| University Of Minnesota Health Clinics And Surgery Center, Inc. | |
|
909 Fulton St Se Minneapolis MN 55455-4800 | |
| (612) 884-0649 | |
| (612) 676-8992 |
| Full Name | University Of Minnesota Health Clinics And Surgery Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 909 Fulton St Se, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mary Johnson (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6128840802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Minnesota Health Clinics And Surgery Center, Inc. 720 Washington Ave Se Suite 300 Minneapolis MN 55414-2924 Ph: (612) 884-0649 | University Of Minnesota Health Clinics And Surgery Center, Inc. 909 Fulton St Se Minneapolis MN 55455-4800 Ph: (612) 884-0649 |
| NPI Number | 1053795187 |
|---|---|
| Provider Enumeration Date | 07/18/2015 |
| Last Update Date | 04/30/2020 |
| Medicare PECOS PAC ID | 9133423304 |
|---|---|
| Medicare Enrollment ID | O20160209000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053795187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Martin J Asis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598743833 PECOS PAC ID: 3678477353 Enrollment ID: I20031124000575 |
| Provider Name | Nathan D Block |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571125 PECOS PAC ID: 0648174334 Enrollment ID: I20031124000644 |
| Provider Name | Michael H Wittmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427029859 PECOS PAC ID: 1658275094 Enrollment ID: I20031126000227 |
| Provider Name | Howard Brent Clark |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568490662 PECOS PAC ID: 8820993215 Enrollment ID: I20031126000528 |
| Provider Name | Randalyn K Merriam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659370310 PECOS PAC ID: 4587569967 Enrollment ID: I20031201000121 |
| Provider Name | Heidi L Ruzek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174550289 PECOS PAC ID: 5890690176 Enrollment ID: I20031201000147 |
| Provider Name | Tanya Eugena Melnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881770873 PECOS PAC ID: 8527963198 Enrollment ID: I20031205000454 |
| Provider Name | Anjali Goel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174590087 PECOS PAC ID: 7911803150 Enrollment ID: I20031209000911 |
| Provider Name | Heather Linee Bergeson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1932172277 PECOS PAC ID: 5890692438 Enrollment ID: I20031212000778 |
| Provider Name | David Wayne Polly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669483046 PECOS PAC ID: 2961309729 Enrollment ID: I20031218000571 |
| Provider Name | Cornelius Hoktsim Lam |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871695098 PECOS PAC ID: 9830097575 Enrollment ID: I20031219000477 |
| Provider Name | Katherine Elizabeth Murray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730166711 PECOS PAC ID: 1456259530 Enrollment ID: I20031229000163 |
| Provider Name | Carol H Larter Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073591939 PECOS PAC ID: 6507766367 Enrollment ID: I20040109000508 |
| Provider Name | Susan L Burton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659565208 PECOS PAC ID: 7517868995 Enrollment ID: I20040119000219 |
| Provider Name | Elizabeth A Arendt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578507778 PECOS PAC ID: 9931001856 Enrollment ID: I20040122000240 |
| Provider Name | Marc F Swiontkowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285605527 PECOS PAC ID: 4486556313 Enrollment ID: I20040122000297 |
| Provider Name | Bradley S Miller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184633059 PECOS PAC ID: 8224930847 Enrollment ID: I20040123000749 |
| Provider Name | Jerry W Froelich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093744120 PECOS PAC ID: 5991608044 Enrollment ID: I20040128000346 |
| Provider Name | Frederick W Ott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366476848 PECOS PAC ID: 0547163131 Enrollment ID: I20040130000431 |
| Provider Name | Deborah C Bohn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902883192 PECOS PAC ID: 6709789043 Enrollment ID: I20040202000628 |
| Provider Name | Matthew M Schaar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790765600 PECOS PAC ID: 5698678944 Enrollment ID: I20040202000713 |
| Provider Name | Robert J Tibesar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205822954 PECOS PAC ID: 2668365016 Enrollment ID: I20040207000380 |
| Provider Name | Timothy Ramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053324418 PECOS PAC ID: 2860386216 Enrollment ID: I20040209000529 |
| Provider Name | Vladimir Savcenko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471658 PECOS PAC ID: 4183519119 Enrollment ID: I20040218000958 |
| Provider Name | Kara Pacala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174608079 PECOS PAC ID: 0547158990 Enrollment ID: I20040308000547 |
| Provider Name | Jacqueline A Gingerich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528176278 PECOS PAC ID: 7810886017 Enrollment ID: I20040315000684 |
| Provider Name | Richard S Spong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689651093 PECOS PAC ID: 2769373745 Enrollment ID: I20040320000652 |
| Provider Name | Sheila M Specker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710068119 PECOS PAC ID: 8426949231 Enrollment ID: I20040322001575 |
| Provider Name | Nihar S Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245218759 PECOS PAC ID: 4688667645 Enrollment ID: I20040406000322 |
| Provider Name | Christopher Loren Moertel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720058043 PECOS PAC ID: 5698760825 Enrollment ID: I20040417000192 |
| Provider Name | Mark Stuckey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265475263 PECOS PAC ID: 4284547779 Enrollment ID: I20040421000320 |
| Provider Name | Danilo N Lovinaria |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154384048 PECOS PAC ID: 4981691326 Enrollment ID: I20040428000606 |
| Provider Name | Fernando A Pena |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992800205 PECOS PAC ID: 7214924190 Enrollment ID: I20040430000855 |
| Provider Name | Scott S Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902824238 PECOS PAC ID: 0143217034 Enrollment ID: I20040430000939 |
| Provider Name | Michael L Bloomquist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265478473 PECOS PAC ID: 0042208761 Enrollment ID: I20040503000885 |
| Provider Name | David G Benditt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073559134 PECOS PAC ID: 9234127200 Enrollment ID: I20040506000419 |
| Provider Name | Scott Sakaguchi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386727873 PECOS PAC ID: 4183612179 Enrollment ID: I20040506000630 |
| Provider Name | Suzanne C Moffit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487687406 PECOS PAC ID: 7214926120 Enrollment ID: I20040506001666 |
| Provider Name | James Goddard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770562639 PECOS PAC ID: 0749279214 Enrollment ID: I20040510000914 |
| Provider Name | John T Olsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801814132 PECOS PAC ID: 8224933973 Enrollment ID: I20040512001342 |
| Provider Name | Julie A Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962462085 PECOS PAC ID: 7416947288 Enrollment ID: I20040513001277 |
| Provider Name | Tiffany R Beckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174528939 PECOS PAC ID: 4688664477 Enrollment ID: I20040513001454 |
| Provider Name | Ellen L Abeln |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861441230 PECOS PAC ID: 5799680419 Enrollment ID: I20040514000676 |
| Provider Name | Margaret A Reynolds |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487661336 PECOS PAC ID: 3072504430 Enrollment ID: I20040524000501 |
| Provider Name | Peter A Hilger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790770196 PECOS PAC ID: 4385625391 Enrollment ID: I20040526000629 |
| Provider Name | Abraham K Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144242587 PECOS PAC ID: 1153303664 Enrollment ID: I20040607000849 |
| Provider Name | Mohamed Abdirahman Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992739494 PECOS PAC ID: 9335122431 Enrollment ID: I20040610000256 |
| Provider Name | Daniel A Duprez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609807825 PECOS PAC ID: 7315921780 Enrollment ID: I20040614001590 |
| Provider Name | Ranjit John |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720183171 PECOS PAC ID: 4385628759 Enrollment ID: I20040614001613 |
| Provider Name | Kimmie E Rabe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649291741 PECOS PAC ID: 6406830082 Enrollment ID: I20040615000610 |
| Provider Name | Khalafalla O Bushara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841226735 PECOS PAC ID: 6002892437 Enrollment ID: I20040626000374 |
| Provider Name | Brian T Sick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609958651 PECOS PAC ID: 6901884915 Enrollment ID: I20040707001300 |
| Provider Name | Snigdhasmrithi S Pusalavidyasagar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033199955 PECOS PAC ID: 1850379751 Enrollment ID: I20040708000531 |
| Provider Name | Monica M Overkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063489144 PECOS PAC ID: 1254319395 Enrollment ID: I20040713001390 |
| Provider Name | Deanna Jo Diebold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235166737 PECOS PAC ID: 5890766513 Enrollment ID: I20040804001563 |
| Provider Name | Shernan Holtan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1780664284 PECOS PAC ID: 9537132774 Enrollment ID: I20040817000256 |
| Provider Name | David J Satin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003999582 PECOS PAC ID: 3971576810 Enrollment ID: I20040818000378 |
| Provider Name | Mohammad Umar Hasan Choudry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851363717 PECOS PAC ID: 6800869769 Enrollment ID: I20040818000561 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275627820 PECOS PAC ID: 6709859515 Enrollment ID: I20040818000931 |
| Provider Name | Holly C Boyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467438424 PECOS PAC ID: 5991779332 Enrollment ID: I20040823000619 |
| Provider Name | Carol A Soutor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023084241 PECOS PAC ID: 8022082304 Enrollment ID: I20040823000953 |
| Provider Name | Sara J Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699714923 PECOS PAC ID: 0042284291 Enrollment ID: I20040825001516 |
| Provider Name | Javad Keyhani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457369902 PECOS PAC ID: 2062487705 Enrollment ID: I20040827000057 |
| Provider Name | Stacia M Essler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477982544 PECOS PAC ID: 5395710412 Enrollment ID: I20040831001442 |
| Provider Name | Michael Shreve |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700887312 PECOS PAC ID: 0446226567 Enrollment ID: I20040909001046 |
| Provider Name | Shanti Lakshmi Narasimhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891714259 PECOS PAC ID: 8729055769 Enrollment ID: I20040910000530 |
| Provider Name | John R Lake |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740360619 PECOS PAC ID: 8224005285 Enrollment ID: I20040910000652 |
| Provider Name | Deborah L Lacroix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235153313 PECOS PAC ID: 4587631338 Enrollment ID: I20040913000457 |
| Provider Name | Sarah M Benish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053384701 PECOS PAC ID: 7113995739 Enrollment ID: I20040922000088 |
| Provider Name | Timothy A Lander |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548264435 PECOS PAC ID: 8426018698 Enrollment ID: I20041012001274 |
| Provider Name | Sonia Lucille Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104804343 PECOS PAC ID: 1557323136 Enrollment ID: I20041027000760 |
| Provider Name | Mark E Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134161128 PECOS PAC ID: 2163485178 Enrollment ID: I20041110000943 |
| Provider Name | David Asinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205886819 PECOS PAC ID: 8426953142 Enrollment ID: I20041110000973 |
| Provider Name | Afshan Anjum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316981517 PECOS PAC ID: 1355304189 Enrollment ID: I20041111000624 |
| Provider Name | Matthew C Patterson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457339996 PECOS PAC ID: 3072577535 Enrollment ID: I20041115000722 |
| Provider Name | Stuart H Bloom |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336159565 PECOS PAC ID: 9032173489 Enrollment ID: I20041116000049 |
| Provider Name | Charles J Billington |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235225160 PECOS PAC ID: 4981668027 Enrollment ID: I20041117001001 |
| Provider Name | Linda L Wick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053339655 PECOS PAC ID: 0042275810 Enrollment ID: I20041122000635 |
| Provider Name | Peter G Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275567778 PECOS PAC ID: 3476518051 Enrollment ID: I20041123000365 |
| Provider Name | Suk Yin Chan-colenbrander |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104843101 PECOS PAC ID: 9436114873 Enrollment ID: I20041124000317 |
| Provider Name | Thomas R Frerichs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629028329 PECOS PAC ID: 9436114634 Enrollment ID: I20041130000530 |
| Provider Name | Roxanne Vida Ricci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457312217 PECOS PAC ID: 7810952918 Enrollment ID: I20041201000111 |
| Provider Name | Edward W Greeno |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386670297 PECOS PAC ID: 3577528538 Enrollment ID: I20041201000606 |
| Provider Name | Jeffrey R Brace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619905924 PECOS PAC ID: 7618933326 Enrollment ID: I20041204000145 |
| Provider Name | Joseph P Neglia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720024474 PECOS PAC ID: 2567429251 Enrollment ID: I20041214000865 |
| Provider Name | Patrick Yoon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134236284 PECOS PAC ID: 2062479553 Enrollment ID: I20041216000308 |
| Provider Name | Arif Somani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255363503 PECOS PAC ID: 5991763500 Enrollment ID: I20041229000697 |
| Provider Name | Dana Brandenburg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548296502 PECOS PAC ID: 3274581368 Enrollment ID: I20050105000613 |
| Provider Name | Farha Ikramuddin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609977107 PECOS PAC ID: 4082663406 Enrollment ID: I20050112000919 |
| Provider Name | Robert L Gauthier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558337154 PECOS PAC ID: 5991618464 Enrollment ID: I20050124000522 |
| Provider Name | Kyriakie Sarafoglou |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902989486 PECOS PAC ID: 5597715441 Enrollment ID: I20050127000872 |
| Provider Name | David D Hamlar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720044357 PECOS PAC ID: 2860443413 Enrollment ID: I20050201000795 |
| Provider Name | Dominic F Frecentese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144209008 PECOS PAC ID: 8022922798 Enrollment ID: I20050208000057 |
| Provider Name | Jo Anne H Young |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326149519 PECOS PAC ID: 7214989722 Enrollment ID: I20050214000090 |
| Provider Name | Vanessa Dayton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497790927 PECOS PAC ID: 4284686544 Enrollment ID: I20050215000317 |
| Provider Name | Rafael S Andrade |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538103155 PECOS PAC ID: 2264484310 Enrollment ID: I20050216000789 |
| Provider Name | Joel L Boyd |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1619970571 PECOS PAC ID: 8527035245 Enrollment ID: I20050221000076 |
| Provider Name | Kirk J Aadalen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720081672 PECOS PAC ID: 6204888043 Enrollment ID: I20050221000086 |
| Provider Name | John A Steubs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669475638 PECOS PAC ID: 3678540309 Enrollment ID: I20050221000170 |
| Provider Name | Paolo T Pianosi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639157928 PECOS PAC ID: 8123070091 Enrollment ID: I20050309000338 |
| Provider Name | Robert D Madoff |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023191590 PECOS PAC ID: 9032007596 Enrollment ID: I20050310000043 |
| Provider Name | Lisa M Vollmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558324780 PECOS PAC ID: 1951355130 Enrollment ID: I20050310000321 |
| Provider Name | Aaron Binstock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891744280 PECOS PAC ID: 4284689985 Enrollment ID: I20050315001076 |
| Provider Name | Mark Richard Schleiss |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942382452 PECOS PAC ID: 1951356435 Enrollment ID: I20050317000410 |
| Provider Name | Timothy M Casey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285626184 PECOS PAC ID: 6608822630 Enrollment ID: I20050323000640 |
| Provider Name | Tereza M Cervenka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508087511 PECOS PAC ID: 4981650934 Enrollment ID: I20050323000819 |
| Provider Name | Christopher A Foley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609831205 PECOS PAC ID: 1254387004 Enrollment ID: I20050324000971 |
| Provider Name | Jutta M Ellermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104854702 PECOS PAC ID: 2466408083 Enrollment ID: I20050328000364 |
| Provider Name | Hubert Spencer Holmes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497738975 PECOS PAC ID: 8123075173 Enrollment ID: I20050401000730 |
| Provider Name | Andrew J Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285682971 PECOS PAC ID: 2062459373 Enrollment ID: I20050408000271 |
| Provider Name | Joseph P Schuster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922015346 PECOS PAC ID: 0143267476 Enrollment ID: I20050408000482 |
| Provider Name | Patrick P Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063491819 PECOS PAC ID: 6305750019 Enrollment ID: I20050412000595 |
| Provider Name | Richard C Prielipp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659455962 PECOS PAC ID: 0941249759 Enrollment ID: I20050502000409 |
| Provider Name | David S Beebe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255421277 PECOS PAC ID: 0244143717 Enrollment ID: I20050503000683 |
| Provider Name | Barbara S Gold |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922196112 PECOS PAC ID: 2961315445 Enrollment ID: I20050503000788 |
| Provider Name | Sharon S Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285697243 PECOS PAC ID: 4385684562 Enrollment ID: I20050506000280 |
| Provider Name | Maria Teresa Chmielewski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083772834 PECOS PAC ID: 6002856903 Enrollment ID: I20050510001049 |
| Provider Name | Shari A.s. Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114967106 PECOS PAC ID: 1052352606 Enrollment ID: I20050513000513 |
| Provider Name | Jill S Anderson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275577454 PECOS PAC ID: 3870536683 Enrollment ID: I20050602000888 |
| Provider Name | Teresa C Mccarthy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922184035 PECOS PAC ID: 3678516341 Enrollment ID: I20050603000208 |
| Provider Name | Jonathan K Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932143583 PECOS PAC ID: 8022007392 Enrollment ID: I20050603000436 |
| Provider Name | Torrey Bergman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861442493 PECOS PAC ID: 5890762124 Enrollment ID: I20050606001011 |
| Provider Name | Jerald O Vanbeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861504177 PECOS PAC ID: 3870536279 Enrollment ID: I20050607000509 |
| Provider Name | Mark Veldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538188511 PECOS PAC ID: 6305889478 Enrollment ID: I20050609000274 |
| Provider Name | Brian T Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780604835 PECOS PAC ID: 9436193802 Enrollment ID: I20050616000255 |
| Provider Name | Michael D Heaney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245287549 PECOS PAC ID: 7416991880 Enrollment ID: I20050616000269 |
| Provider Name | Frank G Ondrey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508941428 PECOS PAC ID: 7517901937 Enrollment ID: I20050616000631 |
| Provider Name | Eric J Hoggard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982725339 PECOS PAC ID: 8729022876 Enrollment ID: I20050620000333 |
| Provider Name | David L Kimball |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346290756 PECOS PAC ID: 2163467382 Enrollment ID: I20050628000099 |
| Provider Name | Kristen K Mccullough |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396711313 PECOS PAC ID: 1456397496 Enrollment ID: I20050630000149 |
| Provider Name | Evan G Frakes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730156795 PECOS PAC ID: 9133165814 Enrollment ID: I20050705000162 |
| Provider Name | Janine T Pingel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235197054 PECOS PAC ID: 2961448576 Enrollment ID: I20050706000128 |
| Provider Name | Susanne S Rupert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386711661 PECOS PAC ID: 8123056983 Enrollment ID: I20050802000826 |
| Provider Name | Chinsoo L Cho |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588683676 PECOS PAC ID: 6305875345 Enrollment ID: I20050810000051 |
| Provider Name | Hyun J Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891885307 PECOS PAC ID: 7517996325 Enrollment ID: I20050811000249 |
| Provider Name | Ronald T Sih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053382002 PECOS PAC ID: 2961432968 Enrollment ID: I20050819000027 |
| Provider Name | Tara Lee Holm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164567764 PECOS PAC ID: 8820021801 Enrollment ID: I20050912000822 |
| Provider Name | Fareed A Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235236530 PECOS PAC ID: 8921031535 Enrollment ID: I20050914000881 |
| Provider Name | Jason T Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134214307 PECOS PAC ID: 7810920428 Enrollment ID: I20050914000901 |
| Provider Name | Lisa M Bowman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861479065 PECOS PAC ID: 2567495898 Enrollment ID: I20050916000032 |
| Provider Name | Mark S Wilke |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376546234 PECOS PAC ID: 4183657315 Enrollment ID: I20050916000793 |
| Provider Name | Peter Karachunski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720176308 PECOS PAC ID: 7719911825 Enrollment ID: I20050919000678 |
| Provider Name | Mark W Berger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962481747 PECOS PAC ID: 0749194777 Enrollment ID: I20050920000198 |
| Provider Name | Annemarie M Mischel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306812698 PECOS PAC ID: 1456385616 Enrollment ID: I20050927000253 |
| Provider Name | Yasuko Yamamura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568483816 PECOS PAC ID: 9830124700 Enrollment ID: I20050929000091 |
| Provider Name | Ann E Van Heest |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1194833376 PECOS PAC ID: 7113942335 Enrollment ID: I20051006000879 |
| Provider Name | Jeffrey S Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734123 PECOS PAC ID: 1254245954 Enrollment ID: I20051007000143 |
| Provider Name | William M Stauffer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093781049 PECOS PAC ID: 2264457332 Enrollment ID: I20051007000274 |
| Provider Name | Deanna L Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851473342 PECOS PAC ID: 5092730101 Enrollment ID: I20051007000588 |
| Provider Name | Carly M Kempton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275552879 PECOS PAC ID: 9638194632 Enrollment ID: I20051010000181 |
| Provider Name | Shelly A Marette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669579975 PECOS PAC ID: 8426074832 Enrollment ID: I20051014000613 |
| Provider Name | William F Schmalstieg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649244658 PECOS PAC ID: 5890711261 Enrollment ID: I20051017000028 |
| Provider Name | Cynthia R Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164456620 PECOS PAC ID: 2567488828 Enrollment ID: I20051017000806 |
| Provider Name | Curt Behrns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801869227 PECOS PAC ID: 1850318379 Enrollment ID: I20051025000024 |
| Provider Name | Mark E Rosenberg |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588740740 PECOS PAC ID: 0345268827 Enrollment ID: I20051103000109 |
| Provider Name | Sayeed Ikramuddin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417988510 PECOS PAC ID: 5395763718 Enrollment ID: I20051103001161 |
| Provider Name | Anne H Blaes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285690156 PECOS PAC ID: 0042238222 Enrollment ID: I20051107000107 |
| Provider Name | James Kyle Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093819153 PECOS PAC ID: 1153392378 Enrollment ID: I20051107000332 |
| Provider Name | Michael S Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649351115 PECOS PAC ID: 7416975487 Enrollment ID: I20051108000722 |
| Provider Name | Karin E Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144305558 PECOS PAC ID: 4587682562 Enrollment ID: I20051108000748 |
| Provider Name | Maneesh Bhargava |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407892755 PECOS PAC ID: 8022036011 Enrollment ID: I20051108000852 |
| Provider Name | Jessica L Nyholm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023098837 PECOS PAC ID: 4981623386 Enrollment ID: I20051115000683 |
| Provider Name | Jonathan Patrick Braman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548296619 PECOS PAC ID: 0840219028 Enrollment ID: I20051116000889 |
| Provider Name | Jennifer A Ward |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205829520 PECOS PAC ID: 6800815945 Enrollment ID: I20051117000295 |
| Provider Name | Kari D Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285717082 PECOS PAC ID: 8426079500 Enrollment ID: I20051216000353 |
| Provider Name | Alexis R Maciej |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902988421 PECOS PAC ID: 3476576653 Enrollment ID: I20060113000527 |
| Provider Name | Jane K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780683722 PECOS PAC ID: 0547284598 Enrollment ID: I20060118000319 |
| Provider Name | Marc R Pritzker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285673525 PECOS PAC ID: 8527082411 Enrollment ID: I20060118000700 |
| Provider Name | Robin K Rumsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619050028 PECOS PAC ID: 8022022979 Enrollment ID: I20060130000784 |
| Provider Name | Indu Agarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902840689 PECOS PAC ID: 0941269955 Enrollment ID: I20060130000807 |
| Provider Name | Murali Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982656039 PECOS PAC ID: 7618981184 Enrollment ID: I20060203000553 |
| Provider Name | Jessica E Kuehn-hajder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104833920 PECOS PAC ID: 5496760266 Enrollment ID: I20060215000472 |
| Provider Name | Jordan M Dunitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760413124 PECOS PAC ID: 8921013731 Enrollment ID: I20060216000463 |
| Provider Name | Edward B Martin-chaffee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295728848 PECOS PAC ID: 3870508575 Enrollment ID: I20060216000471 |
| Provider Name | John L Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164468583 PECOS PAC ID: 5294741732 Enrollment ID: I20060221000751 |
| Provider Name | Dennis C Bless |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700829520 PECOS PAC ID: 6002822491 Enrollment ID: I20060222000337 |
| Provider Name | Carol M Brunzell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689729659 PECOS PAC ID: 4880600188 Enrollment ID: I20060223000472 |
| Provider Name | Mary E Edgar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619944733 PECOS PAC ID: 0244246080 Enrollment ID: I20060302000412 |
| Provider Name | Melanie J Hanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508907882 PECOS PAC ID: 3173530656 Enrollment ID: I20060308000133 |
| Provider Name | Ganesh Raveendran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265418420 PECOS PAC ID: 8123035664 Enrollment ID: I20060308000680 |
| Provider Name | Patrick J Morris |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1023194016 PECOS PAC ID: 4183518657 Enrollment ID: I20060314000477 |
| Provider Name | Michael J Howell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407897804 PECOS PAC ID: 3678581303 Enrollment ID: I20060322000523 |
| Provider Name | Quentin M Gabor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427115856 PECOS PAC ID: 6002883139 Enrollment ID: I20060323000136 |
| Provider Name | Jennifer S Oberstar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073515466 PECOS PAC ID: 2567470990 Enrollment ID: I20060328000016 |
| Provider Name | Bradley J Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619950839 PECOS PAC ID: 5890703037 Enrollment ID: I20060329000341 |
| Provider Name | Craig R Weinert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891892261 PECOS PAC ID: 7113935255 Enrollment ID: I20060330000511 |
| Provider Name | Alicia S Kunin-batson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437239308 PECOS PAC ID: 6002824091 Enrollment ID: I20060403000414 |
| Provider Name | Elizabeth A Braunlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265468334 PECOS PAC ID: 1052329851 Enrollment ID: I20060404000710 |
| Provider Name | Kozhuvattasseri P Madhusoodanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164505624 PECOS PAC ID: 7719996354 Enrollment ID: I20060411000140 |
| Provider Name | Peter B Wold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471633 PECOS PAC ID: 0749260404 Enrollment ID: I20060424000306 |
| Provider Name | Ann Louise Forster Page |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902837875 PECOS PAC ID: 7517978554 Enrollment ID: I20060505000444 |
| Provider Name | Carrie E Neerland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689601783 PECOS PAC ID: 3173534138 Enrollment ID: I20060505000616 |
| Provider Name | Peter H Helseth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205828308 PECOS PAC ID: 9032120753 Enrollment ID: I20060509000939 |
| Provider Name | Brenda J Weigel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194779850 PECOS PAC ID: 1850303702 Enrollment ID: I20060615000191 |
| Provider Name | Armand E Radke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447287677 PECOS PAC ID: 4082626320 Enrollment ID: I20060703000052 |
| Provider Name | Daniel Brent Leslie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295779809 PECOS PAC ID: 0446263230 Enrollment ID: I20060721000005 |
| Provider Name | David P Lambert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154384527 PECOS PAC ID: 9436162120 Enrollment ID: I20060725000249 |
| Provider Name | Gregory M Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427090133 PECOS PAC ID: 2860397510 Enrollment ID: I20060726000019 |
| Provider Name | Lisa S Chow |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689652224 PECOS PAC ID: 2567475114 Enrollment ID: I20060726000289 |
| Provider Name | Tina Huang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104867316 PECOS PAC ID: 7315900040 Enrollment ID: I20060727000116 |
| Provider Name | James L Wise |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982681334 PECOS PAC ID: 4981607850 Enrollment ID: I20060814000502 |
| Provider Name | Sean Patrick Elliott |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861435943 PECOS PAC ID: 5698715647 Enrollment ID: I20060823000293 |
| Provider Name | Matthew J Loe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861419293 PECOS PAC ID: 2769486117 Enrollment ID: I20060828000166 |
| Provider Name | Eric H Jensen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1770526857 PECOS PAC ID: 5890798250 Enrollment ID: I20060829000474 |
| Provider Name | Don E Wiese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114908159 PECOS PAC ID: 7810971843 Enrollment ID: I20060830000035 |
| Provider Name | Brandon M Nathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891738530 PECOS PAC ID: 0749285856 Enrollment ID: I20060925000144 |
| Provider Name | Mark Gujer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740290717 PECOS PAC ID: 1052355989 Enrollment ID: I20061009000152 |
| Provider Name | Suzanne S Parrino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113671 PECOS PAC ID: 1658341870 Enrollment ID: I20061012000098 |
| Provider Name | Christopher J Boys |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568418812 PECOS PAC ID: 6507862398 Enrollment ID: I20061019000046 |
| Provider Name | Kathleen M Keller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801839907 PECOS PAC ID: 7810991429 Enrollment ID: I20061026000058 |
| Provider Name | Danielle Y Maclaurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629168158 PECOS PAC ID: 6507863917 Enrollment ID: I20061027000232 |
| Provider Name | Antoinette M Moran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780618249 PECOS PAC ID: 3274530464 Enrollment ID: I20061101000056 |
| Provider Name | Zhiyi Sha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124044334 PECOS PAC ID: 7416940085 Enrollment ID: I20061106000351 |
| Provider Name | Mary M Benbenek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487608642 PECOS PAC ID: 1850399510 Enrollment ID: I20061114000122 |
| Provider Name | Mary I Pukite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447204078 PECOS PAC ID: 7517966187 Enrollment ID: I20061208000020 |
| Provider Name | Sameer Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578500252 PECOS PAC ID: 7113910563 Enrollment ID: I20061212000500 |
| Provider Name | Sarah J Schwarzenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245264795 PECOS PAC ID: 3375542590 Enrollment ID: I20061215000153 |
| Provider Name | Patrick G Arndt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265546345 PECOS PAC ID: 1557334505 Enrollment ID: I20061220000138 |
| Provider Name | Azhar T Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538187786 PECOS PAC ID: 0143228809 Enrollment ID: I20061227000270 |
| Provider Name | Michael J Forseth |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1700992492 PECOS PAC ID: 4587565791 Enrollment ID: I20070108000509 |
| Provider Name | Alan Berger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104861350 PECOS PAC ID: 6709887656 Enrollment ID: I20070122000049 |
| Provider Name | Andrew R Harrison |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396768180 PECOS PAC ID: 0749281400 Enrollment ID: I20070123000418 |
| Provider Name | Emily C Borman-shoap |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043380926 PECOS PAC ID: 4789685405 Enrollment ID: I20070124000146 |
| Provider Name | Jagadish M R Patil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720098833 PECOS PAC ID: 4587666821 Enrollment ID: I20070215000340 |
| Provider Name | Sara E Oxborough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285779082 PECOS PAC ID: 7416050851 Enrollment ID: I20070306000057 |
| Provider Name | Tim H Emory |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841264397 PECOS PAC ID: 5991808818 Enrollment ID: I20070314000479 |
| Provider Name | Jeffrey Paul Lassig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558459032 PECOS PAC ID: 6507896578 Enrollment ID: I20070329000258 |
| Provider Name | Sara Jayne Armbruster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023181500 PECOS PAC ID: 2264536234 Enrollment ID: I20070330000425 |
| Provider Name | Jeffrey G Chipman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942237946 PECOS PAC ID: 0345345575 Enrollment ID: I20070418000015 |
| Provider Name | Molly Klein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902840010 PECOS PAC ID: 7911003975 Enrollment ID: I20070508000327 |
| Provider Name | Robert E Bulander |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093844391 PECOS PAC ID: 4183721657 Enrollment ID: I20070517000148 |
| Provider Name | Michael H Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427116896 PECOS PAC ID: 3173626488 Enrollment ID: I20070611000399 |
| Provider Name | Robert W Mckenna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669431706 PECOS PAC ID: 6305944422 Enrollment ID: I20070613000079 |
| Provider Name | Nissrine A Nakib |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669516852 PECOS PAC ID: 3375641384 Enrollment ID: I20070614000111 |
| Provider Name | James V Harmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073586269 PECOS PAC ID: 2860592367 Enrollment ID: I20070712000801 |
| Provider Name | Veronika Bachanova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841327665 PECOS PAC ID: 5395845622 Enrollment ID: I20070716000212 |
| Provider Name | Christopher A Warlick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730260787 PECOS PAC ID: 9032111299 Enrollment ID: I20070716000245 |
| Provider Name | Dianna L Hart |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356423990 PECOS PAC ID: 4385745223 Enrollment ID: I20070723000586 |
| Provider Name | Kathryn R Cullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740496090 PECOS PAC ID: 7618078023 Enrollment ID: I20070728000011 |
| Provider Name | Seth C Janus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982747515 PECOS PAC ID: 0042301657 Enrollment ID: I20070811000068 |
| Provider Name | Stephen James Huddleston |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104037621 PECOS PAC ID: 2668563271 Enrollment ID: I20070811000083 |
| Provider Name | Gail S Summerville |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679640783 PECOS PAC ID: 8123119625 Enrollment ID: I20070814000039 |
| Provider Name | Gregory A Rathmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891990404 PECOS PAC ID: 9739270182 Enrollment ID: I20070814000512 |
| Provider Name | Melisa R Oblander |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497846703 PECOS PAC ID: 4082706411 Enrollment ID: I20070815000425 |
| Provider Name | Paul R Carolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144427055 PECOS PAC ID: 3971695214 Enrollment ID: I20070816000583 |
| Provider Name | Robert R Kempainen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356430284 PECOS PAC ID: 8022100585 Enrollment ID: I20070828001074 |
| Provider Name | Donavon J Hess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376668251 PECOS PAC ID: 3678667243 Enrollment ID: I20070913000690 |
| Provider Name | Carlye T Tomczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306048574 PECOS PAC ID: 8325132764 Enrollment ID: I20070917000335 |
| Provider Name | Ramachandra P Tummala |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124078027 PECOS PAC ID: 2466464714 Enrollment ID: I20070919000265 |
| Provider Name | Adam F Carpenter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942355490 PECOS PAC ID: 5991899189 Enrollment ID: I20070919000276 |
| Provider Name | Phillip N Rauk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780768176 PECOS PAC ID: 7012909146 Enrollment ID: I20070919000663 |
| Provider Name | Robin E Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619050184 PECOS PAC ID: 9830283936 Enrollment ID: I20070920000240 |
| Provider Name | Rebecca Rs French |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336208669 PECOS PAC ID: 7517051592 Enrollment ID: I20070921000129 |
| Provider Name | Lennie D Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538121124 PECOS PAC ID: 9436243441 Enrollment ID: I20070921000359 |
| Provider Name | Stephen C Kaufman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558421958 PECOS PAC ID: 1153415179 Enrollment ID: I20070921000376 |
| Provider Name | Caroline S George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912993049 PECOS PAC ID: 9436240975 Enrollment ID: I20070921000401 |
| Provider Name | Andrew Hartigan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093793234 PECOS PAC ID: 5294649976 Enrollment ID: I20070928000639 |
| Provider Name | Tadashi L Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700925864 PECOS PAC ID: 9234224452 Enrollment ID: I20071003000463 |
| Provider Name | Bryce A Binstadt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942244686 PECOS PAC ID: 5890734990 Enrollment ID: I20071003000532 |
| Provider Name | Kathryn E Dusenbery |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578668174 PECOS PAC ID: 6002728227 Enrollment ID: I20071009000279 |
| Provider Name | Anthony A Killeen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811087323 PECOS PAC ID: 5092801787 Enrollment ID: I20071010000608 |
| Provider Name | Maria R Evasovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326077611 PECOS PAC ID: 7416043716 Enrollment ID: I20071018000172 |
| Provider Name | Debra J Reinisch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790798155 PECOS PAC ID: 7214023464 Enrollment ID: I20071018000589 |
| Provider Name | Julia Steinberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851310213 PECOS PAC ID: 5799871992 Enrollment ID: I20071019000075 |
| Provider Name | Nicole D Zantek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750476727 PECOS PAC ID: 1254333586 Enrollment ID: I20071019000131 |
| Provider Name | Sivakumar Chinnadurai |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083835003 PECOS PAC ID: 3678660453 Enrollment ID: I20071025000333 |
| Provider Name | John H Eckfeldt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629006218 PECOS PAC ID: 0749377877 Enrollment ID: I20071106000372 |
| Provider Name | Patrick Morgan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790707537 PECOS PAC ID: 0547265837 Enrollment ID: I20071108000600 |
| Provider Name | David R Boulware |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225181290 PECOS PAC ID: 4486742269 Enrollment ID: I20071112000473 |
| Provider Name | Philip L Prosapio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487602926 PECOS PAC ID: 2365335510 Enrollment ID: I20071126000071 |
| Provider Name | Gail M Brottman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154421642 PECOS PAC ID: 5496844151 Enrollment ID: I20071203000472 |
| Provider Name | Daniel A Saltzman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295818789 PECOS PAC ID: 9335238831 Enrollment ID: I20071207000234 |
| Provider Name | James S Mallery |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851331441 PECOS PAC ID: 3678663895 Enrollment ID: I20071212000183 |
| Provider Name | Chung K Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972609360 PECOS PAC ID: 5193815108 Enrollment ID: I20071214000053 |
| Provider Name | Rick L Nissen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306842711 PECOS PAC ID: 5991895690 Enrollment ID: I20071219000124 |
| Provider Name | Milind Y Junghare |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205020294 PECOS PAC ID: 6901996438 Enrollment ID: I20071220000106 |
| Provider Name | Maria K Hordinsky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134152218 PECOS PAC ID: 9830279843 Enrollment ID: I20080103000369 |
| Provider Name | Daniel L Mueller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821174814 PECOS PAC ID: 1951481977 Enrollment ID: I20080103000428 |
| Provider Name | David R Nascene |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548451073 PECOS PAC ID: 8820178734 Enrollment ID: I20080104000370 |
| Provider Name | Suzanne Hecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669423950 PECOS PAC ID: 6709847775 Enrollment ID: I20080109000605 |
| Provider Name | Jerry A Molitor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235147331 PECOS PAC ID: 2365405396 Enrollment ID: I20080109000825 |
| Provider Name | Bharat Thyagarajan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245385186 PECOS PAC ID: 8527148014 Enrollment ID: I20080109000834 |
| Provider Name | Erin A Osterholm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083806061 PECOS PAC ID: 8628159654 Enrollment ID: I20080116000440 |
| Provider Name | Judith K Eckerle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609063346 PECOS PAC ID: 4284715947 Enrollment ID: I20080118000527 |
| Provider Name | Michael Thomas Madison |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821077876 PECOS PAC ID: 5890609580 Enrollment ID: I20080130000624 |
| Provider Name | James T Langland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699711457 PECOS PAC ID: 3779488754 Enrollment ID: I20080201000031 |
| Provider Name | Bevan Yueh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538262860 PECOS PAC ID: 9436242468 Enrollment ID: I20080201000415 |
| Provider Name | George S Goding |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134221427 PECOS PAC ID: 6608958202 Enrollment ID: I20080204000474 |
| Provider Name | Daniel Vincent Landers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114973328 PECOS PAC ID: 5092810788 Enrollment ID: I20080207000532 |
| Provider Name | Anne M Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659340180 PECOS PAC ID: 9335040633 Enrollment ID: I20080208000464 |
| Provider Name | Gary J Bachowski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184729337 PECOS PAC ID: 2365525482 Enrollment ID: I20080213000389 |
| Provider Name | Lynn Ann Burmeister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295761385 PECOS PAC ID: 9537242383 Enrollment ID: I20080216000078 |
| Provider Name | Erica K Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366635302 PECOS PAC ID: 9537243134 Enrollment ID: I20080220000618 |
| Provider Name | Cindy M Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649468497 PECOS PAC ID: 2860576295 Enrollment ID: I20080225000357 |
| Provider Name | David Walk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679674501 PECOS PAC ID: 5698859882 Enrollment ID: I20080227000097 |
| Provider Name | Carrie A Terrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932298866 PECOS PAC ID: 9234213448 Enrollment ID: I20080227000182 |
| Provider Name | Jonathan N Sembrano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932113487 PECOS PAC ID: 6709961360 Enrollment ID: I20080307000105 |
| Provider Name | Margaret A Bebler |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1528241726 PECOS PAC ID: 7012092364 Enrollment ID: I20080311000245 |
| Provider Name | Boris Sudel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336349778 PECOS PAC ID: 9032294251 Enrollment ID: I20080312000570 |
| Provider Name | Robyn F Larson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306022876 PECOS PAC ID: 4486739430 Enrollment ID: I20080314000249 |
| Provider Name | Charles A Dietz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982635165 PECOS PAC ID: 3971688979 Enrollment ID: I20080315000047 |
| Provider Name | Jamie L Lohr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811916125 PECOS PAC ID: 1557447943 Enrollment ID: I20080326000162 |
| Provider Name | Thomas R Henry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568569085 PECOS PAC ID: 4981651452 Enrollment ID: I20080407000398 |
| Provider Name | Cheryll M Benson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962403444 PECOS PAC ID: 6507943925 Enrollment ID: I20080410000013 |
| Provider Name | Daniel J Garry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093770810 PECOS PAC ID: 0547347866 Enrollment ID: I20080410000178 |
| Provider Name | William T Browne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497847321 PECOS PAC ID: 6103903489 Enrollment ID: I20080410000641 |
| Provider Name | Tambra R Dahlheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689644908 PECOS PAC ID: 1759468911 Enrollment ID: I20080411000470 |
| Provider Name | Martin L Freeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013955848 PECOS PAC ID: 1658459292 Enrollment ID: I20080422000631 |
| Provider Name | Joshua A Bodie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083769517 PECOS PAC ID: 8820177926 Enrollment ID: I20080430000577 |
| Provider Name | Jamie L Feldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356372213 PECOS PAC ID: 7618056714 Enrollment ID: I20080430000601 |
| Provider Name | Sarah H Tollefson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053509570 PECOS PAC ID: 5597844068 Enrollment ID: I20080508000626 |
| Provider Name | Keith H Wittenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154300929 PECOS PAC ID: 3173437886 Enrollment ID: I20080530000327 |
| Provider Name | Anuradha K Tummala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972582732 PECOS PAC ID: 2567376270 Enrollment ID: I20080530000396 |
| Provider Name | Susan M Truman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356320105 PECOS PAC ID: 6507859840 Enrollment ID: I20080530000403 |
| Provider Name | Todd M Tuttle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700987906 PECOS PAC ID: 3577633700 Enrollment ID: I20080530000527 |
| Provider Name | Michael S Rosenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023097755 PECOS PAC ID: 2062326762 Enrollment ID: I20080530000731 |
| Provider Name | Alexandra L Muschenheim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184603607 PECOS PAC ID: 2668452335 Enrollment ID: I20080531000068 |
| Provider Name | Paul F Mulcahy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467431262 PECOS PAC ID: 9234043928 Enrollment ID: I20080531000071 |
| Provider Name | Steven C Hommeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356329593 PECOS PAC ID: 8325952005 Enrollment ID: I20080602000034 |
| Provider Name | Edith Kang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720066848 PECOS PAC ID: 9032023726 Enrollment ID: I20080602000052 |
| Provider Name | Todd M Arsenault |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902890726 PECOS PAC ID: 4688588619 Enrollment ID: I20080602000082 |
| Provider Name | Joseph J Baraga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730167073 PECOS PAC ID: 8022922053 Enrollment ID: I20080602000094 |
| Provider Name | Jeffrey M Barkmeier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571083 PECOS PAC ID: 4385558311 Enrollment ID: I20080602000101 |
| Provider Name | Blake A Carlson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548249956 PECOS PAC ID: 8022922780 Enrollment ID: I20080602000174 |
| Provider Name | John M Caspers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750369989 PECOS PAC ID: 2567376221 Enrollment ID: I20080602000293 |
| Provider Name | Matthew T Baldwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487632725 PECOS PAC ID: 5496669426 Enrollment ID: I20080602000307 |
| Provider Name | Timothy Goertzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821076068 PECOS PAC ID: 3577477256 Enrollment ID: I20080602000518 |
| Provider Name | John P Knoedler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023097078 PECOS PAC ID: 7911811609 Enrollment ID: I20080603000224 |
| Provider Name | Conrad Iber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649225012 PECOS PAC ID: 3274615869 Enrollment ID: I20080611000186 |
| Provider Name | Jorge Leon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013996065 PECOS PAC ID: 2860394210 Enrollment ID: I20080611000310 |
| Provider Name | Mojca R Remskar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861465874 PECOS PAC ID: 9032114483 Enrollment ID: I20080618000105 |
| Provider Name | Anne Weisensee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992784755 PECOS PAC ID: 8729992433 Enrollment ID: I20080620000583 |
| Provider Name | David Drake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528046612 PECOS PAC ID: 7517871288 Enrollment ID: I20080620000617 |
| Provider Name | Kevin P Henseler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952358129 PECOS PAC ID: 6800977810 Enrollment ID: I20080703000478 |
| Provider Name | William Walsh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801923966 PECOS PAC ID: 5698867547 Enrollment ID: I20080716000751 |
| Provider Name | John William Colford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164575411 PECOS PAC ID: 1254426141 Enrollment ID: I20080721000076 |
| Provider Name | Andrew Deh-an Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124070883 PECOS PAC ID: 2769581578 Enrollment ID: I20080721000162 |
| Provider Name | John E Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205933595 PECOS PAC ID: 5395818538 Enrollment ID: I20080721000527 |
| Provider Name | Robert D Acton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992749584 PECOS PAC ID: 0042383291 Enrollment ID: I20080721000623 |
| Provider Name | Jafar Golzarian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093703944 PECOS PAC ID: 4486727633 Enrollment ID: I20080721000634 |
| Provider Name | Margaret L Macmillan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881771947 PECOS PAC ID: 9537233234 Enrollment ID: I20080729000563 |
| Provider Name | James Reed Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942262290 PECOS PAC ID: 7113972753 Enrollment ID: I20080802000103 |
| Provider Name | Alexander Khoruts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841389780 PECOS PAC ID: 4183798580 Enrollment ID: I20080804000065 |
| Provider Name | Mark D Mcmillan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508884826 PECOS PAC ID: 4981785995 Enrollment ID: I20080809000057 |
| Provider Name | Sara B Veldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578755740 PECOS PAC ID: 0042386559 Enrollment ID: I20080908000248 |
| Provider Name | Susan A Berry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982640264 PECOS PAC ID: 3375619653 Enrollment ID: I20080910000578 |
| Provider Name | Sandra K Rosenberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912955212 PECOS PAC ID: 3870669161 Enrollment ID: I20080910000641 |
| Provider Name | Brooke M Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568662195 PECOS PAC ID: 9234206269 Enrollment ID: I20080917000462 |
| Provider Name | David H Ingbar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063446557 PECOS PAC ID: 4688741432 Enrollment ID: I20080922000209 |
| Provider Name | Orrin Mann |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1295719607 PECOS PAC ID: 1850380015 Enrollment ID: I20080926000549 |
| Provider Name | David M Perlman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467536615 PECOS PAC ID: 1759459803 Enrollment ID: I20081002000652 |
| Provider Name | Lin Y Chen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205800240 PECOS PAC ID: 6204904774 Enrollment ID: I20081010000221 |
| Provider Name | Jill L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669568176 PECOS PAC ID: 3375645443 Enrollment ID: I20081010000257 |
| Provider Name | Jianling Yuan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063556520 PECOS PAC ID: 9436227881 Enrollment ID: I20081013000086 |
| Provider Name | Melissa K Claar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588821573 PECOS PAC ID: 6901964774 Enrollment ID: I20081022000706 |
| Provider Name | James A Kirkham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316988512 PECOS PAC ID: 5890690531 Enrollment ID: I20081024000236 |
| Provider Name | Genevieve B Melton Meaux |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1255487013 PECOS PAC ID: 5193883627 Enrollment ID: I20081027000774 |
| Provider Name | Kelli J Simmons |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1336186048 PECOS PAC ID: 7113024530 Enrollment ID: I20081029000585 |
| Provider Name | Demetris Yannopoulos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821143629 PECOS PAC ID: 7911065396 Enrollment ID: I20081029000604 |
| Provider Name | Samir S Khariwala |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093859613 PECOS PAC ID: 5193825578 Enrollment ID: I20081030000212 |
| Provider Name | Elizabeth M Tello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801074554 PECOS PAC ID: 4688733025 Enrollment ID: I20081030000363 |
| Provider Name | Michelle N Rheault |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013053982 PECOS PAC ID: 2769562115 Enrollment ID: I20081103000295 |
| Provider Name | Joanne L Billings |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275579583 PECOS PAC ID: 5799844775 Enrollment ID: I20081105000531 |
| Provider Name | Marissa A Hendrickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770797151 PECOS PAC ID: 6901869478 Enrollment ID: I20081122000151 |
| Provider Name | Nicole B Beckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306016860 PECOS PAC ID: 9133205263 Enrollment ID: I20081218000365 |
| Provider Name | Shawn M Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134317704 PECOS PAC ID: 3971666785 Enrollment ID: I20090105000569 |
| Provider Name | Matthew A Hunt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619017787 PECOS PAC ID: 9638233281 Enrollment ID: I20090127000597 |
| Provider Name | Gary S Francis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679666317 PECOS PAC ID: 4284630427 Enrollment ID: I20090220000226 |
| Provider Name | Craig A Henke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558395129 PECOS PAC ID: 7113082389 Enrollment ID: I20090223000412 |
| Provider Name | Jennifer L Lessin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215912530 PECOS PAC ID: 3577629823 Enrollment ID: I20090311000525 |
| Provider Name | Serina T Brueggemann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306098777 PECOS PAC ID: 5092871210 Enrollment ID: I20090312000431 |
| Provider Name | Richard K Vehe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972604981 PECOS PAC ID: 9537226170 Enrollment ID: I20090325000598 |
| Provider Name | Donald R Nixdorf |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538211727 PECOS PAC ID: 0941357818 Enrollment ID: I20090409000661 |
| Provider Name | Erik Brian Finger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700849486 PECOS PAC ID: 5890738314 Enrollment ID: I20090422000542 |
| Provider Name | Ashley R Bjorklund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730371824 PECOS PAC ID: 0143378315 Enrollment ID: I20090427000380 |
| Provider Name | Daniel Steinberger |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932340213 PECOS PAC ID: 8628129160 Enrollment ID: I20090624000181 |
| Provider Name | Steven G Thiel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427229541 PECOS PAC ID: 1456411735 Enrollment ID: I20090624000713 |
| Provider Name | Brian F Decesare |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194871798 PECOS PAC ID: 5395811863 Enrollment ID: I20090625000117 |
| Provider Name | Allison Holt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346393386 PECOS PAC ID: 6507918273 Enrollment ID: I20090710000516 |
| Provider Name | Benjamin J May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710172960 PECOS PAC ID: 0547313918 Enrollment ID: I20090803000113 |
| Provider Name | Matthew Trefz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376735035 PECOS PAC ID: 9739230590 Enrollment ID: I20090810000398 |
| Provider Name | Paul Joseph Tuite |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811085137 PECOS PAC ID: 6507910486 Enrollment ID: I20090811000583 |
| Provider Name | Troy C Lund |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538357785 PECOS PAC ID: 4981758851 Enrollment ID: I20090812000657 |
| Provider Name | Joshua Harlen Olson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710143334 PECOS PAC ID: 2860546645 Enrollment ID: I20090812000912 |
| Provider Name | Christian M Ogilvie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902847601 PECOS PAC ID: 2668526476 Enrollment ID: I20090813000190 |
| Provider Name | Shanna M Morgan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215071675 PECOS PAC ID: 8820142557 Enrollment ID: I20090814000541 |
| Provider Name | Melena D Bellin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124219043 PECOS PAC ID: 8921152455 Enrollment ID: I20090819000173 |
| Provider Name | Andrew J Larson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528296043 PECOS PAC ID: 1153475538 Enrollment ID: I20090819000728 |
| Provider Name | Jacob Hodge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811158256 PECOS PAC ID: 3072668193 Enrollment ID: I20090825000751 |
| Provider Name | Ashley R Loomis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629278783 PECOS PAC ID: 2769570613 Enrollment ID: I20090826000627 |
| Provider Name | Samantha L Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255523924 PECOS PAC ID: 2365597036 Enrollment ID: I20090901000446 |
| Provider Name | Patricia Marie Hobday |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962655308 PECOS PAC ID: 7315092004 Enrollment ID: I20090901000718 |
| Provider Name | Suzanne M Darnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164617569 PECOS PAC ID: 4385799741 Enrollment ID: I20090908000619 |
| Provider Name | Dara D Koozekanani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265497556 PECOS PAC ID: 6305945783 Enrollment ID: I20090914000533 |
| Provider Name | Alison C Rudy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093978132 PECOS PAC ID: 4082760756 Enrollment ID: I20090922000178 |
| Provider Name | Lydia Najera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689747982 PECOS PAC ID: 5890831630 Enrollment ID: I20091007000653 |
| Provider Name | Nimi Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124190707 PECOS PAC ID: 7012054174 Enrollment ID: I20091021000633 |
| Provider Name | Dawn Jenniges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669602306 PECOS PAC ID: 2466590641 Enrollment ID: I20091109000229 |
| Provider Name | Laurie Lynn Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700111788 PECOS PAC ID: 3173661220 Enrollment ID: I20091110000219 |
| Provider Name | Emiro Ejwin Caicedo Granados |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891840344 PECOS PAC ID: 3173691250 Enrollment ID: I20091110000390 |
| Provider Name | Sophia L Yohe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972783769 PECOS PAC ID: 5799823449 Enrollment ID: I20091117000571 |
| Provider Name | Keith L Cavanaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497830145 PECOS PAC ID: 8426955592 Enrollment ID: I20091118000228 |
| Provider Name | Amy Nell Esler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407005465 PECOS PAC ID: 0749328433 Enrollment ID: I20091118000249 |
| Provider Name | Jessica J Hampton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629208079 PECOS PAC ID: 8426196023 Enrollment ID: I20091118000394 |
| Provider Name | Karin Amanda Vassar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699906578 PECOS PAC ID: 3173662715 Enrollment ID: I20091120000277 |
| Provider Name | Suma Konety |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821172727 PECOS PAC ID: 2365490281 Enrollment ID: I20091203000088 |
| Provider Name | Mehrsheed Sinaki |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336127224 PECOS PAC ID: 6507907433 Enrollment ID: I20100113000967 |
| Provider Name | Bradley J Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467488536 PECOS PAC ID: 6002958899 Enrollment ID: I20100115000799 |
| Provider Name | Cheryl A Gale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801828645 PECOS PAC ID: 5799827564 Enrollment ID: I20100118000167 |
| Provider Name | Gregory J Beilman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235218793 PECOS PAC ID: 7810039468 Enrollment ID: I20100121000101 |
| Provider Name | Mumtaz Mustapha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467595983 PECOS PAC ID: 1355484353 Enrollment ID: I20100129000333 |
| Provider Name | Michael K Georgieff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992737878 PECOS PAC ID: 4789727637 Enrollment ID: I20100201000670 |
| Provider Name | Raghavendra B Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225111974 PECOS PAC ID: 0648313593 Enrollment ID: I20100201000707 |
| Provider Name | Jakub Tolar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962591974 PECOS PAC ID: 8123161502 Enrollment ID: I20100208000142 |
| Provider Name | Lawrence J Schut |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356331011 PECOS PAC ID: 5395888770 Enrollment ID: I20100208000153 |
| Provider Name | Stephen B Sundberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396781696 PECOS PAC ID: 5294732004 Enrollment ID: I20100210000582 |
| Provider Name | Kelvin O Lim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912089152 PECOS PAC ID: 7113061839 Enrollment ID: I20100218000840 |
| Provider Name | Piet C De Groen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811977028 PECOS PAC ID: 6204971971 Enrollment ID: I20100305000207 |
| Provider Name | Bruce I Idelkope |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083661680 PECOS PAC ID: 6800977240 Enrollment ID: I20100306000239 |
| Provider Name | William E Conroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396723243 PECOS PAC ID: 1456486323 Enrollment ID: I20100317000317 |
| Provider Name | Samy Magdy Riad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841492378 PECOS PAC ID: 7810022233 Enrollment ID: I20100323000957 |
| Provider Name | Seyyed H Fatemi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477582765 PECOS PAC ID: 4688700925 Enrollment ID: I20100325001075 |
| Provider Name | Amy J Thorsen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1215945944 PECOS PAC ID: 1951368141 Enrollment ID: I20100330000128 |
| Provider Name | Timothy L Pruett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659402873 PECOS PAC ID: 5698783355 Enrollment ID: I20100409000021 |
| Provider Name | Stephen C Olson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245315084 PECOS PAC ID: 4385540145 Enrollment ID: I20100415000029 |
| Provider Name | Jorge A Granja |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619912169 PECOS PAC ID: 8729115944 Enrollment ID: I20100420000857 |
| Provider Name | Deanna L Bass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275577371 PECOS PAC ID: 3274660915 Enrollment ID: I20100428000697 |
| Provider Name | Gail A Bernstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821034992 PECOS PAC ID: 0244367902 Enrollment ID: I20100428000968 |
| Provider Name | Anne R Gearity |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497776389 PECOS PAC ID: 2769510346 Enrollment ID: I20100503000816 |
| Provider Name | Janet E Muraca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881608222 PECOS PAC ID: 7911042155 Enrollment ID: I20100504000823 |
| Provider Name | David E Olson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497830319 PECOS PAC ID: 8921137456 Enrollment ID: I20100521000435 |
| Provider Name | Daniel J Weisdorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669579090 PECOS PAC ID: 9335280684 Enrollment ID: I20100524000156 |
| Provider Name | Jeffrey S Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053497198 PECOS PAC ID: 8426187816 Enrollment ID: I20100524000274 |
| Provider Name | Gregory M Vercellotti |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1912008921 PECOS PAC ID: 8325950868 Enrollment ID: I20100524000405 |
| Provider Name | Angela I Radulescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689866626 PECOS PAC ID: 6002945367 Enrollment ID: I20100525000332 |
| Provider Name | Steven C Link |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720013436 PECOS PAC ID: 5890690549 Enrollment ID: I20100525000493 |
| Provider Name | Daniel J Loes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508891227 PECOS PAC ID: 9436054186 Enrollment ID: I20100525000523 |
| Provider Name | Kendall J Strand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518987668 PECOS PAC ID: 3577468222 Enrollment ID: I20100525000619 |
| Provider Name | Marla M Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669599643 PECOS PAC ID: 3375672348 Enrollment ID: I20100601000343 |
| Provider Name | Marie E Steiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003840687 PECOS PAC ID: 5395874390 Enrollment ID: I20100601000703 |
| Provider Name | Lester J Nixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114091410 PECOS PAC ID: 1355470352 Enrollment ID: I20100601000735 |
| Provider Name | Sara A Elsbecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194056630 PECOS PAC ID: 7911037528 Enrollment ID: I20100608000736 |
| Provider Name | Jeffrey H Albrecht |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568415305 PECOS PAC ID: 1254235823 Enrollment ID: I20100608000817 |
| Provider Name | Jennyann E Jacobson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841445475 PECOS PAC ID: 1557491065 Enrollment ID: I20100610000057 |
| Provider Name | Barry Rittberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356459994 PECOS PAC ID: 1355471863 Enrollment ID: I20100610000081 |
| Provider Name | Steven D Stovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487735619 PECOS PAC ID: 2668502188 Enrollment ID: I20100610000159 |
| Provider Name | Thomas J Losasso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689612806 PECOS PAC ID: 4981734266 Enrollment ID: I20100612000164 |
| Provider Name | Sue V Petzel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356404503 PECOS PAC ID: 3779613815 Enrollment ID: I20100616000177 |
| Provider Name | Bruce R Blazar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003842162 PECOS PAC ID: 3678604311 Enrollment ID: I20100624000702 |
| Provider Name | Shalamar D Sibley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154403103 PECOS PAC ID: 0042342891 Enrollment ID: I20100714001023 |
| Provider Name | Bazak Sharon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407099054 PECOS PAC ID: 6406988856 Enrollment ID: I20100720000808 |
| Provider Name | Gautam G Jha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538370622 PECOS PAC ID: 8224160353 Enrollment ID: I20100724000227 |
| Provider Name | Claudia K Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306877709 PECOS PAC ID: 4587796610 Enrollment ID: I20100724000250 |
| Provider Name | Katharine J Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831234889 PECOS PAC ID: 6709919673 Enrollment ID: I20100728001039 |
| Provider Name | Michael A Murati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851583512 PECOS PAC ID: 0244363810 Enrollment ID: I20100803000542 |
| Provider Name | Srinath Chinnakotla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376579698 PECOS PAC ID: 8729111224 Enrollment ID: I20100804000927 |
| Provider Name | Jason M Habeck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598958613 PECOS PAC ID: 8729112990 Enrollment ID: I20100810001147 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811127905 PECOS PAC ID: 7416081591 Enrollment ID: I20100811000156 |
| Provider Name | Claudia S Cohn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215194972 PECOS PAC ID: 2860526589 Enrollment ID: I20100817001164 |
| Provider Name | Kimberly A Bohjanen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447296660 PECOS PAC ID: 5294869731 Enrollment ID: I20100818001387 |
| Provider Name | Winston Cavert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013995356 PECOS PAC ID: 8921132473 Enrollment ID: I20100818001393 |
| Provider Name | Sebahattin Cureoglu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669641304 PECOS PAC ID: 9830223262 Enrollment ID: I20100819001222 |
| Provider Name | David M Cartwright |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720010853 PECOS PAC ID: 3274518220 Enrollment ID: I20100820000667 |
| Provider Name | Susan Elizabeth Kline |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285724708 PECOS PAC ID: 4688708084 Enrollment ID: I20100820000790 |
| Provider Name | David C Mair |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992898464 PECOS PAC ID: 8628102027 Enrollment ID: I20100820000841 |
| Provider Name | David W Macomber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023190543 PECOS PAC ID: 0446384713 Enrollment ID: I20100823000683 |
| Provider Name | Carolyn Torkelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114016110 PECOS PAC ID: 0244364511 Enrollment ID: I20100823000705 |
| Provider Name | Jerrold Lee Vitek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700841327 PECOS PAC ID: 7113999194 Enrollment ID: I20100823000959 |
| Provider Name | James T Pacala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689759599 PECOS PAC ID: 7416071717 Enrollment ID: I20100823001113 |
| Provider Name | Michelle M Dolan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033140223 PECOS PAC ID: 2163546441 Enrollment ID: I20100824000930 |
| Provider Name | Jamie Santilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467553008 PECOS PAC ID: 9335263516 Enrollment ID: I20100824001077 |
| Provider Name | Connie L Manske |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588778013 PECOS PAC ID: 2860516044 Enrollment ID: I20100824001115 |
| Provider Name | Denis R Clohisy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801823711 PECOS PAC ID: 2365566544 Enrollment ID: I20100824001184 |
| Provider Name | Edward Y Cheng |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447287610 PECOS PAC ID: 0547345605 Enrollment ID: I20100824001242 |
| Provider Name | Chester B Whitley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588735005 PECOS PAC ID: 3779607965 Enrollment ID: I20100824001270 |
| Provider Name | Minoo Shams Moorkani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568666923 PECOS PAC ID: 3678697869 Enrollment ID: I20100824001286 |
| Provider Name | Timothy W Schacker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225110745 PECOS PAC ID: 4486778677 Enrollment ID: I20100824001298 |
| Provider Name | Rosemary F Kelly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811008543 PECOS PAC ID: 9830213024 Enrollment ID: I20100824001306 |
| Provider Name | Diane L Bearman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285720813 PECOS PAC ID: 8628192820 Enrollment ID: I20100825000025 |
| Provider Name | Kari M Forde-thielen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588805170 PECOS PAC ID: 7517081680 Enrollment ID: I20100825001023 |
| Provider Name | Tanya S Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720186893 PECOS PAC ID: 6406970565 Enrollment ID: I20100826000932 |
| Provider Name | Elizabeth R Seaquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144390089 PECOS PAC ID: 1456475433 Enrollment ID: I20100827000019 |
| Provider Name | Jacob L Hutchins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033397294 PECOS PAC ID: 2365566932 Enrollment ID: I20100902001161 |
| Provider Name | William N Robiner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184707002 PECOS PAC ID: 6608991021 Enrollment ID: I20100908001052 |
| Provider Name | Heather A Thompson Buum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699864611 PECOS PAC ID: 8022133404 Enrollment ID: I20100909000574 |
| Provider Name | Marshall I Hertz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396779864 PECOS PAC ID: 7113042433 Enrollment ID: I20100909001138 |
| Provider Name | Anne L Rumsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518919323 PECOS PAC ID: 4789709007 Enrollment ID: I20100909001233 |
| Provider Name | Sara Shumway |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164527503 PECOS PAC ID: 5193840379 Enrollment ID: I20100910000850 |
| Provider Name | Michael H Miner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487739827 PECOS PAC ID: 4082739032 Enrollment ID: I20100914000493 |
| Provider Name | Patricia Ferrieri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326145665 PECOS PAC ID: 0345365110 Enrollment ID: I20100916000810 |
| Provider Name | Kamaskshi Md Lakshminarayan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366522245 PECOS PAC ID: 3476678251 Enrollment ID: I20100916000892 |
| Provider Name | Sheldon M Mauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174607436 PECOS PAC ID: 8325163132 Enrollment ID: I20100916001287 |
| Provider Name | Raja Kandaswamy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710079645 PECOS PAC ID: 5991820706 Enrollment ID: I20100916001372 |
| Provider Name | Dana E Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508959453 PECOS PAC ID: 0941325526 Enrollment ID: I20100920000750 |
| Provider Name | Marie-claire Buckley |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730116971 PECOS PAC ID: 3971628553 Enrollment ID: I20100920000854 |
| Provider Name | David H Mckenna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972697993 PECOS PAC ID: 6507981198 Enrollment ID: I20100920000884 |
| Provider Name | Erik J Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619051869 PECOS PAC ID: 5890810485 Enrollment ID: I20100920000986 |
| Provider Name | Joseph R Ofstedal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316026958 PECOS PAC ID: 8527183078 Enrollment ID: I20100921000613 |
| Provider Name | Arthur J Matas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306920657 PECOS PAC ID: 7214053701 Enrollment ID: I20100921001234 |
| Provider Name | William O Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154404952 PECOS PAC ID: 1456264068 Enrollment ID: I20100921001297 |
| Provider Name | Jennifer M Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194917302 PECOS PAC ID: 1355467507 Enrollment ID: I20100925000196 |
| Provider Name | Daniel Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386776961 PECOS PAC ID: 8224154372 Enrollment ID: I20100925000251 |
| Provider Name | Evelyn L Slomka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437388378 PECOS PAC ID: 3577689629 Enrollment ID: I20100925000280 |
| Provider Name | Peter B Scal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619077484 PECOS PAC ID: 2567654981 Enrollment ID: I20101004001160 |
| Provider Name | Richelle N Moen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366514242 PECOS PAC ID: 0941492136 Enrollment ID: I20101006000629 |
| Provider Name | Erin G Holker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982637229 PECOS PAC ID: 9032301288 Enrollment ID: I20101007000162 |
| Provider Name | Jon S Hallberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912931411 PECOS PAC ID: 1456543602 Enrollment ID: I20101007000200 |
| Provider Name | Jeffrey R Wozniak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760578215 PECOS PAC ID: 5991997918 Enrollment ID: I20101008001054 |
| Provider Name | Leo T Furcht |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629009444 PECOS PAC ID: 7911082078 Enrollment ID: I20101008001093 |
| Provider Name | Yoav Segal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740388230 PECOS PAC ID: 9032302690 Enrollment ID: I20101015000381 |
| Provider Name | Catherine M Bendel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578599643 PECOS PAC ID: 1557554045 Enrollment ID: I20101015000992 |
| Provider Name | Thomas M Leventhal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275720898 PECOS PAC ID: 3870786106 Enrollment ID: I20101019001422 |
| Provider Name | Mirna G Boumitri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053580092 PECOS PAC ID: 5799978409 Enrollment ID: I20101026000304 |
| Provider Name | Mothilal Sonia S Jain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932359619 PECOS PAC ID: 7315131869 Enrollment ID: I20101028001564 |
| Provider Name | Barbara J Friedman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497846711 PECOS PAC ID: 9335334143 Enrollment ID: I20101105000962 |
| Provider Name | Emily Gustava Greengard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538369871 PECOS PAC ID: 7315132164 Enrollment ID: I20101106000035 |
| Provider Name | Walter A Hinck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720011034 PECOS PAC ID: 8123076049 Enrollment ID: I20101122000890 |
| Provider Name | Rehana L Ahmed Saucedo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427243898 PECOS PAC ID: 8224225941 Enrollment ID: I20101207001143 |
| Provider Name | Sarah M Brumberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437465473 PECOS PAC ID: 3173710506 Enrollment ID: I20101209001392 |
| Provider Name | Meredith E Adams |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609992254 PECOS PAC ID: 3173699725 Enrollment ID: I20110110000109 |
| Provider Name | Gayle M Rettner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891891685 PECOS PAC ID: 1850580648 Enrollment ID: I20110110000572 |
| Provider Name | Alicia K Harrison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710171228 PECOS PAC ID: 4284813338 Enrollment ID: I20110121000713 |
| Provider Name | Sara E Ramel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932303633 PECOS PAC ID: 0749460970 Enrollment ID: I20110204000894 |
| Provider Name | David J Dries |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770558520 PECOS PAC ID: 1658414115 Enrollment ID: I20110222001153 |
| Provider Name | Paul J Orchard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700961620 PECOS PAC ID: 8729260336 Enrollment ID: I20110302001042 |
| Provider Name | Donna L Dsouza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750512109 PECOS PAC ID: 1254513757 Enrollment ID: I20110304000111 |
| Provider Name | Erin Stepka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982710265 PECOS PAC ID: 0840231635 Enrollment ID: I20110304000136 |
| Provider Name | Kristen P Hook |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053465641 PECOS PAC ID: 1759563265 Enrollment ID: I20110304000303 |
| Provider Name | Ann M Parr |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912136284 PECOS PAC ID: 7012199581 Enrollment ID: I20110305000071 |
| Provider Name | Anita P Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891097374 PECOS PAC ID: 0941482343 Enrollment ID: I20110307000430 |
| Provider Name | Natalie M Wise |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598951626 PECOS PAC ID: 1456533686 Enrollment ID: I20110309000984 |
| Provider Name | Tseganesh H Orcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609184019 PECOS PAC ID: 3779765748 Enrollment ID: I20110311000616 |
| Provider Name | Carrie A Link |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306026455 PECOS PAC ID: 8426231697 Enrollment ID: I20110324000998 |
| Provider Name | Huseyin Dincer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255344537 PECOS PAC ID: 7214094531 Enrollment ID: I20110329000963 |
| Provider Name | Ann M Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518038959 PECOS PAC ID: 5193909901 Enrollment ID: I20110401000555 |
| Provider Name | Mohamed Abdihalim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912141243 PECOS PAC ID: 6204010994 Enrollment ID: I20110404000745 |
| Provider Name | Heather C Lundberg |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376850396 PECOS PAC ID: 2961686688 Enrollment ID: I20110405000190 |
| Provider Name | Kidmealem L Zekarias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346430782 PECOS PAC ID: 2961686639 Enrollment ID: I20110405000831 |
| Provider Name | Sandra R Montezuma |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285798470 PECOS PAC ID: 7113085895 Enrollment ID: I20110406000809 |
| Provider Name | Mary M Bazille |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700042702 PECOS PAC ID: 2466637368 Enrollment ID: I20110419000467 |
| Provider Name | Kelly J Scheller Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003119785 PECOS PAC ID: 4587849450 Enrollment ID: I20110420000140 |
| Provider Name | Amir A Moheet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093754921 PECOS PAC ID: 1355344482 Enrollment ID: I20110427000269 |
| Provider Name | Katherine Marie Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184816506 PECOS PAC ID: 0941486237 Enrollment ID: I20110523000194 |
| Provider Name | Sarah J Kizilbash |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164600458 PECOS PAC ID: 5991866634 Enrollment ID: I20110525000753 |
| Provider Name | Tasma Harindhanavudhi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528277100 PECOS PAC ID: 9931386679 Enrollment ID: I20110607000466 |
| Provider Name | Bharathi D Jagadeesan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255523221 PECOS PAC ID: 7416134945 Enrollment ID: I20110608000773 |
| Provider Name | Trisha R Prescott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487895660 PECOS PAC ID: 8123205655 Enrollment ID: I20110608000802 |
| Provider Name | Jessica Ann Axmacher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912148867 PECOS PAC ID: 6305023839 Enrollment ID: I20110608000812 |
| Provider Name | Angela W Tai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336212810 PECOS PAC ID: 8022161819 Enrollment ID: I20110610000570 |
| Provider Name | Benjamin D Spilseth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609068717 PECOS PAC ID: 6608053830 Enrollment ID: I20110615000482 |
| Provider Name | Zuzan Cayci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447414024 PECOS PAC ID: 2264508423 Enrollment ID: I20110623000579 |
| Provider Name | Hoai Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407030737 PECOS PAC ID: 1658559208 Enrollment ID: I20110629000694 |
| Provider Name | Derrick L Green |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184897043 PECOS PAC ID: 3870761703 Enrollment ID: I20110720000737 |
| Provider Name | Vanessa R Humphreville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255540498 PECOS PAC ID: 9436327228 Enrollment ID: I20110721000713 |
| Provider Name | Briar L Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275578452 PECOS PAC ID: 8628258043 Enrollment ID: I20110721000745 |
| Provider Name | Jeffrey B Rykken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225272990 PECOS PAC ID: 0547438343 Enrollment ID: I20110721000811 |
| Provider Name | Naomi Fujioka |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881736833 PECOS PAC ID: 5092983676 Enrollment ID: I20110726000700 |
| Provider Name | Cuong Q Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790970341 PECOS PAC ID: 6305014994 Enrollment ID: I20110726000787 |
| Provider Name | Jeffrey A Macalena |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922141449 PECOS PAC ID: 3072781574 Enrollment ID: I20110728000385 |
| Provider Name | Nolawit Tesfaye |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356517817 PECOS PAC ID: 2567630999 Enrollment ID: I20110729000183 |
| Provider Name | Amy B Karger |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629233135 PECOS PAC ID: 9335318757 Enrollment ID: I20110801000683 |
| Provider Name | Sandeep K Kalola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922271857 PECOS PAC ID: 2860661287 Enrollment ID: I20110801000712 |
| Provider Name | Heather A Muster |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992825814 PECOS PAC ID: 5496856478 Enrollment ID: I20110808000728 |
| Provider Name | Abby Meyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477696995 PECOS PAC ID: 3577695816 Enrollment ID: I20110809000682 |
| Provider Name | Michael A Linden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639284870 PECOS PAC ID: 0446429484 Enrollment ID: I20110809000706 |
| Provider Name | Parastoo Fazeli |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992980841 PECOS PAC ID: 6507035326 Enrollment ID: I20110812000353 |
| Provider Name | Ronald As Reilkoff |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003090358 PECOS PAC ID: 2365611860 Enrollment ID: I20110817000428 |
| Provider Name | Melissa Elizabeth Brunsvold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407073224 PECOS PAC ID: 1153411038 Enrollment ID: I20110823000728 |
| Provider Name | Catherine M Larson-nath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457524902 PECOS PAC ID: 4284804956 Enrollment ID: I20110907001317 |
| Provider Name | Marc Tompkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326195454 PECOS PAC ID: 1254482540 Enrollment ID: I20110914000781 |
| Provider Name | Andrew W Grande |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629289939 PECOS PAC ID: 1951572304 Enrollment ID: I20110915000677 |
| Provider Name | David Aamodt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578876496 PECOS PAC ID: 0244401461 Enrollment ID: I20110920000701 |
| Provider Name | Torfi Thorkell Hoskuldsson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518129071 PECOS PAC ID: 7810168671 Enrollment ID: I20110927000796 |
| Provider Name | Ghassan Elkadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740224948 PECOS PAC ID: 8820083918 Enrollment ID: I20110928000885 |
| Provider Name | Franklin Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265540405 PECOS PAC ID: 1951454644 Enrollment ID: I20111011000500 |
| Provider Name | Charles P Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851602924 PECOS PAC ID: 1759553555 Enrollment ID: I20111019000838 |
| Provider Name | Ilo Leppik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538174073 PECOS PAC ID: 0648443317 Enrollment ID: I20111026000277 |
| Provider Name | Stephanie N Misono |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578673398 PECOS PAC ID: 0345366423 Enrollment ID: I20111027000919 |
| Provider Name | Kimberly C Viskocil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033352851 PECOS PAC ID: 8224201744 Enrollment ID: I20111028000303 |
| Provider Name | Forum Kamdar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043548548 PECOS PAC ID: 0648443085 Enrollment ID: I20111101000329 |
| Provider Name | Chelsi L Dodd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407090772 PECOS PAC ID: 3678747573 Enrollment ID: I20111110000344 |
| Provider Name | Kerry Lea Sackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326352840 PECOS PAC ID: 0244356129 Enrollment ID: I20111110000608 |
| Provider Name | Fredericus Van Kuijk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972699635 PECOS PAC ID: 9133120249 Enrollment ID: I20111111000318 |
| Provider Name | Corinna J Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205114691 PECOS PAC ID: 9335313139 Enrollment ID: I20111112000023 |
| Provider Name | Nabeel Azeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225261480 PECOS PAC ID: 6709050578 Enrollment ID: I20111114000699 |
| Provider Name | Christina M Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548548654 PECOS PAC ID: 6103090717 Enrollment ID: I20111116000867 |
| Provider Name | Heather C Beckwith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780879940 PECOS PAC ID: 0547435349 Enrollment ID: I20111206000498 |
| Provider Name | Thaddeus S Walczak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538180864 PECOS PAC ID: 9234304049 Enrollment ID: I20111206000685 |
| Provider Name | Kelly E King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679840391 PECOS PAC ID: 4880869072 Enrollment ID: I20111216000577 |
| Provider Name | Susan Elise Wheaton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669465720 PECOS PAC ID: 6103092259 Enrollment ID: I20111220000776 |
| Provider Name | Katti L Woerner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043486590 PECOS PAC ID: 5597931170 Enrollment ID: I20120103000479 |
| Provider Name | Sara R Belshan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093084345 PECOS PAC ID: 8628244183 Enrollment ID: I20120104000621 |
| Provider Name | Kristin E Gravel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790076909 PECOS PAC ID: 6406022748 Enrollment ID: I20120109000141 |
| Provider Name | Ludmila S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790062545 PECOS PAC ID: 1153597398 Enrollment ID: I20120110000384 |
| Provider Name | Nathan Bahr |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609006048 PECOS PAC ID: 4789850926 Enrollment ID: I20120110000400 |
| Provider Name | Leah R Kann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346519568 PECOS PAC ID: 7810164969 Enrollment ID: I20120113000086 |
| Provider Name | Daniel J Guillaume |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932193083 PECOS PAC ID: 0547161002 Enrollment ID: I20120113000123 |
| Provider Name | Megan Marie Hilden Rondeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679856363 PECOS PAC ID: 5991972747 Enrollment ID: I20120118000598 |
| Provider Name | Christopher J Chow |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295908036 PECOS PAC ID: 7719154467 Enrollment ID: I20120119000911 |
| Provider Name | Maria G Kroupina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083999544 PECOS PAC ID: 1052588712 Enrollment ID: I20120120000098 |
| Provider Name | Meredith L Gunlicks Stoessel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649411406 PECOS PAC ID: 1456518646 Enrollment ID: I20120130000841 |
| Provider Name | Heather R Ross-chalupnik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427327121 PECOS PAC ID: 0446417182 Enrollment ID: I20120207000671 |
| Provider Name | Kelly J Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538446083 PECOS PAC ID: 2062679756 Enrollment ID: I20120208000474 |
| Provider Name | Wajahat Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952574592 PECOS PAC ID: 0840360921 Enrollment ID: I20120307000041 |
| Provider Name | Bradley Jay Segura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649390378 PECOS PAC ID: 1052465036 Enrollment ID: I20120313000503 |
| Provider Name | Melissa Ann Saftner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093948374 PECOS PAC ID: 6800941139 Enrollment ID: I20120314000707 |
| Provider Name | Amy C Gross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053693515 PECOS PAC ID: 7214197763 Enrollment ID: I20120321000295 |
| Provider Name | Noah I Goldfarb |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417188939 PECOS PAC ID: 6204097983 Enrollment ID: I20120406000130 |
| Provider Name | Eric Bomberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578880746 PECOS PAC ID: 0749443760 Enrollment ID: I20120531000239 |
| Provider Name | Kelly Renee Dietz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295877702 PECOS PAC ID: 0648434209 Enrollment ID: I20120611000480 |
| Provider Name | Takashi Takahashi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323243 PECOS PAC ID: 2466616867 Enrollment ID: I20120615000106 |
| Provider Name | Mary E Logeais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952544181 PECOS PAC ID: 4789848961 Enrollment ID: I20120620000151 |
| Provider Name | Roy Joseph Cho |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063705580 PECOS PAC ID: 0345404414 Enrollment ID: I20120621000410 |
| Provider Name | Lucas B Ludeman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205080744 PECOS PAC ID: 2668537069 Enrollment ID: I20120625000418 |
| Provider Name | Mathew So |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215126503 PECOS PAC ID: 1254597487 Enrollment ID: I20120716000497 |
| Provider Name | Georgios Emmanuel Manousakis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588854608 PECOS PAC ID: 5890951917 Enrollment ID: I20120718000205 |
| Provider Name | Paul E Drawz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528140019 PECOS PAC ID: 6103082011 Enrollment ID: I20120721000003 |
| Provider Name | Michael Grogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518015627 PECOS PAC ID: 6608044334 Enrollment ID: I20120723000798 |
| Provider Name | Khalid Amin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003011396 PECOS PAC ID: 3072779693 Enrollment ID: I20120726000443 |
| Provider Name | Kimara L Gustafson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992949721 PECOS PAC ID: 6204082050 Enrollment ID: I20120809000524 |
| Provider Name | Sami Safadi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255664421 PECOS PAC ID: 7315193174 Enrollment ID: I20120809000632 |
| Provider Name | Eugene Drescher Dulaney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780616821 PECOS PAC ID: 7214000439 Enrollment ID: I20120809000936 |
| Provider Name | Benjamin A Gilloon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902919376 PECOS PAC ID: 5597880989 Enrollment ID: I20120810000007 |
| Provider Name | Lisa A Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740574995 PECOS PAC ID: 9537315288 Enrollment ID: I20120810000763 |
| Provider Name | Sarah L Elfering |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225205180 PECOS PAC ID: 7618013319 Enrollment ID: I20120820000756 |
| Provider Name | Bernard E Trappey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336382852 PECOS PAC ID: 8022265487 Enrollment ID: I20120821000196 |
| Provider Name | Gwenyth A Fischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104990191 PECOS PAC ID: 7517114762 Enrollment ID: I20120823000540 |
| Provider Name | Rochus K Voeller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1750465290 PECOS PAC ID: 0446260863 Enrollment ID: I20120823000547 |
| Provider Name | Tamas Alexy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477782316 PECOS PAC ID: 2466609334 Enrollment ID: I20120828000586 |
| Provider Name | Erich N Bryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740459551 PECOS PAC ID: 5799932489 Enrollment ID: I20120831000495 |
| Provider Name | Ingrid C Polcari |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992976716 PECOS PAC ID: 7012164536 Enrollment ID: I20120905000626 |
| Provider Name | Karim Thomas Sadak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881861235 PECOS PAC ID: 7618124165 Enrollment ID: I20120906000076 |
| Provider Name | Alexandra Danielle Zagoloff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376890525 PECOS PAC ID: 7315194867 Enrollment ID: I20120906000106 |
| Provider Name | Janet Rae Hume |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750500088 PECOS PAC ID: 7113174673 Enrollment ID: I20120906000136 |
| Provider Name | Zohar Sachs |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568623148 PECOS PAC ID: 3375791601 Enrollment ID: I20120912000099 |
| Provider Name | Bethany J Hanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841555927 PECOS PAC ID: 2860640117 Enrollment ID: I20120912000319 |
| Provider Name | Michelle C Naylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316187347 PECOS PAC ID: 4486802592 Enrollment ID: I20120914000452 |
| Provider Name | Raquel A De La Mater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760747471 PECOS PAC ID: 1951559715 Enrollment ID: I20120919000875 |
| Provider Name | Heather A Podgorski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720297427 PECOS PAC ID: 2769631290 Enrollment ID: I20120927000209 |
| Provider Name | Meghann R Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235421660 PECOS PAC ID: 0143479295 Enrollment ID: I20121004000322 |
| Provider Name | Sima I. Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043350366 PECOS PAC ID: 6800045964 Enrollment ID: I20121004000401 |
| Provider Name | Ali Mokhtarzadeh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225299647 PECOS PAC ID: 2860642402 Enrollment ID: I20121017000374 |
| Provider Name | Kara Dianne Schmid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841587193 PECOS PAC ID: 5294986535 Enrollment ID: I20121113000643 |
| Provider Name | Molly M Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912252933 PECOS PAC ID: 8224289525 Enrollment ID: I20121114000447 |
| Provider Name | Prabhjot S Nijjar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669687711 PECOS PAC ID: 0547338535 Enrollment ID: I20121120000352 |
| Provider Name | Vasudha Goel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104091834 PECOS PAC ID: 1759533607 Enrollment ID: I20121129000043 |
| Provider Name | Joseph C Keenan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205061223 PECOS PAC ID: 9234261215 Enrollment ID: I20121130000430 |
| Provider Name | Monica I Lupei |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265694434 PECOS PAC ID: 4789836446 Enrollment ID: I20121204000490 |
| Provider Name | Sameer Nevile |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447556584 PECOS PAC ID: 5991957425 Enrollment ID: I20121210000252 |
| Provider Name | Shane Cameron Mcallister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538330980 PECOS PAC ID: 4688826993 Enrollment ID: I20121213000351 |
| Provider Name | Suzanne M Sholl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174857700 PECOS PAC ID: 4981742061 Enrollment ID: I20121214000417 |
| Provider Name | Jess L Boysen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780862862 PECOS PAC ID: 0143346148 Enrollment ID: I20121215000004 |
| Provider Name | Rumi Mohammed Faizer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720025455 PECOS PAC ID: 2961654132 Enrollment ID: I20121215000015 |
| Provider Name | Gail L Turnberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063404655 PECOS PAC ID: 4486807278 Enrollment ID: I20130103000061 |
| Provider Name | Aimee K Murray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780933960 PECOS PAC ID: 5294989844 Enrollment ID: I20130206000443 |
| Provider Name | Suma Jacob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932269396 PECOS PAC ID: 5991714446 Enrollment ID: I20130219000132 |
| Provider Name | Joyce A Wahr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821309337 PECOS PAC ID: 1658563689 Enrollment ID: I20130329000058 |
| Provider Name | Sarah M Lofgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689991028 PECOS PAC ID: 8224277421 Enrollment ID: I20130619000467 |
| Provider Name | Lucie Marie Turcotte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699975052 PECOS PAC ID: 6901045863 Enrollment ID: I20130625000736 |
| Provider Name | Sarah Lynn Hutto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235372616 PECOS PAC ID: 9931348802 Enrollment ID: I20130625000812 |
| Provider Name | Adam B Jeffers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255539748 PECOS PAC ID: 8325293038 Enrollment ID: I20130702000112 |
| Provider Name | Elizabeth Z Colsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487802021 PECOS PAC ID: 3678713278 Enrollment ID: I20130702000472 |
| Provider Name | Craig E Eckfeldt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265625719 PECOS PAC ID: 4385884949 Enrollment ID: I20130703000243 |
| Provider Name | Thomas C Bryson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811101116 PECOS PAC ID: 0749436491 Enrollment ID: I20130715000353 |
| Provider Name | Michael B Pitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104072172 PECOS PAC ID: 9638200322 Enrollment ID: I20130716000588 |
| Provider Name | Alex Matthew Westenfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255313417 PECOS PAC ID: 4082603220 Enrollment ID: I20130717000427 |
| Provider Name | Siobhan M Flanagan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477880276 PECOS PAC ID: 1153561022 Enrollment ID: I20130717000772 |
| Provider Name | Kathleen Marie Pfister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952505448 PECOS PAC ID: 4880834753 Enrollment ID: I20130717000776 |
| Provider Name | Megan J Lanigan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275796013 PECOS PAC ID: 8628219540 Enrollment ID: I20130718000474 |
| Provider Name | Elizabeth Ann Von Der Marwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619210812 PECOS PAC ID: 1759522576 Enrollment ID: I20130720000084 |
| Provider Name | Thenappan Thenappan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1508842048 PECOS PAC ID: 6901832823 Enrollment ID: I20130724000730 |
| Provider Name | Henri Roukoz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144499187 PECOS PAC ID: 9931340353 Enrollment ID: I20130729000216 |
| Provider Name | Christopher James Larocca |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932426681 PECOS PAC ID: 9234370552 Enrollment ID: I20130730000407 |
| Provider Name | Yukiko Nakajima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922389790 PECOS PAC ID: 1951543909 Enrollment ID: I20130805000296 |
| Provider Name | Martina Richtsfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841450822 PECOS PAC ID: 5193967081 Enrollment ID: I20130805000995 |
| Provider Name | Abbie L Begnaud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396867909 PECOS PAC ID: 7315098324 Enrollment ID: I20130813000744 |
| Provider Name | Ashley K Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982999397 PECOS PAC ID: 7416127097 Enrollment ID: I20130814000958 |
| Provider Name | Jennifer Susan Needle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588685903 PECOS PAC ID: 1951349273 Enrollment ID: I20130820000170 |
| Provider Name | Raymond G Areaux |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447416946 PECOS PAC ID: 1153563200 Enrollment ID: I20130820000488 |
| Provider Name | Muna Senussi Sunni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114110566 PECOS PAC ID: 6305089418 Enrollment ID: I20130821000241 |
| Provider Name | Rebecca Cogswell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861692519 PECOS PAC ID: 1658514658 Enrollment ID: I20130823000238 |
| Provider Name | Cara Koroscil Gaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053637835 PECOS PAC ID: 1557537990 Enrollment ID: I20130918000353 |
| Provider Name | Sean C Engel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1518113646 PECOS PAC ID: 9234314386 Enrollment ID: I20130920000320 |
| Provider Name | Michael H Wall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023073160 PECOS PAC ID: 9931004678 Enrollment ID: I20130926000068 |
| Provider Name | Cynthia S Fok |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730341231 PECOS PAC ID: 8426282831 Enrollment ID: I20131017000905 |
| Provider Name | Ryan C Cusic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699091686 PECOS PAC ID: 2264667443 Enrollment ID: I20131023001741 |
| Provider Name | Sasha M Skendzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134561798 PECOS PAC ID: 7810122017 Enrollment ID: I20131024000006 |
| Provider Name | Mary Therese Sallstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982031571 PECOS PAC ID: 5496980419 Enrollment ID: I20131029001604 |
| Provider Name | Cristina S Albott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316237050 PECOS PAC ID: 4486889367 Enrollment ID: I20131030001741 |
| Provider Name | Lisa N Von Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093147142 PECOS PAC ID: 1759516503 Enrollment ID: I20131101000878 |
| Provider Name | Sara A Ketchum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720426802 PECOS PAC ID: 7517193683 Enrollment ID: I20131119001436 |
| Provider Name | Brenda L Deutsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528495397 PECOS PAC ID: 4880820430 Enrollment ID: I20131204000716 |
| Provider Name | Todd M Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780924092 PECOS PAC ID: 3577709666 Enrollment ID: I20131224000275 |
| Provider Name | Melissa M Lake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275961682 PECOS PAC ID: 5991933541 Enrollment ID: I20140106001410 |
| Provider Name | Chetan N Shenoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346571320 PECOS PAC ID: 4880870633 Enrollment ID: I20140115001232 |
| Provider Name | David J Jewison |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003075383 PECOS PAC ID: 8325180078 Enrollment ID: I20140124000737 |
| Provider Name | Peter Michael Gordon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558565085 PECOS PAC ID: 2264561190 Enrollment ID: I20140129001771 |
| Provider Name | Anne-marie Leuck |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275728677 PECOS PAC ID: 3072744085 Enrollment ID: I20140314001115 |
| Provider Name | Matthew R Casey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740227933 PECOS PAC ID: 4385656149 Enrollment ID: I20140324001233 |
| Provider Name | Laura M Schuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023433109 PECOS PAC ID: 7719119130 Enrollment ID: I20140416001701 |
| Provider Name | Jill Ann Marrone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073935219 PECOS PAC ID: 0941432264 Enrollment ID: I20140418000613 |
| Provider Name | Lidan Gu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164859443 PECOS PAC ID: 7618100819 Enrollment ID: I20140423001303 |
| Provider Name | Jeffery A Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982894010 PECOS PAC ID: 5395811954 Enrollment ID: I20140425000727 |
| Provider Name | Andrew Bunney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114246113 PECOS PAC ID: 5597998096 Enrollment ID: I20140508000511 |
| Provider Name | Julie B Eisengart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376812792 PECOS PAC ID: 1850551151 Enrollment ID: I20140515000691 |
| Provider Name | Melissa S Engel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215199013 PECOS PAC ID: 2365612157 Enrollment ID: I20140516000912 |
| Provider Name | Jonathan P Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003079112 PECOS PAC ID: 1153569710 Enrollment ID: I20140520002247 |
| Provider Name | Bartosz Jacek Grzywacz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386870251 PECOS PAC ID: 0941423800 Enrollment ID: I20140521001554 |
| Provider Name | Sofia Lyford-pike |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801004866 PECOS PAC ID: 7012166283 Enrollment ID: I20140522001468 |
| Provider Name | Daniel David Miller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770745978 PECOS PAC ID: 9638330103 Enrollment ID: I20140527000481 |
| Provider Name | Stuart K Amateau |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083769855 PECOS PAC ID: 2567631682 Enrollment ID: I20140529002178 |
| Provider Name | Tae Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396737359 PECOS PAC ID: 7012972607 Enrollment ID: I20140604000447 |
| Provider Name | Lynn A Gershan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073507372 PECOS PAC ID: 6608771407 Enrollment ID: I20140605000872 |
| Provider Name | Helena B Molero Ramirez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780833483 PECOS PAC ID: 3678797974 Enrollment ID: I20140606000312 |
| Provider Name | Kristen Jones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225260003 PECOS PAC ID: 7214151588 Enrollment ID: I20140609000384 |
| Provider Name | Byron Philip Vaughn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255503223 PECOS PAC ID: 0648494716 Enrollment ID: I20140611000024 |
| Provider Name | Ronda Samir Farah |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386963536 PECOS PAC ID: 5496911935 Enrollment ID: I20140612000307 |
| Provider Name | Andrew C Nelson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760700777 PECOS PAC ID: 9436373586 Enrollment ID: I20140612000369 |
| Provider Name | Brianne B Roby |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265605778 PECOS PAC ID: 5799926713 Enrollment ID: I20140613001153 |
| Provider Name | Noelle Fae Hoven |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598057390 PECOS PAC ID: 9739303421 Enrollment ID: I20140619002217 |
| Provider Name | Lida C Trillos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831145945 PECOS PAC ID: 9032113774 Enrollment ID: I20140620001853 |
| Provider Name | Justin R Howard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134360704 PECOS PAC ID: 9830314210 Enrollment ID: I20140626001516 |
| Provider Name | Rebekah Lea Hudock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962822478 PECOS PAC ID: 6507081999 Enrollment ID: I20140626001769 |
| Provider Name | Haitham M Hussein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851583579 PECOS PAC ID: 8224285614 Enrollment ID: I20140701001721 |
| Provider Name | Cyrus Jahansouz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073926705 PECOS PAC ID: 9830314988 Enrollment ID: I20140702002358 |
| Provider Name | Radha Rajasingham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013181130 PECOS PAC ID: 2466677521 Enrollment ID: I20140702002741 |
| Provider Name | Ryan Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881820074 PECOS PAC ID: 0446475495 Enrollment ID: I20140707000823 |
| Provider Name | Alexander A Boucher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194083675 PECOS PAC ID: 9133344195 Enrollment ID: I20140707001277 |
| Provider Name | Nancy Sanders Harper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194770214 PECOS PAC ID: 4981673175 Enrollment ID: I20140709001342 |
| Provider Name | Darcia M Dierking |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780741942 PECOS PAC ID: 3678667995 Enrollment ID: I20140710001365 |
| Provider Name | Matthew B Ambrose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255523320 PECOS PAC ID: 4789800202 Enrollment ID: I20140718001042 |
| Provider Name | William H Fredericks |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1720423643 PECOS PAC ID: 2567693120 Enrollment ID: I20140722001834 |
| Provider Name | Janet Leigh Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952713562 PECOS PAC ID: 2961428396 Enrollment ID: I20140724001346 |
| Provider Name | Elliot G Arsoniadis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225328388 PECOS PAC ID: 1557587409 Enrollment ID: I20140729002272 |
| Provider Name | Caren Blacker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871857458 PECOS PAC ID: 9032355854 Enrollment ID: I20140729002799 |
| Provider Name | Joshua H Hou |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508091786 PECOS PAC ID: 7113167693 Enrollment ID: I20140731000744 |
| Provider Name | Amanda C Maltry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609005487 PECOS PAC ID: 6901047612 Enrollment ID: I20140805000500 |
| Provider Name | Laura J Hagemeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831489483 PECOS PAC ID: 9739306358 Enrollment ID: I20140805002355 |
| Provider Name | Jeff Werner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417152885 PECOS PAC ID: 7113180258 Enrollment ID: I20140821002741 |
| Provider Name | Kari Lynn Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427211655 PECOS PAC ID: 7416114442 Enrollment ID: I20140825000415 |
| Provider Name | Erik John Stoltenberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730345067 PECOS PAC ID: 4688815533 Enrollment ID: I20140902000642 |
| Provider Name | Janna R Gewirtz O'brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518306703 PECOS PAC ID: 4385887009 Enrollment ID: I20140916001560 |
| Provider Name | Rebecca L Markowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164740072 PECOS PAC ID: 1951543685 Enrollment ID: I20140929000290 |
| Provider Name | Assefa M Ayalew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912240235 PECOS PAC ID: 5597985358 Enrollment ID: I20140930001982 |
| Provider Name | Christy M Boraas Alsleben |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750544581 PECOS PAC ID: 9830353234 Enrollment ID: I20141001001409 |
| Provider Name | Kurt W Prins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730446873 PECOS PAC ID: 4789835588 Enrollment ID: I20141002001768 |
| Provider Name | Karam Makram Obeid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114138237 PECOS PAC ID: 6608760178 Enrollment ID: I20141007000811 |
| Provider Name | Mahmoud A Khalifa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467517920 PECOS PAC ID: 8628973468 Enrollment ID: I20141008002464 |
| Provider Name | Heidi Ann Robertson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568663797 PECOS PAC ID: 2264325331 Enrollment ID: I20141010000143 |
| Provider Name | Archana Bhaskaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891990453 PECOS PAC ID: 4183845217 Enrollment ID: I20141014002462 |
| Provider Name | Paari Murugan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548593205 PECOS PAC ID: 6002037991 Enrollment ID: I20141017000553 |
| Provider Name | Kristina M Reigstad |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609921188 PECOS PAC ID: 3779704945 Enrollment ID: I20141101000078 |
| Provider Name | Wolfgang Bernd Gaertner |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083857148 PECOS PAC ID: 7911129804 Enrollment ID: I20141108000168 |
| Provider Name | Cody C Honl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942644901 PECOS PAC ID: 1052533890 Enrollment ID: I20141112000935 |
| Provider Name | Kathleen M Miley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790186062 PECOS PAC ID: 8022230721 Enrollment ID: I20141113000833 |
| Provider Name | Michael Chankwon Park |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942427117 PECOS PAC ID: 8325163983 Enrollment ID: I20141121000114 |
| Provider Name | Amanda M Moen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154563401 PECOS PAC ID: 2860714003 Enrollment ID: I20141125001624 |
| Provider Name | Seena S George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902201221 PECOS PAC ID: 9335462761 Enrollment ID: I20141216001169 |
| Provider Name | Jacob Waxman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972946937 PECOS PAC ID: 8820238322 Enrollment ID: I20141224001241 |
| Provider Name | Kirsten J Bock |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871904029 PECOS PAC ID: 6507180114 Enrollment ID: I20150129002346 |
| Provider Name | Anne Gregerson Griffiths |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205083995 PECOS PAC ID: 3678898343 Enrollment ID: I20150221000303 |
| Provider Name | Colleen Correll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912170580 PECOS PAC ID: 0941425839 Enrollment ID: I20150226001175 |
| Provider Name | Sheilagh Maguiness |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679796429 PECOS PAC ID: 9234298316 Enrollment ID: I20150304002248 |
| Provider Name | Estephan J Moana-filho |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306245329 PECOS PAC ID: 8123345808 Enrollment ID: I20150317001324 |
| Provider Name | Peter Igarashi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225007792 PECOS PAC ID: 0042353385 Enrollment ID: I20150401002178 |
| Provider Name | Kristin Lieberman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053413708 PECOS PAC ID: 0648267682 Enrollment ID: I20150410001347 |
| Provider Name | Kari A Murdy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558752394 PECOS PAC ID: 6608194972 Enrollment ID: I20150416001723 |
| Provider Name | Jennifer L Rickard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598925455 PECOS PAC ID: 7113246935 Enrollment ID: I20150429001111 |
| Provider Name | Roberto Carlos Blanco Duarte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558389197 PECOS PAC ID: 0840242855 Enrollment ID: I20150504001616 |
| Provider Name | Erin P Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255595195 PECOS PAC ID: 8123347655 Enrollment ID: I20150506000007 |
| Provider Name | Scott E Cooper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538123781 PECOS PAC ID: 9638125255 Enrollment ID: I20150513002032 |
| Provider Name | Christina L Boull |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225222862 PECOS PAC ID: 3678893419 Enrollment ID: I20150519002337 |
| Provider Name | Mark H Luquette |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154305324 PECOS PAC ID: 9931242625 Enrollment ID: I20150521001369 |
| Provider Name | Prashant Shrestha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457587578 PECOS PAC ID: 5092035691 Enrollment ID: I20150521002423 |
| Provider Name | Kyle R Shipley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841408200 PECOS PAC ID: 6507995339 Enrollment ID: I20150521002513 |
| Provider Name | Caroline L Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689664534 PECOS PAC ID: 0446277016 Enrollment ID: I20150521002607 |
| Provider Name | Emilian Viorel Racila |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609010164 PECOS PAC ID: 8527388974 Enrollment ID: I20150526002055 |
| Provider Name | Steve W Pals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467842419 PECOS PAC ID: 8123348422 Enrollment ID: I20150528001589 |
| Provider Name | John F Brunner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740423870 PECOS PAC ID: 2365680204 Enrollment ID: I20150528002417 |
| Provider Name | Laura C Speltz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306092655 PECOS PAC ID: 6507186756 Enrollment ID: I20150529000629 |
| Provider Name | Marie Hickey Swanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548529761 PECOS PAC ID: 5193046209 Enrollment ID: I20150601002803 |
| Provider Name | Ryan T Whitesell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245465301 PECOS PAC ID: 2466690540 Enrollment ID: I20150602002888 |
| Provider Name | Luke A Jakubowski |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427290055 PECOS PAC ID: 4486871340 Enrollment ID: I20150603000742 |
| Provider Name | Andrew Johnson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962729111 PECOS PAC ID: 4981925849 Enrollment ID: I20150603001748 |
| Provider Name | Jessica Eileen Stumphy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104051721 PECOS PAC ID: 6709026784 Enrollment ID: I20150609001631 |
| Provider Name | Christen L Ebens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386846095 PECOS PAC ID: 3779804182 Enrollment ID: I20150610000328 |
| Provider Name | Veena R Iyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932426004 PECOS PAC ID: 0941511141 Enrollment ID: I20150615001242 |
| Provider Name | Rebecca Powell Stepan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205220993 PECOS PAC ID: 2668783895 Enrollment ID: I20150615001888 |
| Provider Name | Melissa R Dalhoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942680236 PECOS PAC ID: 4284945411 Enrollment ID: I20150615001962 |
| Provider Name | Ariela Lucy Marshall |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912141482 PECOS PAC ID: 3375792948 Enrollment ID: I20150615002719 |
| Provider Name | Bridget Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689068421 PECOS PAC ID: 8022329770 Enrollment ID: I20150622001504 |
| Provider Name | Brittani Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013202100 PECOS PAC ID: 3577874296 Enrollment ID: I20150623000755 |
| Provider Name | Matthew Adam Rischall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750607248 PECOS PAC ID: 5890006415 Enrollment ID: I20150623000895 |
| Provider Name | Aaron Daniel Corfield |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740544527 PECOS PAC ID: 3375761083 Enrollment ID: I20150623001351 |
| Provider Name | Eric Carolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679899389 PECOS PAC ID: 6800037623 Enrollment ID: I20150623002728 |
| Provider Name | Sean Thomas O'brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134411192 PECOS PAC ID: 0042437618 Enrollment ID: I20150625001929 |
| Provider Name | Gurumurthy Hiremath Mallikarjun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952557332 PECOS PAC ID: 1153546429 Enrollment ID: I20150630000342 |
| Provider Name | Nathan J Rodgers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790009595 PECOS PAC ID: 7719299668 Enrollment ID: I20150706002503 |
| Provider Name | Jane Yuet Ching Hui |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1396186078 PECOS PAC ID: 5698087468 Enrollment ID: I20150708000485 |
| Provider Name | Joss J Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255383022 PECOS PAC ID: 2365445582 Enrollment ID: I20150713000798 |
| Provider Name | Christie Ann Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417339367 PECOS PAC ID: 9830402775 Enrollment ID: I20150721001328 |
| Provider Name | Kevin Q Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407090632 PECOS PAC ID: 2668793514 Enrollment ID: I20150722005555 |
| Provider Name | Jimmie Stewart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467414649 PECOS PAC ID: 4981662889 Enrollment ID: I20150729006660 |
| Provider Name | Deepak Agarwal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972919538 PECOS PAC ID: 4183840572 Enrollment ID: I20150729007864 |
| Provider Name | Karen Borchert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790043842 PECOS PAC ID: 5092029017 Enrollment ID: I20150805006926 |
| Provider Name | Bryan M Donald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396064465 PECOS PAC ID: 5698089555 Enrollment ID: I20150805008603 |
| Provider Name | William Guntars Mantyh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750797460 PECOS PAC ID: 9133346273 Enrollment ID: I20150805008857 |
| Provider Name | Alison J Bemis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154705606 PECOS PAC ID: 3971817842 Enrollment ID: I20150805008961 |
| Provider Name | Nicholas Kho Yan Lim Chow Tom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710159363 PECOS PAC ID: 9931414448 Enrollment ID: I20150812008782 |
| Provider Name | Cheryl Zabrowski Flogel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962802439 PECOS PAC ID: 9638497605 Enrollment ID: I20150813010637 |
| Provider Name | Christopher David Streib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629231881 PECOS PAC ID: 4587884440 Enrollment ID: I20150813011144 |
| Provider Name | Sarah N Stroik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679955884 PECOS PAC ID: 8325353717 Enrollment ID: I20150813011429 |
| Provider Name | Shannon Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659409563 PECOS PAC ID: 5193030021 Enrollment ID: I20150820011218 |
| Provider Name | Ellen C Ingolfsland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801155023 PECOS PAC ID: 7911213160 Enrollment ID: I20150902001028 |
| Provider Name | Niloo Krueger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376856500 PECOS PAC ID: 5890001952 Enrollment ID: I20150903001792 |
| Provider Name | Justin J Yamanuha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487880274 PECOS PAC ID: 1951532407 Enrollment ID: I20150910000055 |
| Provider Name | Carrie R Lucio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879916 PECOS PAC ID: 4688981459 Enrollment ID: I20150911001416 |
| Provider Name | Elizabeth Anne Gulleen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790046910 PECOS PAC ID: 1951618628 Enrollment ID: I20150911001772 |
| Provider Name | Kristi E White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003252842 PECOS PAC ID: 4880901156 Enrollment ID: I20150918000971 |
| Provider Name | Jeremy R Van't Hof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833909 PECOS PAC ID: 0446568448 Enrollment ID: I20150924000839 |
| Provider Name | Elizabeth Christine Swanson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710115449 PECOS PAC ID: 7810205895 Enrollment ID: I20150925000451 |
| Provider Name | Sean Tracy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225444938 PECOS PAC ID: 0547485195 Enrollment ID: I20151001001465 |
| Provider Name | Sudarshan Setty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558555144 PECOS PAC ID: 0840425872 Enrollment ID: I20151006000304 |
| Provider Name | Matthew A Armfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447517115 PECOS PAC ID: 5597077602 Enrollment ID: I20151006001494 |
| Provider Name | Collin Matthew Mcclelland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245438100 PECOS PAC ID: 0749453272 Enrollment ID: I20151013001276 |
| Provider Name | David T Pizzuto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700851755 PECOS PAC ID: 0840103339 Enrollment ID: I20151021002125 |
| Provider Name | Eric John Waldron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215298179 PECOS PAC ID: 7214187244 Enrollment ID: I20151026002773 |
| Provider Name | Aimee M Merino |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235557562 PECOS PAC ID: 3870802119 Enrollment ID: I20151027002403 |
| Provider Name | Elizabeth Irene Pierpont |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093183436 PECOS PAC ID: 2860702065 Enrollment ID: I20151029002496 |
| Provider Name | Beth K Thielen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831458793 PECOS PAC ID: 3971813189 Enrollment ID: I20151029002921 |
| Provider Name | Jane Nofer Poskanzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033425491 PECOS PAC ID: 0749590958 Enrollment ID: I20151030000021 |
| Provider Name | David I Smith |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316239361 PECOS PAC ID: 6103136924 Enrollment ID: I20151106002002 |
| Provider Name | Rebecca A Niles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952708273 PECOS PAC ID: 2466776794 Enrollment ID: I20151112000712 |
| Provider Name | Jason J Rasmussen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033191200 PECOS PAC ID: 6901958230 Enrollment ID: I20151209001785 |
| Provider Name | Sarah Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790154441 PECOS PAC ID: 6103127055 Enrollment ID: I20151217001557 |
| Provider Name | Daniel B Landauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649604869 PECOS PAC ID: 5193029841 Enrollment ID: I20160201002117 |
| Provider Name | Andrea N King |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447615885 PECOS PAC ID: 6002110632 Enrollment ID: I20160202001781 |
| Provider Name | Megan T Elgethun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558785311 PECOS PAC ID: 9931324654 Enrollment ID: I20160217002165 |
| Provider Name | Ramprasad Sripada |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851316673 PECOS PAC ID: 1557369709 Enrollment ID: I20160223000006 |
| Provider Name | Sean Patrick Murray |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477836054 PECOS PAC ID: 1658677299 Enrollment ID: I20160308002945 |
| Provider Name | Peter J Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841659182 PECOS PAC ID: 7012213176 Enrollment ID: I20160316000081 |
| Provider Name | Jodi A Hildebrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467819045 PECOS PAC ID: 0749587343 Enrollment ID: I20160325000694 |
| Provider Name | Deirdre D Michael |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992882716 PECOS PAC ID: 7618275587 Enrollment ID: I20160408000427 |
| Provider Name | Robin M Samuel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225129687 PECOS PAC ID: 9931407806 Enrollment ID: I20160408000602 |
| Provider Name | Lisa R Butcher Cloyd |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972742096 PECOS PAC ID: 1456659325 Enrollment ID: I20160408000708 |
| Provider Name | Darcy A Hager-slavin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790867398 PECOS PAC ID: 0143528042 Enrollment ID: I20160408001554 |
| Provider Name | Ashley M Hansmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154781342 PECOS PAC ID: 0446558225 Enrollment ID: I20160411002351 |
| Provider Name | Nicholas E Ingraham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033539648 PECOS PAC ID: 3870898083 Enrollment ID: I20160419000268 |
| Provider Name | Patricio Cuevas Gargollo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982661781 PECOS PAC ID: 6305854357 Enrollment ID: I20160427001165 |
| Provider Name | Jay R Delcarmen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740371178 PECOS PAC ID: 5991004533 Enrollment ID: I20160503000440 |
| Provider Name | Brian S Martell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689991432 PECOS PAC ID: 9931419793 Enrollment ID: I20160511002723 |
| Provider Name | Rebecca A Horton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245322569 PECOS PAC ID: 9739478777 Enrollment ID: I20160516000878 |
| Provider Name | Cory Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699092445 PECOS PAC ID: 1355580671 Enrollment ID: I20160517000260 |
| Provider Name | Kevin J Gaddis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699031567 PECOS PAC ID: 1951606391 Enrollment ID: I20160520001210 |
| Provider Name | Jeffrey Chuy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992083679 PECOS PAC ID: 5294024782 Enrollment ID: I20160524000266 |
| Provider Name | Timothy Meehan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558686030 PECOS PAC ID: 4486811395 Enrollment ID: I20160525002962 |
| Provider Name | Hiba Bashir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497875074 PECOS PAC ID: 6406034388 Enrollment ID: I20160526001234 |
| Provider Name | Reza Talaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487886271 PECOS PAC ID: 8426353103 Enrollment ID: I20160526001340 |
| Provider Name | Guru Trikudanathan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740410638 PECOS PAC ID: 3678863792 Enrollment ID: I20160602000333 |
| Provider Name | Michael Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700027166 PECOS PAC ID: 9234262148 Enrollment ID: I20160603001177 |
| Provider Name | Shamar Young |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528389574 PECOS PAC ID: 1355585878 Enrollment ID: I20160603001449 |
| Provider Name | Michelle Sudyka Loichinger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699939496 PECOS PAC ID: 3678720273 Enrollment ID: I20160610001126 |
| Provider Name | Elizabeth P Kratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780038299 PECOS PAC ID: 0345530887 Enrollment ID: I20160613000339 |
| Provider Name | Sarah Fehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386092955 PECOS PAC ID: 5991096398 Enrollment ID: I20160615000365 |
| Provider Name | Kerri Harting |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487674040 PECOS PAC ID: 8022016906 Enrollment ID: I20160620002332 |
| Provider Name | Michael M Todd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093703829 PECOS PAC ID: 9931153780 Enrollment ID: I20160621000734 |
| Provider Name | An L Church |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083813182 PECOS PAC ID: 6406010487 Enrollment ID: I20160621001766 |
| Provider Name | David A Wacker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386969327 PECOS PAC ID: 0749572394 Enrollment ID: I20160630000861 |
| Provider Name | Erik R Sogaard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215295134 PECOS PAC ID: 9739471947 Enrollment ID: I20160708001051 |
| Provider Name | Ana Catarina De Oliveira Virgens Paim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154762292 PECOS PAC ID: 9739472481 Enrollment ID: I20160719000745 |
| Provider Name | Amy L Jacky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922437334 PECOS PAC ID: 4183852478 Enrollment ID: I20160719002800 |
| Provider Name | Ratan K Banik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992063853 PECOS PAC ID: 7517250145 Enrollment ID: I20160720000743 |
| Provider Name | Ilana R Fromer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538480835 PECOS PAC ID: 7416266333 Enrollment ID: I20160721001007 |
| Provider Name | Takako Araki |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689834392 PECOS PAC ID: 5193034437 Enrollment ID: I20160721001465 |
| Provider Name | Megan M Keuler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336527795 PECOS PAC ID: 1951606193 Enrollment ID: I20160722000365 |
| Provider Name | Christian T Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447632682 PECOS PAC ID: 3971896309 Enrollment ID: I20160722001826 |
| Provider Name | Brian Joy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861565459 PECOS PAC ID: 3577729052 Enrollment ID: I20160726002719 |
| Provider Name | Miriam Cedar Shapiro |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528294501 PECOS PAC ID: 5193966653 Enrollment ID: I20160727001152 |
| Provider Name | Sarah C Kiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457694416 PECOS PAC ID: 8527363365 Enrollment ID: I20160728002625 |
| Provider Name | Jakob Z Guenther |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467740670 PECOS PAC ID: 9234441031 Enrollment ID: I20160729000658 |
| Provider Name | Benjamin Robert Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861724387 PECOS PAC ID: 2860628153 Enrollment ID: I20160729001358 |
| Provider Name | Patrick Kevin Horst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649596990 PECOS PAC ID: 6800027178 Enrollment ID: I20160729002164 |
| Provider Name | Deepak Somashekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710116918 PECOS PAC ID: 6901118843 Enrollment ID: I20160801001484 |
| Provider Name | Alison Galdys |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326272329 PECOS PAC ID: 1456590033 Enrollment ID: I20160801001635 |
| Provider Name | Collin Torok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558523944 PECOS PAC ID: 7911156948 Enrollment ID: I20160801001831 |
| Provider Name | Sergey G Gurevich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578839015 PECOS PAC ID: 6103110911 Enrollment ID: I20160802001453 |
| Provider Name | Tamara Anne Schroeher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215389176 PECOS PAC ID: 8921392614 Enrollment ID: I20160803000800 |
| Provider Name | Lester Fahrner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295995900 PECOS PAC ID: 7618115981 Enrollment ID: I20160803001810 |
| Provider Name | Wendy T Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275823932 PECOS PAC ID: 2466746060 Enrollment ID: I20160804000854 |
| Provider Name | Gregory O Vaughn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104015551 PECOS PAC ID: 5193994127 Enrollment ID: I20160804001818 |
| Provider Name | Heather M Erickson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306251871 PECOS PAC ID: 3072810340 Enrollment ID: I20160805002298 |
| Provider Name | Daniel Weinstein |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396127965 PECOS PAC ID: 9234423435 Enrollment ID: I20160811000189 |
| Provider Name | Karen Armbrust |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124310735 PECOS PAC ID: 8527352723 Enrollment ID: I20160811000429 |
| Provider Name | Stephanie Delkoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174976138 PECOS PAC ID: 4486948551 Enrollment ID: I20160811002637 |
| Provider Name | Anne E Bantle |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477795441 PECOS PAC ID: 6103121512 Enrollment ID: I20160815002167 |
| Provider Name | Jennie Hoogheem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700238037 PECOS PAC ID: 5294029104 Enrollment ID: I20160815002446 |
| Provider Name | Aaron A Berg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033485842 PECOS PAC ID: 4385951524 Enrollment ID: I20160816000908 |
| Provider Name | Stacie Marie Knutson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720304439 PECOS PAC ID: 8820394299 Enrollment ID: I20160816003028 |
| Provider Name | Andrew James Ritter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700174349 PECOS PAC ID: 0244543429 Enrollment ID: I20160817000291 |
| Provider Name | Darrah Jean Steingraber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184177370 PECOS PAC ID: 2668767534 Enrollment ID: I20160817002031 |
| Provider Name | Mona Magdy Riskalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710068978 PECOS PAC ID: 9436444171 Enrollment ID: I20160819002142 |
| Provider Name | Parisa Salehi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083973630 PECOS PAC ID: 1951606631 Enrollment ID: I20160820000205 |
| Provider Name | Madhuri Vasudev Rao |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295997641 PECOS PAC ID: 0840585329 Enrollment ID: I20160823001478 |
| Provider Name | Joshua R Rhein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710182621 PECOS PAC ID: 7810282324 Enrollment ID: I20160823002216 |
| Provider Name | Lee Ann Bera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457797896 PECOS PAC ID: 0042448458 Enrollment ID: I20160823003161 |
| Provider Name | Megan Petrik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932553443 PECOS PAC ID: 8628363165 Enrollment ID: I20160824000096 |
| Provider Name | Syed Murfad Peer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427464072 PECOS PAC ID: 7517183049 Enrollment ID: I20160824002796 |
| Provider Name | Jacob Kohlenberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306225990 PECOS PAC ID: 7810208477 Enrollment ID: I20160825000244 |
| Provider Name | James M Flaherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336427913 PECOS PAC ID: 5698089860 Enrollment ID: I20160830001692 |
| Provider Name | Jonathan Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323128 PECOS PAC ID: 4183866353 Enrollment ID: I20160902001217 |
| Provider Name | Kirsten M Haas Camitsch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518347640 PECOS PAC ID: 0840586582 Enrollment ID: I20160907001270 |
| Provider Name | Brennen D Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376753277 PECOS PAC ID: 0749467280 Enrollment ID: I20160909002480 |
| Provider Name | Elena H Zupfer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649562471 PECOS PAC ID: 7618263070 Enrollment ID: I20160912000027 |
| Provider Name | Daniel Wb Brody |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174753313 PECOS PAC ID: 3678702784 Enrollment ID: I20160916000233 |
| Provider Name | Elizabeth Catherine Neil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598083081 PECOS PAC ID: 1254570021 Enrollment ID: I20160916001425 |
| Provider Name | Sobia Khaja |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306165972 PECOS PAC ID: 0648419747 Enrollment ID: I20160920000456 |
| Provider Name | Sarah S L Entinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073966115 PECOS PAC ID: 8123315918 Enrollment ID: I20160922000003 |
| Provider Name | Emily Margot Pisetsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477900975 PECOS PAC ID: 1951698505 Enrollment ID: I20160926000007 |
| Provider Name | Jessica J Cichocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467909903 PECOS PAC ID: 0143517524 Enrollment ID: I20160928002778 |
| Provider Name | Piper Suzanne Kalos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013241058 PECOS PAC ID: 9830486182 Enrollment ID: I20160929002036 |
| Provider Name | Zina R Hester |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417068883 PECOS PAC ID: 3375638620 Enrollment ID: I20161003002312 |
| Provider Name | Nitika Ghattaura |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356748495 PECOS PAC ID: 4082902069 Enrollment ID: I20161006000688 |
| Provider Name | Jessica M Retterath |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033663414 PECOS PAC ID: 8224326186 Enrollment ID: I20161007001193 |
| Provider Name | Hanna I Sandstrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548717663 PECOS PAC ID: 8527346873 Enrollment ID: I20161021000056 |
| Provider Name | Kathryn E Monpas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629421714 PECOS PAC ID: 9032497433 Enrollment ID: I20161104000733 |
| Provider Name | Jean E Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881145225 PECOS PAC ID: 3476832759 Enrollment ID: I20161109000002 |
| Provider Name | Stephen Contag |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710963707 PECOS PAC ID: 8123029774 Enrollment ID: I20161115000596 |
| Provider Name | Michael S Borofsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629202197 PECOS PAC ID: 7517183569 Enrollment ID: I20161116000395 |
| Provider Name | Kayla J Gish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881046589 PECOS PAC ID: 6204115249 Enrollment ID: I20161116000854 |
| Provider Name | Sophia Vinogradov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558453928 PECOS PAC ID: 8426220187 Enrollment ID: I20161116002272 |
| Provider Name | Jenna M Nielsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689122970 PECOS PAC ID: 1052690641 Enrollment ID: I20161123000656 |
| Provider Name | Katie Warne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659620755 PECOS PAC ID: 8527384247 Enrollment ID: I20161130002149 |
| Provider Name | John C Moore |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1922217991 PECOS PAC ID: 9830243625 Enrollment ID: I20161227001491 |
| Provider Name | Clarence Shannon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851516165 PECOS PAC ID: 6204092208 Enrollment ID: I20170105001533 |
| Provider Name | Surabhi Thakar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063722767 PECOS PAC ID: 4789965575 Enrollment ID: I20170110002826 |
| Provider Name | Elissa M Downs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104116722 PECOS PAC ID: 5698070449 Enrollment ID: I20170111002663 |
| Provider Name | Neil Eric Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457332934 PECOS PAC ID: 0042276933 Enrollment ID: I20170117002543 |
| Provider Name | Jeremy R Allred |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821485095 PECOS PAC ID: 2961708193 Enrollment ID: I20170124001301 |
| Provider Name | Nicholas M Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922365709 PECOS PAC ID: 2961784061 Enrollment ID: I20170125002251 |
| Provider Name | Nicholas Alexander Zorko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972990182 PECOS PAC ID: 2466755293 Enrollment ID: I20170216002633 |
| Provider Name | Balazs Horvath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437318490 PECOS PAC ID: 6406929348 Enrollment ID: I20170223002614 |
| Provider Name | Katherine Anne Lingras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982992707 PECOS PAC ID: 9638453210 Enrollment ID: I20170227000905 |
| Provider Name | Natalie N. Jacobson-dunlop |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598934689 PECOS PAC ID: 2961687330 Enrollment ID: I20170303000141 |
| Provider Name | David P Darrow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649614496 PECOS PAC ID: 8729382213 Enrollment ID: I20170306002249 |
| Provider Name | Karina Mendoza Quevedo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992043418 PECOS PAC ID: 3072897271 Enrollment ID: I20170308000733 |
| Provider Name | Sarah Myer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114465135 PECOS PAC ID: 0345524443 Enrollment ID: I20170309002307 |
| Provider Name | Lara E Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023552130 PECOS PAC ID: 0345525861 Enrollment ID: I20170324001764 |
| Provider Name | Kathleen Holden Nilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952550618 PECOS PAC ID: 5799060166 Enrollment ID: I20170327001917 |
| Provider Name | Jamie Fort |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568589083 PECOS PAC ID: 3375711542 Enrollment ID: I20170327002753 |
| Provider Name | Andrew Sundblad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447411772 PECOS PAC ID: 3375781487 Enrollment ID: I20170329000219 |
| Provider Name | Suzanne Elizabeth Shane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013291434 PECOS PAC ID: 8123293081 Enrollment ID: I20170503000936 |
| Provider Name | Oladi Bentho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922398221 PECOS PAC ID: 7810203932 Enrollment ID: I20170510000668 |
| Provider Name | Samuel J Luchsinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285908525 PECOS PAC ID: 3577868603 Enrollment ID: I20170510001178 |
| Provider Name | Abby Ilona Metzler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770927840 PECOS PAC ID: 0648575563 Enrollment ID: I20170510001341 |
| Provider Name | James Norby Porter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437521614 PECOS PAC ID: 8426335910 Enrollment ID: I20170510002982 |
| Provider Name | Jason A Bartos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366755878 PECOS PAC ID: 1355646290 Enrollment ID: I20170515001048 |
| Provider Name | Cresta W Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235146556 PECOS PAC ID: 9436181393 Enrollment ID: I20170516001984 |
| Provider Name | Cory Nordman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679771521 PECOS PAC ID: 2961689427 Enrollment ID: I20170517000985 |
| Provider Name | Jameel Justin Winter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699066357 PECOS PAC ID: 1557599560 Enrollment ID: I20170523000100 |
| Provider Name | Jay Haggerty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861784589 PECOS PAC ID: 7012217441 Enrollment ID: I20170525001593 |
| Provider Name | Danielle Bullock |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730471293 PECOS PAC ID: 7911202924 Enrollment ID: I20170530000765 |
| Provider Name | Ilknur Can |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558514661 PECOS PAC ID: 3274800917 Enrollment ID: I20170530001739 |
| Provider Name | Carol Brooke Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144237579 PECOS PAC ID: 2466720826 Enrollment ID: I20170608000855 |
| Provider Name | Nathaniel Thomas Gaeckle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477874865 PECOS PAC ID: 2961689351 Enrollment ID: I20170608001015 |
| Provider Name | Pawel Andrzej Mroz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740575125 PECOS PAC ID: 8224338884 Enrollment ID: I20170608001458 |
| Provider Name | Christopher Thomas Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710272042 PECOS PAC ID: 1355581653 Enrollment ID: I20170608002623 |
| Provider Name | Andrew T Babcock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609134436 PECOS PAC ID: 3870898992 Enrollment ID: I20170609000332 |
| Provider Name | Christopher Thomas Wilke |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790077584 PECOS PAC ID: 2163727926 Enrollment ID: I20170612001310 |
| Provider Name | Ana Claudia F Rosa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184913261 PECOS PAC ID: 0840568069 Enrollment ID: I20170612002844 |
| Provider Name | Andrew W Shaffer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609039742 PECOS PAC ID: 4486885951 Enrollment ID: I20170612003026 |
| Provider Name | Stephanie E Standal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588007116 PECOS PAC ID: 2769787597 Enrollment ID: I20170613002963 |
| Provider Name | Megan Oberle Bensignor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821380007 PECOS PAC ID: 2365710282 Enrollment ID: I20170619001701 |
| Provider Name | Joseph Zabell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164747085 PECOS PAC ID: 2466767579 Enrollment ID: I20170620000487 |
| Provider Name | Bronwyn Jane Southwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508155847 PECOS PAC ID: 8729366901 Enrollment ID: I20170621000508 |
| Provider Name | Matej Bajzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902242977 PECOS PAC ID: 0749558492 Enrollment ID: I20170621001111 |
| Provider Name | Jamie Lyn Markfort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427585330 PECOS PAC ID: 5991073561 Enrollment ID: I20170622002879 |
| Provider Name | Megan Paulsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588958490 PECOS PAC ID: 8729356233 Enrollment ID: I20170623001433 |
| Provider Name | Kathryn M Pendleton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659666287 PECOS PAC ID: 4486955846 Enrollment ID: I20170627001881 |
| Provider Name | Christopher James Tignanelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477780245 PECOS PAC ID: 3072738509 Enrollment ID: I20170628002837 |
| Provider Name | Benjamin C Matelich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184966780 PECOS PAC ID: 8224334438 Enrollment ID: I20170707002194 |
| Provider Name | Jeremy Scott Markowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033438601 PECOS PAC ID: 6901176478 Enrollment ID: I20170717003576 |
| Provider Name | Clark C. Chen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437149523 PECOS PAC ID: 5395825632 Enrollment ID: I20170719001350 |
| Provider Name | Laura E Norton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831307891 PECOS PAC ID: 3173791001 Enrollment ID: I20170724003317 |
| Provider Name | Eugenia Shmidt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003102989 PECOS PAC ID: 0143477695 Enrollment ID: I20170727003786 |
| Provider Name | Danielle Marie Vrieze |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316389562 PECOS PAC ID: 9335410901 Enrollment ID: I20170801002082 |
| Provider Name | Robin Lesley Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568755965 PECOS PAC ID: 5496995946 Enrollment ID: I20170807003507 |
| Provider Name | Adam Mattox |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922269448 PECOS PAC ID: 1759683295 Enrollment ID: I20170809000077 |
| Provider Name | Afanwi Lumsina Kube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306367172 PECOS PAC ID: 6800167834 Enrollment ID: I20170809000706 |
| Provider Name | Christina L Fanola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942461637 PECOS PAC ID: 1254500457 Enrollment ID: I20170810002794 |
| Provider Name | Robert W Gould |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740218916 PECOS PAC ID: 0345147021 Enrollment ID: I20170811002046 |
| Provider Name | Vincent Daniel Vallera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316380868 PECOS PAC ID: 0244546828 Enrollment ID: I20170812000068 |
| Provider Name | Jonathan C Homans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588919526 PECOS PAC ID: 6709192313 Enrollment ID: I20170814000409 |
| Provider Name | Brenda Aika Shoo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992993455 PECOS PAC ID: 4082930540 Enrollment ID: I20170814001263 |
| Provider Name | Dame Idossa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538523121 PECOS PAC ID: 9830481878 Enrollment ID: I20170815000546 |
| Provider Name | Brittney J Schultz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710305180 PECOS PAC ID: 2062717408 Enrollment ID: I20170816002070 |
| Provider Name | Marie Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417311895 PECOS PAC ID: 4183914302 Enrollment ID: I20170821001900 |
| Provider Name | Elena Averbakh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720321409 PECOS PAC ID: 4587936745 Enrollment ID: I20170823000671 |
| Provider Name | Sasha Strul |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023374964 PECOS PAC ID: 0547404584 Enrollment ID: I20170823004347 |
| Provider Name | John Robert Fischer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497867972 PECOS PAC ID: 0941220909 Enrollment ID: I20170829002159 |
| Provider Name | John Mccormick-deaton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699074229 PECOS PAC ID: 8921225962 Enrollment ID: I20170830001183 |
| Provider Name | Katherine Ann Vellabati |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902320500 PECOS PAC ID: 0345513172 Enrollment ID: I20170830001477 |
| Provider Name | Matthew Richard Soule |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437393113 PECOS PAC ID: 5395041800 Enrollment ID: I20170830003748 |
| Provider Name | Alessio N/a Giubellino |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629410808 PECOS PAC ID: 5890068464 Enrollment ID: I20170901000395 |
| Provider Name | Amanjit Baadh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003061367 PECOS PAC ID: 3870750029 Enrollment ID: I20170905001562 |
| Provider Name | Kristin Eide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023454717 PECOS PAC ID: 8224261953 Enrollment ID: I20170907000817 |
| Provider Name | Patricia Marie Peters Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497874663 PECOS PAC ID: 3678846664 Enrollment ID: I20170913004013 |
| Provider Name | Ziad Hector Nahas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649388505 PECOS PAC ID: 7517048515 Enrollment ID: I20170915001594 |
| Provider Name | Jennilynn M Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174990089 PECOS PAC ID: 6002180668 Enrollment ID: I20170920001434 |
| Provider Name | Kevin Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962845065 PECOS PAC ID: 0143462879 Enrollment ID: I20170925000314 |
| Provider Name | Katherine L Braaten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942723713 PECOS PAC ID: 3476827684 Enrollment ID: I20170926002954 |
| Provider Name | David Allen Supik |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154767366 PECOS PAC ID: 0345532701 Enrollment ID: I20170929000727 |
| Provider Name | Christine Conelea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710393046 PECOS PAC ID: 8820216534 Enrollment ID: I20171002001881 |
| Provider Name | Lora M H Wichser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518301241 PECOS PAC ID: 6103132774 Enrollment ID: I20171013001073 |
| Provider Name | Carolyn Firth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255638649 PECOS PAC ID: 3971788258 Enrollment ID: I20171017000098 |
| Provider Name | Nicholas Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609392695 PECOS PAC ID: 7618243460 Enrollment ID: I20171023000252 |
| Provider Name | Jane Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093732547 PECOS PAC ID: 6305975319 Enrollment ID: I20171110000858 |
| Provider Name | Andrea Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366822587 PECOS PAC ID: 4385940865 Enrollment ID: I20171115002648 |
| Provider Name | Erin Gill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659883833 PECOS PAC ID: 8224395066 Enrollment ID: I20171201002462 |
| Provider Name | Krithika K Anand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063779148 PECOS PAC ID: 5496012023 Enrollment ID: I20171206001898 |
| Provider Name | Caitlin Ann Lutgen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477077840 PECOS PAC ID: 7214295849 Enrollment ID: I20180103000553 |
| Provider Name | Julie Glendenning Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548403785 PECOS PAC ID: 7911266580 Enrollment ID: I20180108000634 |
| Provider Name | Linda Marie Rinehart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255716916 PECOS PAC ID: 0648539148 Enrollment ID: I20180108002437 |
| Provider Name | Amrita Goyal-o'leary |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801273545 PECOS PAC ID: 3173818564 Enrollment ID: I20180111001443 |
| Provider Name | Paul Lorenz Bigliardi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720594500 PECOS PAC ID: 9032478300 Enrollment ID: I20180111002074 |
| Provider Name | Denh Altman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629323241 PECOS PAC ID: 6800044868 Enrollment ID: I20180116002774 |
| Provider Name | Lidia Zylowska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417157231 PECOS PAC ID: 5890826242 Enrollment ID: I20180118001559 |
| Provider Name | Sonya Grace Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790997393 PECOS PAC ID: 5890831408 Enrollment ID: I20180123001036 |
| Provider Name | Christine N Boline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780190736 PECOS PAC ID: 3870853229 Enrollment ID: I20180205001353 |
| Provider Name | Anil Chauhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336380815 PECOS PAC ID: 5294977567 Enrollment ID: I20180205001833 |
| Provider Name | Kari Ellen Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568982486 PECOS PAC ID: 1052671344 Enrollment ID: I20180206001113 |
| Provider Name | Scott Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700930344 PECOS PAC ID: 2062681059 Enrollment ID: I20180207001598 |
| Provider Name | Amy Reed |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285602805 PECOS PAC ID: 8628064201 Enrollment ID: I20180208002443 |
| Provider Name | Patrick Henry Nachman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912075144 PECOS PAC ID: 5395871016 Enrollment ID: I20180212000012 |
| Provider Name | Anna K Swenson Schalkwyk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275890899 PECOS PAC ID: 9436419454 Enrollment ID: I20180212001101 |
| Provider Name | Joseph J Pariser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437445087 PECOS PAC ID: 9032411939 Enrollment ID: I20180213002132 |
| Provider Name | Kendall R Mceachron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053798728 PECOS PAC ID: 2264736024 Enrollment ID: I20180219001986 |
| Provider Name | Cristina M Gonzalez Mendez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033557194 PECOS PAC ID: 1658632385 Enrollment ID: I20180221000249 |
| Provider Name | Vinh H Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245390731 PECOS PAC ID: 0446448047 Enrollment ID: I20180308000172 |
| Provider Name | Linda Hammer Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306870829 PECOS PAC ID: 4486711603 Enrollment ID: I20180308001678 |
| Provider Name | Elizabeth Victoria Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255847943 PECOS PAC ID: 5395006274 Enrollment ID: I20180312000800 |
| Provider Name | Levi Michael Teigen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801396858 PECOS PAC ID: 5991067878 Enrollment ID: I20180314000306 |
| Provider Name | Kristin A Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750783908 PECOS PAC ID: 0345566428 Enrollment ID: I20180320000140 |
| Provider Name | Lashonda W Soma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831330851 PECOS PAC ID: 7214155076 Enrollment ID: I20180320002414 |
| Provider Name | Alexandra Tsvilina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164801536 PECOS PAC ID: 9032415518 Enrollment ID: I20180322000231 |
| Provider Name | Alicia Grace Vanek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801265152 PECOS PAC ID: 6507128709 Enrollment ID: I20180328002132 |
| Provider Name | Riley J Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437659190 PECOS PAC ID: 1850654641 Enrollment ID: I20180409001188 |
| Provider Name | Ketzela J Marsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568789006 PECOS PAC ID: 2062717176 Enrollment ID: I20180418001530 |
| Provider Name | Rawson James Valentine |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356304075 PECOS PAC ID: 1658321641 Enrollment ID: I20180418001575 |
| Provider Name | Nicholas Kucher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518385848 PECOS PAC ID: 2466722442 Enrollment ID: I20180424000425 |
| Provider Name | Sahar Lotfi-emran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639523053 PECOS PAC ID: 2961766621 Enrollment ID: I20180503002217 |
| Provider Name | Jan K Czyzyk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285617407 PECOS PAC ID: 3870764004 Enrollment ID: I20180514002492 |
| Provider Name | Ilitch Diaz Gutierrez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629209366 PECOS PAC ID: 7911132105 Enrollment ID: I20180522002742 |
| Provider Name | Elena K Geiger Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891210191 PECOS PAC ID: 7315202728 Enrollment ID: I20180605001507 |
| Provider Name | Robben Andrew Schat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164765822 PECOS PAC ID: 6103121124 Enrollment ID: I20180606000910 |
| Provider Name | Joan Beckman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699034140 PECOS PAC ID: 4183840960 Enrollment ID: I20180606001093 |
| Provider Name | Nattawat Klomjit |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891177275 PECOS PAC ID: 4880949981 Enrollment ID: I20180613001819 |
| Provider Name | Bryan D Hinck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467728881 PECOS PAC ID: 6507168556 Enrollment ID: I20180618000771 |
| Provider Name | Najla Hatem El Jurdi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538424536 PECOS PAC ID: 7416202338 Enrollment ID: I20180618002691 |
| Provider Name | Rahul Kapur |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295931962 PECOS PAC ID: 2668573247 Enrollment ID: I20180620000002 |
| Provider Name | Ian Atticus Maher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598925513 PECOS PAC ID: 1254455892 Enrollment ID: I20180620002354 |
| Provider Name | Jason Carroll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033417571 PECOS PAC ID: 4789843285 Enrollment ID: I20180620003349 |
| Provider Name | Craig Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467667774 PECOS PAC ID: 7618021429 Enrollment ID: I20180621000799 |
| Provider Name | Wei-han Wayne Hsiao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043599327 PECOS PAC ID: 3678715810 Enrollment ID: I20180626001586 |
| Provider Name | Cole A Bennett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528385432 PECOS PAC ID: 7315168986 Enrollment ID: I20180627000929 |
| Provider Name | Christa Joyce Reader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740771112 PECOS PAC ID: 8123374535 Enrollment ID: I20180627001390 |
| Provider Name | Zachary Royce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326307760 PECOS PAC ID: 8325340938 Enrollment ID: I20180628003496 |
| Provider Name | Eric Jonathan Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104172782 PECOS PAC ID: 3870716343 Enrollment ID: I20180629000734 |
| Provider Name | Kushal Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518233642 PECOS PAC ID: 6305127390 Enrollment ID: I20180702002014 |
| Provider Name | Justin Gross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558676817 PECOS PAC ID: 1355573643 Enrollment ID: I20180703000252 |
| Provider Name | Eric Stephen Wise |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518252857 PECOS PAC ID: 6507155207 Enrollment ID: I20180703002320 |
| Provider Name | Sumit Sean Sood |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063858769 PECOS PAC ID: 3678870730 Enrollment ID: I20180706001019 |
| Provider Name | Roy Lee Joe Kao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407058076 PECOS PAC ID: 5395918072 Enrollment ID: I20180710001872 |
| Provider Name | Jetter Thomas Robertson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760802508 PECOS PAC ID: 1254636160 Enrollment ID: I20180712000663 |
| Provider Name | Daniel L Cortez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336414309 PECOS PAC ID: 5092959254 Enrollment ID: I20180713002650 |
| Provider Name | Carolyn Bramante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629334479 PECOS PAC ID: 3375793326 Enrollment ID: I20180716000704 |
| Provider Name | Robert Allen Mcgovern |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003135013 PECOS PAC ID: 5496025785 Enrollment ID: I20180716001522 |
| Provider Name | Clae Caspers Smull |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427540293 PECOS PAC ID: 3870840200 Enrollment ID: I20180717002017 |
| Provider Name | Christopher Steevens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992094064 PECOS PAC ID: 1951607555 Enrollment ID: I20180720001003 |
| Provider Name | Brian Betts |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114055860 PECOS PAC ID: 9436337540 Enrollment ID: I20180724000546 |
| Provider Name | Jennifer Kay Rieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174015986 PECOS PAC ID: 9739437237 Enrollment ID: I20180731001385 |
| Provider Name | David Richard Pearson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679916589 PECOS PAC ID: 1951535103 Enrollment ID: I20180731001946 |
| Provider Name | Matthew G Robertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942688205 PECOS PAC ID: 3870897630 Enrollment ID: I20180731003270 |
| Provider Name | Carolina Sandoval Garcia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952629859 PECOS PAC ID: 9537392550 Enrollment ID: I20180802000153 |
| Provider Name | Ashish Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669890745 PECOS PAC ID: 4385948702 Enrollment ID: I20180802002911 |
| Provider Name | Sheila Kathleen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710218151 PECOS PAC ID: 5991941692 Enrollment ID: I20180804000198 |
| Provider Name | Amanda M Termuhlen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043208697 PECOS PAC ID: 7012102882 Enrollment ID: I20180809004511 |
| Provider Name | Joshua Theodore Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992237754 PECOS PAC ID: 1850649674 Enrollment ID: I20180809005149 |
| Provider Name | Dustin L Palm |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588907232 PECOS PAC ID: 5597013383 Enrollment ID: I20180810001246 |
| Provider Name | Christopher J Behrens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063844470 PECOS PAC ID: 9830411685 Enrollment ID: I20180813001954 |
| Provider Name | Caitlin Claire Chambers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275896003 PECOS PAC ID: 3577867621 Enrollment ID: I20180814001620 |
| Provider Name | Alik Sunil Widge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952535155 PECOS PAC ID: 5799914776 Enrollment ID: I20180814003056 |
| Provider Name | Meghan Marie Gerardi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538689948 PECOS PAC ID: 3375892839 Enrollment ID: I20180817000182 |
| Provider Name | Damon R Olson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114283173 PECOS PAC ID: 3678796109 Enrollment ID: I20180822003097 |
| Provider Name | Leah L Palm |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528570181 PECOS PAC ID: 2961752498 Enrollment ID: I20180905000105 |
| Provider Name | Tracy Ann Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255830774 PECOS PAC ID: 0446501050 Enrollment ID: I20180920002382 |
| Provider Name | Katie R Thorsness |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467872119 PECOS PAC ID: 3173839412 Enrollment ID: I20181002001943 |
| Provider Name | Scott Thomas Mcewen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972746568 PECOS PAC ID: 4880900067 Enrollment ID: I20181003000364 |
| Provider Name | Taylor Kristine Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730624479 PECOS PAC ID: 1456603364 Enrollment ID: I20181003003352 |
| Provider Name | Laurent Grignon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538366752 PECOS PAC ID: 9638301849 Enrollment ID: I20181005000882 |
| Provider Name | Tyler D Bold |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063850543 PECOS PAC ID: 9638494289 Enrollment ID: I20181009003003 |
| Provider Name | Douglas Sheafor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669438610 PECOS PAC ID: 7517970148 Enrollment ID: I20181012000040 |
| Provider Name | Jacob Willem Ijdo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720075872 PECOS PAC ID: 0941338115 Enrollment ID: I20181018000212 |
| Provider Name | Steven D Skolasinski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396005864 PECOS PAC ID: 7416252341 Enrollment ID: I20181024002446 |
| Provider Name | Richard Kyle Maciver Martin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902381148 PECOS PAC ID: 9133472673 Enrollment ID: I20181030001616 |
| Provider Name | Kate Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427538875 PECOS PAC ID: 2860745031 Enrollment ID: I20181106000259 |
| Provider Name | Leah Jeane Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225503055 PECOS PAC ID: 6103170337 Enrollment ID: I20181107000183 |
| Provider Name | Mark Daniel Folkertsma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902162985 PECOS PAC ID: 1850520339 Enrollment ID: I20181107000896 |
| Provider Name | Karthik Vishwanathan Ramanathan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932547445 PECOS PAC ID: 4183866148 Enrollment ID: I20181108001352 |
| Provider Name | Amanda Leigh Schlesinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992144083 PECOS PAC ID: 5395099212 Enrollment ID: I20181113001202 |
| Provider Name | Charles J. Ryan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083672000 PECOS PAC ID: 2961587506 Enrollment ID: I20181114002562 |
| Provider Name | Teri R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932634631 PECOS PAC ID: 5496099715 Enrollment ID: I20181127002727 |
| Provider Name | Joshua Allan Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710372032 PECOS PAC ID: 6204126758 Enrollment ID: I20181128001745 |
| Provider Name | Kelly Hoyt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205363645 PECOS PAC ID: 8022352707 Enrollment ID: I20181206001978 |
| Provider Name | Allison Marie Zager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689149031 PECOS PAC ID: 8628313913 Enrollment ID: I20181213002877 |
| Provider Name | Stephanie Alicia Terezakis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053550228 PECOS PAC ID: 5496807364 Enrollment ID: I20181218001662 |
| Provider Name | Kevin Mcelroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184151110 PECOS PAC ID: 6204106644 Enrollment ID: I20181228000615 |
| Provider Name | Danielle Boucher Schneeman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902939226 PECOS PAC ID: 7214273754 Enrollment ID: I20190104000187 |
| Provider Name | Ahmed M.a. Dirweesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619348430 PECOS PAC ID: 2062758477 Enrollment ID: I20190107000521 |
| Provider Name | Hollie Beth Pisseri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740301704 PECOS PAC ID: 6204720915 Enrollment ID: I20190123001466 |
| Provider Name | Katelyn Broz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689159451 PECOS PAC ID: 0345588471 Enrollment ID: I20190214001030 |
| Provider Name | Kristine Domingo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922426147 PECOS PAC ID: 3173820065 Enrollment ID: I20190219001899 |
| Provider Name | David Thomas Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427348291 PECOS PAC ID: 1951689702 Enrollment ID: I20190220000003 |
| Provider Name | Kelsey L Sjogren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124517511 PECOS PAC ID: 4587903091 Enrollment ID: I20190228000001 |
| Provider Name | Chimei M Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285118687 PECOS PAC ID: 0941549299 Enrollment ID: I20190304001271 |
| Provider Name | Mahsa Abassi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952620858 PECOS PAC ID: 8224278742 Enrollment ID: I20190312001713 |
| Provider Name | Joelle Elizabeth Odden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225382377 PECOS PAC ID: 8123271186 Enrollment ID: I20190319000257 |
| Provider Name | Elinor Florence Chase-andresen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902370620 PECOS PAC ID: 6103166418 Enrollment ID: I20190325001209 |
| Provider Name | Yuka Furuya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558655399 PECOS PAC ID: 4082834684 Enrollment ID: I20190327000096 |
| Provider Name | Bailey Cole |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881151439 PECOS PAC ID: 2163762261 Enrollment ID: I20190328000517 |
| Provider Name | Oyedele A Adeyi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376008755 PECOS PAC ID: 6406196419 Enrollment ID: I20190328001505 |
| Provider Name | Brandon W Welsh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467730143 PECOS PAC ID: 3274830856 Enrollment ID: I20190408001050 |
| Provider Name | Salma Shaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164842456 PECOS PAC ID: 8224333646 Enrollment ID: I20190409000459 |
| Provider Name | Kelsey Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386103596 PECOS PAC ID: 8022359124 Enrollment ID: I20190417001509 |
| Provider Name | Maureen Stormont Cannon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457810855 PECOS PAC ID: 8123369261 Enrollment ID: I20190418000150 |
| Provider Name | Scott Robert Gilles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346684750 PECOS PAC ID: 4587968540 Enrollment ID: I20190422000453 |
| Provider Name | Catherine J Steingraeber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801100102 PECOS PAC ID: 9133351844 Enrollment ID: I20190422002373 |
| Provider Name | Vikram J Christian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821430927 PECOS PAC ID: 5092034496 Enrollment ID: I20190423001579 |
| Provider Name | Kayla Charlene James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649648411 PECOS PAC ID: 5890037675 Enrollment ID: I20190426000246 |
| Provider Name | Kathleen Suzanne Mahan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184068298 PECOS PAC ID: 0042585903 Enrollment ID: I20190503002439 |
| Provider Name | Jeffrey Charles Ames |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861810129 PECOS PAC ID: 9739484858 Enrollment ID: I20190506000252 |
| Provider Name | Sarah Jane Raatz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437536042 PECOS PAC ID: 0840596151 Enrollment ID: I20190509000243 |
| Provider Name | Joseph Michael Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710320288 PECOS PAC ID: 9436393386 Enrollment ID: I20190514000735 |
| Provider Name | Raghu Gandhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558776930 PECOS PAC ID: 9133427370 Enrollment ID: I20190515001872 |
| Provider Name | Andrea M Riess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174186084 PECOS PAC ID: 4789927732 Enrollment ID: I20190515001899 |
| Provider Name | Leslie R Morse |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780637405 PECOS PAC ID: 5597784660 Enrollment ID: I20190604000829 |
| Provider Name | Don Bambino Geno Tai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952854762 PECOS PAC ID: 6709126683 Enrollment ID: I20190606000237 |
| Provider Name | Kristin Marie Mcbeath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073855367 PECOS PAC ID: 5799095170 Enrollment ID: I20190613001801 |
| Provider Name | Jacob C Deweerth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306265582 PECOS PAC ID: 3173826104 Enrollment ID: I20190618001845 |
| Provider Name | Yoon-hee Kim Cha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922023431 PECOS PAC ID: 3274577259 Enrollment ID: I20190618001899 |
| Provider Name | Leslie L Teng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679916423 PECOS PAC ID: 7012262579 Enrollment ID: I20190619000396 |
| Provider Name | Varun Aggarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801141502 PECOS PAC ID: 4385978725 Enrollment ID: I20190619000498 |
| Provider Name | Anjali Aggarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124432885 PECOS PAC ID: 8022342476 Enrollment ID: I20190619000855 |
| Provider Name | Matthew S Manganaro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609118710 PECOS PAC ID: 9234431321 Enrollment ID: I20190619000866 |
| Provider Name | John M Sherwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821121088 PECOS PAC ID: 6800988700 Enrollment ID: I20190619001148 |
| Provider Name | Darin Ruanpeng |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528472628 PECOS PAC ID: 2163721010 Enrollment ID: I20190620000771 |
| Provider Name | John A Coburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205273083 PECOS PAC ID: 3476797317 Enrollment ID: I20190620001507 |
| Provider Name | Brendan M O'shea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396972584 PECOS PAC ID: 4385888130 Enrollment ID: I20190621001041 |
| Provider Name | Nissar Vahora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407299423 PECOS PAC ID: 4183864168 Enrollment ID: I20190626001823 |
| Provider Name | Gina Cruciani |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952961740 PECOS PAC ID: 9234463134 Enrollment ID: I20190626003541 |
| Provider Name | Ethan Greenberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225416944 PECOS PAC ID: 1759667561 Enrollment ID: I20190627000967 |
| Provider Name | Amrita Kahlon Salunke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285998708 PECOS PAC ID: 3173857984 Enrollment ID: I20190628000136 |
| Provider Name | Andrea Smiens O'shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588922488 PECOS PAC ID: 7618116823 Enrollment ID: I20190703001927 |
| Provider Name | Mehmet Gencturk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134508054 PECOS PAC ID: 9335444520 Enrollment ID: I20190711001260 |
| Provider Name | Chiamaka P Nwankiti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437566437 PECOS PAC ID: 2961794631 Enrollment ID: I20190711003600 |
| Provider Name | Monique Maria Montenegro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467957290 PECOS PAC ID: 3779831748 Enrollment ID: I20190712000605 |
| Provider Name | Jessika Ralph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871835025 PECOS PAC ID: 0143565796 Enrollment ID: I20190715001936 |
| Provider Name | Joseph Maakaron |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417397316 PECOS PAC ID: 7517107444 Enrollment ID: I20190716000707 |
| Provider Name | David M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750721593 PECOS PAC ID: 5597075135 Enrollment ID: I20190717001219 |
| Provider Name | Aahd F Kubbara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942564398 PECOS PAC ID: 3870889033 Enrollment ID: I20190717004048 |
| Provider Name | Dana Alexandra Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902294358 PECOS PAC ID: 9638487325 Enrollment ID: I20190718000212 |
| Provider Name | Cassandra Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730673229 PECOS PAC ID: 1355682436 Enrollment ID: I20190718001580 |
| Provider Name | Tamer Mahmoud Shaker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356751986 PECOS PAC ID: 3779818364 Enrollment ID: I20190718002989 |
| Provider Name | Catherine Ann Burrows |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083276976 PECOS PAC ID: 3072849645 Enrollment ID: I20190722000060 |
| Provider Name | Leif E Jensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205053832 PECOS PAC ID: 3678602992 Enrollment ID: I20190722000668 |
| Provider Name | Stephen M Richardson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598151029 PECOS PAC ID: 4789910191 Enrollment ID: I20190723002736 |
| Provider Name | Nicholas J Lange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285650952 PECOS PAC ID: 3971780701 Enrollment ID: I20190724001386 |
| Provider Name | Andrew S Venteicher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326334889 PECOS PAC ID: 2264690957 Enrollment ID: I20190725000150 |
| Provider Name | Nicholas B Zaban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366701690 PECOS PAC ID: 0941440028 Enrollment ID: I20190731000693 |
| Provider Name | Raluca Teona Gray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477997765 PECOS PAC ID: 1052676079 Enrollment ID: I20190731004009 |
| Provider Name | Ahmad R Hatem Al Samaraee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447593173 PECOS PAC ID: 7810292828 Enrollment ID: I20190801000035 |
| Provider Name | Jacob Scott Ankeny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841518032 PECOS PAC ID: 4486880911 Enrollment ID: I20190802000435 |
| Provider Name | Arpana Rayannavar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689964900 PECOS PAC ID: 8628229655 Enrollment ID: I20190805001932 |
| Provider Name | Nolan C Cirillo-penn |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093210262 PECOS PAC ID: 4486902541 Enrollment ID: I20190807000047 |
| Provider Name | Hossein Nazari |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619355617 PECOS PAC ID: 1759643232 Enrollment ID: I20190808000243 |
| Provider Name | Michael Kasprzak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235575754 PECOS PAC ID: 6709188675 Enrollment ID: I20190808002955 |
| Provider Name | Julia Heneghan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497199046 PECOS PAC ID: 5597068254 Enrollment ID: I20190809000010 |
| Provider Name | Robert Conrad Jacobs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780926097 PECOS PAC ID: 3375845092 Enrollment ID: I20190809001975 |
| Provider Name | Robyn Cox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720404890 PECOS PAC ID: 5294953865 Enrollment ID: I20190812003105 |
| Provider Name | Matthew Martin Nygren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902461601 PECOS PAC ID: 0345578019 Enrollment ID: I20190820002531 |
| Provider Name | Markus F Meyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003871955 PECOS PAC ID: 8123031291 Enrollment ID: I20190820003633 |
| Provider Name | Joseph Resch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568858132 PECOS PAC ID: 0244507382 Enrollment ID: I20190820003823 |
| Provider Name | Amelia Rose Solei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861059719 PECOS PAC ID: 9537497169 Enrollment ID: I20190821000991 |
| Provider Name | Matthew Mansh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760879654 PECOS PAC ID: 2062707524 Enrollment ID: I20190821002999 |
| Provider Name | Samantha Jane Barker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295894277 PECOS PAC ID: 1052414547 Enrollment ID: I20190822000588 |
| Provider Name | Courtney Elizabeth Pickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811541865 PECOS PAC ID: 7911235346 Enrollment ID: I20190823000489 |
| Provider Name | Anna M Budde |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841617081 PECOS PAC ID: 3375860372 Enrollment ID: I20190829002479 |
| Provider Name | Susan E Orlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740782549 PECOS PAC ID: 3476804071 Enrollment ID: I20190903000763 |
| Provider Name | Anne Marie Kouri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639460439 PECOS PAC ID: 6709026719 Enrollment ID: I20190905001790 |
| Provider Name | Brian T Tolly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003233131 PECOS PAC ID: 6608105366 Enrollment ID: I20190906000324 |
| Provider Name | Elizebeth J Webber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275951568 PECOS PAC ID: 3577869023 Enrollment ID: I20190911001773 |
| Provider Name | Emma Murphy Venteicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588226872 PECOS PAC ID: 7416286638 Enrollment ID: I20190912001140 |
| Provider Name | Nakita Grace Natala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699114975 PECOS PAC ID: 9133439276 Enrollment ID: I20190912002114 |
| Provider Name | Tyson John Sievers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457795775 PECOS PAC ID: 7012246168 Enrollment ID: I20190916000296 |
| Provider Name | Susanne U Trost |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376622613 PECOS PAC ID: 9537167572 Enrollment ID: I20190917004288 |
| Provider Name | Jessica Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861041212 PECOS PAC ID: 5890025704 Enrollment ID: I20190919000454 |
| Provider Name | Sheree Joanne Pechacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215589536 PECOS PAC ID: 5799015632 Enrollment ID: I20190919001907 |
| Provider Name | Matthew Tyler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619310497 PECOS PAC ID: 8426312794 Enrollment ID: I20190924003265 |
| Provider Name | Shauna Hsiaosan Yuan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679659098 PECOS PAC ID: 4981893674 Enrollment ID: I20191002002370 |
| Provider Name | Alexander Beaumont Herman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346635224 PECOS PAC ID: 7113294141 Enrollment ID: I20191009002895 |
| Provider Name | Kristin Cora Greathouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053233 PECOS PAC ID: 4183955768 Enrollment ID: I20191011002435 |
| Provider Name | Joy G Ngobi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568521037 PECOS PAC ID: 6800798232 Enrollment ID: I20191016000969 |
| Provider Name | Victoria Rosina Pechacek |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437718673 PECOS PAC ID: 2668703901 Enrollment ID: I20191017000870 |
| Provider Name | Hailey N Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881245504 PECOS PAC ID: 1355673344 Enrollment ID: I20191023003533 |
| Provider Name | Brian Howard Roscoe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518488311 PECOS PAC ID: 3779815337 Enrollment ID: I20191031000511 |
| Provider Name | Jewels Sky Lindholm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932742160 PECOS PAC ID: 2264764786 Enrollment ID: I20191031003117 |
| Provider Name | Shahnaz Sultan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790868925 PECOS PAC ID: 2769409903 Enrollment ID: I20191031003179 |
| Provider Name | Stephen Kelly Jacobsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679843585 PECOS PAC ID: 5496043663 Enrollment ID: I20191106000741 |
| Provider Name | Rachel Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578055315 PECOS PAC ID: 9537591854 Enrollment ID: I20191107000392 |
| Provider Name | Glen H Rebman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487181558 PECOS PAC ID: 4385998715 Enrollment ID: I20191107002271 |
| Provider Name | Merav Heettner Silverman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104484104 PECOS PAC ID: 5395177588 Enrollment ID: I20191108000750 |
| Provider Name | Devin Michael Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316594914 PECOS PAC ID: 1153753223 Enrollment ID: I20191111001156 |
| Provider Name | Anthony J Christnovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972923423 PECOS PAC ID: 0749585651 Enrollment ID: I20191112000010 |
| Provider Name | Brent Dennis Bissen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558904904 PECOS PAC ID: 3375975352 Enrollment ID: I20191112003391 |
| Provider Name | Willis H Navarro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871538421 PECOS PAC ID: 6103978325 Enrollment ID: I20191118003173 |
| Provider Name | Amy C Klopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508007378 PECOS PAC ID: 5698822393 Enrollment ID: I20191120000485 |
| Provider Name | Kavisha Milesh Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346506961 PECOS PAC ID: 7315177052 Enrollment ID: I20191121000654 |
| Provider Name | Susan M Culican |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164440640 PECOS PAC ID: 8426189960 Enrollment ID: I20191127000311 |
| Provider Name | Meredith Nicole Stallone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821589680 PECOS PAC ID: 4688923717 Enrollment ID: I20191202000399 |
| Provider Name | Dorothy L Curran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972045581 PECOS PAC ID: 9931446077 Enrollment ID: I20191209002848 |
| Provider Name | Melissa Moy Chin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730721895 PECOS PAC ID: 3173956786 Enrollment ID: I20191211002134 |
| Provider Name | Douglas Michael Whiteside |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346280971 PECOS PAC ID: 6103852850 Enrollment ID: I20191212001290 |
| Provider Name | Huseyin Tore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538504303 PECOS PAC ID: 5799080925 Enrollment ID: I20191212002239 |
| Provider Name | Lisa Stepanov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508416215 PECOS PAC ID: 2567896780 Enrollment ID: I20191221000628 |
| Provider Name | Dehua Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578790655 PECOS PAC ID: 8729302112 Enrollment ID: I20191231000523 |
| Provider Name | Brian A Conley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831394402 PECOS PAC ID: 6002076825 Enrollment ID: I20191231000965 |
| Provider Name | Megan M Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083258289 PECOS PAC ID: 3971937707 Enrollment ID: I20200102001093 |
| Provider Name | Robert Hosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023338282 PECOS PAC ID: 1153624051 Enrollment ID: I20200107002156 |
| Provider Name | Alicia Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245875111 PECOS PAC ID: 8325473838 Enrollment ID: I20200110000316 |
| Provider Name | Whitney Lea Finke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134404908 PECOS PAC ID: 2062659345 Enrollment ID: I20200121002324 |
| Provider Name | Satchel J Iten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992341796 PECOS PAC ID: 0941635825 Enrollment ID: I20200123000406 |
| Provider Name | Emily Ann Snowberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881245793 PECOS PAC ID: 3678908415 Enrollment ID: I20200124000366 |
| Provider Name | Lisa Sun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659790038 PECOS PAC ID: 2961757729 Enrollment ID: I20200128000002 |
| Provider Name | Amanda Wenzel Kalstabakken |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649819665 PECOS PAC ID: 9830526292 Enrollment ID: I20200224002554 |
| Provider Name | Donovan Dewayne Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699069930 PECOS PAC ID: 4688893027 Enrollment ID: I20200313000852 |
| Provider Name | Megan Marie Oconnor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114379401 PECOS PAC ID: 3072941525 Enrollment ID: I20200316000552 |
| Provider Name | Gillian G Wiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033749924 PECOS PAC ID: 5597193813 Enrollment ID: I20200320001216 |
| Provider Name | Hillary Casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275914715 PECOS PAC ID: 1355779398 Enrollment ID: I20200325001332 |
| Provider Name | Nora L Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699166348 PECOS PAC ID: 6709215627 Enrollment ID: I20200327002979 |
| Provider Name | Laura Terese Goebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457985806 PECOS PAC ID: 0244669810 Enrollment ID: I20200402000290 |
| Provider Name | Rasha El Rifai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235424276 PECOS PAC ID: 3779877089 Enrollment ID: I20200415000964 |
| Provider Name | Susan R Staudt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043266224 PECOS PAC ID: 7810029998 Enrollment ID: I20200502000161 |
| Provider Name | Can Ozutemiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396195517 PECOS PAC ID: 3678846037 Enrollment ID: I20200508002157 |
| Provider Name | Jennifer L Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538587175 PECOS PAC ID: 6800199597 Enrollment ID: I20200509000212 |
| Provider Name | Tahsin Khundkar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811347859 PECOS PAC ID: 2163767435 Enrollment ID: I20200514001035 |
| Provider Name | Luke Adam Monteagudo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992187173 PECOS PAC ID: 2860756723 Enrollment ID: I20200514002803 |
| Provider Name | Nauroze A Faizi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114302940 PECOS PAC ID: 1355646258 Enrollment ID: I20200521000481 |
| Provider Name | William Dobyns |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1538282736 PECOS PAC ID: 6204952682 Enrollment ID: I20200522002005 |
| Provider Name | Hem Hemantbhai Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316352446 PECOS PAC ID: 6204189673 Enrollment ID: I20200522002295 |
| Provider Name | Sabine P Schmid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407060916 PECOS PAC ID: 9739288606 Enrollment ID: I20200603002707 |
| Provider Name | Rahel Nardos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912111592 PECOS PAC ID: 6103999354 Enrollment ID: I20200603002776 |
| Provider Name | Andrew Nguyen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952721706 PECOS PAC ID: 2860793155 Enrollment ID: I20200608000494 |
| Provider Name | Amy Beckman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164809166 PECOS PAC ID: 1456655786 Enrollment ID: I20200615000808 |
| Provider Name | Amit Kulkarni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417374406 PECOS PAC ID: 2668605494 Enrollment ID: I20200615003423 |
| Provider Name | Evan Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952930976 PECOS PAC ID: 1355763699 Enrollment ID: I20200616000027 |
| Provider Name | Muhammad Affan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285049213 PECOS PAC ID: 3779905021 Enrollment ID: I20200616000186 |
| Provider Name | Sacha Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891045258 PECOS PAC ID: 7517105679 Enrollment ID: I20200616001164 |
| Provider Name | Charles John Billington |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1003235367 PECOS PAC ID: 7012339245 Enrollment ID: I20200617000817 |
| Provider Name | Nishitha Radhakrishna Pillai |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1700173895 PECOS PAC ID: 0941622104 Enrollment ID: I20200617002378 |
| Provider Name | Lahn Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306223763 PECOS PAC ID: 8527480615 Enrollment ID: I20200618000646 |
| Provider Name | Ashok Jethwa |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386088615 PECOS PAC ID: 8729381439 Enrollment ID: I20200619000222 |
| Provider Name | Paul Hoogervorst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568925600 PECOS PAC ID: 0547597833 Enrollment ID: I20200622000247 |
| Provider Name | Justin M Penny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023541604 PECOS PAC ID: 5496025124 Enrollment ID: I20200622001771 |
| Provider Name | Cynthia Lynn Nicholson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619381381 PECOS PAC ID: 6507171592 Enrollment ID: I20200623000776 |
| Provider Name | Rachel Stork Poeppelman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831537083 PECOS PAC ID: 8022312701 Enrollment ID: I20200623002716 |
| Provider Name | Adam P Bregman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972947877 PECOS PAC ID: 5395047948 Enrollment ID: I20200624002749 |
| Provider Name | Florence John |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548614464 PECOS PAC ID: 6406148014 Enrollment ID: I20200624003412 |
| Provider Name | Pitcha Chompoopong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629420542 PECOS PAC ID: 1557783230 Enrollment ID: I20200625002125 |
| Provider Name | Mahmood Gharib |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174889729 PECOS PAC ID: 6800022617 Enrollment ID: I20200626000381 |
| Provider Name | Aditya Chandorkar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578903506 PECOS PAC ID: 7517232499 Enrollment ID: I20200626001266 |
| Provider Name | Asitha D Jayawardena |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689093460 PECOS PAC ID: 6901108596 Enrollment ID: I20200626001664 |
| Provider Name | Mary Julia Thomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205273174 PECOS PAC ID: 9931400116 Enrollment ID: I20200629000986 |
| Provider Name | Takumi Yamada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205135381 PECOS PAC ID: 3173791951 Enrollment ID: I20200630002958 |
| Provider Name | Lucas E Deschenes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982066486 PECOS PAC ID: 0749572733 Enrollment ID: I20200701002073 |
| Provider Name | Margy Elise Mccullough-hicks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861805004 PECOS PAC ID: 9436460029 Enrollment ID: I20200714000070 |
| Provider Name | Daniel Patrick Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437537131 PECOS PAC ID: 1759687320 Enrollment ID: I20200715000620 |
| Provider Name | Ryan R Childs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700248861 PECOS PAC ID: 5193017176 Enrollment ID: I20200715002546 |
| Provider Name | Jacob George Manske |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801277918 PECOS PAC ID: 6305136540 Enrollment ID: I20200715003275 |
| Provider Name | Mohanad Mahmoud Elfishawi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396266052 PECOS PAC ID: 9830438589 Enrollment ID: I20200716000186 |
| Provider Name | Justin M Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326455239 PECOS PAC ID: 7810114527 Enrollment ID: I20200716000249 |
| Provider Name | Rajat Kalra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346680188 PECOS PAC ID: 3678715026 Enrollment ID: I20200717000486 |
| Provider Name | Stefan Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952500191 PECOS PAC ID: 0345331435 Enrollment ID: I20200717000663 |
| Provider Name | Deborah A Hudleston |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578959607 PECOS PAC ID: 8224333059 Enrollment ID: I20200721000780 |
| Provider Name | Heli Bhatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144660598 PECOS PAC ID: 2961791074 Enrollment ID: I20200721001413 |
| Provider Name | Luis Felipe Nascimento Kazmirczak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619255890 PECOS PAC ID: 2961826920 Enrollment ID: I20200723000506 |
| Provider Name | Rajesh Thampy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417281452 PECOS PAC ID: 8628493293 Enrollment ID: I20200730001987 |
| Provider Name | Bimaje Akpa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144583642 PECOS PAC ID: 6406164409 Enrollment ID: I20200804003417 |
| Provider Name | Caitlin Canton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093164972 PECOS PAC ID: 0143502518 Enrollment ID: I20200807000656 |
| Provider Name | Andrew J Redmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235572306 PECOS PAC ID: 4688815988 Enrollment ID: I20200807000795 |
| Provider Name | Julie Johnson Rolfes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174883995 PECOS PAC ID: 5698046647 Enrollment ID: I20200808000105 |
| Provider Name | Michael K Wempe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780900647 PECOS PAC ID: 9436454287 Enrollment ID: I20200812003791 |
| Provider Name | Lucinda Daley Jolstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871150565 PECOS PAC ID: 7719303338 Enrollment ID: I20200813001436 |
| Provider Name | Bethany Ann Sabol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346582558 PECOS PAC ID: 7214179555 Enrollment ID: I20200813002365 |
| Provider Name | Daniel E Kendrick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730479882 PECOS PAC ID: 7517212004 Enrollment ID: I20200814000110 |
| Provider Name | William Kirke Rogers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407020241 PECOS PAC ID: 4688802283 Enrollment ID: I20200814000739 |
| Provider Name | Shanthi Balani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770992331 PECOS PAC ID: 3870851231 Enrollment ID: I20200817001262 |
| Provider Name | Subodh K Regmi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922599737 PECOS PAC ID: 4789925215 Enrollment ID: I20200820000062 |
| Provider Name | Justin Mottaghi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235585886 PECOS PAC ID: 8921372178 Enrollment ID: I20200826002745 |
| Provider Name | Benjamin J Gorbaty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881089712 PECOS PAC ID: 9234448630 Enrollment ID: I20200831002807 |
| Provider Name | Rachel Koski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760802052 PECOS PAC ID: 0446675706 Enrollment ID: I20200831003210 |
| Provider Name | Matthew F Pullen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841633898 PECOS PAC ID: 8527359637 Enrollment ID: I20200902000631 |
| Provider Name | Allyson Stevenson-king |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568817146 PECOS PAC ID: 0244573939 Enrollment ID: I20200902000632 |
| Provider Name | Geneva Tranchida |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235549890 PECOS PAC ID: 6901101146 Enrollment ID: I20200909001093 |
| Provider Name | Julie Duke |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043553803 PECOS PAC ID: 3870810120 Enrollment ID: I20200910000438 |
| Provider Name | Andrea Elliott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801114392 PECOS PAC ID: 5395011134 Enrollment ID: I20200910000533 |
| Provider Name | Anne M White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578983672 PECOS PAC ID: 2860810611 Enrollment ID: I20200911000091 |
| Provider Name | Kimberley Monden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922301258 PECOS PAC ID: 6305025420 Enrollment ID: I20200911001126 |
| Provider Name | Liam Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396935482 PECOS PAC ID: 7113182007 Enrollment ID: I20200914000410 |
| Provider Name | Sarah Anne Wernimont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275970402 PECOS PAC ID: 3476797531 Enrollment ID: I20200914001580 |
| Provider Name | Joshua A Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114289873 PECOS PAC ID: 8022373240 Enrollment ID: I20200915000127 |
| Provider Name | Meagan E King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487062642 PECOS PAC ID: 6709114200 Enrollment ID: I20200915001194 |
| Provider Name | Lindsey Sloan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073991840 PECOS PAC ID: 5991083933 Enrollment ID: I20200923000430 |
| Provider Name | Chelsea Thibodeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538693916 PECOS PAC ID: 0749550507 Enrollment ID: I20200929001328 |
| Provider Name | Michael William Thorp |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407267248 PECOS PAC ID: 1153674114 Enrollment ID: I20200929003495 |
| Provider Name | Kelsey Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841803970 PECOS PAC ID: 3173942653 Enrollment ID: I20201002000008 |
| Provider Name | Matthew Enriquez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104236405 PECOS PAC ID: 7810114360 Enrollment ID: I20201005001983 |
| Provider Name | Alanna Marie Wallerstein |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245846542 PECOS PAC ID: 1254750458 Enrollment ID: I20201007000251 |
| Provider Name | Jill Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578511994 PECOS PAC ID: 3274715065 Enrollment ID: I20201016000302 |
| Provider Name | Rachel Elizabeth Kraemer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518572254 PECOS PAC ID: 0749600278 Enrollment ID: I20201021002155 |
| Provider Name | Michael Farrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083665913 PECOS PAC ID: 1951383983 Enrollment ID: I20201029001397 |
| Provider Name | Andrew Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902932684 PECOS PAC ID: 7214124494 Enrollment ID: I20201030000139 |
| Provider Name | Ryan Taylor Greene |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649723511 PECOS PAC ID: 8123358157 Enrollment ID: I20201030001332 |
| Provider Name | Caroline Minkus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376953323 PECOS PAC ID: 2961707518 Enrollment ID: I20201113001930 |
| Provider Name | Lauren Fontana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609293661 PECOS PAC ID: 4587943998 Enrollment ID: I20201116002646 |
| Provider Name | Huda Sheheitli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023500584 PECOS PAC ID: 6305257775 Enrollment ID: I20201117000456 |
| Provider Name | Ferne R. Braveman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497738355 PECOS PAC ID: 0143205518 Enrollment ID: I20201228000380 |
| Provider Name | Samuel Brian Goldfarb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740202027 PECOS PAC ID: 2860541372 Enrollment ID: I20210117000006 |
| Provider Name | Mark B Juckett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750357604 PECOS PAC ID: 2860557170 Enrollment ID: I20210118000488 |
| Provider Name | Sarah Backman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194192393 PECOS PAC ID: 9830503424 Enrollment ID: I20210121002328 |
| Provider Name | Kathleen Elizabeth Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346838687 PECOS PAC ID: 3870907348 Enrollment ID: I20210122002683 |
| Provider Name | Larry Lindenbaum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205922911 PECOS PAC ID: 0042402984 Enrollment ID: I20210126000228 |
| Provider Name | John M Fox |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447662705 PECOS PAC ID: 1153675046 Enrollment ID: I20210127003451 |
| Provider Name | Leah Christine Henke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326492182 PECOS PAC ID: 6002107075 Enrollment ID: I20210201002309 |
| Provider Name | Rachel Oludiji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588282545 PECOS PAC ID: 1557776804 Enrollment ID: I20210218000843 |
| Provider Name | Peter Kang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992723191 PECOS PAC ID: 6507810629 Enrollment ID: I20210301002358 |
| Provider Name | Kellie Jean Rusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780297218 PECOS PAC ID: 7618383563 Enrollment ID: I20210302000091 |
| Provider Name | Claire Ryden Maxey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104421627 PECOS PAC ID: 3870909518 Enrollment ID: I20210304001068 |
| Provider Name | Joslyn Mary Kahn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831384700 PECOS PAC ID: 6204242829 Enrollment ID: I20210305001866 |
| Provider Name | Alex C Hoover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407380090 PECOS PAC ID: 4385914589 Enrollment ID: I20210309001087 |
| Provider Name | Arjun Gupta |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1851710651 PECOS PAC ID: 1254608599 Enrollment ID: I20210311002866 |
| Provider Name | Alexandra Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306447339 PECOS PAC ID: 3375959547 Enrollment ID: I20210312001481 |
| Provider Name | Caleb P Skipper |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356751564 PECOS PAC ID: 5092080119 Enrollment ID: I20210318001400 |
| Provider Name | Elizabeth Christine Ester |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124264353 PECOS PAC ID: 4587071568 Enrollment ID: I20210319000497 |
| Provider Name | Allison Groenewold Ho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780031195 PECOS PAC ID: 1759674898 Enrollment ID: I20210319001923 |
| Provider Name | Melissa Boehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679090526 PECOS PAC ID: 0648536391 Enrollment ID: I20210322001746 |
| Provider Name | Siddhartha Sen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538513684 PECOS PAC ID: 0547552374 Enrollment ID: I20210409000451 |
| Provider Name | Renita Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447838388 PECOS PAC ID: 9638587611 Enrollment ID: I20210412000934 |
| Provider Name | Kyle Maurer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053773671 PECOS PAC ID: 4981998549 Enrollment ID: I20210416001117 |
| Provider Name | Amanda R Terwey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457946428 PECOS PAC ID: 4082022629 Enrollment ID: I20210420000319 |
| Provider Name | Jenna Rae Eisold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609408210 PECOS PAC ID: 8527476167 Enrollment ID: I20210420000338 |
| Provider Name | Valmiki Rishi Maharaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215355284 PECOS PAC ID: 5991007445 Enrollment ID: I20210420001474 |
| Provider Name | Jacob Torrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356704365 PECOS PAC ID: 3072859487 Enrollment ID: I20210429002733 |
| Provider Name | Lisa Marie Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114504123 PECOS PAC ID: 6406265495 Enrollment ID: I20210504000173 |
| Provider Name | Jesse Hoffmeister |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083050660 PECOS PAC ID: 8224323712 Enrollment ID: I20210511000049 |
| Provider Name | Matthias Zinn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609089994 PECOS PAC ID: 5991888372 Enrollment ID: I20210511001565 |
| Provider Name | William Sveen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609253020 PECOS PAC ID: 6608174271 Enrollment ID: I20210511001725 |
| Provider Name | Allyson Connor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750745832 PECOS PAC ID: 7517240765 Enrollment ID: I20210511002417 |
| Provider Name | Felicia T Hansell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447785167 PECOS PAC ID: 1557625480 Enrollment ID: I20210513000882 |
| Provider Name | Alexander Matthew Clayton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073976080 PECOS PAC ID: 8224320213 Enrollment ID: I20210513002394 |
| Provider Name | Adam Charles Cerise |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871904680 PECOS PAC ID: 4880819861 Enrollment ID: I20210514000776 |
| Provider Name | Molly Dewitt-foy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497147946 PECOS PAC ID: 3476855685 Enrollment ID: I20210517001792 |
| Provider Name | Murray Philip Luber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861456824 PECOS PAC ID: 8022289206 Enrollment ID: I20210518001350 |
| Provider Name | Amit Justin Sood |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588079768 PECOS PAC ID: 3375765969 Enrollment ID: I20210519002474 |
| Provider Name | Thomas Baron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750744462 PECOS PAC ID: 1557653508 Enrollment ID: I20210520002988 |
| Provider Name | Michael W Bradstock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316174477 PECOS PAC ID: 5496972986 Enrollment ID: I20210521000114 |
| Provider Name | Arielle Skalisky |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891213419 PECOS PAC ID: 5890194971 Enrollment ID: I20210521000586 |
| Provider Name | Mehmet Levent Guler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255839692 PECOS PAC ID: 2466715222 Enrollment ID: I20210525001634 |
| Provider Name | Earl Larson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902268105 PECOS PAC ID: 6002108016 Enrollment ID: I20210527001280 |
| Provider Name | Edward J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639602709 PECOS PAC ID: 4688007289 Enrollment ID: I20210608002720 |
| Provider Name | Amanda Marie Honsvall Hoefler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154855484 PECOS PAC ID: 3072846559 Enrollment ID: I20210609001170 |
| Provider Name | Daniel T Lotz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265828859 PECOS PAC ID: 2769790013 Enrollment ID: I20210609001837 |
| Provider Name | Logan Helland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598176836 PECOS PAC ID: 4981829181 Enrollment ID: I20210609001885 |
| Provider Name | Garrett Michael Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336645811 PECOS PAC ID: 7113263666 Enrollment ID: I20210610002702 |
| Provider Name | Raneem Rajjoub |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205363710 PECOS PAC ID: 2668719600 Enrollment ID: I20210615000024 |
| Provider Name | Serin Edwin Erayil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982084240 PECOS PAC ID: 4082973821 Enrollment ID: I20210616000018 |
| Provider Name | Luke A Krystosek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568857639 PECOS PAC ID: 2062718646 Enrollment ID: I20210617001797 |
| Provider Name | Sanjal H Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265843379 PECOS PAC ID: 8224337019 Enrollment ID: I20210618000025 |
| Provider Name | Patrice Andre Vinsard Espinoza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861916207 PECOS PAC ID: 6204100746 Enrollment ID: I20210618000343 |
| Provider Name | Lisha Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780079640 PECOS PAC ID: 0042611550 Enrollment ID: I20210622001033 |
| Provider Name | Alejandra Gutierrez Bernal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487074597 PECOS PAC ID: 6800297086 Enrollment ID: I20210624003373 |
| Provider Name | Azmath Mohammed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811284425 PECOS PAC ID: 9830320357 Enrollment ID: I20210628003242 |
| Provider Name | Jessica Stoefen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427640051 PECOS PAC ID: 6709287568 Enrollment ID: I20210630002376 |
| Provider Name | Robert Thomas Galvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598119331 PECOS PAC ID: 0345574687 Enrollment ID: I20210713003968 |
| Provider Name | Azza Mohammad-elbagi Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861807547 PECOS PAC ID: 8325268162 Enrollment ID: I20210715004118 |
| Provider Name | Emmanuel Antonarakis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568528768 PECOS PAC ID: 9931225950 Enrollment ID: I20210719002577 |
| Provider Name | Hamed Ahmadi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750700654 PECOS PAC ID: 5698992535 Enrollment ID: I20210720003932 |
| Provider Name | Deepthi Malepati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841652146 PECOS PAC ID: 2961795414 Enrollment ID: I20210721002432 |
| Provider Name | Kurtis J Swanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457748907 PECOS PAC ID: 1850641986 Enrollment ID: I20210722001106 |
| Provider Name | Thomas Mark Suszynski |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013336155 PECOS PAC ID: 9537562855 Enrollment ID: I20210724000054 |
| Provider Name | Mehrnoosh Tashakori |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366838732 PECOS PAC ID: 1759784929 Enrollment ID: I20210726002030 |
| Provider Name | Heidi J Saxton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881127553 PECOS PAC ID: 5496028151 Enrollment ID: I20210727000611 |
| Provider Name | Neil A Hanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285808014 PECOS PAC ID: 6507059052 Enrollment ID: I20210727001757 |
| Provider Name | Monika Kakol |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861807794 PECOS PAC ID: 7416255526 Enrollment ID: I20210728000731 |
| Provider Name | Iryna Chugaieva |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518482785 PECOS PAC ID: 8123391570 Enrollment ID: I20210728001252 |
| Provider Name | Benjamin J Fuller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841710902 PECOS PAC ID: 0042613960 Enrollment ID: I20210729000491 |
| Provider Name | Megan Kristan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821483967 PECOS PAC ID: 6002148327 Enrollment ID: I20210729001369 |
| Provider Name | Saydra Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396179529 PECOS PAC ID: 3870880776 Enrollment ID: I20210730002200 |
| Provider Name | Glen C Gross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467814467 PECOS PAC ID: 4880986884 Enrollment ID: I20210803003763 |
| Provider Name | Hind Alameddine |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255781704 PECOS PAC ID: 2860809613 Enrollment ID: I20210812002351 |
| Provider Name | Eva Ssentongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790399772 PECOS PAC ID: 4284038118 Enrollment ID: I20210813001763 |
| Provider Name | Edward Wu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124419890 PECOS PAC ID: 5991109837 Enrollment ID: I20210813002295 |
| Provider Name | Amila William |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356585236 PECOS PAC ID: 9739493891 Enrollment ID: I20210816001644 |
| Provider Name | Liliana Z Goelkel Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659804524 PECOS PAC ID: 0648675355 Enrollment ID: I20210818002597 |
| Provider Name | Alexandra Marquez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154767788 PECOS PAC ID: 5698170306 Enrollment ID: I20210818002884 |
| Provider Name | Benjamin Joseph Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326579517 PECOS PAC ID: 7517238520 Enrollment ID: I20210820002487 |
| Provider Name | Jessica Helena Randa Goldstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275796732 PECOS PAC ID: 6709004708 Enrollment ID: I20210823001077 |
| Provider Name | Ajay Prakash |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386023612 PECOS PAC ID: 8527393578 Enrollment ID: I20210824001505 |
| Provider Name | Hector Marcano |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851504666 PECOS PAC ID: 3274665906 Enrollment ID: I20210825000809 |
| Provider Name | Tayler Lenzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144817149 PECOS PAC ID: 1355747304 Enrollment ID: I20210831001736 |
| Provider Name | Nathan R Hendrickson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306227632 PECOS PAC ID: 5496060170 Enrollment ID: I20210901000786 |
| Provider Name | Brooke Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679070205 PECOS PAC ID: 4688070519 Enrollment ID: I20210901001546 |
| Provider Name | Michelle Stoffel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487040127 PECOS PAC ID: 2668740234 Enrollment ID: I20210902001775 |
| Provider Name | David B Peter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740635523 PECOS PAC ID: 1153616172 Enrollment ID: I20210903001233 |
| Provider Name | Randi L.s. Lassiter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619239613 PECOS PAC ID: 7214179308 Enrollment ID: I20210903002425 |
| Provider Name | Chinyere Ihunnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821683525 PECOS PAC ID: 8729496351 Enrollment ID: I20210909000044 |
| Provider Name | Pegah Entezari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639517881 PECOS PAC ID: 7214156702 Enrollment ID: I20210913002899 |
| Provider Name | Ellie Lynn Schmidt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063036820 PECOS PAC ID: 9931505088 Enrollment ID: I20210915000785 |
| Provider Name | Caroline Sokomwuyoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356017255 PECOS PAC ID: 4981001872 Enrollment ID: I20210920001878 |
| Provider Name | Kimberly Jacobsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386945004 PECOS PAC ID: 4688976087 Enrollment ID: I20210921000498 |
| Provider Name | Sarah Raeann Kruell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194348177 PECOS PAC ID: 6305243007 Enrollment ID: I20210922003579 |
| Provider Name | Ian Spicer Ramsay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538837430 PECOS PAC ID: 2860899366 Enrollment ID: I20210927001464 |
| Provider Name | Mahad Hassan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245658012 PECOS PAC ID: 4082039003 Enrollment ID: I20210929000703 |
| Provider Name | Michael Dohm |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548252976 PECOS PAC ID: 3375574643 Enrollment ID: I20210929003786 |
| Provider Name | Martin Allan Koyle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467546796 PECOS PAC ID: 8325027410 Enrollment ID: I20210930000703 |
| Provider Name | Rebecca Ruth Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285204677 PECOS PAC ID: 2961800040 Enrollment ID: I20211004001247 |
| Provider Name | Lauren Mcclure Yauch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295120020 PECOS PAC ID: 1557665635 Enrollment ID: I20211007000131 |
| Provider Name | Shannon Andrews |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548559206 PECOS PAC ID: 4284859695 Enrollment ID: I20211008001201 |
| Provider Name | Courtney Lauren Marie Eskridge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649840240 PECOS PAC ID: 1850799560 Enrollment ID: I20211011002660 |
| Provider Name | Samantha L Ford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467849273 PECOS PAC ID: 7214249382 Enrollment ID: I20211014002876 |
| Provider Name | David E Karges |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326060021 PECOS PAC ID: 7810997160 Enrollment ID: I20211015002622 |
| Provider Name | Brian Van Wie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689345779 PECOS PAC ID: 5597153866 Enrollment ID: I20211020000118 |
| Provider Name | Jason Ho |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215297411 PECOS PAC ID: 7618303843 Enrollment ID: I20211028001169 |
| Provider Name | Daniel S Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114536547 PECOS PAC ID: 6800200445 Enrollment ID: I20211103002593 |
| Provider Name | Lauren Haisley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124671045 PECOS PAC ID: 5193150563 Enrollment ID: I20211108002162 |
| Provider Name | Delorianne Ross Sander |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1124798780 PECOS PAC ID: 1759770092 Enrollment ID: I20211108002240 |
| Provider Name | Mary Monica Streater |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962025924 PECOS PAC ID: 6709275860 Enrollment ID: I20211110001774 |
| Provider Name | Duong Tu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679776272 PECOS PAC ID: 7315267242 Enrollment ID: I20211116001155 |
| Provider Name | Sahar Koubar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477866580 PECOS PAC ID: 7810218179 Enrollment ID: I20211117001247 |
| Provider Name | Hannah Nunne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497426589 PECOS PAC ID: 0446640783 Enrollment ID: I20211201001054 |
| Provider Name | Jason B Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255596037 PECOS PAC ID: 0749356137 Enrollment ID: I20211204000273 |
| Provider Name | Michael A Schirado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104852185 PECOS PAC ID: 4789661026 Enrollment ID: I20211210001482 |
| Provider Name | Jessica Knight-perry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912206103 PECOS PAC ID: 1658522842 Enrollment ID: I20211210001548 |
| Provider Name | Sabine Karam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700183571 PECOS PAC ID: 4082004734 Enrollment ID: I20211213000087 |
| Provider Name | Lisa Kay Boone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619073905 PECOS PAC ID: 2062803604 Enrollment ID: I20211215002232 |
| Provider Name | Jose M Jimenez Vega |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619208980 PECOS PAC ID: 2769785336 Enrollment ID: I20211221001380 |
| Provider Name | Ashley Jo Hundley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053917138 PECOS PAC ID: 7214329713 Enrollment ID: I20220113000036 |
| Provider Name | Kevin O Turner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184874125 PECOS PAC ID: 9739327719 Enrollment ID: I20220126002648 |
| Provider Name | Tina N Ozbeki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841687365 PECOS PAC ID: 8820303605 Enrollment ID: I20220127002652 |
| Provider Name | Meera Srikanthan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841637220 PECOS PAC ID: 4385872217 Enrollment ID: I20220131002165 |
| Provider Name | Katrina Lee Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801557145 PECOS PAC ID: 5991198772 Enrollment ID: I20220201000682 |
| Provider Name | Monica Campo Patino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326255787 PECOS PAC ID: 1759567019 Enrollment ID: I20220202000165 |
| Provider Name | Cathryn Cheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447918149 PECOS PAC ID: 7810380482 Enrollment ID: I20220202002118 |
| Provider Name | Danielle Marie Orsello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972261972 PECOS PAC ID: 0143613794 Enrollment ID: I20220203001672 |
| Provider Name | Sanjay Saluja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053374462 PECOS PAC ID: 0840241279 Enrollment ID: I20220217001713 |
| Provider Name | Brian P Flemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093000747 PECOS PAC ID: 7214226422 Enrollment ID: I20220222002584 |
| Provider Name | Sara Alcorn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871813204 PECOS PAC ID: 8729238431 Enrollment ID: I20220224001450 |
| Provider Name | Michael P Hafertepe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407388952 PECOS PAC ID: 0840541793 Enrollment ID: I20220302003015 |
| Provider Name | John D Millet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922444355 PECOS PAC ID: 3375845472 Enrollment ID: I20220307002551 |
| Provider Name | Megan Kayla Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750909388 PECOS PAC ID: 1658766365 Enrollment ID: I20220316000977 |
| Provider Name | Jonathan Edward Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033606587 PECOS PAC ID: 4486049863 Enrollment ID: I20220322000928 |
| Provider Name | Daniel Hugh Oleary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851748685 PECOS PAC ID: 1557606837 Enrollment ID: I20220323001716 |
| Provider Name | Shawn A Mahmud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770937518 PECOS PAC ID: 9436407251 Enrollment ID: I20220331002257 |
| Provider Name | Alireza Nathani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932593175 PECOS PAC ID: 8628320009 Enrollment ID: I20220331002701 |
| Provider Name | Megan E Lindsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265814560 PECOS PAC ID: 7719287812 Enrollment ID: I20220404000403 |
| Provider Name | Timothy Richard Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194094045 PECOS PAC ID: 7911393756 Enrollment ID: I20220405000645 |
| Provider Name | Allison Jamie Rao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649685348 PECOS PAC ID: 4880985969 Enrollment ID: I20220405002330 |
| Provider Name | Shannon M Welter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386873958 PECOS PAC ID: 4880080514 Enrollment ID: I20220406001461 |
| Provider Name | Ryan B O'malley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174729131 PECOS PAC ID: 3870759707 Enrollment ID: I20220409000409 |
| Provider Name | Renee Zasada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730840976 PECOS PAC ID: 9537555834 Enrollment ID: I20220414001056 |
| Provider Name | Everett H Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588004535 PECOS PAC ID: 5395055396 Enrollment ID: I20220418001627 |
| Provider Name | Melissa Boggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629527635 PECOS PAC ID: 4789080094 Enrollment ID: I20220418002319 |
| Provider Name | Praveen Hariharan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215458351 PECOS PAC ID: 4486928942 Enrollment ID: I20220419002675 |
| Provider Name | Christopher Loftus |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376907683 PECOS PAC ID: 9234420647 Enrollment ID: I20220420000815 |
| Provider Name | Jessica Namoi Schultz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1124405543 PECOS PAC ID: 2769787696 Enrollment ID: I20220421000728 |
| Provider Name | Ruchi Gupta Mahajan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194272476 PECOS PAC ID: 8224425228 Enrollment ID: I20220421000994 |
| Provider Name | Meredith Kavalier |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720513641 PECOS PAC ID: 8123398971 Enrollment ID: I20220421001108 |
| Provider Name | Grishma Trivedi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548781479 PECOS PAC ID: 6305181231 Enrollment ID: I20220426000961 |
| Provider Name | Adam Raphael Lipschultz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588198311 PECOS PAC ID: 2961812227 Enrollment ID: I20220428001219 |
| Provider Name | Amber Scheierl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720678147 PECOS PAC ID: 1254728868 Enrollment ID: I20220429001372 |
| Provider Name | Michael Patrick Greenwood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023379419 PECOS PAC ID: 8426272261 Enrollment ID: I20220503000424 |
| Provider Name | Jenna Vanbeck |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184079535 PECOS PAC ID: 8325339369 Enrollment ID: I20220503000976 |
| Provider Name | Peter Thorne |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346775137 PECOS PAC ID: 3072883768 Enrollment ID: I20220503001007 |
| Provider Name | Chenthuran Deivaraju |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477832517 PECOS PAC ID: 3274853098 Enrollment ID: I20220503001370 |
| Provider Name | Francine Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336532514 PECOS PAC ID: 6305154253 Enrollment ID: I20220511002565 |
| Provider Name | Daniel Kuehler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871020313 PECOS PAC ID: 1153692702 Enrollment ID: I20220512000838 |
| Provider Name | Ellen Diego |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538553136 PECOS PAC ID: 0143522433 Enrollment ID: I20220512002778 |
| Provider Name | Wassef Chanbour |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134735848 PECOS PAC ID: 6406233451 Enrollment ID: I20220513001247 |
| Provider Name | Robert J Dolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447782453 PECOS PAC ID: 6507139045 Enrollment ID: I20220513001665 |
| Provider Name | Pranava Sinha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649427816 PECOS PAC ID: 6103981865 Enrollment ID: I20220516000785 |
| Provider Name | Adam D Baim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922592963 PECOS PAC ID: 3779960240 Enrollment ID: I20220523001346 |
| Provider Name | Venus Vakhshori |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023490380 PECOS PAC ID: 9133408610 Enrollment ID: I20220526000568 |
| Provider Name | Jacob C Cogan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710341714 PECOS PAC ID: 5193103414 Enrollment ID: I20220527000672 |
| Provider Name | Abdulfatah Issak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720406325 PECOS PAC ID: 1254551617 Enrollment ID: I20220531000216 |
| Provider Name | Dylan Stevens |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316442114 PECOS PAC ID: 1254667512 Enrollment ID: I20220531001974 |
| Provider Name | Timothy K Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063874808 PECOS PAC ID: 8820497779 Enrollment ID: I20220601003005 |
| Provider Name | Stephanie Mae Wick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164919957 PECOS PAC ID: 8921348921 Enrollment ID: I20220604000265 |
| Provider Name | Ivan Kamikovski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073953030 PECOS PAC ID: 9032597935 Enrollment ID: I20220606001377 |
| Provider Name | Rachel Witt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497135057 PECOS PAC ID: 0749536613 Enrollment ID: I20220606002876 |
| Provider Name | Arnes Huskic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174987275 PECOS PAC ID: 2466751284 Enrollment ID: I20220607002112 |
| Provider Name | Amy Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114304839 PECOS PAC ID: 9032412317 Enrollment ID: I20220607002914 |
| Provider Name | Robert Talbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700172905 PECOS PAC ID: 3274762422 Enrollment ID: I20220609002655 |
| Provider Name | Patrick Hackler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205282746 PECOS PAC ID: 0345531091 Enrollment ID: I20220610001459 |
| Provider Name | Sean K Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609052000 PECOS PAC ID: 7416088489 Enrollment ID: I20220610001786 |
| Provider Name | Ashley C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770938607 PECOS PAC ID: 6305242959 Enrollment ID: I20220610002027 |
| Provider Name | Dennis Heaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144453978 PECOS PAC ID: 6901944669 Enrollment ID: I20220613001256 |
| Provider Name | Vishnuvardhan Ganesan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952833428 PECOS PAC ID: 3375922891 Enrollment ID: I20220614000173 |
| Provider Name | Tamara Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417364944 PECOS PAC ID: 6103046891 Enrollment ID: I20220614001076 |
| Provider Name | Vania Rashidi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790289288 PECOS PAC ID: 3072992452 Enrollment ID: I20220614003150 |
| Provider Name | Sabrina C Burn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396125662 PECOS PAC ID: 9537464979 Enrollment ID: I20220617001689 |
| Provider Name | Sara Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912439555 PECOS PAC ID: 8527345354 Enrollment ID: I20220621001174 |
| Provider Name | Ornina Bachour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073046298 PECOS PAC ID: 2163773011 Enrollment ID: I20220621002836 |
| Provider Name | Kelsey Gagesch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548795305 PECOS PAC ID: 4082984257 Enrollment ID: I20220624001683 |
| Provider Name | Bruce A Fraser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750729562 PECOS PAC ID: 2860766052 Enrollment ID: I20220627000731 |
| Provider Name | Blake A Umberham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669979605 PECOS PAC ID: 1153672035 Enrollment ID: I20220627000777 |
| Provider Name | Cade D Arries |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831627702 PECOS PAC ID: 4082985353 Enrollment ID: I20220628002556 |
| Provider Name | Eamonn Maher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982130746 PECOS PAC ID: 3173895257 Enrollment ID: I20220629001049 |
| Provider Name | Ariana Del Korpela |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013655935 PECOS PAC ID: 2062892540 Enrollment ID: I20220629003270 |
| Provider Name | Daniel Edwin Peck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114344041 PECOS PAC ID: 7517235500 Enrollment ID: I20220629003314 |
| Provider Name | Jennifer Laroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942654983 PECOS PAC ID: 3870885254 Enrollment ID: I20220630000947 |
| Provider Name | Lionel S Wininger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124552963 PECOS PAC ID: 5799046553 Enrollment ID: I20220705001012 |
| Provider Name | Bilal Alturkmani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649627621 PECOS PAC ID: 2264723105 Enrollment ID: I20220705001248 |
| Provider Name | Ligogo Cesar Muholeza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033848817 PECOS PAC ID: 3870973183 Enrollment ID: I20220705001368 |
| Provider Name | Hareesh Singam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457770471 PECOS PAC ID: 5698993699 Enrollment ID: I20220707003091 |
| Provider Name | Andrea Patricia Espejo Freire |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154776961 PECOS PAC ID: 2860873593 Enrollment ID: I20220713000650 |
| Provider Name | Jonathan Zvi Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881006104 PECOS PAC ID: 7012135551 Enrollment ID: I20220713000975 |
| Provider Name | Kanishk Agnihotri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023427820 PECOS PAC ID: 2365718640 Enrollment ID: I20220719000901 |
| Provider Name | Michael Florie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700441102 PECOS PAC ID: 3678952884 Enrollment ID: I20220719003112 |
| Provider Name | David Brauer |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1962841049 PECOS PAC ID: 7113235730 Enrollment ID: I20220719003763 |
| Provider Name | Jacob J Ristow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285162883 PECOS PAC ID: 4981976669 Enrollment ID: I20220721002071 |
| Provider Name | Tyler W Looysen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134614381 PECOS PAC ID: 2860734449 Enrollment ID: I20220725002258 |
| Provider Name | Priya Omprakash Pathak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851800668 PECOS PAC ID: 1153697859 Enrollment ID: I20220728003174 |
| Provider Name | Anna E Grosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366191066 PECOS PAC ID: 0446632004 Enrollment ID: I20220729001813 |
| Provider Name | Jacob David Kastner |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124569413 PECOS PAC ID: 9537433214 Enrollment ID: I20220729002340 |
| Provider Name | Aaron Wasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114378676 PECOS PAC ID: 8123311305 Enrollment ID: I20220801000724 |
| Provider Name | Benjamin D Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619324043 PECOS PAC ID: 2264726397 Enrollment ID: I20220802001611 |
| Provider Name | Aastha Chauhan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891146197 PECOS PAC ID: 9335432269 Enrollment ID: I20220808000253 |
| Provider Name | Thomas Briese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609303130 PECOS PAC ID: 4183993413 Enrollment ID: I20220808001311 |
| Provider Name | Erick Enrique Jimenez Granados |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487036851 PECOS PAC ID: 6800194358 Enrollment ID: I20220809001342 |
| Provider Name | Mark D Kovacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385507 PECOS PAC ID: 3072738285 Enrollment ID: I20220809003262 |
| Provider Name | Paolo Goffredo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881071546 PECOS PAC ID: 4587978085 Enrollment ID: I20220810000196 |
| Provider Name | Allison Abell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306333844 PECOS PAC ID: 4981959400 Enrollment ID: I20220815001252 |
| Provider Name | Benjamin Al-haddad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174917322 PECOS PAC ID: 3375864218 Enrollment ID: I20220817002313 |
| Provider Name | Akinbolaji Akingbola |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1295228450 PECOS PAC ID: 1850642711 Enrollment ID: I20220818000649 |
| Provider Name | Mary Beth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396477329 PECOS PAC ID: 2961885207 Enrollment ID: I20220818001641 |
| Provider Name | Lisa J Lovse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962056291 PECOS PAC ID: 0648508481 Enrollment ID: I20220822000734 |
| Provider Name | Lauren Anna Buckley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952856056 PECOS PAC ID: 5991030132 Enrollment ID: I20220825001623 |
| Provider Name | Brianna Yund |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912632597 PECOS PAC ID: 4880078591 Enrollment ID: I20220830002030 |
| Provider Name | Yanli Ding |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154680957 PECOS PAC ID: 7810129962 Enrollment ID: I20220831000605 |
| Provider Name | Jeffrey Nathan Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285959213 PECOS PAC ID: 7214174101 Enrollment ID: I20220902000580 |
| Provider Name | Atul Kumar Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770920209 PECOS PAC ID: 2961706817 Enrollment ID: I20220905000406 |
| Provider Name | Elizabeth Ann Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932828480 PECOS PAC ID: 7810371903 Enrollment ID: I20220909000462 |
| Provider Name | Huang Huang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306228911 PECOS PAC ID: 1557676129 Enrollment ID: I20220913003943 |
| Provider Name | Mary E Hanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366947913 PECOS PAC ID: 4183976517 Enrollment ID: I20220915003001 |
| Provider Name | Christine S Lambert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972980142 PECOS PAC ID: 6406155019 Enrollment ID: I20220916000312 |
| Provider Name | Nathan Mebrahtu Mesfin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417305400 PECOS PAC ID: 0648563338 Enrollment ID: I20220916002765 |
| Provider Name | Melissa Caceres |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487221909 PECOS PAC ID: 0840692026 Enrollment ID: I20220919001602 |
| Provider Name | Madhav Vijaykumar Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316384704 PECOS PAC ID: 4082919287 Enrollment ID: I20220920003187 |
| Provider Name | Elizabeth S Aby |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033503040 PECOS PAC ID: 8729343983 Enrollment ID: I20220922003089 |
| Provider Name | Diana Akiko Cowdrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396241493 PECOS PAC ID: 9436406659 Enrollment ID: I20220928000822 |
| Provider Name | Keyn Mun Joshua Wong |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235490707 PECOS PAC ID: 9537545520 Enrollment ID: I20220928001692 |
| Provider Name | Mickey Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942929658 PECOS PAC ID: 2769868587 Enrollment ID: I20221003000932 |
| Provider Name | Sara Van Dyk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659911584 PECOS PAC ID: 3173909611 Enrollment ID: I20221006000495 |
| Provider Name | Jasvinder Autar Singh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619409240 PECOS PAC ID: 5496159808 Enrollment ID: I20221010001785 |
| Provider Name | Bradley Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316107642 PECOS PAC ID: 6305007451 Enrollment ID: I20221018000568 |
| Provider Name | Jessica L Reilly |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639602006 PECOS PAC ID: 1254707904 Enrollment ID: I20221020001080 |
| Provider Name | Lauren Elizabeth Shnowske |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477170769 PECOS PAC ID: 1052787751 Enrollment ID: I20221020003087 |
| Provider Name | Syed Mujtaba Rizvi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568619237 PECOS PAC ID: 4688983638 Enrollment ID: I20221021002618 |
| Provider Name | Diana Oramas Mogrovejo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982080982 PECOS PAC ID: 0941510945 Enrollment ID: I20221027000793 |
| Provider Name | Mayur Sharma |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942637095 PECOS PAC ID: 8820227671 Enrollment ID: I20221027002007 |
| Provider Name | Jennifer Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326766478 PECOS PAC ID: 0648647982 Enrollment ID: I20221031000631 |
| Provider Name | Phillip Lee Van |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639330533 PECOS PAC ID: 9335380161 Enrollment ID: I20221031000664 |
| Provider Name | Allison M Logemann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174057749 PECOS PAC ID: 4981957925 Enrollment ID: I20221103000624 |
| Provider Name | Leighann Bibb Colin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518545201 PECOS PAC ID: 2961879937 Enrollment ID: I20221103001626 |
| Provider Name | Adam T Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306078191 PECOS PAC ID: 3779890546 Enrollment ID: I20221115000082 |
| Provider Name | Andrew Scarano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356607725 PECOS PAC ID: 0446473177 Enrollment ID: I20221115000160 |
| Provider Name | Megan Elizabeth Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457943847 PECOS PAC ID: 1557739950 Enrollment ID: I20221116000034 |
| Provider Name | Julia Elise Sobaszkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376262725 PECOS PAC ID: 8123496544 Enrollment ID: I20221116001101 |
| Provider Name | Vassili Bazalitski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104081207 PECOS PAC ID: 3274775549 Enrollment ID: I20221116001362 |
| Provider Name | Amy Dobbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891418505 PECOS PAC ID: 6901274224 Enrollment ID: I20221117001842 |
| Provider Name | Bryan A Roller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467848770 PECOS PAC ID: 4688910375 Enrollment ID: I20221119000335 |
| Provider Name | Christopher J Jones |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1841610326 PECOS PAC ID: 2668894288 Enrollment ID: I20221123000108 |
| Provider Name | Juan Carlos Samayoa Escobar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629411970 PECOS PAC ID: 8123319860 Enrollment ID: I20221123001024 |
| Provider Name | Lilia Bacu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407230030 PECOS PAC ID: 7911214044 Enrollment ID: I20221123001730 |
| Provider Name | Ijeoma Jane Ugochukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710596903 PECOS PAC ID: 1254700743 Enrollment ID: I20221205002106 |
| Provider Name | Amanda Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578926861 PECOS PAC ID: 6800188657 Enrollment ID: I20221209001514 |
| Provider Name | Erica Battista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912615568 PECOS PAC ID: 8729457916 Enrollment ID: I20221209001993 |
| Provider Name | Laura Mary Tess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154039865 PECOS PAC ID: 1850760042 Enrollment ID: I20221209002296 |
| Provider Name | Leonardo Brito De Almeida |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013224427 PECOS PAC ID: 3274779947 Enrollment ID: I20221212003061 |
| Provider Name | Cara Leuchtenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679033195 PECOS PAC ID: 4688907769 Enrollment ID: I20221220000689 |
| Provider Name | Carly Harvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194067660 PECOS PAC ID: 7618197005 Enrollment ID: I20221224000133 |
| Provider Name | Rick Anthony Huewe-vogen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437875853 PECOS PAC ID: 2264802545 Enrollment ID: I20230102000080 |
| Provider Name | Michael Fu-yen Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245250802 PECOS PAC ID: 7113922030 Enrollment ID: I20230117003100 |
| Provider Name | Zainab Al-lawati |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588219737 PECOS PAC ID: 8527476399 Enrollment ID: I20230125000393 |
| Provider Name | Ajay Dhadwal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629206032 PECOS PAC ID: 6800921362 Enrollment ID: I20230201001619 |
| Provider Name | Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427311745 PECOS PAC ID: 2860724317 Enrollment ID: I20230202002687 |
| Provider Name | Sashi Niranjan Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068987 PECOS PAC ID: 6507119039 Enrollment ID: I20230215000632 |
| Provider Name | Julie Arldt Mcalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437535432 PECOS PAC ID: 9739496258 Enrollment ID: I20230216000939 |
| Provider Name | Michael Skulski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801871876 PECOS PAC ID: 8921058108 Enrollment ID: I20230217002258 |
| Provider Name | Nicholas David Longfellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801406467 PECOS PAC ID: 8123447620 Enrollment ID: I20230309002016 |
| Provider Name | Oluwaseun Basit Ogunbona |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790282713 PECOS PAC ID: 2163766106 Enrollment ID: I20230314001326 |
| Provider Name | Herodotos Ellinas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306934179 PECOS PAC ID: 3971533522 Enrollment ID: I20230321000906 |
| Provider Name | Sevak Keshishyan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841586013 PECOS PAC ID: 4587910930 Enrollment ID: I20230322001585 |
| Provider Name | Tolulope Oluwadamilola Odebunmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891258653 PECOS PAC ID: 9133453756 Enrollment ID: I20230323002656 |
| Provider Name | Kayla Rene Promes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740981158 PECOS PAC ID: 9032583422 Enrollment ID: I20230327001415 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20230327002546 |
| Provider Name | Tristan R Lawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295260552 PECOS PAC ID: 4082986385 Enrollment ID: I20230328000764 |
| Provider Name | Asyvia Powell-brawner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679031900 PECOS PAC ID: 4385973700 Enrollment ID: I20230328002457 |
| Provider Name | Aiham H Jbeli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912326950 PECOS PAC ID: 0749407740 Enrollment ID: I20230329000533 |
| Provider Name | Patrick Marshall Osborn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588701866 PECOS PAC ID: 2961560602 Enrollment ID: I20230330000116 |
| Provider Name | Ryan J Martinez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710476478 PECOS PAC ID: 8123376241 Enrollment ID: I20230331000642 |
| Provider Name | Jesse M Reiter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992202709 PECOS PAC ID: 5799034021 Enrollment ID: I20230331001324 |
| Provider Name | Yasemin Koksel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922659028 PECOS PAC ID: 4880925304 Enrollment ID: I20230331001529 |
| Provider Name | Tony Ghodadra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346217973 PECOS PAC ID: 8224006960 Enrollment ID: I20230403001126 |
| Provider Name | Pedro Francisco Monsalve Diaz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447710504 PECOS PAC ID: 1052786175 Enrollment ID: I20230403002339 |
| Provider Name | Matthew Jason Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053800177 PECOS PAC ID: 7315290731 Enrollment ID: I20230413002386 |
| Provider Name | Dongming Cai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679756720 PECOS PAC ID: 1658554845 Enrollment ID: I20230414000904 |
| Provider Name | Jeffrey Kubiak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184187627 PECOS PAC ID: 1850620162 Enrollment ID: I20230414002080 |
| Provider Name | Kevin Klee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750888459 PECOS PAC ID: 6800147687 Enrollment ID: I20230414002116 |
| Provider Name | Abraham Jamil Matar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760845226 PECOS PAC ID: 9133584329 Enrollment ID: I20230421001364 |
| Provider Name | Sandhyarani Dasaraju |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659804094 PECOS PAC ID: 8022473172 Enrollment ID: I20230425002666 |
| Provider Name | Christopher Hesh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740642354 PECOS PAC ID: 7618275140 Enrollment ID: I20230427001547 |
| Provider Name | Naveen Premnath |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205380375 PECOS PAC ID: 3779829056 Enrollment ID: I20230429000018 |
| Provider Name | Minghao Zhong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467637025 PECOS PAC ID: 6103081575 Enrollment ID: I20230502001097 |
| Provider Name | Benjamin Michael Manning |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104352541 PECOS PAC ID: 8123414935 Enrollment ID: I20230502001370 |
| Provider Name | Mary Patricia Mccarthy Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093400715 PECOS PAC ID: 7416312194 Enrollment ID: I20230502002653 |
| Provider Name | Karlyn Stoltman Messer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659878775 PECOS PAC ID: 9133470743 Enrollment ID: I20230503003260 |
| Provider Name | Cameron S Mcdonald-hyman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457845828 PECOS PAC ID: 4789930785 Enrollment ID: I20230504001392 |
| Provider Name | Kyle Aaron Kitzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689162067 PECOS PAC ID: 0244581049 Enrollment ID: I20230504002903 |
| Provider Name | Aayush Gabrani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881126399 PECOS PAC ID: 9436514916 Enrollment ID: I20230505002029 |
| Provider Name | Ruben Alexanian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760748354 PECOS PAC ID: 3375776800 Enrollment ID: I20230508001029 |
| Provider Name | Michael E Czulinski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801240130 PECOS PAC ID: 9335505627 Enrollment ID: I20230511000216 |
| Provider Name | Anna R Spiczka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134729486 PECOS PAC ID: 7911363239 Enrollment ID: I20230511001768 |
| Provider Name | Michael Cole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982132528 PECOS PAC ID: 0749550937 Enrollment ID: I20230511002973 |
| Provider Name | Alisha Kamboj |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023578358 PECOS PAC ID: 1254673106 Enrollment ID: I20230512001593 |
| Provider Name | Binoy Yohannan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1750778510 PECOS PAC ID: 6204188246 Enrollment ID: I20230516000796 |
| Provider Name | Meredith Wise |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548793136 PECOS PAC ID: 5496027013 Enrollment ID: I20230516001384 |
| Provider Name | Induruwa Nelani Pathirana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063796779 PECOS PAC ID: 8426335209 Enrollment ID: I20230516003671 |
| Provider Name | Byoung Uk Park |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912490178 PECOS PAC ID: 4385000207 Enrollment ID: I20230519000648 |
| Provider Name | Katie Elizabeth Farrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497456792 PECOS PAC ID: 9335505056 Enrollment ID: I20230522002289 |
| Provider Name | Ryan Bailey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487180238 PECOS PAC ID: 3971872243 Enrollment ID: I20230522002526 |
| Provider Name | James P Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710472063 PECOS PAC ID: 4688926090 Enrollment ID: I20230522002890 |
| Provider Name | Emily Anne Hause |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811429871 PECOS PAC ID: 9739412149 Enrollment ID: I20230524000695 |
| Provider Name | Alysen Demzik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437541299 PECOS PAC ID: 7416202270 Enrollment ID: I20230525002932 |
| Provider Name | Maarten L Galantowicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194257899 PECOS PAC ID: 6608146063 Enrollment ID: I20230526001606 |
| Provider Name | Punita Grover |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184001729 PECOS PAC ID: 3971809666 Enrollment ID: I20230530003034 |
| Provider Name | Anupam Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982835567 PECOS PAC ID: 3375832587 Enrollment ID: I20230530003315 |
| Provider Name | Nicholas G Reason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093212391 PECOS PAC ID: 0446595201 Enrollment ID: I20230531001906 |
| Provider Name | Milind Bhagat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245646108 PECOS PAC ID: 8022309137 Enrollment ID: I20230602000066 |
| Provider Name | Heba Al-rayess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962921163 PECOS PAC ID: 1951664200 Enrollment ID: I20230605001793 |
| Provider Name | Michael Sean Mulvihill |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508109604 PECOS PAC ID: 7618334707 Enrollment ID: I20230605003112 |
| Provider Name | Erin Elizabeth Mchugh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477087484 PECOS PAC ID: 6406213339 Enrollment ID: I20230607002154 |
| Provider Name | Ciersten Burks |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629565940 PECOS PAC ID: 4486901402 Enrollment ID: I20230607003430 |
| Provider Name | Sasha Zheng Prisco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255785002 PECOS PAC ID: 9436435856 Enrollment ID: I20230613001888 |
| Provider Name | Kari Malia Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700499662 PECOS PAC ID: 9032538491 Enrollment ID: I20230613002065 |
| Provider Name | Randal Rovinski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932620473 PECOS PAC ID: 6002180700 Enrollment ID: I20230614000604 |
| Provider Name | Kolin Elliott Rubel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639608102 PECOS PAC ID: 1052683992 Enrollment ID: I20230619001295 |
| Provider Name | Sophia Sarah Rose Frank |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447875349 PECOS PAC ID: 2365800372 Enrollment ID: I20230623001777 |
| Provider Name | Christopher Graham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962864538 PECOS PAC ID: 1355614322 Enrollment ID: I20230626002505 |
| Provider Name | Marisa Bartley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1104480359 PECOS PAC ID: 9638405442 Enrollment ID: I20230626002715 |
| Provider Name | Auralie Chandra Haven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902580053 PECOS PAC ID: 1153789995 Enrollment ID: I20230626003371 |
| Provider Name | Ismail Elbaz Younes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811419344 PECOS PAC ID: 8022389238 Enrollment ID: I20230628000373 |
| Provider Name | Clay Matthew Hoerig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609222389 PECOS PAC ID: 4880053511 Enrollment ID: I20230628004248 |
| Provider Name | James Austin Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437687167 PECOS PAC ID: 3476823915 Enrollment ID: I20230708000431 |
| Provider Name | Stephanie Cabler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972918175 PECOS PAC ID: 4284903238 Enrollment ID: I20230710001436 |
| Provider Name | James Arthur Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306378344 PECOS PAC ID: 1850660705 Enrollment ID: I20230711003910 |
| Provider Name | David Y Balser |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003303801 PECOS PAC ID: 6002164456 Enrollment ID: I20230711004230 |
| Provider Name | Marlena R Mueller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922504281 PECOS PAC ID: 5294083077 Enrollment ID: I20230712004336 |
| Provider Name | Aparna Das |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447602297 PECOS PAC ID: 2264727866 Enrollment ID: I20230713001348 |
| Provider Name | Amanda Marie Kleppe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336678689 PECOS PAC ID: 7416226477 Enrollment ID: I20230713002262 |
| Provider Name | Benjamin Scott Levy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053745273 PECOS PAC ID: 9638421050 Enrollment ID: I20230713002678 |
| Provider Name | Marta Agnieszka Michalska-smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568996304 PECOS PAC ID: 7012284482 Enrollment ID: I20230719001722 |
| Provider Name | Thomas Boyce Hamilton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255742722 PECOS PAC ID: 2668798844 Enrollment ID: I20230725000974 |
| Provider Name | Mengxuan Tang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316472137 PECOS PAC ID: 6103162938 Enrollment ID: I20230725001265 |
| Provider Name | Jeremy Wolter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427612555 PECOS PAC ID: 7416287636 Enrollment ID: I20230725001488 |
| Provider Name | Kelsey Marie Jensen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538725981 PECOS PAC ID: 5698002368 Enrollment ID: I20230727000076 |
| Provider Name | Matthew Charles Mcvay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336593300 PECOS PAC ID: 3971903352 Enrollment ID: I20230727001817 |
| Provider Name | Adam S Nygard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871021816 PECOS PAC ID: 3173895232 Enrollment ID: I20230801001541 |
| Provider Name | Vanessa Moll |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346565702 PECOS PAC ID: 9931321106 Enrollment ID: I20230801002535 |
| Provider Name | Molly A Wingfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649709411 PECOS PAC ID: 1052683133 Enrollment ID: I20230802000432 |
| Provider Name | Bethany Birkelo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871942821 PECOS PAC ID: 3375927288 Enrollment ID: I20230803000501 |
| Provider Name | Anne Kathryn Wieck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932887742 PECOS PAC ID: 8729449806 Enrollment ID: I20230806000036 |
| Provider Name | Scott Mauch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598290272 PECOS PAC ID: 3173893104 Enrollment ID: I20230808002941 |
| Provider Name | John Louis Csiha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760942585 PECOS PAC ID: 4587998836 Enrollment ID: I20230808004263 |
| Provider Name | Trevor Everett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134654908 PECOS PAC ID: 0446520654 Enrollment ID: I20230809001624 |
| Provider Name | Anand Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629102918 PECOS PAC ID: 9436217858 Enrollment ID: I20230810000565 |
| Provider Name | Ferenc Gyulai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053389783 PECOS PAC ID: 1951596485 Enrollment ID: I20230810003324 |
| Provider Name | Nancy Y Her |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750957395 PECOS PAC ID: 2466814199 Enrollment ID: I20230814000312 |
| Provider Name | Lisa Cherullo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326137159 PECOS PAC ID: 7315929635 Enrollment ID: I20230815001249 |
| Provider Name | Martina Burn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033565775 PECOS PAC ID: 0840584678 Enrollment ID: I20230815001933 |
| Provider Name | Jack Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104356500 PECOS PAC ID: 2668744426 Enrollment ID: I20230816003429 |
| Provider Name | Rashedat B Oshodi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104448638 PECOS PAC ID: 6204298532 Enrollment ID: I20230817002119 |
| Provider Name | Noel Slesinger Roy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881373835 PECOS PAC ID: 2163884230 Enrollment ID: I20230822001657 |
| Provider Name | Emily Digravina Moccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891472924 PECOS PAC ID: 7719340876 Enrollment ID: I20230823001478 |
| Provider Name | Rachel Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770265647 PECOS PAC ID: 8224491212 Enrollment ID: I20230823003200 |
| Provider Name | Javier Andres Suarez Oliveros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275907156 PECOS PAC ID: 9739410002 Enrollment ID: I20230824001334 |
| Provider Name | Mihir Milind Joshi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760844179 PECOS PAC ID: 4385047257 Enrollment ID: I20230830002111 |
| Provider Name | Zuzanna Kuchta Nahum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962182428 PECOS PAC ID: 7719340165 Enrollment ID: I20230831003949 |
| Provider Name | Michael A Lew |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720427768 PECOS PAC ID: 6204070964 Enrollment ID: I20230901001106 |
| Provider Name | Sandeep Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255730180 PECOS PAC ID: 9739484890 Enrollment ID: I20230906000687 |
| Provider Name | Chengying Ruan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871377499 PECOS PAC ID: 9537523691 Enrollment ID: I20230908000901 |
| Provider Name | Andrew J Sheehan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326500117 PECOS PAC ID: 2860720471 Enrollment ID: I20230920003034 |
| Provider Name | Tessa Maria Fontana Watt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144633488 PECOS PAC ID: 6305151929 Enrollment ID: I20230921000948 |
| Provider Name | Mikayla B Troughton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336646868 PECOS PAC ID: 5193073609 Enrollment ID: I20230925000206 |
| Provider Name | Karen Kay Powell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376961409 PECOS PAC ID: 7113147562 Enrollment ID: I20230925003166 |
| Provider Name | June Sigman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003877192 PECOS PAC ID: 3870676216 Enrollment ID: I20230926001266 |
| Provider Name | Ryan William Nelson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1649634221 PECOS PAC ID: 9830577410 Enrollment ID: I20230928002073 |
| Provider Name | Lindsay Barriere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235753831 PECOS PAC ID: 7517311202 Enrollment ID: I20230928003965 |
| Provider Name | Amber Chiu |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164069548 PECOS PAC ID: 8729432109 Enrollment ID: I20231004001251 |
| Provider Name | Satoshi Miyairi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275140378 PECOS PAC ID: 6305224239 Enrollment ID: I20231005000324 |
| Provider Name | Colleen Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992583181 PECOS PAC ID: 7618322710 Enrollment ID: I20231010001573 |
| Provider Name | Tara A Brooke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871270082 PECOS PAC ID: 7911352760 Enrollment ID: I20231013000959 |
| Provider Name | Titi Taiwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033851209 PECOS PAC ID: 1153776877 Enrollment ID: I20231016000744 |
| Provider Name | Hannah Marie James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083494694 PECOS PAC ID: 3173978624 Enrollment ID: I20231018002545 |
| Provider Name | Rosanna Marie Taylor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679936611 PECOS PAC ID: 4082069570 Enrollment ID: I20231019000281 |
| Provider Name | Lauren Ashley Hindt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821778804 PECOS PAC ID: 4587010996 Enrollment ID: I20231020002307 |
| Provider Name | John Rhodes Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679954192 PECOS PAC ID: 2860703832 Enrollment ID: I20231020002874 |
| Provider Name | Neal Rajan Godse |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326579350 PECOS PAC ID: 5991073363 Enrollment ID: I20231023001322 |
| Provider Name | Molly Laduch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588344220 PECOS PAC ID: 8921454018 Enrollment ID: I20231025003191 |
| Provider Name | Jessica Frach |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508555632 PECOS PAC ID: 4587011143 Enrollment ID: I20231103002455 |
| Provider Name | Lulwa El Zein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508532060 PECOS PAC ID: 3375926959 Enrollment ID: I20231107002171 |
| Provider Name | Ali Novin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124674635 PECOS PAC ID: 3678909744 Enrollment ID: I20231109001018 |
| Provider Name | Samantha Rae Woehrle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629851332 PECOS PAC ID: 5890142822 Enrollment ID: I20231113000791 |
| Provider Name | Kathaleen Jo Stone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376045575 PECOS PAC ID: 2466800750 Enrollment ID: I20231127003294 |
| Provider Name | Kirsi Elizabeth Keener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285406371 PECOS PAC ID: 8921456054 Enrollment ID: I20231129002327 |
| Provider Name | Alex Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619466992 PECOS PAC ID: 4284988619 Enrollment ID: I20231204001983 |
| Provider Name | Bradley Spence |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437642360 PECOS PAC ID: 8527319474 Enrollment ID: I20231206000698 |
| Provider Name | Andria Botzet |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477093953 PECOS PAC ID: 2769832302 Enrollment ID: I20231222001980 |
| Provider Name | Jessica Ritchey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962959684 PECOS PAC ID: 8325498843 Enrollment ID: I20231226001329 |
| Provider Name | Stephen John Palmer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396927869 PECOS PAC ID: 9537519913 Enrollment ID: I20231227002147 |
| Provider Name | Owen Karcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023404852 PECOS PAC ID: 7810347242 Enrollment ID: I20231228000686 |
| Provider Name | Victoria Sattarova |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497314421 PECOS PAC ID: 2860727104 Enrollment ID: I20231229002604 |
| Provider Name | John Daniel Rothpletz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740220409 PECOS PAC ID: 3971496142 Enrollment ID: I20240102001184 |
| Provider Name | Shelby Ann Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932977667 PECOS PAC ID: 2365894185 Enrollment ID: I20240117003344 |
| Provider Name | Clayton Chen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598837569 PECOS PAC ID: 7214114099 Enrollment ID: I20240117003392 |
| Provider Name | George V Chesteen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083053573 PECOS PAC ID: 8729333646 Enrollment ID: I20240129001598 |
| Provider Name | Ian Jun Okazaki |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841304409 PECOS PAC ID: 5496883548 Enrollment ID: I20240129004366 |
| Provider Name | Lynanne Evenson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639645898 PECOS PAC ID: 2466895511 Enrollment ID: I20240206003223 |
| Provider Name | Victor Hugo Figueroa Arenas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003677535 PECOS PAC ID: 4587007398 Enrollment ID: I20240208002899 |
| Provider Name | Ethan Bassett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710277769 PECOS PAC ID: 0648589051 Enrollment ID: I20240212002506 |
| Provider Name | Bradley John Otto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841649084 PECOS PAC ID: 6800189697 Enrollment ID: I20240214000194 |
| Provider Name | Sanjay Mohan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922486471 PECOS PAC ID: 9931436342 Enrollment ID: I20240222000106 |
| Provider Name | John Robert Leister |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497247027 PECOS PAC ID: 4789086877 Enrollment ID: I20240226002910 |
| Provider Name | Kyle Sterrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568166205 PECOS PAC ID: 0749626273 Enrollment ID: I20240307000144 |
| Provider Name | Angela Sharette Jones Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851156129 PECOS PAC ID: 9739525155 Enrollment ID: I20240307003391 |
| Provider Name | Nida Akram |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154883122 PECOS PAC ID: 0648500736 Enrollment ID: I20240312002249 |
| Provider Name | Michael J Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144676685 PECOS PAC ID: 2163709692 Enrollment ID: I20240313003182 |
| Provider Name | Yu-hui Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215591524 PECOS PAC ID: 4789918368 Enrollment ID: I20240321001714 |
| Provider Name | Holly C Gillis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609119015 PECOS PAC ID: 7315243631 Enrollment ID: I20240322002683 |
| Provider Name | Kishore Raja Kishore Raja Raja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255822268 PECOS PAC ID: 9537561428 Enrollment ID: I20240327003145 |
| Provider Name | Benjamin Craig Keith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275010720 PECOS PAC ID: 4183968712 Enrollment ID: I20240329001273 |
| Provider Name | Craig Byersdorfer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679697056 PECOS PAC ID: 6901076389 Enrollment ID: I20240402002768 |
| Provider Name | Angela Lyn Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679749279 PECOS PAC ID: 2062589344 Enrollment ID: I20240403001682 |
| Provider Name | Silvia Dolores Orengo-nania |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861481228 PECOS PAC ID: 7315131489 Enrollment ID: I20240404002626 |
| Provider Name | Ece Meram |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932697091 PECOS PAC ID: 6305193293 Enrollment ID: I20240405002877 |
| Provider Name | Lucas Reid Neuburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518555192 PECOS PAC ID: 2365880523 Enrollment ID: I20240405003608 |
| Provider Name | Alexa Rachel Weingarden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205367794 PECOS PAC ID: 1254799398 Enrollment ID: I20240410001316 |
| Provider Name | Yan Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952965071 PECOS PAC ID: 9931437746 Enrollment ID: I20240410001321 |
| Provider Name | Truong Huy Nguyen Do |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023540952 PECOS PAC ID: 6103196084 Enrollment ID: I20240410002046 |
| Provider Name | Bryce Allyn Jorgensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629562921 PECOS PAC ID: 5193164879 Enrollment ID: I20240415000598 |
| Provider Name | Russell Daniel Pluhm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093378499 PECOS PAC ID: 1153758529 Enrollment ID: I20240416001128 |
| Provider Name | Jeffrey Stephen Mella |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407411622 PECOS PAC ID: 8628305711 Enrollment ID: I20240417002593 |
| Provider Name | Victor C Montalvan Ayala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629635503 PECOS PAC ID: 7911368808 Enrollment ID: I20240418000063 |
| Provider Name | Jennifer Lyn Zick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255952073 PECOS PAC ID: 1850718453 Enrollment ID: I20240418000345 |
| Provider Name | Jacob Joseph Stuppy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063093094 PECOS PAC ID: 3072915081 Enrollment ID: I20240419000833 |
| Provider Name | Morenike Fanu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720548365 PECOS PAC ID: 5597105593 Enrollment ID: I20240424001676 |
| Provider Name | Mollie Abigail Simmons |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1871883942 PECOS PAC ID: 1456633486 Enrollment ID: I20240424002783 |
| Provider Name | Andrea Mary Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730709593 PECOS PAC ID: 5395168884 Enrollment ID: I20240424003932 |
| Provider Name | Hyacinth Escutin Hruby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306611967 PECOS PAC ID: 8628418522 Enrollment ID: I20240425001424 |
| Provider Name | Michael Clifton |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811429939 PECOS PAC ID: 2961884788 Enrollment ID: I20240425003908 |
| Provider Name | Vinod Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003674615 PECOS PAC ID: 5092155507 Enrollment ID: I20240501002327 |
| Provider Name | Mario Ricardo Funes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679065205 PECOS PAC ID: 9335589647 Enrollment ID: I20240503001720 |
| Provider Name | Alexis Josephine Swenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568028777 PECOS PAC ID: 9638509714 Enrollment ID: I20240508003833 |
| Provider Name | Mamatha Kadiyala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851382584 PECOS PAC ID: 6002848041 Enrollment ID: I20240516001329 |
| Provider Name | Joseph Fotos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710114186 PECOS PAC ID: 8426360835 Enrollment ID: I20240517002517 |
| Provider Name | Hannah Dennis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154171528 PECOS PAC ID: 0446692677 Enrollment ID: I20240520003009 |
| Provider Name | Robert Dellavalle |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003881756 PECOS PAC ID: 6002942174 Enrollment ID: I20240603002137 |
| Provider Name | Todd Costantini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396900064 PECOS PAC ID: 3779732987 Enrollment ID: I20240607001121 |
Morningstar Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Ave N, Suite 202, Minneapolis, MN 55401 Phone: 612-455-2920 Fax: 612-455-2921 | |
Healthpartners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425 Phone: 952-883-7469 Fax: 952-883-5395 | |
Boynton Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-8400 Fax: 612-625-1434 | |
Corban Health Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 36th Ave S, Minneapolis, MN 55417 Phone: 612-644-9047 | |
M Health Fairview Masonic Institute For The Developing Brain Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-301-0115 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Washington Ave N Fl 2, Minneapolis, MN 55401 Phone: 773-292-4800 Fax: 312-564-4059 | |
Allina Health Home Hospital Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-262-7800 |