| University Of Penn - Medical Group | |
|
3400 Spruce St Philadelphia PA 19104-4206 | |
| (215) 662-4000 | |
| Not Available |
| Full Name | University Of Penn - Medical Group |
|---|---|
| Speciality | Hospitalist |
| 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 3600 Civic Center Blvd # 300e Philadelphia PA 19104-4310 Ph: (215) 662-2286 | University Of Penn - Medical Group 3400 Spruce St Philadelphia PA 19104-4206 Ph: (215) 662-4000 |
| NPI Number | 1053447151 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 6204730955 |
|---|---|
| Medicare Enrollment ID | O20150304001436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053447151 | NPI | - | NPPES |
| 003473 | Other | PA | AETNA |
| 0053945000 | Other | PA | KEYSTONE |
| 5543509 | Medicaid | NJ | |
| 0002Y20116 | Other | PA | HEALTHNET |
| 0006610360 | Medicaid | PA | |
| 06638 | Other | PA | HEALTHPARTNERS |
| 40063 | Other | PA | KEYSTONE MERCY |
| 147249 | Other | PA | BLUE SHIELD |
| CA0235 | Other | PA | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Steven Aaron Feinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104815356 PECOS PAC ID: 5799686598 Enrollment ID: I20040115000546 |
| Provider Name | Annemarie Leone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083799860 PECOS PAC ID: 4789589078 Enrollment ID: I20040224000425 |
| Provider Name | Dolores Bull Revels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225195480 PECOS PAC ID: 4789571274 Enrollment ID: I20040301000404 |
| Provider Name | Paula B Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437225893 PECOS PAC ID: 6901794122 Enrollment ID: I20040309000931 |
| Provider Name | Kathleen B Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215969530 PECOS PAC ID: 8729976832 Enrollment ID: I20040310000060 |
| Provider Name | Richard Louis Dunbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124042825 PECOS PAC ID: 3072508035 Enrollment ID: I20040419000669 |
| Provider Name | Robert K Cato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881626174 PECOS PAC ID: 9537155825 Enrollment ID: I20040422000464 |
| Provider Name | Susan Losee Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447345293 PECOS PAC ID: 7113917345 Enrollment ID: I20040518000531 |
| Provider Name | Linda Ksiazek Palmquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992871271 PECOS PAC ID: 1254315328 Enrollment ID: I20040616000343 |
| Provider Name | Edward Houston Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851367155 PECOS PAC ID: 6002892171 Enrollment ID: I20040629000079 |
| Provider Name | Emmanuel Su-chi King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598753469 PECOS PAC ID: 8921085671 Enrollment ID: I20040701000481 |
| Provider Name | Kendal Passot Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942232236 PECOS PAC ID: 7113904277 Enrollment ID: I20040707000013 |
| Provider Name | Daniel J Rader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316979610 PECOS PAC ID: 9830161066 Enrollment ID: I20040809001150 |
| Provider Name | Michael Andrew Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306849435 PECOS PAC ID: 5092788380 Enrollment ID: I20040816000475 |
| Provider Name | John Patrick Lynch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942393830 PECOS PAC ID: 6204802069 Enrollment ID: I20040903000060 |
| Provider Name | Ali Reza Yazdanyar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750318382 PECOS PAC ID: 9931177888 Enrollment ID: I20040920000483 |
| Provider Name | Susan C Day |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992737290 PECOS PAC ID: 6608838776 Enrollment ID: I20041101000523 |
| Provider Name | Peter Boutros Edde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265471940 PECOS PAC ID: 0840255691 Enrollment ID: I20041217000213 |
| Provider Name | Michael P Rosenthal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518985639 PECOS PAC ID: 7315996576 Enrollment ID: I20050114000561 |
| Provider Name | Richard Charles Wender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093734410 PECOS PAC ID: 6002865177 Enrollment ID: I20050114000726 |
| Provider Name | Patricia Sullivan Bomalaski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215023114 PECOS PAC ID: 5092767210 Enrollment ID: I20050216000492 |
| Provider Name | Allison Oler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710934740 PECOS PAC ID: 2769421254 Enrollment ID: I20050425000911 |
| Provider Name | Richard A Neill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396773438 PECOS PAC ID: 7911946132 Enrollment ID: I20050427000982 |
| Provider Name | Elaine L Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548206279 PECOS PAC ID: 4880634211 Enrollment ID: I20050505000316 |
| Provider Name | Aba Yvonne Barden-maja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356371413 PECOS PAC ID: 5698715670 Enrollment ID: I20050510000146 |
| Provider Name | Kent D W Bream |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538196423 PECOS PAC ID: 3779523519 Enrollment ID: I20050511000175 |
| Provider Name | James D Lewis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841204872 PECOS PAC ID: 2062453012 Enrollment ID: I20050519000575 |
| Provider Name | Victoria Frondorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033271184 PECOS PAC ID: 2163464223 Enrollment ID: I20050531000067 |
| Provider Name | Jean C Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477541381 PECOS PAC ID: 8527002435 Enrollment ID: I20050613000270 |
| Provider Name | Jennifer Susan Myers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427080860 PECOS PAC ID: 3870537632 Enrollment ID: I20050614000162 |
| Provider Name | Jennifer R Kogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568494920 PECOS PAC ID: 8729024682 Enrollment ID: I20050630000392 |
| Provider Name | Susan A Southard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811063183 PECOS PAC ID: 4981620879 Enrollment ID: I20051020000215 |
| Provider Name | Philip A Masters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265481634 PECOS PAC ID: 1456379718 Enrollment ID: I20051104000320 |
| Provider Name | Todd D Barton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629000906 PECOS PAC ID: 4880608884 Enrollment ID: I20060130000294 |
| Provider Name | Deirdre Brett Horan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033268024 PECOS PAC ID: 7810903630 Enrollment ID: I20060302000279 |
| Provider Name | Chadwick Rudolph Johr |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134144660 PECOS PAC ID: 8325043573 Enrollment ID: I20060922000183 |
| Provider Name | Katherine Fleming Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285656132 PECOS PAC ID: 2668477506 Enrollment ID: I20060927000178 |
| Provider Name | Susan R Mcginley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972519619 PECOS PAC ID: 1951306687 Enrollment ID: I20061002000153 |
| Provider Name | Maureen Leavy Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326078403 PECOS PAC ID: 7618973884 Enrollment ID: I20061011000219 |
| Provider Name | Joel Sam Betesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093724890 PECOS PAC ID: 4688673890 Enrollment ID: I20061218000244 |
| Provider Name | Diane Elaine Filter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902981335 PECOS PAC ID: 7214937127 Enrollment ID: I20061227000285 |
| Provider Name | Maya Nicole Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760555957 PECOS PAC ID: 4789685587 Enrollment ID: I20070122000509 |
| Provider Name | Kalen Y Miskel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144314055 PECOS PAC ID: 3476655473 Enrollment ID: I20070222000016 |
| Provider Name | Kathryn Mcgill Armento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750457008 PECOS PAC ID: 6406959022 Enrollment ID: I20070319000612 |
| Provider Name | Wendell Everette Kellum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295763860 PECOS PAC ID: 0547366312 Enrollment ID: I20070511000156 |
| Provider Name | Michelle Elizabeth Nashleanas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255545844 PECOS PAC ID: 7911005293 Enrollment ID: I20070611000239 |
| Provider Name | Rahul Kapur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295931962 PECOS PAC ID: 2668573247 Enrollment ID: I20070726000372 |
| Provider Name | Erin R Lockard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881789253 PECOS PAC ID: 4284735739 Enrollment ID: I20070727000170 |
| Provider Name | Nina R O'connor |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841212909 PECOS PAC ID: 0143223388 Enrollment ID: I20070823000659 |
| Provider Name | Subha L Airan-javia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922161637 PECOS PAC ID: 1153413612 Enrollment ID: I20070828001113 |
| Provider Name | Anna Budd Fontenot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326176413 PECOS PAC ID: 7810080603 Enrollment ID: I20070911000007 |
| Provider Name | Leslie Ann Gonce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578758397 PECOS PAC ID: 4688768435 Enrollment ID: I20070924000599 |
| Provider Name | Sara Ann Slattery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275573263 PECOS PAC ID: 0840386504 Enrollment ID: I20071011000404 |
| Provider Name | Daniel E Soffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205863198 PECOS PAC ID: 1355437963 Enrollment ID: I20071012000155 |
| Provider Name | Gregory Mayro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306031208 PECOS PAC ID: 2567558851 Enrollment ID: I20071018000043 |
| Provider Name | Aaron S Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518141860 PECOS PAC ID: 6608963012 Enrollment ID: I20071101000476 |
| Provider Name | David Thomas Grande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518978782 PECOS PAC ID: 2860589009 Enrollment ID: I20071105000061 |
| Provider Name | Lisa G Lippincott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629251483 PECOS PAC ID: 5799863783 Enrollment ID: I20080416000137 |
| Provider Name | David G Rooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043365844 PECOS PAC ID: 2860571015 Enrollment ID: I20080430000061 |
| Provider Name | Kenneth D Rothstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790753317 PECOS PAC ID: 4789777905 Enrollment ID: I20080508000487 |
| Provider Name | Amy J Orloff-fine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447229182 PECOS PAC ID: 8527137488 Enrollment ID: I20080519000077 |
| Provider Name | Margaret E J Baylson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255493607 PECOS PAC ID: 7911076500 Enrollment ID: I20080522000255 |
| Provider Name | Antonette Jude Brigidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871656413 PECOS PAC ID: 7810069150 Enrollment ID: I20080702000341 |
| Provider Name | Yvonne L Mccarey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326224064 PECOS PAC ID: 6709959356 Enrollment ID: I20080716000108 |
| Provider Name | Carl A Meyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215945985 PECOS PAC ID: 8729054010 Enrollment ID: I20080723000553 |
| Provider Name | Jeff Michael Greenblatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073664868 PECOS PAC ID: 8921029877 Enrollment ID: I20080724000011 |
| Provider Name | Elizabeth Ann Marandola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578727285 PECOS PAC ID: 3678647146 Enrollment ID: I20080731000492 |
| Provider Name | Robin E Canada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346357175 PECOS PAC ID: 1759386436 Enrollment ID: I20080918000324 |
| Provider Name | Marisa Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336171628 PECOS PAC ID: 8022185610 Enrollment ID: I20080924000016 |
| Provider Name | Kenneth Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255582342 PECOS PAC ID: 8426116260 Enrollment ID: I20081022000468 |
| Provider Name | Eric N Goren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457414740 PECOS PAC ID: 6406915677 Enrollment ID: I20081103000142 |
| Provider Name | Brian D Work |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114105269 PECOS PAC ID: 3274698550 Enrollment ID: I20090220000176 |
| Provider Name | Oana Tomescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063577237 PECOS PAC ID: 7618027400 Enrollment ID: I20090617000364 |
| Provider Name | Neha Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447314349 PECOS PAC ID: 4880745165 Enrollment ID: I20090626000092 |
| Provider Name | Amrita Kochhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831334176 PECOS PAC ID: 1153473582 Enrollment ID: I20090716000256 |
| Provider Name | Manasija Rath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164628483 PECOS PAC ID: 3072666981 Enrollment ID: I20090724000322 |
| Provider Name | Marissa Blum |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316080229 PECOS PAC ID: 0143373639 Enrollment ID: I20090731000012 |
| Provider Name | Amy Chang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033320023 PECOS PAC ID: 8729132022 Enrollment ID: I20090821000037 |
| Provider Name | Kevin Fosnocht |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003842709 PECOS PAC ID: 8426103060 Enrollment ID: I20090902000464 |
| Provider Name | James D Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245359074 PECOS PAC ID: 5597811505 Enrollment ID: I20090916000469 |
| Provider Name | Jihane J Hajj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427282698 PECOS PAC ID: 7517016884 Enrollment ID: I20091026000195 |
| Provider Name | Anita C Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013948793 PECOS PAC ID: 6901947548 Enrollment ID: I20100105000484 |
| Provider Name | Stanley J Savinese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497820385 PECOS PAC ID: 2961314679 Enrollment ID: I20100205000239 |
| Provider Name | Albert H Fink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053347740 PECOS PAC ID: 8224173083 Enrollment ID: I20100304000066 |
| Provider Name | Laura M Kosseim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912933607 PECOS PAC ID: 9537204912 Enrollment ID: I20100310000379 |
| Provider Name | Melanie Ice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417987579 PECOS PAC ID: 3678618931 Enrollment ID: I20100311000161 |
| Provider Name | Christine Tressel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881624948 PECOS PAC ID: 0941335103 Enrollment ID: I20100315000075 |
| Provider Name | Janice K Hillman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336171610 PECOS PAC ID: 9830224526 Enrollment ID: I20100319000545 |
| Provider Name | David A Horowitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679505036 PECOS PAC ID: 7911032313 Enrollment ID: I20100323000824 |
| Provider Name | Jennifer S Nizen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689604746 PECOS PAC ID: 9032245220 Enrollment ID: I20100326000573 |
| Provider Name | Matthew H Rusk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063449965 PECOS PAC ID: 6709912231 Enrollment ID: I20100410000039 |
| Provider Name | Jennifer C Thurlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841415395 PECOS PAC ID: 8022145309 Enrollment ID: I20100419000107 |
| Provider Name | Erin M Mannella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215250758 PECOS PAC ID: 6103954334 Enrollment ID: I20100510000509 |
| Provider Name | Peter Foster Cronholm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841235504 PECOS PAC ID: 8123157823 Enrollment ID: I20100518000511 |
| Provider Name | Katherine L Margo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225063027 PECOS PAC ID: 0345241352 Enrollment ID: I20100524000178 |
| Provider Name | Nadia L Bennett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679891683 PECOS PAC ID: 4789715616 Enrollment ID: I20100622000051 |
| Provider Name | Todd E Hecht |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841227014 PECOS PAC ID: 1355472374 Enrollment ID: I20100708000081 |
| Provider Name | Craig S Wynne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538188073 PECOS PAC ID: 2365573318 Enrollment ID: I20100708000452 |
| Provider Name | Michelle F Hu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891721593 PECOS PAC ID: 8729110606 Enrollment ID: I20100712000430 |
| Provider Name | David J Aizenberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407061880 PECOS PAC ID: 3476685280 Enrollment ID: I20100714000539 |
| Provider Name | Kristin G Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407061815 PECOS PAC ID: 9335272095 Enrollment ID: I20100802000185 |
| Provider Name | Mario P Demarco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821291626 PECOS PAC ID: 7911030465 Enrollment ID: I20100804000209 |
| Provider Name | Carmen E Guerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356373781 PECOS PAC ID: 1153454541 Enrollment ID: I20100805000733 |
| Provider Name | Michael Cirigliano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053343103 PECOS PAC ID: 3577696988 Enrollment ID: I20100805000901 |
| Provider Name | Jeffrey R Jaeger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265469175 PECOS PAC ID: 5698899474 Enrollment ID: I20100831000585 |
| Provider Name | Wheeler Maxwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487814612 PECOS PAC ID: 9638294754 Enrollment ID: I20100914000073 |
| Provider Name | Cynthia D Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477533131 PECOS PAC ID: 6709902125 Enrollment ID: I20100923000084 |
| Provider Name | John D Mcgreevey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033157326 PECOS PAC ID: 4284607763 Enrollment ID: I20101015000421 |
| Provider Name | Joseph R Teel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740218478 PECOS PAC ID: 4284639501 Enrollment ID: I20101018000132 |
| Provider Name | Maryanne King Peifer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972532828 PECOS PAC ID: 3678767613 Enrollment ID: I20101103000671 |
| Provider Name | George Zotalis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902065162 PECOS PAC ID: 6608061247 Enrollment ID: I20101109001223 |
| Provider Name | Marc Shalaby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780613323 PECOS PAC ID: 2860687027 Enrollment ID: I20101112000922 |
| Provider Name | Mark A Kender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447289087 PECOS PAC ID: 2062608664 Enrollment ID: I20101122000830 |
| Provider Name | Richard O Oyelewu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659345601 PECOS PAC ID: 2567658784 Enrollment ID: I20101130000213 |
| Provider Name | Keith W Hamilton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548323843 PECOS PAC ID: 5698963361 Enrollment ID: I20101222000049 |
| Provider Name | Carol M Chou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801828108 PECOS PAC ID: 1456549732 Enrollment ID: I20101230000961 |
| Provider Name | William N Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538108055 PECOS PAC ID: 9537358247 Enrollment ID: I20110112000207 |
| Provider Name | Rosemary A Kearney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528086881 PECOS PAC ID: 0941499206 Enrollment ID: I20110118001037 |
| Provider Name | Gillian Ladd Lautenbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568492684 PECOS PAC ID: 4789863861 Enrollment ID: I20110120001146 |
| Provider Name | William Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831187731 PECOS PAC ID: 3678752755 Enrollment ID: I20110120001164 |
| Provider Name | Karen E Bowles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417983115 PECOS PAC ID: 3870772924 Enrollment ID: I20110121000654 |
| Provider Name | Jack Ende |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730110412 PECOS PAC ID: 9436233004 Enrollment ID: I20110202000540 |
| Provider Name | Stephen J Gluckman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932136850 PECOS PAC ID: 8022298298 Enrollment ID: I20110204000231 |
| Provider Name | Eliot H Nierman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235166158 PECOS PAC ID: 7113108820 Enrollment ID: I20110228000691 |
| Provider Name | Carol R Fleischman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902846942 PECOS PAC ID: 3173706843 Enrollment ID: I20110318000260 |
| Provider Name | Eileen K Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205805827 PECOS PAC ID: 7810171519 Enrollment ID: I20110404000779 |
| Provider Name | Lindsay M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538451943 PECOS PAC ID: 4183800394 Enrollment ID: I20110523000622 |
| Provider Name | Kai Tai Xu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740407204 PECOS PAC ID: 5698967255 Enrollment ID: I20110525000369 |
| Provider Name | Matthew C Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104865617 PECOS PAC ID: 5991982969 Enrollment ID: I20110601000250 |
| Provider Name | Anjali Gopalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073775623 PECOS PAC ID: 3577741388 Enrollment ID: I20110627000462 |
| Provider Name | Dava E Szalda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255538559 PECOS PAC ID: 5698943926 Enrollment ID: I20110712000652 |
| Provider Name | Kristy L Reinert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487816062 PECOS PAC ID: 1052589595 Enrollment ID: I20110727000528 |
| Provider Name | Mary K Porteous |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851553432 PECOS PAC ID: 2567631617 Enrollment ID: I20110808000422 |
| Provider Name | Corrie A Stankiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467614040 PECOS PAC ID: 8729257472 Enrollment ID: I20110815000086 |
| Provider Name | Marilou Nieves Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750694568 PECOS PAC ID: 8628248200 Enrollment ID: I20110909002716 |
| Provider Name | Hadiqa Batool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295981611 PECOS PAC ID: 9739352980 Enrollment ID: I20111103000033 |
| Provider Name | Alison Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487940193 PECOS PAC ID: 3072786250 Enrollment ID: I20111103000503 |
| Provider Name | Amar G Nanavati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871756791 PECOS PAC ID: 1658544564 Enrollment ID: I20111109000092 |
| Provider Name | Martin Bohnenkamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770528259 PECOS PAC ID: 7416952205 Enrollment ID: I20111222000333 |
| Provider Name | Katharine Bar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942337670 PECOS PAC ID: 6709818651 Enrollment ID: I20120123000551 |
| Provider Name | Christine A Gearhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174572622 PECOS PAC ID: 7214053602 Enrollment ID: I20120126000333 |
| Provider Name | Hillary R Bogner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841235462 PECOS PAC ID: 6002073848 Enrollment ID: I20120206000504 |
| Provider Name | David E Nicklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689602724 PECOS PAC ID: 0648437319 Enrollment ID: I20120208000179 |
| Provider Name | Terri A Mcfillin Petrongolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144258260 PECOS PAC ID: 0941468607 Enrollment ID: I20120227000449 |
| Provider Name | Sonia L Siu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225084361 PECOS PAC ID: 0840203170 Enrollment ID: I20120406000285 |
| Provider Name | Maria C Lazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649555319 PECOS PAC ID: 1951563717 Enrollment ID: I20120424000641 |
| Provider Name | Nasreen Ghazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770717126 PECOS PAC ID: 6507020963 Enrollment ID: I20120614000556 |
| Provider Name | Shormeh Y Otsin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144455874 PECOS PAC ID: 8123282589 Enrollment ID: I20120614000577 |
| Provider Name | Nikhil Mull |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477715159 PECOS PAC ID: 5698943520 Enrollment ID: I20120615000151 |
| Provider Name | Judy Sara Chertok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720246002 PECOS PAC ID: 9032303516 Enrollment ID: I20120615000223 |
| Provider Name | Rachael S Truchil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093949737 PECOS PAC ID: 4284898693 Enrollment ID: I20120615000231 |
| Provider Name | Ricca A Ando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871721456 PECOS PAC ID: 2264696582 Enrollment ID: I20120615000388 |
| Provider Name | Elise D Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558622530 PECOS PAC ID: 9133383490 Enrollment ID: I20120618000314 |
| Provider Name | Kristina L Casadei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669606026 PECOS PAC ID: 2567626732 Enrollment ID: I20120620000081 |
| Provider Name | Andrew Maier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376787846 PECOS PAC ID: 1456516848 Enrollment ID: I20120710000626 |
| Provider Name | Chyke Doubeni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932182896 PECOS PAC ID: 4789607755 Enrollment ID: I20120725000154 |
| Provider Name | Theresa M Dippolito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730447954 PECOS PAC ID: 4082870688 Enrollment ID: I20120726000315 |
| Provider Name | Allison S Dekosky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275799488 PECOS PAC ID: 9032396395 Enrollment ID: I20120727000060 |
| Provider Name | Shreya Kangovi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295891760 PECOS PAC ID: 2264698745 Enrollment ID: I20120727000471 |
| Provider Name | Sara A Vancalcar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558595827 PECOS PAC ID: 4082870381 Enrollment ID: I20120731000267 |
| Provider Name | Kirstin S Knox |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457595324 PECOS PAC ID: 1052560570 Enrollment ID: I20120927000180 |
| Provider Name | Anna Doubeni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073596979 PECOS PAC ID: 7416033733 Enrollment ID: I20121003000327 |
| Provider Name | Vanessa L Pasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164794426 PECOS PAC ID: 9335391101 Enrollment ID: I20121203000014 |
| Provider Name | Sharon S Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356696876 PECOS PAC ID: 8325290836 Enrollment ID: I20121210000035 |
| Provider Name | Anessa M Foxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831443019 PECOS PAC ID: 9335391416 Enrollment ID: I20121219000180 |
| Provider Name | Jaya Aysola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215091574 PECOS PAC ID: 9032129846 Enrollment ID: I20121221000243 |
| Provider Name | Theresa Douse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679846794 PECOS PAC ID: 7315190188 Enrollment ID: I20130102000301 |
| Provider Name | Daniel Dejoseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114123981 PECOS PAC ID: 8224153143 Enrollment ID: I20130205000351 |
| Provider Name | Michelle Macaluso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679740849 PECOS PAC ID: 6800041963 Enrollment ID: I20130222000058 |
| Provider Name | Kimberly Elizabeth Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700804804 PECOS PAC ID: 0042465932 Enrollment ID: I20130226000285 |
| Provider Name | Laura E Dingfield |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1295965515 PECOS PAC ID: 0345489464 Enrollment ID: I20130621000437 |
| Provider Name | Ryan James Mcauley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184858821 PECOS PAC ID: 7911147558 Enrollment ID: I20130703000007 |
| Provider Name | Carli A Remy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477998110 PECOS PAC ID: 9234379173 Enrollment ID: I20130717000362 |
| Provider Name | Eric James Palecek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316266273 PECOS PAC ID: 6305087297 Enrollment ID: I20130718000145 |
| Provider Name | Robert G Micheletti |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780846360 PECOS PAC ID: 1951542745 Enrollment ID: I20130719000576 |
| Provider Name | Ilona Sinead Lorincz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083876668 PECOS PAC ID: 4082855804 Enrollment ID: I20130720000137 |
| Provider Name | David Benjamin Ganetzky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043539539 PECOS PAC ID: 4082855473 Enrollment ID: I20130727000134 |
| Provider Name | Sony P John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316109119 PECOS PAC ID: 1557503067 Enrollment ID: I20130813000706 |
| Provider Name | Tina L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356632210 PECOS PAC ID: 5890938799 Enrollment ID: I20130824000195 |
| Provider Name | Catherine A Liebman |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1699080267 PECOS PAC ID: 7810130408 Enrollment ID: I20130829000579 |
| Provider Name | Elizabeth J Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528389855 PECOS PAC ID: 7315181435 Enrollment ID: I20130911000519 |
| Provider Name | Onyeka W. Okonkwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073710661 PECOS PAC ID: 1456531532 Enrollment ID: I20130912000071 |
| Provider Name | Arsh S Dhanota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346548831 PECOS PAC ID: 7618120932 Enrollment ID: I20130916000112 |
| Provider Name | Kira L Ryskina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790002731 PECOS PAC ID: 7214162999 Enrollment ID: I20131105001376 |
| Provider Name | Raza Ahmad |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558631713 PECOS PAC ID: 2769611516 Enrollment ID: I20140128000239 |
| Provider Name | Erin R Carton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124459250 PECOS PAC ID: 9537399191 Enrollment ID: I20140226000952 |
| Provider Name | Deborah Cellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659709723 PECOS PAC ID: 9234369695 Enrollment ID: I20140304000705 |
| Provider Name | Jennifer Leflar Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669893483 PECOS PAC ID: 7810127909 Enrollment ID: I20140312000674 |
| Provider Name | Linsey Sara Chacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154742955 PECOS PAC ID: 9830329846 Enrollment ID: I20140312001767 |
| Provider Name | Mia Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134458714 PECOS PAC ID: 6305077959 Enrollment ID: I20140324001207 |
| Provider Name | Paula S Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578661898 PECOS PAC ID: 8527046325 Enrollment ID: I20140507000695 |
| Provider Name | Samantha Elizabeth Pozza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831518778 PECOS PAC ID: 6002039104 Enrollment ID: I20140519000009 |
| Provider Name | Elaina Tully |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588982409 PECOS PAC ID: 4486879806 Enrollment ID: I20140627000083 |
| Provider Name | Annie Chapman Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750712337 PECOS PAC ID: 3577788751 Enrollment ID: I20140701002034 |
| Provider Name | Deepa R Nandiwada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265759302 PECOS PAC ID: 9638394844 Enrollment ID: I20140702000328 |
| Provider Name | Alysa Beth Krain |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205272499 PECOS PAC ID: 3779473749 Enrollment ID: I20140708001037 |
| Provider Name | Deneen Marie Spatz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659572832 PECOS PAC ID: 2163663360 Enrollment ID: I20140814000706 |
| Provider Name | Christina Taing Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568898989 PECOS PAC ID: 8628296704 Enrollment ID: I20140903000627 |
| Provider Name | Priyanka T Bhattacharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891092417 PECOS PAC ID: 9537388855 Enrollment ID: I20140919000409 |
| Provider Name | Catriona Harrop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174500680 PECOS PAC ID: 3173619293 Enrollment ID: I20140924001453 |
| Provider Name | Barbara F. Westerhaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679868376 PECOS PAC ID: 5991925109 Enrollment ID: I20141009001159 |
| Provider Name | Moyna H Ng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477505550 PECOS PAC ID: 0840222667 Enrollment ID: I20141125000663 |
| Provider Name | Furman S Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033196308 PECOS PAC ID: 7113001405 Enrollment ID: I20141204000960 |
| Provider Name | Amanjeet K Kaleka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801020425 PECOS PAC ID: 1456506542 Enrollment ID: I20141218002104 |
| Provider Name | Alana Sagin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437461464 PECOS PAC ID: 5092038711 Enrollment ID: I20150102001025 |
| Provider Name | Jennifer L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609296003 PECOS PAC ID: 1759604358 Enrollment ID: I20150107001499 |
| Provider Name | Jessica Canosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861881088 PECOS PAC ID: 3274858352 Enrollment ID: I20150212000602 |
| Provider Name | Nathan Corry Clinton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801180005 PECOS PAC ID: 6507089836 Enrollment ID: I20150224001088 |
| Provider Name | Julianne R Campfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073913273 PECOS PAC ID: 7416273966 Enrollment ID: I20150227002079 |
| Provider Name | Kathryn L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962892844 PECOS PAC ID: 1052637022 Enrollment ID: I20150310001860 |
| Provider Name | Hayley Jill Cassidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265823959 PECOS PAC ID: 5890012652 Enrollment ID: I20150317000332 |
| Provider Name | Jessica Mcgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710311345 PECOS PAC ID: 2961630256 Enrollment ID: I20150325001620 |
| Provider Name | Neil Doshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174819361 PECOS PAC ID: 9335467984 Enrollment ID: I20150413000488 |
| Provider Name | Michelle Lou Pernat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942693114 PECOS PAC ID: 0345568408 Enrollment ID: I20150421002455 |
| Provider Name | Kristine Pamela M Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144586900 PECOS PAC ID: 2062636707 Enrollment ID: I20150608000748 |
| Provider Name | Raphael Karkowsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194082164 PECOS PAC ID: 7618100348 Enrollment ID: I20150608002093 |
| Provider Name | Allison E Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417218793 PECOS PAC ID: 6608197900 Enrollment ID: I20150611000387 |
| Provider Name | Anna M Olivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427366301 PECOS PAC ID: 6103001540 Enrollment ID: I20150615001486 |
| Provider Name | Kathleen Hirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366738403 PECOS PAC ID: 9830400647 Enrollment ID: I20150622000125 |
| Provider Name | Christopher A Jones |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1487870259 PECOS PAC ID: 7911050331 Enrollment ID: I20150622000994 |
| Provider Name | Amber-nicole Bird |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457649477 PECOS PAC ID: 5395968556 Enrollment ID: I20150708000109 |
| Provider Name | Marguerite Balasta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396034211 PECOS PAC ID: 0749409373 Enrollment ID: I20150709000772 |
| Provider Name | Niharika Ganta |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184949406 PECOS PAC ID: 2769794460 Enrollment ID: I20150709001217 |
| Provider Name | Alycia Anne Trossen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710249891 PECOS PAC ID: 4385957794 Enrollment ID: I20150714001932 |
| Provider Name | Soumya Bollampally |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205156445 PECOS PAC ID: 9032425517 Enrollment ID: I20150828000829 |
| Provider Name | Renee Marie Betancourt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104111830 PECOS PAC ID: 5890926414 Enrollment ID: I20150902001466 |
| Provider Name | Lauren Kay Marsteller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457675654 PECOS PAC ID: 6507098241 Enrollment ID: I20150923000671 |
| Provider Name | Ashok Linganna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922391580 PECOS PAC ID: 0345465167 Enrollment ID: I20151001000499 |
| Provider Name | Jamie Paik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588975163 PECOS PAC ID: 4981845369 Enrollment ID: I20151008002072 |
| Provider Name | Judith Ariadne Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952312225 PECOS PAC ID: 6608031067 Enrollment ID: I20151105000089 |
| Provider Name | Maria C Harkness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902277767 PECOS PAC ID: 4385954601 Enrollment ID: I20151117000343 |
| Provider Name | Anna U Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790063972 PECOS PAC ID: 3476778291 Enrollment ID: I20151209000389 |
| Provider Name | Patricia A Bresnak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699146662 PECOS PAC ID: 9830490218 Enrollment ID: I20151209002609 |
| Provider Name | Archna Bajaj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093078529 PECOS PAC ID: 2961718408 Enrollment ID: I20151218000201 |
| Provider Name | Caitlin M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780058933 PECOS PAC ID: 0648572032 Enrollment ID: I20151231000171 |
| Provider Name | Abbey Lukianowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164848057 PECOS PAC ID: 5991007395 Enrollment ID: I20151231000273 |
| Provider Name | Krisda Chaiyachati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174812366 PECOS PAC ID: 4183848823 Enrollment ID: I20151231001484 |
| Provider Name | Michele Fang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780751594 PECOS PAC ID: 8729012299 Enrollment ID: I20160104000437 |
| Provider Name | Navin Vij |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922242510 PECOS PAC ID: 9436384641 Enrollment ID: I20160106002921 |
| Provider Name | Grant W Barton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902199227 PECOS PAC ID: 5890019855 Enrollment ID: I20160107000937 |
| Provider Name | Angelique S Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497159032 PECOS PAC ID: 0749583375 Enrollment ID: I20160114001741 |
| Provider Name | Melissa M Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033583299 PECOS PAC ID: 7911200571 Enrollment ID: I20160114002869 |
| Provider Name | Emily Demartino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205231263 PECOS PAC ID: 8527361682 Enrollment ID: I20160122001485 |
| Provider Name | Christina Elizabeth Worst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669849261 PECOS PAC ID: 7416251103 Enrollment ID: I20160201000096 |
| Provider Name | Kristen N Reeser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326404534 PECOS PAC ID: 7517261423 Enrollment ID: I20160212000154 |
| Provider Name | Reka Somodi Manfre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588784425 PECOS PAC ID: 9335321058 Enrollment ID: I20160425001774 |
| Provider Name | Kyle Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942591391 PECOS PAC ID: 5395068217 Enrollment ID: I20160525002205 |
| Provider Name | Erin Michelle Haley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922444165 PECOS PAC ID: 8123318417 Enrollment ID: I20160527000151 |
| Provider Name | Farah Nazneen Hussain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114360534 PECOS PAC ID: 6800186164 Enrollment ID: I20160531000059 |
| Provider Name | Flint Yuan Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821331158 PECOS PAC ID: 8123324134 Enrollment ID: I20160601000288 |
| Provider Name | Manik S Chhabra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437448628 PECOS PAC ID: 4880810241 Enrollment ID: I20160602001739 |
| Provider Name | Kathleen Marie Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669817383 PECOS PAC ID: 8820388820 Enrollment ID: I20160603000412 |
| Provider Name | Ryan Joseph Buckley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033472899 PECOS PAC ID: 6901028711 Enrollment ID: I20160607000292 |
| Provider Name | Christopher Neil Hall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386089142 PECOS PAC ID: 2860783784 Enrollment ID: I20160624000294 |
| Provider Name | Corinne Marie Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528388535 PECOS PAC ID: 8123257862 Enrollment ID: I20160627001168 |
| Provider Name | Meaghan C Henrici |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952744989 PECOS PAC ID: 0042442121 Enrollment ID: I20160627002448 |
| Provider Name | Rebecca Arden Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447592092 PECOS PAC ID: 3476844028 Enrollment ID: I20160629000517 |
| Provider Name | Colin Ligon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316180540 PECOS PAC ID: 6002070125 Enrollment ID: I20160701000333 |
| Provider Name | Gretchen Kathleen Bernatowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356593958 PECOS PAC ID: 0345532768 Enrollment ID: I20160706000156 |
| Provider Name | James Nathan Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144563842 PECOS PAC ID: 0840580379 Enrollment ID: I20160711001445 |
| Provider Name | Alana M Feiler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104187475 PECOS PAC ID: 9638476823 Enrollment ID: I20160714000243 |
| Provider Name | Rita Marie Butler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942648738 PECOS PAC ID: 4486944576 Enrollment ID: I20160720002204 |
| Provider Name | Louisa Agyeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124478631 PECOS PAC ID: 8527351022 Enrollment ID: I20160721000075 |
| Provider Name | Paul Matthew Lu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790027654 PECOS PAC ID: 6800189085 Enrollment ID: I20160726001186 |
| Provider Name | Patricia A Rexer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518320621 PECOS PAC ID: 5597058784 Enrollment ID: I20160726001531 |
| Provider Name | Syrita L Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316315120 PECOS PAC ID: 8123313400 Enrollment ID: I20160825001216 |
| Provider Name | Paul J Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639287212 PECOS PAC ID: 7810883667 Enrollment ID: I20160831001814 |
| Provider Name | Joyce Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275808560 PECOS PAC ID: 0244547362 Enrollment ID: I20160902000435 |
| Provider Name | Shafinaz Akhter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710040431 PECOS PAC ID: 4587719042 Enrollment ID: I20160923000686 |
| Provider Name | Leila M Ndong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750510483 PECOS PAC ID: 4789834821 Enrollment ID: I20160926001289 |
| Provider Name | Joshua Brotman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063755189 PECOS PAC ID: 4183911662 Enrollment ID: I20160927002071 |
| Provider Name | Laura El-hage |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902164957 PECOS PAC ID: 4385932672 Enrollment ID: I20161020000203 |
| Provider Name | Traci L Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932574662 PECOS PAC ID: 5991084824 Enrollment ID: I20161117001472 |
| Provider Name | Jennifer Catherine Stengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942753801 PECOS PAC ID: 1557640166 Enrollment ID: I20161122000467 |
| Provider Name | Scott Ryan Greysen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144488727 PECOS PAC ID: 5698948883 Enrollment ID: I20161202000671 |
| Provider Name | Alyssa M Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548712003 PECOS PAC ID: 6709167786 Enrollment ID: I20170105001894 |
| Provider Name | Kristopher S Fayock |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1225205008 PECOS PAC ID: 2466618798 Enrollment ID: I20170110000696 |
| Provider Name | Lauren Raudenbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316499890 PECOS PAC ID: 5395027387 Enrollment ID: I20170127000653 |
| Provider Name | Tara Azizi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548711930 PECOS PAC ID: 6608159520 Enrollment ID: I20170220000329 |
| Provider Name | Theresa R Metanchuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255627204 PECOS PAC ID: 0749409118 Enrollment ID: I20170322000048 |
| Provider Name | Kimberly Ann Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952845612 PECOS PAC ID: 7113200809 Enrollment ID: I20170404002194 |
| Provider Name | Donna M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851849152 PECOS PAC ID: 7810273893 Enrollment ID: I20170405000891 |
| Provider Name | Sara Beth Abbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104223007 PECOS PAC ID: 5597068890 Enrollment ID: I20170418000918 |
| Provider Name | Amber Dawn Haymore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427593995 PECOS PAC ID: 0941587992 Enrollment ID: I20170501001653 |
| Provider Name | John Thomas Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245770023 PECOS PAC ID: 8325325020 Enrollment ID: I20170508000070 |
| Provider Name | Andrea Mcglinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417495599 PECOS PAC ID: 4183901788 Enrollment ID: I20170509001768 |
| Provider Name | Twinkle Bhalodia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518334275 PECOS PAC ID: 2769769272 Enrollment ID: I20170511000685 |
| Provider Name | Hari Shankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629488671 PECOS PAC ID: 7719277425 Enrollment ID: I20170525000094 |
| Provider Name | Alexander Edwin Glaser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093125288 PECOS PAC ID: 9133425333 Enrollment ID: I20170605001459 |
| Provider Name | Tiffany Strothers-butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493321 PECOS PAC ID: 6103194436 Enrollment ID: I20170609001246 |
| Provider Name | Rebecca Lauren Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578983987 PECOS PAC ID: 9133418544 Enrollment ID: I20170615000080 |
| Provider Name | Peter Yen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982018073 PECOS PAC ID: 0749408680 Enrollment ID: I20170619000036 |
| Provider Name | Isaac Matthias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689932584 PECOS PAC ID: 4082839758 Enrollment ID: I20170619002314 |
| Provider Name | Lilia Lakhtman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235572066 PECOS PAC ID: 5193957991 Enrollment ID: I20170706001418 |
| Provider Name | Frances Mao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932529203 PECOS PAC ID: 1557651148 Enrollment ID: I20170710002384 |
| Provider Name | Lori Atkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417375478 PECOS PAC ID: 9234353350 Enrollment ID: I20170714002111 |
| Provider Name | Lauren Mechanic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477963502 PECOS PAC ID: 6204132301 Enrollment ID: I20170719003547 |
| Provider Name | Margot E Cohen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962822288 PECOS PAC ID: 4284904905 Enrollment ID: I20170727002812 |
| Provider Name | Kaitlin Dobish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477081727 PECOS PAC ID: 9335419084 Enrollment ID: I20170728000026 |
| Provider Name | Fatima Afridi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578712584 PECOS PAC ID: 0547422545 Enrollment ID: I20170731003004 |
| Provider Name | Christina Chai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366860199 PECOS PAC ID: 4385915917 Enrollment ID: I20170801000501 |
| Provider Name | Stephen Joseph Bagley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164717369 PECOS PAC ID: 7719284439 Enrollment ID: I20170807000356 |
| Provider Name | Laura Elizabeth Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275979726 PECOS PAC ID: 8527364561 Enrollment ID: I20170808002750 |
| Provider Name | Denka Marah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669916961 PECOS PAC ID: 2961773783 Enrollment ID: I20170811001885 |
| Provider Name | Arun Janakiraman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891116729 PECOS PAC ID: 7315165859 Enrollment ID: I20170823002296 |
| Provider Name | Ashley Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760904619 PECOS PAC ID: 6406128453 Enrollment ID: I20170825000963 |
| Provider Name | Jacqueline Wolbransky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336689488 PECOS PAC ID: 1254604515 Enrollment ID: I20170907002930 |
| Provider Name | Marie Iannelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235669367 PECOS PAC ID: 5890069223 Enrollment ID: I20170922001291 |
| Provider Name | Claiborne Childs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881983682 PECOS PAC ID: 7416279682 Enrollment ID: I20171010000508 |
| Provider Name | Yevgeniy Gitelman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972896025 PECOS PAC ID: 5496079535 Enrollment ID: I20171010001125 |
| Provider Name | Matthew Press |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962566877 PECOS PAC ID: 6608065081 Enrollment ID: I20171010003224 |
| Provider Name | Isabella Cables Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285183848 PECOS PAC ID: 2365721198 Enrollment ID: I20171011001735 |
| Provider Name | Annemarie Schorpion |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326302621 PECOS PAC ID: 8022383371 Enrollment ID: I20171012000917 |
| Provider Name | Jon Kristofer Pomeroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942529052 PECOS PAC ID: 9739314824 Enrollment ID: I20171026000845 |
| Provider Name | Jacqueline D Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457678377 PECOS PAC ID: 1759531627 Enrollment ID: I20171027001494 |
| Provider Name | Geoffrey Bass |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740600279 PECOS PAC ID: 3971809161 Enrollment ID: I20171106000566 |
| Provider Name | Courtney Fay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023420890 PECOS PAC ID: 5799042172 Enrollment ID: I20171121000826 |
| Provider Name | Eileen E Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912423419 PECOS PAC ID: 8022375005 Enrollment ID: I20171129001933 |
| Provider Name | Jillian Ashley Pilotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790139608 PECOS PAC ID: 5991062895 Enrollment ID: I20171201000424 |
| Provider Name | Margaret Williams Lowenstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326381872 PECOS PAC ID: 5799078812 Enrollment ID: I20171206001949 |
| Provider Name | Abigail Lee Withers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902319684 PECOS PAC ID: 7214295690 Enrollment ID: I20171212001245 |
| Provider Name | Eliah Malka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760827471 PECOS PAC ID: 2567748361 Enrollment ID: I20180103001022 |
| Provider Name | Jessica Lynn Bechini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477068237 PECOS PAC ID: 8325307911 Enrollment ID: I20180104000564 |
| Provider Name | Zachariah Fishoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366957102 PECOS PAC ID: 8426318940 Enrollment ID: I20180201001031 |
| Provider Name | Atheendar Venkataramani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184919847 PECOS PAC ID: 6305008558 Enrollment ID: I20180205001066 |
| Provider Name | Bernadette Momoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841400223 PECOS PAC ID: 0244590594 Enrollment ID: I20180205001897 |
| Provider Name | Navid A Roder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467747337 PECOS PAC ID: 8729201314 Enrollment ID: I20180214001080 |
| Provider Name | Brandeis K Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114289402 PECOS PAC ID: 6800180860 Enrollment ID: I20180307001638 |
| Provider Name | Kenya Danyelle Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790211282 PECOS PAC ID: 7214299601 Enrollment ID: I20180323000026 |
| Provider Name | Frances Marie Maniscalco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568960821 PECOS PAC ID: 7911269972 Enrollment ID: I20180403000890 |
| Provider Name | Stephanie Barndt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558864975 PECOS PAC ID: 9436412491 Enrollment ID: I20180405000103 |
| Provider Name | Marnee Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144729922 PECOS PAC ID: 2567725047 Enrollment ID: I20180416000655 |
| Provider Name | Laura Beth Peskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184131377 PECOS PAC ID: 7618230194 Enrollment ID: I20180416000837 |
| Provider Name | Alexander Remy Bonnel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932595956 PECOS PAC ID: 3476847427 Enrollment ID: I20180514000442 |
| Provider Name | Andrew Robert Orr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063807139 PECOS PAC ID: 5294020186 Enrollment ID: I20180516001817 |
| Provider Name | Patrick Sayre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396158341 PECOS PAC ID: 4183922883 Enrollment ID: I20180522000980 |
| Provider Name | Sheila Maureen Quinn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023301652 PECOS PAC ID: 7618266156 Enrollment ID: I20180522001288 |
| Provider Name | Wumesh Kc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841685369 PECOS PAC ID: 1850685041 Enrollment ID: I20180522001957 |
| Provider Name | Robert E Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003074790 PECOS PAC ID: 2567749997 Enrollment ID: I20180529000784 |
| Provider Name | Daniel K. Stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053803072 PECOS PAC ID: 1951656867 Enrollment ID: I20180618002222 |
| Provider Name | Michelle Keating-sibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093130940 PECOS PAC ID: 4880827278 Enrollment ID: I20180620000114 |
| Provider Name | Monil Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831578319 PECOS PAC ID: 5294080958 Enrollment ID: I20180620002011 |
| Provider Name | Leeanne Teresa Murdock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245724913 PECOS PAC ID: 0547516692 Enrollment ID: I20180703002824 |
| Provider Name | Laura Elizabeth Emerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114313228 PECOS PAC ID: 5698075976 Enrollment ID: I20180711000534 |
| Provider Name | Meghan F Fibbi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225415995 PECOS PAC ID: 2163729369 Enrollment ID: I20180717001053 |
| Provider Name | Davine L Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396230736 PECOS PAC ID: 0446482046 Enrollment ID: I20180719000039 |
| Provider Name | Jorge Luis Jo Kamimoto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063856193 PECOS PAC ID: 2567788052 Enrollment ID: I20180724000010 |
| Provider Name | Yoav Karpenshif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164802971 PECOS PAC ID: 9931457579 Enrollment ID: I20180730002576 |
| Provider Name | Jennifer N. Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407275076 PECOS PAC ID: 2163799933 Enrollment ID: I20180806003371 |
| Provider Name | Jennifer Davis Cohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124447842 PECOS PAC ID: 6204055171 Enrollment ID: I20180809000095 |
| Provider Name | Jessica Ann Meisner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124465653 PECOS PAC ID: 9638427412 Enrollment ID: I20180810000990 |
| Provider Name | Parul Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336534809 PECOS PAC ID: 5294083994 Enrollment ID: I20180810002467 |
| Provider Name | Emma Molly May Dorsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417347808 PECOS PAC ID: 1052660602 Enrollment ID: I20180815002680 |
| Provider Name | Anubhav Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922374198 PECOS PAC ID: 6002116159 Enrollment ID: I20180829000978 |
| Provider Name | Chien-wen Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548646664 PECOS PAC ID: 6406157536 Enrollment ID: I20180905000900 |
| Provider Name | Kevin Richard Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336535749 PECOS PAC ID: 2860790599 Enrollment ID: I20180911000536 |
| Provider Name | Xisui Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821484239 PECOS PAC ID: 0143511899 Enrollment ID: I20181008000595 |
| Provider Name | Laura E Maleknia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851874465 PECOS PAC ID: 5597017202 Enrollment ID: I20181008003125 |
| Provider Name | Michael Scott Maloney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023438041 PECOS PAC ID: 7618196080 Enrollment ID: I20181009002749 |
| Provider Name | Musbau Kasumu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528423126 PECOS PAC ID: 3577817600 Enrollment ID: I20181108001084 |
| Provider Name | Anya Mezina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144615774 PECOS PAC ID: 0244559870 Enrollment ID: I20181128001811 |
| Provider Name | Davoren Ann Chick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124056411 PECOS PAC ID: 4486662731 Enrollment ID: I20181206000252 |
| Provider Name | Joseph Chidinma Nwadiuko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568849172 PECOS PAC ID: 5496075921 Enrollment ID: I20181217000027 |
| Provider Name | Allison Kamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225511819 PECOS PAC ID: 9739424417 Enrollment ID: I20181228000044 |
| Provider Name | Ayisha Arshad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811376874 PECOS PAC ID: 0143527291 Enrollment ID: I20190107002149 |
| Provider Name | Ya-feng Liang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548681992 PECOS PAC ID: 8123381373 Enrollment ID: I20190111000134 |
| Provider Name | Zamia Caridad Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437621299 PECOS PAC ID: 5698011534 Enrollment ID: I20190114001370 |
| Provider Name | Jaqueline Dennise Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255805990 PECOS PAC ID: 9931447083 Enrollment ID: I20190214002088 |
| Provider Name | Stacey Elizabeth Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669936142 PECOS PAC ID: 4183962152 Enrollment ID: I20190218000760 |
| Provider Name | Idith Obehi Ojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780105247 PECOS PAC ID: 4587904388 Enrollment ID: I20190313002865 |
| Provider Name | Lauren Christine Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801148259 PECOS PAC ID: 5991013781 Enrollment ID: I20190402002861 |
| Provider Name | Alexis Brimm Akins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639639156 PECOS PAC ID: 1951642412 Enrollment ID: I20190410000501 |
| Provider Name | Erin Lawrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437611472 PECOS PAC ID: 3375885353 Enrollment ID: I20190423000361 |
| Provider Name | Janet Soeffing Jacapraro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902842842 PECOS PAC ID: 5193721967 Enrollment ID: I20190424000008 |
| Provider Name | Daniel Simon Lefler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407219231 PECOS PAC ID: 0244524437 Enrollment ID: I20190507000054 |
| Provider Name | Brian Laurence Fulton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780039248 PECOS PAC ID: 9133462526 Enrollment ID: I20190529000847 |
| Provider Name | Kari Adams Torp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477917433 PECOS PAC ID: 0446593743 Enrollment ID: I20190529001575 |
| Provider Name | Melaine Woodward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194188243 PECOS PAC ID: 5092009118 Enrollment ID: I20190529002941 |
| Provider Name | Paula Chatterjee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023422938 PECOS PAC ID: 4587880380 Enrollment ID: I20190530001518 |
| Provider Name | Natasha Chandini Hakkal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336481688 PECOS PAC ID: 3274831789 Enrollment ID: I20190530001952 |
| Provider Name | Natalie F Uy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093162851 PECOS PAC ID: 5092009498 Enrollment ID: I20190603000698 |
| Provider Name | Padmavathy Parthasarathy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649597766 PECOS PAC ID: 7315160959 Enrollment ID: I20190610000853 |
| Provider Name | Sophia Sabio-gesmundo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710446620 PECOS PAC ID: 3971836750 Enrollment ID: I20190611000048 |
| Provider Name | Micaela Bowers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538554043 PECOS PAC ID: 1951634344 Enrollment ID: I20190618001950 |
| Provider Name | Kyle James Bardet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598128316 PECOS PAC ID: 9032409651 Enrollment ID: I20190620003195 |
| Provider Name | Pranav V Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437513744 PECOS PAC ID: 2163713314 Enrollment ID: I20190625000147 |
| Provider Name | Nicole Ferrante |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932561438 PECOS PAC ID: 2860726866 Enrollment ID: I20190625003166 |
| Provider Name | Lindsay Kim Haines |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1346635034 PECOS PAC ID: 6406180199 Enrollment ID: I20190701000359 |
| Provider Name | Dovie Watson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568875342 PECOS PAC ID: 4284858242 Enrollment ID: I20190712000219 |
| Provider Name | Jennifer Marie Olenik |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144649351 PECOS PAC ID: 3971895525 Enrollment ID: I20190725003130 |
| Provider Name | Ling Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043672728 PECOS PAC ID: 9931435625 Enrollment ID: I20190802000760 |
| Provider Name | Peter Liu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710220504 PECOS PAC ID: 6608005418 Enrollment ID: I20190805002700 |
| Provider Name | Svetoslava Kerpedjieva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902293616 PECOS PAC ID: 4688901218 Enrollment ID: I20190806000660 |
| Provider Name | Deepti Kilaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710305750 PECOS PAC ID: 6305104290 Enrollment ID: I20190807002299 |
| Provider Name | Jenny Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184070476 PECOS PAC ID: 8224365622 Enrollment ID: I20190807004004 |
| Provider Name | Khvaramze Shaverdashvili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932555182 PECOS PAC ID: 3274860473 Enrollment ID: I20190812000560 |
| Provider Name | Stephanie Nicole Libes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661352 PECOS PAC ID: 2466789540 Enrollment ID: I20190813000106 |
| Provider Name | John William Morgan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639531338 PECOS PAC ID: 4385972959 Enrollment ID: I20190820003088 |
| Provider Name | Rosemarie C Villamayor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336179407 PECOS PAC ID: 0648269860 Enrollment ID: I20190823001959 |
| Provider Name | Dane Scantling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497168827 PECOS PAC ID: 8224391867 Enrollment ID: I20190826003020 |
| Provider Name | Kristin Gales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336536374 PECOS PAC ID: 0446532386 Enrollment ID: I20190905000305 |
| Provider Name | Leslie Carol Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912424474 PECOS PAC ID: 0749510519 Enrollment ID: I20190920000247 |
| Provider Name | Nayelah Sultan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619339215 PECOS PAC ID: 7315277126 Enrollment ID: I20190920002595 |
| Provider Name | Jamie-marie Defelice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992364889 PECOS PAC ID: 1850621533 Enrollment ID: I20190924003106 |
| Provider Name | Abigail Hanna Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952959777 PECOS PAC ID: 6608106208 Enrollment ID: I20190925000402 |
| Provider Name | Keith W Pratz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710966114 PECOS PAC ID: 5496806010 Enrollment ID: I20191007003217 |
| Provider Name | Benjamin Ross Sanfilippo-cohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407261639 PECOS PAC ID: 1052616828 Enrollment ID: I20191111002343 |
| Provider Name | Marilyn Grace Marencik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578088712 PECOS PAC ID: 5890127203 Enrollment ID: I20191122000765 |
| Provider Name | Tarenne A Ferenchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174024160 PECOS PAC ID: 4486918869 Enrollment ID: I20191127000004 |
| Provider Name | Kaitlin James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902447980 PECOS PAC ID: 2961835202 Enrollment ID: I20191127001826 |
| Provider Name | Noura Akua Quayson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811423478 PECOS PAC ID: 2860760048 Enrollment ID: I20191213001852 |
| Provider Name | Kristin D Emilio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992369722 PECOS PAC ID: 1557795093 Enrollment ID: I20191217000094 |
| Provider Name | Laura M Cermignano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821454653 PECOS PAC ID: 0345546370 Enrollment ID: I20191220002068 |
| Provider Name | Madeleine Liu Rutledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811532088 PECOS PAC ID: 3072947167 Enrollment ID: I20191226000107 |
| Provider Name | Emma Edmondson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538556964 PECOS PAC ID: 1850726381 Enrollment ID: I20200110000926 |
| Provider Name | Sancia Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952947665 PECOS PAC ID: 5092140459 Enrollment ID: I20200114001416 |
| Provider Name | Robert G Maki |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538130323 PECOS PAC ID: 3274660758 Enrollment ID: I20200116000634 |
| Provider Name | Glenda Hoyee Tam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033755301 PECOS PAC ID: 5193150100 Enrollment ID: I20200122001433 |
| Provider Name | Idil Kore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720469000 PECOS PAC ID: 3577878628 Enrollment ID: I20200220002156 |
| Provider Name | Laura B Steffa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174158372 PECOS PAC ID: 8325477128 Enrollment ID: I20200330003093 |
| Provider Name | Katherine Mallory Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548892334 PECOS PAC ID: 7618306861 Enrollment ID: I20200409000522 |
| Provider Name | Tara Lynne Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467083063 PECOS PAC ID: 8527498203 Enrollment ID: I20200421000097 |
| Provider Name | Ehren Kelly Dancy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033640974 PECOS PAC ID: 5698025625 Enrollment ID: I20200506003170 |
| Provider Name | Susan Tark Spinello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639344039 PECOS PAC ID: 9335570662 Enrollment ID: I20200520002153 |
| Provider Name | Louise Vlachos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285011189 PECOS PAC ID: 5294027009 Enrollment ID: I20200630003080 |
| Provider Name | Meghan Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326577867 PECOS PAC ID: 0042633075 Enrollment ID: I20200709002788 |
| Provider Name | Jeffrey Howard Millstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396772281 PECOS PAC ID: 5991831968 Enrollment ID: I20200710001121 |
| Provider Name | William Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770015349 PECOS PAC ID: 4385973049 Enrollment ID: I20200817000233 |
| Provider Name | Paul Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629695036 PECOS PAC ID: 1052737459 Enrollment ID: I20200817001067 |
| Provider Name | Gulus Emre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831625268 PECOS PAC ID: 0244656346 Enrollment ID: I20200820000001 |
| Provider Name | Drew Farmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124448972 PECOS PAC ID: 7012333081 Enrollment ID: I20200820002997 |
| Provider Name | Mariam Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811382237 PECOS PAC ID: 0547572976 Enrollment ID: I20200820003633 |
| Provider Name | Stephen Mark Iannacone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831620830 PECOS PAC ID: 3375812423 Enrollment ID: I20200821001923 |
| Provider Name | Amanda Tjaden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447704283 PECOS PAC ID: 8426344045 Enrollment ID: I20200824000044 |
| Provider Name | Alexine J Froissard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205471166 PECOS PAC ID: 0446685119 Enrollment ID: I20200824002262 |
| Provider Name | Maura Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720519473 PECOS PAC ID: 7214361898 Enrollment ID: I20200825001125 |
| Provider Name | Laura Ann Kurash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154852945 PECOS PAC ID: 5890062491 Enrollment ID: I20200826000934 |
| Provider Name | Ayiti-carmel Maharaj-best |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427589381 PECOS PAC ID: 1557638020 Enrollment ID: I20200831001240 |
| Provider Name | Shahrzad Abdollahi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518494178 PECOS PAC ID: 3870863715 Enrollment ID: I20200901000027 |
| Provider Name | Bahar Adeli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093237554 PECOS PAC ID: 1052658291 Enrollment ID: I20200908001095 |
| Provider Name | Daniel Schott Teixeira Da Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629427190 PECOS PAC ID: 3072805092 Enrollment ID: I20200908001234 |
| Provider Name | Sebastian Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558892950 PECOS PAC ID: 7012335961 Enrollment ID: I20200909003429 |
| Provider Name | Abraham Segura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013443597 PECOS PAC ID: 8123375482 Enrollment ID: I20200911000781 |
| Provider Name | Courtney Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265964159 PECOS PAC ID: 9335485051 Enrollment ID: I20200924001731 |
| Provider Name | Audrey Mahajan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881072338 PECOS PAC ID: 0244548253 Enrollment ID: I20200925001628 |
| Provider Name | Laura Emmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740814052 PECOS PAC ID: 2961821806 Enrollment ID: I20200928000295 |
| Provider Name | Carrie I-yun Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720514821 PECOS PAC ID: 3971922204 Enrollment ID: I20201006000620 |
| Provider Name | Joseph Vincent Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942734173 PECOS PAC ID: 3779851035 Enrollment ID: I20201008000934 |
| Provider Name | Nicole Keane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477085280 PECOS PAC ID: 7416220405 Enrollment ID: I20201008002023 |
| Provider Name | Amanda Albrecht |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023546280 PECOS PAC ID: 9133497167 Enrollment ID: I20201008003298 |
| Provider Name | Ravi Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184156432 PECOS PAC ID: 1850669110 Enrollment ID: I20201013000319 |
| Provider Name | Jason Dietz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013448844 PECOS PAC ID: 1052657384 Enrollment ID: I20201014002475 |
| Provider Name | Cramer A Mccullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770014763 PECOS PAC ID: 2466729314 Enrollment ID: I20201015001351 |
| Provider Name | Sarah Elizabeth Capponi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881049088 PECOS PAC ID: 4587954110 Enrollment ID: I20201019001804 |
| Provider Name | Nikki Chopra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740642123 PECOS PAC ID: 6305130576 Enrollment ID: I20201021000370 |
| Provider Name | Alberta James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629680020 PECOS PAC ID: 4789095720 Enrollment ID: I20201124001741 |
| Provider Name | Floriya Tkachuk Mattioli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487080271 PECOS PAC ID: 1658652995 Enrollment ID: I20201223000267 |
| Provider Name | Laureen Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114527058 PECOS PAC ID: 1456764976 Enrollment ID: I20201230000898 |
| Provider Name | Roshni Guerry |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801808308 PECOS PAC ID: 0941467807 Enrollment ID: I20210202000119 |
| Provider Name | Yasmin Khawja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407116452 PECOS PAC ID: 7416173208 Enrollment ID: I20210310001775 |
| Provider Name | Beverly Ann Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154915718 PECOS PAC ID: 0749696011 Enrollment ID: I20210311000115 |
| Provider Name | Arnab Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639568033 PECOS PAC ID: 1658667589 Enrollment ID: I20210507001331 |
| Provider Name | Rachel E Kishton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104245331 PECOS PAC ID: 8123248911 Enrollment ID: I20210510000183 |
| Provider Name | Vatsal Bhatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528557261 PECOS PAC ID: 5890043913 Enrollment ID: I20210510001443 |
| Provider Name | Dana Direnzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144563164 PECOS PAC ID: 4284932617 Enrollment ID: I20210520000041 |
| Provider Name | William Chun-yin Hui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457857831 PECOS PAC ID: 8123427291 Enrollment ID: I20210521000268 |
| Provider Name | Jason Greay Faulkenberry |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912226580 PECOS PAC ID: 9436463353 Enrollment ID: I20210525003455 |
| Provider Name | Rasidat Adeduntan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558854695 PECOS PAC ID: 2769739747 Enrollment ID: I20210526002241 |
| Provider Name | Julia Mcpherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649776352 PECOS PAC ID: 9133528821 Enrollment ID: I20210601000043 |
| Provider Name | Caitlin Callaghan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780110197 PECOS PAC ID: 8426300591 Enrollment ID: I20210604000793 |
| Provider Name | Virginia Falvello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821582545 PECOS PAC ID: 6608122601 Enrollment ID: I20210608001711 |
| Provider Name | Bhavesh Madhusudan Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063948040 PECOS PAC ID: 6406256361 Enrollment ID: I20210614003498 |
| Provider Name | Aditi Kalotra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164928909 PECOS PAC ID: 9931458635 Enrollment ID: I20210617000091 |
| Provider Name | Tiffany Yuh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790147072 PECOS PAC ID: 1456643766 Enrollment ID: I20210623001301 |
| Provider Name | Angela Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073010013 PECOS PAC ID: 4880095876 Enrollment ID: I20210629000150 |
| Provider Name | Dennis D Su |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932606720 PECOS PAC ID: 9537560537 Enrollment ID: I20210629000439 |
| Provider Name | Christopher C Rymer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922595875 PECOS PAC ID: 6204166481 Enrollment ID: I20210629002560 |
| Provider Name | Eika Maria Barriera-justiniano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013597533 PECOS PAC ID: 9133520034 Enrollment ID: I20210629003835 |
| Provider Name | Melanie Weingart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073019741 PECOS PAC ID: 3072869692 Enrollment ID: I20210701000070 |
| Provider Name | Mary E Barrosse-antle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639666258 PECOS PAC ID: 2466700018 Enrollment ID: I20210701002436 |
| Provider Name | Melissa Hornor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437592284 PECOS PAC ID: 6507097599 Enrollment ID: I20210706003439 |
| Provider Name | Nicholina Haldane-lutterodt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558859827 PECOS PAC ID: 4486056785 Enrollment ID: I20210708003102 |
| Provider Name | Gary Alan Bass |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881924801 PECOS PAC ID: 5395147623 Enrollment ID: I20210709000483 |
| Provider Name | Patrick Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881044600 PECOS PAC ID: 2668872060 Enrollment ID: I20210712001675 |
| Provider Name | Christina Linos Jacovides |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326467309 PECOS PAC ID: 2769605229 Enrollment ID: I20210712002028 |
| Provider Name | Eric Bressman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164886008 PECOS PAC ID: 6901159193 Enrollment ID: I20210715002438 |
| Provider Name | Steven James Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922538727 PECOS PAC ID: 0648549832 Enrollment ID: I20210715004140 |
| Provider Name | Anahita Molayi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114415296 PECOS PAC ID: 1052676772 Enrollment ID: I20210720000839 |
| Provider Name | Michelle Patricia Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780116517 PECOS PAC ID: 0648673244 Enrollment ID: I20210720001857 |
| Provider Name | Jonathan Miner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639480528 PECOS PAC ID: 3476782061 Enrollment ID: I20210723000240 |
| Provider Name | Swarn Arya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164928180 PECOS PAC ID: 4486998655 Enrollment ID: I20210726000244 |
| Provider Name | Thomas Roberts Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841794450 PECOS PAC ID: 2264781483 Enrollment ID: I20210728000655 |
| Provider Name | Amy Wharton Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508356353 PECOS PAC ID: 8022411958 Enrollment ID: I20210729000942 |
| Provider Name | Kimberly Dequattro |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295096873 PECOS PAC ID: 1759633316 Enrollment ID: I20210806002373 |
| Provider Name | Kristina Laguerre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669908950 PECOS PAC ID: 6507137940 Enrollment ID: I20210809003291 |
| Provider Name | Annmarie Katherine Rodriguez Hadad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558858225 PECOS PAC ID: 5991053274 Enrollment ID: I20210818001049 |
| Provider Name | Jaime Kianka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427641976 PECOS PAC ID: 5294130522 Enrollment ID: I20210824002460 |
| Provider Name | Sarah J Skuli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386032779 PECOS PAC ID: 8820494719 Enrollment ID: I20210901000009 |
| Provider Name | Riley Elizabeth Ambrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922773027 PECOS PAC ID: 5193121903 Enrollment ID: I20210902000932 |
| Provider Name | Mathew Angelos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487141149 PECOS PAC ID: 1850649203 Enrollment ID: I20210908001328 |
| Provider Name | Anna Van Niekerk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265820112 PECOS PAC ID: 9638420136 Enrollment ID: I20210913000666 |
| Provider Name | John Nki Fonge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134534654 PECOS PAC ID: 9739400581 Enrollment ID: I20210921000294 |
| Provider Name | Michael Neuss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083147615 PECOS PAC ID: 5294156543 Enrollment ID: I20210927002274 |
| Provider Name | Mia Djulbegovic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598145013 PECOS PAC ID: 7810201308 Enrollment ID: I20211020003053 |
| Provider Name | Roxanna Pourmirzaie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881187151 PECOS PAC ID: 5193114171 Enrollment ID: I20211112000607 |
| Provider Name | Emily Katherine Wunsch Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265051932 PECOS PAC ID: 3375934029 Enrollment ID: I20220106002337 |
| Provider Name | Sarah Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932376894 PECOS PAC ID: 9133275126 Enrollment ID: I20220110000370 |
| Provider Name | Amanda Jane Swain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952371833 PECOS PAC ID: 9931142072 Enrollment ID: I20220111000417 |
| Provider Name | Nicole Leslie Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114686540 PECOS PAC ID: 0345633699 Enrollment ID: I20220209000065 |
| Provider Name | Nicole Lynn Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235892712 PECOS PAC ID: 8426441775 Enrollment ID: I20220209000098 |
| Provider Name | Megan Ann Dambrosio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225782311 PECOS PAC ID: 3971998220 Enrollment ID: I20220323001120 |
| Provider Name | Alicia Rengert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225307689 PECOS PAC ID: 3173881133 Enrollment ID: I20220324000757 |
| Provider Name | Eileen Czerwinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386002798 PECOS PAC ID: 5496050866 Enrollment ID: I20220412000877 |
| Provider Name | Nikhil Jiwrajka |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497095236 PECOS PAC ID: 9830475623 Enrollment ID: I20220420000805 |
| Provider Name | Soussan Ayubcha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013103910 PECOS PAC ID: 4789721572 Enrollment ID: I20220502002315 |
| Provider Name | Aaron Richterman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912388281 PECOS PAC ID: 4880909266 Enrollment ID: I20220517002194 |
| Provider Name | Allison E Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003472457 PECOS PAC ID: 0042544645 Enrollment ID: I20220519000788 |
| Provider Name | Ilan Joseph Resnick Caplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720522857 PECOS PAC ID: 0840623658 Enrollment ID: I20220519002909 |
| Provider Name | Shilpi Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518456458 PECOS PAC ID: 4284011701 Enrollment ID: I20220521000194 |
| Provider Name | Ralph Nader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588154041 PECOS PAC ID: 5294086807 Enrollment ID: I20220523000140 |
| Provider Name | David James Killeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568925659 PECOS PAC ID: 0446588164 Enrollment ID: I20220524000039 |
| Provider Name | Akanksha Arya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114580511 PECOS PAC ID: 6204160088 Enrollment ID: I20220524000441 |
| Provider Name | Sokratis Apostolidis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518353317 PECOS PAC ID: 1355656273 Enrollment ID: I20220524002441 |
| Provider Name | David John Cantor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962962506 PECOS PAC ID: 2264868983 Enrollment ID: I20220525002422 |
| Provider Name | Emily R Chan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548752223 PECOS PAC ID: 3971852575 Enrollment ID: I20220526000759 |
| Provider Name | Jugal R Thaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891291522 PECOS PAC ID: 4688924459 Enrollment ID: I20220527000946 |
| Provider Name | Humza Quadir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194389056 PECOS PAC ID: 9032447727 Enrollment ID: I20220531001957 |
| Provider Name | James Gabriel Ruggero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497315162 PECOS PAC ID: 8426383514 Enrollment ID: I20220601001041 |
| Provider Name | Nicholas O'brien Kuhl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376003624 PECOS PAC ID: 8426436387 Enrollment ID: I20220606000098 |
| Provider Name | Neha Mukunda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679345 PECOS PAC ID: 2163800087 Enrollment ID: I20220606002588 |
| Provider Name | Hyeokchan Kwon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225597016 PECOS PAC ID: 6709113012 Enrollment ID: I20220607000743 |
| Provider Name | Joshua Hitchings |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063075794 PECOS PAC ID: 8123406733 Enrollment ID: I20220609000744 |
| Provider Name | Sujatha Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922568088 PECOS PAC ID: 0749673705 Enrollment ID: I20220611000079 |
| Provider Name | Andrea Matho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881039782 PECOS PAC ID: 7315204161 Enrollment ID: I20220618000326 |
| Provider Name | Azhar Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255837654 PECOS PAC ID: 0143609396 Enrollment ID: I20220620000644 |
| Provider Name | Sahrish Ilyas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538523303 PECOS PAC ID: 2567754286 Enrollment ID: I20220621000835 |
| Provider Name | Swetha Padma Iruku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780180174 PECOS PAC ID: 7810245453 Enrollment ID: I20220622002147 |
| Provider Name | Shaw Ming Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922494236 PECOS PAC ID: 5395059109 Enrollment ID: I20220623000336 |
| Provider Name | Benjamin Michael Manning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104352541 PECOS PAC ID: 8123414935 Enrollment ID: I20220627003703 |
| Provider Name | Deepa Kamakshi Chellappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457811051 PECOS PAC ID: 2163802539 Enrollment ID: I20220630002744 |
| Provider Name | Robert David Schwab |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1083175749 PECOS PAC ID: 7012397904 Enrollment ID: I20220709000199 |
| Provider Name | Corey David Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639639289 PECOS PAC ID: 6204229222 Enrollment ID: I20220711002317 |
| Provider Name | Carl Andrew Beyer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164834370 PECOS PAC ID: 3072994300 Enrollment ID: I20220719000584 |
| Provider Name | Jalak Bharat Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730686437 PECOS PAC ID: 9133500978 Enrollment ID: I20220725003313 |
| Provider Name | Sameh N Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396276218 PECOS PAC ID: 3476984048 Enrollment ID: I20220728000422 |
| Provider Name | Phillip Dowzicky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427469345 PECOS PAC ID: 1052610508 Enrollment ID: I20220801000757 |
| Provider Name | Kavita Chapla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740713858 PECOS PAC ID: 5294003562 Enrollment ID: I20220802001222 |
| Provider Name | Ian Cooley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457887770 PECOS PAC ID: 2365710035 Enrollment ID: I20220810001200 |
| Provider Name | Salina Bakshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093196271 PECOS PAC ID: 1052605912 Enrollment ID: I20220818002100 |
| Provider Name | Tarig Sami Hassan Elhakim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184185209 PECOS PAC ID: 7618350810 Enrollment ID: I20220822001680 |
| Provider Name | Cullen Emory Worsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487114146 PECOS PAC ID: 3870913924 Enrollment ID: I20220823004137 |
| Provider Name | Katherine Oakden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992200257 PECOS PAC ID: 2860748001 Enrollment ID: I20220825000037 |
| Provider Name | Felicia D'souza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487069266 PECOS PAC ID: 0446532907 Enrollment ID: I20220826001330 |
| Provider Name | Grace Martin Niziolek |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528486339 PECOS PAC ID: 6406073600 Enrollment ID: I20220830000125 |
| Provider Name | Maria Yaseen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528528775 PECOS PAC ID: 9739564865 Enrollment ID: I20220909002376 |
| Provider Name | Shelley Joyceanne Thomas Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962963736 PECOS PAC ID: 4385029313 Enrollment ID: I20220912002914 |
| Provider Name | Zachary J Kosak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619438322 PECOS PAC ID: 6305179334 Enrollment ID: I20220913000033 |
| Provider Name | Brian William Coburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548758139 PECOS PAC ID: 4587041892 Enrollment ID: I20220920000466 |
| Provider Name | Mahmoud Mohamed Elfadil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669907242 PECOS PAC ID: 3678841467 Enrollment ID: I20220920001521 |
| Provider Name | John Heintz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669965059 PECOS PAC ID: 4284034810 Enrollment ID: I20220928002195 |
| Provider Name | Praneeth Reddy Sadda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437618568 PECOS PAC ID: 4486030186 Enrollment ID: I20221004001511 |
| Provider Name | Romina Elena Aragon Farfan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184186306 PECOS PAC ID: 4183092067 Enrollment ID: I20221128000495 |
| Provider Name | Elizabeth Knudsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104466853 PECOS PAC ID: 6800227182 Enrollment ID: I20221128001713 |
| Provider Name | Colleen M Werkmeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063129732 PECOS PAC ID: 8729456546 Enrollment ID: I20221128002553 |
| Provider Name | Hadas Horenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780301200 PECOS PAC ID: 9931577764 Enrollment ID: I20221128002903 |
| Provider Name | Katharine Brucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417664145 PECOS PAC ID: 2567830284 Enrollment ID: I20221130000364 |
| Provider Name | Alice Marcelle Ekobeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487259164 PECOS PAC ID: 5294103891 Enrollment ID: I20221201000618 |
| Provider Name | Rebecca E Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851755813 PECOS PAC ID: 9436448214 Enrollment ID: I20230201001980 |
| Provider Name | Casey Lafferty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578874913 PECOS PAC ID: 7719104785 Enrollment ID: I20230204000254 |
| Provider Name | Katharine Grace Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336851757 PECOS PAC ID: 6608248000 Enrollment ID: I20230213001668 |
| Provider Name | Nicole Mcjilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073146825 PECOS PAC ID: 7911328406 Enrollment ID: I20230220002444 |
| Provider Name | Christine Elaine Schultheiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255786430 PECOS PAC ID: 4981931391 Enrollment ID: I20230405001372 |
| Provider Name | Jeffrey Tokazewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932139094 PECOS PAC ID: 3870621790 Enrollment ID: I20230413003053 |
| Provider Name | Erin Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639877947 PECOS PAC ID: 6507221470 Enrollment ID: I20230427002156 |
| Provider Name | Carissa Livingston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376162131 PECOS PAC ID: 6406267301 Enrollment ID: I20230506000042 |
| Provider Name | Andrew Amir Jarrah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396205951 PECOS PAC ID: 1557749546 Enrollment ID: I20230516000245 |
| Provider Name | Sophia Bronislawa Golec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306475926 PECOS PAC ID: 7113383167 Enrollment ID: I20230516003745 |
| Provider Name | Matthew Jordan Klebanoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598384406 PECOS PAC ID: 2365859220 Enrollment ID: I20230518002650 |
| Provider Name | Rahul Snehal Bhansali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285194944 PECOS PAC ID: 4587991435 Enrollment ID: I20230519000053 |
| Provider Name | Karthik Sreedhara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942839931 PECOS PAC ID: 1557792207 Enrollment ID: I20230519001339 |
| Provider Name | Tiffany Sing Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588283774 PECOS PAC ID: 4385065051 Enrollment ID: I20230519002470 |
| Provider Name | Gillian Rose Naro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871113340 PECOS PAC ID: 1850710633 Enrollment ID: I20230522000206 |
| Provider Name | Emily Bryer Tomasulo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285167619 PECOS PAC ID: 2466818109 Enrollment ID: I20230522003021 |
| Provider Name | Victor Cotton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316566029 PECOS PAC ID: 3274999818 Enrollment ID: I20230524000035 |
| Provider Name | Samuel Masur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144712878 PECOS PAC ID: 5496000507 Enrollment ID: I20230524000098 |
| Provider Name | Jennifer Karen Sun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255891412 PECOS PAC ID: 7911392386 Enrollment ID: I20230525001024 |
| Provider Name | Sri Puli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174159099 PECOS PAC ID: 2466863121 Enrollment ID: I20230525001486 |
| Provider Name | Devin Mcbride |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629575899 PECOS PAC ID: 9931518172 Enrollment ID: I20230531000899 |
| Provider Name | Shane Warnock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174181515 PECOS PAC ID: 9537495403 Enrollment ID: I20230531003723 |
| Provider Name | Stephanie Wirtshafter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679030605 PECOS PAC ID: 8527425479 Enrollment ID: I20230607002886 |
| Provider Name | Anne Mao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700402971 PECOS PAC ID: 9830512359 Enrollment ID: I20230615001540 |
| Provider Name | Lilian Iglesias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073132866 PECOS PAC ID: 0941615918 Enrollment ID: I20230616003100 |
| Provider Name | Matthew Van Dongen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1003379736 PECOS PAC ID: 5294077897 Enrollment ID: I20230622001159 |
| Provider Name | Justin Hatchimonji |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881089373 PECOS PAC ID: 6305145046 Enrollment ID: I20230629000056 |
| Provider Name | Rachel Dayno |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063943355 PECOS PAC ID: 1355768292 Enrollment ID: I20230629002502 |
| Provider Name | Alyssa Kathleen Bruehlman |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1104350529 PECOS PAC ID: 0749550572 Enrollment ID: I20230629002674 |
| Provider Name | Ashish Thakrar |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1790216166 PECOS PAC ID: 0042587149 Enrollment ID: I20230629003221 |
| Provider Name | Asad Arastu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477015527 PECOS PAC ID: 4082943022 Enrollment ID: I20230706003189 |
| Provider Name | Yichen Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275069411 PECOS PAC ID: 1658645288 Enrollment ID: I20230710002753 |
| Provider Name | Nuval Cherian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710483888 PECOS PAC ID: 4981007804 Enrollment ID: I20230715000227 |
| Provider Name | Michael Roderick Cook |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184157307 PECOS PAC ID: 8628438892 Enrollment ID: I20230719002620 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477058386 PECOS PAC ID: 2365791902 Enrollment ID: I20230720003735 |
| Provider Name | Shannon Ugarte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134652118 PECOS PAC ID: 4880096536 Enrollment ID: I20230726004090 |
| Provider Name | Tanvi Goyal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295351708 PECOS PAC ID: 2860816733 Enrollment ID: I20230810004421 |
| Provider Name | Nigel Opoku Amankwah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871151100 PECOS PAC ID: 0446612550 Enrollment ID: I20230821002916 |
| Provider Name | Jacob Benjamin Reibel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356801906 PECOS PAC ID: 6204242423 Enrollment ID: I20230823000679 |
| Provider Name | Kyle Flattery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740803360 PECOS PAC ID: 7517373343 Enrollment ID: I20230823000981 |
| Provider Name | Nicole M. Scaramella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982223772 PECOS PAC ID: 4183087026 Enrollment ID: I20230825000933 |
| Provider Name | Virginia Hager Waldrop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568083756 PECOS PAC ID: 6608239462 Enrollment ID: I20230825002056 |
| Provider Name | Roseann Kennedy Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831630268 PECOS PAC ID: 6709116072 Enrollment ID: I20230908002892 |
| Provider Name | Minh Than |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629697537 PECOS PAC ID: 6800296799 Enrollment ID: I20230921001246 |
| Provider Name | Bridget Reilly Durkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154811313 PECOS PAC ID: 3678927886 Enrollment ID: I20230921002617 |
| Provider Name | Arooj Quadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942840632 PECOS PAC ID: 6305273418 Enrollment ID: I20230925000672 |
| Provider Name | Alyssa Dominique Ammazzalorso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861953424 PECOS PAC ID: 2668700287 Enrollment ID: I20230926000026 |
| Provider Name | Luis Enrique Seija |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912466798 PECOS PAC ID: 0244684884 Enrollment ID: I20230929002264 |
| Provider Name | Elizabeth Wetterer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598393498 PECOS PAC ID: 4284088832 Enrollment ID: I20230929002626 |
| Provider Name | Tushar Khanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669931432 PECOS PAC ID: 5890118442 Enrollment ID: I20231002001578 |
| Provider Name | Francoise Marie Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861179475 PECOS PAC ID: 6800241274 Enrollment ID: I20231005001405 |
| Provider Name | Anjali Agarwalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558980391 PECOS PAC ID: 8921453234 Enrollment ID: I20231005003418 |
| Provider Name | Kelly Dyer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073073888 PECOS PAC ID: 9234584558 Enrollment ID: I20231006000288 |
| Provider Name | Kush Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508356890 PECOS PAC ID: 4981955853 Enrollment ID: I20231007000753 |
| Provider Name | Nichelle Jana Ruffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396364998 PECOS PAC ID: 7214359934 Enrollment ID: I20231010002540 |
| Provider Name | Diane Haddad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083091953 PECOS PAC ID: 0446552095 Enrollment ID: I20231017000081 |
| Provider Name | Pashna Munshi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770845661 PECOS PAC ID: 8123322963 Enrollment ID: I20231017001169 |
| Provider Name | Nelson Onyango |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265896658 PECOS PAC ID: 8527347061 Enrollment ID: I20231027001761 |
| Provider Name | Madeline R Lederer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962021899 PECOS PAC ID: 7315369873 Enrollment ID: I20231104000790 |
| Provider Name | Cyrus Vahdatpour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841722683 PECOS PAC ID: 7113347774 Enrollment ID: I20231107000745 |
| Provider Name | Sriharsha Gummadi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952798910 PECOS PAC ID: 4082041413 Enrollment ID: I20231107003315 |
| Provider Name | Asheen Zariat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598228462 PECOS PAC ID: 6507213451 Enrollment ID: I20231114002668 |
| Provider Name | Sara Clemens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538695911 PECOS PAC ID: 5193075075 Enrollment ID: I20231114002979 |
| Provider Name | Sarju Panchal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700226495 PECOS PAC ID: 0143677005 Enrollment ID: I20231114003129 |
| Provider Name | Vivek A Ashok |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245798123 PECOS PAC ID: 8820324387 Enrollment ID: I20231117001715 |
| Provider Name | Khalid Hashim Ibrahim Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144840091 PECOS PAC ID: 6608285325 Enrollment ID: I20231117002102 |
| Provider Name | Marie Renzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295081834 PECOS PAC ID: 3577713965 Enrollment ID: I20231204000230 |
| Provider Name | Amitte Rosenfeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457914921 PECOS PAC ID: 7810220456 Enrollment ID: I20231209000710 |
| Provider Name | Saad Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649806548 PECOS PAC ID: 5698199685 Enrollment ID: I20231215002418 |
| Provider Name | Wileen Tessy Alexis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548038987 PECOS PAC ID: 0547610586 Enrollment ID: I20240103001141 |
| Provider Name | James Withey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841559861 PECOS PAC ID: 4284942517 Enrollment ID: I20240120000181 |
| Provider Name | George Maliha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215556121 PECOS PAC ID: 3476963455 Enrollment ID: I20240206000733 |
| Provider Name | Emily Ann Rider-longmaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144849027 PECOS PAC ID: 2567877913 Enrollment ID: I20240209001755 |
| Provider Name | Anna Marie Morinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528839040 PECOS PAC ID: 1456795780 Enrollment ID: I20240214003940 |
| Provider Name | Amy Elizabeth Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629846258 PECOS PAC ID: 1355785536 Enrollment ID: I20240215001376 |
| 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 | Anastasia Pietrafitta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669253290 PECOS PAC ID: 8921443680 Enrollment ID: I20240304002868 |
| Provider Name | Amanda Lee French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649049578 PECOS PAC ID: 9830534528 Enrollment ID: I20240304004106 |
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 | |
University Of Penn - Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 3 Ravdin, Suite F, Pulmonary & Critical Care, Philadelphia, PA 19104 Phone: 215-662-3202 | |
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 |