| University Of Penn - Medical Group | |
|
3400 Spruce St 3 Ravdin, Suite F, Pulmonary & Critical Care Philadelphia PA 19104-4206 | |
| (215) 662-3202 | |
| Not Available |
| Full Name | University Of Penn - Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 Spruce St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Chante L Jackson (ENROLLMENT LEAD) |
| Authorized Official Contact | 2156626187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Penn - Medical Group 3400 Spruce St 3 Ravdin - Suite F Philadelphia PA 19104-4206 Ph: (215) 662-3202 | University Of Penn - Medical Group 3400 Spruce St 3 Ravdin, Suite F, Pulmonary & Critical Care Philadelphia PA 19104-4206 Ph: (215) 662-3202 |
| NPI Number | 1003923707 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 6204730955 |
|---|---|
| Medicare Enrollment ID | O20141216000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003923707 | NPI | - | NPPES |
| 1010943 | Other | PA | MERCY |
| 002Y20116 | Other | PA | HEALTHNET |
| 020255499 | Other | PA | EEIOC |
| 5469406 | Other | NJ | NJ-MEDICAID |
| 06632 | Other | PA | HEALTHPARTNERS |
| G00031670 | Other | PA | AMERICHOICE |
| 273248 | Other | PA | MAMSI |
| CA0235 | Other | PA | RR MEDICARE |
| 0006610360 | Medicaid | PA | |
| 0193436000 | Other | PA | KEYSTONE |
| 043063 | Other | PA | BLUE SHIELD |
| 495710 | Other | PA | AETNA |
| Provider Name | David M Raizen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1891717146 PECOS PAC ID: 5597663310 Enrollment ID: I20031230000540 |
| Provider Name | Mary E Kreider |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316979313 PECOS PAC ID: 0042103368 Enrollment ID: I20040202001136 |
| Provider Name | Jacqueline Michelle Riner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225131576 PECOS PAC ID: 6305739194 Enrollment ID: I20040205000401 |
| Provider Name | Subhajit Chakravorty |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1699927574 PECOS PAC ID: 8325933922 Enrollment ID: I20040220000664 |
| Provider Name | Maria Mercedes Crespo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376515965 PECOS PAC ID: 0244132587 Enrollment ID: I20040423000058 |
| Provider Name | Donna Applegate Chojnowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770516593 PECOS PAC ID: 9638167786 Enrollment ID: I20040505001432 |
| Provider Name | Siva Kumar Ramachandran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215902937 PECOS PAC ID: 4284610924 Enrollment ID: I20040624001574 |
| Provider Name | Namrata Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740278704 PECOS PAC ID: 0941287379 Enrollment ID: I20040702001052 |
| Provider Name | David Andrew Lipson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134153208 PECOS PAC ID: 4789662628 Enrollment ID: I20040708000811 |
| Provider Name | Marianne Shuman Ferrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932318474 PECOS PAC ID: 6103804067 Enrollment ID: I20040708000929 |
| Provider Name | Nalaka Sudhee Gooneratne |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1235170663 PECOS PAC ID: 8729068044 Enrollment ID: I20040726000494 |
| Provider Name | Ronald L Kotler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336197581 PECOS PAC ID: 5395719207 Enrollment ID: I20040825000502 |
| Provider Name | Michael P Casey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184698722 PECOS PAC ID: 3678547585 Enrollment ID: I20040825000595 |
| Provider Name | Paul A Kinniry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427006675 PECOS PAC ID: 1355316183 Enrollment ID: I20040826000577 |
| Provider Name | Steven Elliott Weinberger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255407763 PECOS PAC ID: 1759359250 Enrollment ID: I20040922000776 |
| Provider Name | Anil Vachani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861413759 PECOS PAC ID: 8921077173 Enrollment ID: I20040925000076 |
| Provider Name | Audreesh Banerjee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790848307 PECOS PAC ID: 5799746731 Enrollment ID: I20041022000325 |
| Provider Name | Frank T Leone |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154344794 PECOS PAC ID: 2860442522 Enrollment ID: I20050131000332 |
| Provider Name | Michael William Sims |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407880578 PECOS PAC ID: 5799737169 Enrollment ID: I20050214000578 |
| Provider Name | Barry D Fuchs |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679507743 PECOS PAC ID: 4082668173 Enrollment ID: I20050311000088 |
| Provider Name | Joan Hoch Kinniry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184719924 PECOS PAC ID: 1052365152 Enrollment ID: I20050311000112 |
| Provider Name | Maria Antoniou |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1689600504 PECOS PAC ID: 7012959489 Enrollment ID: I20050525000969 |
| Provider Name | Denis Hadjiliadis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801829684 PECOS PAC ID: 9032151097 Enrollment ID: I20050531000857 |
| Provider Name | Anita G Ko |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1952358509 PECOS PAC ID: 9537105085 Enrollment ID: I20050706000568 |
| Provider Name | Douglas S Holsclaw |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629037437 PECOS PAC ID: 5294771606 Enrollment ID: I20050707000058 |
| Provider Name | Constance Jessica Dine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417010026 PECOS PAC ID: 1052347937 Enrollment ID: I20050712000811 |
| Provider Name | Andrew Robert Haas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083638035 PECOS PAC ID: 2466469960 Enrollment ID: I20060310000554 |
| Provider Name | Arshad Ahmad Wani |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1518915289 PECOS PAC ID: 2264445782 Enrollment ID: I20060728000003 |
| Provider Name | Abigail Crawshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457463473 PECOS PAC ID: 9234134958 Enrollment ID: I20061002000048 |
| Provider Name | Michael George Shashaty |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164437745 PECOS PAC ID: 9931106408 Enrollment ID: I20061025000423 |
| Provider Name | Indira Gurubhagavatula |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1366455966 PECOS PAC ID: 4385643782 Enrollment ID: I20061213000084 |
| Provider Name | Latesha L Colbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386723666 PECOS PAC ID: 8123027406 Enrollment ID: I20061214000208 |
| Provider Name | Joel L Deitz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215967005 PECOS PAC ID: 2264538271 Enrollment ID: I20070525000400 |
| Provider Name | Joshua Matthew Diamond |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679636021 PECOS PAC ID: 3375642424 Enrollment ID: I20070630000080 |
| Provider Name | Noel Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841350485 PECOS PAC ID: 1153421995 Enrollment ID: I20070710000386 |
| Provider Name | William D Schweickert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083825335 PECOS PAC ID: 8123128675 Enrollment ID: I20070712000436 |
| Provider Name | Megan Eilrrn Lettieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861598831 PECOS PAC ID: 7618077033 Enrollment ID: I20070713000172 |
| Provider Name | Cheilonda R Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053367268 PECOS PAC ID: 9436250982 Enrollment ID: I20070727000205 |
| Provider Name | Christine Lynn Archer Chicko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306037353 PECOS PAC ID: 5193817062 Enrollment ID: I20070823000050 |
| Provider Name | Charles R Cantor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225066244 PECOS PAC ID: 8820181662 Enrollment ID: I20070910000599 |
| Provider Name | Hiral Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023137742 PECOS PAC ID: 6709970494 Enrollment ID: I20070926000386 |
| Provider Name | Megin Adams Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720273543 PECOS PAC ID: 9830284363 Enrollment ID: I20070928000381 |
| Provider Name | Sarah M Lyon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306900659 PECOS PAC ID: 1850488099 Enrollment ID: I20071105000067 |
| Provider Name | Vivek N Ahya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346272697 PECOS PAC ID: 9830279710 Enrollment ID: I20080104000161 |
| Provider Name | James C Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588727010 PECOS PAC ID: 2365523347 Enrollment ID: I20080116000072 |
| Provider Name | Jorge Mora |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1720167257 PECOS PAC ID: 6103928940 Enrollment ID: I20080312000376 |
| Provider Name | Steven Mark Kawut |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1730254533 PECOS PAC ID: 5496826661 Enrollment ID: I20080616000265 |
| Provider Name | Nuala J Meyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942468061 PECOS PAC ID: 3072583202 Enrollment ID: I20080723000459 |
| Provider Name | Janice F Biddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851596985 PECOS PAC ID: 0941377857 Enrollment ID: I20080918000388 |
| Provider Name | Scott D Halpern |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639232143 PECOS PAC ID: 0648335208 Enrollment ID: I20090213000328 |
| Provider Name | Jason E Wagner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588729768 PECOS PAC ID: 0840340964 Enrollment ID: I20090611000496 |
| Provider Name | Julie A. Wang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1578725339 PECOS PAC ID: 3072663830 Enrollment ID: I20090617000038 |
| Provider Name | Judd Flesch |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821151291 PECOS PAC ID: 8123179710 Enrollment ID: I20090622000203 |
| Provider Name | Dafna Ofer |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1760697601 PECOS PAC ID: 7719039858 Enrollment ID: I20090721000085 |
| Provider Name | Nilam Suryakant Mangalmurti |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639342439 PECOS PAC ID: 3476607227 Enrollment ID: I20090813000622 |
| Provider Name | Meeta P Kerlin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578537411 PECOS PAC ID: 0840222303 Enrollment ID: I20090908000078 |
| Provider Name | Amy K Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932339405 PECOS PAC ID: 1951456250 Enrollment ID: I20090910000485 |
| Provider Name | Ron Chaim Anafi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1548324080 PECOS PAC ID: 6800985888 Enrollment ID: I20090925000404 |
| Provider Name | James Findley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972554327 PECOS PAC ID: 7416098918 Enrollment ID: I20100106000329 |
| Provider Name | Grace Weiwei Pien |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1427077650 PECOS PAC ID: 8820133218 Enrollment ID: I20100310000466 |
| Provider Name | Richard J Schwab |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1760416838 PECOS PAC ID: 6709921018 Enrollment ID: I20100310000755 |
| Provider Name | Ilene M Rosen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1407871072 PECOS PAC ID: 0941350771 Enrollment ID: I20100318000779 |
| Provider Name | Sharon Schutte-rodin |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1558454223 PECOS PAC ID: 7911032669 Enrollment ID: I20100319000089 |
| Provider Name | Allan I Pack |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1568555241 PECOS PAC ID: 7214062702 Enrollment ID: I20100323000572 |
| Provider Name | Sigrid C Veasey |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386663524 PECOS PAC ID: 6608901103 Enrollment ID: I20100323000633 |
| Provider Name | Daniel Dorgan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952523185 PECOS PAC ID: 9931209871 Enrollment ID: I20100327000298 |
| Provider Name | Burton T Mark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245270982 PECOS PAC ID: 0042227126 Enrollment ID: I20100329000683 |
| Provider Name | Joyce Epelboim |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1033323779 PECOS PAC ID: 5991832172 Enrollment ID: I20100420000386 |
| Provider Name | Tamara A Mahr |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124184890 PECOS PAC ID: 3779612841 Enrollment ID: I20100527000733 |
| Provider Name | Kerri A Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821167941 PECOS PAC ID: 7517031339 Enrollment ID: I20100804000099 |
| Provider Name | Horace M Delisser |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578577094 PECOS PAC ID: 8628101870 Enrollment ID: I20100809000671 |
| Provider Name | Michael A Grippi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205860376 PECOS PAC ID: 1153454301 Enrollment ID: I20100809000708 |
| Provider Name | Ronald G Collman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841204369 PECOS PAC ID: 3678607868 Enrollment ID: I20100810000195 |
| Provider Name | Lisa M Bellini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871512251 PECOS PAC ID: 0648304832 Enrollment ID: I20100810000228 |
| Provider Name | Jason D Christie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598799660 PECOS PAC ID: 5799819991 Enrollment ID: I20100810000294 |
| Provider Name | Robert M Kotloff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043244114 PECOS PAC ID: 5799819926 Enrollment ID: I20100810000669 |
| Provider Name | Scott Manaker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114931631 PECOS PAC ID: 2567596638 Enrollment ID: I20100812000166 |
| Provider Name | Milton D Rossman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982636973 PECOS PAC ID: 9032243001 Enrollment ID: I20100812000260 |
| Provider Name | John H Hansen-flaschen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316971484 PECOS PAC ID: 0446384424 Enrollment ID: I20100812000327 |
| Provider Name | Harold I Palevsky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023022548 PECOS PAC ID: 2567596547 Enrollment ID: I20100812000411 |
| Provider Name | Darren B Taichman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396777272 PECOS PAC ID: 1254465248 Enrollment ID: I20100812000463 |
| Provider Name | Aili L Lazaar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962516732 PECOS PAC ID: 3274667274 Enrollment ID: I20100812000580 |
| Provider Name | Gregory Tino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851323851 PECOS PAC ID: 7719011717 Enrollment ID: I20100812000584 |
| Provider Name | Jason Scott Fritz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417987652 PECOS PAC ID: 7113921925 Enrollment ID: I20100910000667 |
| Provider Name | Reynold A Panettieri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104830629 PECOS PAC ID: 3173718921 Enrollment ID: I20101108000046 |
| Provider Name | Michael F Beers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396779468 PECOS PAC ID: 5698961134 Enrollment ID: I20101123001148 |
| Provider Name | Ronald Bruce Barnett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477515815 PECOS PAC ID: 5991992489 Enrollment ID: I20101209000800 |
| Provider Name | Spencer Nabors |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356546527 PECOS PAC ID: 5294914289 Enrollment ID: I20110124000124 |
| Provider Name | Edmund K Moon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720288020 PECOS PAC ID: 9537342068 Enrollment ID: I20110322000209 |
| Provider Name | Diane C Lim |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1750322376 PECOS PAC ID: 3173709557 Enrollment ID: I20110519000413 |
| Provider Name | Katherine R Courtright |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831351410 PECOS PAC ID: 3173701950 Enrollment ID: I20110627000146 |
| Provider Name | Mary K Porteous |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851553432 PECOS PAC ID: 2567631617 Enrollment ID: I20110808000422 |
| Provider Name | Pratima Pathak Behari |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1588725865 PECOS PAC ID: 6507894334 Enrollment ID: I20110823000779 |
| Provider Name | Jacqueline L Zipay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831409226 PECOS PAC ID: 7618147299 Enrollment ID: I20110909002727 |
| Provider Name | Joshua Berkman Kayser |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144383662 PECOS PAC ID: 4981636685 Enrollment ID: I20110921000298 |
| Provider Name | Lana Chahine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962672238 PECOS PAC ID: 5799958146 Enrollment ID: I20111031000068 |
| Provider Name | Raymond J Kovalski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861588006 PECOS PAC ID: 9638345986 Enrollment ID: I20120109000200 |
| Provider Name | Denise Feeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780950071 PECOS PAC ID: 5890958532 Enrollment ID: I20120517000029 |
| Provider Name | Anthony R Lanfranco |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780893693 PECOS PAC ID: 0446414585 Enrollment ID: I20120621000077 |
| Provider Name | Caitlin J Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952651556 PECOS PAC ID: 6608025598 Enrollment ID: I20121010000096 |
| Provider Name | Elizabeth S Attig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346585882 PECOS PAC ID: 4981857703 Enrollment ID: I20130103000334 |
| Provider Name | Lisa F Felkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427304252 PECOS PAC ID: 1254581804 Enrollment ID: I20130529000150 |
| Provider Name | Jeffrey Campbell Thompson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154641058 PECOS PAC ID: 9032350921 Enrollment ID: I20130718000138 |
| Provider Name | Tina L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356632210 PECOS PAC ID: 5890938799 Enrollment ID: I20130824000195 |
| Provider Name | John P Reilly |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427217058 PECOS PAC ID: 0244469591 Enrollment ID: I20140206001502 |
| Provider Name | Sofia Wronski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295157246 PECOS PAC ID: 2668602210 Enrollment ID: I20140228000053 |
| Provider Name | Lauren Elizbeth Springman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770914871 PECOS PAC ID: 5395975700 Enrollment ID: I20140305000223 |
| Provider Name | Yana Sigal Banerjee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447597695 PECOS PAC ID: 4385875822 Enrollment ID: I20140326000015 |
| Provider Name | Olajumoke Olanrewaju Fadugba |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1760611511 PECOS PAC ID: 8729203583 Enrollment ID: I20140710002025 |
| Provider Name | Ashley K Geller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588928212 PECOS PAC ID: 4183875214 Enrollment ID: I20140822001248 |
| Provider Name | Christina Taing Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568898989 PECOS PAC ID: 8628296704 Enrollment ID: I20140903000627 |
| Provider Name | Emily Siu Clausen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255623146 PECOS PAC ID: 1153540075 Enrollment ID: I20140908002119 |
| Provider Name | Erin C Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447661632 PECOS PAC ID: 8628297017 Enrollment ID: I20140917001282 |
| Provider Name | Jamie Bessich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578785374 PECOS PAC ID: 7911127782 Enrollment ID: I20140929001689 |
| Provider Name | Meghan D Holena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720497050 PECOS PAC ID: 9830311851 Enrollment ID: I20141106001820 |
| Provider Name | Miguel A Paniagua |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1508859430 PECOS PAC ID: 9436057866 Enrollment ID: I20141121000610 |
| Provider Name | Joanna L Hart |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205098860 PECOS PAC ID: 0840514436 Enrollment ID: I20150202000151 |
| Provider Name | Kathleen Hirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366738403 PECOS PAC ID: 9830400647 Enrollment ID: I20150622000125 |
| Provider Name | John M Chandler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871563940 PECOS PAC ID: 6305913351 Enrollment ID: I20150911000983 |
| Provider Name | Aileen L Love |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538326962 PECOS PAC ID: 9537355706 Enrollment ID: I20150922000757 |
| Provider Name | Lauren Kay Marsteller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457675654 PECOS PAC ID: 6507098241 Enrollment ID: I20150923000671 |
| Provider Name | Patricia A Bresnak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699146662 PECOS PAC ID: 9830490218 Enrollment ID: I20151209002609 |
| Provider Name | Jamie L Lederer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619308988 PECOS PAC ID: 4688806938 Enrollment ID: I20151221000018 |
| Provider Name | Melissa M Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033583299 PECOS PAC ID: 7911200571 Enrollment ID: I20160114002869 |
| Provider Name | Andrew J Paris |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396988523 PECOS PAC ID: 9931402880 Enrollment ID: I20160127000191 |
| Provider Name | Amy K Matta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104290386 PECOS PAC ID: 2466757737 Enrollment ID: I20160224001273 |
| Provider Name | Elizabeth A Senese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811361090 PECOS PAC ID: 6901101989 Enrollment ID: I20160301000120 |
| Provider Name | Brian Jacob Anderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396987558 PECOS PAC ID: 8224352000 Enrollment ID: I20160302000832 |
| Provider Name | Reka Somodi Manfre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588784425 PECOS PAC ID: 9335321058 Enrollment ID: I20160425001774 |
| Provider Name | Jacob Samuel Brenner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558674184 PECOS PAC ID: 1951690841 Enrollment ID: I20160517000248 |
| Provider Name | Lauren Michele Catalano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417118415 PECOS PAC ID: 4789805169 Enrollment ID: I20160603000028 |
| Provider Name | Tammy Giles Tursi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770869950 PECOS PAC ID: 6305010729 Enrollment ID: I20160725002948 |
| Provider Name | Joshua Brotman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063755189 PECOS PAC ID: 4183911662 Enrollment ID: I20160927002071 |
| Provider Name | Nadine Al-naamani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407181142 PECOS PAC ID: 9537447289 Enrollment ID: I20161031001826 |
| Provider Name | Jennifer Catherine Stengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942753801 PECOS PAC ID: 1557640166 Enrollment ID: I20161122000467 |
| Provider Name | Rachel A Falsone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336518307 PECOS PAC ID: 9335457548 Enrollment ID: I20161123001413 |
| Provider Name | Gina J Hong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457513475 PECOS PAC ID: 0749458818 Enrollment ID: I20161220001285 |
| Provider Name | Stacey Michelle Kassutto |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548587785 PECOS PAC ID: 4284915794 Enrollment ID: I20161221000565 |
| Provider Name | Melissa Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235689233 PECOS PAC ID: 7012298953 Enrollment ID: I20170109000034 |
| Provider Name | Shannon May Hemschoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245780741 PECOS PAC ID: 9739460445 Enrollment ID: I20170111000912 |
| Provider Name | Brianna Marie Brophy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174073167 PECOS PAC ID: 0941582696 Enrollment ID: I20170113000031 |
| Provider Name | Nikia Rahemtulla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730630898 PECOS PAC ID: 1456633437 Enrollment ID: I20170127000363 |
| Provider Name | Lauren Raudenbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316499890 PECOS PAC ID: 5395027387 Enrollment ID: I20170127000653 |
| Provider Name | Michael John Kegerreis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558813402 PECOS PAC ID: 8022391853 Enrollment ID: I20170201002135 |
| Provider Name | Jessica Ann Palakshappa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043530512 PECOS PAC ID: 3678734704 Enrollment ID: I20170213000114 |
| Provider Name | Amber Dawn Haymore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427593995 PECOS PAC ID: 0941587992 Enrollment ID: I20170501001653 |
| Provider Name | Amee Patel Condron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427598804 PECOS PAC ID: 8224315056 Enrollment ID: I20170504001534 |
| Provider Name | Hari Shankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629488671 PECOS PAC ID: 7719277425 Enrollment ID: I20170525000094 |
| Provider Name | Alyssa B Langi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497280812 PECOS PAC ID: 4486922705 Enrollment ID: I20170609000763 |
| Provider Name | Caitlin Maria Schruba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053863621 PECOS PAC ID: 4880962760 Enrollment ID: I20170619000021 |
| Provider Name | David Micheal Dibardino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003127135 PECOS PAC ID: 3072821016 Enrollment ID: I20170623000078 |
| Provider Name | Hilary E Faust |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669764817 PECOS PAC ID: 5698044816 Enrollment ID: I20170703001026 |
| Provider Name | Nahreen Husna Ahmed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033434337 PECOS PAC ID: 6406127091 Enrollment ID: I20170731002738 |
| Provider Name | Charles Joonghie Bae |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477592335 PECOS PAC ID: 2466408166 Enrollment ID: I20170803000053 |
| Provider Name | Scott F Feldman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1164798146 PECOS PAC ID: 6406156645 Enrollment ID: I20170811000858 |
| Provider Name | Steven C Pugliese |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124285242 PECOS PAC ID: 9133435910 Enrollment ID: I20170814000829 |
| Provider Name | Andrew Miller Courtwright |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376770818 PECOS PAC ID: 4789846916 Enrollment ID: I20170822000648 |
| Provider Name | Tierney Alexandra Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932579984 PECOS PAC ID: 4789968736 Enrollment ID: I20170830001507 |
| Provider Name | Yoon Hee Amy Chang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1023294311 PECOS PAC ID: 5799826798 Enrollment ID: I20170928000791 |
| Provider Name | Anar A Dossumbekova |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1467716803 PECOS PAC ID: 5294959763 Enrollment ID: I20171012000359 |
| Provider Name | Jessi Rae Eno-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336660737 PECOS PAC ID: 8022384056 Enrollment ID: I20171019000460 |
| Provider Name | Geoffrey Bass |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740600279 PECOS PAC ID: 3971809161 Enrollment ID: I20171106000566 |
| Provider Name | Christopher Thomas Mcandrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588014518 PECOS PAC ID: 0345506309 Enrollment ID: I20171107001560 |
| Provider Name | Maureen P Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891205324 PECOS PAC ID: 2466719844 Enrollment ID: I20171121001092 |
| Provider Name | George L Anesi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609160639 PECOS PAC ID: 6406017896 Enrollment ID: I20180116000756 |
| Provider Name | Annie Perng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497261820 PECOS PAC ID: 2062771009 Enrollment ID: I20180119000014 |
| Provider Name | Kunal Parimal Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629362843 PECOS PAC ID: 8820238850 Enrollment ID: I20180123000078 |
| Provider Name | Rachel A Kohn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992090682 PECOS PAC ID: 6608036546 Enrollment ID: I20180208002300 |
| Provider Name | Lindsay A Draham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609397520 PECOS PAC ID: 3577822519 Enrollment ID: I20180223000416 |
| Provider Name | Angela Le Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013423441 PECOS PAC ID: 3375804610 Enrollment ID: I20180228002192 |
| Provider Name | Kathryn Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396245593 PECOS PAC ID: 3779845698 Enrollment ID: I20180313000345 |
| Provider Name | Gary Eric Weissman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750673414 PECOS PAC ID: 9133481914 Enrollment ID: I20180314000527 |
| Provider Name | Margaret Ann Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699277780 PECOS PAC ID: 3678835691 Enrollment ID: I20180402001571 |
| Provider Name | Timothy M Cragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629573332 PECOS PAC ID: 9335402916 Enrollment ID: I20180412001346 |
| Provider Name | Patrick Sayre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396158341 PECOS PAC ID: 4183922883 Enrollment ID: I20180522000980 |
| Provider Name | Heather M Giannini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447646310 PECOS PAC ID: 3274880521 Enrollment ID: I20180718002423 |
| Provider Name | Parul Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336534809 PECOS PAC ID: 5294083994 Enrollment ID: I20180810002467 |
| Provider Name | Kevin Ma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013216357 PECOS PAC ID: 2961751565 Enrollment ID: I20180815000722 |
| Provider Name | Shweta Sood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760749717 PECOS PAC ID: 7315296183 Enrollment ID: I20180828001667 |
| Provider Name | Jenie George |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760725089 PECOS PAC ID: 2163795246 Enrollment ID: I20180912001963 |
| Provider Name | Jason Thomas Ackrivo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003115395 PECOS PAC ID: 8426280389 Enrollment ID: I20181129000033 |
| Provider Name | Tiffanie Jones |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295097806 PECOS PAC ID: 6305138223 Enrollment ID: I20181130000073 |
| Provider Name | Jeremy B Katzen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063708899 PECOS PAC ID: 8224253158 Enrollment ID: I20181206000056 |
| Provider Name | John Evan Mcginniss |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750670246 PECOS PAC ID: 7113142175 Enrollment ID: I20181217000652 |
| Provider Name | Susan Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962979989 PECOS PAC ID: 0446596621 Enrollment ID: I20190109000072 |
| Provider Name | Cameron Murray Baston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871892562 PECOS PAC ID: 2466675251 Enrollment ID: I20190116000315 |
| Provider Name | Brianne Ehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346704715 PECOS PAC ID: 1850639949 Enrollment ID: I20190215000146 |
| Provider Name | Janae Kathleen Heath |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013203579 PECOS PAC ID: 6002076940 Enrollment ID: I20190313001893 |
| Provider Name | Katherine O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740753359 PECOS PAC ID: 2062753908 Enrollment ID: I20190403000739 |
| Provider Name | Raj Champak Dedhia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518121169 PECOS PAC ID: 0143548370 Enrollment ID: I20190531000020 |
| Provider Name | Priya Jayesh Patel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1396002820 PECOS PAC ID: 6204105604 Enrollment ID: I20190702000850 |
| Provider Name | Jerome Francis Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326605056 PECOS PAC ID: 9638403231 Enrollment ID: I20190702002187 |
| Provider Name | Audrey Lee Daggan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730323825 PECOS PAC ID: 5395053342 Enrollment ID: I20190724001463 |
| Provider Name | Christoph Thomas Hutchinson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154646420 PECOS PAC ID: 9830409994 Enrollment ID: I20190724001999 |
| Provider Name | Ling Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043672728 PECOS PAC ID: 9931435625 Enrollment ID: I20190802000760 |
| Provider Name | Upendra S Dhanjal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831152404 PECOS PAC ID: 3870772569 Enrollment ID: I20191104000078 |
| Provider Name | Belen Esparis |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1740215979 PECOS PAC ID: 9133128853 Enrollment ID: I20191116000007 |
| Provider Name | Madison Weinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447762307 PECOS PAC ID: 3779842349 Enrollment ID: I20191219000966 |
| Provider Name | Michael Mariano Rey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932461548 PECOS PAC ID: 6204134802 Enrollment ID: I20191223001375 |
| Provider Name | Emily Claire Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578107892 PECOS PAC ID: 5597199604 Enrollment ID: I20191226000671 |
| Provider Name | Caitlin Brady Clancy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437598638 PECOS PAC ID: 1355775347 Enrollment ID: I20191228000006 |
| Provider Name | Deepshikha C Ashana |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174898357 PECOS PAC ID: 0648582478 Enrollment ID: I20200115001339 |
| Provider Name | Cassandra Feltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861030702 PECOS PAC ID: 6103252853 Enrollment ID: I20200129000451 |
| Provider Name | Sophia Victoria Wasserwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376176370 PECOS PAC ID: 9537597208 Enrollment ID: I20200311000281 |
| Provider Name | Patrick Kevin Gleeson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1124406889 PECOS PAC ID: 2961825500 Enrollment ID: I20200715000166 |
| Provider Name | Katharine Elizabeth Secunda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023436953 PECOS PAC ID: 7517240229 Enrollment ID: I20200722000029 |
| Provider Name | Nikki Chopra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740642123 PECOS PAC ID: 6305130576 Enrollment ID: I20201021000370 |
| Provider Name | Jessica Tracy Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982017216 PECOS PAC ID: 4981823283 Enrollment ID: I20201222002297 |
| Provider Name | Garbo Nilsson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366832073 PECOS PAC ID: 1456677350 Enrollment ID: I20201230000870 |
| Provider Name | Anna Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558967315 PECOS PAC ID: 0244643575 Enrollment ID: I20210106001187 |
| Provider Name | Laura Theresa Ferguson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144562299 PECOS PAC ID: 9335447747 Enrollment ID: I20210112000843 |
| Provider Name | Margaret Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396293254 PECOS PAC ID: 5799067773 Enrollment ID: I20210127001324 |
| Provider Name | Abigail Brooke Horowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841891058 PECOS PAC ID: 8628482411 Enrollment ID: I20210208001708 |
| Provider Name | Grace Pae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477187698 PECOS PAC ID: 1951717495 Enrollment ID: I20210309001328 |
| Provider Name | Amy Kuan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255923819 PECOS PAC ID: 4183031156 Enrollment ID: I20210319000271 |
| Provider Name | Rachel Amiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740866912 PECOS PAC ID: 9436567559 Enrollment ID: I20210409000156 |
| Provider Name | Alan Jeremy Gandler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336535913 PECOS PAC ID: 6002135589 Enrollment ID: I20210517000020 |
| Provider Name | Michaela Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861719536 PECOS PAC ID: 8022250513 Enrollment ID: I20210525000117 |
| Provider Name | Tue Thi Duc Te |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821524133 PECOS PAC ID: 4385918655 Enrollment ID: I20210614000181 |
| Provider Name | Erin Kathleen Padden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063096378 PECOS PAC ID: 1951705276 Enrollment ID: I20210810000080 |
| Provider Name | Kelsey Elyse Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174105928 PECOS PAC ID: 5193129419 Enrollment ID: I20210810000145 |
| Provider Name | Christie Sherin Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659826667 PECOS PAC ID: 7315235751 Enrollment ID: I20210921000366 |
| Provider Name | Jennifer Dorsch |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1750640215 PECOS PAC ID: 7416172796 Enrollment ID: I20211019000274 |
| Provider Name | Catherine Auriemma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477970523 PECOS PAC ID: 9032418942 Enrollment ID: I20211117001652 |
| Provider Name | Jasleen Minhas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124438452 PECOS PAC ID: 0941427306 Enrollment ID: I20211117001772 |
| Provider Name | Jeff Min |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093196412 PECOS PAC ID: 6800104712 Enrollment ID: I20211118001043 |
| Provider Name | Roger Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831578525 PECOS PAC ID: 9638482714 Enrollment ID: I20211210001942 |
| Provider Name | Jennifer C Ginestra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477948594 PECOS PAC ID: 9638463615 Enrollment ID: I20211215002692 |
| Provider Name | Christopher Francis Chesley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639580020 PECOS PAC ID: 5496046963 Enrollment ID: I20211230000927 |
| Provider Name | Aaron Ahlgren Huntley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811599160 PECOS PAC ID: 5991196644 Enrollment ID: I20220106002480 |
| Provider Name | Samantha A Risch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144823220 PECOS PAC ID: 8820480585 Enrollment ID: I20220110001879 |
| Provider Name | Maria Basil |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265845606 PECOS PAC ID: 8123245172 Enrollment ID: I20220120001555 |
| Provider Name | Ashley Nichole Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487251591 PECOS PAC ID: 4082007109 Enrollment ID: I20220211001238 |
| Provider Name | Susan Miao Lin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912247990 PECOS PAC ID: 0840423679 Enrollment ID: I20220316002853 |
| Provider Name | Nese Ercan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710647573 PECOS PAC ID: 6002201449 Enrollment ID: I20220321002590 |
| Provider Name | Melissa Adalila Soberanis Sanabria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396347860 PECOS PAC ID: 7517352669 Enrollment ID: I20220328001389 |
| Provider Name | Elizabeth Grace Spear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003564675 PECOS PAC ID: 8628464500 Enrollment ID: I20220331002407 |
| Provider Name | Russell Samuel Houck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366198541 PECOS PAC ID: 0941696389 Enrollment ID: I20220411002682 |
| Provider Name | Srdjan Gajic |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689036568 PECOS PAC ID: 5991182719 Enrollment ID: I20220517002981 |
| Provider Name | Thuonghien Tran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831542307 PECOS PAC ID: 5395038228 Enrollment ID: I20220524003376 |
| Provider Name | Brooke Nicole Heyman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437509676 PECOS PAC ID: 4385022649 Enrollment ID: I20220528000037 |
| Provider Name | Nga Thi-anh Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780123976 PECOS PAC ID: 4587042304 Enrollment ID: I20220607003420 |
| Provider Name | Pavle Milutinovic |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1275951857 PECOS PAC ID: 4486034378 Enrollment ID: I20220709000188 |
| Provider Name | Susanna Leonard |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417322173 PECOS PAC ID: 1456636935 Enrollment ID: I20220818002039 |
| Provider Name | Colleen Gerlach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477202760 PECOS PAC ID: 3971986134 Enrollment ID: I20220821000153 |
| Provider Name | Sarah Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386229284 PECOS PAC ID: 8123404423 Enrollment ID: I20221010001166 |
| Provider Name | Saamia M Hossain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710410121 PECOS PAC ID: 4183023286 Enrollment ID: I20221011000070 |
| Provider Name | Kathryn Elizabeth Fenwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790408615 PECOS PAC ID: 2365818507 Enrollment ID: I20221013001099 |
| Provider Name | Oscar Mitchell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023493475 PECOS PAC ID: 6901144328 Enrollment ID: I20221207000057 |
| Provider Name | Jennifer Lynn Vise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053021030 PECOS PAC ID: 8123498003 Enrollment ID: I20230111000220 |
| Provider Name | Samantha Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235840364 PECOS PAC ID: 2860863685 Enrollment ID: I20230113001318 |
| Provider Name | Meghan Bridget Banigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790499929 PECOS PAC ID: 9234501347 Enrollment ID: I20230217000444 |
| Provider Name | Alexander Moffett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356795470 PECOS PAC ID: 4981903770 Enrollment ID: I20230224001709 |
| Provider Name | Lana Shomali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124726385 PECOS PAC ID: 1658745724 Enrollment ID: I20230314000421 |
| Provider Name | Rebecca Macintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679812739 PECOS PAC ID: 7517112857 Enrollment ID: I20230515001376 |
| Provider Name | Jennifer Keen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467809426 PECOS PAC ID: 1658663257 Enrollment ID: I20230517002875 |
| Provider Name | Julianna Grace Rodin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720512932 PECOS PAC ID: 8921376021 Enrollment ID: I20230612001686 |
| Provider Name | Phoebe Vaughan Kahn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487016531 PECOS PAC ID: 9739422437 Enrollment ID: I20230724000127 |
| Provider Name | Sara Grace Cadman |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1750945101 PECOS PAC ID: 8820451438 Enrollment ID: I20230830001707 |
| Provider Name | Alexander Yoo |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1881012128 PECOS PAC ID: 5991099848 Enrollment ID: I20231004002147 |
| Provider Name | Max Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881247021 PECOS PAC ID: 9537591417 Enrollment ID: I20231117002850 |
| Provider Name | Mary Flick Eni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790566412 PECOS PAC ID: 4981057536 Enrollment ID: I20240130002970 |
| Provider Name | Joanna Wang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134468705 PECOS PAC ID: 4880992122 Enrollment ID: I20240207000601 |
| Provider Name | Janet Okorji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891251815 PECOS PAC ID: 4789925280 Enrollment ID: I20240214000785 |
| Provider Name | Eno-obong Ifeanyi Essien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578092615 PECOS PAC ID: 7517235757 Enrollment ID: I20240219001585 |
| Provider Name | Bryan Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366221541 PECOS PAC ID: 3577907344 Enrollment ID: I20240220002855 |
| Provider Name | Kami L. Mcmanus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609565480 PECOS PAC ID: 2860836442 Enrollment ID: I20240222001591 |
| Provider Name | Alyson Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346002847 PECOS PAC ID: 9638514128 Enrollment ID: I20240223002033 |
| Provider Name | Sara Kass-gergi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053844373 PECOS PAC ID: 9537405147 Enrollment ID: I20240228004179 |
| Provider Name | Joseph Planer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578083770 PECOS PAC ID: 5597038703 Enrollment ID: I20240429003151 |
| Provider Name | Kaitlyn Defrangesco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295592939 PECOS PAC ID: 1456791680 Enrollment ID: I20240503002849 |
| Provider Name | Latoya Charise Nesbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053190140 PECOS PAC ID: 5991145146 Enrollment ID: I20240503003539 |
| Provider Name | Kathryn Friedman Flack |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770938862 PECOS PAC ID: 5597050948 Enrollment ID: I20240516002563 |
Laura Yatvin Nutrition Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 N. 5th Street, Philadelphia, PA 19140 Phone: 215-455-5370 Fax: 215-455-5374 | |
Health Hero Pa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Dickinson St, Philadelphia, PA 19147 Phone: 484-667-3382 | |
Vo Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1735 Market St Fl 52, Philadelphia, PA 19103 Phone: 267-314-7252 | |
Rooted Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Tyson Ave, Philadelphia, PA 19149 Phone: 917-861-2531 | |
Care Health Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1308 Cottman Ave, Philadelphia, PA 19111 Phone: 732-766-1827 Fax: 609-890-0950 | |
Drexel Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6555 Fax: 215-762-3031 |