS PAC ID: 5294740650 Enrollment ID: I20220921003292 |
| Provider Name | Bouhaitha Yousef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457988214 PECOS PAC ID: 3577983428 Enrollment ID: I20230726002646 |
| Provider Name | Eseigboria J Ikheloa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245791888 PECOS PAC ID: 3577895267 Enrollment ID: I20230727001147 |
| Provider Name | Mackenzie A Heywood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194352559 PECOS PAC ID: 4789003104 Enrollment ID: I20230727004095 |
| Provider Name | Benedicto Fernandes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801272539 PECOS PAC ID: 7214243989 Enrollment ID: I20230728000536 |
| Provider Name | Eka Clarissa Stracke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497409585 PECOS PAC ID: 5395106694 Enrollment ID: I20230803000041 |
| Provider Name | Shruti Suresh Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760910103 PECOS PAC ID: 6305208430 Enrollment ID: I20230822000009 |
| Provider Name | David Louis Bloom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598129850 PECOS PAC ID: 0446596092 Enrollment ID: I20230825001430 |
| Provider Name | Ethan Scott Sandler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932735867 PECOS PAC ID: 1658781588 Enrollment ID: I20230827000119 |
| Provider Name | Lillian Assatourian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376171918 PECOS PAC ID: 6002226107 Enrollment ID: I20230829001423 |
| Provider Name | Rachel Lauren Wiltjer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649774696 PECOS PAC ID: 9830437144 Enrollment ID: I20230829004033 |
| Provider Name | Priya Singhal Nigam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235525288 PECOS PAC ID: 2668770033 Enrollment ID: I20230914001210 |
| Provider Name | Stefanie Fischell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508327834 PECOS PAC ID: 5890129233 Enrollment ID: I20230918001304 |
| Provider Name | Thomas K Chin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396701835 PECOS PAC ID: 4981790060 Enrollment ID: I20231011000471 |
| Provider Name | Diana O Kimbal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780301853 PECOS PAC ID: 2466808795 Enrollment ID: I20231024000059 |
| Provider Name | Beth A Carella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992931182 PECOS PAC ID: 6103103676 Enrollment ID: I20231025002244 |
| Provider Name | Marina M Eskandar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427582105 PECOS PAC ID: 3870868623 Enrollment ID: I20231025003478 |
| Provider Name | Chethan Krishna Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720519713 PECOS PAC ID: 8426404203 Enrollment ID: I20231031001336 |
| Provider Name | Nathaniel Robbins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043657398 PECOS PAC ID: 3577853894 Enrollment ID: I20231104000033 |
| Provider Name | Nicole D Logan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316629363 PECOS PAC ID: 1759745557 Enrollment ID: I20231106003599 |
| Provider Name | Jennifer Lammers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265816474 PECOS PAC ID: 3577958891 Enrollment ID: I20231207004099 |
| Provider Name | Caitlin A Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194284984 PECOS PAC ID: 3577983899 Enrollment ID: I20240412003221 |
| Provider Name | Lydia Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316716749 PECOS PAC ID: 1355780024 Enrollment ID: I20240414000013 |
| Provider Name | Alissa Tomczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255025425 PECOS PAC ID: 7012356785 Enrollment ID: I20240415000182 |
| Provider Name | Jacqueline Rita Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366203036 PECOS PAC ID: 7911346085 Enrollment ID: I20240423000249 |
Empowerment Healthcare Systems,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9106 Philadelphia Rd Ste 108b, Baltimore, MD 21237 Phone: 410-321-1961 Fax: 410-321-1962 | |
Fresh Start Comprehensive Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 E Mount Royal Ave # Ll, Baltimore, MD 21202 Phone: 443-671-1414 Fax: 443-671-1420 | |
Gbmc Health Partners At Jonestown Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 E Baltimore St, Ground Floor, Baltimore, MD 21202 Phone: 410-826-0170 | |
Admin Location Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 E Monument St Ste 2626, Baltimore, MD 21287 Phone: 410-933-6430 | |
Plume Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Pratt St, Baltimore, MD 21202 Phone: 720-248-4483 | |
Np Medical Solutions By Sheila Waller Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5119 Mcfaul Rd, Baltimore, MD 21206 Phone: 443-531-6248 | |
Health Care For The Homeless, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 410-837-5533 Fax: 410-837-8020 |